Oral Concurrent Session 1 - Equity, Public Health, and Policy
Oral Concurrent Sessions
Enrico R. Barrozo, PhD
Assistant Professor
Baylor College of Medicine and Texas Children’s Hospital
Houston, Texas, United States
Marcus A. Garcia, Pharm D
University of New Mexico
Albuquerque, New Mexico, United States
Michael D. Jochum, Jr., PhD
Assistant Professor
Baylor College of Medicine and Texas Children’s Hospital
Houston, Texas, United States
Rui Liu
University of New Mexico
Albuquerque, New Mexico, United States
Alex Nihart
University of New Mexico
Albuquerque, New Mexico, United States
Eliseo Castillo, PhD
University of New Mexico
Albuquerque, New Mexico, United States
Eliane El Hayek, PhD
University of New Mexico
Albuquerque, New Mexico, United States
Jorge Gonzalez-Estrella, PhD
Oklahoma State University
Stillwater, Oklahoma, United States
Lori Showalter, BS
Baylor College of Medicine and Texas Children’s Hospital
Houston, Texas, United States
Cynthia Shope, MA, MS
Lab Manager
Baylor College of Medicine and Texas Children’s Hospital
Houston, Texas, United States
Melissa A. Suter, PhD
Baylor College of Medicine and Texas Children’s Hospital
Houston, Texas, United States
Matthew J. Campen, PhD
University of New Mexico
Albuquerque, New Mexico, United States
Kjersti M. Aagaard, MD, PhD
Medical Director, HCA Healthcare and HCA Research Institute
Boston Children’s Hospital, Division of Fetal Medicine and Surgery, Boston, MA; HCA Healthcare and HCA Healthcare Research Institute, Nashville, TN; HCA Texas Maternal Fetal Medicine, Houston, TX; Baylor College of Medicine and Texas Children's Hospital, Houston, TX
Tomball, Texas, United States
We analyzed human placentae collected at term (n=100) and preterm (< 37 weeks gestation; n=75). Placental specimens were subjected to pyrolysis-gas chromatography/mass spectrometry (Py-GC/MS) to quantify twelve types of MNPs: polyethylene (PE), polypropylene (PP), acrylonitrile butadiene styrene (ABS), styrene-butadiene rubber (SBR), polymethyl methacrylate (PMMA), polycarbonate (PC), polyvinyl chloride (PVC), polyurethane (PU), polyethylene terephthalate (PET), nylon 6 (N6), and nylon 66 (N66). For rigor & reproducibility, duplicate specimens were run & quantified relative to standards.
Results:
Highly sensitive Py-GC/MS demonstrated significantly higher levels of PC, PVC & N66 MNPs in preterm placentae compared to term (Fig 1A; q=0.002, 0.006, 0.013, respectively, by mixed-effects model with Sidak’s multiple corrections). Moreover, despite shorter gestations, cumulative MNP concentrations were higher in preterm placentae (Fig 1B; preterm mean 203.0 µg/g tissue ± 19.41 SEM vs term mean 129.8 µg/g tissue ± 14.16 SEM, p< 0.0001 Mann-Whitney). Stratified analyses showed significant differences by fetal sex (Fig 1C) and race/ethnicity (Fig 2A) (q< 0.05), and a significant correlation between social deprivation indices (SDI) and MNP levels (Fig 2B). Total MNP levels in placentae were 121.9 times higher than those reported in human blood (p< 0.0001 Mann-Whitney).
Conclusion: Our findings suggest that MNPs accumulate in placentae from preterm births. Given the established link between MNPs and inflammation, we speculate that MNP bioaccumulation may play a role in modulating inflammatory preterm birth. These novel findings underscore the importance of prioritizing mechanistic studies to explore how MNPs impact fetal development and pregnancy outcomes.