Stress and Androgen Activity During Fetal Development.
Emily S Barrett1, Shanna H Swan1
1Department of Obstetrics and Gynecology (E.S.B.), University of Rochester School of Medicine and Dentistry, Rochester, New York 14642; and Department of Preventive Medicine (S.H.S.), Icahn School of Medicine at Mt Sinai, New York, New York 10029.
Prenatal stress impacts fetal development, potentially altering androgen activity and hormone-dependent outcomes. This review explores how stress and chemical exposures interact to affect reproductive development in infants.
Area of Science:
- Endocrinology
- Developmental Biology
- Environmental Health
Background:
- Prenatal stress is known to affect the hypothalamic-pituitary-adrenal axis.
- Emerging evidence suggests prenatal stress also influences androgen activity.
- Human studies indicate sex-dependent effects of prenatal stress on child outcomes and disease prevalence.
Purpose of the Study:
- To review the literature on prenatal stress and androgenic activity.
- To present preliminary data on the interaction between prenatal stress and diethylhexyl phthalate exposure.
- To investigate effects on reproductive development in infant boys.
Main Methods:
- Literature review of existing studies on prenatal stress and androgenic activity.
- Analysis of preliminary data examining prenatal stress, diethylhexyl phthalate exposure, and reproductive development.
- Focus on the maternal-placental-fetal unit's hormonal pathways.
Main Results:
- Prenatal stress disrupts testosterone surges in male animal models.
- Human data suggest associations between prenatal stress and masculinization in girls.
- Preliminary findings indicate prenatal stress may modify the effects of diethylhexyl phthalate on male infant reproductive development.
Conclusions:
- Prenatal exposure to both chemical and nonchemical stressors can alter sex steroid pathways.
- These alterations in the maternal-placental-fetal unit may impact hormone-dependent developmental endpoints.
- Further research is needed to understand the complex interplay of prenatal stressors on development.
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