Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across Pregnancy

Cadmium exposure has been associated with adverse perinatal outcomes. One possible mechanism is endocrine disruption. Studies of non-pregnant adults suggest that cadmium impacts androgen production; here, we examined these associations during pregnancy. Participants in the Understanding Pregnancy Si...

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Main Authors: Zorimar Rivera-Núñez, Megan Hansel, Camila Capurro, Danielle Kozlosky, Christina Wang, Cathleen L. Doherty, Brian Buckley, Pamela Ohman-Strickland, Richard K. Miller, Thomas G. O’Connor, Lauren M. Aleksunes, Emily S. Barrett
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/11/7/589
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author Zorimar Rivera-Núñez
Megan Hansel
Camila Capurro
Danielle Kozlosky
Christina Wang
Cathleen L. Doherty
Brian Buckley
Pamela Ohman-Strickland
Richard K. Miller
Thomas G. O’Connor
Lauren M. Aleksunes
Emily S. Barrett
author_facet Zorimar Rivera-Núñez
Megan Hansel
Camila Capurro
Danielle Kozlosky
Christina Wang
Cathleen L. Doherty
Brian Buckley
Pamela Ohman-Strickland
Richard K. Miller
Thomas G. O’Connor
Lauren M. Aleksunes
Emily S. Barrett
author_sort Zorimar Rivera-Núñez
collection DOAJ
description Cadmium exposure has been associated with adverse perinatal outcomes. One possible mechanism is endocrine disruption. Studies of non-pregnant adults suggest that cadmium impacts androgen production; here, we examined these associations during pregnancy. Participants in the Understanding Pregnancy Signals and Infant Development (UPSIDE) cohort provided biospecimens and questionnaire data in each trimester (n = 272). We quantified urinary cadmium, serum total testosterone (TT), estrone, estradiol, and estriol and serum free testosterone (fT). In adjusted longitudinal models, we examined sex steroid concentrations across pregnancy in relation to specific gravity-adjusted, ln-transformed cadmium concentrations. Additionally, we examined trimester-specific associations and stratified models by fetal sex. Results are presented as percent change (%∆) in hormone concentrations. In longitudinal models, higher cadmium concentrations were associated with lower fT across pregnancy (%∆ = −5.19, 95%CI: −8.33, −1.93), with no differences in other hormones observed. In trimester-specific models, higher cadmium concentrations were associated with lower TT in trimester 2 (%∆ = −15.26, 95%CI: −25.15, −4.06) and lower fT in trimester 3 (%∆ = −14.35, 95%CI: −19.75, −8.59). Associations with TT were stronger in pregnancies carrying female fetuses. Maternal cadmium exposure may be associated with reduced testosterone in pregnancy. Additional work is necessary to understand how alterations in gestational testosterone activity may impact pregnancy and child health.
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spelling doaj.art-e1be5ec65e22499fa16865694e4f89272023-11-18T21:37:00ZengMDPI AGToxics2305-63042023-07-0111758910.3390/toxics11070589Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across PregnancyZorimar Rivera-Núñez0Megan Hansel1Camila Capurro2Danielle Kozlosky3Christina Wang4Cathleen L. Doherty5Brian Buckley6Pamela Ohman-Strickland7Richard K. Miller8Thomas G. O’Connor9Lauren M. Aleksunes10Emily S. Barrett11Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ 08854, USADepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ 08854, USADepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ 08854, USAEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USAClinical and Translational Science Institute, The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, CA 90502, USAEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USAEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USADepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ 08854, USADepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY 14620, USADepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY 14620, USAEnvironmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USADepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ 08854, USACadmium exposure has been associated with adverse perinatal outcomes. One possible mechanism is endocrine disruption. Studies of non-pregnant adults suggest that cadmium impacts androgen production; here, we examined these associations during pregnancy. Participants in the Understanding Pregnancy Signals and Infant Development (UPSIDE) cohort provided biospecimens and questionnaire data in each trimester (n = 272). We quantified urinary cadmium, serum total testosterone (TT), estrone, estradiol, and estriol and serum free testosterone (fT). In adjusted longitudinal models, we examined sex steroid concentrations across pregnancy in relation to specific gravity-adjusted, ln-transformed cadmium concentrations. Additionally, we examined trimester-specific associations and stratified models by fetal sex. Results are presented as percent change (%∆) in hormone concentrations. In longitudinal models, higher cadmium concentrations were associated with lower fT across pregnancy (%∆ = −5.19, 95%CI: −8.33, −1.93), with no differences in other hormones observed. In trimester-specific models, higher cadmium concentrations were associated with lower TT in trimester 2 (%∆ = −15.26, 95%CI: −25.15, −4.06) and lower fT in trimester 3 (%∆ = −14.35, 95%CI: −19.75, −8.59). Associations with TT were stronger in pregnancies carrying female fetuses. Maternal cadmium exposure may be associated with reduced testosterone in pregnancy. Additional work is necessary to understand how alterations in gestational testosterone activity may impact pregnancy and child health.https://www.mdpi.com/2305-6304/11/7/589cadmiumsex steroid hormonespregnancyandrogenstestosterone
spellingShingle Zorimar Rivera-Núñez
Megan Hansel
Camila Capurro
Danielle Kozlosky
Christina Wang
Cathleen L. Doherty
Brian Buckley
Pamela Ohman-Strickland
Richard K. Miller
Thomas G. O’Connor
Lauren M. Aleksunes
Emily S. Barrett
Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across Pregnancy
Toxics
cadmium
sex steroid hormones
pregnancy
androgens
testosterone
title Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across Pregnancy
title_full Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across Pregnancy
title_fullStr Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across Pregnancy
title_full_unstemmed Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across Pregnancy
title_short Prenatal Cadmium Exposure and Maternal Sex Steroid Hormone Concentrations across Pregnancy
title_sort prenatal cadmium exposure and maternal sex steroid hormone concentrations across pregnancy
topic cadmium
sex steroid hormones
pregnancy
androgens
testosterone
url https://www.mdpi.com/2305-6304/11/7/589
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