Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds
Context Perfluorinated compounds (PFCs) have emerged as important food contaminants. They cause immune suppression in a rodent model at serum concentrations similar to those occurring in the US population, but adverse health effects of PFC exposure are poorly understood. Objective To determine wheth...
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ftharvardudash:oai:dash.harvard.edu:1/34216020 2023-05-15T16:11:01+02:00 Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds Grandjean, Philippe Andersen, Elisabeth Wreford Budtz-Jørgensen, Esben Nielsen, Flemming Mølbak, Kåre Weihe, Pal Heilmann, Carsten 2012 application/pdf http://nrs.harvard.edu/urn-3:HUL.InstRepos:34216020 https://doi.org/10.1001/jama.2011.2034 en_US eng American Medical Association (AMA) 10.1001/jama.2011.2034 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4402650/ JAMA Quick submit: 2017-09-21T14:31:41-0400 Grandjean, Philippe, Elisabeth Wreford Andersen, Esben Budtz-Jørgensen, Flemming Nielsen, Kåre Mølbak, Pal Weihe, and Carsten Heilmann. 2012. “Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds.” JAMA 307 (4) (January 25). doi:10.1001/jama.2011.2034. 0098-7484 http://nrs.harvard.edu/urn-3:HUL.InstRepos:34216020 doi:10.1001/jama.2011.2034 Journal Article 2012 ftharvardudash https://doi.org/10.1001/jama.2011.2034 2022-04-05T18:38:52Z Context Perfluorinated compounds (PFCs) have emerged as important food contaminants. They cause immune suppression in a rodent model at serum concentrations similar to those occurring in the US population, but adverse health effects of PFC exposure are poorly understood. Objective To determine whether PFC exposure is associated with antibody response to childhood vaccinations. Design, Setting, and Participants Prospective study of a birth cohort from the National Hospital in the Faroe Islands. A total of 656 consecutive singleton births were recruited during 1997-2000, and 587 participated in follow-up through 2008. Main Outcome Measures Serum antibody concentrations against tetanus and diphtheria toxoids at ages 5 and 7 years. Results Similar to results of prior studies in the United States, the PFCs with the highest serum concentrations were perfluorooctane sulfonic acid (PFOS) and perfluorooctanoic acid (PFOA). Among PFCs in maternal pregnancy serum, PFOS showed the strongest negative correlations with antibody concentrations at age 5 years, for which a 2-fold greater concentration of exposure was associated with a difference of −39% (95% CI, −55% to −17%) in the diphtheria antibody concentration. PFCs in the child’s serum at age 5 years showed uniformly negative associations with antibody levels, especially at age 7 years, except that the tetanus antibody level following PFOS exposure was not statistically significant. In a structural equation model, a 2-fold greater concentration of major PFCs in child serum was associated with a difference of −49% (95% CI, −67% to −23%) in the overall antibody concentration. A 2-fold increase in PFOS and PFOA concentrations at age 5 years was associated with odds ratios between 2.38 (95% CI, 0.89 to 6.35) and 4.20 (95% CI, 1.54 to 11.44) for falling below a clinically protective level of 0.1 IU/mL for tetanus and diphtheria antibodies at age 7 years. Conclusion Elevated exposures to PFCs were associated with reduced humoral immune response to routine childhood immunizations in children aged 5 and 7 years. Accepted Manuscript Article in Journal/Newspaper Faroe Islands Harvard University: DASH - Digital Access to Scholarship at Harvard Faroe Islands JAMA 307 4 |
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Harvard University: DASH - Digital Access to Scholarship at Harvard |
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English |
description |
Context Perfluorinated compounds (PFCs) have emerged as important food contaminants. They cause immune suppression in a rodent model at serum concentrations similar to those occurring in the US population, but adverse health effects of PFC exposure are poorly understood. Objective To determine whether PFC exposure is associated with antibody response to childhood vaccinations. Design, Setting, and Participants Prospective study of a birth cohort from the National Hospital in the Faroe Islands. A total of 656 consecutive singleton births were recruited during 1997-2000, and 587 participated in follow-up through 2008. Main Outcome Measures Serum antibody concentrations against tetanus and diphtheria toxoids at ages 5 and 7 years. Results Similar to results of prior studies in the United States, the PFCs with the highest serum concentrations were perfluorooctane sulfonic acid (PFOS) and perfluorooctanoic acid (PFOA). Among PFCs in maternal pregnancy serum, PFOS showed the strongest negative correlations with antibody concentrations at age 5 years, for which a 2-fold greater concentration of exposure was associated with a difference of −39% (95% CI, −55% to −17%) in the diphtheria antibody concentration. PFCs in the child’s serum at age 5 years showed uniformly negative associations with antibody levels, especially at age 7 years, except that the tetanus antibody level following PFOS exposure was not statistically significant. In a structural equation model, a 2-fold greater concentration of major PFCs in child serum was associated with a difference of −49% (95% CI, −67% to −23%) in the overall antibody concentration. A 2-fold increase in PFOS and PFOA concentrations at age 5 years was associated with odds ratios between 2.38 (95% CI, 0.89 to 6.35) and 4.20 (95% CI, 1.54 to 11.44) for falling below a clinically protective level of 0.1 IU/mL for tetanus and diphtheria antibodies at age 7 years. Conclusion Elevated exposures to PFCs were associated with reduced humoral immune response to routine childhood immunizations in children aged 5 and 7 years. Accepted Manuscript |
format |
Article in Journal/Newspaper |
author |
Grandjean, Philippe Andersen, Elisabeth Wreford Budtz-Jørgensen, Esben Nielsen, Flemming Mølbak, Kåre Weihe, Pal Heilmann, Carsten |
spellingShingle |
Grandjean, Philippe Andersen, Elisabeth Wreford Budtz-Jørgensen, Esben Nielsen, Flemming Mølbak, Kåre Weihe, Pal Heilmann, Carsten Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds |
author_facet |
Grandjean, Philippe Andersen, Elisabeth Wreford Budtz-Jørgensen, Esben Nielsen, Flemming Mølbak, Kåre Weihe, Pal Heilmann, Carsten |
author_sort |
Grandjean, Philippe |
title |
Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds |
title_short |
Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds |
title_full |
Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds |
title_fullStr |
Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds |
title_full_unstemmed |
Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds |
title_sort |
serum vaccine antibody concentrations in children exposed to perfluorinated compounds |
publisher |
American Medical Association (AMA) |
publishDate |
2012 |
url |
http://nrs.harvard.edu/urn-3:HUL.InstRepos:34216020 https://doi.org/10.1001/jama.2011.2034 |
geographic |
Faroe Islands |
geographic_facet |
Faroe Islands |
genre |
Faroe Islands |
genre_facet |
Faroe Islands |
op_relation |
10.1001/jama.2011.2034 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4402650/ JAMA Quick submit: 2017-09-21T14:31:41-0400 Grandjean, Philippe, Elisabeth Wreford Andersen, Esben Budtz-Jørgensen, Flemming Nielsen, Kåre Mølbak, Pal Weihe, and Carsten Heilmann. 2012. “Serum Vaccine Antibody Concentrations in Children Exposed to Perfluorinated Compounds.” JAMA 307 (4) (January 25). doi:10.1001/jama.2011.2034. 0098-7484 http://nrs.harvard.edu/urn-3:HUL.InstRepos:34216020 doi:10.1001/jama.2011.2034 |
op_doi |
https://doi.org/10.1001/jama.2011.2034 |
container_title |
JAMA |
container_volume |
307 |
container_issue |
4 |
_version_ |
1765996140014075904 |