1. Urinary mycoestrogens and gestational weight gain in the UPSIDE pregnancy cohort.
- Author
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Kinkade CW, Rivera-Núñez Z, Brinker A, Buckley B, Waysack O, Kautz A, Meng Y, Ohman Strickland P, Block R, Groth SW, O'Connor TG, Aleksunes LM, and Barrett ES
- Subjects
- Female, Pregnancy, Humans, Adult, Cohort Studies, Young Adult, Maternal Exposure adverse effects, Zeranol urine, Zeranol analogs & derivatives, Estrogens, Non-Steroidal urine, Environmental Pollutants urine, Estrogens urine, Zearalenone urine, Gestational Weight Gain
- Abstract
Background: Zearalenone (ZEN), a secondary metabolite of Fusarium fungi, is one of the most common mycotoxins in global food supplies such as cereal grains and processed food. ZEN and its metabolites are commonly referred to as mycoestrogens, due to their ability to directly bind nuclear estrogen receptors α (ER-α) and β (ER-β). Zeranol, a synthetic mycoestrogen, is administered to U.S. cattle as a growth promoter. Despite widespread human exposure and ample evidence of adverse reproductive impacts in vitro and in vivo, there has been little epidemiological research on the health impacts of ZEN exposure during pregnancy. The objective of our study was to examine associations between ZEN and gestational weight gain (GWG)., Methods: Urine samples were collected in each trimester from pregnant participants in the UPSIDE cohort (n = 286, Rochester, NY, USA). High performance liquid chromatography and high-resolution tandem mass spectrometry were used to quantify concentrations of ZEN as well as ∑mycoestrogens (composite sum of ZEN metabolites; ng/ml). Maternal weights at clinical visits were abstracted from medical records. We fitted longitudinal models of specific-gravity adjusted, log-transformed ZEN and ∑mycoestrogens in relation to total GWG (kilograms) and GWG rate (kilograms/week). We additionally examined risk of excessive GWG (in relation to Institute of Medicine guidelines) and considered effect modification by fetal sex., Results: ZEN and ∑mycoestrogens were detected in > 93% and > 95% of samples, respectively. Mycoestrogen concentrations were positively associated with total GWG (ZEN β:0.50 kg; 95%CI: 0.13, 0.87) and GWG rate (ZEN β:0.20 kg/week; 95%CI: 0.01, 0.03). Associations tended to be stronger among participants carrying male (versus female) fetuses and results were robust to adjustment for diet., Conclusions: Mycoestrogen exposure during pregnancy may contribute to greater GWG. Future research is needed to understand potential influences on downstream maternal and offspring health., Competing Interests: Declarations. Ethics approval and consent to participate: This manuscript utilizes data collected from the ongoing prospective Understanding Pregnancy Signals in Development (UPSIDE) birth cohort. Institutional Review Boards (IRB) at the University of Rochester (IRB approval #: 58456, approval date: August 27, 2015) and Rutgers University (IRB approval #: Pro20160001514; January 27, 2017) approved all study activities. Participatns consent was obtained prior to participation in study activities. Consent for publication: Not applicable. Competing interests: OW is currently an employee of Exponent, Inc., which provides scientific consulting to the food and beverage industry and reports no conflict of interest. At the time of the data collection and analyses, OW was a student at University of Rochester. Other authors declare no conflicting interests., (© 2024. The Author(s).)
- Published
- 2024
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