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3350759 
Journal Article 
Persistent organic pollutants and the association with maternal and infant thyroid homeostasis: a multipollutant assessment 
Berg, V; Nøst, TH; Pettersen, RD; Hansen, S; Veyhe, AS; Jorde, R; Odland, JØ; Sandanger, TM 
2017 
Yes 
Environmental Health Perspectives
ISSN: 0091-6765
EISSN: 1552-9924 
US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE 
RES TRIANGLE PK 
125 
127-133 
English 
BACKGROUND: Disruption of thyroid homeostasis has been indicated in human studies targeting effects of persistent organic pollutants (POPs). Influence on the maternal thyroid system by POPs is of special interest during pregnancy, as such effects could impair infant thyroid homeostasis.

OBJECTIVES: We investigated the association between POPs and thyroid stimulating hormone (TSH) and thyroid hormones (THs) in mother and child pairs from the Northern Norway Mother-and-Child Contaminant Cohort Study (MISA).

METHODS: Nineteen POPs and ten thyroid parameters were analysed in serum from 391 pregnant women in their second trimester. In addition, TSH concentrations in heel prick samples from the infants were analysed by the Norwegian Newborn Screening program. Association studies with a multipollutant approach were performed using multivariate analyses; partial least squares (PLS) regression, hierarchical clustering and principle component analysis (PCA).

RESULTS: Several POPs were significantly associated to TSH and THs: i) PFOS was positively associated with TSH; ii) PCBs, HCB and nonachlors were inversely associated to T3, T4 and FT4; and, iii) PFDA and PFUnDA were inversely associated to T3 and FT3. After mutual adjustments for the other contaminants, only PFDA and PFUnDA remained significantly associated to T3 and FT3, respectively. Infants born by mothers within the highest TSH quartile had 10% higher mean concentrations of TSH compared to children born by mothers in the lowest TSH quartile.

CONCLUSION: The present results suggest that background exposures to POPs can alter maternal thyroid homeostasis. This research contributes to the understanding of multipollutant exposures using multivariate statistical approaches and highlights the complexity of investigating environmental concentrations and mixtures in regards to maternal and infant thyroid function. 
Public Health And Safety; Womens health; Hormones; Pregnancy; Thyroid-stimulating hormone; Thyroid gland; Pollutants; Biochemistry; Infants; Accreditation; Homeostasis; Contaminants; Persistent organic pollutants; Drinking water; Children; Metabolism; Thyroid; Statistical analysis; Thyroxine; Thyroid hormones; Cluster analysis; Principal components analysis; Studies; Clustering; Exposure; Disruption; Statistical methods; Chemicals; Regression analysis; Triiodothyronine 
IRIS
• PCBs
     Hazard ID: Epidemiological evidence
     Mechanistic
     Not prioritized for screening
     Litsearches
          Litsearch Aug 2015 - Aug 2016
               Pubmed
          Litsearch: Aug 2017 - Aug 2018
               PubMed
               Not prioritized for screening
• PCBs Epi Hazard ID
     Health Effects
          Endocrine
PFAS
• Additional PFAS (formerly XAgency)
     Literature Search November 2019
          Other Sources
               TEDX
     Screened Studies
          Excluded
               Exclude (TIAB)
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch: September 2019
          Other Sources
               PFAS TOX Database
     Screened Studies
          Included
               Include (TIAB)
          Excluded
               Exclude (Full Text)
• ^Per- and Polyfluoroalkyl Substances (PFAS)
     PFOA (335-67-1) and PFOS (1763-23-1)
          Literature Search – Adverse outcome pathway (2015-present)
               WOS
     PFUnA (2058-94-8)
          Literature Search
               Pubmed
               WOS
     PFDA (335-76-2)
          Literature Search
               Pubmed
               WOS
• PFAS 150
     Literature Search August 2019
          PubMed
          Web of Science
          Other sources
               Reference list review of included studies
               PFAS TOX Database
     Screened Studies
          Included
               Include (TIAB)
               Include (Full Text)
     Perfluorodecanoic acid
     Perfluorooctanesulfonic acid
     Perfluoroundecanoic acid
• PFDA
     Literature Search
          Pubmed
          WOS
     Scopus: April 2021
     Screening Results
          Human/Epi studies
               Developmental tox
               Thyroid bioactivity
     Title and Abstract Screening
          Full Text Screening
               Studies Meeting PECO
                    Human health effect studies
     June 2022 Pelch Database
     Literature Searches (through April 2023 update and post-public comment/peer review)a    
          Other
               Published PFAS SEMs
          Title & Abstract Screening
               Tagged as Supplemental
                    Full Text Screening
                         Studies Meeting PECO
                              Human health effects studies
• PFHxS
     Database searches
          Pelch PFAS SEM
          Other
     Inclusion
          TiAb
          Full Text
               Human Study
• PFNA
     Litsearch Update 2017-2018
          Toxline
     Literature Search
          Toxline
     Title and Abstract Screening
          Full Text Screening
               Studies Meeting PECO
                    Human health effects studies
     June 2022 Pelch Database
• PFOA (335-67-1) and PFOS (1763-23-1)
     Literature Search – Adverse outcome pathway (2015-present)
          WOS
     Screening Results
          Human/Epi studies
               Developmental tox
               Thyroid bioactivity
     Literature Search Update (2013-2019)
          WOS
• PFOA and PFOS OW MCLG Approaches
     Cited in White Papers
• PFUnA
     Literature Search
          Pubmed
          WOS
     Screening Results
          Human/Epi studies
               Developmental tox
               Thyroid bioactivity