Evaluation of reproductive hormones in Egyptian workers occupationally exposed to di-2-ethylhexyl phthalate (DEHP): a cross-sectional study

J Complement Integr Med. 2021 May 19;18(4):851-857. doi: 10.1515/jcim-2020-0329.

Abstract

Objectives: Di-2-ethylhexyl phthalate (DEHP) is ubiquitous, known as an endocrine disruptor. DEHP is a widespread prevalence in general and occupational populations which raised great public concerns due to its potentially harmful health effects on the male reproductive system. We aimed to assess occupational levels of DEHP on gonadotropin and gonadal hormones including luteinizing hormone (LH), follicle-stimulating hormone (FSH), total testosterone (TT), and sex hormone binding globulin (SHBG) and evaluate its potential effects on Asp327Asn polymorphisms SHBG gene.

Methods: We measured the levels of DEHP of 90 male workers in one of polyvinyl chloride (PVC) industry plant using enzyme-linked immunosorbent assay. Sex hormones were examined and Asp327Asn polymorphisms SHBG gene were detected by PCR-RFLP in all participants.

Results: The workers were divided into low- and high- DEHP exposed groups based on the geometric mean (GM) levels (183.86 U/L) in serum. TT and TT: LH ratio were negatively correlated to DEHP levels (r=-0.213, p=0.038), (r=-0.225, p=0.027), respectively. The linear regression analysis revealed that a 10-fold increase of serum DEHP was found to be associated with 2.07 fold decreased in TT and a 2.26 fold decreased in TT/LH ratio.

Conclusions: Serum testosterone is negatively associated with DEHP exposure in occupational workers.

Keywords: Asp327Asn genotype; male sex hormones; occupational exposure; phthalate esters.

MeSH terms

  • Cross-Sectional Studies
  • Diethylhexyl Phthalate* / blood
  • Diethylhexyl Phthalate* / toxicity
  • Egypt
  • Follicle Stimulating Hormone
  • Humans
  • Luteinizing Hormone
  • Male
  • Occupational Exposure / adverse effects*
  • Sex Hormone-Binding Globulin / genetics
  • Testosterone / blood*

Substances

  • SHBG protein, human
  • Sex Hormone-Binding Globulin
  • Testosterone
  • phthalic acid
  • Luteinizing Hormone
  • Follicle Stimulating Hormone
  • Diethylhexyl Phthalate