Maternal use of nitrosatable drugs during pregnancy and adult male reproductive health: A population-based cohort study.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
ACS Applied Electronic Materials Pub Date : 2024-11-01 Epub Date: 2024-03-15 DOI:10.1111/andr.13625
Pernille Jul Clemmensen, Nis Brix, Jörg Schullehner, Gunnar Toft, Sandra Søgaard Tøttenborg, Karin Sørig Hougaard, Anne Ahrendt Bjerregaard, Thorhallur Ingi Halldorsson, Sjurdur Frodi Olsen, Birgitte Hansen, Leslie Thomas Stayner, Torben Sigsgaard, Henrik Kolstad, Jens Peter Ellekilde Bonde, Cecilia Høst Ramlau-Hansen
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引用次数: 0

Abstract

Background: Prenatal exposures to xenobiotics during the masculinization programming window are suggested to impact male fecundity later in life. Frequently used nitrosatable drugs, such as penicillins and beta2-agonists, contain amines or amides that may form teratogenic compounds in reaction with nitrite.

Objectives: We explored whether maternal nitrosatable drug use during gestation was associated with biomarkers of male fecundity in adulthood; moreover, the potential modifiable effect of nitrate and vitamin intake was investigated.

Method: We performed a cohort study in the Fetal Programming of Semen Quality cohort that includes semen characteristics, reproductive hormone concentrations, and measures of testis size on 1058 young adult sons in the Danish National Birth Cohort. Information on maternal use of nitrosatable drugs was obtained from questionnaires and interviews around gestational weeks 11 and 16. A multivariable negative binomial regression model was used to obtain relative differences in biomarkers of male fecundity for those whose mothers used nitrosatable drugs compared to those without such maternal use. In sub-analyses, the exposure was categorized according to nitrosatable drug type: secondary amine, tertiary amine, or amide. We investigated dose dependency by examining the number of weeks with intake and explored potential effect modification by low versus high maternal nitrate and vitamin intake from diet and nitrate concentration in drinking water. We added selection weights and imputed values of missing covariates to limit the risk of selection bias.

Results: In total, 19.6% of the study population were born of mothers with an intake of nitrosatable drugs at least once during early pregnancy. Relative differences in biomarkers related to male fecundity between exposed and unexposed participants were negligible. Imputation of missing covariates did not fundamentally alter the results. Furthermore, no sensitive subpopulations were detected.

Conclusions: The results suggest that maternal use of nitrosatable drugs does not have a harmful influence on the male fecundity of the offspring.

母亲在怀孕期间使用亚硝酸类药物与成年男性生殖健康:一项基于人群的队列研究。
背景:在男性化过程中,产前接触异种生物被认为会影响男性日后的生育能力。常用的亚硝酸盐类药物,如青霉素类和β2-激动剂,含有胺或酰胺,与亚硝酸盐反应可能形成致畸化合物:我们探讨了母亲在妊娠期间使用亚硝酸类药物是否与成年后男性生育能力的生物标志物有关;此外,我们还研究了硝酸盐和维生素摄入量的潜在可调节作用:我们在精液质量胎儿编程队列中进行了一项队列研究,该队列包括精液特征、生殖激素浓度和睾丸大小测量,对象是丹麦国家出生队列中的 1058 名年轻成年儿子。有关母亲使用亚硝酸类药物的信息是在妊娠 11 周和 16 周左右通过问卷调查和访谈获得的。通过多变量负二项回归模型,得出了母亲使用亚硝酸类药物的男性与母亲未使用此类药物的男性在生殖力生物标志物方面的相对差异。在子分析中,根据亚硝酸药物的类型对接触情况进行分类:仲胺、叔胺或酰胺。我们通过检查摄入药物的周数来研究剂量依赖性,并通过母亲从饮食中摄入的硝酸盐和维生素量的高低以及饮用水中硝酸盐的浓度来研究潜在的效应修正。我们增加了选择权重和缺失协变量的估算值,以限制选择偏倚的风险:共有 19.6% 的研究对象是在怀孕早期至少摄入过一次亚硝酸盐类药物的母亲所生的孩子。在与男性受胎率相关的生物标志物方面,接触过药物和未接触过药物的参与者之间的相对差异可以忽略不计。对缺失的协变量进行估算并未从根本上改变结果。此外,没有发现敏感亚人群:结果表明,母体使用亚硝酸类药物不会对后代男性的生育能力产生有害影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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