Measurement of pesticides and other toxicants in amniotic fluid as a potential biomarker of prenatal exposure: a validation study
Open accessAbstract
Prenatal pesticide exposures may adversely affect children's health. However, exposure and health research is hampered by the lack of reliable fetal exposure data. No studies have been published that report measurements of commonly used nonpersistent pesticides in human amniotic fluid, although recent studies of pesticides in urine from pregnant women and in meconium indicate that fetuses are exposed to these chemicals. Amniotic fluid collected during amniocentesis is the only medium available to characterize direct fetal exposures early in pregnancy (approximately 18 weeks of gestation). As a first step in validating this exposure biomarker, we collected 100 amniotic fluid samples slated for disposal and evaluated analytical methods to measure organophosphate and carbamate pesticides and metabolites, synthetic pyrethroid metabolites, herbicides, and chlorinated phenolic compounds. The following six phenols were detected (detection frequency): 1- and 2-naphthol (70%), 2,5-dichlorophenol (55%), carbofuranphenol (5%), ortho-phenylphenol (30%), and pentachlorophenol (15%), with geometric mean concentrations of 0.72, 0.39, 0.12, 0.13, and 0.23 microg/L, respectively, for positive values. The organophosphate metabolites diethylphosphate and dimethylphosphate were detected in two (10%) samples, and dimethylthiophosphate was detected in one (5%) sample, with geometric mean concentrations of 0.31, 0.32, and 0.43 microg/L, respectively, for positive values. These levels are low compared with levels reported in urine, blood, and meconium in other studies, but indicate direct exposures to the young fetus, possibly during critical periods of development. Results of this pilot study suggest that amniotic fluid offers a unique opportunity to investigate fetal exposures and health risks.
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Pesticides can cross the placenta and blood-brain barrier.
“Pesticides can pass through the placenta and the blood–brain barrier.”
From Environmental Chemical Exposures and Autism Spectrum Disorders: A Review of the Epidemiological Evidence (2014) · cites this paper as [113]
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Cites
Exposures of children to organophosphate pesticides and their potential adverse health effects.
Eskenazi, B., Bradman, A., & Castorina, R. (1999) · Environmental Health Perspectives · doi:10.1289/ehp.99107s3409 · Cited by 681 · see citing works
Self-citationClinical physiology in obstetrics
Eskes, T. K. A. B. (1999) · Radboud Repository (Radboud University) · Cited by 586 · see citing works
Pesticides in Household Dust and Soil: Exposure Pathways for Children of Agricultural Families
Simcox, N. J., Fenske, R. A., Wolz, S. A., Lee, I., & Kalman, D. A. (1995) · Environmental Health Perspectives · doi:10.1289/ehp.951031126 · Cited by 418 · see citing works
Lu, C. A., Fenske, R. A., Simcox, N. J., et al. (2000) · Environmental Research · doi:10.1006/enrs.2000.4076 · Cited by 417 · see citing works
Pesticides and inner-city children: exposures, risks, and prevention.
Landrigan, P. J., Cláudio, L., Markowitz, S. B., Berkowitz, G. S., Brenner, B. L., Romero, H., Wetmur, J. G., Matte, T., Gore, A. C., Godbold, J., et al. (1999) · Environmental Health Perspectives · doi:10.1289/ehp.99107s3431 · Cited by 335 · see citing works
Clinical physiology in obstetrics
Chamberlain, G. V. P., & Hytten, F. E. (1998) · Medical Entomology and Zoology · Cited by 323 · see citing works
Pesticide Residues in Urine of Adults Living in the United States: Reference Range Concentrations
Hill, R. H., Head, S. L., Baker, S. E., Gregg, M. B., Shealy, D. B., Bailey, S. L., Williams, C. C., Sampson, E. J., & Needham, L. L. (1995) · Environmental Research · doi:10.1006/enrs.1995.1071 · Cited by 318 · see citing works
Curl, C. L., Fenske, R. A., Kissel, J. C., et al. (2002) · Environmental Health Perspectives · doi:10.1289/ehp.021100787 · Cited by 312 · see citing works
Exposure to indoor pesticides during pregnancy in a multiethnic, urban cohort.
Berkowitz, G. S., Obel, J., Deych, E., Lapinski, R. H., Godbold, J., Liu, Z., Landrigan, P. J., & Wolff, M. S. (2002) · Environmental Health Perspectives · doi:10.1289/ehp.5619 · Cited by 268 · see citing works
National Report on Human Exposure to Environmental Chemicals
(2023) · doi:10.15620/cdc:133100 · Cited by 232 · see citing works
The Port Pirie cohort study: maternal blood lead and pregnancy outcome.
McMichael, A. J., Vimpani, G., Robertson, E. F., Baghurst, P., & Clark, P. (1986) · Journal of Epidemiology & Community Health · doi:10.1136/jech.40.1.18 · Cited by 227 · see citing works
Residential pesticide use during pregnancy among a cohort of urban minority women.
Whyatt, R. M., Camann, D., Kinney, P. L., Reyes, A., Ramírez, J. A., Dietrich, J., Díaz, D., Holmes, D., & Perera, F. P. (2002) · Environmental Health Perspectives · doi:10.1289/ehp.02110507 · Cited by 223 · see citing works
Detection of house-dust-mite allergen in amniotic fluid and umbilical-cord blood
Holloway, J. A., Warner, J. O., Vance, G. H., Diaper, N. D., Warner, J. A., & Jones, C. A. (2000) · The Lancet · doi:10.1016/s0140-6736(00)03265-7 · Cited by 170 · see citing works
Prevalence of Fetal Exposure to Environmental Toxins as Determined by Meconium Analysis
Ostrea, E. M., Morales, V., Ngoumgna, E., Prescilla, R. P., Tan, E., Hernandez, E., Ramirez, G. B., Cifra, H., & Manlapaz, M. L. (2002) · NeuroToxicology · doi:10.1016/s0161-813x(02)00077-3 · Cited by 165 · see citing works
Whyatt, R., & Barr, D. B. (2001) · Environmental Health Perspectives · doi:10.1289/ehp.01109417 · Cited by 161 · see citing works
Self-citationMaternal tobacco exposure and cotinine levels in fetal fluids in the first half of pregnancy
Jauniaux, E. (1999) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(98)00318-4 · Cited by 157 · see citing works
Lu, C. A., Knutson, D. E., Fisker-Andersen, J., & Fenske, R. A. (2001) · Environmental Health Perspectives · doi:10.1289/ehp.01109299 · Cited by 154 · see citing works
Bravo, R., Driskell, W. J., Whitehead, R. D., et al. (2002) · Journal of Analytical Toxicology · doi:10.1093/jat/26.5.245 · Cited by 137 · see citing works
Ethyl Linoleate in Meconium: A Biomarker for Prenatal Ethanol Exposure
Bearer, C. F., Lee, S., Salvator, A. E., Minnes, S., Swick, A. R., Yamashita, T. S., & Singer, L. T. (1999) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1999.tb04142.x · Cited by 132 · see citing works
Detection of Endocrine-Disrupting Chemicals in Samples of Second Trimester Human Amniotic Fluid
Foster, W. G., Chan, S., Platt, L., et al. (2000) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.85.8.6850 · Cited by 126 · see citing works
Strategies for biological monitoring of exposure for contemporary-use pesticides
Barr, D. B., Barr, J. R., Driskell, W. J., et al. (1999) · Toxicology and Industrial Health · doi:10.1191/074823399678846556 · Cited by 120 · see citing works
Self-citationPesticide exposures to children from California's Central Valley: results of a pilot study.
Bradman, M. A., Harnly, M., Draper, W. M., et al. (1997) · PubMed · Cited by 114 · see citing works
Fenske, R. A., Kedan, G., Lu, C. A., Fisker-Andersen, J., & Curl, C. L. (2002) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/sj.jea.7500197 · Cited by 114 · see citing works
The Amniotic Fluid Compartment: The Fetal Habitat
Schmidt, W. (1992) · Advances in anatomy, embryology and cell biology · doi:10.1007/978-3-642-77300-6 · Cited by 100 · see citing works
Teratogen update: Smoking and reproductive outcomes
Werler, M. M. (1997) · Teratology · doi:10.1002/(sici)1096-9926(199706)55:6 · Cited by 100 · see citing works
Selected pesticide residues and metabolites in urine from a survey of the U.S. general population
Kutz, F. W., Cook, B. T., Carter‐Pokras, O., et al. (1992) · Journal of Toxicology and Environmental Health · doi:10.1080/15287399209531670 · Cited by 96 · see citing works
A physiologically based pharmacokinetic computer model for human pregnancy
Luecke, R. H., Wosilait, W. D., Pearce, B. A., & Young, J. F. (1994) · Teratology · doi:10.1002/tera.1420490205 · Cited by 91 · see citing works
Chemical wastes, children's health, and the Superfund Basic Research Program.
Landrigan, P. J., Suk, W. A., & Amler, R. W. (1999) · Environmental Health Perspectives · doi:10.1289/ehp.99107423 · Cited by 87 · see citing works
Pentachlorophenol measurements in body fluids of people in log homes and workplaces
Cline, R. E., Hill, R. H., Phillips, D. L., et al. (1989) · Archives of Environmental Contamination and Toxicology · doi:10.1007/bf01055012 · Cited by 86 · see citing works
Residues of chlorinated phenols and phenoxy acid herbicides in the urine of Arkansas children
Hill, R. H., To, T. M., Holler, J. S., et al. (1989) · Archives of Environmental Contamination and Toxicology · doi:10.1007/bf01055011 · Cited by 75 · see citing works
Shealy, D. B., Barr, J. R., Ashley, D. L., et al. (1997) · Environmental Health Perspectives · doi:10.1289/ehp.97105510 · Cited by 71 · see citing works
Organochlorine compounds in mother and fetus during labor
Polishuk, Z., WASSERMANN, D., Wassermann, M., et al. (1977) · Environmental Research · doi:10.1016/0013-9351(77)90104-9 · Cited by 69 · see citing works
Baker, S. E., Barr, D. B., Driskell, W. J., et al. (2000) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/sj.jea.7500123 · Cited by 65 · see citing works
Self-citationPesticides in Household Dust and Soil: Exposure Pathways for Children of Agricultural Families
Simcox, N. J., Fenske, R. A., Wolz, S. A., et al. (1995) · Environmental Health Perspectives · doi:10.2307/3432609 · Cited by 65 · see citing works
Some Studies of Maternal and Infant Lead Exposure in Glasgow
Moore, M. R., Goldberg, A., Pocock, S., et al. (1982) · Scottish Medical Journal · doi:10.1177/003693308202700203 · Cited by 61 · see citing works
Beeson, M. D., Driskell, W. J., & Barr, D. B. (1999) · Analytical Chemistry · doi:10.1021/ac990130u · Cited by 58 · see citing works
Self-citationAdaptation of the meconium drug test for mass screening
Ostrea, E. M., Romero, A., & Yee, H. Y. (1993) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)83509-7 · Cited by 52 · see citing works
Detection of Endocrine-Disrupting Chemicals in Samples of Second Trimester Human Amniotic Fluid
Foster, W. G. (2000) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.85.8.2954 · Cited by 51 · see citing works
Detection of Cocaine and its Metabolites in Amniotic Fluid and Umbilical Cord Tissue
Winecker, R. E., Goldberger, B. A., Tebbett, I. R., et al. (1997) · Journal of Analytical Toxicology · doi:10.1093/jat/21.2.97 · Cited by 47 · see citing works
Paraquat intoxication during pregnancy: a report of 9 cases.
Talbot, A. R., Fu, C., & Hsieh, M.-F. (1988) · PubMed · Cited by 43 · see citing works
Shealy, D. B., Bonin, M. A., Wooten, J. V., et al. (1996) · Environment International · doi:10.1016/s0160-4120(96)00058-x · Cited by 42 · see citing works
PHYSIOLOGICAL "CONSTANTS" FOR PBPK MODELS FOR PREGNANCY
Young, J. F., Branham, W. S., Sheehan, D. M., Baker, M. E., Wosilait, W. D., & Luecke, R. H. (1997) · Journal of Toxicology and Environmental Health · doi:10.1080/00984109708984072 · Cited by 41 · see citing works
Maternal Tobacco Exposure and Cotinine Levels in Fetal Fluids in the First Half of Pregnancy
Jauniaux, E. R. M., Gulbis, B., Acharya, G., et al. (1999) · Obstetrics and Gynecology · doi:10.1097/00006250-199901000-00006 · Cited by 41 · see citing works
Transplacental passage of pesticides
O’Leary, J. A., Davies, J. E., Edmundson, W. F., et al. (1970) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(16)33891-1 · Cited by 40 · see citing works
A computer model and program for xenobiotic disposition during pregnancy
Luecke, R. H., Wosilait, W. D., Pearce, B. A., & Young, J. F. (1997) · Computer Methods and Programs in Biomedicine · doi:10.1016/s0169-2607(97)00020-5 · Cited by 39 · see citing works
Lu, C. A., Knutson, D. E., Fisker-Andersen, J., & Fenske, R. A. (2001) · Environmental Health Perspectives · doi:10.2307/3434700 · Cited by 28 · see citing works
Carvalho, L., Custódio, P. J., Reus, U., et al. (2001) · Spectrochimica Acta Part B Atomic Spectroscopy · doi:10.1016/s0584-8547(01)00280-4 · Cited by 27 · see citing works
Hong, Z., Merkel, G., & Randow, F. F. E. (2002) · Ecotoxicology and Environmental Safety · doi:10.1006/eesa.2001.2110 · Cited by 26 · see citing works
Strategies for biological monitoring of exposure for contemporary-use pesticides
Barr, J. R., Driskell, W. J., Hill, R. H., et al. (1999) · Toxicology and Industrial Health · doi:10.1177/074823379901500114 · Cited by 19 · see citing works
Whyatt, R. M., & Barr, D. B. (2001) · Environmental Health Perspectives · doi:10.2307/3454902 · Cited by 16 · see citing works
Self-citationPHYSIOLOGICAL "CONSTANTS" FOR PBPK MODELS FOR PREGNANCY
Young, J. F., Branham, W. S., Sheehan, D. M., et al. (1997) · Journal of Toxicology and Environmental Health · doi:10.1080/009841097159539 · Cited by 14 · see citing works
Young, J. F. (1998) · Computers in Biology and Medicine · doi:10.1016/s0010-4825(98)00024-9 · Cited by 10 · see citing works
Shealy, D. B., Barr, J. R., Ashley, D. L., et al. (1997) · Environmental Health Perspectives · doi:10.2307/3433579 · Cited by 4 · see citing works
Perinatal toxicology screening: comparison of various maternal and neonatal samples.
Kim, E., Brion, L. P., Meenan, G. M., et al. (1998) · PubMed · Cited by 3 · see citing works
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Environmental chemicals in pregnant women in the United States: NHANES 2003–2004
Woodruff, T. J., Zota, A. R., & Schwartz, J. M. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.1002727 · Cited by 930 · see citing works
Rauh, V., Arunajadai, S., Horton, M., Perera, F., Hoepner, L., Barr, D. B., & Whyatt, R. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.1003160 · Cited by 524 · see citing works
“In humans, OPs have been detected in amnionic fluid (Bradman et al. 2003) and are known to cross the placenta (Richardson 1995; Whyatt et al. 2005), posing a threat to the unborn child during a period of rapid brain development.”
BackgroundSelf-citationKalkbrenner, A. E., Schmidt, R. J., & Penlesky, A. C. (2014) · Current Problems in Pediatric and Adolescent Health Care · doi:10.1016/j.cppeds.2014.06.001 · Cited by 268 · see citing works
“Pesticides can pass through the placenta and the blood–brain barrier.(113) Many pesticides act to control insects through direct impacts on the insect nervous system, with suspected analogous impacts on humans.”
- Authors
- Bradman, A., Barr, D. B., Claus Henn, B. G., Drumheller, T., Curry, C., & Eskenazi, B.
- Affiliations
- University of California, Berkeley (US)
- Center for Children's Environmental Health Research, School of Public Health, University of California, Berkeley, California 94720-7380, USA. abradman@socrates.berkeley.edu
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- Published
- 2003-11-01
- Volume
- 111
- Issue
- 14
- Pages
- 1779-1782
- ISSN
- 0091-6765 (ISSN-L)
- 1552-9924
- PMC
- PMC1241723
- OpenAlex
- W2025518612
- Cited by
- 258
- References
- 54
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 12 · 2023: 8 · 2022: 20 · 2021: 19 · 2020: 15 · 2019: 11 · 2018: 15 · 2017: 12 · 2016: 11 · 2015: 9 · 2014: 14 · 2013: 13 · 2012: 7
- FWCI
- 11.40
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- creativecommons.org/licenses/by/4.0/ (vor, 5172 d)
- Locations
- Environmental Health Perspectives (publishedVersion, public-domain)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Environmental Protection Agency
- University of California Berkeley
- National Institute of Environmental Health Sciences (ES01896, P30ES001896, P30-ES01896, P01ES009605, 5P01 ES09605-04)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Pesticide Exposure and Toxicity
- Life Sciences › Agricultural and Biological Sciences › Food Science › Pesticide Residue Analysis and Safety
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
- Keywords
- amniotic fluid, prenatal pesticide exposure, organophosphorus pesticides, carbamate pesticides, herbicides, chlorophenols, phenols, diethyl phosphate, dimethyl phosphate, dimethylthiophosphate, naphthols, pentachlorophenol, ortho-phenylphenol, 2,5-dichlorophenol, amniocentesis
- MeSH terms
- Adolescent, Adult, Amniotic Fluid, Environmental Exposure, Female, Humans, Pesticides, Phenols, Pregnancy, Prenatal Exposure Delayed Effects, Sensitivity and Specificity, Reproducibility of Results, Biomarkers, Risk Assessment
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