{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:09:32Z","timestamp":1789186172608,"version":"build-2803163510"},"reference-count":50,"publisher":"American Chemical Society (ACS)","issue":"4","license":[{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"vor","delay-in-days":1067,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Bulky DNA adducts reflect genotoxic exposures, have been associated with lower birth weight, and may predict cancer risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We selected factors known or hypothesized to affect in utero adduct formation and repair and examined their associations with adduct levels in neonates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Pregnant women from Greece, Spain, England, Denmark, and Norway were recruited in 2006\u20132010. Cord blood bulky DNA adduct levels were measured by the 32P-postlabeling technique (n = 511). Diet and maternal characteristics were assessed via questionnaires. Modeled exposures to air pollutants and drinking-water disinfection by-products, mainly trihalomethanes (THMs), were available for a large proportion of the study population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Greek and Spanish neonates had higher adduct levels than the northern European neonates [median, 12.1 (n = 179) vs. 6.8 (n = 332) adducts per 108 nucleotides, p &amp;lt; 0.001]. Residence in southern European countries, higher maternal body mass index, delivery by cesarean section, male infant sex, low maternal intake of fruits rich in vitamin C, high intake of dairy products, and low adherence to healthy diet score were statistically significantly associated with higher adduct levels in adjusted models. Exposure to fine particulate matter and nitrogen dioxide was associated with significantly higher adducts in the Danish subsample only. Overall, the pooled results for THMs in water show no evidence of association with adduct levels; however, there are country-specific differences in results with a suggestion of an association in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These findings suggest that a combination of factors, including unknown country-specific factors, influence the bulky DNA adduct levels in neonates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Citation:<\/jats:title>\n                    <jats:p>Pedersen M, Mendez MA, Schoket B, Godschalk RW, Espinosa A, Landstr\u00f6m A, Villanueva CM, Merlo DF, Fthenou E, Gracia-Lavedan E, van Schooten FJ, Hoek G, Brunborg G, Meltzer HM, Alexander J, Nielsen JK, Sunyer J, Wright J, Kov\u00e1cs K, de Hoogh K, Gutzkow KB, Hardie LJ, Chatzi L, Knudsen LE, Anna L, Ketzel M, Haugen M, Botsivali M, Nieuwenhuijsen MJ, Cirach M, Toledano MB, Smith RB, Fleming S, Agramunt S, Kyrtopoulos SA, Luk\u00e1cs V, Kleinjans JC, Segerb\u00e4ck D, Kogevinas M. 2015. Environmental, dietary, maternal, and fetal predictors of bulky DNA adducts in cord blood: a European mother\u2013child study (NewGeneris). Environ Health Perspect 123:374\u2013380;\u2002http:\/\/dx.doi.org\/10.1289\/ehp.1408613<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1289\/ehp.1408613","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T12:11:58Z","timestamp":1422360718000},"page":"374-380","source":"Crossref","is-referenced-by-count":14,"title":["Environmental, Dietary, Maternal, and Fetal Predictors of Bulky DNA Adducts in Cord Blood: A European Mother\u2013Child Study (NewGeneris)"],"prefix":"10.1021","volume":"123","author":[{"given":"Marie","family":"Pedersen","sequence":"first","affiliation":[{"name":"Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain"},{"name":"Universitat Pompeu Fabra, Barcelona, Spain"},{"name":"CIBER Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), Madrid, Spain"},{"name":"INSERM (National Institute of Health and Medical Research), U823, Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Institute Albert Bonniot, Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle A.","family":"Mendez","sequence":"additional","affiliation":[{"name":"Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain"},{"name":"Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Schoket","sequence":"additional","affiliation":[{"name":"Department of Molecular Environmental Epidemiology, National Institute of Environmental Health, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger W.","family":"Godschalk","sequence":"additional","affiliation":[{"name":"Department of Toxicology, Maastricht University, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Espinosa","sequence":"additional","affiliation":[{"name":"Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain"},{"name":"Universitat Pompeu Fabra, Barcelona, Spain"},{"name":"CIBER Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), Madrid, Spain"},{"name":"IMIM (Hospital del Mar Research Institute), Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anette","family":"Landstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Biosciences and Nutrition, Karolinska Institute, Huddinge, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina M.","family":"Villanueva","sequence":"additional","affiliation":[{"name":"Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain"},{"name":"Universitat Pompeu Fabra, Barcelona, Spain"},{"name":"CIBER Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), Madrid, Spain"},{"name":"IMIM (Hospital del Mar Research Institute), Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico F.","family":"Merlo","sequence":"additional","affiliation":[{"name":"Epidemiology, Biostatistics, and Clinical Trials, IRCCS AOU San Martino-IST-National Cancer Research Institute, Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni","family":"Fthenou","sequence":"additional","affiliation":[{"name":"Department of Social Medicine, University of Crete, Heraklion, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Gracia-Lavedan","sequence":"additional","affiliation":[{"name":"Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain"},{"name":"Universitat Pompeu Fabra, Barcelona, Spain"},{"name":"CIBER Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederik-J.","family":"van Schooten","sequence":"additional","affiliation":[{"name":"Department of Toxicology, Maastricht University, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard","family":"Hoek","sequence":"additional","affiliation":[{"name":"Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnar","family":"Brunborg","sequence":"additional","affiliation":[{"name":"Department of Chemicals and Radiation,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helle M.","family":"Meltzer","sequence":"additional","affiliation":[{"name":"Department of Exposure and Risk Assessment, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Alexander","sequence":"additional","affiliation":[{"name":"Division of Environmental Medicine, Norwegian Institute of Public Health, Oslo, 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