# Particulate Air Pollutants and Autism Risk: Exposure Characteristics, Indicators of Susceptibility, and Mechanistic Pathways

> **NIH NIH R01** · KAISER FOUNDATION RESEARCH INSTITUTE · 2020 · $670,215

## Abstract

PROJECT SUMMARY/ABSTRACT
Autism spectrum disorder (ASD) imposes large lifetime social and economic costs on families and
communities. Causes, differentially affecting boys, likely are multifactorial. In search of modifiable risk factors,
several studies have found associations of ASD risk with prenatal ambient air pollution exposure; evidence
from human epidemiological and animal studies is converging on the neurotoxic effects of fine particulate
matter less than 2.5 µm in diameter (PM2.5). Recently, early life exposure to currently unregulated ultrafine
PM0.1 was shown to cause autism-like behavioral traits specific to males, but methods have not been available
to examine effects of PM0.1 or of components of the complex PM mixture likely to be causal. We hypothesize
that ASD will be associated with novel PM2.5 and PM0.1 exposure estimates with high temporal and spatial
resolution at maternal residences and workplaces during pregnancy (Aim 1a), and that associations will be
driven by specific PM components (Aim 1b). We will assess this hypothesis in a pregnancy-birth cohort of
400,000 mother-offspring pairs followed through Kaiser Permanente Southern California (KPSC), a population
resource with standardized algorithms for systematic screening and diagnosis of ASD and gestational risk
factors, available through an exceptionally high quality electronic medical record. Maternal immune activation
(MIA) has been proposed as a common mechanism linking prenatal risk factors, including diverse viral and
bacterial infections, asthma, pre-pregnancy obesity, diabetes, to subsequent ASD risk. Because prenatal PM
exposure, and ASD phenotype, have in common pro-inflammatory and oxidative stress pathways, we
hypothesize that MIA-related maternal comorbidities will increase fetal susceptibility to neurodevelopmental
effects of PM exposure leading to ASD (Aim 2). This novel hypothesis can only be studied in large population
studies such as the KPSC cohort with sufficient power for assessing interactions that together could explain a
much larger proportion of ASD than single risk factor epidemiology. Finally, ASD epidemiology has been
limited by the lack of biological markers both of environmental exposures and of pathways of effects. Using a
novel assay for electrophilic adducts to human serum albumin in neonatal archived dried blood spots from 420
children selected from the cohort based on exposure, we will examine biological markers for PM exposure and
oxidative stress. We hypothesize that PM2.5 will be associated with a targeted panel of adducts reflecting
exposure and with adducts reflecting oxidative stress (Aim 3a). We hypothesize that these targeted biological
markers of exposures and pathways, and additional ones identified in an untargeted HSA “adductome”, will be
associated with an abnormal Checklist for Autism in Toddlers (CHAT)1 administered at ages 18 and 24 months
to all participants in the KPSC cohort (Aim 3b). The study will address critical gaps...

## Key facts

- **NIH application ID:** 9982963
- **Project number:** 5R01ES029963-02
- **Recipient organization:** KAISER FOUNDATION RESEARCH INSTITUTE
- **Principal Investigator:** ROB S MCCONNELL
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $670,215
- **Award type:** 5
- **Project period:** 2019-08-01 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9982963

## Citation

> US National Institutes of Health, RePORTER application 9982963, Particulate Air Pollutants and Autism Risk: Exposure Characteristics, Indicators of Susceptibility, and Mechanistic Pathways (5R01ES029963-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9982963. Licensed CC0.

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