Evidence map›Paper›PMID 34461121›Full record

ArticleEnvironmental research2022

Association between placental toxic metal exposure and NICU Network Neurobehavioral Scales (NNNS) profiles in the Rhode Island Child Health Study (RICHS).

Pei Wen Tung, Amber Burt, Margaret Karagas, Brian P Jackson, Tracy Punshon, Barry Lester, Carmen J Marsit

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. The Molecular Gut-Brain Axis in Early Brain Development.International journal of molecular sciences · 2022
    Review
  10. Article
  11. Article
  12. Article
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

7 authors at 3 institutions in 1 country.

Pei Wen TungGangarosa Department of Environmental Health, Emory University, Atlanta, GA, USA.
Amber BurtGangarosa Department of Environmental Health, Emory University, Atlanta, GA, USA.
Margaret KaragasDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Brian P JacksonDepartment of Earth Sciences, Dartmouth College, Hanover, NH, USA.
Tracy PunshonDepartment of Biological Sciences, Dartmouth College, Hanover, NH, USA.
Barry LesterDepartment of Pediatrics, Women & Infants Hospital of Rhode Island, Providence, RI, USA; The Brown Center of the Study of Children at Risk, Brown University, Providence, RI, USA.
Carmen J MarsitGangarosa Department of Environmental Health, Emory University, Atlanta, GA, USA. Electronic address: Carmen.J.Marsit@emory.edu.
Dartmouth College · USEmory University · USProvidence College · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Relation Between In-utero Vitamin D and Immune Function in Early Childhood P20GM104416 · NIGMS · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA · 2013 to 2022
$23.7M
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Project 3: Placental Biomarkers of Exposure and Outcome (Marsit)P01ES022832 · NIEHS · DARTMOUTH COLLEGE · PI MURRAY, CAROLYN J · 2013 to 2018
$4.7M
Enriching the Rhode Island Child Health StudyR24ES028507 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit, LAURA R STROUD · 2017 to 2026
$2.3M
NCI NIH HHS P30 CA023108NIEHS NIH HHS P01 ES022832NIEHS NIH HHS P30 ES019776NIEHS NIH HHS R24 ES028507NIGMS NIH HHS P20 GM104416
6 · The paper itself

Abstract

backgroundPrenatal exposure to heavy metals has been linked to a variety of adverse outcomes in newborn health and later life. Toxic metals such as cadmium (Cd), manganese (Mn) and lead (Pb) have been implicated to negatively affect newborn neurobehavior. Placental levels of these metals may provide additional understandings on the link between prenatal toxic metal exposures and neurobehavioral performances in newborns.

objectiveTo evaluate associations between placental concentrations of toxic metals and newborn neurobehavioral performance indicated through the NICU Network Neurobehavioral Scales (NNNS) latent profiles.

methodIn the Rhode Island Child Health Study cohort (n = 625), newborn neurobehavioral performance was assessed with NNNS, and a latent profile analysis was used to define five discrete neurobehavioral profiles based on summary scales. Using multinomial logistic regression, we determined whether increased levels of placental toxic metals Cd, Mn and Pb associated with newborns assigned to the profile demonstrating atypical neurobehavioral performances.

resultsEvery doubling in placenta Cd concentration was associated with increased odds of newborns belonging to the atypical neurobehavior profile (OR: 2.72, 95% CI [1.09, 6.79]). Detectable placental Pb also demonstrated an increased odds of newborns assignment to the atypical profile (OR: 3.71, 95% CI [0.97, 13.96]) compared to being in the typical neurobehavioral profile.

conclusionsToxic metals Cd and Pb measured in placental tissue may adversely impact newborn neurobehavior. Utilizing the placenta as a prenatal toxic metal exposure biomarker is useful in elucidating the associated impacts of toxic metals on newborn health.

Indexed as

Intensive Care Units, NeonatalMetals, HeavyChildChild HealthFemaleHumansInfant, NewbornPlacentaPregnancyRhode IslandMetals, HeavyCadmiumLatent profile analysisLeadNeurobehavioral assessmentNNNSPlacenta

Identifiers

PMID34461121
PMCPMC8639656
OpenAlexW3198616091

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.