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Inhabitants are exposed to emissions from over five million vehicles and stationary sources of air pollutants such as particulate matter (PM) and ozone. MCMA PM contains elemental carbon and organic carbon (OC). OCs include polycyclic aromatic hydrocarbons (PAHs), many of which induce mutagenic and carcinogenic DNA adducts. Gestational exposure to air pollution has been associated with increased risk of intrauterine growth restriction, preterm birth or low birth weight risk, and PAH\u2010DNA adducts. These effects also depend on the presence of risk alleles. We investigated the presence of bulky PAH\u2010DNA adducts, plasma <jats:italic>8\u2010iso\u2010PGF<\/jats:italic><jats:sub><jats:italic>2\u03b1<\/jats:italic><\/jats:sub> (8\u2010iso\u2010prostaglandin F<jats:sub>2\u03b1<\/jats:sub>) and risk allele variants in neonates cord blood and their non\u2010smoking mothers' leucocytes from families that were living in a highly polluted area during 2014\u20132015. The presence of adducts was significantly associated with both PM<jats:sub>2.5<\/jats:sub> and PM<jats:sub>10<\/jats:sub> levels, mainly during the last trimester of gestation in both neonates and mothers, while the last month of pregnancy was significant for the association between ozone levels and maternal plasma <jats:italic>8\u2010iso\u2010PGF<\/jats:italic><jats:sub><jats:italic>2\u03b1<\/jats:italic><\/jats:sub>. Fetal <jats:italic>CYP1B1*3<\/jats:italic> risk allele was associated with increased adduct levels in neonates while the presence of the maternal allele significantly reduced the levels of fetal adducts. Maternal <jats:italic>NQO1<\/jats:italic>*2 was associated with lower maternal levels of adducts. Our findings suggest the need to reduce actual PM limits in MCMA. We did not observe a clear association between PM and\/or adduct levels and neonate weight, length, body mass index, Apgar or Capurro score. Environ. Mol. 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