Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis

Background: Environmental endocrine disruptor-diethylhexyl phthalate (DEHP) or its active metabolites-mono(2-ethylhexyl) phthalate (MEHP) has the greatest endocrine disrupting potency. The present systematic review and meta-analysis was to investigate the effects of DEHP/MEHP exposure on the follicu...

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Main Authors: Weihuan Hu, Yan Wu, Yuhang Zhu, Fangfang Wang, Fan Qu
Format: Article
Language:English
Published: IMR Press 2023-07-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/50/7/10.31083/j.ceog5007150
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author Weihuan Hu
Yan Wu
Yuhang Zhu
Fangfang Wang
Fan Qu
author_facet Weihuan Hu
Yan Wu
Yuhang Zhu
Fangfang Wang
Fan Qu
author_sort Weihuan Hu
collection DOAJ
description Background: Environmental endocrine disruptor-diethylhexyl phthalate (DEHP) or its active metabolites-mono(2-ethylhexyl) phthalate (MEHP) has the greatest endocrine disrupting potency. The present systematic review and meta-analysis was to investigate the effects of DEHP/MEHP exposure on the folliculogenesis and ovarian steroidogenesis in female rodents. Methods: A search was conducted using EMBASE, PubMed, Web of Science, and Cochrance Library databases. The meta-analyses were performed using mean difference (MD) and random-effects model. Risk of bias and subgroup analyses were assessed using Revman 5.4.1 and R 4.1.2. Registration number: PROSPERO CRD42021292264. Results: A total of 15 studies were included in this systematic review. We found that the exposure of DEHP/MEHP significantly increased the ovary weight (p = 0.003), decreased the serum progesterone levels (p = 0.0008) and delayed the vaginal opening (p = 0.01). Conclusions: The DEHP/MEHP exposure has adverse effects on some aspects of female reproduction ability which tested in female rodent. However, more evidence is needed to strengthen the conclusion.
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series Clinical and Experimental Obstetrics & Gynecology
spelling doaj-art-8eef1912d0f44bacb32ea100aca047892025-08-20T02:09:21ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-07-0150715010.31083/j.ceog5007150S0390-6663(23)02068-7Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-AnalysisWeihuan Hu0Yan Wu1Yuhang Zhu2Fangfang Wang3Fan Qu4Department of Chinese Integrative Medicine, Women's Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, ChinaDepartment of Chinese Integrative Medicine, Women's Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, ChinaDepartment of Chinese Integrative Medicine, Women's Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, ChinaDepartment of Chinese Integrative Medicine, Women's Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, ChinaDepartment of Chinese Integrative Medicine, Women's Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, ChinaBackground: Environmental endocrine disruptor-diethylhexyl phthalate (DEHP) or its active metabolites-mono(2-ethylhexyl) phthalate (MEHP) has the greatest endocrine disrupting potency. The present systematic review and meta-analysis was to investigate the effects of DEHP/MEHP exposure on the folliculogenesis and ovarian steroidogenesis in female rodents. Methods: A search was conducted using EMBASE, PubMed, Web of Science, and Cochrance Library databases. The meta-analyses were performed using mean difference (MD) and random-effects model. Risk of bias and subgroup analyses were assessed using Revman 5.4.1 and R 4.1.2. Registration number: PROSPERO CRD42021292264. Results: A total of 15 studies were included in this systematic review. We found that the exposure of DEHP/MEHP significantly increased the ovary weight (p = 0.003), decreased the serum progesterone levels (p = 0.0008) and delayed the vaginal opening (p = 0.01). Conclusions: The DEHP/MEHP exposure has adverse effects on some aspects of female reproduction ability which tested in female rodent. However, more evidence is needed to strengthen the conclusion.https://www.imrpress.com/journal/CEOG/50/7/10.31083/j.ceog5007150systematic reviewdiethylhexyl phthalate (dehp)mono(2-ethylhexyl) phthalate (mehp)folliculogenesisovarian steroidogenesisestradiolprogesteronemeta-analysis
spellingShingle Weihuan Hu
Yan Wu
Yuhang Zhu
Fangfang Wang
Fan Qu
Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis
Clinical and Experimental Obstetrics & Gynecology
systematic review
diethylhexyl phthalate (dehp)
mono(2-ethylhexyl) phthalate (mehp)
folliculogenesis
ovarian steroidogenesis
estradiol
progesterone
meta-analysis
title Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis
title_full Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis
title_fullStr Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis
title_full_unstemmed Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis
title_short Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis
title_sort association between diethylhexyl phthalate exposure with folliculogenesis and ovarian steroidogenesis a systematic review and meta analysis
topic systematic review
diethylhexyl phthalate (dehp)
mono(2-ethylhexyl) phthalate (mehp)
folliculogenesis
ovarian steroidogenesis
estradiol
progesterone
meta-analysis
url https://www.imrpress.com/journal/CEOG/50/7/10.31083/j.ceog5007150
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