AUTHOR=Li Weixia , Guo Liqiong , Fang Junkai , Zhao Lei , Song Shanjun , Fang Tao , Li Chenguang , Wang Lei , Li Penghui TITLE=Phthalates and phthalate metabolites in urine from Tianjin and implications for platelet mitochondrial DNA methylation JOURNAL=Frontiers in Public Health VOLUME=Volume 11 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1108555 DOI=10.3389/fpubh.2023.1108555 ISSN=2296-2565 ABSTRACT=Background: Phthalates (PAEs) are important synthetic substances in plastics, attracting much attention due to their potential effects on the cardiovascular system. Methods: In this study, urine and blood samples of 39 persons were collected from Tianjin, China. Phthalates and phthalate metabolites (mPAEs) were analyzed using gas chromatography-mass spectrometry (GC-MS) and high-performance liquid chromatography-mass spectrometry (HPLC-MS), respectively. The Polymerase Chain Reaction (PCR) products from bisulfite-treated mitochondrial DNA (mtDNA) samples were analyzed using pyrosequencing technology. Results: The detection frequencies of 9 PAEs varied from 2.56% to 92.31%, and those for 10 mPAEs from 30.77% to 100%. The estimated daily intakes (EDIs) and cumulative risk of PAEs were calculated based on the experimental statistics of urinary PAEs and mPAEs. For PAEs, the HIRfD (hazard index corresponding to reference doses) values of 10.26% of participants and the HITDI (hazard index corresponding to tolerable daily intake) values of 30.77% of participants were estimated to exceed 1, suggesting a relatively high exposure risk. The mtDNA methylation levels in the MT-ATP8 and MT-ND5 were observed to be lower than in MT-ATP6. Mono-ethyl phthalate (MEP) and MT-ATP8 were positively correlated with triglycerides levels (p<0.05). Based on the association of PAEs, mtDNA methylation and triglycerides, the mediating role of mtDNA methylation between PAEs and cardiovascular diseases (CVDs) was analyzed in this study, but no mediated effect was observed. Conclusions: Effects of PAE exposure on cardiovascular diseases (CVDs) should be further concern.