“…Air pollution has been associated with negative pregnancy outcomes 284, 285, 287–290, 293, 298, 299 , including low birth weight 292–295, 302 , respiratory illnesses 301 and mortality 301, 303 in the fetus, newborn and infant. Increased in utero exposure to PM 2.5 , especially in the first trimester of pregnancy, is positively associated with placental mtDNA methylation (in both the displacement loop and the sequence which encodes the mitochondrial ribosomal 12S rRNA) 215 . Conversely, increased in utero exposure to PM 2.5 or PM 10 is negatively associated with mtDNA content with the most significant association in the third trimester 215, 216 .…”