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EXAMINING MITIGATING EFFECTS OF DIET ON ASSOCIATIONS AMONG METALS AND EARLY CHILDHOOD PSYCHIATRIC PROBLEMS

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Principal Investigator: Zhang, Xueying
Institute Receiving Award Icahn School Of Medicine At Mount Sinai
Location New York, NY
Grant Number R21ES035169
Funding Organization National Institute of Environmental Health Sciences
Award Funding Period 10 Feb 2024 to 31 Jan 2026
DESCRIPTION (provided by applicant): PROJECT SUMMARY Internalizing problems, most prominently anxiety and depressive disorders affect > 400 million people globally. Rooted in early development starting in utero, there is a steep rise in these disorders in the transition to adolescence. Identifying those at risk as early in life as possible is critical in order to ensure optimal development and prevention. There has been growing interest in studying the role of nutritional factors in modifying effects of chemical environmental exposures, as nutrition is amenable to intervention. Our group was recently funded to examine the role of prenatal exposure to metals and their mixtures on early life neurobehavioral domains linked to a greater risk of developing anxiety and depressive disorders later in childhood (R01 ES033436, RJ Wright PI). In addition, we demonstrated that several nutrients, particularly those with antioxidant potential (e.g., vitamin A) can mitigate the impacts of metals on fetal growth, providing proof of concept for this proposal. The joint associations between maternal prenatal nutrition and in utero metal exposures in influencing offspring’s internalizing disorders remain poorly understood, particularly beginning in the prenatal period. To overcome existing knowledge gaps, we will examine the joint associations of prenatal exposure to maternal nutrition and heavy metals on young children’s internalizing problems and related prefrontal cortex (PFC) functions in the PRogramming of Intergenerational Stress Mechanisms (PRISM) cohort. PRISM is a racially and ethnically diverse urban sample with extant data on prenatal urinary metal exposure and children’s neurobehavioral outcomes measured at ages 6 months and 3-5 years. We will leverage available data on maternal prenatal nutrition assessed two ways - (i) using a food frequency questionnaire (FFQ) and (ii) measurement of additional micronutrient biomarkers in maternal blood and urine obtained in pregnancy. This will enable us to determine how maternal nutrition affects internalizing behaviors in early childhood as well as to examine the modifying effects of optimal or inadequate intake of key micronutrients on associations between metals and neurobehavioral outcomes. We hypothesize that increased intake or higher measured levels of antioxidant micronutrients (e.g., retinol, carotenoids, tocohperhols) will mitigate associations between prenatal metal exposures and internalizing problems whereas lower intake or levels of iodine will interact with metals to enhance risk of neurobehavioral problems. Novel advanced statistical modeling will consider interactions between metal and micronutrient mixtures allowing examination of non-linear relationships between mixtures and internalizing problems. Applying mixture analysis and agonistic selection of nutrients has the potential to characterize modifiers that have not been identified in studies focused on a single nutrient or a specific diet pattern. Sex-specific effects will also be explored. Understanding the independent and modifying effects of key micronutrients in the relationship between prenatal metal exposures and early indicators of psychiatric risk is arguably critical to informing future interventions.
Science Code(s)/Area of Science(s) Primary: 61 - Neurodevelopmental
Secondary: 03 - Carcinogenesis/Cell Transformation
Publications No publications associated with this grant
Program Officer Kimberly Gray
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