title: Perinatal exposure to polychlorinated biphenyls and dioxins and its effect on neonatal neurological development.
abstract: Polychlorinated biphenyls (PCBs) and dioxins (polychlorinated dibenzo-p-dioxins (PCDDs), and dibenzofurans (PCDFs)) are widespread environmental contaminants which are neurotoxic in animals. Perinatal exposure to PCBs, PCDDs, and PCDFs occurs prenatally via the placenta and postnatally via breast milk. To investigate whether such an exposure affects the neonatal neurological condition, the neurological optimality of 418 Dutch newborns was evaluated with the Prechtl neurological examination. Half of the infants were breast-fed, the other half were formula-fed, representing a relatively high against a relatively low postnatally exposed group, respectively. As an index of prenatal exposure, four non-planar PCBs in cord and maternal plasma were used. These PCB levels were not related to neurological function. As measures of combined pre- and early neonatal exposure, 17 dioxin congeners, three planar, and 23 non-planar PCB congeners were determined in human milk in the second week after delivery. Higher levels of PCBs, PCDDs, and PCDFs in breast milk were related to reduced neonatal neurological optimality. Higher levels of planar PCBs in breast milk were associated with a higher incidence of hypotonia. This study confirms previous reports about the neurotoxic effects of these compounds on the developing brain of newborn infants.
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital, Groningen, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Huisman
authors.forename: C
authors.initials: C
authors.lastname: Koopman-Esseboom
authors.forename: V
authors.initials: V
authors.lastname: Fidler
authors.forename: M
authors.initials: M
authors.lastname: Hadders-Algra
authors.forename: C G
authors.initials: CG
authors.lastname: van der Paauw
authors.forename: L G
authors.initials: LG
authors.lastname: Tuinstra
authors.forename: N
authors.initials: N
authors.lastname: Weisglas-Kuperus
authors.forename: P J
authors.initials: PJ
authors.lastname: Sauer
authors.forename: B C
authors.initials: BC
authors.lastname: Touwen
authors.forename: E R
authors.initials: ER
authors.lastname: Boersma
mesh_terms: D001572:Benzofurans / Q000009:adverse effects* / Q000032:analysis; D001942:Breast Feeding; D004147:Dioxins / Q000009:adverse effects* / Q000032:analysis; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D006801:Humans; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008297:Male; D018811:Maternal Exposure; D008895:Milk, Human / Q000737:chemistry; D009420:Nervous System / Q000187:drug effects* / Q000254:growth & development; D009426:Netherlands; D009460:Neurologic Examination; D011078:Polychlorinated Biphenyls / Q000009:adverse effects* / Q000032:analysis / Q000097:blood; D011187:Posture; D011247:Pregnancy; D012018:Reflex / Q000187:drug effects
chemical_list: D001572:Benzofurans; D004147:Dioxins; D011078:Polychlorinated Biphenyls