A New Frontier in Preventative Medicine

Build the Publicly Accessible Exposome Atlas.

For 60 years, the Child Health and Development Studies (CHDS) has produced groundbreaking discoveries linking prenatal exposures to diseases like breast cancer and multigenerational obesity. Today, revolutionary AI and mass spectrometry advances have created an unprecedented opportunity: we can now digitize CHDS's irreplaceable three-generation biological archive and health outcomes into a real-time, globally accessible resource. This $51M initiative will accelerate preventative medicine and treatment research on a scale never before possible.

Derived from 153 Peer-Reviewed CHDS Publications

Three Transformative Concepts Unlocked by Full Digitization

Sixty years of CHDS research have reshaped what we know about how prenatal exposures drive disease—but each breakthrough was built on one chemical, one disease, one painstaking lab study at a time. Full digitization would multiply these discoveries by orders of magnitude, creating three capabilities that do not yet exist in medicine.

1

The Prenatal Exposome Fingerprint for Lifetime Cancer Risk

From single-chemical proof to a whole-exposome prediction engine

CHDS has proven, one chemical at a time, that what a mother is exposed to during pregnancy predicts her child’s cancer risk decades later. Pesticide exposure in the womb triples breast cancer risk. A common anti-nausea drug triples colorectal cancer risk. A widely used hormone injection increases risk of colorectal, prostate, and brain cancers up to 35-fold. Antihistamines prescribed for morning sickness raise liver cancer risk nearly 5-fold. A class of antibiotics quadruples colorectal cancer risk. Each finding took years of work on a single compound—but a pilot using modern mass spectrometry on archived CHDS blood has already discovered entirely new suspect carcinogens that no one was even looking for. Digitizing all 50,000+ samples would measure thousands of exposures at once across three generations, cross-referenced against 60 years of cancer outcomes—building a comprehensive prenatal fingerprint that predicts lifetime cancer risk from a single pregnancy blood draw.

Breast Cancer Colorectal Cancer Ovarian Cancer Liver Cancer Prostate Cancer
View Supporting Publications (12 studies)
  • Cohn BA et al. J Clin Endocrinol Metab. 2015;100(8):2865-72. — DDT exposure in utero and breast cancer.
  • Cohn BA et al. Environ Health Perspect. 2007;115(10):1406-14. — DDT and breast cancer in young women.
  • Cohn BA, Cirillo PM, Terry MB. J Natl Cancer Inst. 2019;111(8):803-810. — DDT susceptibility windows and induction time.
  • Cirillo PM, Cohn BA. Reprod Toxicol. 2020;92:105-111. — Gestational biomarkers of daughter’s breast cancer.
  • Go YM et al. Environ Int. 2023;178:108112. — Exposome epidemiology for suspect chemicals linked to breast cancer.
  • Teeny S et al. Reprod Toxicol. 2025;133:108866. — Environmental basis for early-onset breast cancer.
  • Murphy CC et al. JNCI Cancer Spectr. 2023;7(2):pkad021. — In utero anti-nausea drug exposure and colorectal cancer.
  • Murphy CC et al. Am J Obstet Gynecol. 2022;226(1):132.e1-132.e14. — Pregnancy hormone injection and offspring cancer.
  • Murphy CC et al. Hepatol Commun. 2024;8(8):e0497. — In utero antihistamine exposure and liver cancer.
  • Murphy CC et al. Int J Epidemiol. 2023;52(5):1448-1458. — In utero antibiotic exposure and colorectal cancer.
  • Cirillo PM et al. Int J Cancer. 2016;139(5):1009-17. — Irregular menstruation predicts ovarian cancer.
  • Murphy CC et al. J Natl Cancer Inst. 2025;117(8):1639-1645. — Father’s occupation and offspring colorectal cancer.
2

Mapping Multigenerational Inheritance of Disease

From grandmother’s blood to granddaughter’s diagnosis—decoded at the molecular level

The CHDS is the only cohort in the world with stored blood samples, health records, and outcome data spanning three generations—grandmothers, mothers, and grandchildren. It has already proven that disease risk passes across generations through mechanisms beyond DNA: a grandmother’s pesticide exposure in the 1960s predicts her granddaughter’s obesity (2.6× risk) and early puberty (2.1× risk) fifty years later. Scientists have begun to explain how—showing that prenatal chemical exposure flips molecular switches on breast cancer genes still detectable in daughters’ blood at age 49, and that archived newborn blood carries molecular signatures of autism risk that differ by sex. Digitizing all three generations of samples would create the world’s first molecular atlas of inherited environmental disease—revealing which banned chemicals from decades ago are still driving disease in young people today, and where to intervene to break the chain.

Gene Regulation Biological Aging Autism Spectrum Disorder Transgenerational Obesity Mental Health
View Supporting Publications (10 studies)
  • Cirillo PM et al. Cancer Epidemiol Biomarkers Prev. 2021;30(8):1480-1488. — Grandmother’s DDT and granddaughter obesity & early puberty.
  • Wu HC et al. Reprod Toxicol. 2020;92:138-147. — Prenatal DDT and lifelong DNA methylation changes in daughters.
  • Mouat JS et al. Biol Sex Differ. 2025;16(1):30. — Newborn blood methylation signatures of autism.
  • Jones-Antwi RE et al. J Affect Disord. 2026;398:120962. — Lifecourse mental health and epigenetic aging.
  • Krigbaum NY et al. Reprod Toxicol. 2020;92:85-90. — In utero DDT and breast density before age 50.
  • Lipner E et al. JAMA Psychiatry. 2024;81(5):498-505. — Prenatal inflammation and adolescent depression.
  • Pike MR et al. Brain Behav Immun. 2024;119:908-918. — Prenatal inflammation, childhood cognition, and teen depression.
  • Suglia SF et al. Ann Behav Med. 2025;59(1):kaaf001. — Lifecourse stress and adult health outcomes.
  • Dickerson AS et al. Environ Res. 2022;206:112431. — Prenatal pesticide mixtures and adolescent substance use.
  • Link BG et al. Soc Sci Med. 2017;174:17-25. — Health disparities across generations.
3

Pregnancy as a Universal Diagnostic Window for Lifelong Disease

One blood draw that predicts disease across two lives

CHDS has built the most compelling evidence base in the world that pregnancy is a stress test revealing future disease—for both mother and child. Combinations of pregnancy complications predict cardiovascular death at 4–7× the normal rate; severe preeclampsia alone carries a 10-fold risk. Hormone levels in the third trimester predict breast cancer up to 38 years later. The same blood reveals the child’s future: inflammation during pregnancy predicts teenage depression; maternal obesity doubles the child’s colorectal cancer risk; undiagnosed celiac markers predict impaired infant growth; even heavy coffee drinking reduces a son’s fertility by 25% four decades later. Today, each of these is tested in isolation. Full digitization would turn a single prenatal blood draw into a comprehensive screening platform for the mother’s lifetime risk of heart disease, breast cancer, and metabolic disease—and the child’s risk of cancer, obesity, autism, depression, and reproductive problems. No such tool exists. The CHDS archive is the only dataset that could build and validate one.

Cardiovascular Disease Maternal Breast Cancer Offspring Depression Offspring Colorectal Cancer Reproductive Health Celiac / Autoimmune
View Supporting Publications (11 studies)
  • Cirillo PM, Cohn BA. Circulation. 2015;132(13):1234-42. — Pregnancy complications and cardiovascular death over 50 years.
  • Mongraw-Chaffin ML et al. Hypertension. 2010;56(1):166-71. — Preeclampsia and cardiovascular death.
  • Cohn BA et al. J Clin Endocrinol Metab. 2017;102(10):3739-3748. — Third-trimester hormones and maternal breast cancer.
  • Cirillo PM et al. Am J Gastroenterol. 2025;120(12):2935-2944. — Celiac screening in pregnancy and infant health.
  • Murphy CC et al. Gut. 2022;71(7):1332-1339. — Maternal obesity and offspring colorectal cancer.
  • Lipner E et al. JAMA Psychiatry. 2024;81(5):498-505. — Prenatal inflammation and adolescent depression.
  • Cirillo PM et al. J Dev Orig Health Dis. 2011;2(6):375-86. — Maternal coffee intake and adult son’s fertility.
  • Mongraw-Chaffin ML et al. Obesity. 2014;22(4):1149-56. — Pre-pregnancy weight and heart disease death.
  • Widen EM et al. Matern Child Nutr. 2018;14(1):e12481. — Maternal overweight and child brain development.
  • Jones DP, Cohn BA. Reprod Toxicol. 2020;92:4-10. — Vision for exposome epidemiology and breast cancer.
  • Kahn LG et al. Epidemiology. 2019;30(Suppl 2):S17-S27. — Birth weight, body size, and midlife fertility.

These three concepts share a single bottleneck: the biological archive remains analog.

153 studies have each unlocked one narrow window. Full digitization would open them all at once—creating a real-time, AI-queryable resource that transforms prenatal medicine from reactive diagnosis to predictive prevention across generations.

Fund the $51M Digitization Initiative

The Generational Opportunity

Prenatal exposures have a massive impact on human health. The CHDS cohort is the key to proving this link, but its physical samples are finite and require costly, labor-intensive assay analysis. Moreover, data access relies on slow, fragmented, and old-fashioned methods. We are building a modern, AI-driven platform to unlock this invaluable resource and accelerate scientific discovery.

Why now?

Global Early-Onset Cancer Rates Increasing

Longitudinal data indicates an alarming rise in early-onset cancer diagnoses (patients under 50) across several regions. This trend highlights a failure in current diagnostics and necessitates immediate, innovative action in detection and preventative research. The Exposome Atlas is designed to provide the predictive engine necessary to address this challenge.

โ€” Referenced findings from major peer-reviewed reports; please consult the project's bibliography for exact citations.

Legacy of Impact: CHDS Discoveries

For over 60 years, the CHDS has been a cornerstone of public health research, producing landmark findings that connect early-life exposures to lifelong health outcomes.

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DDT Exposure and Breast Cancer Risk

A seminal CHDS study revealed that women exposed to high levels of the pesticide DDT in utero were nearly four times more likely to be diagnosed with breast cancer as adults. This groundbreaking finding reshaped our understanding of environmental carcinogens.

Read the Report
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Multigenerational Obesity from PCBs

Research demonstrated that a grandmother's exposure to PCBs during pregnancy could increase obesity risk across generations, revealing multigenerational metabolic disruption.

Explore the Study
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Pregnancy Hormones as Cancer Predictors

By analyzing stored serum samples, CHDS investigators found steroid hormone levels during pregnancy were associated with future maternal breast cancer risk.

View Publication
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Paternal Occupation & Offspring Cancer

A CHDS study found a link between paternal occupation and an increased risk of colorectal cancer in adult offspring, suggesting paternal exposures can have downstream effects.

See Dr. Cohn's Profile
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Modernizing Analysis with Rodin

Rodin, a Python-based tool for high-resolution mass spectrometry, streamlines metabolomics analysis, making cohort data more accessible to modern researchers.

Learn about Rodin

A $51,000,000 Investment in Global Health

This is not just data preservation; it's the creation of a permanent, AI-powered engine for discovery. The funding will build the infrastructure, execute the analysis, and staff the initiative for permanent disease prevention on a global scale.

Initiative Cost
Mass Spectrometry Digitization (50,000+ Samples) $25,000,000
Custom LLM Development & Data Harmonization (3 Years) $6,000,000
Expert Bioinformatics, AI Staffing & Executive Leadership $6,000,000
Future-Generation Data Collection $5,000,000
10-Year Data Hosting, Storage & Operations $7,500,000
Global Access Front-End Platform & Outreach $1,500,000
TOTAL FUNDING REQUIRED $51,000,000

Join the Movement

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