Volume 16, Issue 1 (January 2014) 16, 50–59; 10.4103/1008-682X.122199
Similar causes of various reproductive disorders in early life
Konstantin Svechnikov, Jan-Bernd Stukenborg, Iuliia Savchuck, Olle Söder
Paediatric Endocrinology Unit, Department of Women′s and Children′s Health, Karolinska Institutet & University Hospital, Stockholm 17176, Sweden
Correspondence: O Söder
Received: 08-07-2013; Revised: 28-07-2013; Accepted: 07-08-2013
Abstract |
During the past few decades, scientifi c evidence has been accumulated concerning the possible adverse effects of the exposure to environmental chemicals on the well-being of wildlife and human populations. One large and growing group of such compounds of anthropogenic or natural origin is referred to as endocrine-disrupting chemicals (EDCs), due to their deleterious action on the endocrine system. This concern was fi rst focused on the control of reproductive function particularly in males, but has later been expanded to include all possible endocrine functions. The present review describes the underlying physiology behind the cascade of developmental events that occur during sexual differentiation of males and the specifi c role of androgen in the masculinization process and proper organogenesis of the external male genitalia. The impact of the genetic background, environmental exposures and lifestyle factors in the etiology of hypospadias, cryptorchidism and testicular cancer are reviewed and the possible role of EDCs in the development of these reproductive disorders is discussed critically. Finally, the possible direct and programming effects of exposures in utero to widely use therapeutic compounds, environmental estrogens and other chemicals on the incidence of reproductive abnormalities and poor semen quality in humans are also highlighted.
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