Evidence map›Paper›PMID 34143710›Full record

ArticleJournal of immunotoxicology2021

Serum vaccine antibody concentrations in adults exposed to per- and polyfluoroalkyl substances: A birth cohort in the Faroe Islands.

Yu-Hsuan Shih, Annelise J Blomberg, Marie-Abèle Bind, Dorte Holm, Flemming Nielsen, Carsten Heilmann, Pál Weihe, Philippe Grandjean

Open access · goldAbstract read
In one paragraph

Article in Journal of immunotoxicology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

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  11. Observational
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  13. Consideration of pathways for immunotoxicity of per- and polyfluoroalkyl substances (PFAS).Environmental health : a global access science source · 2023
    Review
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Yu-Hsuan ShihDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Cambridge, MA, USA.ORCID 0000-0002-9823-3771
Annelise J BlombergDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Cambridge, MA, USA.ORCID 0000-0003-1360-2580
Marie-Abèle BindDepartment of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-0422-6651
Dorte HolmDepartment of Clinical Immunology, Odense University Hospital, Odense, Denmark.
Flemming NielsenDepartment of Environmental Medicine, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-5657-405X
Carsten HeilmannPediatric Clinic, National University Hospital, Copenhagen, Denmark.
Pál WeiheCentre of Health Science, Faculty of Health Sciences, University of the Faroe Islands, Torshavn, Faroe Islands.ORCID 0000-0001-8174-3671
Philippe GrandjeanDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Cambridge, MA, USA.ORCID 0000-0003-4046-9658
Harvard University · USCopenhagen University Hospital · DKOdense University Hospital · DKUniversity of Southern Denmark · DKUniversity of the Faroe Islands · FO

Funding

Sources, Transport, Exposure & Effects of PFAS (STEEP) Center - RENEWALP42ES027706 · NIEHS · UNIVERSITY OF RHODE ISLAND · PI Rainer Lohmann · 2017 to 2026
$18.9M
Epidemiology of Immunotoxicant Exposure in ChildrenR01ES012199 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRANDJEAN, PHILIPPE ADAM · 2004 to 2015
$3.4M
Transporting established insights from classical experimental design to address causal questions in environmental epidemiology including the understanding of biological mediating mechanismsDP5OD021412 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI BIND, MARIE-ABELE CATHERINE · 2016 to 2020
$2.1M
NIEHS NIH HHS OCE-1321612NIEHS NIH HHS P42 ES027706NIEHS NIH HHS R01 ES012199NIH HHS DP5 OD021412
6 · The paper itself

Abstract

Per- and polyfluoroalkyl substances (PFASs) are highly persistent in the environment and may cause depressed immune function. Previous studies have linked PFAS exposure to lower vaccine responses in children, but research in adults is limited. Therefore, the present study evaluated the associations between exposure to PFASs and serum antibody concentrations in adults vaccinated at age 28 years in the Faroe Islands. PFAS concentrations were determined from cord-blood collected at birth and serum samples collected at ages 7, 14, 22, and 28 years. Serum antibody concentrations against hepatitis type A and B, diphtheria, and tetanus were analyzed from blood samples collected about 6 mo after the first vaccine inoculation at age 28 years. Linear regression models were used to estimate changes in antibody concentration for each doubling of PFAS concentration. Potential effect modification by sex was assessed by including an interaction term between PFAS and sex. Although the 95% confidence intervals contain the null value, inverse trends were observed between serum perfluorooctanoate (PFOA) at ages 14 and 28 years and hepatitis type A antibody (anti-HAV) concentrations, as revealed by an estimated decrease of 0.71 (95% CI: -1.52, 0.09) and 0.24 (95% CI: -0.59, 0.10) signal-to-cutoff ratio for each doubling of exposure, respectively. Inverse trends were also observed between serum PFOA at ages 22 and 28 years and hepatitis type B antibody (anti-HBs) concentration, with an estimated decrease of 21% (95% CI: -42.20%, 7.34%) and of 17% (95% CI: -35.47%, 7.35%) in anti-HBs for each doubling of exposure, respectively. Sex-specific associations with anti-HAV were observed for cord-blood PFASs and serum PFAS concentrations at ages 7 and 14 years. No inverse associations of PFAS exposure were found with diphtheria and tetanus antibody concentrations. Future studies are needed to confirm these findings and further investigate the effects of PFASs on adult immune function.

Indexed as

Alkanesulfonic AcidsEnvironmental PollutantsFluorocarbonsAdolescentAdultAntibodiesBirth CohortChildFemaleHumansInfant, NewbornMaleTetanus ToxoidYoung AdultAlkanesulfonic AcidsAntibodiesEnvironmental PollutantsFluorocarbonsTetanus Toxoidantibodiesimmune functionPer- and polyfluoroalkyl substancesPFASprospective studyvaccine response

Identifiers

PMID34143710
PMCPMC10204592
OpenAlexW3172650248

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.