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2,4-D 与血清睾酮水平的关联:NHANES 2013-2014。

The association between 2,4-D and serum testosterone levels: NHANES 2013-2014.

机构信息

Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.

Department of Maternal-Infant and Urological Sciences, "Sapienza" Rome University, Policlinico Umberto I Hospital, Rome, Italy.

出版信息

J Endocrinol Invest. 2022 Apr;45(4):787-796. doi: 10.1007/s40618-021-01709-y. Epub 2021 Nov 27.

Abstract

BACKGROUND

Previous studies have investigated associations between herbicides such as 2,4-Dichlorophenoxyacetic acid (2,4-D) and dyshormonogenesis, specifically low testosterone, in human, rodent, and cell models, but results have been conflicting and inconclusive.

METHODS

Using data from a cross-sectional study of 456 adult men in the 2013-2014 NHANES survey cycle, we examined the relationship between urinary concentrations of 2,4-D and serum testosterone levels.

RESULTS

Multivariable regression models adjusting for potential confounders revealed a significant, negative association between urinary 2,4-D and mean serum testosterone among U.S. adult males (β =  - 11.4 ng/dL, p = 0.02). Multivariable logistic regression models using a cutoff defining abnormally low testosterone (i.e., serum testosterone < 300 ng/dL) revealed no significant associations between 2,4-D and the odds of low testosterone.

CONCLUSION

These findings expand on previous literature implicating a role for 2,4-D in the etiology of low testosterone and dyshormonogenesis. Future studies are warranted to corroborate these findings, determine clinical significance, and to investigate the proposed potential biological mechanisms underlying this association.

摘要

背景

先前的研究已经在人体、啮齿动物和细胞模型中调查了除草剂(如 2,4-二氯苯氧乙酸(2,4-D))与激素失调(特别是低睾酮)之间的关联,但结果存在冲突和不确定性。

方法

利用 2013-2014 年 NHANES 调查周期中 456 名成年男性的横断面研究数据,我们研究了尿中 2,4-D 浓度与血清睾酮水平之间的关系。

结果

在调整了潜在混杂因素的多变量回归模型中,美国成年男性尿中 2,4-D 与平均血清睾酮之间存在显著负相关(β = -11.4ng/dL,p = 0.02)。使用定义异常低睾酮(即血清睾酮 < 300ng/dL)的截断值的多变量逻辑回归模型显示,2,4-D 与低睾酮的几率之间没有显著关联。

结论

这些发现扩展了先前的文献,暗示 2,4-D 在低睾酮和激素失调的病因中起作用。未来的研究需要证实这些发现,确定其临床意义,并研究这种关联背后提出的潜在生物学机制。

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