Exposure to fine particulate matter (PM2.5) during pregnancy
has been inversely associated with neonatal neurological development.
However, the associations of exposure to specific PM2.5 constituents with neonatal neurological development remain unclear.
We investigated these associations and examined the mediating role
of meconium metabolites in a Chinese birth cohort consisting of 294
mother–infant pairs. Our results revealed that exposure to
PM2.5 and its specific constituents (i.e., organic matter,
black carbon, sulfate, nitrate, and ammonium) in the second trimester,
but not in the first or third trimester, was inversely associated
with the total neonatal behavioral neurological assessment (NBNA)
scores. The PM2.5 constituent mixture in the second trimester
was also inversely associated with NBNA scores, and sulfate was identified
as the largest contributor. Furthermore, meconium metabolome analysis
identified four metabolites, namely, threonine, lysine, leucine, and
saccharopine, that were associated with both PM2.5 constituents
and NBNA scores. Threonine was identified as an important mediator,
accounting for a considerable proportion (14.53–15.33%) of
the observed inverse associations. Our findings suggest that maternal
exposure to PM2.5 and specific constituents may adversely
affect neonatal behavioral development, in which meconium metabolites
may play a mediating role.