2017
DOI: 10.1289/ehp171
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Risk of Congenital Heart Defects after Ambient Heat Exposure Early in Pregnancy

Abstract: Background:Congenital heart defects may be environmentally related, but the association with elevated ambient temperature has received little attention.Objectives:We studied the relationship between outdoor heat during the first trimester of pregnancy and risk of congenital heart defects.Methods:We carried out a retrospective cohort study of 704,209 fetuses between 2 and 8 weeks postconception from April to September in Quebec, Canada, 1988–2012. We calculated the prevalence of congenital heart defects at birt… Show more

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Cited by 73 publications
(80 citation statements)
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“…While Cofilin’s functions will surely differ with context, we suggest it as a key general node in actin-based stress response, acting across diverse cell types and organisms. Our observations in the fly embryo lead us to consider whether stress-induced changes in Cofilin activity could partially explain why high temperature is teratogenic ( Auger et al, 2017 ; Chambers et al, 1998 ; Dixon et al, 2011 ; Edwards 2006 ). Because F-actin remodeling drives morphogenesis ( Rodal et al, 2015 ), we think it possible that Cofilin-mediated stress response could compromise the fidelity of other morphogenetic events, just as it precipitated cellularization failures here.…”
Section: Discussionmentioning
confidence: 92%
“…While Cofilin’s functions will surely differ with context, we suggest it as a key general node in actin-based stress response, acting across diverse cell types and organisms. Our observations in the fly embryo lead us to consider whether stress-induced changes in Cofilin activity could partially explain why high temperature is teratogenic ( Auger et al, 2017 ; Chambers et al, 1998 ; Dixon et al, 2011 ; Edwards 2006 ). Because F-actin remodeling drives morphogenesis ( Rodal et al, 2015 ), we think it possible that Cofilin-mediated stress response could compromise the fidelity of other morphogenetic events, just as it precipitated cellularization failures here.…”
Section: Discussionmentioning
confidence: 92%
“…Similarly to TPHP, DEHP is a semivolatile endocrine-disrupting chemical. 16 , 24 28 DEHP can cause adverse reproductive health effects, impaired development, and metabolic disruption. 16 It is also a possible human carcinogen that was banned from cosmetics in the European Union at the same time as DnBP in 2004.…”
Section: Discussionmentioning
confidence: 99%
“…22 , 23 Only more recently has TPHP been shown to be an endocrine disruptor that can adversely affect thyroid function and reproductive health in humans. 24 28 This new evidence raises concern that one toxic chemical (DnBP) has been replaced by another (TPHP). This phenomenon in public health is called regrettable substitution, in which toxic chemicals are replaced with compounds (sometimes of the same chemical class) that are later found to also be toxic.…”
Section: Introductionmentioning
confidence: 99%
“…There is little detailed consideration of cumulative health impacts or complex interactions that may be involved in fracking [ 65 , 66 ]. The exposome concept [ 67 ] developed in 2005, to look at total environmental exposures during a life time would also appear to be highly relevant to impact assessments in heavily industrialized areas where fracking is underway or proposed. It is unclear if such an approach was ever considered for the Scottish review.…”
Section: Discussionmentioning
confidence: 99%