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临床试验/NCT01815385
NCT01815385已完成不适用

Early Life Exposure to Polycyclic Aromatic Hydrocarbons: Metabolic Perturbations and Epigenetic Biomarkers

Montefiore Medical Center1 个研究点 分布在 1 个国家目标入组 110 人开始时间: 2013年3月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
110
试验地点
1
主要终点
Characterize cytosine methylation changes in CD3+ T-lymphocytes

研究概览

简要总结

Metabolic diseases such as obesity and diabetes are modern day epidemics. Early life exposure to an adverse developmental environment, including environmental toxins, are linked to increased susceptibility to obesity, metabolic syndrome and type 2 diabetes. Although the mechanisms underlying the fetal origins of metabolic disease are poorly understood, strong evidence suggests that alterations in the epigenome play a critical role in this process. The central hypothesis of this proposal is that intrauterine exposure to benzo[a]pyrene leads to epigenetic changes which will have functional consequences and may be a marker for, or may contribute to, increased susceptibility to adverse outcomes in childhood including increased adiposity and the subsequent development of obesity, metabolic syndrome or diabetes. The goals of this proposal are to: 1) determine benzo[a]pyrene levels in umbilical cord blood of newborns, 2) determine whether benzo[a]pyrene exposure during pregnancy correlates with early onset of obesity and metabolic disease by examining the children at 12 and 24 months of age, 3) determine whether in utero benzo[a]pyrene exposure programs metabolic disease through alterations in DNA methylation and gene expression, and 4) determine the plasticity of the DNA methylation patterns in the same offspring at 12 months of age. The long-term goal of this project is to define biomarkers that identify neonates at "high-risk" for diminished attainment of full health potential, who can then be targeted for preventative measures.

研究设计

研究类型
Observational
观察模型
Ecologic Or Community
时间视角
Prospective

入排标准

年龄范围
1 Hour 至 72 Hours(Child)
性别
All
接受健康志愿者

入选标准

  • Infants whose mothers were followed by the Obstetric Department at MMC, and
  • Deliver a single healthy live term infant

排除标准

  • Multiple gestation,
  • Maternal depression,
  • History of maternal smoking in the 3rd trimester of pregnancy,
  • Infants in extremis,
  • Apgar score <7 at 5 min and umbilical artery pH ≤7.25,
  • Chromosomal/congenital abnormalities,
  • Congenital infections, and
  • Inborn errors of metabolism

结局指标

主要结局

Characterize cytosine methylation changes in CD3+ T-lymphocytes

时间窗: up to 12 months of age

Cytosine methylation changes in CD3+ T-lymphocytes will be characterized in cord blood and in a peripheral blood sample obtained at 12 months of age.

Measure tobacco by-products in blood samples

时间窗: up to 12 months of age

Levels of tobacco by-products will be measured in cord blood samples obtained at birth and in peripheral blood samples obtained at 12 months of age.

Measure benzo(a)pyrene levels in blood samples

时间窗: up to 12 months of age

Benzo(a)pyrene levels will be measured in cord blood samples obtained at birth and in peripheral blood samples obtained at 12 months of age.

Measure indices of adiposity in enrolled patients

时间窗: up to 24 months

Assessments will be performed within 72 hours of birth and at 1 and 2 years of age.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Mamta Fuloria

Associate Professor, Pediatrics

Montefiore Medical Center

研究点 (1)

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