RT Journal Article T1 Prenatal Ambient Air Pollution, Placental Mitochondrial DNA Content, and Birth Weight in the INMA (Spain) and ENVIRONAGE (Belgium) Birth Cohorts. A1 Clemente, Diana B P A1 Casas, Maribel A1 Vilahur, Nadia A1 Begiristain, Haizea A1 Bustamante, Mariona A1 Carsin, Anne-Elie A1 Fernández, Mariana F A1 Fierens, Frans A1 Gyselaers, Wilfried A1 Iñiguez, Carmen A1 Janssen, Bram G A1 Lefebvre, Wouter A1 Llop, Sabrina A1 Olea, Nicolás A1 Pedersen, Marie A1 Pieters, Nicky A1 Santa Marina, Loreto A1 Souto, Ana A1 Tardón, Adonina A1 Vanpoucke, Charlotte A1 Vrijheid, Martine A1 Sunyer, Jordi A1 Nawrot, Tim S K1 Contaminación del aire K1 Bélgica K1 Peso al nacer K1 ADN mitocondrial K1 Femenino K1 Desarrollo fetal K1 Retardo del crecimiento fetal K1 Genes mitocondriales K1 Modelos Lineales K1 Mitocondrias K1 Dióxido de nitrógeno K1 Placenta K1 Embarazo K1 España AB BACKGROUNDMitochondria are sensitive to environmental toxicants due to their lack of repair capacity. Changes in mitochondrial DNA (mtDNA) content may represent a biologically relevant intermediate outcome in mechanisms linking air pollution and fetal growth restriction.OBJECTIVEWe investigated whether placental mtDNA content is a possible mediator of the association between prenatal nitrogen dioxide (NO2) exposure and birth weight.METHODSWe used data from two independent European cohorts: INMA (n = 376; Spain) and ENVIRONAGE (n = 550; Belgium). Relative placental mtDNA content was determined as the ratio of two mitochondrial genes (MT-ND1 and MTF3212/R3319) to two control genes (RPLP0 and ACTB). Effect estimates for individual cohorts and the pooled data set were calculated using multiple linear regression and mixed models. We also performed a mediation analysis.RESULTSPooled estimates indicated that a 10-μg/m3 increment in average NO2 exposure during pregnancy was associated with a 4.9% decrease in placental mtDNA content (95% CI: -9.3, -0.3%) and a 48-g decrease (95% CI: -87, -9 g) in birth weight. However, the association with birth weight was significant for INMA (-66 g; 95% CI: -111, -23 g) but not for ENVIRONAGE (-20 g; 95% CI: -101, 62 g). Placental mtDNA content was associated with significantly higher mean birth weight (pooled analysis, interquartile range increase: 140 g; 95% CI: 43, 237 g). Mediation analysis estimates, which were derived for the INMA cohort only, suggested that 10% (95% CI: 6.6, 13.0 g) of the association between prenatal NO2 and birth weight was mediated by changes in placental mtDNA content.CONCLUSIONOur results suggest that mtDNA content can be one of the potential mediators of the association between prenatal air pollution exposure and birth weight.CITATIONClemente DB, Casas M, Vilahur N, Begiristain H, Bustamante M, Carsin AE, Fernández MF, Fierens F, Gyselaers W, Iñiguez C, Janssen BG, Lefebvre W, Llop S, Olea N, Pedersen M, Pieters N, Santa Marina L, Souto A, Tardón A, Vanpoucke C, Vrijheid M, Sunyer J, Nawrot TS. 2016. Prenatal ambient air pollution, placental mitochondrial DNA content, and birth weight in the INMA (Spain) and ENVIRONAGE (Belgium) birth cohorts. Environ Health Perspect 124:659-665; http://dx.doi.org/10.1289/ehp.1408981. PB National Institute of Environmental Health Sciences (NIEHS) SN 0091-6765 YR 2016 FD 2016-05 LK http://hdl.handle.net/10668/2555 UL http://hdl.handle.net/10668/2555 LA en NO Clemente DB, Casas M, Vilahur N, Begiristain H, Bustamante M, Carsin AE, et al. Prenatal Ambient Air Pollution, Placental Mitochondrial DNA Content, and Birth Weight in the INMA (Spain) and ENVIRONAGE (Belgium) Birth Cohorts. Environ. Health Perspect. 2016; 124(5):659-65 NO Journal Article; DS RISalud RD Apr 18, 2025