Association of ischemic placental disease in a Southern California birth cohort and PM2.5 chemical species and oxidative potential markers

Abstract

Road traffic is a significant source of particulate matter pollution, whose exposure is a significant risk factor in pregnancy-related health outcomes. The exact mechanisms behind the relationship between traffic-related air pollution (TRAP) exposure and adverse pregnancy outcomes remain unclear. We aim to assess the relationship between exposure to brake and tire wear-associated metals and oxidative potential and ischemic placental disease (IPD). Data were assembled from a population of women who sought specialized prenatal care at UCLA between 2016 and 2019 in Los Angeles, CA. Modeled first trimester exposures to chemical constituents and oxidative stress potential of PM2.5, black carbon, and PM2.5 mass concentration. Speciated measurements included tracers of brake wear (barium), tire wear (zinc), and oxidative potential markers based on metal concentrations (KM-SUB-ELF ROS) or laboratory assays (DTT loss, OH radical formation). Exposures were modeled by integrating data from filter samples, a low-cost PM2.5 sensor network, and land-use data. We used logistic regression to estimate the associations between air pollution exposures and IPD, adjusting for covariates assessed through medical records and interviews. Scaled to the interquartile range, odds ratios (95\% CI) were as follows: barium OR: 1.7 (1.1, 2.7), zinc OR: 1.4 (.86, 2.4), and oxidative potential markers, both modeled as well as measured through DTT loss and OH formation assays (ORs ranging from 1.1-2.0). Effect sizes for PM2.5 and black carbon were lower than most measurements (ORs: 1.3-1.4). We observe higher effect sizes with Ba and oxidative potential markers compared to traditional measurements such as PM2.5 mass and black carbon. Our findings suggest two key points: (i) metals associated with brake and tire wear, currently unregulated, may play a role in the relationship between TRAP and adverse pregnancy outcomes, and (ii) reducing tailpipe emissions may not be sufficient to protect pregnant women from TRAP.