Department of Pediatrics.
Kaiser Permanente, San Francisco, California.
Curr Opin Endocrinol Diabetes Obes. 2018 Feb;25(1):49-54. doi: 10.1097/MED.0000000000000377.
The current review summarizes recent epidemiologic data demonstrating the effects of endocrine disrupting compounds (EDCs) on the timing of puberty and highlights the complexity of understanding the interplay of environmental and genetic factors on pubertal timing.
In girls, there have been mixed results, with some exposures being associated with earlier timing of puberty, and some with later puberty. In boys, prepubertal exposures to nondioxin-like polychlorinated biphenyls accelerate puberty, whereas levels of insecticides, dioxin-like compounds, organochlorine pesticides, and lead delay puberty.
The effects of EDCs on pubertal timing are sexually dimorphic, compound specific, and varies according to the window of exposure. These studies confirm that low-level exposures to a mix of environmental compounds may mask the effects of individual compounds and complicate our ability to translate data from animal studies to human health and to fully understand the clinical implications of environmental epidemiology studies.
本文总结了最近的流行病学数据,这些数据表明内分泌干扰化合物(EDCs)对青春期开始时间的影响,并强调了理解环境和遗传因素对青春期开始时间相互作用的复杂性。
在女孩中,结果喜忧参半,一些暴露与青春期提前有关,而另一些则与青春期延迟有关。在男孩中,非二恶英类多氯联苯的青春期前暴露会加速青春期,而杀虫剂、二恶英类化合物、有机氯农药和铅的水平则会延迟青春期。
EDCs 对青春期开始时间的影响具有性别二态性、化合物特异性,并根据暴露窗口而有所不同。这些研究证实,低水平接触多种环境化合物可能会掩盖个别化合物的影响,使我们难以将动物研究数据转化为人类健康,并充分理解环境流行病学研究的临床意义。