IMR Press / CEOG / Volume 50 / Issue 7 / DOI: 10.31083/j.ceog5007150
Open Access Systematic Review
Association between Diethylhexyl Phthalate Exposure with Folliculogenesis and Ovarian Steroidogenesis: A Systematic Review and Meta-Analysis
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1 Department of Chinese Integrative Medicine, Women's Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, Zhejiang, China
*Correspondence: syqufan@zju.edu.cn (Fan Qu)
Clin. Exp. Obstet. Gynecol. 2023, 50(7), 150; https://doi.org/10.31083/j.ceog5007150
Submitted: 7 January 2023 | Revised: 18 March 2023 | Accepted: 21 March 2023 | Published: 26 July 2023
(This article belongs to the Special Issue Environment and Pregnancy)
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

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.

Keywords
systematic review
diethylhexyl phthalate (DEHP)
mono(2-ethylhexyl) phthalate (MEHP)
folliculogenesis
ovarian steroidogenesis
estradiol
progesterone
meta-analysis
Funding
LZ21H270001/Zhejiang Province Science Foundation for Key Program
Figures
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