Evidence map›Paper›PMID 41671672›Full record

ArticleEnvironment international2026

Early life phthalate and replacement plasticizer exposures and changes in early childhood brain functional connectivity and structural morphology.

Stephanie M Engel, Tengfei Li, Emily J Werder, Chih-Wei Liu, Diana C Pacyga, Jake Thistle, Weiyan Yin, Julia E Rager, Zhengwang Wu, Zehui Sun and 8 more

Abstract read
In one paragraph

Article in Environment international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Stephanie M EngelDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States. Electronic address: Stephanie.Engel@unc.edu.
Tengfei LiBiomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Emily J WerderDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Chih-Wei LiuDepartment of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Diana C PacygaDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Jake ThistleDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Weiyan YinDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Julia E RagerDepartment of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Zhengwang WuBiomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Zehui SunDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Li WangBiomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Andrea BankoskiDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
John H GilmoreDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Joseph PivenDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Gang LiBiomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Hongtu ZhuBiomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Kun LuDepartment of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Weili LinBiomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Hazel B Nichols · 2001 to 2026
$36.3M
Biostatstics for Research in Environmental HealthT32ES007018 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Rebecca Fry · 1985 to 2026
$31.3M
UNC/UMN Baby Connectome ProjectU01MH110274 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELISON, JED THOMAS, GILMORE, JOHN HORACE · 2016 to 2019
$4.5M
Mapping the Causal Genetic-Imaging-Clinical Pathway for Alzheimer's DiseaseRF1AG082938 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Bingxin Zhao, Hongtu Zhu · 2023 to 2026
$3.6M
Early Life Phthalate Exposures in Relation to Structural and Functional Brain DevelopmentR01ES033518 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Weili Lin · 2021 to 2026
$3.3M
AD GxE: In vivo and in vitro modeling of gene x environment interactionsU01AG088667 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Jason Louis Stein · 2024 to 2026
$2.2M
Shared neural basis and genetic architecture of psychiatric disordersR01MH136055 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Bingxin Zhao · 2025 to 2026
$1.3M
Continued Development of Infant Neuroimaging Analysis ToolsR01EB037388 · NIBIB · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Gang Li, Li Wang · 2025 to 2026
$1.2M
SCH: Using Data-Driven Computational Biomechanics to Disentangle Brain Structural Commonality, Variability, and Abnormality in ASDR01NS135574 · NINDS · UNIVERSITY OF GEORGIA · PI Xianqiao Wang · 2023 to 2026
$1.1M
The early life exposome, emerging chemical exposures, and structural and functional brain development in childhoodR00ES035123 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Emily Jean Werder · 2025 to 2026
$498k
Infant Cognitive Growth Prediction via Centile-based Brain Development and Meta MatchingR21HD120911 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LI, TENGFEI · 2025 to 2025
$414k
Tracking brain structural trajectories for early detection and prognosis of Alzheimer's DiseaseK01AG095286 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Tengfei Li · 2025 to 2026
$282k
NIA NIH HHS K01 AG095286NIA NIH HHS RF1 AG082938NIA NIH HHS U01 AG088667NIBIB NIH HHS R01 EB037388NICHD NIH HHS R21 HD120911NIEHS NIH HHS P30 ES010126NIEHS NIH HHS R00 ES035123NIEHS NIH HHS R01 ES033518NIEHS NIH HHS T32 ES007018NIMH NIH HHS R01 MH136055NIMH NIH HHS U01 MH110274NINDS NIH HHS R01 NS135574
6 · The paper itself

Abstract

Phthalates and replacement plasticizers (PRPs) are ubiquitous exposures in daily life across all age ranges. Exposure to phthalates has been linked to changes in cognitive and behavioral development and associated with increased risk of some developmental disabilities. We examined the extent to which early life exposure to PRPs was associated with changes in connection strength of resting state functional networks or impacted structural morphologies of cortical regions of interest that underlie basic and higher order cognitions. We utilized the UNC Chapel Hill enrollment in the Baby Connectome Project, a longitudinal study of normative brain development of children between 2 weeks and 5 years of age. Non-sedated structural and resting state functional magnetic resonance imaging of the brain during natural sleep were obtained longitudinally, along with urine samples that were analyzed for 17 PRP metabolites. Using kernal weighted estimating equations and generalized linear models, we identified multiple PRP metabolites were associated with alterations in within-network connection strengths in the executive control and dorsal attention networks, with directionality often differing between boys and girls. PRP exposure among boys tended to be associated with lower functional connectivity, whereas PRP exposure among girls tended to be associated with higher functional connectivity. Among girls, MiBP metabolite concentrations were also significantly associated with cortical thinning in several regions of interest in the temporal lobe. Our results indicate that exposure to PRPs in early life has a measurable impact on the developmental trajectory of brain maturation, with potentially important differences by child sex.

Indexed as

BrainEnvironmental ExposureEnvironmental PollutantsPhthalic AcidsPlasticizersChild, PreschoolFemaleHumansInfantMagnetic Resonance ImagingMaleEnvironmental Pollutantsphthalic acidPhthalic AcidsPlasticizersChildren’s environmental healthEndocrine disrupting chemicalsNeurodevelopmentPhthalates

Identifiers

PMID41671672
PMCPMC12919980

What Socratic holds

Textmetadata
LicenceTDM
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.