Association between prenatal exposure to neonicotinoid insecticides and three oxidative stress biomarkers in pregnant women: A case study of the Jiashan cohort
Neonicotinoid insecticides (NEOs) are widely used pesticides with residues entering the human body via multiple routes, posing potential health risks. Pregnant women are a sensitive population requiring investigation into NEO exposure effects. Based on the Jiashan Birth Cohort, this study measured 12 NEOs (9 parent compounds and 3 metabolites) and three oxidative stress biomarkers (8-iso-prostaglandin F2α, 8-iso-15(R)-prostaglandin F2α, and 8-hydroxy-deoxyguanosine) in urine from 917 pregnant women using liquid chromatography-triple quadrupole mass spectrometry. Demographic data were integrated to analyze exposure patterns and associations. Results showed at least one NEO detected in all samples; seven NEOs had detection rates >50%. Median creatinine-adjusted total concentration was 5.613 μg·g−1. Acetamiprid-N-desmethyl (N-dm-ACE) had the highest detection rate (98.59%) and largest concentration proportion (64.2%). Spearman correlation, multiple linear regression, and Bayesian kernel machine regression revealed positive associations between oxidative stress markers and NEO exposure. Specifically, 8-PGF and 15-PGF correlated positively with thiacloprid-amide (THI-amid) and dinotefuran (DIN); 8-OHdG correlated positively with thiamethoxam (THM) and sulfoxaflor (SFX). Health risk assessment indicated hazard quotients below 1 for all NEOs, suggesting low health risks. This study provides evidence linking NEO exposure to oxidative stress damage in pregnant women, informing risk assessment for sensitive populations.