MedicalResearch.com Interview with:
Dr. Andrea Gore PhD
Gustavus & Louise Pfeiffer Professor
University of Texas Austin/Div of Pharmacology/Toxicology
MedicalResearch.com Editor’s Note: Dr. Gore, Editor-in-Chief of the Journal
Endocrinology, has graciously answered several questions regarding the recent concerns of environmental chemicals linked to both early puberty and early menopause.
Medical Research: How can chemicals found inside the home impact onset of menopause?
Dr. Gore: It is important to clarify that the cause-and-effect relationship between chemicals and menopause is not established. The timing of menopause in women is due to a variety of factors including genetic traits, nutritional status, and general health or chronic disease. Some research on humans, including the recent study by Grindler et al., also suggests that environmental chemicals may contribute to the timing of earlier menopause. Animal models also suggest an advance in the timing of reproductive failure following earlier life exposures to endocrine-disrupting chemicals (EDCs). [See references below]. The question of exactly how chemicals may change the timing of menopause is therefore unresolved, but based on animal studies it is likely that the mechanisms include effects of endocrine-disrupting chemicals on the expression of genes and proteins involved in ovarian function that may lead to premature loss of follicles (eggs). Because the control of reproduction involves the brain and the pituitary gland, as well as the ovary, it is possible that endocrine-disrupting chemicals also impair how these organs regulate reproductive hormones.
- Gore AC, Walker DM, Zama AM, Armenti AE, Uzumcu M. Early
life exposure to endocrine-disrupting chemicals causes lifelong molecular
reprogramming of the hypothalamus and premature reproductive
aging. Mol Endocrinol. 2011;25:2157–2168.
- Shi Z, Valdez KE, Ting AY, Franczak A,GumSL, Petroff BK. Ovarian
endocrine disruption underlies premature reproductive senescence
following environmentally relevant chronic exposure to the
aryl hydrocarbon receptor agonist 2,3,7,8-tetrachlorodibenzo-p-dioxin.
Biol Reprod. 2007;76:198–202.
- Akkina J, Reif J, Keefe T, Bachand A. Age at natural menopause and
exposure to organochlorine pesticides in Hispanic women. J Toxicol
Environ Health A. 2004;67:1407–1422.
- Cooper GS, Savitz DA, Millikan R, Chiu Kit T. Organochlorine
exposure and age at natural menopause. Epidemiology. 2002;13:
729–733.
- Hatch EE, Troisi R, Wise LA, et al. Age at natural menopause in
women exposed to diethylstilbestrol in utero. Am J Epidemiol.
2006;164:682–688.
- KnoxSS, Jackson T, Javins B, Frisbee SJ, Shankar A, DucatmanAM.
Implications of early menopause in women exposed to perfluorocarbons.
J Clin Endocrinol Metab. 2011;96:1747–1753.
- Farr SL, Cai J, Savitz DA, Sandler DP, Hoppin JA, Cooper GS.
Pesticide exposure and timing of menopause: the Agricultural
Health Study. Am J Epidemiol. 2006;163:731–742.
Medical Research: What are the primary sources of exposure to these chemicals?
Dr. Gore: Endocrine-disrupting chemicals exposures come from a variety of sources, including plastic containers (e.g. water bottles) and other products, certain foods, personal care products, pesticides, and many others.