The history of Distilbène® (Diethylstilbestrol) told to grandchildren--the transgenerational effect

Ann Endocrinol (Paris). 2015 Jul;76(3):253-9. doi: 10.1016/j.ando.2015.03.008. Epub 2015 Apr 28.

Abstract

The Distilbène® story is a dramatic episode which belongs to the history of medicine. It provided several useful lessons such as the importance of evidence-based medicine and the hazard to develop treatments during pregnancy without careful animal verifications. However, this experience has also provided unexpected progress by suggesting new pathophysiological concepts: fetal programming of adult diseases and/or transgenerational transmission of environmental effects through epigenetic modifications.

Keywords: Adénocarcinome vaginal; Distilbène(®); Effet transgénérationnel; Endocrine disruptors; Exposition fœtale; Fetal exposure; Hypospadias; Perturbateurs endocriniens; Transgenerational effect; Vaginal adenocarcinoma.

Publication types

  • Historical Article

MeSH terms

  • Adult
  • Diethylstilbestrol / adverse effects*
  • Diethylstilbestrol / history*
  • Drug Prescriptions
  • Epigenesis, Genetic / drug effects
  • Estrogens, Non-Steroidal / adverse effects*
  • Estrogens, Non-Steroidal / history*
  • Female
  • History, 20th Century
  • Humans
  • Pregnancy
  • Prenatal Exposure Delayed Effects / history
  • Prenatal Exposure Delayed Effects / pathology

Substances

  • Estrogens, Non-Steroidal
  • Diethylstilbestrol