The human early-life exposome (HELIX): Project rationale and design

Martine Vrijheid, Rémy Slama, Oliver Robinson, Leda Chatzi, Muireann Coen, Peter van den Hazel, Cathrine Thomsen, John Wright, Toby J. Athersuch, Narcis Avellana, Xavier Basagaña, Celine Brochot, Luca Bucchini, Mariona Bustamante, Angel Carracedo, Maribel Casas, Xavier P. Estivill, Lesley Fairley, Diana van Gent, Juan R. GonzalezBerit Granum, Regina Gražulevičiene, Kristine B. Gutzkow, Jordi Julvez, Hector C. Keun, Manolis Kogevinas, Rosemary R C McEachan, Helle Margrete Meltzer, Eduard Sabidó, Per E. Schwarze, Valérie Siroux, Jordi Sunyer, Elizabeth J. Want, Florence Zeman, Mark J. Nieuwenhuijsen

Research output: Contribution to journalReview article

145 Citations (Scopus)


Background: Developmental periods in early life may be particularly vulnerable to impacts of environmental exposures. Human research on this topic has generally focused on single exposure- health effect relationships. The "exposome" concept encompasses the totality of exposures from conception onward, complementing the genome. Objectives: The Human Early-Life Exposome (HELIX) project is a new collaborative research project that aims to implement novel exposure assessment and biomarker methods to characterize early-life exposure to multiple environmental factors and associate these with omics biomarkers and child health outcomes, thus characterizing the "early-life exposome." Here we describe the general design of the project. Methods: In six existing birth cohort studies in Europe, HELIX will estimate prenatal and postnatal exposure to a broad range of chemical and physical exposures. Exposure models will be developed for the full cohorts totaling 32,000 mother-child pairs, and biomarkers will be measured in a subset of 1,200 mother-child pairs. Nested repeat-sampling panel studies (n = 150) will collect data on biomarker variability, use smartphones to assess mobility and physical activity, and perform personal exposure monitoring. Omics techniques will determine molecular profiles (metabolome, proteome, transcriptome, epigenome) associated with exposures. Statistical methods for multiple exposures will provide exposure-response estimates for fetal and child growth, obesity, neurodevelopment, and respiratory outcomes. A health impact assessment exercise will evaluate risks and benefits of combined exposures. Conclusions: HELIX is one of the first attempts to describe the early-life exposome of European populations and unravel its relation to omics markers and health in childhood. As proof of concept, it will form an important first step toward the life-course exposome.

Original languageEnglish
Pages (from-to)535-544
Number of pages10
JournalEnvironmental Health Perspectives
Issue number6
Publication statusPublished - 2014
Externally publishedYes


ASJC Scopus subject areas

  • Health, Toxicology and Mutagenesis
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Vrijheid, M., Slama, R., Robinson, O., Chatzi, L., Coen, M., van den Hazel, P., Thomsen, C., Wright, J., Athersuch, T. J., Avellana, N., Basagaña, X., Brochot, C., Bucchini, L., Bustamante, M., Carracedo, A., Casas, M., Estivill, X. P., Fairley, L., van Gent, D., ... Nieuwenhuijsen, M. J. (2014). The human early-life exposome (HELIX): Project rationale and design. Environmental Health Perspectives, 122(6), 535-544.