Article Text
Abstract
Background: Exposure to organochlorine compounds (OCs) has been a subject of interest in recent years, given their potential neurotoxicity. Meconium is easily available and accumulates neurotoxicants and/or metabolites from the 12th week of gestation.
Aims: To determine whether neurotoxicants, specifically OCs, could be detected in serially collected meconium, and to compare the results with those obtained in cord blood samples.
Methods: A sample of cord blood and three serial stool samples were analysed in 10 newborns. Pentachlorobenzene (PeCB), hexachlorobenzene (HCB), polychlorinated biphenyls (PCBs), dichlorodiphenyl trichloroethane (p,p′-DDT) and its metabolite dichlorodiphenyl dichloroethylene (p,p′-DDE), and hexachlorocyclohexane isomers (α-, β-, γ-, and δ-HCH) were analysed by gas chromatography.
Results: From serial stool collection and analysis in newborns, there was an increase in the concentrations of HCB, p,p′-DDE, PCBs, and β-HCH between the first and last stools of the newborn. Levels of DDT diminished as pregnancy progressed. Concentrations in cord blood were positively associated with concentrations in meconium for p,p′-DDE and β-HCH.
Conclusions: Meconium is a very useful instrument for the investigation of fetal exposure to neurotoxicants; serial collection and analysis of meconium should estimate the timing and degree of in utero exposure of the fetus to neurotoxicants. Analysis and interpretation of neurotoxicants in meconium results is a complex process. Measurement in meconium of a wide range of neurotoxic substances should facilitate early identification of harmful exposures, and enable rehabilitation and instigation of preventive measures.
- α-, β-, γ-, δ-HCH, hexachlorocyclohexane isomers
- HCB, hexachlorobenzene
- OC, organochlorine compound
- PCB, polychlorinated biphenyl
- PeCB, pentachlorobenzene
- p,p′-DDE, dichlorodiphenyl dichloroethylene
- p,p′-DDT, dichlorodiphenyl trichloroethane
- TBB, tetrabromobenzene
- TOC, total organic carbon
- biological markers
- environmental pollutants
- meconium
- neurotoxicity syndromes
- prenatal exposure