The effect of maternal smoking as a source of exposure to toxic metals Cd and Pb on superoxide dismutase (SOD) and glutathione peroxidase (GPx) activity, metallothionein (MT), Cd, Pb, Cu, Fe, Mn, Se and Zn concentrations were assessed in maternal and umbilical cord blood and placenta in 74 healthy mother-newborn pairs after term delivery. Sparse discriminant analysis (SDA) was used to identify elements with the strongest impact on the SOD, GPx and MT in the measured compartments, which was then quantified by multiple regression analysis. SOD activity was lower in maternal and cord plasma, and higher in the placenta of smokers compared to non-smokers, whereas GPx activity and MT concentration did not differ between the groups. Although active smoking during pregnancy contributed to higher maternal Cd and Pb concentrations, its contribution to the variability of SOD, GPx or MT after control for other elements identified by SDA was not significant. However, an impaired balance in the antioxidant defence observed in the conditions of relatively low-to-moderate exposure levels to Cd and Pb could contribute to an increased susceptibility of offspring to oxidative stress and risk of disease development later in life. Further study on a larger number of subjects will help to better understand complex interactions between exposure to toxic elements and oxidative stress related to maternal cigarette smoking.

This study evaluates the interaction of toxic elements cadmium (Cd) and lead (Pb) due to exposure from cigarette smoking, essential elements, and steroidogenesis in the maternal–placental–fetal unit. In a cohort of 155 healthy, postpartum women with vaginal term deliveries in clinical hospitals in Zagreb, Croatia, samples of maternal blood/serum and urine, placental tissue, and umbilical cord blood/serum were collected at childbirth. The biomarkers determined were concentrations of Cd, Pb, iron (Fe), zinc (Zn), copper (Cu), and selenium (Se), and steroid hormones progesterone and estradiol in maternal and umbilical cord blood and the placenta. Three study groups were designated based on self-reported data on cigarette smoking habits and confirmed by urine cotinine levels: never smokers (n = 71), former smokers (n = 48), and active smokers (n = 36). Metal(loid)s, steroid hormones, urine cotinine, and creatinine levels were analyzed by ICP–MS, ELISA, GC–MS, and spectrophotometry. Cigarette smoking during pregnancy was associated with increased Cd levels in maternal, placental, and fetal compartments, Pb in the placenta, and with decreased Fe in the placenta. In active smokers, decreased progesterone and estradiol concentrations in cord blood serum were found, while sex steroid hormones did not change in either maternal serum or placenta. This study provides further evidence regarding toxic and essential metal(loid) interactions during prenatal life, and new data on sex steroid disruption in cord serum related to cigarette smoking. The results indicate that umbilical cord sex steroid levels may be a putative early marker of developmental origins of the future burden of disease related to harmful prenatal exposure to cigarette smoke.

Background/Objectives: There is currently no food propensity questionnaire (FPQ) developed specifically to address pesticide intake in the adolescent population. Therefore, the objective of our study was to design a specific FPQ with emphasis on fruit and vegetable consumption and dietary exposure to pyrethroids (PYR) and organophosphate (OP) insecticides and to test its reproducibility. Methods: The FPQ was designed for the purpose of this study primarily by identifying high-risk foods according to the EFSA annual reports on pesticide residues in food. In total, 99 parents/guardians of 10–12-year-old boys completed the first FPQ during May to June 2022 and again during October 2022 to January 2023. Results: For the whole questionnaire, comprising 111 questions covering presumed major sources of pesticides in a diet, the median Cohen’s weighted kappa was 0.607 (interquartile range, IQR 0.526–0.678, total range 0.275–0.864). Furthermore, similar good overall reproducibility was noted when we focused only on the presumed food sources of PYR and OP pesticides (54 questions; median kappa 0.624, IQR 0.535–0.695, total range 0.275–0.864). Best reproducibility was noted for tomatoes (fresh, in season), lettuces (generic), and pork lard. Median estimated fruit intake for 459 adolescents based on the FPQ was 262 g/day (IQR 176–376 g/day), and vegetable intake was 123 g/day (IQR 74—190 g/day). Conclusions: Due to its good reproducibility, this FPQ, which estimates PYR and OP pesticide exposure, represents a valuable tool for future epidemiological studies and public health surveillance that focus on pesticide residue exposure in specific populations.