Evidence map›Paper›PMID 40902776›Full record

ArticleEnvironmental research2025

Sex-dependent relationships between PFAS and placental transcriptomics identified by weighted gene co-expression analysis.

Cynthia Perez, Kyle Campbell, Dana Boyd Barr, Kartik Shankar, Clark Sims, Kevin J Pearson, Aline Andres, Todd M Everson

Abstract read
In one paragraph

Article in Environmental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Stress-activated pathways mediate PFAS effects on human placental syncytiotrophoblast cells.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Cynthia PerezGangarosa Department of Environmental Health, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Kyle CampbellGangarosa Department of Environmental Health, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Dana Boyd BarrGangarosa Department of Environmental Health, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Kartik ShankarUSDA Agricultural Research Services, Responsive Agricultural Food Systems Research Unit, College Station, TX, USA.
Clark SimsArkansas Children's Nutrition Center, Little Rock, AR, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Kevin J PearsonDepartment of Pharmacology & Nutritional Sciences, University of Kentucky College of Medicine, Lexington, KY, USA.
Aline AndresArkansas Children's Nutrition Center, Little Rock, AR, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Todd M EversonGangarosa Department of Environmental Health, Emory University Rollins School of Public Health, Atlanta, GA, USA; Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA. Electronic address: Todd.M.Everson@Emory.edu.

Funding

Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Pilot Project ProgramP30ES026529 · NIEHS · UNIVERSITY OF KENTUCKY · PI Erin N Haynes · 2017 to 2026
$15.4M
Graduate and Postdoctoral Training in ToxicologyT32ES012870 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit · 2004 to 2026
$9.1M
Growth and metabolic programming from prenatal PFAS exposure: examining the roles of placental functional genomics and protection by maternal exerciseR01ES032176 · NIEHS · UNIVERSITY OF KENTUCKY · PI ANDRES, ALINE, EVERSON, TODD M · 2021 to 2023
$1.9M
Perinatal PFAS Impact Children's Development: Examining the Roles of Placental Functional Multiomics and Protection by Maternal ExerciseR01ES036986 · NIEHS · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI Aline Andres, Todd M Everson · 2025 to 2026
$1.4M
NIEHS NIH HHS P30 ES019776NIEHS NIH HHS P30 ES026529NIEHS NIH HHS R01 ES032176NIEHS NIH HHS R01 ES036986NIEHS NIH HHS T32 ES012870
6 · The paper itself

Abstract

backgroundPer- and polyfluoroalkyl substances (PFAS) are environmental toxicants associated with adverse neonatal outcomes. The exact mechanisms by which PFAS impairs neonatal health are undefined, but the placenta is a likely target.

objectiveWe applied a systems biology approach to identify placental RNA co-expression modules (gene sets) associated with PFAS exposure and birth weight.

methodsPlacental tissue samples (n = 147) from the GLOWING study underwent RNA-sequencing, and PFAS concentrations were quantified using liquid chromatography-tandem mass spectrometry. We constructed a weighted gene co-expression network using Spearman correlations across 15,028 transcripts, identifying 20 gene modules. Linear regression models were used to examine associations between PFAS and module eigengenes, adjusting for potential confounders. Effect modification by fetal sex was also tested.

resultsOne module showed a negative association with perfluorononanoic acid (PFNA; β = -0.012, q = 0.009). This association was sex-specific, with the sexes exhibiting varied PFAS associations but similar directional effects. Genes within the PFNA-associated module were involved in histone modification (q ≤ 0.05) and were enriched for targets of the Vitamin D Receptor (VDR), a transcription factor previously linked to PFAS.

Indexed as

Environmental PollutantsFluorocarbonsPlacentaTranscriptomeAdultBirth WeightFemaleHumansMalePregnancySex FactorsEnvironmental PollutantsFluorocarbons

Identifiers

PMID40902776
PMCPMC12718636

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.