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Updated: Feb 24, 2026

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Endocrine Disruption in Human Fetal Testis Explants by Individual and Combined Exposures to Selected Pharmaceuticals,
Pierre Gaudriault1,2, Séverine Mazaud-Guittot1,2, Vincent Lavoué3
1IRSET INSERM UMR1085 , Rennes, France.
Background:
Numerous chemicals are capable of disrupting androgen production, but the possibility that they might act together to produce effects greater than those of the most effective component in the mixture has not been studied directly in human tissues. Suppression of androgen synthesis in fetal life has been associated with testis maldescent, malformations of the genitalia at birth, and poor semen quality later in life.
Objectives:
Our aim was to investigate whether chemicals can act together to disrupt androgen production in human fetal testis explants and to evaluate the importance of mixture effects when characterizing the hazard of individual chemicals.
Methods:
We used an organotypic culture system of human fetal testes explants called FEtal Gonad Assay (FEGA) with tissue obtained at 10 and 12 gestational wk (GW 10-12), to screen 27 chemicals individually for their possible anti-androgenic effect. Based on the results of the screen, we selected 11 compounds and tested them as mixtures.
Results:
We evaluated mixtures composed of four and eight antiandrogens that contained the pharmaceuticals ketoconazole and theophylline and several previously untested chemicals, such as the pesticides imazalil and propiconazole. Mixtures of antiandrogens can suppress testosterone synthesis in human fetal testicular explants to an extent greater than that seen with individual chemicals. This revealed itself as a shift towards lower doses in the dose-response curves of individual antiandrogens that became more pronounced as the number of components increased from four to eight.
Conclusions:
Our results with the FEGA provide the foundations of a predictive human mixture risk assessment approach for anti-androgenic exposures in fetal life. https://doi.org/10.1289/EHP1014.
Insights
Mixtures of anti-androgenic chemicals can suppress testosterone synthesis in human fetal testes more than individual compounds. This finding is crucial for assessing risks from combined chemical exposures during fetal development.
Area of Science:
- Endocrinology
- Toxicology
- Developmental Biology
Background:
- Chemicals can disrupt androgen production, with potential adverse effects on male reproductive development.
- The combined effects of chemical mixtures on androgen synthesis in human tissues are not well understood.
- Fetal exposure to androgen-disrupting chemicals is linked to reproductive health issues later in life.
Purpose of the Study:
- To investigate if chemicals act synergistically to disrupt androgen production in human fetal testes.
- To evaluate the significance of mixture effects in hazard characterization of anti-androgenic chemicals.
- To establish a predictive human mixture risk assessment for fetal anti-androgenic exposures.
Main Methods:
- Utilized an organotypic culture system of human fetal testes explants (FEtal Gonad Assay - FEGA).
- Screened 27 chemicals individually for anti-androgenic effects in human fetal testes (gestational weeks 10-12).
- Tested 11 selected compounds in mixtures of four and eight components, including pharmaceuticals and pesticides.
Main Results:
- Mixtures of anti-androgens suppressed testosterone synthesis in human fetal testicular explants more than individual chemicals.
- Observed a leftward shift in dose-response curves for individual anti-androgens as mixture complexity increased.
- The impact of mixture effects was more pronounced with eight components compared to four.
Conclusions:
- Human fetal testes explants can be used to predict mixture effects of anti-androgenic chemicals.
- Mixture effects significantly alter the hazard assessment of individual anti-androgenic compounds.
- Established foundations for a predictive human mixture risk assessment approach for fetal anti-androgenic exposures.
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