Padmanabhan V, Sarma H N, Savabieasfahani M, Steckler T L, Veiga-Lopez A
Department of Pediatrics and the Reproductive Sciences Program, The University of Michigan, Ann Arbor, MI48109, USA.
Int J Androl. 2010 Apr;33(2):394-404. doi: 10.1111/j.1365-2605.2009.01024.x. Epub 2010 Jan 12.
The inappropriate programming of developing organ systems by exposure to excess native or environmental steroids, particularly the contamination of our environment and our food sources with synthetic endocrine disrupting chemicals that can interact with steroid receptors, is a major concern. Studies with native steroids have found that in utero exposure of sheep to excess testosterone, an oestrogen precursor, results in low birth weight offspring and leads to an array of adult reproductive/metabolic deficits manifested as cycle defects, functional hyperandrogenism, neuroendocrine/ovarian defects, insulin resistance and hypertension. Furthermore, the severity of reproductive dysfunction is amplified by excess postnatal weight gain. The constellation of adult reproductive and metabolic dysfunction in prenatal testosterone-treated sheep is similar to features seen in women with polycystic ovary syndrome. Prenatal dihydrotestosterone treatment failed to result in similar phenotype suggesting that many effects of prenatal testosterone excess are likely facilitated via aromatization to oestradiol. Similarly, exposure to environmental steroid imposters such as bisphenol A (BPA) and methoxychlor (MXC) from days 30 to 90 of gestation had long-term but differential effects. Exposure of sheep to BPA, which resulted in maternal levels of 30-50 ng/mL BPA, culminated in low birth weight offspring. These female offspring were hypergonadotropic during early postnatal life and characterized by severely dampened preovulatory LH surges. Prenatal MXC-treated females had normal birth weight and manifested delayed but normal amplitude LH surges. Importantly, the effects of BPA were evident at levels, which approximated twice the highest levels found in human maternal circulation of industrialized nations. These findings provide evidence in support of developmental origin of adult reproductive and metabolic diseases and highlight the risk posed by exposure to environmental endocrine disrupting chemicals.
暴露于过量的天然或环境类固醇,特别是我们的环境和食物来源被能与类固醇受体相互作用的合成内分泌干扰化学物质污染,导致发育中的器官系统编程不当,这是一个主要问题。对天然类固醇的研究发现,子宫内的绵羊暴露于过量的睾酮(一种雌激素前体)会导致出生体重低的后代,并导致一系列成年期生殖/代谢缺陷,表现为周期缺陷、功能性雄激素过多、神经内分泌/卵巢缺陷、胰岛素抵抗和高血压。此外,产后体重过度增加会加剧生殖功能障碍的严重程度。产前接受睾酮治疗的绵羊出现的成年期生殖和代谢功能障碍与多囊卵巢综合征女性的特征相似。产前给予双氢睾酮未能产生类似的表型,这表明产前睾酮过量的许多影响可能是通过芳香化转化为雌二醇来促进的。同样,在妊娠第30至90天暴露于环境类固醇类似物如双酚A(BPA)和甲氧滴滴涕(MXC)会产生长期但不同的影响。绵羊暴露于BPA,导致母体BPA水平达到30 - 50 ng/mL,最终产生出生体重低的后代。这些雌性后代在出生后早期促性腺激素水平过高,其特征是排卵前促黄体生成素激增严重受抑制。产前接受MXC治疗的雌性出生体重正常,表现出促黄体生成素激增延迟但幅度正常。重要的是,BPA的影响在其水平相当于工业化国家人类母体循环中发现的最高水平的两倍时就很明显。这些发现为支持成年期生殖和代谢疾病的发育起源提供了证据,并突出了暴露于环境内分泌干扰化学物质所带来的风险。