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http://ir.nhri.org.tw/handle/3990099045/13269
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| Title: | Association between two common environmental toxicants (phthalates and melamine) and urinary markers of renal injury in the third trimester of pregnant women: The Taiwan Maternal and Infant Cohort Study (TMICS) |
| Authors: | Tsai, HJ;Kuo, FC;Wu, CF;Sun, CW;Hsieh, CJ;Wang, SL;Chen, ML;Hsieh, HM;Chuang, YS;Wu, MT |
| Contributors: | National Institute of Environmental Health Sciences |
| Abstract: | Background: Exposure to either melamine or phthalate, two common toxicants, during pregnancy may cause adverse health effects, including kidney damage. Objectives: We investigated the independent and interactive effect of exposure to melamine and phthalates, particularly di-(2-ethylhexyl) phthalate (DEHP), on markers of early renal injury in women their third trimester of pregnancy in one nationwide birth cohort, the Taiwan Maternal and Infant Cohort Study (TMICS). Methods: Between October, 2012 and May, 2015, participants were administered questionnaires, physical examinations, and blood and urine tests during their third trimester. One-spot overnight urine specimens were used to simultaneously measure melamine, 11 phthalate metabolites, and two markers of renal injury, microalbumin and N-acetyl-beta-D-glucosaminidas (NAG). Estimated daily DEHP intake was calculated based on measurement of three urinary DEHP metabolites. Microalbuminuria was defined as having a urinary albumin/creatinine ratio (ACR) higher than 3.5 mg/mmol. Results: Total 1433 pregnant women were analyzed. The median value for urinary melamine was 0.63 μg/mmol Cr and estimated DEHP intake was 1.84 μg/kg/day. We found subjects in the highest quartile of estimated DEHP intake to have significantly higher urinary ACR (β = 0.095, p = 0.043) and the prevalence of microalbuminuria (adjusted OR = 1.752, 95% confidence interval = 1.118–2.746), compared to those in the lowest quartile. In addition, there was a significant interactive effect between urinary melamine and estimated DEHP intake on urinary ACR and NAG. Conclusion: Our results suggest these two ubiquitous chemicals together may be associated with markers of early kidney injury in pregnant women. |
| Date: | 2021-06 |
| Relation: | Chemosphere. 2021 Jun;272:Article number 129925. |
| Link to: | http://dx.doi.org/10.1016/j.chemosphere.2021.129925 |
| JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0045-6535&DestApp=IC2JCR |
| Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:000635594700109 |
| Cited Times(Scopus): | https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85101367629 |
| Appears in Collections: | [王淑麗] 期刊論文
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| SCP85101367629.pdf | | 621Kb | Adobe PDF | 197 | View/Open |
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