Evidence map›Paper›PMID 40999122›Full record

SynthesisArchives of toxicology2026

Chemical disruption of placental thyroid hormone signalling: a systematic review that highlights sex-specific effects.

Julia Swan, D Zhurenko, K M Huttunen, J Rysä

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in Archives of toxicology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Julia SwanSchool of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Yliopistonrinne 3, P.O.Box 1627, 70211, Kuopio, Finland. julia.swan@uef.fi.ORCID 0000-0002-8831-616X
D ZhurenkoSchool of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Yliopistonrinne 3, P.O.Box 1627, 70211, Kuopio, Finland.ORCID 0000-0002-5555-1091
K M HuttunenSchool of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Yliopistonrinne 3, P.O.Box 1627, 70211, Kuopio, Finland.ORCID 0000-0002-1175-8517
J RysäSchool of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Yliopistonrinne 3, P.O.Box 1627, 70211, Kuopio, Finland.ORCID 0000-0003-2205-6323

Funding

HORIZON EUROPE Health 101137405
6 · The paper itself

Abstract

Thyroid hormones are crucial for growth, brain development, metabolism, and organ maturation in developing foetuses. Until 12-14 weeks of gestation, the foetus depends on maternal thyroid hormones before its own thyroid gland begins functioning. Environmental chemical and medication exposure during pregnancy may affect the thyroid hormone supply to the foetus by interfering with placental transport carriers and metabolism. This systematic review evaluated chemical effects on thyroid hormone passage from maternal to foetal circulation, modulated by transporters and enzymes. A search of PubMed, Scopus, and Web of Science identified 24 relevant studies published between 1900 and 2024, including 4 epidemiological studies, 8 in vivo animal studies, and 15 in vitro studies. The review found evidence that persistent organic pollutants, flame retardants, endocrine disrupting chemicals, pharmaceuticals, and other substances can disrupt placental thyroid hormone signalling through various mechanisms. These include alterations in transporter expression and enzyme activity in the placenta. Several studies observed sex-specific effects, with male and female foetuses showing different responses to chemical exposure. In some cases, sex differences were in the degree of change, while in others, the same chemical had opposite effects based on foetal sex. However, many studies used choriocarcinoma cell lines, which may not fully replicate human placental processes. This review highlights the need for further research to elucidate chemical exposure's impact on foetal thyroid hormone status and the role of foetal sex using human physiologically relevant models.

Indexed as

Endocrine DisruptorsPlacentaThyroid HormonesAnimalsFemaleHumansMaleMaternal-Fetal ExchangePregnancySex CharacteristicsSex FactorsSignal TransductionEndocrine DisruptorsThyroid HormonesChemical exposurePlacentaSex differencesThyroid hormone

Identifiers

PMID40999122
PMCPMC12858585

What OpenQuestion holds

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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.