Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion

Exposure to specific alkali and alkaline earth elements(AEs/AEEs) has been reported that are linked to an increased risk of spontaneous abortion. However, the direct evidence of exposure in the uterus are absent. Therefore, we collected chorionic villi after spontaneous abortion or induced abortion...

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Main Authors: Meng Lin, Yutong Wang, Xiaoye Wang, Lailai Yan, Linlin Wang, Chan Tian
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Ecotoxicology and Environmental Safety
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Online Access:http://www.sciencedirect.com/science/article/pii/S0147651324015926
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author Meng Lin
Yutong Wang
Xiaoye Wang
Lailai Yan
Linlin Wang
Chan Tian
author_facet Meng Lin
Yutong Wang
Xiaoye Wang
Lailai Yan
Linlin Wang
Chan Tian
author_sort Meng Lin
collection DOAJ
description Exposure to specific alkali and alkaline earth elements(AEs/AEEs) has been reported that are linked to an increased risk of spontaneous abortion. However, the direct evidence of exposure in the uterus are absent. Therefore, we collected chorionic villi after spontaneous abortion or induced abortion in Peking University Third Hospital. The concentrations of six alkali and alkaline earth elements in chorionic villi were measured using inductively coupled plasma mass spectrometry (ICP-MS). Through using logistic regression, Bayesian kernel machine regression (BKMR) and Weighted quantile sum regression (WQS) model, we assessed single and mixed exposure effects of alkali and alkaline earth elements on spontaneous abortion. In terms of the individual effect, high concentration group of barium (Ba) increased the risk of spontaneous abortion by 150 % (95 % CI: 1.38–4.51), whereas rubidium (Rb), cesium (Cs) and Magnesium (Mg) all clearly demonstrated dose dependency in reducing the incidence of spontaneous abortion. The BKMR model demonstrated that as the mixed exposure percentile increased, the likelihood of spontaneous abortion decreased almost linearly. For every quartile increasing in the WQS index, the risk of spontaneous abortion decreased (OR: 0.21, 95 % CI: 0.13–0.33), with Mg and Rb having the highest weights at 0.587 and 0.367, respectively. According to our findings, there were negative dose-response relationships between Mg and Rb levels and risk for spontaneous abortion, but exposure to higher concentration of Ba in the chorionic villi was positively associated with the risk of it.
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spelling doaj-art-7640660e1c3d4164b5462e9e59f872012025-02-12T05:29:25ZengElsevierEcotoxicology and Environmental Safety0147-65132025-01-01290117516Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortionMeng Lin0Yutong Wang1Xiaoye Wang2Lailai Yan3Linlin Wang4Chan Tian5Department of Medical Genetics, Center for Medical Genetics, Peking University, Beijing 100191, China; State Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Center for Medical Genetics, Peking University, Beijing 100191, China; National Clinical Research Center for Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China; Key Laboratory of Assisted Reproduction, Ministry of Education, Beijing 100191, China; Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing 100191, ChinaDepartment of Medical Genetics, Center for Medical Genetics, Peking University, Beijing 100191, China; State Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Center for Medical Genetics, Peking University, Beijing 100191, China; National Clinical Research Center for Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China; Key Laboratory of Assisted Reproduction, Ministry of Education, Beijing 100191, China; Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing 100191, ChinaDepartment of Medical Genetics, Center for Medical Genetics, Peking University, Beijing 100191, China; State Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Center for Medical Genetics, Peking University, Beijing 100191, ChinaDepartment of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, ChinaInstitute of Reproductive and Child Health, National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing 100191, China; Corresponding author.Department of Medical Genetics, Center for Medical Genetics, Peking University, Beijing 100191, China; State Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Center for Medical Genetics, Peking University, Beijing 100191, China; National Clinical Research Center for Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China; Key Laboratory of Assisted Reproduction, Ministry of Education, Beijing 100191, China; Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing 100191, China; Correspondence to: 38 College Road, Haidian District, Beijing 100191, China.Exposure to specific alkali and alkaline earth elements(AEs/AEEs) has been reported that are linked to an increased risk of spontaneous abortion. However, the direct evidence of exposure in the uterus are absent. Therefore, we collected chorionic villi after spontaneous abortion or induced abortion in Peking University Third Hospital. The concentrations of six alkali and alkaline earth elements in chorionic villi were measured using inductively coupled plasma mass spectrometry (ICP-MS). Through using logistic regression, Bayesian kernel machine regression (BKMR) and Weighted quantile sum regression (WQS) model, we assessed single and mixed exposure effects of alkali and alkaline earth elements on spontaneous abortion. In terms of the individual effect, high concentration group of barium (Ba) increased the risk of spontaneous abortion by 150 % (95 % CI: 1.38–4.51), whereas rubidium (Rb), cesium (Cs) and Magnesium (Mg) all clearly demonstrated dose dependency in reducing the incidence of spontaneous abortion. The BKMR model demonstrated that as the mixed exposure percentile increased, the likelihood of spontaneous abortion decreased almost linearly. For every quartile increasing in the WQS index, the risk of spontaneous abortion decreased (OR: 0.21, 95 % CI: 0.13–0.33), with Mg and Rb having the highest weights at 0.587 and 0.367, respectively. According to our findings, there were negative dose-response relationships between Mg and Rb levels and risk for spontaneous abortion, but exposure to higher concentration of Ba in the chorionic villi was positively associated with the risk of it.http://www.sciencedirect.com/science/article/pii/S0147651324015926Alkali and alkaline earth elementsSpontaneous abortionChorionic villusBayesian kernel machine regressionWeighted quantile sum regression
spellingShingle Meng Lin
Yutong Wang
Xiaoye Wang
Lailai Yan
Linlin Wang
Chan Tian
Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion
Ecotoxicology and Environmental Safety
Alkali and alkaline earth elements
Spontaneous abortion
Chorionic villus
Bayesian kernel machine regression
Weighted quantile sum regression
title Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion
title_full Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion
title_fullStr Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion
title_full_unstemmed Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion
title_short Association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion
title_sort association between alkali and alkaline earth elements in chorionic villus and risk for spontaneous abortion
topic Alkali and alkaline earth elements
Spontaneous abortion
Chorionic villus
Bayesian kernel machine regression
Weighted quantile sum regression
url http://www.sciencedirect.com/science/article/pii/S0147651324015926
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