Environment International (Oct 2020)

Prenatal exposure to perfluoroalkyl substances modulates neonatal serum phospholipids, increasing risk of type 1 diabetes

  • Aidan McGlinchey,
  • Tim Sinioja,
  • Santosh Lamichhane,
  • Partho Sen,
  • Johanna Bodin,
  • Heli Siljander,
  • Alex M. Dickens,
  • Dawei Geng,
  • Cecilia Carlsson,
  • Daniel Duberg,
  • Jorma Ilonen,
  • Suvi M. Virtanen,
  • Hubert Dirven,
  • Hanne Friis Berntsen,
  • Karin Zimmer,
  • Unni C. Nygaard,
  • Matej Orešič,
  • Mikael Knip,
  • Tuulia Hyötyläinen

Journal volume & issue
Vol. 143
p. 105935

Abstract

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In the last decade, increasing incidence of type 1 diabetes (T1D) stabilized in Finland, a phenomenon that coincides with tighter regulation of perfluoroalkyl substances (PFAS). Here, we quantified PFAS to examine their effects, during pregnancy, on lipid and immune-related markers of T1D risk in children. In a mother-infant cohort (264 dyads), high PFAS exposure during pregnancy associated with decreased cord serum phospholipids and progression to T1D-associated islet autoantibodies in the offspring. This PFAS-lipid association appears exacerbated by increased human leukocyte antigen-conferred risk of T1D in infants. Exposure to a single PFAS compound or a mixture of organic pollutants in non-obese diabetic mice resulted in a lipid profile characterized by a similar decrease in phospholipids, a marked increase of lithocholic acid, and accelerated insulitis. Our findings suggest that PFAS exposure during pregnancy contributes to risk and pathogenesis of T1D in offspring.

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