Division of Urology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Group of Epigenetic Epidemiology, A.N. Belozersky Research Institute of Physico-Chemical Biology, Moscow State University, Moscow, Russia; Chapaevsk Medical Association, Chapaevsk, Samara Region, Russia.
Environ Int. 2020 Nov;144:106085. doi: 10.1016/j.envint.2020.106085. Epub 2020 Aug 29.
Epidemiologic literature on the relation of organochlorine pesticides (OCPs) with semen quality among adult men has been inconclusive, and no studies have prospectively explored the association between peripubertal serum OCPs and semen parameters in young men.
To evaluate prospective associations of peripubertal serum concentrations of hexachlorobenzene (HCB), β-hexachlorocylohexane (β-HCH), and p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) with semen parameters among young Russian men.
This prospective cohort study included 152 young men who enrolled in the Russian Children's Study (2003-2005) at age 8-9 years and were followed annually until young adulthood. HCB, β-HCH, and p,p'-DDE concentrations were measured at the CDC by mass spectrometry in serum collected at enrollment. Between 18 and 23 years, semen samples (n = 298) were provided for analysis of volume, concentration, and progressive motility; we also calculated total sperm count and total progressive motile count. Linear mixed models were used to examine the longitudinal associations of quartiles of serum HCB, β-HCH and p,p'-DDE with semen parameters, adjusting for total serum lipids, body mass index, smoking, abstinence time and baseline dietary macronutrient intake.
Lipid-adjusted medians (IQR) for serum HCB, βHCH and p,ṕ-DDE, respectively, were 150 ng/g lipid (102-243), 172 ng/g lipid (120-257) and 275 ng/g lipid (190-465). In adjusted models, we observed lower ejaculated volume with higher serum concentrations of HCB and βHCH, along with reduced progressive motility with higher concentrations of βHCH andp,ṕ-DDE. Men in the highest quartile of serum HCB had a mean (95% Confidence Interval, CI) ejaculated volume of 2.25 mL (1.89, 2.60), as compared to those in the lowest quartile with a mean (95% CI) of 2.97 mL (2.46, 3.49) (p = 0.03). Also, men in the highest quartile of serum p,ṕ-DDE had a mean (95% CI) progressive motility of 51.1% (48.6, 53.7), as compared to those in the lowest quartile with a mean (95% CI) of 55.1% (51.7, 58.5) (p = 0.07).
In this longitudinal Russian cohort study, peripubertal serum concentrations of selected OCPs were associated with lower ejaculated volume and progressive motility highlighting the importance of the peripubertal window when evaluating chemical exposures in relation to semen quality.
有关有机氯农药(OCPs)与成年男性精液质量之间关系的流行病学文献尚无定论,尚无研究前瞻性探讨青春期血清 OCPs 与年轻男性精液参数之间的关系。
评估青春期血清六氯苯(HCB)、β-六氯环己烷(β-HCH)和 p,p'-二氯二苯二氯乙烯(p,p'-DDE)浓度与俄罗斯年轻男性精液参数的前瞻性关联。
本前瞻性队列研究纳入了 152 名俄罗斯儿童研究(2003-2005 年)中 8-9 岁时入组的年轻男性,并在年轻成年期每年进行随访。在入组时通过质谱法在 CDC 测量血清中的 HCB、β-HCH 和 p,p'-DDE 浓度。在 18 至 23 岁时,提供精液样本(n=298)用于分析体积、浓度和前向运动性;我们还计算了总精子数和总前向运动精子数。线性混合模型用于检验血清 HCB、β-HCH 和 p,p'-DDE 四分位数与精液参数的纵向关联,调整了总血清脂质、体重指数、吸烟、禁欲时间和基线膳食宏量营养素摄入。
血清 HCB、βHCH 和 p,ṕ-DDE 的脂质调整中位数(IQR)分别为 150ng/g 脂质(102-243)、172ng/g 脂质(120-257)和 275ng/g 脂质(190-465)。在调整模型中,我们观察到 HCB 和 βHCH 浓度较高与精液体积较低,βHCH 和 p,ṕ-DDE 浓度较高与前向运动性降低有关。血清 HCB 最高四分位数的男性平均(95%置信区间,CI)精液体积为 2.25mL(1.89,2.60),而最低四分位数的男性平均(95%CI)为 2.97mL(2.46,3.49)(p=0.03)。此外,血清 p,p'-DDE 最高四分位数的男性平均(95%CI)前向运动性为 51.1%(48.6,53.7),而最低四分位数的男性平均(95%CI)为 55.1%(51.7,58.5)(p=0.07)。
在这项俄罗斯纵向队列研究中,选定 OCP 的青春期血清浓度与较低的精液体积和前向运动性相关,突出了评估化学暴露与精液质量之间关系时青春期窗口期的重要性。