Reproductive Toxicology, Vol. 4, pp. 17-20, 1990 0890-6238/90 $3.00 + .00
Printed in the U.S.A. Copyright © 1990 Pergamon Press plc
HUMAN COLOSTRUM AS A SOURCE OF ORGANOHALOGEN
XENOBIOTICS FOR A BREAST-FED NEONATE
RADZISLAW SIKORSKI,* TOMASZ PASZKOWSKI,* TADEUSZ RADOMANSKI,*
ALICJA NIEWlADOWSKA,t and STANISLAW SEMENIUKt
*Clinic of Gynecology, Institute of Obstetrics and Gynecology, Academy of Medicine, Lublin, Poland, and
tDepartment of Pharmacology and Toxicology, Veterinary Research Institute, Pulawy, Poland
Abstract -- The concentrations of p,p'-isomers of DDT, DDE, and DDD, and alpha, beta, and gamma isomers
of hexachlorohexane (HCH), hexachlorobenzene (HCB), polychlorinated biphenyls (PCBs) were determined by
means of gas-liquid chromatography in 3/4 postpartum day colostrum of 54 normal women. The milk levels of
t-DDT, t-HCH, HCB, and PCBs correlated significantly with one another. The contents in milk of all the studied
organohalides significantly increased with maternal age. The average daily intakes of t-DDT and PCBs were
estimated for the studied neonates. Values exceeding the Acceptable Dally Intake values (ADIs) recommended by
the WHO for t-DDT and PCBs were found for 70.4% and 24.1% of subjects, respectively. The present study
confirms the trends in organohalogen residues of human milk observed by us in the studied region's inhabitants
during the 17 years of monitoring (1970-1987), i.e., a consistent decline in t-DDT levels and an increase in PCB
content in the present decade as compared to the 1970s. In conclusion, despite legal restrictions in their usage,
the contamination with organohalides persist in human milk at a level that may result in neonatal alimentary
exposure exceeding the recommended daily intakes.
Key Words: human milk; DDT; organohalogens; PCBs; neonatalrisks; xenobiotics in human milk; colostrum; breast feeding.
INTRODUCTION
The growing awareness of human milk contamination
with environmental xenobiotics has recently drawn the
attention of perinatologists to the potentially adverse
effects of these pollutants on breast-fed infants (1, 2, 3).
Breast-milk contamination with chlorinated hydrocarbon
insecticides and polychlorinated biphenyls (PCBs) has
been of particular concern (1, 4-7).
Due to their known toxicity, the use of DDT and its
derivatives has been restricted in Poland since 1971, and
the use of PCBs has recently been limited to closed
industrial systems (5,6). However, in spite of legal
regulations, these compounds still represent a health
hazard due to their intense bioaccumulation in organ-
isms, such as humans, at the end of food chain (5,6).
These chemicals are not readily degraded in the environ-
ment nor are they completely metabolized or excreted by
living organisms. Therefore, they produce low-level but
ubiquitous contamination of human beings.
In view of highly lipophyllic character of organo-
halides, human milk is an important vehicle for these
xenobiotics (8-10). The only way known to excrete large
Address correspondence to: Professor RadzislawSikorski, Clinic
of Gynecology, 20-090 Lublin, Jaczewskiego 8, Poland.
Received 3 January 1989; Revision received 23 April 1989;
Accepted 1 May 1989.
amounts of these chemicals is through lactation (1,3).
For the offspring, this route is of much greater impor-
tance than the limited amount transferred via placenta
(11). Hence, there is a pressing need for perinatologists
to have current data on human milk contamination with
these pollutants and on neonatal exposure associated
with breast-feeding.
MATERIALS AND METHODS
As a continuation of monitoring research by our
research team since 1970 (12,13), the concentrations of
selected organohalides were determined in 3/4 postpar-
tum day colostrum of 54 normal women. The samples
were collected between March and June 1987. Milk was
manually expressed by the mother after the infant had
been nursed (hindmilk) between 8 AM and 2 PM into
dark-glass containers with the addition of 1.0 mL pure
formalin. The milk specimens, which varied in volume
from 50 to 100 mL were immediately frozed at -20°C
until analyzed. The chemicals quantitied were: p,p'-
isomers of DDT, DDE, and DDD, and alpha, beta, and
gamma isomers of hexachlorohexane (HCH), hexachlo-
robenzene, and PCBs. The organohalides were analyzed
by means of gas liquid chromatography following an
extraction and separation procedure based on the modi-
fied Wood's method and chromatographic column tech-
niques. Details of chemical analysis are presented elsewhere
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