Rignell-Hydbom A, Rylander L, Giwercman A, Jönsson B A G, Nilsson-Ehle P, Hagmar L
Department of Occupational and Environmental Medicine, Institute of Laboratory Medicine, Lund University Hospital, SE-221 85 Lund, Sweden.
Hum Reprod. 2004 Sep;19(9):2066-75. doi: 10.1093/humrep/deh362. Epub 2004 Jul 29.
During the last decades, there has been concern that exposure to endocrine disruptors, such as persistent organochlorine pollutants (POPs), may contribute to an impairment of male reproductive function. To investigate whether exposure to 2,2'4,4'5,5'-hexachlorobiphenyl (CB-153) and 1,1-dichloro-2,2-bis (p-chlorophenyl)-ethylene (p,p'-DDE) affects semen quantity and quality and reproductive hormones, 195 Swedish fishermen, aged 24-65 years, were investigated.
The men provided semen samples which were analysed in a mobile laboratory unit. Blood samples and information relating to lifestyle, medical and reproductive history were obtained.
The subjects had a median CB-153 serum level of 193 ng/g lipid (range 39-1460) and a median p,p'-DDE serum level of 240 ng/g lipid (range 334-2251). When CB-153 was categorized into quintiles, the subjects in the quintile with the highest concentration (> 328 ng/g lipid), tended to have decreased sperm motility compared with the subjects in the lowest quintile (< 113 ng/g lipid). The age-adjusted mean difference was 9.9% (95% confidence interval -1.0 to 21% P = 0.08). We found no significant associations between p,p'-DDE and semen characteristics or reproductive hormones.
The association between CB-153 and sperm motility, although not formally significant, is of interest considering the possible endocrine-disrupting effects of polychlorinated biphenyls (PCBs).
在过去几十年间,人们一直担心接触内分泌干扰物,如持久性有机氯污染物(POPs),可能会损害男性生殖功能。为了研究接触2,2',4,4',5,5'-六氯联苯(CB - 153)和1,1 - 二氯 - 2,2 - 双(对氯苯基)乙烯(p,p'-DDE)是否会影响精液数量、质量和生殖激素,对195名年龄在24至65岁的瑞典渔民进行了调查。
这些男性提供了精液样本,在一个移动实验室单元中进行分析。采集了血液样本,并获取了与生活方式、病史和生殖史相关的信息。
受试者的CB - 153血清中位水平为193 ng/g脂质(范围39 - 1460),p,p'-DDE血清中位水平为240 ng/g脂质(范围334 - 2251)。当将CB - 153分为五个五分位数时,与最低五分位数(<113 ng/g脂质)的受试者相比,最高浓度五分位数(>328 ng/g脂质)的受试者精子活力有下降趋势。年龄调整后的平均差异为9.9%(95%置信区间 -1.0至21%,P = 0.08)。我们发现p,p'-DDE与精液特征或生殖激素之间没有显著关联。
考虑到多氯联苯(PCBs)可能的内分泌干扰作用,CB - 153与精子活力之间的关联虽然未达到统计学显著水平,但仍值得关注。