Evidence map›Paper›PMID 41453703›Full record

ArticleEnvironmental research2026

Association between gestational PFAS exposure biomarkers and risk of preeclampsia in the ECHO Cohort.

Amber Cathey, Megan Woodbury, Julia Varshavsky, Skarlet Velasquez, Yeyi Zhu, Akram Alshawabkeh, Jose Cordero, Carmen Velez-Vega, Alicia Peterson, Assiamira Ferrara and 2 more

Abstract read
In one paragraph

Article in Environmental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Stress-activated pathways mediate PFAS effects on human placental syncytiotrophoblast cells.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    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

12 authors.

Amber CatheyDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Megan WoodburyDepartment of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA.
Julia VarshavskyDepartment of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA.
Skarlet VelasquezDepartment of Epidemiology and Biostatistics, University of Georgia, Athens, GA, USA.
Yeyi ZhuDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Akram AlshawabkehDepartment of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA.
Jose CorderoDepartment of Epidemiology and Biostatistics, University of Georgia, Athens, GA, USA.
Carmen Velez-VegaDepartment of Social Sciences, Doctoral Program in Social Determinants of Health, University of Puerto Rico, Medical Sciences Campus, Puerto Rico, San Juan, USA.
Alicia PetersonDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Assiamira FerraraDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
John D MeekerDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA. Electronic address: meekerj@umich.edu.
ECHO Cohort Consortium

Funding

Project-005U2COD023375 · OD · DUKE UNIVERSITY · PI JUNFENG ZHANG · 2016 to 2026
$215.9M
ECHODAC (Environmental Influences on Child Health Outcomes Data Analysis Center)U24OD023382 · OD · JOHNS HOPKINS UNIVERSITY · PI Diane J Catellier, LISA P JACOBSON · 2016 to 2026
$148.4M
Early Life Exposure to Endocrine Disrupting Chemicals and Child Growth, Adiposity, and NeurodevelopmentUH3OD023289 · OD · KAISER FOUNDATION RESEARCH INSTITUTE · PI ASSIAMIRA FERRARA, Monique Marie Hedderson · 2018 to 2026
$25.1M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UH3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI Akram N Alshawabkeh · 2018 to 2026
$24.0M
Preconception and Prenatal Health Impacting Factors and Child HealthUH3OD035540 · OD · KAISER FOUNDATION RESEARCH INSTITUTE · PI Lyndsay Ammon Avalos, Monique Marie Hedderson · 2025 to 2026
$14.1M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UG3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI ALSHAWABKEH, AKRAM N · 2016 to 2024
$13.0M
Preconception and Prenatal Health Impacting Factors and Child HealthUG3OD035540 · OD · KAISER FOUNDATION RESEARCH INSTITUTE · PI AVALOS, LYNDSAY AMMON, HEDDERSON, MONIQUE MARIE · 2023 to 2024
$6.4M
NIH HHS U24 OD023382NIH HHS U2C OD023375NIH HHS UG3 OD023251NIH HHS UG3 OD035540NIH HHS UH3 OD023251NIH HHS UH3 OD023289NIH HHS UH3 OD035540
6 · The paper itself

Abstract

Preeclampsia represents a major public health problem and contributes to maternal and child morbidity and mortality. Environmental exposure to per- and polyfluoroalkyl substances (PFAS) may increase the risk of preeclampsia. We investigated associations between 6 gestational PFAS exposure biomarkers and odds of preeclampsia among 2,343 women in the Environmental influences on Child Health Outcomes (ECHO) Cohort. We evaluated effect modification by race and fetal sex, and mixture effects with quantile g-computation and BKMR. Odds ratios (ORs) were elevated for perfluorooctanoic acid (PFOA; OR: 1.27 [0.73-2.23]), perfluorononanoic acid (PFNA; OR: 1.13 [0.85-1.49]), and perfluorodecanoic acid (PFDA; OR: 1.24 [0.92-1.65]) but reduced for perfluorohexane-1-sulfonic acid (PFHXS; OR: 0.78 [0.57-1.06]) and N-methyl perfluorooctane sulfonamido acetic acid (FOSAA; OR: 0.65 [0.24-1.76]). An interquartile range increase in PFDA was associated with 1.40 (95 % CI: 0.95-2.05) times greater odds of preeclampsia among pregnancies carrying female fetuses (OR: 1.09, 95 % CI: 0.73-1.62) and 2.28 (95 % CI: 1.26-4.12) times greater odds among those of Hispanic ethnicity compared with non-Hispanic White (OR: 0.96, 95 % CI: 0.62-1.48). Mixture analyses detected interactions between several PFAS chemicals. Our findings indicate suggestive trends of elevated susceptibility to preeclampsia with increasing PFAS exposure among pregnancies with a female fetus and races and ethnicities other than non-Hispanic White.

Indexed as

Environmental PollutantsFluorocarbonsMaternal ExposurePre-EclampsiaAdultBiomarkersCaprylatesCohort StudiesFemaleHumansPregnancyYoung AdultBiomarkersCaprylatesEnvironmental PollutantsFluorocarbonsperfluorooctanoic acidEnvironmental exposuresOutcomesPerfluoroalkyl and polyfluoroalkyl substancesPregnancyPrenatal exposure

Identifiers

PMID41453703
PMCPMC12995418

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.