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Meconium and neurotoxicants: searching for a prenatal exposure timing

AutorOrtega García, J. A.; Carrizo Gallardo, D.; Ferris i Tortajada, J.; García, M. M. P.; Grimalt, Joan O.
Palabras claveBiological markers
Environmental pollutants
Neurotoxicity syndromes
Prenatal exposure
Fecha de publicación19-abr-2006
EditorBritish Medical Association
CitaciónArchives of Disease in Childhood 91(8): 642–646 (2006)
ResumenBACKGROUND: Exposure to organochlorine compounds (OCs) has been a subject of interest in recent years, given their potential neurotoxicity. Meconium is easily available and accumulates neurotoxicants and/or metabolites from the 12th week of gestation.
AIMS: To determine whether neurotoxicants, specifically OCs, could be detected in serially collected meconium, and to compare the results with those obtained in cord blood samples.
METHODS: A sample of cord blood and three serial stool samples were analysed in 10 newborns. Pentachlorobenzene (PeCB), hexachlorobenzene (HCB), polychlorinated biphenyls (PCBs), dichlorodiphenyl trichloroethane (p,p'-DDT) and its metabolite dichlorodiphenyl dichloroethylene (p,p'-DDE), and hexachlorocyclohexane isomers (alpha-, beta-, gamma-, and delta-HCH) were analysed by gas chromatography.
RESULTS: From serial stool collection and analysis in newborns, there was an increase in the concentrations of HCB, p,p'-DDE, PCBs, and beta-HCH between the first and last stools of the newborn. Levels of DDT diminished as pregnancy progressed. Concentrations in cord blood were positively associated with concentrations in meconium for p,p'-DDE and beta-HCH.
CONCLUSIONS: Meconium is a very useful instrument for the investigation of fetal exposure to neurotoxicants; serial collection and analysis of meconium should estimate the timing and degree of in utero exposure of the fetus to neurotoxicants. Analysis and interpretation of neurotoxicants in meconium results is a complex process. Measurement in meconium of a wide range of neurotoxic substances should facilitate early identification of harmful exposures, and enable rehabilitation and instigation of preventive measures.
Descripción5 pages, 3 figures, 2 tables.-- PMID: 16624883 [PubMed].-- PMCID: PMC2083026.-- Printed version published Aug 2006.
Versión del editorhttp://dx.doi.org/10.1136/adc.2005.084129
ISSN0003-9888 (Print)
1468-2044 (Online)
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