J Korean Med Sci.  2013 Apr;28(4):516-521. 10.3346/jkms.2013.28.4.516.

Association between Prenatal Exposure to Cadmium and Atopic Dermatitis in Infancy

Affiliations
  • 1Department of Pediatrics, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea.
  • 2Department of Occupational and Environmental Medicine, Dongguk University-Seoul, Graduate School of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
  • 3Department of Preventive Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
  • 4Medical Research Institute, Ewha Global Challenge Center, Ewha Womans University, Seoul, Korea.
  • 5Department of Preventive Medicine, Dankook University College of Medicine, Cheonan, Korea.
  • 6Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 7Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea.
  • 8Department of Laboratory Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea.
  • 9Department of Occupational and Environmental Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. yanghokm@nuri.net

Abstract

Our objective was to evaluate the relationship between intrauterine exposure to cadmium and the presence of atopic dermatitis in infants 6 months of age, adjusted for covariates including exposure to other heavy metals. The present research is a component of the Mothers' and Children's Environmental Health (MOCEH) study, a multi-center birth cohort project conducted in Korea. Study subjects were restricted to pregnant women in whom cadmium and lead levels were measured at delivery and whose infants were assessed for the presence of atopic disease at 6 months of age. The odds ratio (OR) for the presence of atopic dermatitis in 6-month-old infants whose cord blood had elevated cadmium levels, after adjustment for other covariates, was 2.350 (95% CI, 1.126-4.906). The OR for the presence of atopic dermatitis in infants whose cord blood had elevated lead levels was not significant. In the present study, the cord blood cadmium level was significantly associated with the presence of atopic dermatitis in 6-month-old infants; this was not true of the cord blood lead level. To the best of our knowledge, this is the first prospective study to show a relationship between prenatal exposure to cadmium and atopic dermatitis in infancy.

Keyword

Atopy; Cadmium; Lead; Cord; Dermatitis, Atopic

MeSH Terms

Adult
Cadmium/analysis
Cadmium Poisoning/*complications
Cohort Studies
Dermatitis, Atopic/diagnosis/*etiology
Female
Fetal Blood/chemistry
Gestational Age
Humans
Infant
Lead/analysis/toxicity
Male
Odds Ratio
Pregnancy
Prenatal Exposure Delayed Effects
Lead
Cadmium

Cited by  3 articles

Epidemiology of allergic diseases in Korean children
Eun Lee, So-Yeon Lee, Hyeon-Jong Yang, Soo-Jong Hong
Allergy Asthma Respir Dis. 2018;6(Suppl 1):S9-S20.    doi: 10.4168/aard.2018.6.S1.S9.

Prenatal Exposure to Lead and Chromium is Associated with IL-13 Levels in Umbilical Cord Blood and Severity of Atopic Dermatitis: COCOA Study
Jihyun Kim, Seonwoo Kim, Sook-young Woo, Jin-Yong Chung, Young-Seoub Hong, Se-Young Oh, Suk-Joo Choi, Soo-Young Oh, Kyung Won Kim, Youn Ho Shin, Hye-Sung Won, Kyung-Ju Lee, Soo Hyun Kim, Ja Young Kwon, Si Hyeon Lee, Soo-Jong Hong, Kangmo Ahn
Immune Netw. 2019;19(6):e42.    doi: 10.4110/in.2019.19.e42.

Prenatal Exposure to Lead and Chromium is Associated with IL-13 Levels in Umbilical Cord Blood and Severity of Atopic Dermatitis: COCOA Study
Jihyun Kim, Seonwoo Kim, Sook-young Woo, Jin-Yong Chung, Young-Seoub Hong, Se-Young Oh, Suk-Joo Choi, Soo-Young Oh, Kyung Won Kim, Youn Ho Shin, Hye-Sung Won, Kyung-Ju Lee, Soo Hyun Kim, Ja Young Kwon, Si Hyeon Lee, Soo-Jong Hong, Kangmo Ahn
Immune Netw. 2019;19(6):.    doi: 10.4110/in.2018.19.e42.


Reference

1. Oh JW, Pyun BY, Choung JT, Ahn KM, Kim CH, Song SW, Son JA, Lee SY, Lee SI. Epidemiological change of atopic dermatitis and food allergy in school-aged children in Korea between 1995 and 2000. J Korean Med Sci. 2004. 19:716–723.
2. Yu JS, Lee CJ, Lee HS, Kim J, Han Y, Ahn K, Lee SI. Prevalence of atopic dermatitis in Korea: analysis by using national statistics. J Korean Med Sci. 2012. 27:681–685.
3. Taïeb A, Boralevi F. Ring J, Przybilla B, Ruzicka T, editors. Atopic eczema in infants. Handbook of atopic eczema. 2006. 2nd ed. Berlin: Springer;45–60.
4. Schwarze PE, Ovrevik J, Låg M, Refsnes M, Nafstad P, Hetland RB, Dybing E. Particulate matter properties and health effects: consistency of epidemiological and toxicological studies. Hum Exp Toxicol. 2006. 25:559–579.
5. Rusznak C, Jemkins S, Mills PR, Sapsford RJ, Devaglia JL, Davies RJ. Mechanism of pollution-induced allergy and asthma. Rev Fr Allergol Immunol Clin. 1998. 38:s80–s90.
6. Devalia JL, Rusznak C, Wang J, Khair OA, Abdelaziz MM, Calderón MA, Davies RJ. Air pollutants and respiratory hypersensitivity. Toxicol Lett. 1996. 86:169–176.
7. Heinrich J, Hoelscher B, Wjst M, Ritz B, Cyrys J, Wichmann H. Respiratory diseases and allergies in two polluted areas in East Germany. Environ Health Perspect. 1999. 107:53–62.
8. Gavett SH, Haykal-Coates N, Copeland LB, Heinrich J, Gilmour MI. Metal composition of ambient PM2.5 influences severity of allergic airways disease in mice. Environ Health Perspect. 2003. 111:1471–1477.
9. Factors influencing metabolism and toxicity of metals: a consensus report. Environ Health Perspect. 1978. 25:3–41.
10. Telisman S. Interactions of essential and/or toxic metals and metalloid regarding interindividual differences in susceptibility to various toxicants and chronic diseases in man. Arh Hig Rada Toksikol. 1995. 46:459–476.
11. Jurasović J, Pizent A, Telišman S. Roussel AM, Anderson RA, Favrier AE, editors. Serum selenium in relation to biomarkers of lead in men. 2000. New York: Kluwer Academic/Plenum Publishers;675–678.
12. Pizent A, Jurasović J, Telisman S. Serum calcium, zinc, and copper in relation to biomarkers of lead and cadmium in men. J Trace Elem Med Biol. 2003. 17:199–205.
13. Jelovcan S, Gutschi A, Kleinhappl B, Sedlmayr P, Barth S, Marth E. Effects of low concentrations of cadmium on immunoglobulin E production by human B lymphocytes in vitro. Toxicology. 2003. 188:35–48.
14. Fischbein A, Tsang P, Luo JC, Roboz JP, Jiang JD, Bekesi JG. Phenotypic aberrations of CD3+ and CD4+ cells and functional impairments of lymphocytes at low-level occupational exposure to lead. Clin Immunol Immunopathol. 1993. 66:163–168.
15. Undeger U, Başaran N, Canpinar H, Kansu E. Immune alterations in lead-exposed workers. Toxicology. 1996. 109:167–172.
16. Sata F, Araki S, Tanigawa T, Morita Y, Sakurai S, Katsuno N. Changes in natural killer cell subpopulations in lead workers. Int Arch Occup Environ Health. 1997. 69:306–310.
17. Jedrychowski W, Perera F, Maugeri U, Miller RL, Rembiasz M, Flak E, Mroz E, Majewska R, Zembala M. Intrauterine exposure to lead may enhance sensitization to common inhalant allergens in early childhood: a prospective prebirth cohort study. Environ Res. 2011. 111:119–124.
18. Kim BM, Ha M, Park HS, Lee BE, Kim YJ, Hong YC, Kim Y, Chang N, Roh YM, Kim BN, et al. The Mothers and Children's Environmental Health (MOCEH) Study. Eur J Epidemiol. 2009. 24:573–583.
19. Glass DC, Gray CN. Estimating mean exposures from censored data: exposure to benzene in the Australian petroleum industry. Ann Occup Hyg. 2001. 45:275–282.
20. Hossny E, Mokhtar G, El-Awady M, Ali I, Morsy M, Dawood A. Environmental exposure of the pediatric age groups in Cairo city and its suburbs to cadmium pollution. Sci Total Environ. 2001. 273:135–146.
21. Järup L, Berglund M, Elinder CG, Nordberg G, Vahter M. Health effects of cadmium exposure: a review of the literature and a risk estimate. Scand J Work Environ Health. 1998. 24:1–51.
22. Pan J, Plant JA, Voulvoulis N, Oates CJ, Ihlenfeld C. Cadmium levels in Europe: implications for human health. Environ Geochem Health. 2010. 32:1–12.
23. Raghunath R, Tripathi RM, Sastry VN, Krishnamoorthy TM. Heavy metals in maternal and cord blood. Sci Total Environ. 2000. 250:135–141.
24. Al-Saleh I, Shinwari N, Mashhour A, Mohamed Gel D, Rabah A. Heavy metals (lead, cadmium and mercury) in maternal, cord blood and placenta of healthy women. Int J Hyg Environ Health. 2011. 214:79–101.
25. Koppen G, Den Hond E, Nelen V, Van De Mieroop E, Bruckers L, Bilau M, Keune H, Van Larebeke N, Covaci A, Van De Weghe H, et al. Organochlorine and heavy metals in newborns: results from the Flemish Environment and Health Survey (FLEHS 2002-2006). Environ Int. 2009. 35:1015–1022.
26. Osman K, Akesson A, Berglund M, Bremme K, Schütz A, Ask K, Vahter M. Toxic and essential elements in placentas of Swedish women. Clin Biochem. 2000. 33:131–138.
27. American Conference of Governmental Industrial Hygienists (ACGIH). Threshold limit values for chemical substances and physical agents and biological exposure indices. 2008. Cincinnati: ACGIH.
28. Taylor J, DeWoskin R, Ennever FK. Toxicological profile for cadmium US Department of Health and Human Services, Public Health Service. 1999. Atlanta: Agency for Toxic Substances and Disease Registry.
29. Weyermann M, Brenner H. Alcohol consumption and smoking habits as determinants of blood lead levels in a national population sample from Germany. Arch Environ Health. 1997. 52:233–239.
30. Razi CH, Akin KO, Harmanci K, Ozdemir O, Abaci A, Hizli S, Renda R, Celik A. Relationship between hair cadmium levels, indoor ETS exposure and wheezing frequency in children. Allergol Immunopathol (Madr). 2012. 40:51–59.
31. Lawrence DA, McCabe MJ Jr. Immunomodulation by metals. Int Immunopharmacol. 2002. 2:293–302.
32. Hemdan NY, Emmrich F, Sack U, Wichmann G, Lehmann J, Adham K, Lehmann I. The in vitro immune modulation by cadmium depends on the way of cell activation. Toxicology. 2006. 222:37–45.
33. Munasir Z, Sastroasmoro S, Djauzi S, Waspadji S, Ramelan W, Aminullah A, Widowati R, Harahap AR, Endaryanto A, Wahidiyat I. The role of allergic risk and other factors that affect the occurrence of atopic dermatitis in the first 6 months of life. Asia Pac Allergy. 2011. 1:73–79.
34. Eiríksson TH, Sigurgeirsson B, Ardal B, Sigfússon A, Valdimarsson H. Cord blood IgE levels are influenced by gestational age but do not predict allergic manifestations in infants. Pediatr Allergy Immunol. 1994. 5:5–10.
35. Edenharter G, Bergmann RL, Bergmann KE, Wahn V, Forster J, Zepp F, Wahn U. Cord blood-IgE as risk factor and predictor for atopic diseases. Clin Exp Allergy. 1998. 28:671–678.
36. Shah PS, Wegienka G, Havstad S, Johnson CC, Ownby DR, Zoratti EM. The relationship between cord blood immunoglobulin E levels and allergy-related outcomes in young adults. Ann Allergy Asthma Immunol. 2011. 106:245–251.
37. Haus M, Hall JM, Heese Hde V, Weinberg EG, Berman D. Cord blood and maternal total eosinophil counts in relation to infant allergy. Pediatr Alllergy Immunol. 1992. 3:23–27.
38. Lehmann I, Herberth G. Cord blood immune status: predicting health or allergy? Allergy. 2012. 67:445–448.
39. Lutz PM, Wilson TJ, Ireland J, Jones AL, Gorman JS, Gale NL, Johnson JC, Hewett JE. Elevated immunoglobulin E (IgE) levels in children with exposure to environmental lead. Toxicology. 1999. 134:63–78.
40. Sun L, Hu J, Zhao Z, Li L, Cheng H. Influence of exposure to environmental lead on serum immunoglobulin in preschool children. Environ Res. 2003. 92:124–128.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr