Background: Non-targeted Analysis (NTA) methods can identify novel exposures in a variety of biological matrices, however, few have been assessed for relationships with pregnancy complications.
Objectives: This study characterizes levels of nine exogenous and endogenous chemicals including linear and branched isomers perfluorooctane sulfonate (PFOS); perfluorohexane sulfonate (PFHxS); monoethylhexyl phthalate; 4-nitrophenol; and tetraethylene glycol; the fatty acids: tridecanedioic acid and octadecanedioic acid, and the bile acid: deoxycholic acid. These chemicals were identified, selected, and confirmed in prior NTA steps and we evaluate their relationship with pregnancy complications in a diverse pregnancy cohort in San Francisco.
Methods: Matched maternal and cord serum samples were collected from 302 pregnant people at delivery from the Chemicals in Our Bodies cohort in San Francisco. Chemicals were identified via NTA and quantified using targeted approaches. We calculate distributions and Spearman correlation coefficients testing the relationship of chemicals within and between the maternal and cord blood matrices. Among the maternal samples we used logistic regression to calculate the odds of gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy associated with prenatal chemical exposures.
Results: We detected linear PFOS, PFHxS, tridecanedioic acid, and deoxycholic acid in at least 97% of maternal samples. We observed strong correlations between cord and maternal levels of PFHxS (coefficient = 0.9), linear PFOS (0.8), and branched PFOS (0.8). In maternal samples, branched PFOS was correlated with linear PFOS (0.8) and PFHxS (0.6). We found Linear PFOS and branched PFOS were positively associated with increased odds of GDM [OR (95%CI): 1.60 (0.94, 2.73) and 1.56 (1.00 , 2.44) respectively] and tridecanedioic acid was positively associated with hypertensive disorders of pregnancy [1.71 (0.79 , 3.82 )].
Discussion: Chemicals measured in this study were identified through NTA and targeted quantification. We identified endogenous and exogenous chemicals some of which have seldom been quantified in pregnant people.