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Comparison of Blood Lead Concentrations in Mothers of Children with Congenital Heart Disease and Mothers of Healthy Children

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Abstract

Congenital heart disease (CHD) is the most prevalent congenital defect that causes several problems for patients and their families and medical specialists. It is important to investigate CHD risk factors due to their significantly destructive load on society. This study aims to determine the association between maternal lead exposure and conceiving a child with CHD. This case–control study was performed on a total of 246 mothers in the pediatric clinic of Vali-e-Asr Hospital in Birjand, Iran. One hundred forty-six mothers with CHD children were defined as the case group, and 100 age-matched mothers with healthy children were considered the control group. All the mothers were between 20 and 40 years old, and their children were under the age of 6 months. Demographic data was collected from mothers using a well-designed questionnaire. In addition, all mothers were referred to the laboratory for measuring blood lead concentrations. The mean blood lead concentration (BLC) of mothers in the group of children with heart problems was 4.11 ± 10.02 with a median of 2.50 μg/dL and in the control group was 2.66 ± 2.06 with a median of 2.30 μg/dL. The Mann–Whitney test results showed that mothers’ lead concentration in the group of children with heart problems was significantly higher than the control group (z = 2.13, p = 0.03). The chi-square test results showed that lead concentrations in the two groups were significantly different from each other (χ2 = 9.11, p = 0.01). The results of our study showed that mothers of children with CHD had higher blood concentrations than mothers of healthy children.

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References

  1. Bouma BJ, Mulder BJ (2017) Changing landscape of congenital heart disease. Circ Res 120(6):908–922. https://doi.org/10.1161/circresaha.116.309302

    Article  CAS  PubMed  Google Scholar 

  2. Kline J, Costantini O (2019) Arrhythmias in congenital heart disease. Med Clin N Am 103(5):945–956. https://doi.org/10.1016/j.mcna.2019.04.007

    Article  PubMed  Google Scholar 

  3. Ma L-G, Zhao J, Ren Z-P, Wang Y-Y, Peng Z-Q, Wang J-F et al (2014) Spatial patterns of the congenital heart disease prevalence among 0-to 14-year-old children in Sichuan Basin, P. R China, from 2004 to 2009. BMC Public Health 14(1):595

    Article  PubMed  PubMed Central  Google Scholar 

  4. Sun R, Liu M, Lu L, Zheng Y, Zhang P (2015) Congenital heart disease: causes, diagnosis, symptoms, and treatments. Cell Biochem Biophys 72(3):857–60

    Article  CAS  PubMed  Google Scholar 

  5. Nattel SN, Adrianzen L, Kessler EC, Andelfinger G, Dehaes M, Côté-Corriveau G et al (2017) Congenital heart disease and neurodevelopment: clinical manifestations, genetics, mechanisms, and implications. Can J Cardiol 33(12):1543–1555. https://doi.org/10.1016/j.cjca.2017.09.020

    Article  PubMed  Google Scholar 

  6. Sertcelik T, Alkan F, Sapmaz ŞY, Coskun Ş, Eser E (2018) Life quality of children with congenital heart diseases. Türk Pediatr Arşivi 53(2):78

    Article  Google Scholar 

  7. Szot JO, Cuny H, Blue GM, Humphreys DT, Ip E, Harrison K et al (2018) A screening approach to identify clinically actionable variants causing congenital heart disease in exome data. Circ Genom Precis Med 11(3):e001978

    Article  PubMed  Google Scholar 

  8. Kalisch-Smith JI, Ved N, Sparrow DB (2020) Environmental risk factors for congenital heart disease. Cold Spring Harb Perspect Biol 12(3):a037234

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Di Renzo GC, Conry JA, Blake J, DeFrancesco MS, DeNicola N, Martin JN Jr et al (2015) International Federation of Gynecology and Obstetrics opinion on reproductive health impacts of exposure to toxic environmental chemicals. Int J Gynecol Obstet 131(3):219–225

    Article  Google Scholar 

  10. Liu Z, Yu Y, Li X, Wu A, Mu M, Li N et al (2015) Maternal lead exposure and risk of congenital heart defects occurrence in offspring. Reprod Toxicol 51:1–6

    Article  PubMed  Google Scholar 

  11. Ali SS, Karim N (2016) Lead and its health hazards. J Bahria Univ Med Dent Coll 6(2):69–75

    Article  Google Scholar 

  12. Liu Z, He C, Chen M, Yang S, Li J, Lin Y et al (2018) The effects of lead and aluminum exposure on congenital heart disease and the mechanism of oxidative stress. Reprod Toxicol 81:93–98

    Article  CAS  PubMed  Google Scholar 

  13. Centers for Diseases Control and Prevention (2015) Available at: https://wwwn.cdc.gov/NIOSH-WHC/chart/ables-ab?T=ZS&V=R&D=SINGLE&Y=2012&OU=L04. Accessed June 2018

  14. Centers for Diseases Control and Prevention. Available at: https://www.cdc.gov/immigrantrefugeehealth/guidelines/lead-guidelines.html#ref-43. Accessed June 2018

  15. Betts KS (2012) CDC updates guidelines for children’s lead exposure. Environ Health Perspect 120(7):A268

    Article  PubMed  PubMed Central  Google Scholar 

  16. Centers for Diseases Control and Prevention. Available at: https://www.atsdr.cdc.gov/csem/leadtoxicity/safety_standards.html. Accessed June 2018

  17. Obstetrics CoOP (2012) Committee opinion No. 533: lead screening during pregnancy and lactation. Obstet Gynecol 120(2 Pt 1):416

    Google Scholar 

  18. Ou Y, Bloom MS, Nie Z, Han F, Mai J, Chen J et al (2017) Associations between toxic and essential trace elements in maternal blood and fetal congenital heart defects. Environ Int 106:127–134

    Article  CAS  PubMed  Google Scholar 

  19. Obstetrics CoOP (2012) Committee opinion No. 533: lead screening during pregnancy and lactation. Obstet Gynecol 120(2 Pt 1):416

    Google Scholar 

  20. Ashley K, O'Connor PF (2017) NIOSH Manual of Analytical Methods (NMAM), 5th edn. DHHS (NIOSH) Publication, Cincinnati, OH: National Institute for Occupational Safety and Health. Available at: https://www.cdc.gov/niosh/nmam/pdfs/NMAM_5thEd_EBook.pdf. Accessed June 2021

  21. Lüscher TF (2017) Congenital heart disease: some progress, but still the challenge of a lifetime! Eur Heart J 38(26):2021–2023. https://doi.org/10.1093/eurheartj/ehx372

    Article  PubMed  Google Scholar 

  22. Correa-Villaseñor A, Ferencz C, Boughman JA, Neill CA (1991) Total anomalous pulmonary venous return: familial and environmental factors. Teratology 44(4):415–28

    Article  PubMed  Google Scholar 

  23. Steinberger EK, Ferencz C, Loffredo CAJT (2002) Infants with single ventricle: a population-based epidemiological study. Teratology 65(3):106–115

    Article  CAS  PubMed  Google Scholar 

  24. Aschengrau A, Zierler S, Cohen A (1993) Quality of community drinking water and the occurrence of late adverse pregnancy outcomes. Arch Environ Health 48(2):105–113

    Article  CAS  PubMed  Google Scholar 

  25. Zierler S, Theodore M, Cohen A, Rothman KJ (1988) Chemical quality of maternal drinking water and congenital heart disease. Int J Epidemiol 17(3):589–594. https://doi.org/10.1093/ije/17.3.589

    Article  CAS  PubMed  Google Scholar 

  26. Finkel T, Holbrook NJ (2000) Oxidants, oxidative stress and the biology of ageing. Nature 408(6809):239–247. https://doi.org/10.1038/35041687

    Article  CAS  PubMed  Google Scholar 

  27. Sties SW, Andreato LV, de Carvalho T, Gonzáles AI, Angarten VG, Ulbrich AZ et al (2018) Influence of exercise on oxidative stress in patients with heart failure. Heart Fail Rev 23(2):225–235. https://doi.org/10.1007/s10741-018-9686-z

    Article  CAS  PubMed  Google Scholar 

  28. Pilsner JR, Hu H, Ettinger A, Sánchez BN, Wright RO, Cantonwine D et al (2009) Influence of prenatal lead exposure on genomic methylation of cord blood DNA. Environ Health Perspect 117(9):1466–1471. https://doi.org/10.1289/ehp.0800497

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Thompson J, Bannigan J (2008) Cadmium: toxic effects on the reproductive system and the embryo. Reprod Toxicol 25(3):304–315. https://doi.org/10.1016/j.reprotox.2008.02.001

    Article  CAS  PubMed  Google Scholar 

  30. Zentner LE, Rondó PH, Mastroeni SS (2006) Lead contamination and anthropometry of the newborn baby. J Trop Pediatr 52(5):369–371. https://doi.org/10.1093/tropej/fml009

    Article  PubMed  Google Scholar 

  31. Abdelouahab N, Huel G, Suvorov A, Foliguet B, Goua V, Debotte G et al (2010) Monoamine oxidase activity in placenta in relation to manganese, cadmium, lead, and mercury at delivery. Neurotoxicol Teratol 32(2):256–261. https://doi.org/10.1016/j.ntt.2009.08.010

    Article  CAS  PubMed  Google Scholar 

  32. Grizzo LT, Cordellini S (2008) Perinatal lead exposure affects nitric oxide and cyclooxygenase pathways in aorta of weaned rats. Toxicol Sci 103(1):207–214. https://doi.org/10.1093/toxsci/kfn018

    Article  CAS  PubMed  Google Scholar 

  33. Sanders AP, Desrosiers TA, Warren JL, Herring AH, Enright D, Olshan AF et al (2014) Association between arsenic, cadmium, manganese, and lead levels in private wells and birth defects prevalence in North Carolina: a semi-ecologic study. BMC Public Health 14:955. https://doi.org/10.1186/1471-2458-14-955

    Article  PubMed  PubMed Central  Google Scholar 

  34. Jackson LW, Correa-Villaseñor A, Lees PS, Dominici F, Stewart PA, Breysse PN et al (2004) Parental lead exposure and total anomalous pulmonary venous return. Birth Defects Res A Clin Mol Teratol 70(4):185–193

    Article  CAS  PubMed  Google Scholar 

  35. Anderson CE, Edmonds LD, Erickson JD (1978) Patent ductus arteriosus and ventricular septal defect: trends in reported frequency. Amer J Epidemiol 107(4):281–289. https://doi.org/10.1093/oxfordjournals.aje.a112543

    Article  CAS  Google Scholar 

  36. Malik S, Cleves MA, Zhao W, Correa A, Hobbs CA (2007) Association between congenital heart defects and small for gestational age. Pediatrics 119(4):e976–e982. https://doi.org/10.1542/peds.2006-2742

    Article  PubMed  Google Scholar 

  37. Prescott S, Keim-Malpass J (2017) Patent ductus arteriosus in the preterm infant: diagnostic and treatment options. Adv Neonatal Care 17(1):10–18. https://doi.org/10.1097/anc.0000000000000340

    Article  PubMed  Google Scholar 

  38. Samánek M, Slavík Z, Krejcír M (1991) Seasonal differences in the incidence of congenital heart defects. Czech Med 14(3):146–155

    PubMed  Google Scholar 

  39. Zhang W, Spero TL, Nolte CG, Garcia VC, Lin Z, Romitti PA et al (2019) Projected changes in maternal heat exposure during early pregnancy and the associated congenital heart defect burden in the United States. J Amer Heart Assoc 8(3):e010995. https://doi.org/10.1161/jaha.118.010995

    Article  Google Scholar 

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Acknowledgements

We wish to thank all the patients for participating in this study.

Funding

This research project received financial support from the Research Committee of Birjand University of Medical Sciences (Project No. 1140). At this moment, the authors express their deep gratefulness to this organization for granting the funding for the study.

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Contributions

OM, FS, AA, SYJ, SN, KD, VF made substantial contributions to conception and design, acquisition of data, contributed to the writing of the manuscript, and provided critical revision and final approval. OM, SN, KD, AA made substantial contributions in drafting the manuscript and revising it critically for important intellectual content. All authors have read and approved the final version of the manuscript.

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Correspondence to Omid Mehrpour.

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The study has ethics committee approval from Birjand University of Medical Sciences.

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Salehi, F., Darmiani, K., Nakhaee, S. et al. Comparison of Blood Lead Concentrations in Mothers of Children with Congenital Heart Disease and Mothers of Healthy Children. Biol Trace Elem Res 200, 2001–2007 (2022). https://doi.org/10.1007/s12011-021-02813-z

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  • DOI: https://doi.org/10.1007/s12011-021-02813-z

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