Background
To explore possible markers of developmental immunotoxicity, we
prospectively examined 56 children to determine associations between
exposures to methylmercury and persistent organic pollutants since birth and
the comprehensive differential counts of white blood cells (WBC) at age 5
years.
Materials and methods
Extended differential count included: neutrophils, eosinophils,
basophils, lymphocytes (including T cells, NK cells, and B cells), and
monocytes. Organochlorine compounds (OCs) including polychlorinated
biphenyls (PCBs) and pesticides, five perfluoroalkyl substances (PFASs), and
total mercury (Hg) were measured in maternal (n=56) and children’s
blood at 18 months (n=42) and 5 years (n=56). We constructed latent
functions for exposures at three different ages using factor analyses and
applied structural equation models adjusted for covariates.
Results
Prenatal mercury exposure was associated with depleted total WBC,
especially for lymphocytes, where a one standard deviation (SD) increase in
the exposure was associated with a decrease by 23% SD (95% CI: −43,
−4) in the cell count. Prenatal exposure to OCs was marginally
associated with decreases in neutrophil counts. In contrast, the 5-year
PFASs concentrations were associated with higher basophil counts (B= 46% SD,
95% CI: 13, 79). Significantly reduced subpopulations of lymphocytes such as
B cells, CD4-positive T helper cells and CD4 positive recent thymic
emigrants may suggest cellular immunity effects and dysregulation of T-cell
mediated immunity.
Conclusion
Developmental exposure to environmental immunotoxicants appears to
have different impacts on WBC counts in childhood.