Evidence map›Paper›PMID 34612677›Full record

ArticleEnvironmental health perspectives2021

Beyond Cholinesterase Inhibition: Developmental Neurotoxicity of Organophosphate Ester Flame Retardants and Plasticizers.

Heather B Patisaul, Mamta Behl, Linda S Birnbaum, Arlene Blum, Miriam L Diamond, Seth Rojello Fernández, Helena T Hogberg, Carol F Kwiatkowski, Jamie D Page, Anna Soehl and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.

  1. Pooled it
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  6. An environmentally relevant mixture of organophosphate esters induces cholesterol biosynthesis in THP-1 macrophages.Toxicological sciences : an official journal of the Society of Toxicology · 2026
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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

11 authors at 6 institutions in 2 countries.

Heather B PatisaulCollege of Sciences, North Carolina State University, Raleigh, North Carolina, USA.
Mamta BehlNational Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, North Carolina, USA.
Linda S BirnbaumNational Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, North Carolina, USA.
Arlene BlumGreen Science Policy Institute, Berkeley, California, USA.
Miriam L DiamondUniversity of Toronto, Toronto, Ontario, Canada.
Seth Rojello FernándezGreen Science Policy Institute, Berkeley, California, USA.
Helena T HogbergCenter for Alternatives to Animal Testing, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Carol F KwiatkowskiGreen Science Policy Institute, Berkeley, California, USA.
Jamie D PageCancer Prevention & Education Society, Meads House, Leighterton, Tetbury, Gloucestershire, UK.
Anna SoehlGreen Science Policy Institute, Berkeley, California, USA.
Heather M StapletonNicholas School of the Environment, Duke University, Durham, North Carolina, USA.
Public Policy Institute of California · USNational Institutes of Health · USDuke University · USJohns Hopkins University · USNorth Carolina State University · USUniversity of Toronto · CA

Funding

Zebrafish as a Detector of Organophosphate ExposureP42ES010356 · NIEHS · DUKE UNIVERSITY · PI AMY H HERRING · 2000 to 2026
$56.2M
The placenta: a novel target of sex specific neurotoxicity by fire retardantsR01ES028110 · NIEHS · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI MEITZEN, JOHN · 2017 to 2022
$2.4M
Flame retardant effects on thyroid hormone regulation at the fetal-maternal interface of the placentaR01ES031419 · NIEHS · DUKE UNIVERSITY · PI PATISAUL, HEATHER B, STAPLETON, HEATHER M · 2020 to 2022
$1.8M
NIEHS NIH HHS P42 ES010356NIEHS NIH HHS R01 ES028110NIEHS NIH HHS R01 ES031419
6 · The paper itself

Abstract

backgroundTo date, the toxicity of organophosphate esters has primarily been studied regarding their use as pesticides and their effects on the neurotransmitter acetylcholinesterase (AChE). Currently, flame retardants and plasticizers are the two largest market segments for organophosphate esters and they are found in a wide variety of products, including electronics, building materials, vehicles, furniture, car seats, plastics, and textiles. As a result, organophosphate esters and their metabolites are routinely found in human urine, blood, placental tissue, and breast milk across the globe. It has been asserted that their neurological effects are minimal given that they do not act on AChE in precisely the same way as organophosphate ester pesticides.

objectivesThis commentary describes research on the non-AChE neurodevelopmental toxicity of organophosphate esters used as flame retardants and plasticizers (OPEs). Studies in humans, mammalian, nonmammalian, and DISCUSSION: Collectively, the findings presented demonstrate that OPEs can alter neurodevelopmental processes by interfering with noncholinergic pathways at environmentally relevant doses. Application of a pathways framework indicates several specific mechanisms of action, including perturbation of glutamate and gamma-aminobutyric acid and disruption of the endocrine system. The effects may have implications for the development of cognitive and social skills in children. Our conclusion is that concern is warranted for the developmental neurotoxicity of OPE exposure. We thus describe important considerations for reducing harm and to provide recommendations for government and industry decision makers. https://doi.org/10.1289/EHP9285.

Indexed as

Flame RetardantsAcetylcholinesteraseChildEnvironmental MonitoringEstersFemaleHumansOrganophosphatesPlacentaPlasticizersPregnancyAcetylcholinesteraseEstersFlame RetardantsOrganophosphatesPlasticizers

Identifiers

PMID34612677
PMCPMC8493874
OpenAlexW3204945049

What OpenQuestion holds

Textmetadata
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.