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1.
Ann Allergy Asthma Immunol ; 132(5): 594-601.e3, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38122928

RESUMO

BACKGROUND: Studies have linked prenatal maternal psychosocial stress to childhood wheeze/asthma but have rarely investigated factors that may mitigate risks. OBJECTIVE: To investigate associations between prenatal stress and childhood wheeze/asthma, evaluating factors that may modify stress effects. METHODS: Participants included 2056 mother-child dyads from Environmental influences on Child Health Outcomes (ECHO)-PATHWAYS, a consortium of 3 prospective pregnancy cohorts (the Conditions Affecting Neurocognitive Development and Learning in Early Childhood study, The Infant Development and Environment Study, and a subset of the Global Alliance to Prevent Prematurity and Stillbirth study) from 6 cities. Maternal stressful life events experienced during pregnancy (PSLEs) were reported using the Pregnancy Risk Assessment Monitoring System Stressful Life Events questionnaire. Parents reported child wheeze/asthma outcomes at age 4 to 6 years using standardized questionnaires. We defined outcomes as ever asthma, current wheeze, current asthma, and strict asthma. We used modified Poisson regression with robust standard errors (SEs) to estimate risk ratios (RRs) and 95% CI per 1-unit increase in PSLE, adjusting for confounders. We evaluated effect modification by child sex, maternal history of asthma, maternal childhood traumatic life events, neighborhood-level resources, and breastfeeding. RESULTS: Overall, we observed significantly elevated risk for current wheeze with increasing PSLE (RR, 1.09 [95% CI, 1.03-1.14]), but not for other outcomes. We observed significant effect modification by child sex for strict asthma (P interaction = .03), in which risks were elevated in boys (RR, 1.10 [95% CI, 1.02-1.19]) but not in girls. For all other outcomes, risks were significantly elevated in boys and not in girls, although there was no statistically significant evidence of effect modification. We observed no evidence of effect modification by other factors (P interactions > .05). CONCLUSION: Risk of adverse childhood respiratory outcomes is higher with increasing maternal PSLEs, particularly in boys.


Assuntos
Asma , Efeitos Tardios da Exposição Pré-Natal , Sons Respiratórios , Estresse Psicológico , Humanos , Feminino , Gravidez , Asma/epidemiologia , Asma/psicologia , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Masculino , Pré-Escolar , Criança , Estresse Psicológico/epidemiologia , Adulto , Inquéritos e Questionários , Estudos Prospectivos , Fatores de Risco
2.
Environ Res ; 241: 117632, 2024 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-37967704

RESUMO

BACKGROUND: Ozone (O3) exposure interrupts normal lung development in animal models. Epidemiologic evidence further suggests impairment with higher long-term O3 exposure across early and middle childhood, although study findings to date are mixed and few have investigated vulnerable subgroups. METHODS: Participants from the CANDLE study, a pregnancy cohort in Shelby County, TN, in the ECHO-PATHWAYS Consortium, were included if children were born at gestational age >32 weeks, completed a spirometry exam at age 8-9, and had a valid residential history from birth to age 8. We estimated lifetime average ambient O3 exposure based on each child's residential history from birth to age 8, using a validated fine-resolution spatiotemporal model. Spirometry was performed at the age 8-9 year study visit to assess Forced Expiratory Volume in the first second (FEV1) and Forced Vital Capacity (FVC) as primary outcomes; z-scores were calculated using sex-and-age-specific reference equations. Linear regression with robust variance estimators was used to examine associations between O3 exposure and continuous lung function z-scores, adjusted for child, sociodemographic, and home environmental factors. Potential susceptible subgroups were explored using a product term in the regression model to assess effect modification by child sex, history of bronchiolitis in infancy, and allergic sensitization. RESULTS: In our sample (n = 648), O3 exposure averaged from birth to age 8 was modest (mean 26.6 [SD 1.1] ppb). No adverse associations between long-term postnatal O3 exposure were observed with either FEV1 (ß = 0.12, 95% CI: -0.04, 0.29) or FVC (ß = 0.03, 95% CI: -0.13, 0.19). No effect modification by child sex, history of bronchiolitis in infancy, or allergic sensitization was detected for associations with 8-year average O3. CONCLUSIONS: In this sample with low O3 concentrations, we did not observe adverse associations between O3 exposures averaged from birth to age 8 and lung function in middle childhood.


Assuntos
Poluentes Atmosféricos , Bronquiolite , Ozônio , Feminino , Gravidez , Humanos , Criança , Lactente , Poluentes Atmosféricos/análise , Pulmão , Capacidade Vital , Ozônio/toxicidade , Ozônio/análise , Volume Expiratório Forçado , Exposição Ambiental
3.
Environ Health ; 23(1): 26, 2024 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-38454435

RESUMO

BACKGROUND AND AIM: Studies suggest prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) may influence wheezing or asthma in preschool-aged children. However, the impact of prenatal PAH exposure on asthma and wheeze in middle childhood remain unclear. We investigated these associations in socio-demographically diverse participants from the ECHO PATHWAYS multi-cohort consortium. METHODS: We included 1,081 birth parent-child dyads across five U.S. cities. Maternal urinary mono-hydroxylated PAH metabolite concentrations (OH-PAH) were measured during mid-pregnancy. Asthma at age 8-9 years and wheezing trajectory across childhood were characterized by caregiver reported asthma diagnosis and asthma/wheeze symptoms. We used logistic and multinomial regression to estimate odds ratios of asthma and childhood wheezing trajectories associated with five individual OH-PAHs, adjusting for urine specific gravity, various maternal and child characteristics, study site, prenatal and postnatal smoke exposure, and birth year and season in single metabolite and mutually adjusted models. We used multiplicative interaction terms to evaluate effect modification by child sex and explored OH-PAH mixture effects through Weighted Quantile Sum regression. RESULTS: The prevalence of asthma in the study population was 10%. We found limited evidence of adverse associations between pregnancy OH-PAH concentrations and asthma or wheezing trajectories. We observed adverse associations between 1/9-hydroxyphenanthrene and asthma and persistent wheeze among girls, and evidence of inverse associations with asthma for 1-hydroxynathpthalene, which was stronger among boys, though tests for effect modification by child sex were not statistically significant. CONCLUSIONS: In a large, multi-site cohort, we did not find strong evidence of an association between prenatal exposure to PAHs and child asthma at age 8-9 years, though some adverse associations were observed among girls.


Assuntos
Asma , Fenantrenos , Hidrocarbonetos Policíclicos Aromáticos , Efeitos Tardios da Exposição Pré-Natal , Criança , Gravidez , Masculino , Feminino , Pré-Escolar , Humanos , Estudos Longitudinais , Hidrocarbonetos Policíclicos Aromáticos/efeitos adversos , Efeitos Tardios da Exposição Pré-Natal/induzido quimicamente , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Sons Respiratórios , Asma/induzido quimicamente , Asma/epidemiologia
4.
J Allergy Clin Immunol ; 152(1): 84-93, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36972767

RESUMO

BACKGROUND: Descriptive epidemiological data on incidence rates (IRs) of asthma with recurrent exacerbations (ARE) are sparse. OBJECTIVES: This study hypothesized that IRs for ARE would vary by time, geography, age, and race and ethnicity, irrespective of parental asthma history. METHODS: The investigators leveraged data from 17,246 children born after 1990 enrolled in 59 US with 1 Puerto Rican cohort in the Environmental Influences on Child Health Outcomes (ECHO) consortium to estimate IRs for ARE. RESULTS: The overall crude IR for ARE was 6.07 per 1000 person-years (95% CI: 5.63-6.51) and was highest for children aged 2-4 years, for Hispanic Black and non-Hispanic Black children, and for those with a parental history of asthma. ARE IRs were higher for 2- to 4-year-olds in each race and ethnicity category and for both sexes. Multivariable analysis confirmed higher adjusted ARE IRs (aIRRs) for children born 2000-2009 compared with those born 1990-1999 and 2010-2017, 2-4 versus 10-19 years old (aIRR = 15.36; 95% CI: 12.09-19.52), and for males versus females (aIRR = 1.34; 95% CI 1.16-1.55). Black children (non-Hispanic and Hispanic) had higher rates than non-Hispanic White children (aIRR = 2.51; 95% CI 2.10-2.99; and aIRR = 2.04; 95% CI: 1.22-3.39, respectively). Children born in the Midwest, Northeast and South had higher rates than those born in the West (P < .01 for each comparison). Children with a parental history of asthma had rates nearly 3 times higher than those without such history (aIRR = 2.90; 95% CI: 2.43-3.46). CONCLUSIONS: Factors associated with time, geography, age, race and ethnicity, sex, and parental history appear to influence the inception of ARE among children and adolescents.


Assuntos
Asma , Masculino , Feminino , Adolescente , Humanos , Criança , Pré-Escolar , Adulto Jovem , Adulto , Incidência , Asma/etiologia , Etnicidade , Prevalência , Avaliação de Resultados em Cuidados de Saúde
5.
Epidemiology ; 34(4): 554-564, 2023 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-37042935

RESUMO

BACKGROUND: Infants experiencing bronchiolitis are at increased risk for asthma, but few studies have identified modifiable risk factors. We assessed whether early life air pollution influenced child asthma and wheeze at age 4-6 years among children with a history of bronchiolitis in the first postnatal year. METHODS: Children with caregiver-reported physician-diagnosed bronchiolitis were drawn from ECHO-PATHWAYS, a pooled longitudinal cohort from six US cities. We estimated their air pollution exposure from age 1 to 3 years from validated spatiotemporal models of fine particulate matter (PM 2.5 ), nitrogen dioxide (NO 2 ), and ozone (O 3 ). Caregivers reported children's current wheeze and asthma at age 4-6 years. We used modified Poisson regression to estimate relative risks (RR) and 95% confidence intervals (CI), adjusting for child, maternal, and home environmental factors. We assessed effect modification by child sex and maternal history of asthma with interaction models. RESULTS: A total of 224 children had caregiver-reported bronchiolitis. Median (interquartile range) 2-year pollutant concentrations were 9.3 (7.8-9.9) µg/m 3 PM 2.5 , 8.5 (6.4-9.9) ppb NO 2 , and 26.6 (25.6-27.7) ppb O 3 . RRs (CI) for current wheeze per 2-ppb higher O 3 were 1.3 (1.0-1.7) and 1.4 (1.1-1.8) for asthma. NO 2 was inversely associated with wheeze and asthma whereas associations with PM 2.5 were null. We observed interactions between NO 2 and PM 2.5 and maternal history of asthma, with lower risks observed among children with a maternal history of asthma. CONCLUSION: Our results are consistent with the hypothesis that exposure to modest postnatal O 3 concentrations increases the risk of asthma and wheeze among the vulnerable subpopulation of infants experiencing bronchiolitis.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Asma , Bronquiolite , Criança , Pré-Escolar , Humanos , Lactente , Poluentes Atmosféricos/análise , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Asma/epidemiologia , Bronquiolite/epidemiologia , Bronquiolite/induzido quimicamente , Bronquiolite/complicações , Exposição Ambiental/efeitos adversos , Ozônio/efeitos adversos , Ozônio/análise , Material Particulado/efeitos adversos , Material Particulado/análise
6.
Oncology (Williston Park) ; 37(4): 176-183, 2023 04 25.
Artigo em Inglês | MEDLINE | ID: mdl-37104758

RESUMO

PURPOSE: To assess the ability of circulating tumor DNA (ctDNA)-based testing to identify patients with HER2 (encoded by ERBB2)-positive gastric/gastroesophageal adenocarcinoma (GEA) who progressed on or after trastuzumab-containing treatments were treated with combination therapy of anti-HER2 and anti-PD-1 agents. METHODS: ctDNA analysis was performed retrospectively using plasma samples collected at study entry from 86 patients participating in the phase 1/2 CP-MGAH22-05 study (NCT02689284). RESULTS: Objective response rate (ORR) was significantly higher in evaluable ERBB2 amplification-positive vs - negative patients based on ctDNA analysis at study entry (37% vs 6%, respectively; P = .00094). ORR was 23% across all patients who were evaluable for response. ERBB2 amplification was detected at study entry in 57% of patients (all HER2 positive at diagnosis), and detection was higher (88%) when HER2 status was determined by immunohistochemistry fewer than 6 months before study entry. ctDNA was detected in 98% (84/86) of patients tested at study entry. Codetected ERBB2-activating mutations were not associated with response. CONCLUSIONS: Current ERBB2 status may be more effective than archival status at predicting clinical benefit from margetuximab plus pembrolizumab therapy. ctDNA testing for ERBB2 status prior to treatment will spare patients from repeat tissue biopsies, which may be reserved for reflex testing when ctDNA is not detected.


Assuntos
Adenocarcinoma , DNA Tumoral Circulante , Neoplasias Gástricas , Humanos , Adenocarcinoma/tratamento farmacológico , Adenocarcinoma/genética , Biomarcadores Tumorais/genética , DNA Tumoral Circulante/genética , Receptor ErbB-2/genética , Estudos Retrospectivos , Neoplasias Gástricas/tratamento farmacológico , Neoplasias Gástricas/genética , Trastuzumab/uso terapêutico
7.
J Pediatr ; 249: 22-28.e1, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35803300

RESUMO

OBJECTIVES: To test the hypothesis that daycare attendance among children with bronchopulmonary dysplasia (BPD) is associated with increased chronic respiratory symptoms and/or greater health care use for respiratory illnesses during the first 3 years of life. STUDY DESIGN: Daycare attendance and clinical outcomes were obtained via standardized instruments for 341 subjects recruited from 9 BPD specialty clinics in the US. All subjects were former infants born preterm (<34 weeks) with BPD (71% severe) requiring outpatient follow-up between 0 and 3 years of age. Mixed logistic regression models were used to test for associations. RESULTS: Children with BPD attending daycare were more likely to have emergency department visits and systemic steroid usage. Children in daycare up to 3 years of age also were more likely to report trouble breathing, having activity limitations, and using rescue medications when compared with children not in daycare. More severe manifestations were found in children attending daycare between 6 and 12 months of chronological age. CONCLUSIONS: In this study, children born preterm with BPD who attend daycare were more likely to visit the emergency department, use systemic steroids, and have chronic respiratory symptoms compared with children not in daycare, indicating that daycare may be a potential modifiable risk factor to minimize respiratory morbidities in children with BPD during the preschool years.


Assuntos
Displasia Broncopulmonar , Displasia Broncopulmonar/complicações , Displasia Broncopulmonar/epidemiologia , Criança , Creches , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Morbidade , Esteroides/uso terapêutico
8.
Ann Allergy Asthma Immunol ; 129(2): 205-211, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35552008

RESUMO

BACKGROUND: Postnatal exposures, including breastfeeding, may influence asthma development. OBJECTIVE: To investigate the association between breastfeeding duration and child asthma. METHODS: We studied 2021 mother-child dyads in the ECHO PATHWAYS consortium of prospective pregnancy cohorts (GAPPS, CANDLE, TIDES). Women reported the duration of any and exclusive breastfeeding and child asthma outcomes during follow-up at child age 4 to 6 years. Outcomes included current wheeze (previous 12 months), ever asthma, current asthma (having ≥2 of current wheeze, ever asthma, medication use in past 12-24 months), and strict current asthma (ever asthma with either or both current wheeze and medication use in past 12-24 months). We used multivariable logistic regression to assess associations (odds ratios and 95% confidence intervals) between breastfeeding and asthma outcomes adjusting for potential confounders. We assessed effect modification by mode of delivery, infant sex, and maternal asthma. RESULTS: Among women, 33%, 13%, 9%, and 45% reported 0 to less than 2, 2 to 4, 5 to 6, and more than 6 months of any breastfeeding, respectively. The duration of any breastfeeding had a protective linear trend with ever asthma but no other outcomes. There was a duration-dependent protective association of exclusive breastfeeding and child asthma outcomes (eg, current asthma adjusted odds ratio [95% confidence interval], 0.64 [0.41-1.02], 0.61 [0.38-0.98], and 0.52 (0.31-0.87) for 2to 4 months, 5 to 6 months, and more than 6 months, respectively, compared with <2 months). For exclusive breastfeeding, protective associations were stronger in dyads with children born by vaginal vs cesarean delivery although interactions did not reach statistical significance (Pinteractions 0.12-0.40). CONCLUSION: Longer duration of exclusive breastfeeding had a protective association with child asthma.


Assuntos
Asma , Aleitamento Materno , Asma/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Gravidez , Estudos Prospectivos , Sons Respiratórios , Fatores de Tempo
9.
Ecotoxicol Environ Saf ; 247: 114212, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36274321

RESUMO

The emergent contaminant family, per- and poly-fluorinated alkyl substances (PFAS) has gained research attention due to their widespread detection and stability within the environment. Despite the growing amount of research on perfluorooctanesulfonic acid (PFOS) and perfluoro-n-octanoic acid (PFOA) in aquatic organisms, investigations detailing behavioral and physiological effects of aquatic organisms exposed to a mixture of PFAS analytes in the wild have been limited. The objective of this study was to evaluate the potential behavioral and histological effects of environmental exposure to PFAS compounds within multiple trophic levels of aquatic ecosystems. The current study investigates effects of environmentally relevant PFAS concentration exposures in crayfish (Faxonius immunis, F. rusticus, F. virilis) and bluegill (Lepomis macrochirus) sourced from four water bodies in Northern Michigan. Antipredator response and foraging behavioral assays were used to investigate potential effects on crayfish; a swimming speed behavioral assay and liver and gill histology analysis were used to investigate potential effects on fish. Linear mixed model and multiple regression analyses resulted in significant relationships between tissue accumulation levels of long chain PFAS compounds and crayfish foraging and fish critical swimming speed responses. Crayfish foraging decreased and fish critical swim speeds increased with PFAS exposure which may lead to energetic and population concerns. Antipredator response in crayfish and liver and gill histology in fish were not significantly related to PFAS tissue or water concentrations. The sensitivity of crayfish and bluegill behavior contributes to the growing body of research regarding the differential toxicity of short-chain and long-chain PFAS compounds. The sensitivity of some aquatic organism behaviors to PFAS accumulated in tissue may have implications for PFAS transfer and alterations to ecosystem functioning; based on the results of this field study, further laboratory research is recommended to further evaluate these relationships.


Assuntos
Ácidos Alcanossulfônicos , Fluorocarbonos , Perciformes , Poluentes Químicos da Água , Animais , Fluorocarbonos/toxicidade , Astacoidea , Ecossistema , Michigan , Poluentes Químicos da Água/toxicidade , Ácidos Alcanossulfônicos/toxicidade , Água/farmacologia
10.
Am J Perinatol ; 2022 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-36477715

RESUMO

OBJECTIVE: Bronchopulmonary dysplasia (BPD) remains the most common late morbidity for extremely premature infants. Care of infants with BPD requires a longitudinal approach from the neonatal intensive care unit to ambulatory care though interdisciplinary programs. Current approaches for the development of optimal programs vary among centers. STUDY DESIGN: We conducted a survey of 18 academic centers that are members of the BPD Collaborative, a consortium of institutions with an established interdisciplinary BPD program. We aimed to characterize the approach, composition, and current practices of the interdisciplinary teams in inpatient and outpatient domains. RESULTS: Variations exist among centers, including composition of the interdisciplinary team, whether the team is the primary or consult service, timing of the first team assessment of the patient, frequency and nature of rounds during the hospitalization, and the timing of ambulatory visits postdischarge. CONCLUSION: Further studies to assess long-term outcomes are needed to optimize interdisciplinary care of infants with severe BPD. KEY POINTS: · Care of infants with BPD requires a longitudinal approach from the NICU to ambulatory care.. · Benefits of interdisciplinary care for children have been observed in other chronic conditions.. · Current approaches for the development of optimal interdisciplinary BPD programs vary among centers..

11.
J Exp Biol ; 224(19)2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34515298

RESUMO

Predator-prey interactions are a key part of ecosystem function, and non-consumptive effects fall under the landscape of fear theory. Under the landscape of fear, the antipredator responses of prey are based on the spatial and temporal distribution of predatory cues in the environment. However, the aversive stimuli (fear) are not the only stimuli prey can utilize when making behavioral decisions. Prey might also be using attractive stimuli that represent safety to guide decision making. Using a novel, orthogonal design, we were able to spatially separate aversive and attractive stimuli to determine whether prey are utilizing safety cues to navigate their environment. Crayfish Faxonius rusticus were placed in the center of a behavioral arena. Aversive stimuli of either predatory bass Micropterus salmoides cues or conspecific alarm cues increased along the x-axis of the behavioral arena. Safety cues (shelters) increased along the y-axis by decreasing the number of shelter openings in this direction. Crayfish were allowed two phases to explore the arena: one without the fearful stimuli and one with the stimuli. Linear mixed models were conducted to determine whether movement behaviors and habitat utilization were affected by the phase of the trial and the type of aversive stimuli. Crayfish responded more strongly to alarm cues than to fear cues, with only alarm cues significantly impacting habitat utilization. When responding to alarm cues, crayfish used safety cues as well as fear cues to relocate themselves within the arena. Based on these results, we argue that crayfish utilize a landscape of safety in conjunction with a landscape of fear when navigating their environment.


Assuntos
Ecossistema , Corrida , Animais , Sinais (Psicologia) , Medo , Comportamento Predatório
12.
J Exp Biol ; 224(7)2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33688057

RESUMO

Orientation within turbulent odor plumes occurs across a vast range of spatial and temporal scales. From salmon homing across featureless oceans to microbes forming reproductive spores, the extraction of spatial and temporal information from chemical cues is a common sensory phenomenon. Yet, given the difficulty of quantifying chemical cues at the spatial and temporal scales used by organisms, discovering what aspects of chemical cues control orientation behavior has remained elusive. In this study, we placed electrochemical sensors on the carapace of orienting crayfish and measured, with fast temporal rates and small spatial scales, the concentration fluctuations arriving at the olfactory appendages during orientation. Our results show that the spatial aspects of orientation (turning and heading angles) are controlled by the temporal aspects of odor cues.


Assuntos
Sinais (Psicologia) , Odorantes , Orientação , Orientação Espacial , Olfato
13.
J Allergy Clin Immunol ; 145(3): 800-807.e4, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31809758

RESUMO

BACKGROUND: Findings on prenatal polyunsaturated fatty acid (PUFA) intake and child wheeze and asthma have been inconsistent. OBJECTIVE: We sought to examine associations between prenatal PUFA status and child wheeze/asthma and modifying effects of maternal asthma/atopy, child sex, and maternal race. METHODS: Analyses included 1019 mother-child dyads with omega-3 (n-3) and omega-3 (n-6) PUFAs measured in second-trimester plasma; n-6/n-3 ratios were calculated. Child wheeze/asthma outcomes ascertained at age 4 to 6 years included ever physician-diagnosed asthma, current wheeze (symptoms past 12 months), current asthma (diagnosis and medication and/or symptoms past 12 months), and current diagnosed asthma. Each PUFA indicator and outcome was analyzed in separate models using modified Poisson regression with interaction terms. RESULTS: In quartile (Q) analyses, higher n-6 PUFAs were associated with increased risk of ever (risk ratio [RR] high vs low [RR Q4 vs Q1], 1.70; 95% CI, 1.07-2.71) and current (RR Q4 vs Q1, 1.70; 95% CI, 1.07-2.71) diagnosed asthma, whereas n-3 PUFAs were associated with lower risk (RR Q4 vs Q1, 0.59; 95% CI, 0.33-1.03) of current diagnosed asthma (Ptrend < .05 for all). Higher n-6 PUFAs were associated with a higher risk of all respiratory outcomes among children born to women with asthma (Pinteraction < .05 for all outcomes). A significant 3-way interaction between child sex, maternal asthma, and n-6/n-3 PUFA indicated that male children born to women with asthma and a higher ratio had the highest risk across wheeze/asthma outcomes (Pinteraction < .05). CONCLUSIONS: Associations between prenatal PUFA status and childhood wheeze/asthma were modified by maternal history of asthma and child sex.


Assuntos
Asma/epidemiologia , Ácidos Graxos Ômega-3/sangue , Ácidos Graxos Ômega-6/sangue , Efeitos Tardios da Exposição Pré-Natal/sangue , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Mães , Gravidez , Fatores de Risco , Caracteres Sexuais
14.
Arch Environ Contam Toxicol ; 78(2): 230-244, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31686138

RESUMO

In flowing environments, the degree of turbulent flow determines the movement and distribution of chemicals. Variation in flow alters the patchiness of toxicant plumes within a stream ecosystem. This patchiness translates into variability in exposure pulses for organisms encountering the toxic plume. Throughout a stream, the processes that give rise to chemical plume structure will vary as a function of local flow characteristics. This research examines the influence of toxicant mode of entry and stream flow velocity on the spatiotemporal patterning of exposure. Two introduction treatments were evaluated: one mimicking groundwater and the other mimicking runoff. The influence of flow regime was examined through the comparison of models constructed under two stream flow velocities. Concentrations of a tracer molecule were recorded using an electrochemical monitoring system. From these localized, direct measurements, geographic information systems (GIS) were used to model exposure throughout the stream. Conceptualizing exposure as a series of toxicant pulses, exposure can be defined using a variety of chemical peak characteristics. Three-dimensional, layered maps were constructed defining exposure as the integrated area of toxicant peaks, the magnitude of peaks, and peak frequency. Differences in the spatial and temporal patterning of exposure were apparent both within treatments and between treatments. No two definitions of exposure yielded the same exposure distributions for any treatment. These models demonstrate that distribution of chemical exposure throughout a stream ecosystem is linked to both toxicant mode of introduction and stream hydrodynamics. Furthermore, these results demonstrate that optimal exposure modeling relies on first defining exposure.


Assuntos
Ecotoxicologia/métodos , Sistemas de Informação Geográfica , Rios/química , Poluentes Químicos da Água/análise , Dopamina/análise , Ecossistema , Água Subterrânea/análise , Água Subterrânea/química , Análise Espaço-Temporal , Poluentes Químicos da Água/toxicidade
15.
J Pediatr ; 208: 148-155.e3, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30857774

RESUMO

OBJECTIVE: To determine patterns of respiratory medications used in neonatal intensive care unit graduates. STUDY DESIGN: The Prematurity Respiratory Outcomes Program enrolled 835 babies <29 weeks of gestation in the first week. Of 751 survivors, 738 (98%) completed at least 1, and 85% completed all 4, postdischarge medication usage in-person/telephone parental questionnaires requested at 3, 6, 9, and 12 months of corrected age. Respiratory drug usage over the first year of life after in neonatal intensive care unit discharge was analyzed. RESULTS: During any given quarter, 66%-75% of the babies received no respiratory medication and 45% of the infants received no respiratory drug over the first year. The most common postdischarge medication was the inhaled bronchodilator albuterol; its use increased significantly from 13% to 31%. Diuretic usage decreased significantly from 11% to 2% over the first year. Systemic steroids (prednisone, most commonly) were used in approximately 5% of subjects in any one quarter. Inhaled steroids significantly increased over the first year from 9% to 14% at 12 months. Drug exposure changed significantly based on gestational age with 72% of babies born at 23-24 weeks receiving at least 1 respiratory medication but only 40% of babies born at 28 weeks. Overall, at some time in the first year, 55% of infants received at least 1 drug including an inhaled bronchodilator (45%), an inhaled steroid (22%), a systemic steroid (15%), or diuretic (12%). CONCLUSION: Many babies born at <29 weeks have no respiratory medication exposure postdischarge during the first year of life. Inhaled medications, including bronchodilators and steroids, increase over the first year.


Assuntos
Broncodilatadores/administração & dosagem , Displasia Broncopulmonar/tratamento farmacológico , Doenças do Prematuro/tratamento farmacológico , Administração por Inalação , Anti-Inflamatórios/administração & dosagem , Diuréticos/administração & dosagem , Feminino , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal , Masculino , Oxigênio/uso terapêutico , Alta do Paciente , Prednisona/administração & dosagem , Estudos Prospectivos , Esteroides/administração & dosagem , Inquéritos e Questionários , Resultado do Tratamento
16.
J Pediatr ; 207: 130-135.e2, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30612812

RESUMO

OBJECTIVE: To use a large current prospective cohort of infants <29 weeks to compare bronchopulmonary dysplasia (BPD) rates in black and white infants. STUDY DESIGN: The Prematurity and Respiratory Outcome Program (PROP) enrolled 835 infants born in 2011-2013 at <29 weeks of gestation; 728 black or white infants survived to 36 weeks postmenstrual age (PMA). Logistic regression was used to compare BPD outcomes (defined as supplemental oxygen requirement at 36 weeks PMA) between the races, adjusted for gestational age (GA), antenatal steroid use, intubation at birth, and surfactant use at birth. RESULTS: Of 707 black or white infants with available BPD outcomes, BPD was lower in black infants (38% vs 45%), even though they were of significantly lower GA. At every GA, BPD was more common in white infants. The aOR for BPD was 0.60 (95% CI, 0.42-0.85; P = .004) for black infants compared with white infants after adjusting for GA. Despite the lower rate of BPD, black infants had a higher rate of first-year post-prematurity respiratory disease (black, 79%; white, 63%). CONCLUSIONS: In this large cohort of recently born preterm infants at <29 weeks GA, compared with white infants, black infants had a lower risk of BPD but an increased risk of persistent respiratory morbidity.


Assuntos
Negro ou Afro-Americano , Displasia Broncopulmonar/etnologia , Hospitalização/tendências , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Medição de Risco/métodos , Seguimentos , Idade Gestacional , Humanos , Doenças do Prematuro/etnologia , Morbidade/tendências , Estudos Prospectivos , Fatores de Risco , Taxa de Sobrevida/tendências , Estados Unidos/epidemiologia , População Branca
17.
Ecotoxicol Environ Saf ; 179: 272-281, 2019 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-31059994

RESUMO

The majority of ecotoxicological studies performed measure average responses from individuals which do not account for the inter-individual variation in the responses of animals to environmental stimuli (i.e. the personality of individuals). Thus, these designs assume that all individuals will respond to contaminant exposure in a similar manner. Additionally, commonly used constant, static exposure regime designs neglect to recognize the spatial and temporal variation in contaminant plume structures as they move throughout fluid environments. The purpose of this study was to understand the effects of the structural characteristics (concentration, duration, and frequency) of temporally and spatially variant contaminant plumes on the personality of individuals. This experimental design aimed to construct a sensitive definition of exposure by connecting sublethal effects of toxicants and realistic exposure regimes. This study used escape response of Faxonius virilis crayfish from the predatory odor of Micropterus salmoides prior to and following exposure to the herbicide, atrazine. Atrazine was delivered in pulses to flow through exposure arenas for a total of 47 h while manipulating the concentration, frequency, and duration of the herbicide pulses. Escape response of crayfish prior to exposure was used to categorize animals into bold and shy personalities. The change in escape response was analyzed and resulted in a personality-dependent behavioral sensitivity to the polluted environment. Individuals classified as bold showed increased change in response to predatory odor relative to shy animals. Bold animals exhibited decreased activity after exposure where no change was presented in shy individuals. Shifts in individual behavior have impacts on the population level (e.g. resource acquisition/value; interspecies competition) and the ecosystem level (e.g. food web dynamics; trophic cascades). This study demonstrates the importance of sensitive measures in ecological risk assessment methods.


Assuntos
Astacoidea/efeitos dos fármacos , Atrazina/toxicidade , Reação de Fuga/efeitos dos fármacos , Herbicidas/toxicidade , Personalidade/efeitos dos fármacos , Poluentes Químicos da Água/toxicidade , Animais , Astacoidea/fisiologia , Bass/fisiologia , Ecossistema , Comportamento Alimentar/efeitos dos fármacos , Cadeia Alimentar , Odorantes/análise , Olfato/efeitos dos fármacos
18.
Arch Environ Contam Toxicol ; 77(3): 452-460, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31451889

RESUMO

The adoption of genetically modified (GM) crops has occurred rapidly in the United States. The transfer of GM corn byproducts from agricultural fields to nearby streams after harvest is significant and occurs well into the post-harvest year. These corn leaves, stems, and cobs then become a detrital food source for organisms, such as shredders in the stream ecosystem. Considering that the nontarget effects of Bt corn have been observed in some terrestrial organisms, we assessed whether Bt toxins affect an important aquatic organism, juvenile F. rusticus crayfish. Juvenile crayfish were fed six distinct diet treatments: two varieties of Bt corn, two non-Bt controls of herbicide tolerant corn, and two controls: fish gelatin and river detritus. Juveniles were fed these diets while housed in flow-through artificial streams that received natural stream water from a local source. Specific growth rate and survivorship of the crayfish were measured throughout the study. Juveniles fed corn diets grew significantly less and had reduced survival compared with juveniles fed fish gelatin or river detritus diets. Furthermore, juveniles fed one Bt variety of corn (VT Triple Pro®) exhibited significantly less growth than those fed one of the herbicide tolerant varieties (Roundup Ready 2®). Our study shows that corn inputs to streams may be detrimental to the growth and survivorship of juvenile crayfish and that certain Bt varieties may exacerbate these negative effects. These effects on crayfish will have repercussions for the entire ecosystem, because crayfish are conduits of energy between many trophic levels.


Assuntos
Ração Animal/efeitos adversos , Astacoidea/crescimento & desenvolvimento , Plantas Geneticamente Modificadas/toxicidade , Zea mays/genética , Animais , Astacoidea/efeitos dos fármacos , Toxinas de Bacillus thuringiensis , Proteínas de Bactérias/genética , Proteínas de Bactérias/toxicidade , Produtos Agrícolas , Ecossistema , Endotoxinas/genética , Endotoxinas/toxicidade , Gelatina/farmacologia , Proteínas Hemolisinas/genética , Proteínas Hemolisinas/toxicidade , Folhas de Planta/genética , Rios
19.
Bull Environ Contam Toxicol ; 103(5): 663-669, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31473775

RESUMO

Climate change is expected to alter hydrological cycles on global and regional scales, impacting groundwater and surface water inputs to stream habitats. In the midwestern United States, the volume and frequency of inputs are expected to become increasingly variable. This region has a high incidence of agriculture, creating enormous potential for transport of pesticides and herbicides into aquatic ecosystems. Metolachlor, an herbicide for corn and soybean crops, has been demonstrated to contaminate surface water and groundwater in the region. This study examines the impact of variable flow conditions on the toxicity of environmentally relevant concentrations of metolachlor in a macroinvertebrate found in midwestern streams, the rusty crayfish (Faxonius rusticus). Changes in crayfish foraging behavior were analyzed using a Mixed Model ANCOVA. Under toxicant exposure, crayfish significantly increased their consumption of macrophytes, but only under the variable flow regime. Thus, the increased variability in toxicant exposure impacted crayfish foraging behavior more than other flow regimes. This significant interaction between flow regime and metolachlor exposure suggests that the greater variability in toxicant inputs to streams may lead to more severe changes in behavior for exposed organisms.


Assuntos
Acetamidas/toxicidade , Astacoidea/efeitos dos fármacos , Comportamento Alimentar/efeitos dos fármacos , Herbicidas/toxicidade , Ciclo Hidrológico , Poluentes Químicos da Água/toxicidade , Animais , Astacoidea/fisiologia , Ecossistema , Água Subterrânea/química , Meio-Oeste dos Estados Unidos , Rios/química
20.
Genome Res ; 25(4): 524-33, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25762551

RESUMO

Sex in papaya is controlled by a pair of nascent sex chromosomes. Females are XX, and two slightly different Y chromosomes distinguish males (XY) and hermaphrodites (XY(h)). The hermaphrodite-specific region of the Y(h) chromosome (HSY) and its X chromosome counterpart were sequenced and analyzed previously. We now report the sequence of the entire male-specific region of the Y (MSY). We used a BAC-by-BAC approach to sequence the MSY and resequence the Y regions of 24 wild males and the Y(h) regions of 12 cultivated hermaphrodites. The MSY and HSY regions have highly similar gene content and structure, and only 0.4% sequence divergence. The MSY sequences from wild males include three distinct haplotypes, associated with the populations' geographic locations, but gene flow is detected for other genomic regions. The Y(h) sequence is highly similar to one Y haplotype (MSY3) found only in wild dioecious populations from the north Pacific region of Costa Rica. The low MSY3-Y(h) divergence supports the hypothesis that hermaphrodite papaya is a product of human domestication. We estimate that Y(h) arose only ∼ 4000 yr ago, well after crop plant domestication in Mesoamerica >6200 yr ago but coinciding with the rise of the Maya civilization. The Y(h) chromosome has lower nucleotide diversity than the Y, or the genome regions that are not fully sex-linked, consistent with a domestication bottleneck. The identification of the ancestral MSY3 haplotype will expedite investigation of the mutation leading to the domestication of the hermaphrodite Y(h) chromosome. In turn, this mutation should identify the gene that was affected by the carpel-suppressing mutation that was involved in the evolution of males.


Assuntos
Carica/genética , Cromossomos de Plantas/genética , Cromossomos Sexuais/genética , Processos de Determinação Sexual/genética , Sequência de Bases , Fluxo Gênico/genética , Haplótipos/genética , Organismos Hermafroditas/genética , Dados de Sequência Molecular , Melhoramento Vegetal , Polimorfismo de Nucleotídeo Único , Análise de Sequência de DNA , Sexo
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