Environmental Biodynamics: Rethinking the Role of Time in - - PowerPoint PPT Presentation

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Environmental Biodynamics: Rethinking the Role of Time in - - PowerPoint PPT Presentation

Environmental Biodynamics: Rethinking the Role of Time in Environmental Health Research Paul Curtin, Christine Austin, Austen Curtin, Manish Arora* *Edith J. Baerwald Professor and Vice Chair Mount Sinai Institute for Exposomic Research


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Environmental Biodynamics:

Rethinking the Role of Time in Environmental Health Research

Paul Curtin, Christine Austin, Austen Curtin, Manish Arora* *Edith J. Baerwald Professor and Vice Chair Mount Sinai Institute for Exposomic Research Department of Environmental Medicine and Public Health

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“The more I feel an American, the more this situation pains me. I can escape the feeling of complicity in it only by speaking out” - Albert Einstein

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Latency and Time

  • rigins

Disease detected

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But, what is time?

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No change. Where is time? Change with time (i.e. aging)

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Time

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1 7 3 10 5 6 9 4 11 2 8 12 Loss of sequential order 1 2 3 4 5 67 8 9 10 11 12 Uneven intervals We prioritize the sequential order over the interval

Two aspects of time

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'omics and Environmental Biodynamics

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'omics and Environmental Biodynamics

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What were you exposed to at birth or in early childhood?

Environmental Biodynamics and Critical Windows

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Studies on autism spectrum disorder

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Source: Neurons to Neighborhoods (2000)

Early Diagnosis. Why?

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Randomized, Controlled Trial of an Intervention for Toddlers With Autism: The Early Start Denver Model

Early Diagnosis = Early Intervention = Better Outcomes

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>90% accurate biomarker operationalized within first 6 months of life

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Discovery population: RATSS, Sweden Replication: Texas, USA. New York, USA., and UK Nature Communications, 2017, 8:15493 Science Advances, 2018, 4 (5): eaat1293 Translational Psychiatry, 2019, 9: 238

Teeth Hair

Discovery (Twins) Replication Financial conflict of interest: Mount Sinai patent applications

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Hair biomarkers (~300 features)

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Classifier accuracy for ASD

Data are on hair

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Beyond autism

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Psychosis (teenage to early 20 years) ALS, Lou Gherig’s Disease (after 50 years) ASD/ADHD (childhood) n >300 Data are on teeth

Other disorders: IBD Parkinson’s Kidney transplant rejection SNE3

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ALS, Lou Gehrig’s Disease

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  • Much of the etiology of sporadic ALS remains unknown
  • Both genetic and environmental factors are important
  • Early life environmental factors are suspected but remain

unknown ALS

Claudia Figueroa‐Romero PhD Stephen Goutman MD, MS

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University of Michigan

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  • At average age of 60, we reconstruct weekly measures of

exposure to essential elements and toxic metals using teeth.

  • The data shown next is from birth to 15 years.
  • 36 cases and 31 controls, age and gender matched.

ALS

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ALS Results

25 Claudia Figueroa‐Romero et

  • al. 2020. Annals of Clinical

and Translational Neurology

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ALS Results

26 Curtin P, Austin C, Curtin A, Gennings C, Figueroa‐Romero C, Mikhail KA, et al. (2020).PLoS Comput Biol 16(4): e1007773.

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  • If we are to overcome challenges in studying latency between risk

factors and disease, we need to rethink the role of time in environmental health studies

  • Prospective cohort sampling is not the same as environmental

biodynamics

  • Collect baby and adult teeth and hair in your studies

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Summary

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Lautenberg Laboratory Team Robert Wright Rosalind Wright Avi Reichenberg Karolinska Institutet

  • Dr. Sven Bolte
  • Dr. Kristiina Tamimies

KIND Team

Acknowledgments

National Institutes of Environmental Health Sciences R35ES030435, R01ES024674, U2CES026561, R21ES023604

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end

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