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Emerging contaminants and their impacts on atopic dermatitis: Current mechanisms and future perspectives

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    1. Definitions of emerging contaminants (ECs) are changing with the times.

      ECs exhibit varied effects on atopic dermatitis, showing both exacerbating and protective potential.

      Recommendations for the optimization of living environments and lifestyles are presented from the EC perspective.

      Future research should focus on identifying high-priority ECs and their synergistic effects on AD.

  • With the progression of industrialization and urbanization, the diversity and concentration of emerging contaminants (ECs) in the environment have risen concomitantly. Atopic dermatitis (AD) is a chronic inflammatory skin condition driven by genetic and environmental factors. Research on the interactions between ECs and AD has expanded significantly in recent decades. This review examines the complex interplay between representative environmental ECs and AD, focusing on mechanisms of immune disruption, including Th2 polarization and aryl hydrocarbon receptor (AhR) activation. Drawing on recent evidence, we further identify critical research gaps to guide future investigations into the impacts of ECs on AD, highlight clinical implications and propose potential strategies for exposure reduction and lifestyle adjustments to prevent and manage AD.
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  • [1] Melen E. and Garcia-Aymerich J. (2025). Predicting the future global burden of asthma and atopic dermatitis: identifying strategies for prevention. Lancet Respir. Med. 13:376−378. DOI:10.1016/S2213-2600(25)00041-4

    View in Article CrossRef Google Scholar

    [2] Laughter M. R., Maymone M. B. C., Mashayekhi S., et al. (2021). The global burden of atopic dermatitis: lessons from the Global Burden of Disease Study 1990-2017. Br. J. Dermatol. 184:304−309. DOI:10.1111/bjd.19580

    View in Article CrossRef Google Scholar

    [3] Schuler C. F. t., Billi A. C., Maverakis E., et al. (2023). Novel insights into atopic dermatitis. J. Allergy Clin. Immunol. 151:1145−1154. DOI:10.1016/j.jaci.2022.10.023

    View in Article CrossRef Google Scholar

    [4] Lobefaro F., Gualdi G., Di Nuzzo S., et al. (2022). Atopic dermatitis: Clinical aspects and unmet needs. Biomedicines 10. DOI:10.3390/biomedicines10112927

    View in Article Google Scholar

    [5] Labib A., Ju T. and Yosipovitch G. (2023). Emerging treatments for itch in atopic dermatitis: A review. J. Am. Acad. Dermatol. 89:338−344. DOI:10.1016/j.jaad.2023.04.057

    View in Article CrossRef Google Scholar

    [6] Fang Z., Li L., Zhang H., et al. (2021). Gut microbiota, probiotics, and their interactions in prevention and preatment of atopic dermatitis: A Review. Front. Immunol. 12:720393. DOI:10.3389/fimmu.2021.720393

    View in Article CrossRef Google Scholar

    [7] Avena-Woods C. (2017). Overview of atopic dermatitis. Am. J. Manag. Care 23:S115−s123.

    View in Article Google Scholar

    [8] Luger T., Amagai M., Dreno B., et al. (2021). Atopic dermatitis: Role of the skin barrier, environment, microbiome, and therapeutic agents. J. Dermatol. Sci. 102:142−157. DOI:10.1016/j.jdermsci.2021.04.007

    View in Article CrossRef Google Scholar

    [9] Park S. K., Kim J. S. and Seo H. M. (2022). Exposure to air pollution and incidence of atopic dermatitis in the general population: A national population-based retrospective cohort study. J. Am. Acad. Dermatol. 87:1321−1327. DOI:10.1016/j.jaad.2021.05.061

    View in Article CrossRef Google Scholar

    [10] Lopez D. J., Lodge C. J., Bui D. S., et al. (2021). Association between ambient air pollution and development and persistence of atopic and non-atopic eczema in a cohort of adults. Allergy 76:2524−2534. DOI:10.1111/all.14783

    View in Article CrossRef Google Scholar

    [11] Murrison L. B., Brandt E. B., Myers J. B., et al. (2019). Environmental exposures and mechanisms in allergy and asthma development. J. Clin. Invest 129:1504−1515. DOI:10.1172/jci124612

    View in Article CrossRef Google Scholar

    [12] Fuller R., Landrigan P. J., Balakrishnan K., et al. (2022). Pollution and health: A progress update. Lancet Planet. Health 6:e535−e547. DOI:10.1016/S2542-5196(22)00090-0

    View in Article CrossRef Google Scholar

    [13] Viana M., de Leeuw F., Bartonova A., et al. (2020). Air quality mitigation in European cities: Status and challenges ahead. Environ. Int. 143:105907. DOI:10.1016/j.envint.2020.105907

    View in Article CrossRef Google Scholar

    [14] Wójcik-Gront E. and Gozdowski D. (2025). Air pollution monitoring and modeling: A comparative study of PM, NO2, and SO2 with meteorological correlations. Atmosphere 16:1199. DOI:10.3390/atmos16101199

    View in Article CrossRef Google Scholar

    [15] Colette Augustin R. L. (2021). ETC/ATNI report 2019/16: Air quality trends in Europe: 2000-2017. Assessment for surface SO2, NO2, Ozone, PM10 and PM2.5.

    View in Article Google Scholar

    [16] Puri M., Gandhi K. and Kumar M. S. (2023). Emerging environmental contaminants: A global perspective on policies and regulations. J. Environ. Manage 332:117344. DOI:10.1016/j.jenvman.2023.117344

    View in Article CrossRef Google Scholar

    [17] Ji X., Liang J., Wang Y., et al. (2023). Synthetic antioxidants as contaminants of emerging concern in Indoor environments: Knowns and unknowns. Environ. Sci. Technol. 57:21550−21557. DOI:10.1021/acs.est.3c06487

    View in Article CrossRef Google Scholar

    [18] Tao L., Tan H., Qiao X., et al. (2022). Emerging plasticizers in south China house dust and hand wipes: Calling for potential concern. Environ. Sci. Technol. 56:12190−12199. DOI:10.1021/acs.est.2c02106

    View in Article CrossRef Google Scholar

    [19] Sultan M. B., Anik A. H. and Rahman M. M. (2024). Emerging contaminants and their potential impacts on estuarine ecosystems: Are we aware of it. Mar. Pollut. Bull. 199:115982. DOI:10.1016/j.marpolbul.2023.115982

    View in Article CrossRef Google Scholar

    [20] Rudzanova B., Vlaanderen J., Kalina J., et al. (2023). Impact of PFAS exposure on prevalence of immune-mediated diseases in adults in the Czech Republic. Environ. Res. 229:115969. DOI:10.1016/j.envres.2023.115969

    View in Article CrossRef Google Scholar

    [21] Liaquat H., Imran M., Latif S., et al. (2022). Multifunctional nanomaterials and nanocomposites for sensing and monitoring of environmentally hazardous heavy metal contaminants. Environ. Res. 214:113795. DOI:10.1016/j.envres.2022.113795

    View in Article CrossRef Google Scholar

    [22] Huang J. W., Bai Y. Y., Wang D. S., et al. (2024). Positive association between chlorinated paraffins and the risk of allergic diseases in children and adolescents. J. Hazard Mater. 470:134226. DOI:10.1016/j.jhazmat.2024.134226

    View in Article CrossRef Google Scholar

    [23] Huang D., Liu X., Gao X., et al. (2025). Meteorin-like protein/METRNL/Interleukin-41 ameliorates atopic dermatitis-like inflammation. Allergy 80:474−488. DOI:10.1111/all.16150

    View in Article CrossRef Google Scholar

    [24] D'Erme A. M., Fidanzi C., Bevilacqua M., et al. (2024). Cord blood serum levels of IL-31 and CCL17, cutaneous markers, and development of atopic dermatitis. JAMA Dermatol. 160:1112-1115. DOI:10.1001/jamadermatol.2024.3178

    View in Article Google Scholar

    [25] Fenton S. E., Ducatman A., Boobis A., et al. (2021). Per- and polyfluoroalkyl substance toxicity and human health review: Current state of knowledge and strategies for informing future research. Environ. Toxicol Chem. 40:606−630. DOI:10.1002/etc.4890

    View in Article CrossRef Google Scholar

    [26] Wen S., Zhao Y., Liu S., et al. (2022). Microplastics-perturbed gut microbiota triggered the testicular disorder in male mice: Via fecal microbiota transplantation. Environ. Pollut. 309:119789. DOI:10.1016/j.envpol.2022.119789

    View in Article CrossRef Google Scholar

    [27] Deng Y., Yan Z., Shen R., et al. (2020). Microplastics release phthalate esters and cause aggravated adverse effects in the mouse gut. Environ. Int. 143:105916. DOI:10.1016/j.envint.2020.105916

    View in Article CrossRef Google Scholar

    [28] Xiong Z., Zeng Y., Zhou J., et al. (2020). Exposure to dibutyl phthalate impairs lipid metabolism and causes inflammation via disturbing microbiota-related gut-liver axis. Acta. Biochim. Biophys. Sin. (Shanghai) 52:1382−1393. DOI:10.1093/abbs/gmaa128

    View in Article CrossRef Google Scholar

    [29] Valavanidis A., Vlachogianni T., Fiotakis K., et al. (2013). Pulmonary oxidative stress, inflammation and cancer: respirable particulate matter, fibrous dusts and ozone as major causes of lung carcinogenesis through reactive oxygen species mechanisms. Int. J. Environ. Res. Public Health 10:3886−3907. DOI:10.3390/ijerph10093886

    View in Article CrossRef Google Scholar

    [30] Chen X., Wang S., Mao X., et al. (2023). Adverse health effects of emerging contaminants on inflammatory bowel disease. Front. Public Health 11:1140786. DOI:10.3389/fpubh.2023.1140786

    View in Article CrossRef Google Scholar

    [31] Boraschi D. and Tagliabue A. (2023). Harnessing the power of inflammation in immunoprevention and immunotherapy. Innov. Life 1:100025. DOI:10.59717/j.xinn-life.2023.100025

    View in Article CrossRef Google Scholar

    [32] Xu R., Pan Y., Zheng K., et al. (2024). IL-33/ST2 induces macrophage-dependent ROS production and TRPA1 activation that mediate pain-like responses by skin incision in mice. Theranostics 14:5281−5302. DOI:10.7150/thno.97856

    View in Article CrossRef Google Scholar

    [33] Di A., Gao X. P., Qian F., et al. (2011). The redox-sensitive cation channel TRPM2 modulates phagocyte ROS production and inflammation. Nat. Immunol. 13:29−34. DOI:10.1038/ni.2171

    View in Article CrossRef Google Scholar

    [34] Mousavi Khaneghah A. and Mostashari P. (2024). Decoding food reactions: a detailed exploration of food allergies vs. intolerances and sensitivities. Crit. Rev. Food Sci. Nutr. 65:2669-2713. DOI:10.1080/10408398.2024.2349740

    View in Article Google Scholar

    [35] Akdis C. A. (2021). Does the epithelial barrier hypothesis explain the increase in allergy, autoimmunity and other chronic conditions. Nat. Rev. Immunol. 21:739−751. DOI:10.1038/s41577-021-00538-7

    View in Article CrossRef Google Scholar

    [36] Mali S. S. and Bautista D. M. (2021). Basophils add fuel to the flame of eczema itch. Cell 184:294−296. DOI:10.1016/j.cell.2020.12.035

    View in Article CrossRef Google Scholar

    [37] Sroka-Tomaszewska J. and Trzeciak M. (2021). Molecular mechanisms of atopic dermatitis pathogenesis. Int. J. Mol. Sci. 22. DOI:10.3390/ijms22084130

    View in Article Google Scholar

    [38] Merra G., Gualtieri P., La Placa G., et al. (2024). The relationship between exposome and microbiome. Microorganisms 12. DOI:10.3390/microorganisms12071386

    View in Article Google Scholar

    [39] Hwangbo H., Kim E. J., Kim G. Y., et al. (2025). Polystyrene aaccelerates aging related-gut microbiome dysbiosis and -metabolites in old-aged mouse. J. Microbiol. Biotechnol. 35:e2504016. DOI:10.4014/jmb.2504.04016

    View in Article CrossRef Google Scholar

    [40] Liu X., Mao B., Gu J., et al. (2021). Blautia-a new functional genus with potential probiotic properties. Gut Microbes. 13:1−21. DOI:10.1080/19490976.2021.1875796

    View in Article CrossRef Google Scholar

    [41] Roslund M. I., Rantala S., Oikarinen S., et al. (2019). Endocrine disruption and commensal bacteria alteration associated with gaseous and soil PAH contamination among daycare children. Environ. Int. 130:104894. DOI:10.1016/j.envint.2019.06.004

    View in Article CrossRef Google Scholar

    [42] Chen Y. E., Fischbach M. A. and Belkaid Y. (2018). Skin microbiota-host interactions. Nature 553:427−436. DOI:10.1038/nature25177

    View in Article CrossRef Google Scholar

    [43] Boggio C. M. T., Veronese F., Armari M., et al. (2025). The western diet and atopic dermatitis: the potential role of nutrients, contaminants, and additives in dysbiosis and epithelial barrier dysfunction. Antioxidants (Basel) 14. DOI:10.3390/antiox14040386

    View in Article Google Scholar

    [44] Pan S., Li Z., Rubbo B., et al. (2024). Applications of mixture methods in epidemiological studies investigating the health impact of persistent organic pollutants exposures: A scoping review. J. Expo. Sci Environ. Epidemiol. 35:522-534. DOI:10.1038/s41370-024-00717-3

    View in Article Google Scholar

    [45] Wacławek S., Krawczyk K., Silvestri D., et al. (2022). Cyclodextrin-based strategies for removal of persistent organic pollutants. Adv. Colloid. Interface. Sci. 310:102807. DOI:10.1016/j.cis.2022.102807

    View in Article CrossRef Google Scholar

    [46] Mustieles V., Pérez-Carrascosa F. M., León J., et al. (2021). Adipose tissue redox microenvironment as a potential link between persistent organic pollutants and the 16-year incidence of non-hormone-dependent cancer. Environ. Sci. Technol. 55:9926−9937. DOI:10.1021/acs.est.0c08180

    View in Article CrossRef Google Scholar

    [47] Wang Q., Yuan H., Jin J., et al. (2018). Polychlorinated biphenyl concentrations in pooled serum from people in different age groups from five Chinese cities. Chemosphere 198:320−326. DOI:10.1016/j.chemosphere.2018.01.103

    View in Article CrossRef Google Scholar

    [48] Grandjean P., Poulsen L. K., Heilmann C., et al. (2010). Allergy and sensitization during childhood associated with prenatal and lactational exposure to marine pollutants. Environ. Health Perspect 118:1429−1433. DOI:10.1289/ehp.1002289

    View in Article CrossRef Google Scholar

    [49] Nakamoto M., Arisawa K., Uemura H., et al. (2013). Association between blood levels of PCDDs/PCDFs/dioxin-like PCBs and history of allergic and other diseases in the Japanese population. Int. Arch. Occup. Environ. Health 86:849−859. DOI:10.1007/s00420-012-0819-8

    View in Article CrossRef Google Scholar

    [50] Ochiai S., Shimojo N., Yuka I., et al. (2014). A pilot study for foetal exposure to multiple persistent organic pollutants and the development of infant atopic dermatitis in modern Japanese society. Chemosphere 94:48−52. DOI:10.1016/j.chemosphere.2013.09.009

    View in Article CrossRef Google Scholar

    [51] Berlin M., Flor-Hirsch H., Kohn E., et al. (2022). Maternal exposure to polychlorinated biphenyls and asthma, allergic rhinitis and atopic dermatitis in the offspring: The environmental health fund birth cohort. Front. Pharmacol. 13:802974. DOI:10.3389/fphar.2022.802974

    View in Article CrossRef Google Scholar

    [52] Deen L., Hougaard K. S., Meyer H. W., et al. (2025). Maternal exposure to polychlorinated biphenyls in indoor air and asthma, allergic rhinitis, atopic eczema, and respiratory tract infections in childhood. Int. J. Hyg. Environ. Health 266:114567. DOI:10.1016/j.ijheh.2025.114567

    View in Article CrossRef Google Scholar

    [53] Kim H. O., Kim J. H., Chung B. Y., et al. (2014). Increased expression of the aryl hydrocarbon receptor in patients with chronic inflammatory skin diseases. Exp. Dermatol. 23:278−281. DOI:10.1111/exd.12350

    View in Article CrossRef Google Scholar

    [54] Hatem G., Faria A. M., Pinto M. B., et al. (2025). Exposure to per-and poly-fluoroalkyl substances and respiratory and skin effects in children and adolescents: A systematic review and meta-analysis. J. Hazard Mater. 491:137978. DOI:10.1016/j.jhazmat.2025.137978

    View in Article CrossRef Google Scholar

    [55] Wang Z., DeWitt J. C., Higgins C. P., et al. (2017). A never-ending story of per- and polyfluoroalkyl substances (PFASs). Environ. Sci. Technol. 51:2508−2518. DOI:10.1021/acs.est.6b04806

    View in Article CrossRef Google Scholar

    [56] Chen Q., Huang R., Hua L., et al. (2018). Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and childhood atopic dermatitis: a prospective birth cohort study. Environ. Health 17:8. DOI:10.1186/s12940-018-0352-7

    View in Article CrossRef Google Scholar

    [57] Wen H. J., Wang S. L., Chen P. C., et al. (2019). Prenatal perfluorooctanoic acid exposure and glutathione s-transferase T1/M1 genotypes and their association with atopic dermatitis at 2 years of age. PLoS. One 14:e0210708. DOI:10.1371/journal.pone.0210708

    View in Article CrossRef Google Scholar

    [58] Wen H. J., Wang S. L., Chuang Y. C., et al. (2019). Prenatal perfluorooctanoic acid exposure is associated with early onset atopic dermatitis in 5-year-old children. Chemosphere 231:25−31. DOI:10.1016/j.chemosphere.2019.05.100

    View in Article CrossRef Google Scholar

    [59] Luo Y., Deji Z. and Huang Z. (2020). Exposure to perfluoroalkyl substances and allergic outcomes in children: A systematic review and meta-analysis. Environ. Res. 191:110145. DOI:10.1016/j.envres.2020.110145

    View in Article CrossRef Google Scholar

    [60] Ding N., Harlow S. D., Randolph J. F., Jr., et al. (2020). Perfluoroalkyl and polyfluoroalkyl substances (PFAS) and their effects on the ovary. Hum. Reprod. Update 26:724−752. DOI:10.1093/humupd/dmaa018

    View in Article CrossRef Google Scholar

    [61] van Gerwen M., Colicino E., Guan H., et al. (2023). Per- and polyfluoroalkyl substances (PFAS) exposure and thyroid cancer risk. EBioMedicine 97:104831. DOI:10.1016/j.ebiom.2023.104831

    View in Article CrossRef Google Scholar

    [62] Sacks D., Baxter B., Campbell B. C. V., et al. (2018). Multisociety consensus quality improvement revised consensus statement for endovascular therapy of acute ischemic stroke. Int. J. Stroke 13:612−632. DOI:10.1177/1747493018778713

    View in Article CrossRef Google Scholar

    [63] Kvalem H. E., Nygaard U. C., Lødrup Carlsen K. C., et al. (2020). Perfluoroalkyl substances, airways infections, allergy and asthma related health outcomes - implications of gender, exposure period and study design. Environ. Int. 134:105259. DOI:10.1016/j.envint.2019.105259

    View in Article CrossRef Google Scholar

    [64] Dong G. H., Liu M. M., Wang D., et al. (2011). Sub-chronic effect of perfluorooctanesulfonate (PFOS) on the balance of type 1 and type 2 cytokine in adult C57BL6 mice. Arch. Toxicol 85:1235−1244. DOI:10.1007/s00204-011-0661-x

    View in Article CrossRef Google Scholar

    [65] Midgett K., Peden-Adams M. M., Gilkeson G. S., et al. (2015). In vitro evaluation of the effects of perfluorooctanesulfonic acid (PFOS) and perfluorooctanoic acid (PFOA) on IL-2 production in human T-cells. J. Appl. Toxicol 35:459−465. DOI:10.1002/jat.3037

    View in Article CrossRef Google Scholar

    [66] Zhao M., Yin N., Yang R., et al. (2024). Understanding the effects of per- and polyfluoroalkyl substances on early skin development: Role of ciliogenesis inhibition and altered microtubule dynamics. Sci. Total Environ. 913:169702. DOI:10.1016/j.scitotenv.2023.169702

    View in Article CrossRef Google Scholar

    [67] Takacs M. L. and Abbott B. D. (2007). Activation of mouse and human peroxisome proliferator-activated receptors (alpha, beta/delta, gamma) by perfluorooctanoic acid and perfluorooctane sulfonate. Toxicol Sci. 95:108−117. DOI:10.1093/toxsci/kfl135

    View in Article CrossRef Google Scholar

    [68] Wielsoe M., Long M., Ghisari M., et al. (2015). Perfluoroalkylated substances (PFAS) affect oxidative stress biomarkers in vitro. Chemosphere 129:239−245. DOI:10.1016/j.chemosphere.2014.10.014

    View in Article CrossRef Google Scholar

    [69] Araki A., Saito I., Kanazawa A., et al. (2014). Phosphorus flame retardants in indoor dust and their relation to asthma and allergies of inhabitants. Indoor Air 24:3−15. DOI:10.1111/ina.12054

    View in Article CrossRef Google Scholar

    [70] Tang K. T., Chen P. A., Lee M. R., et al. (2023). The relationship between exposure to polycyclic aromatic hydrocarbons and adult atopic dermatitis. Asian Pac. J. Allergy Immunol. 41:311−317. DOI:10.12932/AP-210720-0926

    View in Article CrossRef Google Scholar

    [71] Tanaka M., Inoue K. I., Shimada A., et al. (2018). Physiological effects of brominated flame retardants on NC/Nga mice. Immunopharmacol. Immunotoxicol. 40:1−5. DOI:10.1080/08923973.2017.1405440

    View in Article CrossRef Google Scholar

    [72] Ait Bamai Y., Bastiaensen M., Araki A., et al. (2019). Multiple exposures to organophosphate flame retardants alter urinary oxidative stress biomarkers among children: The hokkaido study. Environ. Int. 131:105003. DOI:10.1016/j.envint.2019.105003

    View in Article CrossRef Google Scholar

    [73] Kim S., Carson K. A. and Chien A. L. (2022). The association between urinary polycyclic aromatic hydrocarbon metabolites and atopic triad by age and body weight in the US population. J. Dermatolog. Treat 33:2488−2494. DOI:10.1080/09546634.2021.1970705

    View in Article CrossRef Google Scholar

    [74] Jin H., Lin Z., Pang T., et al. (2024). Effects and mechanisms of polycyclic aromatic hydrocarbons in inflammatory skin diseases. Sci. Total. Environ. 925:171492. DOI:10.1016/j.scitotenv.2024.171492

    View in Article CrossRef Google Scholar

    [75] Yu Y. Y., Jin H. and Lu Q. (2022). Effect of polycyclic aromatic hydrocarbons on immunity. J. Transl. Autoimmun. 5:100177. DOI:10.1016/j.jtauto.2022.100177

    View in Article CrossRef Google Scholar

    [76] Ng W. G. G., Hon K. L., Kung J. S. C., et al. (2022). Effect of pine-tar bath on disease severity in moderate-to-severe childhood eczema: an investigator-blinded, crossover, randomized clinical trial. J. Dermatolog. Treat. 33:157−165. DOI:10.1080/09546634.2020.1732284

    View in Article CrossRef Google Scholar

    [77] Xiao Z. X., Hu X., Zhang X., et al. (2020). High salt diet accelerates the progression of murine lupus through dendritic cells via the p38 MAPK and STAT1 signaling pathways. Signal Transduct Target Ther. 5:34. DOI:10.1038/s41392-020-0139-5

    View in Article CrossRef Google Scholar

    [78] van den Bogaard E. H., Bergboer J. G., Vonk-Bergers M., et al. (2013). Coal tar induces AHR-dependent skin barrier repair in atopic dermatitis. J. Clin. Invest. 123:917−927. DOI:10.1172/JCI65642

    View in Article CrossRef Google Scholar

    [79] Galban-Malagon C., Gomez-Aburto V. A., Hirmas-Olivares A., et al. (2023). Dichlorodiphenyltrichloroethane (DDT) and Dichlorodiphenyldichloroethylene (DDE) levels in air and surface sea waters along the Antarctic Peninsula. Mar. Pollut. Bull. 197:115699. DOI:10.1016/j.marpolbul.2023.115699

    View in Article CrossRef Google Scholar

    [80] Karmaus W., Davis S., Chen Q., et al. (2003). Atopic manifestations, breast-feeding protection and the adverse effect of DDE. Paediatr. Perinat. Epidemiol. 17:212−220. DOI:10.1046/j.1365-3016.2003.00488.x

    View in Article CrossRef Google Scholar

    [81] Darnerud P. O. and Bergman A. (2022). Critical review on disposition of chlorinated paraffins in animals and humans. Environ. Int. 163:107195. DOI:10.1016/j.envint.2022.107195

    View in Article CrossRef Google Scholar

    [82] Wang F., Zhang H., Geng N., et al. (2018). A metabolomics strategy to assess the combined toxicity of polycyclic aromatic hydrocarbons (PAHs) and short-chain chlorinated paraffins (SCCPs). Environ. Pollut. 234:572−580. DOI:10.1016/j.envpol.2017.11.073

    View in Article CrossRef Google Scholar

    [83] Hallgren S. and Darnerud P. O. (2002). Polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyls (PCBs) and chlorinated paraffins (CPs) in rats-testing interactions and mechanisms for thyroid hormone effects. Toxicology 177:227−243. DOI:10.1016/s0300-483x(02)00222-6

    View in Article CrossRef Google Scholar

    [84] Jakkielska D., Topolska B., Baran K., et al. (2025). Nitrate and nitrite content in hot dogs and assessment of health risks to Polish consumers. Sci. Rep. 15:27000. DOI:10.1038/s41598-025-12891-x

    View in Article CrossRef Google Scholar

    [85] Miyakawa M., Inomata N., Sagawa N., et al. (2017). Anaphylaxis due to carmine-containing foods induced by epicutaneous sensitization to red eye-liner. J. Dermatol. 44:96−97. DOI:10.1111/1346-8138.13434

    View in Article CrossRef Google Scholar

    [86] Devlin J. and David T. J. (1992). Tartrazine in atopic eczema. Arch. Dis. Child. 67:709−711. DOI:10.1136/adc.67.6.709

    View in Article CrossRef Google Scholar

    [87] Machler B. C. and Jacob S. E. (2018). Carmine red: A potentially overlooked allergen in children. Dermatitis 29:92−93. DOI:10.1097/DER.0000000000000354

    View in Article CrossRef Google Scholar

    [88] Fuglsang G., Madsen G., Halken S., et al. (1994). Adverse reactions to food additives in children with atopic symptoms. Allergy 49:31−37. DOI:10.1111/j.1398-9995.1994.tb00770.x

    View in Article CrossRef Google Scholar

    [89] Anil H. and Harmanci K. (2020). Evaluation of contact sensitivity to food additives in children with atopic dermatitis. Postepy. Dermatol. Alergol. 37:390−395. DOI:10.5114/ada.2020.96112

    View in Article CrossRef Google Scholar

    [90] Sogaard R., Kursawe Larsen C., Johansen J. D., et al. (2025). Trends in contact allergy to preservatives from 2014 to 2023: Benzisothiazolinone on the rise. Contact Dermatitis 93:214−223. DOI:10.1111/cod.14818

    View in Article CrossRef Google Scholar

    [91] Worm M., Vieth W., Ehlers I., et al. (2001). Increased leukotriene production by food additives in patients with atopic dermatitis and proven food intolerance. Clin. Exp. Allergy 31:265−273. DOI:10.1046/j.1365-2222.2001.00979.x

    View in Article CrossRef Google Scholar

    [92] Hoppin J. A., Umbach D. M., London S. J., et al. (2008). Pesticides and atopic and nonatopic asthma among farm women in the Agricultural Health Study. Am. J. Respir. Crit. Care Med. 177:11−18. DOI:10.1164/rccm.200706-821OC

    View in Article CrossRef Google Scholar

    [93] Rodrigues M. B., Carvalho D. S., Chong-Silva D. C., et al. (2022). Association between exposure to pesticides and allergic diseases in children and adolescents: a systematic review with meta-analysis. J. Pediatr. (Rio J) 98:551−564. DOI:10.1016/j.jped.2021.10.007

    View in Article CrossRef Google Scholar

    [94] Zdanowski R., Krzyzowska M., Ujazdowska D., et al. (2015). Role of alpha7 nicotinic receptor in the immune system and intracellular signaling pathways. Cent. Eur. J. Immunol. 40:373−379. DOI:10.5114/ceji.2015.54602

    View in Article CrossRef Google Scholar

    [95] Ishida Y., Yonoichi S., Hara Y., et al. (2024). Effect of clothianidin exposure at the no-observed-adverse-effect level (NOAEL) in a mouse model of atopic dermatitis. J. Vet. Med. Sci. 86:333−339. DOI:10.1292/jvms.23-0515

    View in Article CrossRef Google Scholar

    [96] Hyland C., Bradman A., Gerona R., et al. (2019). Organic diet intervention significantly reduces urinary pesticide levels in U. S. children and adults. Environ. Res. 171:568−575. DOI:10.1016/j.envres.2019.01.024

    View in Article CrossRef Google Scholar

    [97] Filipoiu D. C., Bungau S. G., Endres L., et al. (2022). Characterization of the toxicological impact of heavy metals on human health in conjunction with modern analytical methods. Toxics 10. DOI:10.3390/toxics10120716

    View in Article Google Scholar

    [98] Chen M., Zhang Y., Ji W., et al. (2024). Source identification and exposure risk management for soil arsenic in urban reclamation areas with high background levels: A case study in a coastal reclamation site from the Pearl River Delta, China. J. Hazard Mater. 465:133294. DOI:10.1016/j.jhazmat.2023.133294

    View in Article CrossRef Google Scholar

    [99] Rehman A., Liu G., Yousaf B., et al. (2023). Spectroscopic fingerprinting, pollution characterization, and health risk assessment of potentially toxic metals from urban particulate matter. Environ. Sci. Pollut. Res. Int. 30:92842−92858. DOI:10.1007/s11356-023-28834-w

    View in Article CrossRef Google Scholar

    [100] Hoseinpour V. and Ghaemi N. (2018). Green synthesis of manganese nanoparticles: Applications and future perspective-A review. J. Photochem. Photobiol. B. 189:234−243. DOI:10.1016/j.jphotobiol.2018.10.022

    View in Article CrossRef Google Scholar

    [101] Wu Y., Zhou Z., Zhang M., et al. (2023). Hollow manganese dioxide-chitosan hydrogel for the treatment of atopic dermatitis through inflammation-suppression and ROS scavenging. J. Nanobiotechnol. 21:432. DOI:10.1186/s12951-023-02174-w

    View in Article CrossRef Google Scholar

    [102] Papoiu A. D., Valdes-Rodriguez R., Nattkemper L. A., et al. (2013). A novel topical formulation containing strontium chloride significantly reduces the intensity and duration of cowhage-induced itch. Acta. Derm. Venereol. 93:520−526. DOI:10.2340/00015555-1564

    View in Article CrossRef Google Scholar

    [103] Pesce G., Sese L., Calciano L., et al. (2021). Foetal exposure to heavy metals and risk of atopic diseases in early childhood. Pediatr. Allergy Immunol. 32:242−250. DOI:10.1111/pai.13397

    View in Article CrossRef Google Scholar

    [104] Kampouri M., Gustin K., Stravik M., et al. (2023). Associations of gestational and early-life exposure to toxic metals and fluoride with a diagnosis of food allergy or atopic eczema at 1 year of age. Environ. Int. 178:108071. DOI:10.1016/j.envint.2023.108071

    View in Article CrossRef Google Scholar

    [105] Hon K. L., Wang S. S., Hung E. C., et al. (2010). Serum levels of heavy metals in childhood eczema and skin diseases: friends or foes. Pediatr. Allergy Immunol. 21:831−836. DOI:10.1111/j.1399-3038.2010.01022.x

    View in Article CrossRef Google Scholar

    [106] Schena D., Fantuzzi F. and Girolomoni G. (2008). Contact allergy in chronic eczematous lip dermatitis. Eur. J. Dermatol. 18:688−692. DOI:10.1684/ejd.2008.0520

    View in Article CrossRef Google Scholar

    [107] Kim J., Kim S., Woo S. Y., et al. (2019). Prenatal exposure to lead and chromium is associated with IL-13 Levels in umbilical cord blood and severity of atopic dermatitis: COCOA study. Immune Netw. 19:e42. DOI:10.4110/in.2019.19.e42

    View in Article CrossRef Google Scholar

    [108] Inoue T., Inoue S. and Kubota K. (1999). Bactericidal activity of manganese and iodide ions against Staphylococcus aureus: a possible treatment for acute atopic dermatitis. Acta. Derm. Venereol. 79:360−362. DOI:10.1080/000155599750010265

    View in Article CrossRef Google Scholar

    [109] Shin J., Kim B. M., Ha M., et al. (2019). The association between mercury exposure and atopic dermatitis in early childhood: A mothers and children's environmental health study. Epidemiology 30 Suppl 1:S3-S8. DOI:10.1097/EDE.0000000000001002

    View in Article Google Scholar

    [110] Wang J., Yin J., Hong X., et al. (2022). Exposure to heavy metals and allergic outcomes in children: a systematic review and meta-analysis. Biol. Trace. Elem. Res. 200:4615−4631. DOI:10.1007/s12011-021-03070-w

    View in Article CrossRef Google Scholar

    [111] Park H. and Kim K. (2011). Association of blood mercury concentrations with atopic dermatitis in adults: a population-based study in Korea. Environ. Res. 111:573−578. DOI:10.1016/j.envres.2011.02.003

    View in Article CrossRef Google Scholar

    [112] Miyazaki J., Ikehara S., Tanigawa K., et al. (2023). Prenatal exposure to selenium, mercury, and manganese during pregnancy and allergic diseases in early childhood: The Japan Environment and Children's study. Environ. Int. 179:108123. DOI:10.1016/j.envint.2023.108123

    View in Article CrossRef Google Scholar

    [113] Liu K. L., Tsai T. L., Tsai W. C., et al. (2021). Prenatal heavy metal exposure, total immunoglobulin E, trajectory, and atopic diseases: A 15-year follow-up study of a Taiwanese birth cohort. J. Dermatol. 48:1542−1549. DOI:10.1111/1346-8138.16058

    View in Article CrossRef Google Scholar

    [114] Figueroa-Garduno I., Escamilla-Nunez C., Barraza-Villarreal A., et al. (2023). Docosahexaenoic acid effect on prenatal exposure to arsenic and atopic dermatitis in mexican preschoolers. Biol. Trace. Elem. Res. 201:3152−3161. DOI:10.1007/s12011-022-03411-3

    View in Article CrossRef Google Scholar

    [115] Delgado N., Bermeo L., Hoyos D. A., et al. (2020). Occurrence and removal of pharmaceutical and personal care products using subsurface horizontal flow constructed wetlands. Water Res. 187:116448. DOI:10.1016/j.watres.2020.116448

    View in Article CrossRef Google Scholar

    [116] Dubey D., Srivastav A. K., Singh J., et al. (2019). Photoexcited triclosan induced DNA damage and oxidative stress via p38 MAP kinase signaling involving type I radicals under sunlight/UVB exposure. Ecotoxicol. Environ. Saf. 174:270−282. DOI:10.1016/j.ecoenv.2019.02.065

    View in Article CrossRef Google Scholar

    [117] Kadry Taher M., Farhat N., Karyakina N. A., et al. (2019). Critical review of the association between perineal use of talc powder and risk of ovarian cancer. Reprod. Toxicol 90:88−101. DOI:10.1016/j.reprotox.2019.08.015

    View in Article CrossRef Google Scholar

    [118] Yang X., Huang H., Wang M., et al. (2017). Effect of nonylphenol on the regulation of cell growth in colorectal cancer cells. Mol. Med. Rep. 16:2211−2216. DOI:10.3892/mmr.2017.6817

    View in Article CrossRef Google Scholar

    [119] Kamijo Y., Hayashi I., Ide A., et al. (2009). Effects of inhaled monoethanolamine on bronchoconstriction. J. Appl. Toxicol 29:15−19. DOI:10.1002/jat.1373

    View in Article CrossRef Google Scholar

    [120] Peng F., Mu Z., He C., et al. (2018). Patch testing in facial dermatitis using Chinese baseline series (60 allergens) and cosmetic series (58 allergens). J. Eur. Acad. Dermatol. Venereol. 32:e288−e289. DOI:10.1111/jdv.14822

    View in Article CrossRef Google Scholar

    [121] Fernandez-Martin M. E. and Tarazona J. V. (2024). Market analysis of the presence of endocrine disrupting chemicals in cosmetic products intended for oncological patients and other vulnerable groups. Eur. J. Dermatol. 34:40−50. DOI:10.1684/ejd.2024.4615

    View in Article CrossRef Google Scholar

    [122] Virgens A. R., Goes H. F. O., de Carvalho G. C., et al. (2022). Perivascular clusters of Th2 cells and M2 macrophages in allergic contact dermatitis to methylchloroisothiazolinone and methylisothiazolinone. Exp. Dermatol. 31:191−201. DOI:10.1111/exd.14442

    View in Article CrossRef Google Scholar

    [123] Mahajan V. K., Sharma N., Sharma V., et al. (2024). Topical sunscreens: A narrative review for contact sensitivity, potential allergens, clinical evaluation, and management for their optimal use in clinical practice. Indian Dermatol. Online J. 15:920−929. DOI:10.4103/idoj.idoj_111_24

    View in Article CrossRef Google Scholar

    [124] Schwensen J. F., Lundov M. D., Bossi R., et al. (2015). Methylisothiazolinone and benzisothiazolinone are widely used in paint: a multicentre study of paints from five European countries. Contact Dermatitis 72:127−138. DOI:10.1111/cod.12322

    View in Article CrossRef Google Scholar

    [125] Sudarsan J. S., Dogra K., Kumar R., et al. (2024). Tricks and tracks of prevalence, occurrences, treatment technologies, and challenges of mixtures of emerging contaminants in the environment: With special emphasis on microplastic. J. Contam. Hydrol. 265:104389. DOI:10.1016/j.jconhyd.2024.104389

    View in Article CrossRef Google Scholar

    [126] Kim Y. S. and Kim H. S. (2024). Tetracyclines revisited: Tetracyclines in the field of dermatology. Dermatology 240:844−858. DOI:10.1159/000542006

    View in Article CrossRef Google Scholar

    [127] Wrzesniewska M., Woloszczak J., Swirkosz G., et al. (2024). The role of the microbiota in the pathogenesis and treatment of atopic dermatitis-a literature review. Int. J. Mol. Sci. 25. DOI:10.3390/ijms25126539

    View in Article Google Scholar

    [128] Demessant-Flavigny A. L., Connetable S., Kerob D., et al. (2023). Skin microbiome dysbiosis and the role of Staphylococcus aureus in atopic dermatitis in adults and children: A narrative review. J. Eur. Acad. Dermatol. Venereol. 37 Suppl 5:3-17. DOI:10.1111/jdv.19125

    View in Article Google Scholar

    [129] Leung D. Y. M. (2018). Can antibiotics be harmful in atopic dermatitis. Br. J. Dermatol. 179:807−808. DOI:10.1111/bjd.17023

    View in Article CrossRef Google Scholar

    [130] Cantarutti A., Amidei C. B., Bonaugurio A. S., et al. (2022). Early-life exposure to antibiotics and subsequent development of atopic dermatitis. Expert Rev. Clin. Pharmacol. 15:779−785. DOI:10.1080/17512433.2022.2092471

    View in Article CrossRef Google Scholar

    [131] Fuxench Z. C., Mitra N., Del Pozo D., et al. (2024). In utero or early-in-life exposure to antibiotics and the risk of childhood atopic dermatitis, a population-based cohort study. Br. J. Dermatol. 191:58−64. DOI:10.1093/bjd/ljad428

    View in Article CrossRef Google Scholar

    [132] Timm S., Schlunssen V., Olsen J., et al. (2017). Prenatal antibiotics and atopic dermatitis among 18-month-old children in the Danish National Birth Cohort. Clin. Exp. Allergy 47:929−936. DOI:10.1111/cea.12916

    View in Article CrossRef Google Scholar

    [133] Wan M. and Yang X. (2023). Maternal exposure to antibiotics and risk of atopic dermatitis in childhood: a systematic review and meta-analysis. Front. Pediatr. 11:1142069. DOI:10.3389/fped.2023.1142069

    View in Article CrossRef Google Scholar

    [134] Chu D. K., Koplin J. J., Ahmed T., et al. (2024). How to prevent atopic dermatitis (eczema) in 2024: theory and evidence. J. Allergy Clin. Immunol. Pract. 12:1695−1704. DOI:10.1016/j.jaip.2024.04.048

    View in Article CrossRef Google Scholar

    [135] McKeever T. M., Lewis S. A., Smith C., et al. (2002). The importance of prenatal exposures on the development of allergic disease: a birth cohort study using the West Midlands General Practice Database. Am. J. Respir. Crit. Care Med. 166:827−832. DOI:10.1164/rccm.200202-158OC

    View in Article CrossRef Google Scholar

    [136] Wohl D. L., Curry W. J., Mauger D., et al. (2015). Intrapartum antibiotics and childhood atopic dermatitis. J. Am. Board. Fam. Med. 28:82−89. DOI:10.3122/jabfm.2015.01.140017

    View in Article CrossRef Google Scholar

    [137] Hoskinson C., Medeleanu M. V., Reyna M. E., et al. (2024). Antibiotics taken within the first year of life are linked to infant gut microbiome disruption and elevated atopic dermatitis risk. J. Allergy. Clin. Immunol. 154:131−142. DOI:10.1016/j.jaci.2024.03.025

    View in Article CrossRef Google Scholar

    [138] Kiecka A., Macura B. and Szczepanik M. (2023). Modulation of allergic contact dermatitis via gut microbiota modified by diet, vitamins, probiotics, prebiotics, and antibiotics. Pharmacol. Rep. 75:236−248. DOI:10.1007/s43440-023-00454-8

    View in Article CrossRef Google Scholar

    [139] Parrish M. and Kuperwasser C. (2025). Environmental endocrine disruptors: rethinking the origins of early-onset ER(+) breast cancer. Nat. Rev. Cancer. 25:819-820. DOI:10.1038/s41568-025-00854-3

    View in Article Google Scholar

    [140] Pan K., Xu J., Li F., et al. (2025). The relationship between metabolic syndrome and environmental endocrine disruptors: A systematic review and meta-analysis. iScience 28:112907. DOI:10.1016/j.isci.2025.112907

    View in Article CrossRef Google Scholar

    [141] Mantovani A. (2016). Endocrine disrupters and the safety of food chains. Horm. Res. Paediatr. 86:279−288. DOI:10.1159/000441496

    View in Article CrossRef Google Scholar

    [142] Bellingham M., Fowler P. A., Amezaga M. R., et al. (2009). Exposure to a complex cocktail of environmental endocrine-disrupting compounds disturbs the kisspeptin/GPR54 system in ovine hypothalamus and pituitary gland. Environ. Health. Perspect. 117:1556−1562. DOI:10.1289/ehp.0900699

    View in Article CrossRef Google Scholar

    [143] Kim S. H., Yu S. Y., Choo J. H., et al. (2024). Epigenetic methylation changes in pregnant women: Bisphenol exposure and atopic dermatitis. Int. J. Mol. Sci. 25. DOI:10.3390/ijms25031579

    View in Article Google Scholar

    [144] Teng Y., Fan Y., Ma J., et al. (2021). The PI3K/Akt pathway: Emerging roles in skin homeostasis and a group of non-malignant skin disorders. Cells 10. DOI:10.3390/cells10051219

    View in Article Google Scholar

    [145] Li X. N., Wu D., Liu Y., et al. (2021). Prenatal exposure to bisphenols, immune responses in cord blood and infantile eczema: A nested prospective cohort study in China. Ecotoxicol. Environ. Saf. 228:112987. DOI:10.1016/j.ecoenv.2021.112987

    View in Article CrossRef Google Scholar

    [146] Weteska M., Zwolinska A., Pisarska-Troczynska K., et al. (2023). Relationship between prenatal and postnatal exposure to BPA and its analogues (BPS, BPF) and allergic diseases. Int. J. Occup. Med. Environ. Health 36:575−586. DOI:10.13075/ijomeh.1896.02184

    View in Article CrossRef Google Scholar

    [147] Tajiki-Nishino R., Makino E., Watanabe Y., et al. (2018). Oral administration of bisphenol a directly exacerbates allergic airway inflammation but not allergic skin inflammation in mice. Toxicol. Sci. 165:314−321. DOI:10.1093/toxsci/kfy132

    View in Article CrossRef Google Scholar

    [148] Callesen M., Beko G., Weschler C. J., et al. (2014). Phthalate metabolites in urine and asthma, allergic rhinoconjunctivitis and atopic dermatitis in preschool children. Int. J. Hyg. Environ. Health 217:645−652. DOI:10.1016/j.ijheh.2013.12.001

    View in Article CrossRef Google Scholar

    [149] Dye J. A., Venier M., Zhu L., et al. (2007). Elevated PBDE levels in pet cats: sentinels for humans. Environ. Sci. Technol. 41:6350−6356. DOI:10.1021/es0708159

    View in Article CrossRef Google Scholar

    [150] Callesen M., Beko G., Weschler C. J., et al. (2014). Associations between selected allergens, phthalates, nicotine, polycyclic aromatic hydrocarbons, and bedroom ventilation and clinically confirmed asthma, rhinoconjunctivitis, and atopic dermatitis in preschool children. Indoor Air 24:136−147. DOI:10.1111/ina.12060

    View in Article CrossRef Google Scholar

    [151] Zhang M. Z., Chu S. S., Xia Y. K., et al. (2021). Environmental exposure during pregnancy and the risk of childhood allergic diseases. World J. Pediatr. 17:467−475. DOI:10.1007/s12519-021-00448-7

    View in Article CrossRef Google Scholar

    [152] Just A. C., Whyatt R. M., Perzanowski M. S., et al. (2012). Prenatal exposure to butylbenzyl phthalate and early eczema in an urban cohort. Environ. Health Perspect. 120:1475−1480. DOI:10.1289/ehp.1104544

    View in Article CrossRef Google Scholar

    [153] Berger K., Eskenazi B., Balmes J., et al. (2018). Associations between prenatal maternal urinary concentrations of personal care product chemical biomarkers and childhood respiratory and allergic outcomes in the CHAMACOS study. Environ. Int. 121:538−549. DOI:10.1016/j.envint.2018.09.027

    View in Article CrossRef Google Scholar

    [154] Wang W. R., Chen N. T., Hsu N. Y., et al. (2021). Associations among phthalate exposure, DNA methylation of TSLP, and childhood allergy. Clin. Epigenetics. 13:76. DOI:10.1186/s13148-021-01061-1

    View in Article CrossRef Google Scholar

    [155] Wang Y. H., Angkasekwinai P., Lu N., et al. (2007). IL-25 augments type 2 immune responses by enhancing the expansion and functions of TSLP-DC-activated Th2 memory cells. J. Exp. Med. 204:1837−1847. DOI:10.1084/jem.20070406

    View in Article CrossRef Google Scholar

    [156] Kim E. H., Jeon B. H., Kim J., et al. (2017). Exposure to phthalates and bisphenol A are associated with atopic dermatitis symptoms in children: a time-series analysis. Environ. Health 16:24. DOI:10.1186/s12940-017-0225-5

    View in Article CrossRef Google Scholar

    [157] Balakirski G. and Novak N. (2022). Atopic dermatitis and pregnancy. J. Allergy Clin. Immunol. 149:1185−1194. DOI:10.1016/j.jaci.2022.01.010

    View in Article CrossRef Google Scholar

    [158] Mansfield J. A., Bergin S. W., Cooper J. R., et al. (2014). Comparative probiotic strain efficacy in the prevention of eczema in infants and children: a systematic review and meta-analysis. Mil. Med. 179:580−592. DOI:10.7205/milmed-d-13-00546

    View in Article CrossRef Google Scholar

    [159] Jungbauer F. H., Lensen G. J., Groothoff J. W., et al. (2005). Skin disease in paper mill workers. Occup. Med. (Lond) 55:109−112. DOI:10.1093/occmed/kqi022

    View in Article CrossRef Google Scholar

    [160] Bhabha F. K. and Nixon R. (2012). Occupational exposure to laboratory animals causing a severe exacerbation of atopic eczema. Australas. J. Dermatol. 53:155−156. DOI:10.1111/j.1440-0960.2011.00754.x

    View in Article CrossRef Google Scholar

    [161] Stoeva I. (2021). Respiratory symptoms of exposure to substances in the workplace among dental laboratory technicians. Med. Pr. 72:105−111. DOI:10.13075/mp.5893.01033

    View in Article CrossRef Google Scholar

    [162] Stoeva I., Dencheva M., Mircheva K., et al. (2020). Respiratory symptoms of exposure to substances in the workplace among Bulgarian dental students: a self-report Questionnaire survey. Folia. Med. (Plovdiv) 62:141−146. DOI:10.3897/folmed.62.e48268

    View in Article CrossRef Google Scholar

    [163] Eom S. Y., Choi J., Bae S., et al. (2018). Health effects of environmental pollution in population living near industrial complex areas in Korea. Environ. Health. Toxicol. 33:e2018004. DOI:10.5620/eht.e2018004

    View in Article CrossRef Google Scholar

    [164] Lin L., Chen Y., Wei J., et al. (2022). The associations between residential greenness and allergic diseases in Chinese toddlers: A birth cohort study. Environ. Res. 214:114003. DOI:10.1016/j.envres.2022.114003

    View in Article CrossRef Google Scholar

    [165] Toledo M. F., Saraiva-Romanholo B. M., Oliveira R. C., et al. (2016). Changes over time in the prevalence of asthma, rhinitis and atopic eczema in adolescents from Taubate, Sao Paulo, Brazil (2005-2012): Relationship with living near a heavily travelled highway. Allergol. Immunopathol (Madr) 44:439−444. DOI:10.1016/j.aller.2016.02.006

    View in Article CrossRef Google Scholar

    [166] Nevid M. Z., Rabinovitch N., Crooks J., et al. (2023). The association of residential distance from highly trafficked roads with atopic dermatitis risk. J. Allergy. Clin. Immunol. Pract. 11:1554−1555. DOI:10.1016/j.jaip.2023.03.021

    View in Article CrossRef Google Scholar

    [167] Miyake Y., Tanaka K., Fujiwara H., et al. (2010). Residential proximity to main roads during pregnancy and the risk of allergic disorders in Japanese infants: the Osaka maternal and child health study. Pediatr. Allergy Immunol. 21:22−28. DOI:10.1111/j.1399-3038.2009.00951.x

    View in Article CrossRef Google Scholar

    [168] Lee J. H., Lee H. S., Park M. R., et al. (2014). Relationship between indoor air pollutant levels and residential environment in children with atopic dermatitis. Allergy Asthma Immunol. Res. 6:517−524. DOI:10.4168/aair.2014.6.6.517

    View in Article CrossRef Google Scholar

    [169] Wei H., Yu Q., Chen D., et al. (2024). Residential energy transition and chronic respiratory diseases. The Innovation 5:100597. DOI:10.1016/j.xinn.2024.100597

    View in Article CrossRef Google Scholar

    [170] Liu Y., Sun S., Zhang D., et al. (2022). Effects of residential environment and lifestyle on atopic eczema among preschool children in Shenzhen, China. Front. Public Health 10:844832. DOI:10.3389/fpubh.2022.844832

    View in Article CrossRef Google Scholar

    [171] Xu F., Yan S., Zheng Q., et al. (2016). Residential risk factors for atopic dermatitis in 3- to 6-year old children: A cross-sectional study in Shanghai, China. Int. J. Environ. Res. Public Health 13. DOI:10.3390/ijerph13060537

    View in Article Google Scholar

    [172] Kim M. J., Kang D., Lee G., et al. (2023). Interplays between cyanobacterial blooms and antibiotic resistance genes. Environ. Int. 181:108268. DOI:10.1016/j.envint.2023.108268

    View in Article CrossRef Google Scholar

    [173] Zha Y., Chen C., Jiao Q., et al. (2024). Comprehensive profiling of antibiotic resistance genes in diverse environments and novel function discovery. Innov. Life 2:100054. DOI:10.59717/j.xinn-life.2024.100054

    View in Article CrossRef Google Scholar

    [174] Ogonowska P., Szymczak K., Empel J., et al. (2023). Staphylococcus aureus from Atopic Dermatitis Patients: Its Genetic Structure and Susceptibility to Phototreatment. Microbiol. Spectr. 11:e0459822. DOI:10.1128/spectrum.04598-22

    View in Article CrossRef Google Scholar

    [175] Saheb Kashaf S., Harkins C. P., Deming C., et al. (2023). Staphylococcal diversity in atopic dermatitis from an individual to a global scale. Cell host. & microbe. 31:578-592 e576. DOI:10.1016/j.chom.2023.03.010

    View in Article Google Scholar

    [176] Conte A. L., Brunetti F., Marazzato M., et al. (2023). Atopic dermatitis-derived Staphylococcus aureus strains: what makes them special in the interplay with the host. Front. Cell Infect Microbiol. 13:1194254. DOI:10.3389/fcimb.2023.1194254

    View in Article CrossRef Google Scholar

    [177] Chen C. and Hooper D. C. (2018). Effect of Staphylococcus aureus Tet38 native efflux pump on in vivo response to tetracycline in a murine subcutaneous abscess model. J. Antimicrob. Chemother. 73:720−723. DOI:10.1093/jac/dkx432

    View in Article CrossRef Google Scholar

    [178] Floyd J. L., Smith K. P., Kumar S. H., et al. (2010). LmrS is a multidrug efflux pump of the major facilitator superfamily from Staphylococcus aureus. Antimicrob. Agents. Chemother. 54:5406−5412. DOI:10.1128/AAC.00580-10

    View in Article CrossRef Google Scholar

    [179] Edslev S. M., Clausen M. L., Agner T., et al. (2018). Genomic analysis reveals different mechanisms of fusidic acid resistance in Staphylococcus aureus from Danish atopic dermatitis patients. J. Antimicrob. Chemother. 73:856−861. DOI:10.1093/jac/dkx481

    View in Article CrossRef Google Scholar

    [180] Harkins C. P., McAleer M. A., Bennett D., et al. (2018). The widespread use of topical antimicrobials enriches for resistance in Staphylococcus aureus isolated from patients with atopic dermatitis. Br. J. Dermatol. 179:951−958. DOI:10.1111/bjd.16722

    View in Article CrossRef Google Scholar

    [181] Carter G. P., Schultz M. B., Baines S. L., et al. (2018). Topical antibiotic use coselects for the carriage of mobile genetic elements conferring resistance to unrelated antimicrobials in Staphylococcus aureus. Antimicrob. Agents. Chemother. 62. DOI:10.1128/AAC.02000-17

    View in Article Google Scholar

    [182] Yu T., Xu X., Liu Y., et al. (2024). Multi-omics signatures reveal genomic and functional heterogeneity of Cutibacterium acnes in normal and diseased skin. Cell host. & microbe. 32:1129-1146 e1128. DOI:10.1016/j.chom.2024.06.002

    View in Article Google Scholar

    [183] Wang Z., Hulpusch C., Foesel B., et al. (2024). Genomic and functional divergence of Staphylococcus aureus strains from atopic dermatitis patients and healthy individuals: insights from global and local scales. Microbiol. Spectr. 12:e0057124. DOI:10.1128/spectrum.00571-24

    View in Article Google Scholar

    [184] Dartora V. F. C., Passos J. S., Osorio B., et al. (2023). Chitosan hydrogels with MK2 inhibitor peptide-loaded nanoparticles to treat atopic dermatitis. J. Control. Release. 362:591−605. DOI:10.1016/j.jconrel.2023.08.061

    View in Article CrossRef Google Scholar

    [185] Rancan F., Gao Q., Graf C., et al. (2012). Skin penetration and cellular uptake of amorphous silica nanoparticles with variable size, surface functionalization, and colloidal stability. ACS. Nano. 6:6829−6842. DOI:10.1021/nn301622h

    View in Article CrossRef Google Scholar

    [186] Souto E. B., Dias-Ferreira J., Oliveira J., et al. (2019). Trends in atopic dermatitis-from standard pharmacotherapy to novel drug delivery systems. Int. J. Mol. Sci. 20. DOI:10.3390/ijms20225659

    View in Article Google Scholar

    [187] Singh S., Behl T., Sharma N., et al. (2022). Targeting therapeutic approaches and highlighting the potential role of nanotechnology in atopic dermatitis. Environ. Sci. Pollut. Res. Int. 29:32605−32630. DOI:10.1007/s11356-021-18429-8

    View in Article CrossRef Google Scholar

    [188] Hirai T., Yoshikawa T., Nabeshi H., et al. (2012). Amorphous silica nanoparticles size-dependently aggravate atopic dermatitis-like skin lesions following an intradermal injection. Part. Fibre. Toxicol. 9:3. DOI:10.1186/1743-8977-9-3

    View in Article CrossRef Google Scholar

    [189] Yanagisawa R., Takano H., Inoue K., et al. (2009). Titanium dioxide nanoparticles aggravate atopic dermatitis-like skin lesions in NC/Nga mice. Exp. Biol. Med. (Maywood) 234:314−322. DOI:10.3181/0810-RM-304

    View in Article CrossRef Google Scholar

    [190] Hoffmann S. S., Thiesson E. M., Johansen J. D., et al. (2024). Association between atopic disease and vaccination granulomas: A nested case-control study. Contact Dermatitis 90:411−419. DOI:10.1111/cod.14472

    View in Article CrossRef Google Scholar

    [191] Sokolovska A., Hem S. L. and HogenEsch H. (2007). Activation of dendritic cells and induction of CD4(+) T cell differentiation by aluminum-containing adjuvants. Vaccine 25:4575−4585. DOI:10.1016/j.vaccine.2007.03.045

    View in Article CrossRef Google Scholar

    [192] Cunningham A. F., Serre K., Toellner K. M., et al. (2004). Pinpointing IL-4-independent acquisition and IL-4-influenced maintenance of Th2 activity by CD4 T cells. Eur. J. Immunol. 34:686−694. DOI:10.1002/eji.200324510

    View in Article CrossRef Google Scholar

    [193] Netterlid E., Hindsen M., Siemund I., et al. (2013). Does allergen-specific immunotherapy induce contact allergy to aluminium. Acta. Derm. Venereol. 93:50−56. DOI:10.2340/00015555-1409

    View in Article CrossRef Google Scholar

    [194] Luo D., Chu X., Wu Y., et al. (2024). Micro- and nano-plastics in the atmosphere: A review of occurrence, properties and human health risks. J. Hazard Mater. 465:133412. DOI:10.1016/j.jhazmat.2023.133412

    View in Article CrossRef Google Scholar

    [195] Lu S., Wei Y., Xu R., et al. (2024). New insights: Discovery of microplastics in human bone and skeletal muscle. Innov. Med. 2:100100. DOI:10.59717/j.xinn-med.2024.100100

    View in Article CrossRef Google Scholar

    [196] Menichetti A., Mordini D. and Montalti M. (2024). Penetration of microplastics and nanoparticles through skin: Effects of size, shape, and surface chemistry. J. Xenobiot. 15. DOI:10.3390/jox15010006

    View in Article Google Scholar

    [197] Li Y., Chen L., Zhou N., et al. (2024). Microplastics in the human body: A comprehensive review of exposure, distribution, migration mechanisms, and toxicity. Sci. Total Environ. 946:174215. DOI:10.1016/j.scitotenv.2024.174215

    View in Article CrossRef Google Scholar

    [198] Martin L., Simpson K., Brzezinski M., et al. (2024). Cellular response of keratinocytes to the entry and accumulation of nanoplastic particles. Part. Fibre. Toxicol. 21:22. DOI:10.1186/s12989-024-00583-9

    View in Article CrossRef Google Scholar

    [199] Aristizabal M., Jimenez-Orrego K. V., Caicedo-Leon M. D., et al. (2024). Microplastics in dermatology: Potential effects on skin homeostasis. J. Cosmet. Dermatol. 23:766−772. DOI:10.1111/jocd.16167

    View in Article CrossRef Google Scholar

    [200] Ramsperger A., Bergamaschi E., Panizzolo M., et al. (2023). Nano- and microplastics: a comprehensive review on their exposure routes, translocation, and fate in humans. NanoImpact 29:100441. DOI:10.1016/j.impact.2022.100441

    View in Article CrossRef Google Scholar

    [201] Ragusa A., Cristiano L., Di Vinci P., et al. (2025). Artificial plasticenta: how polystyrene nanoplastics affect in-vitro cultured human trophoblast cells. Front. Cell Dev. Biol. 13:1539600. DOI:10.3389/fcell.2025.1539600

    View in Article CrossRef Google Scholar

    [202] Jang W., Kim M., Ha E., et al. (2024). Association of maternal ultra-processed food consumption during pregnancy with atopic dermatitis in infancy: Korean Mothers and Children's Environmental Health (MOCEH) study. Nutr. J. 23:67. DOI:10.1186/s12937-024-00969-7

    View in Article CrossRef Google Scholar

    [203] Zhou N., Chen J., Ling Z., et al. (2023). Aryl hydrocarbon receptor sulfenylation promotes glycogenolysis and rescues cancer chemoresistance. J. Clin. Invest. 133. DOI:10.1172/JCI170753

    View in Article Google Scholar

    [204] Lakhman S. S., Chen X., Gonzalez-Covarrubias V., et al. (2007). Functional characterization of the promoter of human carbonyl reductase 1 (CBR1). Role of XRE elements in mediating the induction of CBR1 by ligands of the aryl hydrocarbon receptor. Mol. Pharmacol. 72:734-743. DOI:10.1124/mol.107.035550

    View in Article Google Scholar

    [205] Degrelle S. A., Ferecatu I. and Fournier T. (2022). Novel fluorescent and secreted transcriptional reporters for quantifying activity of the xenobiotic sensor aryl hydrocarbon receptor (AHR). Environ. Int. 169:107545. DOI:10.1016/j.envint.2022.107545

    View in Article CrossRef Google Scholar

    [206] Sulentic C. E. W., Kaplan B. L. F. and Lawrence B. P. (2025). Using the key characteristics framework to unlock the mysteries of aryl hydrocarbon receptor-mediated effects on the immune system. Annu. Rev. Immunol. 43:191−218. DOI:10.1146/annurev-immunol-083122-040107

    View in Article CrossRef Google Scholar

    [207] Huang W., Rui K., Wang X., et al. (2023). The aryl hydrocarbon receptor in immune regulation and autoimmune pathogenesis. J. Autoimmun. 138:103049. DOI:10.1016/j.jaut.2023.103049

    View in Article CrossRef Google Scholar

    [208] Jiang X., Wang J., Lin L., et al. (2024). Macrophages promote pre-metastatic niche formation of breast cancer through aryl hydrocarbon receptor activity. Signal. Transduct. Target Ther. 9:352. DOI:10.1038/s41392-024-02042-5

    View in Article CrossRef Google Scholar

    [209] Lee J. Y., Choi Y. H., Choi H. I., et al. (2024). Association between environmental mercury exposure and allergic disorders in Korean children: Korean National Environmental Health Survey (KoNEHS) cycles 3-4 (2015-2020). Sci. Rep. 14:1472. DOI:10.1038/s41598-024-51811-3

    View in Article CrossRef Google Scholar

    [210] Weidinger S., Krämer U., Dunemann L., et al. (2004). Body burden of mercury is associated with acute atopic eczema and total IgE in children from southern Germany. J. Allergy Clin. Immunol. 114:457−459. DOI:10.1016/j.jaci.2004.04.011

    View in Article CrossRef Google Scholar

    [211] Kim J. H., Jeong K. S., Ha E. H., et al. (2013). Association between prenatal exposure to cadmium and atopic dermatitis in infancy. J. Korean. Med. Sci. 28:516−521. DOI:10.3346/jkms.2013.28.4.516

    View in Article CrossRef Google Scholar

    [212] Tsai T. L., Wang S. L., Hsieh C. J., et al. (2021). Association between prenatal exposure to metals and atopic dermatitis among children aged 4 years in Taiwan. JAMA Netw. Open. 4:e2131327. DOI:10.1001/jamanetworkopen.2021.31327

    View in Article CrossRef Google Scholar

    [213] Lee S., Park S. K., Park H., et al. (2021). Prenatal heavy metal exposures and atopic dermatitis with gender difference in 6-month-old infants using multipollutant analysis. Environ. Res. 195:110865. DOI:10.1016/j.envres.2021.110865

    View in Article CrossRef Google Scholar

    [214] Choi H. S., Suh M. J., Hong S. C., et al. (2021). The association between the concentration of heavy metals in the indoor atmosphere and atopic dermatitis symptoms in children aged between 4 and 13 years: A pilot study. Children (Basel) 8. DOI:10.3390/children8111004

    View in Article Google Scholar

    [215] Koh H. Y., Kim T. H., Sheen Y. H., et al. (2019). Serum heavy metal levels are associated with asthma, allergic rhinitis, atopic dermatitis, allergic multimorbidity, and airflow obstruction. J. Allergy. Clin. Immunol. Pract. 7:2912−2915.e2912. DOI:10.1016/j.jaip.2019.05.015

    View in Article CrossRef Google Scholar

    [216] Lejding T., Mowitz M., Isaksson M., et al. (2018). A retrospective investigation of hexavalent chromium allergy in southern Sweden. Contact Dermatitis 78:386−392. DOI:10.1111/cod.12969

    View in Article CrossRef Google Scholar

    [217] Udensi U. K., Graham-Evans B. E., Rogers C., et al. (2011). Cytotoxicity patterns of arsenic trioxide exposure on HaCaT keratinocytes. Clin. Cosmet. Investig. Dermatol. 4:183−190. DOI:10.2147/ccid.S24677

    View in Article CrossRef Google Scholar

    [218] Jin J., Li L., Wang Y., et al. (2023). Estrogen alleviates acute and chronic itch in mice. Exp. Ther. Med. 25:255. DOI:10.3892/etm.2023.11954

    View in Article CrossRef Google Scholar

    [219] Xu B., Pekkanen J., Husman T., et al. (2003). Maternal sex hormones in early pregnancy and asthma among offspring: a case-control study. J. Allergy Clin. Immunol. 112:1101−1104. DOI:10.1016/j.jaci.2003.09.027

    View in Article CrossRef Google Scholar

    [220] Hwang M., Choi K. and Park C. (2022). Urinary levels of phthalate, bisphenol, and paraben and allergic outcomes in children: Korean national environmental health survey 2015-2017. Sci. Total Environ. 818:151703. DOI:10.1016/j.scitotenv.2021.151703

    View in Article CrossRef Google Scholar

    [221] Wang I. J. and Karmaus W. J. (2015). The effect of phthalate exposure and filaggrin gene variants on atopic dermatitis. Environ. Res. 136:213−218. DOI:10.1016/j.envres.2014.09.032

    View in Article CrossRef Google Scholar

    [222] Sung M., Kim D. H., Jee H. M., et al. (2023). Urine phthalate levels were associated with skin barrier dysfunction and atopic sensitization in children. Eur. Rev. Med. Pharmacol. Sci. 27:2888−2898. DOI:10.26355/eurrev_202304_31920

    View in Article CrossRef Google Scholar

    [223] Ait Bamai Y., Shibata E., Saito I., et al. (2014). Exposure to house dust phthalates in relation to asthma and allergies in both children and adults. Sci. Total Environ. 485-486:153-163. DOI:10.1016/j.scitotenv.2014.03.059

    View in Article Google Scholar

    [224] Bekö G., Callesen M., Weschler C. J., et al. (2015). Phthalate exposure through different pathways and allergic sensitization in preschool children with asthma, allergic rhinoconjunctivitis and atopic dermatitis. Environ. Res. 137:432−439. DOI:10.1016/j.envres.2015.01.012

    View in Article CrossRef Google Scholar

    [225] Stelmach I., Majak P., Jerzynska J., et al. (2015). The effect of prenatal exposure to phthalates on food allergy and early eczema in inner-city children. Allergy Asthma Proc. 36:72−78. DOI:10.2500/aap.2015.36.3867

    View in Article CrossRef Google Scholar

    [226] Lee J. Y., Lee J., Huh D. A., et al. (2021). Association between environmental exposure to phthalates and allergic disorders in Korean children: Korean national environmental health survey (KoNEHS) 2015-2017. Int. J. Hyg. Environ. Health 238:113857. DOI:10.1016/j.ijheh.2021.113857

    View in Article CrossRef Google Scholar

    [227] Lee S., Park S. K., Park H., et al. (2021). Joint association of prenatal bisphenol-A and phthalates exposure with risk of atopic dermatitis in 6-month-old infants. Sci. Total Environ. 789:147953. DOI:10.1016/j.scitotenv.2021.147953

    View in Article CrossRef Google Scholar

    [228] Podlecka D., Gromadzińska J., Mikołajewska K., et al. (2020). Longitudinal effect of phthalates exposure on allergic diseases in children. Ann. Allergy Asthma Immunol. 125:84−89. DOI:10.1016/j.anai.2020.03.022

    View in Article CrossRef Google Scholar

    [229] Li J., Li L., Zuo H., et al. (2014). T-helper type-2 contact hypersensitivity of Balb/c mice aggravated by dibutyl phthalate via long-term dermal exposure. PLoS One 9:e87887. DOI:10.1371/journal.pone.0087887

    View in Article CrossRef Google Scholar

    [230] Sadakane K., Ichinose T., Takano H., et al. (2014). Effects of oral administration of di-(2-ethylhexyl) and diisononyl phthalates on atopic dermatitis in NC/Nga mice. Immunopharmacol Immunotoxicol 36:61−69. DOI:10.3109/08923973.2013.866678

    View in Article CrossRef Google Scholar

    [231] Choi W. J., Kwon H. J., Hong S., et al. (2014). Potential nonmonotonous association between di(2-ethylhexyl) phthalate exposure and atopic dermatitis in Korean children. Br. J. Dermatol. 171:854−860. DOI:10.1111/bjd.12953

    View in Article CrossRef Google Scholar

    [232] Win-Shwe T. T., Yanagisawa R., Koike E., et al. (2013). Expression levels of neuroimmune biomarkers in hypothalamus of allergic mice after phthalate exposure. J. Appl. Toxicol. 33:1070−1078. DOI:10.1002/jat.2835

    View in Article CrossRef Google Scholar

    [233] Chuang Y. T., Yen C. Y., Liu W., et al. (2025). The protection of bisphenol A-modulated miRNAs and targets by natural products. Environ. Int. 196:109299. DOI:10.1016/j.envint.2025.109299

    View in Article CrossRef Google Scholar

  • Cite this article:

    Huang L., Zhou Y., Xiao H., et al. (2026). Emerging contaminants and their impacts on atopic dermatitis: Current mechanisms and future perspectives. The Innovation Medicine 4:100233. https://doi.org/10.59717/j.xinn-med.2026.100233
    Huang L., Zhou Y., Xiao H., et al. (2026). Emerging contaminants and their impacts on atopic dermatitis: Current mechanisms and future perspectives. The Innovation Medicine 4:100233. https://doi.org/10.59717/j.xinn-med.2026.100233

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