The ‘Des Syndrome’: A prototype of Human Teratogenesis and Tumourigenesis by Xenoestrogens?

作者: Jan L. Bernheim

DOI: 10.1007/978-94-015-9769-2_5

关键词: PhysiologyPsychopathologyCervixEndocrinologyVaginaMedicineClear-cell adenocarcinomaAbortionInternal medicineAbsolute risk reductionEpidemiologyOffspring

摘要: Diethylstilboestrol (DES), the first synthetic hormone, when antenatally prescribed to prevent spontaneous abortion, has been described in offspring cause a variety of congenital abnormalities female genital tract. In addition, with an estimated absolute risk 1:1000, it also causes clear cell adenocarcinoma (CCA) vagina and cervix young `DES-daughters’. Also neuroteratogenic effects have attributed DES, but psychopathology DES-exposed persons is shown here be largely iathrogenic, i.e., as consequence having disproportionately alarmed by its potential toxicity. With over 20,000 publications, DES one most studied compounds ever. Yet, many doubts persist on mechanisms action, whether or not may prevented some abortions, epidemiology causation CCA, how far affected humans through food-chain. Since no dose-effect relationship found humans, cannot excluded that could toxic at low doses, other less potent xenoestrogens would similar effects.

参考文章(103)
Gerald R. Cunha, Epithelial-Stromal Interactions in Development of the Urogenital Tract International Review of Cytology-a Survey of Cell Biology. ,vol. 47, pp. 137- 194 ,(1976) , 10.1016/S0074-7696(08)60088-1
Michael J. McFarlane, Alvan R. Feinstein, Ralph I. Horwitz, Diethylstilbestrol and clear cell vaginal carcinoma: Reappraisal of the epidemiologic evidence The American Journal of Medicine. ,vol. 81, pp. 855- 863 ,(1986) , 10.1016/0002-9343(86)90358-X
June Machover Reinisch, Stephanie A. Sanders, Prenatal gonadal steroidal influences on gender-related behavior. Progress in Brain Research. ,vol. 61, pp. 407- 416 ,(1984) , 10.1016/S0079-6123(08)64450-7
Bibbo M, Al-Naqeeb M, Newton M, Wied Gl, Sleeper Km, Baccarini I, Sonek Rn, Gill W, Follow-up study of male and female offspring of DES-treated mothers a preliminary report. Journal of Reproductive Medicine. ,vol. 15, pp. 29- 32 ,(1975)
Rinehart S. Potts, Jeanne M. Jacobson, Letter to the ,(1991)
O. Watkins Smith, George Van S. Smith, The influence of diethylstilbestrol on the progress and outcome of pregnancy as based on a comparison of treated with untreated primigravidas. American Journal of Obstetrics and Gynecology. ,vol. 58, pp. 994- 1009 ,(1949) , 10.1016/0002-9378(49)90204-5
Raymond H. Kaufman, Ervin Adam, Gary L. Binder, Elizabeth Gerthoffer, Upper genital tract changes and pregnancy outcome in offspring exposed in utero to diethylstilbestrol American Journal of Obstetrics and Gynecology. ,vol. 137, pp. 299- 308 ,(1980) , 10.1016/0002-9378(80)90913-8
Karl John Karnaky, The effect of diethylstilbestrol in the prolongation of pregnancy. American Journal of Obstetrics and Gynecology. ,vol. 58, pp. 596- 598 ,(1949) , 10.1016/0002-9378(49)90313-0
PETER C. OʼBRIEN, KENNETH L. NOLLER, STANLEY J. ROBBOY, ANN B. BARNES, RAYMOND H. KAUFMAN, BARBARA C. TILLEY, DUANE E. TOWNSEND, Vaginal epithelial changes in young women enrolled in the National Cooperative Diethylstilbestrol Adenosis (DESAD) project. Obstetrics & Gynecology. ,vol. 53, pp. 300- 308 ,(1979) , 10.1097/00006254-197908000-00020
Cary Miller, Karl Degenhardt, David A. Sassoon, Fetal exposure to DES results in de-regulation of Wnt7a during uterine morphogenesis Nature Genetics. ,vol. 20, pp. 228- 230 ,(1998) , 10.1038/3027