Evidence map›Paper›PMID 39819460›Full record

ArticleEnvironmental health : a global access science source2025

Combined effects of global DNA methylation, blood lead and total urinary arsenic levels on developmental delay in preschool children.

Yuu-Hueih Hsu, Chih-Yin Wu, Hui-Ling Lee, Ru-Lan Hsieh, Ya-Li Huang, Horng-Sheng Shiue, Ying-Chin Lin, Mei-Chieh Chen, Yu-Mei Hsueh

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

9 authors.

Yuu-Hueih HsuDepartment of Public Health, National Cheng Kung University, Tainan, Taiwan.
Chih-Yin WuDepartment of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Hui-Ling LeeDepartment of Chemistry, Fu Jen Catholic University, New Taipei City, Taiwan.
Ru-Lan HsiehDepartment of Physical Medicine and Rehabilitation, Su Memorial Hospital, Shin Kong Wu Ho, Taipei, Taiwan.
Ya-Li HuangDepartment of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Horng-Sheng ShiueDepartment of Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Ying-Chin LinDepartment of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Mei-Chieh Chen *Department of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Yu-Mei Hsueh *Department of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan. ymhsueh@tmu.edu.tw.

Funding

National Science and Technology Council (Taiwan) MOST 107-2314-B-038-073, , MOST 108-2314-B-038 -089, MOST 109-2314-B-038-081, MOST 109-2314-B-038-067, MOST 110-2314-B-038-054, MOST 111-2314-B-038-052, MOST 111-2314-B-002-240-MY3, and NSTC 112-2314-B-038-094
6 · The paper itself

Abstract

DNA methylation is a critical step in brain development, 5-Methyl-2'-deoxycytidine (5mdC) is one of the global DNA methylation markers. Arsenic and lead exposures have been associated with neurotoxicity, which may be linked to epigenetic changes. Our research sought to investigate the correlation between 5mdC and developmental delay (DD) among preschoolers. Additionally, we assessed whether 5mdC modified the impacts of blood lead and total urinary arsenic levels on DD. We analyzed the concentrations of 5mdC, blood cadmium and lead, and total urinary arsenic in 174 children with DD and 88 healthy children. Global DNA methylation levels are expressed as the ratio 5mdC/2'-dexyguanosine (dG), called 5mdC (%). In our findings, elevated levels of blood lead and total urinary arsenic were significantly associated with DD risk among preschoolers. Furthermore, high 5mdC (%) was related with reduced risk of DD, with an odds ratio (OR) and 95% confidence interval (CI) of 0.14 (0.06 - 0.32). A notable multiplicative interaction was observed between low 5mdC (%) and elevated blood lead levels to increase OR of DD, with OR and 95% CI was 9.51 (4.18 - 21.64). The findings provide evidence of the combined effects of reduced 5mdC (%) and high blood lead concentrations, increasing the OR of DD.

Indexed as

ArsenicDevelopmental DisabilitiesDNA MethylationEnvironmental ExposureEnvironmental PollutantsLeadChild, PreschoolFemaleHumansMaleArsenicEnvironmental PollutantsLead5-methyl-2’-deoxycytidineArsenicDevelopmental delayLeadPreschool children

Identifiers

PMID39819460
PMCPMC11740333

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.