Evidence map›Paper›PMID 38878407›Full record

ArticleInternational journal of hygiene and environmental health2024

Associations between mycoestrogen exposure and sex steroid hormone concentrations in maternal serum and cord blood in the UPSIDE pregnancy cohort.

Carolyn W Kinkade, Lauren M Aleksunes, Anita Brinker, Brian Buckley, Jessica Brunner, Christina Wang, Richard K Miller, Thomas G O'Connor, Zorimar Rivera-Núñez, Emily S Barrett

Abstract read
In one paragraph

Article in International journal of hygiene and environmental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Diet and mycoestrogen exposure in a pregnancy cohort: the Jersey Babies pilot study.Journal of exposure science & environmental epidemiology · 2026
    Article
  3. Article
  4. Models of Endocrine-Disrupting Effects: Human Placental Steroidogenesis.Basic & clinical pharmacology & toxicology · 2025
    Review
  5. Article
  6. Mycoestrogen Exposure during Pregnancy: Impact of theEnvironmental health perspectives · 2025
    Article
  7. Urinary mycoestrogens and gestational weight gain in the UPSIDE pregnancy cohort.Environmental health : a global access science source · 2024
    Article
  8. 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

10 authors.

Carolyn W KinkadeEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ, USA. Electronic address: Caw136@scarletmail.rutgers.edu.
Lauren M AleksunesEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ, USA; Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, USA.
Anita BrinkerEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ, USA.
Brian BuckleyEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ, USA.
Jessica BrunnerDepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, USA.
Christina WangClinical and Translational Science Institute, The Lundquist Institute at Harbor - UCLA Medical Center, Torrance, CA, USA.
Richard K MillerDepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, USA; Department of Environmental Medicine, Pediatrics and Pathology, University of Rochester, New York, NY, 14642, USA.
Thomas G O'ConnorDepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, USA; Department of Psychiatry, University of Rochester, NY, USA; Wynne Center for Family Research, University of Rochester, USA.
Zorimar Rivera-NúñezEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ, USA; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA.
Emily S BarrettEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ, USA; Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, USA; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA.

Funding

Translational Research Support CoreP30ES005022 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI PANOS G. GEORGOPOULOS · 1988 to 2026
$47.4M
VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Martha Susiarjo · 1985 to 2026
$42.8M
New Jersey Alliance for Clinical Translational Science: NJ ACTSUL1TR003017 · NCATS · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI PANETTIERI, REYNOLD ALEXANDER · 2019 to 2023
$28.9M
Pre- and Postnatal Exposure Periods for Child Health: Common Risks and Shared MechanismsUH3OD023349 · OD · UNIVERSITY OF ROCHESTER · PI Emily S Barrett, Richard Kermit Miller · 2018 to 2026
$15.9M
Placental Responses to Environmental Chemicals - Diversity Supplement 2R01ES029275 · NIEHS · RUTGERS, THE STATE UNIV OF N.J. · PI ALEKSUNES, LAUREN M, BARRETT, EMILY S · 2018 to 2022
$3.2M
Training Grant for the Joint Graduate Program in Exposure Science.T32ES019854 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI MAINELIS, GEDIMINAS, WEISEL, CLIFFORD P · 2011 to 2020
$2.6M
Understanding Prenatal Signals and Infant Development (UPSIDE)R01HD083369 · NICHD · UNIVERSITY OF ROCHESTER · PI BARRETT, EMILY S · 2015 to 2019
$2.6M
Emerging Mycoestrogens: Impacts on Placental and Early Childhood GrowthR21ES032047 · NIEHS · RBHS-SCHOOL OF PUBLIC HEALTH · PI RIVERA-NUNEZ, ZORIMAR · 2021 to 2022
$445k
Exposure to Zearalenone and its Impact on Maternal and Fetal HealthF31ES034269 · NIEHS · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI KINKADE, CAROLYN · 2022 to 2023
$85k
Mycoestrogen Disposition and Activity in the PlacentaF31ES029794 · NIEHS · RUTGERS, THE STATE UNIV OF N.J. · PI GORCZYCA, LUDWIK JANUSZ · 2018 to 2019
$62k
NCATS NIH HHS UL1 TR003017NICHD NIH HHS R01 HD083369NIEHS NIH HHS F31 ES029794NIEHS NIH HHS F31 ES034269NIEHS NIH HHS P30 ES001247NIEHS NIH HHS P30 ES005022NIEHS NIH HHS R01 ES029275NIEHS NIH HHS R21 ES032047NIEHS NIH HHS T32 ES019854NIH HHS UH3 OD023349
6 · The paper itself

Abstract

Zearalenone (ZEN) is a fungal-derived toxin found in global food supplies including cereal grains and processed foods, impacting populations worldwide through diet. Because the chemical structure of ZEN and metabolites closely resembles 17β-estradiol (E2), they interact with estrogen receptors α/β earning their designation as 'mycoestrogens'. In animal models, gestational exposure to mycoestrogens disrupts estrogen activity and impairs fetal growth. Here, our objective was to evaluate relationships between mycoestrogen exposure and sex steroid hormone concentrations in maternal circulation and cord blood for the first time in humans. In each trimester, pregnant participants in the UPSIDE study (n = 297) provided urine for mycoestrogen analysis and serum for hormone analysis. At birth, placental mycoestrogens and cord steroids were measured. We fitted longitudinal models examining log-transformed mycoestrogen concentrations in relation to log-transformed hormones, adjusting for covariates. Secondarily, multivariable linear models examined associations at each time point (1st, 2nd, 3rd trimesters, delivery). We additionally considered effect modification by fetal sex. ZEN and its metabolite, α-zearalenol (α-ZOL), were detected in >93% and >75% of urine samples; >80% of placentas had detectable mycoestrogens. Longitudinal models from the full cohort exhibited few significant associations. In sex-stratified analyses, in pregnancies with male fetuses, estrone (E1) and free testosterone (fT) were inversely associated with ZEN (E1 %Δ: -6.68 95%CI: -12.34, -0.65; fT %Δ: -3.22 95%CI: -5.68, -0.70); while α-ZOL was positively associated with E2 (%Δ: 5.61 95%CI: -1.54, 9.85) in pregnancies with female fetuses. In analysis with cord hormones, urinary mycoestrogens were inversely associated with androstenedione (%Δ: 9.15 95%CI: 14.64, -3.30) in both sexes, and placental mycoestrogens were positively associated with cord fT (%Δ: 37.13, 95%CI: 4.86, 79.34) amongst male offspring. Findings support the hypothesis that mycoestrogens act as endocrine disruptors in humans, as in animal models and livestock. Additional work is needed to understand impacts on maternal and child health.

Indexed as

Fetal BloodZearalenoneAdultCohort StudiesEstradiolFemaleGonadal Steroid HormonesHumansMaleMaternal ExposurePlacentaPregnancyYoung AdultZeranolEstradiolGonadal Steroid HormoneszearalenolZearalenoneZeranolAndrogensEndocrine disruptionEstrogensMycoestrogensPlacentaPregnancyZearalenone

Identifiers

PMID38878407
PMCPMC11441442

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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.