Miranda-Figueroa Genezareth, Paz-Román María del Pilar, Aguilar-Madrid Guadalupe, Juárez-Pérez Cuauhtémoc Arturo, Basurto-Acevedo Lourdes, Haro-García Luis
Hospital Central Sur de Alta Especialidad, Petróleos Mexicanos (PEMEX), Distrito Federal, México, Mexico.
Rev Med Inst Mex Seguro Soc. 2013 May-Jun;51(3):270-5.
to identify changes in the male hormonal profile (MHP), consisting of luteinizing hormone (LH), follicle-stimulating hormone (FSH) and testosterone, in workers exposed to toluene.
cross-sectional study that included 42 workers, formed in two groups: with high and low exposure to toluene (HET and LET, respectively); the hippuric acid in urine, and the serum concentration in FSH, LH, and testosterone were measured.
hippuric acid in subjects with LET was 2.53 ± 1.20 g/g creatinine, and with HET: 6.31 ± 3.83 g/g creatinine (p = 0.02). Seric FSH concentration was 5.12 ± 0.77 and 3.55 ± 0.3 mU/mL (p = 0.02) in LET and HET, respectively; LH: 2.66 ± 0.45 and 2.77 ± 0.21 (p = 0.81), and testosterone 3.91 ± 0.34 and 4.86 ± 0.23 ng/mL (p = 0.04). By regression analysis, the correlation coefficient of FSH with hippuric acid was r = -0.33 (p = 0.031), with coefficient of determination of 11 %; the LH correlation coefficient was r = -0.037 (p = 0.88) and 0.05 %, respectively; and the one for testosterone was r = 0.61 (p = 0.0001) and 34 %.
in HET group, FSH and LH serum levels diminished; testosterone shows an opposite response, perhaps explained by a different sensitivity of the male gonads exposed to toluene.
确定接触甲苯的工人男性激素谱(MHP)的变化,该激素谱由黄体生成素(LH)、卵泡刺激素(FSH)和睾酮组成。
横断面研究,纳入42名工人,分为两组:甲苯高暴露组和低暴露组(分别为HET和LET);测量尿中马尿酸以及FSH、LH和睾酮的血清浓度。
LET组受试者尿中马尿酸为2.53±1.20 g/g肌酐,HET组为6.31±3.83 g/g肌酐(p = 0.02)。LET组和HET组血清FSH浓度分别为5.12±0.77和3.55±0.3 mU/mL(p = 0.02);LH分别为2.66±0.45和2.77±0.21(p = 0.81),睾酮分别为3.91±0.34和4.86±0.23 ng/mL(p = 0.04)。通过回归分析,FSH与马尿酸的相关系数r = -0.33(p = 0.031),决定系数为11%;LH相关系数分别为r = -0.037(p = 0.88)和0.05%;睾酮的相关系数为r = 0.61(p = 0.0001)和34%。
在HET组中,FSH和LH血清水平降低;睾酮呈现相反反应,这可能是由于接触甲苯的男性性腺敏感性不同所致。