Plasma Phthalate Levels in Pubertal Gynecomastia

Several untoward health effects of phthalates, which are a group of industrial chemicals with many commercial uses including personal-care products and plastic materials, have been defined. The most commonly used, di-(2-ethylhexyl)-phthalate (DEHP), is known to have antiandrogenic or estrogenic effe...

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Veröffentlicht in:Pediatrics (Evanston) 2010-01, Vol.125 (1), p.e122-e129
Hauptverfasser: Durmaz, Erdem, Ozmert, Elif N, Erkekoglu, Pinar, Giray, Belma, Derman, Orhan, Hincal, Filiz, Yurdakok, Kadriye
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container_end_page e129
container_issue 1
container_start_page e122
container_title Pediatrics (Evanston)
container_volume 125
creator Durmaz, Erdem
Ozmert, Elif N
Erkekoglu, Pinar
Giray, Belma
Derman, Orhan
Hincal, Filiz
Yurdakok, Kadriye
description Several untoward health effects of phthalates, which are a group of industrial chemicals with many commercial uses including personal-care products and plastic materials, have been defined. The most commonly used, di-(2-ethylhexyl)-phthalate (DEHP), is known to have antiandrogenic or estrogenic effects or both. Mono-(2-ethylhexyl)-phthalate (MEHP) is the main metabolite of DEHP. In this study, we aimed to determine the plasma DEHP and MEHP levels in pubertal gynecomastia cases. The study group comprised 40 newly diagnosed pubertal gynecomastia cases who were admitted to Hacettepe University Ihsan Doğramaci Children's Hospital. The control group comprised 21 age-matched children without gynecomastia or other endocrinologic disorder. Plasma DEHP and MEHP levels were measured by using high-performance liquid chromatography. Serum hormone levels were determined in some pubertal gynecomastia cases according to the physician's evaluation. Plasma DEHP and MEHP levels were found to be statistically significantly higher in the pubertal gynecomastia group compared with the control group (P < .001) (DEHP, 4.66 +/- 1.58 and 3.09 +/- 0.90 microg/mL, respectively [odds ratio: 2.77 (95% confidence interval: 1.48-5.21)]; MEHP, 3.19 +/- 1.41 and 1.37 +/- 0.36 microg/mL [odds ratio: 24.76 (95% confidence interval: 3.5-172.6)]). There was a statistically significant correlation between plasma DEHP and MEHP levels (r: 0.58; P < .001). In the pubertal gynecomastia group, no correlation could be determined between plasma DEHP and MEHP levels and any of the hormone levels. DEHP, which has antiandrogenic or estrogenic effects, may be an etiologic factor in pubertal gynecomastia. These results may pioneer larger-scale studies on the etiologic role of DEHP in pubertal gynecomastia.
doi_str_mv 10.1542/peds.2009-0724
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The most commonly used, di-(2-ethylhexyl)-phthalate (DEHP), is known to have antiandrogenic or estrogenic effects or both. Mono-(2-ethylhexyl)-phthalate (MEHP) is the main metabolite of DEHP. In this study, we aimed to determine the plasma DEHP and MEHP levels in pubertal gynecomastia cases. The study group comprised 40 newly diagnosed pubertal gynecomastia cases who were admitted to Hacettepe University Ihsan Doğramaci Children's Hospital. The control group comprised 21 age-matched children without gynecomastia or other endocrinologic disorder. Plasma DEHP and MEHP levels were measured by using high-performance liquid chromatography. Serum hormone levels were determined in some pubertal gynecomastia cases according to the physician's evaluation. Plasma DEHP and MEHP levels were found to be statistically significantly higher in the pubertal gynecomastia group compared with the control group (P &lt; .001) (DEHP, 4.66 +/- 1.58 and 3.09 +/- 0.90 microg/mL, respectively [odds ratio: 2.77 (95% confidence interval: 1.48-5.21)]; MEHP, 3.19 +/- 1.41 and 1.37 +/- 0.36 microg/mL [odds ratio: 24.76 (95% confidence interval: 3.5-172.6)]). There was a statistically significant correlation between plasma DEHP and MEHP levels (r: 0.58; P &lt; .001). In the pubertal gynecomastia group, no correlation could be determined between plasma DEHP and MEHP levels and any of the hormone levels. DEHP, which has antiandrogenic or estrogenic effects, may be an etiologic factor in pubertal gynecomastia. 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Plasma DEHP and MEHP levels were found to be statistically significantly higher in the pubertal gynecomastia group compared with the control group (P &lt; .001) (DEHP, 4.66 +/- 1.58 and 3.09 +/- 0.90 microg/mL, respectively [odds ratio: 2.77 (95% confidence interval: 1.48-5.21)]; MEHP, 3.19 +/- 1.41 and 1.37 +/- 0.36 microg/mL [odds ratio: 24.76 (95% confidence interval: 3.5-172.6)]). There was a statistically significant correlation between plasma DEHP and MEHP levels (r: 0.58; P &lt; .001). In the pubertal gynecomastia group, no correlation could be determined between plasma DEHP and MEHP levels and any of the hormone levels. DEHP, which has antiandrogenic or estrogenic effects, may be an etiologic factor in pubertal gynecomastia. These results may pioneer larger-scale studies on the etiologic role of DEHP in pubertal gynecomastia.</abstract><cop>United States</cop><pub>Am Acad Pediatrics</pub><pmid>20008419</pmid><doi>10.1542/peds.2009-0724</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Blood Chemical Analysis
Case-Control Studies
Child
Chromatography
Diethylhexyl Phthalate - analogs & derivatives
Diethylhexyl Phthalate - blood
Diethylhexyl Phthalate - chemistry
Environmental Exposure - adverse effects
Gynecomastia - blood
Gynecomastia - epidemiology
Gynecomastia - etiology
Hormones
Humans
Logistic Models
Male
Multivariate Analysis
Pediatrics
Phthalic Acids - blood
Phthalic Acids - chemistry
Plasma
Probability
Puberty
Puberty - blood
Puberty - physiology
Radioimmunoassay
Reference Values
Risk Assessment
Studies
Tandem Mass Spectrometry
Turkey
title Plasma Phthalate Levels in Pubertal Gynecomastia
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