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    Editorial: The impact of exposure to environmental chemicals, pharmaceuticals and particles via human breast milk: a focus on health effects and underlying mechanisms

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    The author(s) declare that financial support was received for the research and/or publication of this article. Charlotte Cosemans was financially supported by the Research Foundation Flanders (FWO; 1249025N)

    The role of the exposome on molecular biomarkers: focus on mitochondria and telomeres in different stages of life

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    The exposome refers to the totality of life-course environmental exposures from conception onwards and evolves throughout the lifetime of an individual. It offers an opportunity to better understand the impact of the environment on human health in different stages of life, ultimately leading to better prevention strategies. It has already been known that environmental exposures, such as air pollution, have detrimental effects on molecular biomarkers, like mitochondria and telomeres. However, the role of mitochondria and telomeres in the exposome is still underexplored. In this dissertation, we aim to tackle some of these knowledge gaps between different domains of the exposome and mitochondria and telomeres in newborns, childhood, adolescence, and adulthood. In the first section, we investigate the influence of lifestyle exposure on mitochondria. One example of a lifestyle exposure is the diet. In Chapter 1, we aim to investigate the link between breastfeeding during infancy and blood mitochondrial DNA content in adolescents. The second section focuses on the influence of physical & chemical exposures on both mitochondria and telomeres. In Chapter 2, we aim to investigate the impact of prenatal air pollution exposure on a specific mitochondrial variant (ND4L10550A>G) in newborns by studying cord blood. Furthermore, the link of this variant with childhood overweight is examined. Since prenatal air pollution might also influence other mitochondrial mutations, the link between prenatal air pollution and mitochondrial heteroplasmy in cord blood is investigated in Chapter 3. Lastly, in Chapter 4, we study another type of physical & chemical exposure, namely the herbicide glyphosate. In this chapter, we aim to investigate the association between both glyphosate and its degradation metabolite aminomethylphosphonic acid (AMPA) on mitochondria, as well as on telomeres in peripheral blood of adults. The key findings of this dissertation are concisely summarized in Table 1. In summary, we found several environmental exposures to be linked with mitochondria and telomeres. Breastfeeding during infancy and prenatal air pollution were both associated with mitochondrial biology. When focusing on telomeres, we found an association between AMPA exposure and longer leukocyte telomere length. Based on the findings of this thesis, we formulate advice for policy and our society: i) keep promoting breastfeeding as the optimal nutrition for developing infants; ii) reduce ambient air pollution concentrations for example to levels of the new WHO guidelines; and iii) consider and further investigate the possible carcinogenic mechanism as demonstrated by longer leukocyte telomere length associated with AMPA exposure, for extending the permission of glyphosate use from December 2022 onwards.Het exposoom verwijst naar het geheel van milieublootstellingen gedurende de levensloop, startend vanaf de conceptie, en evolueert gedurende het leven van een individu. Het biedt de mogelijkheid om de impact van de omgeving op de menselijke gezondheid in verschillende levensfasen beter te begrijpen, wat uiteindelijk leidt tot betere preventiestrategieën. Het is al bekend dat milieublootstellingen, zoals luchtvervuiling, schadelijke effecten hebben op moleculaire biomarkers, zoals mitochondriën en telomeren. De rol van mitochondriën en telomeren in het exposoom is echter nog steeds onvoldoende onderzocht. In dit proefschrift willen we een aantal van deze kenniskloven aanpakken tussen de verschillende domeinen van het exposoom en mitochondriën en telomeren bij pasgeborenen, de kindertijd, de adolescentie en de volwassenheid. In het eerste deel onderzoeken we de invloed van de levensstijl op mitochondriën. Eén van de factoren van de levensstijl is voeding. In Hoofdstuk 1 willen we het verband onderzoeken tussen borstvoeding tijdens de kindertijd en mitochondriaal DNA-inhoud in bloed bij adolescenten. Het tweede deel richt zich op de invloed van fysische en chemische blootstellingen op zowel mitochondriën als telomeren. In Hoofdstuk 2 willen we de impact onderzoeken van prenatale blootstelling aan luchtverontreiniging op een specifieke mitochondriale variant (ND4L10550A>G) in pasgeborenen door het bestuderen van navelstrengbloed. Verder wordt het verband van deze variant met overgewicht bij kinderen onderzocht. Aangezien prenatale luchtverontreiniging ook andere mitochondriale mutaties kan beïnvloeden, wordt het verband tussen prenatale luchtverontreiniging en mitochondriale heteroplasmie in navelstrengbloed onderzocht in Hoofdstuk 3. Ten slotte bestuderen we in Hoofdstuk 4 een ander type fysieke en chemische blootstelling, namelijk het herbicide glyfosaat. In dit hoofdstuk willen we de associatie onderzoeken tussen zowel glyfosaat als zijn afbraakmetaboliet aminomethylfosfonzuur (AMPA) op zowel mitochondriën als telomeren in bloed van volwassenen. De belangrijkste bevindingen van dit proefschrift zijn beknopt samengevat in Tabel 1. We toonden aan dat verschillende blootstellingen geassocieerd waren met mitochondriën. Borstvoeding tijdens de kindertijd en prenatale luchtvervuiling waren beide geassocieerd met mitochondriale biologie. Als we kijken naar telomeren, vonden we een verband tussen AMPA-blootstelling en een langere telomeerlengte. Op basis van de bevindingen van dit proefschrift formuleren we adviezen voor beleidsmakers en onze samenleving: i) borstvoeding te blijven promoten als de optimale voeding voor zuigelingen in ontwikkeling; ii) de concentraties van luchtverontreiniging in de lucht te verlagen tot bijvoorbeeld het niveau van de nieuwe WHO-richtlijnen; en iii) het mogelijk kankerverwekkend mechanisme aangetoond door langere telomeerlengte geassocieerd met AMPA-blootstelling te overwegen en verder te onderzoeken, alvorens de toestemming voor glyfosaatgebruik vanaf december 2022 te verlengen

    Exploring mitochondrial heteroplasmy in neonates: implications for growth patterns and overweight in the first years of life

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    Background: Mitochondrial heteroplasmy reflects genetic diversity within individuals due to the presence of varying mitochondrial DNA (mtDNA) sequences, possibly affecting mitochondrial function and energy production in cells. Rapid growth during early childhood is a critical development with long-term implications for health and well-being. In this study, we investigated if cord blood mtDNA heteroplasmy is associated with rapid growth at 6 and 12 months and overweight in childhood at 4-6 years. Methods: This study included 200 mother-child pairs of the ENVIRONAGE birth cohort. Whole mitochondrial genome sequencing was performed to determine mtDNA heteroplasmy levels (in variant allele frequency; VAF) in cord blood. Rapid growth was defined for each child as the difference between WHO-SD scores of predicted weight at either 6 or 12 months and birth weight. Logistic regression models were used to determine the association of mitochondrial heteroplasmy with rapid growth and childhood overweight. Determinants of relevant cord blood mitochondrial heteroplasmies were identified using multiple linear regression models. Results: One % increase in VAF of cord blood MT-D-Loop16362T > C heteroplasmy was associated with rapid growth at 6 months (OR = 1.03; 95% CI: 1.01-1.05; p = 0.001) and 12 months (OR = 1.02; 95% CI: 1.00-1.03; p = 0.02). Furthermore, this variant was associated with childhood overweight at 4-6 years (OR = 1.01; 95% CI 1.00-1.02; p = 0.05). Additionally, rapid growth at 6 months (OR = 3.00; 95% CI: 1.49-6.14; p = 0.002) and 12 months (OR = 4.05; 95% CI: 2.06-8.49; p C heteroplasmy. Conclusions: Our findings, based on mitochondrial DNA genotyping, offer insights into the molecular machinery leading to rapid growth in early life, potentially explaining a working mechanism of the development toward childhood overweight.The ENVIRONAGE birth cohort is supported by the Methusalem Fund, the Research Foundation Flanders (FWO, grant numbers 1516112N, G.0873.11.N.10), and Kom op Tegen Kanker. CC was financially supported by the Special Research Fund of Hasselt University (grant number BOF22PD04) and Fund Orcadia (grant number 2022- E2210890-228297), managed by the King Baudouin Foundation. FWO financially supported RA (grant number 1296523N) and DSM (grant number 12X9623N). The authors are extremely grateful to the participating women and neonates, as well as the staff of the maternity ward, midwives, and the staff of the clinical laboratory of East-Limburg Hospital in Genk

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    The association between newborn cord blood steroids and ambient prenatal exposure to air pollution: findings from the ENVIRONAGE birth cohort

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    Abstract Knowledge of whether prenatal exposure to ambient air pollution disrupts steroidogenesis is currently lacking. We investigated the association between prenatal ambient air pollution and highly accurate measurements of cord blood steroid hormones from the androgenic pathway. This study included 397 newborns born between the years 2010 and 2015 from the ENVIRONAGE cohort in Belgium of whom six cord blood steroid levels were measured: 17α-hydroxypregnenolone, 17α-hydroxyprogesterone, dehydroepiandrosterone, pregnenolone, androstenedione, and testosterone. Maternal ambient exposure to PM2.5 (particles with aerodynamic diameter ≤ 2.5 μm), NO2, and black carbon (BC) were estimated daily during the entire pregnancy using a high-resolution spatiotemporal model. The associations between the cord blood steroids and the air pollutants were tested and estimated by first fitting linear regression models and followed by fitting weekly prenatal exposures to distributed lag models (DLM). These analyses accounted for possible confounders, coexposures, and an interaction effect between sex and the exposure. We examined mixture effects and critical exposure windows of PM2.5, NO2 and BC on cord blood steroids via the Bayesian kernel machine regression distributed lag model (BKMR-DLM). An interquartile range (IQR) increment of 7.96 µg/m3 in PM2.5 exposure during pregnancy trimester 3 was associated with an increase of 23.01% (99% confidence interval: 3.26–46.54%) in cord blood levels of 17α-hydroxypregnenolone, and an IQR increment of 0.58 µg/m³ in BC exposure during trimester 1 was associated with a decrease of 11.00% (99% CI: -19.86 to -0.012%) in cord blood levels of androstenedione. For these two models, the DLM statistics identified sensitive gestational time windows for cord blood steroids and ambient air pollution exposures, in particular for 17α-hydroxypregnenolone and PM2.5 exposure during trimester 3 (weeks 28–36) and for androsterone and BC exposure during early pregnancy (weeks 2–13) as well as during mid-pregnancy (weeks 18–26). We identified interaction effects between pollutants, which has been suggested especially for NO2. Our results suggest that prenatal exposure to ambient air pollutants during pregnancy interferes with steroid levels in cord blood. Further studies should investigate potential early-life action mechanisms and possible later-in-life adverse effects of hormonal disturbances due to air pollution exposure
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