2020
DOI: 10.1126/science.aay3164
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The exposome and health: Where chemistry meets biology

Abstract: Despite extensive evidence showing that exposure to specific chemicals can lead to disease, current research approaches and regulatory policies fail to address the chemical complexity of our world. To safeguard current and future generations from the increasing number of chemicals polluting our environment, a systematic and agnostic approach is needed. The “exposome” concept strives to capture the diversity and range of exposures to synthetic chemicals, dietary constituents, psychosocial stressors, and physica… Show more

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Cited by 624 publications
(492 citation statements)
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“…For example, the untargeted use of omics techniques to quantify molecules at the level of intermediary functioning of the metabolism (metabolomics) and proteins more generally (proteomics) is expected to maximize the number of molecules that can be studied and measured [23]. This is happening at the same time as the advancement towards untargeted methods in areas such as high-resolution mass-spectrometry, which is now used to detect and quantity very large quantities of small molecules in blood samples retrieved from longitudinal studies [24]. This use of omics is related to other methodological applications and conceptual interpretations of the exposome, in particular what is referred to as the top-down approach [3].…”
Section: The Innovations Of the Exposome As An Emerging Research Repementioning
confidence: 99%
“…For example, the untargeted use of omics techniques to quantify molecules at the level of intermediary functioning of the metabolism (metabolomics) and proteins more generally (proteomics) is expected to maximize the number of molecules that can be studied and measured [23]. This is happening at the same time as the advancement towards untargeted methods in areas such as high-resolution mass-spectrometry, which is now used to detect and quantity very large quantities of small molecules in blood samples retrieved from longitudinal studies [24]. This use of omics is related to other methodological applications and conceptual interpretations of the exposome, in particular what is referred to as the top-down approach [3].…”
Section: The Innovations Of the Exposome As An Emerging Research Repementioning
confidence: 99%
“…An interesting example for such longitudinal mycotoxin co-exposure assessment was recently published for an infant that was exclusively fed by breastmilk, which was tested for 29 mycotoxins [60]. However, it will be even more relevant to consider other food-and environment-related exposures beyond mycotoxins as proposed by the exposome concept [61,62,63].…”
Section: Discussionmentioning
confidence: 99%
“…New PFOA data from sampled adolescents, is expected to become available within the coming year, as part of the HBM4EU project [105]. The PIAMA cohort will be enriched with untargeted high-resolution mass spectrometry data (exposome scan) to screen and quantify the MDCs and hundreds of other environmental chemicals in addition to endogenous metabolites [106]. We will investigate changes in anthropometric measures (BMI, waist circumference, waist-to-height ratio), concentrations of lipids (HDL-cholesterol, triglycerides), levels of leptin and insulin, and changes in -omics readouts in relation to the concentrations of the chemicals.…”
Section: Epidemiological Studiesmentioning
confidence: 99%