NeuroTox. Prenatal exposure to toxicants and childhood neurodevelopmental disorders and cognitive functions. Heidi Aase, PhD
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1 NeuroTox Prenatal exposure to toxicants and childhood neurodevelopmental disorders and cognitive functions Heidi Aase, PhD NeuroTox opening seminar October 18, 2017
2 Background Neurodevelopmental disorders ADHD (~5%) Autism (~1%) Neurological disorders Epilepsy (~0,7%) Cerebral Palsy (~0,2%) Cognitive dysfunctions: IQ, working memory, language
3 Background Etiology: genetic and non-genetic factors Exposure to environmental toxins in the womb can affect child development Very little knowledge of the potential harming effects of environmental toxins on brain development and cognitive functions, or risk of neurological or neurodevelopmental disorders in children Preventable risk factors?
4 Questions Cd MeHg As Mn Is there a link between elevated levels of environmental toxins in the mom during pregnancy and neurodevelopmental disorders or cognitive dysfunction in the child? What about mixtures of several environmental toxins («cocktail effects»), also when they are all low level exposures? Which mechanisms are involved why may exposure during pregnancy potentially lead to developmental deviations or illness in the child?
5 Our study sample: Mom-Child pairs MoBa children & mothers Diagnostic groups (cases): ADHD (2258) Autism (742) Epilepsy (608) CP (248) Control group (<2000) Clinical sub-studies (2227)
6 Prenatal exposure PFAS Metals Outcomes ADHD, Autism, CP and Epilepsy Cognitive functions Language development Thyroid hormones in newborn
7 Prenatal exposure PFAS Metals Outcomes ADHD, Autism, CP and Epilepsy Cognitive ADHD, Autism, functions CP and Epilepsy Language Cognitivedevelopment functions Language development DNA methylation in newborn
8 Target groups Authorities New and updated knowledge to environmental- and health authorities will provide a basis for evaluating chemical regulations and regulatory advice for minimizing exposure for environmental toxicants during pregnancy Researchers and the scientific community New knowledge about mechanisms involved in how environmental contaminants affect brain development New knowledge about etiology of neurological diseases and neurodevelopmental disorders Suggest directions for future research Public New knowledge about preventable risk factors
9 Consortium Norwegian Institute of Public Health Oslo University Hospital, Dept for newborn screening Norwegian University of Science and Technology, Inst. of laboratory medicine University of Nanjing, China University of North Carolina, Chapel Hill, USA University of Edinburgh, Scotland University of Columbia, New York, USA At NIPH: Division of Mental & Physical Health Dept. of Child Development Dept. of Child Health Dept. of Psychiatric Disorders Division of Infection Control and Environmental Health Dept. of Environmental Exposure & Epidemiology Dept. of Molecular Biology Division of Health Data and Digitalization
10 Collaborators /Reference group Oslo University Hospital, Research unit child & adolescent mental health National Institute of Environmental Health Sciences, USA University of Massachusetts Amherst, USA Norwegian Environment Agency Financing Research Council of Norway NIPH Consortium and collaborators working hours
11 Program Gro Villanger: «How contaminants can affect brain development» Per Magnus: «MoBa the world s largest birth cohort study Pål Surén: «Studies of brain development and brain disorders in children» Stephanie Engel: «What have we learned from contaminant studies in MoBa so far» Christine Bjørge: «Use of research results from human studies in chemical regulations» Yankai Xia: «Prenatal exposure to environmental contaminants and effects on fetal development in a Chinese birth cohort»
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