Evidence map›Paper›PMID 42087152›Full record

ArticleEnvironmental health : a global access science source2026

Long-term effect of early-life arsenic exposure on morning plasma cortisol in adults from Antofagasta, Chile.

Rosemarie de la Rosa, Craig Steinmaus, Anthony Nardone, Amanda Silveira, Johanna Acevedo, Catterina Ferreccio, Martyn T Smith, Fenna C M Sillé

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Rosemarie de la RosaDivision of Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA, USA. rmd1025@berkeley.edu.
Craig SteinmausArsenic Health Effects Research Group, School of Public Health, Room 5302, University of California Berkeley, 2121 Berkeley Way, Berkeley, CA, 94720-7360, USA.
Anthony NardoneUC San Francisco (UCSF) Joint Medical Program, UCSF School of Medicine, San Francisco, CA, USA.
Amanda SilveiraDepartment of Nutritional Sciences and Toxicology, University of California, Berkeley, CA, USA.
Johanna AcevedoSchool of Medicine, Pontificia Universidad Católica de Chile, Advanced Center for Chronic Diseases (ACCDiS), Santiago, Chile.
Catterina FerreccioSchool of Medicine, Pontificia Universidad Católica de Chile, Advanced Center for Chronic Diseases (ACCDiS), Santiago, Chile.
Martyn T SmithDivision of Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA, USA.
Fenna C M SilléDepartment of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

Funding

Training CoreP42ES004705 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI SMITH, MARTYN T · 1987 to 2025
$74.6M
Incident cancer studies in a unique arsenic-exposed area of ChileR01ES014032 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI STEINMAUS, CRAIG M · 2007 to 2018
$3.8M
Long-term Effects of Early-Life Arsenic Exposure on ImmunityR00ES024808 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI SILLE, FENNA · 2017 to 2019
$838k
Programming of Epigenetic Clocks and Biomarkers from Early-life Arsenic ExposureR21ES035517 · NIEHS · STANFORD UNIVERSITY · PI CARDENAS, ANDRES, DE LA ROSA, ROSEMARIE · 2023 to 2024
$441k
Long-term Effects of Early-Life Arsenic Exposure on ImmunityK99ES024808 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI SILLE, FENNA · 2015 to 2015
$71k
National Institute of Environmental Health Sciences,United States P42ES004705NIEHS NIH HHS K99 ES024808NIEHS NIH HHS K99/R00ES024808NIEHS NIH HHS P42 ES004705NIEHS NIH HHS R00 ES024808NIEHS NIH HHS R01 ES014032NIEHS NIH HHS R01ES014032NIEHS NIH HHS R21ES035517
6 · The paper itself

Abstract

Over 100,000 people were exposed to arsenic-contaminated drinking water in Antofagasta, Chile from 1958-1970. Individuals born during this high exposure period have elevated rates of cancer, lung and cardiovascular disease, and hypertension. However, the mechanisms of long-term arsenic toxicity remain unclear. We investigated whether early-life arsenic exposure was associated with altered glucocorticoid levels in adulthood. This study included 114 individuals born in Antofagasta during the high exposure period and 118 individuals born in other Chilean cities with lower exposure. Arsenic exposure metrics were constructed based on residential histories and included: concentration at birth, peak and highest 5-year average between ages 0-10 years, and highest lifetime 5-year average, and lifetime cumulative exposure. Morning plasma cortisol concentrations were measured using a cell-based bioassay. Individuals in the highest quartile of highest lifetime 5-year average of arsenic exposure had approximately 11% lower mean log cortisol levels than those in the lowest quartile of exposure (β = -0.116; 95% CI: -0.229, -0.003). In sex-stratified analyses, associations were stronger among female participants. For example, female participants in the highest quartile of cumulative exposure had 22.0% lower cortisol levels compared to those in the lowest quartile (β = -0.248; 95% CI: -0.444, -0.053) and the test for interaction by sex was statistically significant (p = 0.036). This study is the first to show that early-life arsenic exposure may suppress HPA axis activity decades after exposure has ceased. These findings support endocrine disruption as a potential mechanism underlying long-term health effects of arsenic and highlight early development as a critical exposure window.

Indexed as

ArsenicEnvironmental ExposureHydrocortisoneWater Pollutants, ChemicalAdolescentAdultChildChild, PreschoolChileFemaleHumansInfantInfant, NewbornMaleMiddle AgedYoung AdultArsenicHydrocortisoneWater Pollutants, ChemicalArsenicCumulativeEarly-lifeGlucocorticoidSex-dependent

Identifiers

PMID42087152
PMCPMC13312757

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.