Impact of maternal lifestyle factors on newborn HPRT mutant frequencies and molecular spectrum - Initial results from the Prenatal Exposures and Preeclampsia Prevention (PEPP) Study
Wl. Bigbee et al., Impact of maternal lifestyle factors on newborn HPRT mutant frequencies and molecular spectrum - Initial results from the Prenatal Exposures and Preeclampsia Prevention (PEPP) Study, MUT RES-F M, 431(2), 1999, pp. 279-289
Citations number
33
Categorie Soggetti
Molecular Biology & Genetics
Journal title
MUTATION RESEARCH-FUNDAMENTAL AND MOLECULAR MECHANISMS OF MUTAGENESIS
Epidemiological studies have demonstrated associations between maternal tob
acco smoke exposure and consumption of alcohol during pregnancy and increas
ed risk of pediatric malignancies, particularly infant leukemias. Molecular
evidence also suggests that somatic mutational events occurring during fet
al hematopoiesis in utero can contribute to this process. As part of an ong
oing multi-endpoint biomarker study of 2000 mothers and newborns, the HPRT
T-lymphocyte cloning assay was used to determine mutant frequencies (M-f) i
n umbilical cord blood samples from an initial group of 60 neonates born to
a sociodemographically diverse cohort of mothers characterized with respec
t to age, ethnicity, socioeconomic status, and cigarette smoke and alcohol
exposure. Non-zero M-f (N = 47) ranged from 0.19 to 5.62 X 10(-6), median 0
.70 x 10(-6), mean +/- SD 0.98 +/- 0.95 X 10(-6). No significant difference
in M-f was observed between female and male newborns. Multivariable Poisso
n regression analysis revealed that increased HPRT M-f were significantly a
ssociated with maternal consumption of alcohol at the beginning [Relative R
ate (RR)= 1.84, 95% CI = 0.99-3.40, P = 0.052) and during pregnancy (RR = 2
.99, 95% CI = 1.14-7.84, P = 0.026. No independent effect of self-reported
active maternal cigarette smoking, either at the beginning or throughout pr
egnancy, nor maternal passive exposure to cigarette smoke was observed. Alt
hough based on limited initial data, this is the first report of a positive
association between maternal alcohol consumption during pregnancy and HPRT
M-f in human newborns. In addition, the spectrum of mutations at the HPRT
locus was determined in 33 mutant clones derived from 19 newborns of mother
s with no self-reported exposure to tobacco smoke and 14 newborns of mother
s exposed passively or actively to cigarette smoke. In the unexposed group,
alterations leading to specific exon 2-3 deletions, presumably as a result
of illegitimate V(D)J recombinase activity, were found in five of the 19 m
utants (26.3%); in the passively exposed group, two exon 2-3 deletions were
present among the seven mutants (28.6%); and in the actively exposed group
, six of the seven mutants (85.7%) were exon 2-3 deletions. Although no ove
rall increase in HPRT Mi was observed and the number of mutant clones exami
ned was small, these initial results point to an increase in V(D)J recombin
ase-associated HPRT gene exon 2-3 deletions in cord blood T-lymphocytes in
newborns of actively smoking mothers relative to unexposed mothers (P = 0.0
11). Together, these results add to growing molecular evidence that in uter
o exposures to genotoxicants result in detectable transplacental mutagenic
effects in human newborns. (C) 1999 Elsevier Science B.V. All rights reserv
ed.