ABSTRACT:In vivo studies have demonstrated that prenatal or neonatal exposure to polybrominated diphenyl ethers (PBDEs) causes developmental neurotoxicity. However, there is a lack of human data. Our hypothesis was that PBDEs would result in lower infant neurodevelopment scores. This is a post hoc analysis of previous studies. Fourteen PBDEs in 70 breast milk were analyzed using a high-resolution gas chromatograph/high-resolution mass spectrometer. Infant neurodevelopment at the age of 8 -12 mo was determined using the Bayley Scales of Infants and Toddlers Development, third edition (Bayley-III). The median of ⌺ 14 PBDEs (the sum of 14 PBDE congeners) was 2.92 ng/g lipid. The ⌺ 14 PBDE concentrations were not correlated with Bayley-III scores on cognitive, language, motor, social-emotional, or adaptive behavior scales. A significantly inverse association between brominated diphenyl ether (BDE)-209 and the cognitive scale was found after multivariate stepwise linear regression analyses (B ϭ Ϫ0.007, adjusted R ϭ Ϫ0.224, p ϭ 0.032). In contrast, the language scale was positively correlated with BDE-196 (B ϭ 0.096, adjusted R ϭ 0.315, p ϭ 0.002). Our results are consistent with most in vivo studies, suggesting that prenatal or postnatal exposure to BDE-209 potentially delays the neurological development. (Pediatr Res 70: 596-600, 2011) P olybrominated diphenyl ethers (PBDEs), which are only used as brominated flame retardants, are widely found in a variety of commercial and household products including foam furniture padding, plastics, electrical equipment, paints, textiles, construction materials, and vehicles (1). PBDEs are similar in structure to polychlorinated biphenyls; but in contrast to point sources of polychlorinated biphenyl contamination, PBDEs are widespread and released into the environment from more sources (2).A marked period of rapid brain growth and development begins in humans during the third trimester of pregnancy and continues throughout the first 2 y of life. PBDE congeners are considered to be neurotoxicants, although more work needs to be done to determine whether in utero and postnatal exposure to PBDEs has any adverse effects on human neurodevelopment, and the effects of PBDEs on human health remain unclear (3). However, recent studies have shown that human exposure to PBDEs causes a reduction in women's fecundability (4), a prolongation of menstruation periods (5), an increase in serum LH in male infants (6), and disruption of thyroxine (T4), triiodothyronine (T3) and thyroid-stimulating hormones in male adults (7), and a positive association with diabetes prevalence (8).Postnatal infant exposure to PBDEs mainly comes from breast milk and house dust (9); moreover, PBDE levels in infants and children are higher than those in adults (10). Recently, epidemiological studies of in utero exposure to PBDEs have found it to be associated with the physiological and neurological development of infants and children (6,(11)(12)(13)(14)(15)(16). In addition, lower birth weights were correlated with hi...