Maternal application of tropical antifungal medication is associated with reduced steroid hormone levels during minipuberty and shorter anogenital distance in offspring from 3 months to 9 years of age: Odense Child Cohort

IF 2.8 4区 医学 Q2 REPRODUCTIVE BIOLOGY
Sarah Munk Andreasen , Anna-Patricia Iversen , Lars Christian Lund , Margit Bistrup Fischer , Anna-Maria Andersson , Naja Kamuk Rauer , Gylli Mola , Anders Juul , Casper P. Hagen , Tina Kold Jensen
{"title":"Maternal application of tropical antifungal medication is associated with reduced steroid hormone levels during minipuberty and shorter anogenital distance in offspring from 3 months to 9 years of age: Odense Child Cohort","authors":"Sarah Munk Andreasen ,&nbsp;Anna-Patricia Iversen ,&nbsp;Lars Christian Lund ,&nbsp;Margit Bistrup Fischer ,&nbsp;Anna-Maria Andersson ,&nbsp;Naja Kamuk Rauer ,&nbsp;Gylli Mola ,&nbsp;Anders Juul ,&nbsp;Casper P. Hagen ,&nbsp;Tina Kold Jensen","doi":"10.1016/j.reprotox.2025.109007","DOIUrl":null,"url":null,"abstract":"<div><div>Vaginal candidiasis affects about 20 % of pregnant women and is usually treated with over-the-counter topical antifungal medication (azoles). Vaginal or transdermal application of azoles are absorbed and detectable in circulation. Azoles inhibit CYP51, which is crucial for the integrity of fungal cellular membranes. However, cell cultures have shown that azoles also affect steroidogenesis. This study investigated maternal antifungal application during pregnancy and the association with reproductive hormones during <em>minipuberty</em> and anogenital distance (AGD) the in the offspring from infancy to 9 years of age. In the Odense Child Cohort (2010–2012), women completed questionnaires about antifungal application during pregnancy. Serum concentrations of luteinising hormone (LH), follicle-stimulating hormone (FSH), testosterone (T), estrone (E1), estradiol (E2), Δ4-androstenedione (adione), 17α-hydroxyprogesterone (17-OHP) and dehydroepiandrosterone-sulphate (DHEAS) were analysed in 454 infants at 3 months. AGD was assessed at 3, 18 months and 3, 5, 7 and 9 years of age, with 1792 measurements. Topical antifungal application during pregnancy was reported by 35 women. In boys, maternal application before GW 19 was associated with shorter AGD as well as lower adrenal hormone levels. In girls, application before GW 19 was associated with longer AGD and lower reproductive and adrenal hormone levels, while application after GW 19 was associated with shorter AGD, while hormone levels did not differ. Given the small number of cases, the findings should be interpreted with caution. The widespread use of over-the-counter antifungals appears to affect AGD and hormone production in offspring, which is concerning and may have long-term consequences for reproductive health.</div></div>","PeriodicalId":21137,"journal":{"name":"Reproductive toxicology","volume":"137 ","pages":"Article 109007"},"PeriodicalIF":2.8000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reproductive toxicology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0890623825001789","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REPRODUCTIVE BIOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Vaginal candidiasis affects about 20 % of pregnant women and is usually treated with over-the-counter topical antifungal medication (azoles). Vaginal or transdermal application of azoles are absorbed and detectable in circulation. Azoles inhibit CYP51, which is crucial for the integrity of fungal cellular membranes. However, cell cultures have shown that azoles also affect steroidogenesis. This study investigated maternal antifungal application during pregnancy and the association with reproductive hormones during minipuberty and anogenital distance (AGD) the in the offspring from infancy to 9 years of age. In the Odense Child Cohort (2010–2012), women completed questionnaires about antifungal application during pregnancy. Serum concentrations of luteinising hormone (LH), follicle-stimulating hormone (FSH), testosterone (T), estrone (E1), estradiol (E2), Δ4-androstenedione (adione), 17α-hydroxyprogesterone (17-OHP) and dehydroepiandrosterone-sulphate (DHEAS) were analysed in 454 infants at 3 months. AGD was assessed at 3, 18 months and 3, 5, 7 and 9 years of age, with 1792 measurements. Topical antifungal application during pregnancy was reported by 35 women. In boys, maternal application before GW 19 was associated with shorter AGD as well as lower adrenal hormone levels. In girls, application before GW 19 was associated with longer AGD and lower reproductive and adrenal hormone levels, while application after GW 19 was associated with shorter AGD, while hormone levels did not differ. Given the small number of cases, the findings should be interpreted with caution. The widespread use of over-the-counter antifungals appears to affect AGD and hormone production in offspring, which is concerning and may have long-term consequences for reproductive health.
母亲应用热带抗真菌药物可降低青春期前期的类固醇激素水平,缩短3个月至9岁的后代的肛门生殖器距离:欧登塞儿童队列
阴道念珠菌病影响约20% %的孕妇,通常用非处方局部抗真菌药物(唑)治疗。阴道或透皮应用的唑被吸收和检测循环。唑类药物抑制对真菌细胞膜完整性至关重要的CYP51。然而,细胞培养表明,唑类药物也影响类固醇的形成。本研究调查了母亲在怀孕期间抗真菌药物的应用,以及与幼鼠青春期和肛门生殖器距离(AGD)之间的生殖激素的关系。在欧登塞儿童队列(2010-2012)中,妇女完成了关于怀孕期间抗真菌应用的问卷调查。分析454例3月龄婴儿血清黄体生成素(LH)、卵泡刺激素(FSH)、睾酮(T)、雌酮(E1)、雌二醇(E2)、Δ4-androstenedione (adione)、17α-羟孕酮(17-OHP)和硫酸脱氢表雄酮(DHEAS)的浓度。在3个月、18个月、3岁、5岁、7岁和9岁时评估AGD,共1792次测量。据报道,35名妇女在怀孕期间使用局部抗真菌药物。在男孩中,母亲在GW 19之前应用与较短的AGD和较低的肾上腺激素水平相关。在女孩中,在GW 19之前施用与AGD较长、生殖激素和肾上腺激素水平较低相关,而GW 19之后施用与AGD较短相关,但激素水平没有差异。鉴于病例数量较少,应谨慎解释研究结果。非处方抗真菌药的广泛使用似乎会影响后代的AGD和激素分泌,这令人担忧,并可能对生殖健康产生长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Reproductive toxicology
Reproductive toxicology 生物-毒理学
CiteScore
6.50
自引率
3.00%
发文量
131
审稿时长
45 days
期刊介绍: Drawing from a large number of disciplines, Reproductive Toxicology publishes timely, original research on the influence of chemical and physical agents on reproduction. Written by and for obstetricians, pediatricians, embryologists, teratologists, geneticists, toxicologists, andrologists, and others interested in detecting potential reproductive hazards, the journal is a forum for communication among researchers and practitioners. Articles focus on the application of in vitro, animal and clinical research to the practice of clinical medicine. All aspects of reproduction are within the scope of Reproductive Toxicology, including the formation and maturation of male and female gametes, sexual function, the events surrounding the fusion of gametes and the development of the fertilized ovum, nourishment and transport of the conceptus within the genital tract, implantation, embryogenesis, intrauterine growth, placentation and placental function, parturition, lactation and neonatal survival. Adverse reproductive effects in males will be considered as significant as adverse effects occurring in females. To provide a balanced presentation of approaches, equal emphasis will be given to clinical and animal or in vitro work. Typical end points that will be studied by contributors include infertility, sexual dysfunction, spontaneous abortion, malformations, abnormal histogenesis, stillbirth, intrauterine growth retardation, prematurity, behavioral abnormalities, and perinatal mortality.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信