Background:
Cognitive consequences at school age associated with prenatal methylmercury exposure may need to take into account nutritional and socio-demographic cofactors as well as relevant genetic polymorphisms.
Methods:
A sub-sample (n = 1311) of the Avon Longitudinal Study of Parents And Children (Bristol, UK) was selected and mercury concentrations were measured in freeze-dried umbilical cord tissue as a measure of methylmercury exposure. A total of 1135 children had available data on 247 single-nucleotide polymorphisms (SNPs) within relevant genes, as well as the Wechsler Intelligence Scale for Children Intelligence Quotient (IQ) scores at age 8 years. Multivariate regression models were used to assess the associations between methylmercury exposure and IQ and to determine possible gene-environment interactions.
Results:
Mercury concentrations indicated low background exposures (mean = 26 ng/g, standard deviation = 13). Log-10-transformed mercury was positively associated with IQ, which attenuated after adjustment for nutritional and socio-demographic cofactors. In stratified analyses, a reverse association was found in higher social class families (p-value for interaction = 0.0013, performance IQ), among whom there was a wider range of methylmercury exposure. Among 40 SNPs showing nominally significant main effects, methylmercury interactions were detected for rs662 (Paraoxonase 1) and rs1042838 (Progesterone Receptor) (p < 0.05) and for rs3811647 (Transferrin) and rs2049046 (Brain-Derived Neurotrophic Factor) (p < 0.10).
Conclusions:
In this population with a low level of methylmercury exposure, there were only equivocal associations between methylmercury exposure and adverse neuropsychological outcomes. Heterogeneities in several relevant genes suggest possible genetic predisposition to methylmercury neurotoxicity in a substantial proportion of the population. Future studies need to address this possibility.