Patrick Levallois1, Yves Giguère2, Molière Nguile-Makao3, Manuel Rodriguez4, Céline Campagna5, Robert Tardif6, Alexandre Bureau7. 1. Direction de la santé environnementale et de la toxicologie, Institut national de santé publique du Québec, Département de médecine sociale et préventive, Faculté de médecine, Université Laval and Axe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec, Québec City, Québec G1V 7B3, Canada. Electronic address: patrick.levallois@msp.ulaval.ca. 2. Département de biologie moléculaire, de biochimie médicale et de pathologie, Faculté de médecine, Université Laval and Axe Reproduction, santé de la mère et de l'enfant, Centre de recherche du CHU de Québec, Québec City, Québec G1L 3L5, Canada. Electronic address: yves.giguere@fmed.ulaval.ca. 3. Centre de Recherche Clinique et Évaluative en Oncologie. Hôtel-Dieu de Québec, CHU de Québec-Université Laval, Québec City, Québec G1R 3S1, Canada. Electronic address: moliere.nguile@gmail.com. 4. École supérieure d'aménagement du territoire and Chaire d'eau potable, Université Laval, Québec City, Québec G1V 0A6, Canada. Electronic address: manuel.rodriguez@esad.ulaval.ca. 5. Direction de la santé environnementale et de la toxicologie, Institut national de santé publique du Québec, and Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Québec City, Québec G1V 5B3, Canada. Electronic address: celine.campagna@inspq.qc.ca. 6. Département de santé environnementale et santé au travail, École de santé publique, Université de Montréal, Montréal, Québec H3T 1J4, Canada. Electronic address: robert.tardif@umontreal.ca. 7. Département de médecine sociale et préventive, Faculté de médecine, Université Laval and Axe de recherche neurosciences cliniques et cognitives, Institut universitaire en santé mentale de Québec, Centre intégré de santé et de services sociaux de la Capitale-Nationale, Québec City, Québec G1V 0A6, Canada. Electronic address: alexandre.bureau@msp.ulaval.ca.
Abstract
BACKGROUND: Exposure to disinfection by-products (DBPs) during pregnancy was associated with reduced foetal growth. Genetic susceptibility might play a role, especially for genes encoding for the Cytochrome P450 (CYP2E1) and Glutathione S-Transferase (GST) enzymes, involved in metabolism and activation of DBPs. Few epidemiological studies evaluated these gene-environment interactions and their results were never replicated. OBJECTIVE: This study aims to examine interactions between trihalomethanes (THM) or haloacetic acids (HAA) exposure and genetic polymorphisms on small for gestational age (SGA) neonates by investigating single nucleotide polymorphisms (SNPs) in CYP2E1 gene and GSTM1 and GSTT1 deletions in mothers-children pairs. METHODS: A population-based case-control study of 1549 mothers and 1455 children was conducted on SGA and THM/HAA exposure. DNA was extracted from blood or saliva cells. Targeted SNPs and deletions were genotyped. Statistical interaction between SNPs/deletions and THMs or HAAs in utero exposure with regard to SGA occurrence was evaluated by unconditional logistic regression with control of potential confounders. RESULTS: Previously reported positive modification of the effect of THM uterine exposure by mothers or newborns CYP2E1 rs3813867 C allele or GSTM1 deletion was not replicated. However interactions with CYP2E1 rs117618383 and rs2515641 were observed but were not statistically significant after correction for multiple testing. CONCLUSIONS: Previous positive interactions between THMs exposure and CYP2E1 and GSTM1 were not replicated but interactions with other CYP2E1 polymorphisms are reported.
BACKGROUND: Exposure to disinfection by-products (DBPs) during pregnancy was associated with reduced foetal growth. Genetic susceptibility might play a role, especially for genes encoding for the Cytochrome P450 (CYP2E1) and Glutathione S-Transferase (GST) enzymes, involved in metabolism and activation of DBPs. Few epidemiological studies evaluated these gene-environment interactions and their results were never replicated. OBJECTIVE: This study aims to examine interactions between trihalomethanes (THM) or haloacetic acids (HAA) exposure and genetic polymorphisms on small for gestational age (SGA) neonates by investigating single nucleotide polymorphisms (SNPs) in CYP2E1 gene and GSTM1 and GSTT1 deletions in mothers-children pairs. METHODS: A population-based case-control study of 1549 mothers and 1455 children was conducted on SGA and THM/HAA exposure. DNA was extracted from blood or saliva cells. Targeted SNPs and deletions were genotyped. Statistical interaction between SNPs/deletions and THMs or HAAs in utero exposure with regard to SGA occurrence was evaluated by unconditional logistic regression with control of potential confounders. RESULTS: Previously reported positive modification of the effect of THM uterine exposure by mothers or newborns CYP2E1rs3813867 C allele or GSTM1 deletion was not replicated. However interactions with CYP2E1rs117618383 and rs2515641 were observed but were not statistically significant after correction for multiple testing. CONCLUSIONS: Previous positive interactions between THMs exposure and CYP2E1 and GSTM1 were not replicated but interactions with other CYP2E1 polymorphisms are reported.
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