PMID- 28869876 OWN - NLM STAT- MEDLINE DCOM- 20180307 LR - 20181202 IS - 1873-6750 (Electronic) IS - 0160-4120 (Linking) VI - 108 DP - 2017 Nov TI - Associations between internal exposure levels of persistent organic pollutants in adipose tissue and deep infiltrating endometriosis with or without concurrent ovarian endometrioma. PG - 195-203 LID - S0160-4120(17)30853-X [pii] LID - 10.1016/j.envint.2017.08.019 [doi] AB - Endometriosis is a gynaecological disease characterized by the presence of ectopic endometrial tissue. Histologically, it appears as different sub-types, being peritoneal endometriosis, ovarian endometrioma (OvE) and deep infiltrating endometriosis (DIE), which are of major relevance due to their varying clinical presentations. A number of persistent organic pollutants (POPs) have been associated with the onset of endometriosis, yet the overall set of existing studies remains fairly divergent. In this preliminary case-control study we aimed to assess the potential associations between the internal exposure to POPs and the presence of DIE with or without concurrent OvE. Adipose tissue and serum samples were collected from surgically confirmed cases (n=55) and controls (n=44) enrolled during 2013 and 2015 in Pays de la Loire, France. Targeted pollutants (76 historical or more emerging POPs including dioxins, polychlorobiphenyls (PCB), polybrominated diphenyl ethers (PBDEs), polybrominated biphenyls (PBBs), hexabromocyclododecanes (HBCDs) and organochlorine pesticides (OCPs) were quantified by chromatography coupled to mass spectrometry. Odds ratios (ORs) and 95% confidence intervals (CI) were estimated from unconditional logistic regression adjusted for known confounding variables. The results showed significant associations between DIE and adipose tissue levels of 1.2.3.7.8 - PeCDD, OCDF, PCB 105, 114, 118 and 123, PBDE 183, PBB 153, and several OCPs including trans‑nonachlor, cis‑heptachlor epoxide, dieldrin, beta-hexachlorocyclohexane and hexachlorobenzene. The largest associations were observed for OCDF followed by cis‑heptachlor epoxide, exhibiting adjusted ORs (95% CI) of 5.42 (2.73-12.85) and 5.36 (2.44-14.84) per 1-SD increase, respectively. The stratified analysis comparing both disease sub-types suggested that adipose tissue exposure markers may be more associated with DIE concurrent with OvE, however these results need to be confirmed in a larger population. CI - Copyright (c) 2017. Published by Elsevier Ltd. FAU - Ploteau, Stephane AU - Ploteau S AD - LUNAM Universite, Oniris, UMR 1329 Laboratoire d'Etude des Residus et Contaminants dans les Aliments (LABERCA), Nantes, France; Service de gynecologie-obstetrique, CIC FEA, Hopital Mere Enfant, CHU Hotel Dieu, Nantes, France. FAU - Cano-Sancho, German AU - Cano-Sancho G AD - LUNAM Universite, Oniris, UMR 1329 Laboratoire d'Etude des Residus et Contaminants dans les Aliments (LABERCA), Nantes, France; INRA Centre Angers-Nantes, Nantes F-44307, France. Electronic address: laberca@oniris-nantes.fr. FAU - Volteau, Christelle AU - Volteau C AD - Plateforme Biometrie, CHU Hotel Dieu, Nantes, France. FAU - Legrand, Arnaud AU - Legrand A AD - Service de gynecologie-obstetrique, CIC FEA, Hopital Mere Enfant, CHU Hotel Dieu, Nantes, France. FAU - Venisseau, Anais AU - Venisseau A AD - LUNAM Universite, Oniris, UMR 1329 Laboratoire d'Etude des Residus et Contaminants dans les Aliments (LABERCA), Nantes, France. FAU - Vacher, Vincent AU - Vacher V AD - LUNAM Universite, Oniris, UMR 1329 Laboratoire d'Etude des Residus et Contaminants dans les Aliments (LABERCA), Nantes, France. FAU - Marchand, Philippe AU - Marchand P AD - LUNAM Universite, Oniris, UMR 1329 Laboratoire d'Etude des Residus et Contaminants dans les Aliments (LABERCA), Nantes, France. FAU - Le Bizec, Bruno AU - Le Bizec B AD - LUNAM Universite, Oniris, UMR 1329 Laboratoire d'Etude des Residus et Contaminants dans les Aliments (LABERCA), Nantes, France. FAU - Antignac, Jean-Philippe AU - Antignac JP AD - LUNAM Universite, Oniris, UMR 1329 Laboratoire d'Etude des Residus et Contaminants dans les Aliments (LABERCA), Nantes, France; INRA Centre Angers-Nantes, Nantes F-44307, France. LA - eng PT - Journal Article DEP - 20170903 PL - Netherlands TA - Environ Int JT - Environment international JID - 7807270 RN - 0 (Endocrine Disruptors) RN - 0 (Environmental Pollutants) RN - 0 (Pesticides) SB - IM MH - Adipose Tissue/*chemistry MH - Adult MH - Case-Control Studies MH - Endocrine Disruptors/adverse effects MH - Endometriosis/*chemically induced MH - *Environmental Exposure MH - Environmental Pollutants/*adverse effects/analysis MH - Female MH - Humans MH - Pesticides/adverse effects/analysis OTO - NOTNLM OT - Deep infiltrating endometriosis OT - Dioxins OT - Endocrine-disrupting chemicals OT - Organochlorine pesticides OT - Ovarian endometrioma OT - Polychlorinated biphenyls EDAT- 2017/09/05 06:00 MHDA- 2018/03/08 06:00 CRDT- 2017/09/05 06:00 PHST- 2017/05/11 00:00 [received] PHST- 2017/08/29 00:00 [revised] PHST- 2017/08/29 00:00 [accepted] PHST- 2017/09/05 06:00 [pubmed] PHST- 2018/03/08 06:00 [medline] PHST- 2017/09/05 06:00 [entrez] AID - S0160-4120(17)30853-X [pii] AID - 10.1016/j.envint.2017.08.019 [doi] PST - ppublish SO - Environ Int. 2017 Nov;108:195-203. doi: 10.1016/j.envint.2017.08.019. Epub 2017 Sep 3.