A Birth Cohort Study of Maternal and Infant Serum PCB-153 and DDE Concentrations and Responses to Infant Tuberculosis Vaccination

JUSKO, Todd A., Anneclaire J. DE ROOS, Sue Y. LEE, Kelly THEVENET-MORRISON, Stephen M. SCHWARTZ, Marc-Andre VERNER, Lubica MURÍNOVÁ PÁLKOVIČOVÁ, Beata DROBNÁ, Anton KOČAN, Anna FABIŠIKOVÁ, Kamil ČONKA, Tomáš TRNOVEC, Irva HERTZ-PICCIOTTO a B. Paige LAWRENCE. A Birth Cohort Study of Maternal and Infant Serum PCB-153 and DDE Concentrations and Responses to Infant Tuberculosis Vaccination. Environmental health perspectives. USA: US Dept Health Human Sciences, 2016, roč. 124, č. 6, s. 813-821. ISSN 0091-6765. Dostupné z: https://dx.doi.org/10.1289/ehp.1510101.

Základní údaje

• Originální název: A Birth Cohort Study of Maternal and Infant Serum PCB-153 and DDE Concentrations and Responses to Infant Tuberculosis Vaccination
• Autoři: JUSKO, Todd A. (840 Spojené státy), Anneclaire J. DE ROOS (840 Spojené státy), Sue Y. LEE (840 Spojené státy), Kelly THEVENET-MORRISON (840 Spojené státy), Stephen M. SCHWARTZ (840 Spojené státy), Marc-Andre VERNER (124 Kanada), Lubica MURÍNOVÁ PÁLKOVIČOVÁ (703 Slovensko), Beata DROBNÁ (703 Slovensko), Anton KOČAN (703 Slovensko, garant, domácí), Anna FABIŠIKOVÁ (703 Slovensko), Kamil ČONKA (703 Slovensko), Tomáš TRNOVEC (703 Slovensko), Irva HERTZ-PICCIOTTO (840 Spojené státy) a B. Paige LAWRENCE (840 Spojené státy).
• Vydání: Environmental health perspectives, USA, US Dept Health Human Sciences, 2016, 0091-6765.

Další údaje

• Originální jazyk: angličtina
• Typ výsledku: Článek v odborném periodiku
• Obor: 30304 Public and environmental health
• Stát vydavatele: Spojené státy
• Utajení: není předmětem státního či obchodního tajemství
• WWW: URL
• Impakt faktor: Impact factor: 9.776
• Kód RIV: RIV/00216224:14310/16:00093529
• Organizační jednotka: Přírodovědecká fakulta
• Doi: http://dx.doi.org/10.1289/ehp.1510101
• UT WoS: 000377081300025
• Klíčová slova anglicky: POLYCHLORINATED-BIPHENYLS; PERINATAL EXPOSURE; ORGANOCHLORINE PESTICIDES; PCB CONCENTRATIONS; CALMETTE-GUERIN; BCG VACCINATION; IMMUNE-SYSTEM; MISSING LINK; GOAT KIDS; CHILDREN
• Štítky: AKR, rivok
• Příznaky: Mezinárodní význam, Recenzováno

Anotace

BACKGROUND: Reasons for the highly variable and often poor protection conferred by the Mycobacterium bovis bacille Calmette-Guerin (BCG) vaccine are multifaceted and poorly understood. OBJECTIVES: We aimed to determine whether early-life exposure to PCBs (polychlorinated biphenyls) and DDE [1,1-dichloro-2,2-bis(p-chlorophenyl) ethylene] reduces 6-month infant BCG vaccine response. METHODS: Data came from families participating in a prospective birth cohort in eastern Slovakia. At birth, maternal and cord blood were collected for chemical analyses, and infants were immunized with BCG. Blood was collected from infants for chemical analyses and to determine 6-month BCG-specific immunoglobulin (Ig) G and IgA levels. Multivariable linear regression models were fit to examine chemical-BCG associations among approximately 500 mother-infant pairs, with adjustment for confounders. RESULTS: The median 6-month infant concentration of the prevalent congener PCB-153 was 113 ng/g lipid [interquartile range (IQR): 37-248], and 388 ng/g lipid (IQR: 115-847) for DDE. Higher 6-month infant concentrations of PCB-153 and DDE were strongly associated with lower 6-month BCG-specific antibody levels. For instance, BCG-specific IgG levels were 37% lower for infants with PCB-153 concentrations at the 75th percentile compared to the 25th percentile (95% CI: -42, -32; p < 0.001). Results were similar in magnitude and precision for DDE. There was also evidence of PCB-DDE additivity, where exposure to both compounds reduced anti-BCG levels more than exposure to either compound alone. CONCLUSIONS: The associations observed in this study indicate that environmental exposures may be overlooked contributors to poorer responses to BCG vaccine. The overall association between these exposures and tuberculosis incidence is unknown.