Skip to main content
Log in

Effect of Oral Contraceptive Pills on the Blood Serum Enzymes and DNA Damage in Lymphocytes Among Users

  • Original Article
  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

The continuous use of synthetic hormones as contraceptive pill or hormonal replacement therapy among women is increasing day by day. The widespread use of different formulations as oral contraceptives by women throughout their reproductive cycle has given rise to a serious concern for studying the effects of oral contraceptives on enzymatic profile and DNA damage in peripheral blood lymphocytes among users. The present study was carried out on women taking oral contraceptives. The study was based on the questionnaire having the information of reproductive history, fasting, age, health, nature of menstrual cycle, bleeding and other disease. The profile of the blood serum enzymes i.e. alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), lactate dehydrogenase (LDH), aminotransferases (SGOT and SGPT), serum proteins (albumin and globulin) and DNA damage in lymphocytes was studied among users and non-users. The results of the present study suggest that OCs not only effects enzymatic activity but also results in DNA damage that may vary with the duration of using oral contraceptives. A significant increase in LDH, GGT, SGPT, SGOT, globulin and decrease in ALP as well as albumin was found among users as compared to non-users. The observed DNA damage was more in users as compared to non-users. Hormonal contraceptives seem to exert DNA damage and also have significant effects on blood serum enzymes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Siskind V, Green A, Bain C, Purdie D. Beyond ovulation: oral contraceptives and epithelial ovarian. Epidemiology. 2000;11:106–10.

    Article  CAS  PubMed  Google Scholar 

  2. Weiderpass E, Adami HO, Baron JA, Magnusson C, Lindgren A, Persson I. Use of oral contraceptives and endometrial cancer risk (Sweden). Cancer Causes Control. 1999;10:277–84.

    Article  CAS  PubMed  Google Scholar 

  3. Palan PR, Strube F, Letko J, Sadikovic A, Mikhail MS. Effects of Oral, vaginal, and transdermal hormonal contraception on serum levels of coenzyme Q10, vitamin E, and total antioxidant activity. Obstet Gynecol Int. 2010;2010:1–4.

    Article  Google Scholar 

  4. Petitti DB. Combination estrogen–progestin oral contraceptives. N Engl J Med. 2003;349:1443–50.

    Article  CAS  PubMed  Google Scholar 

  5. Engel HJ, Engel E, Lichtlen PR. Coronary atherosclerosis and myocardial infarction in young women role of oral contraceptives. Eur Heart J. 1983;4:1–8.

    CAS  PubMed  Google Scholar 

  6. Jick H, Jick S, Myers MW, Vasilakis C. Risk of acute myocardial infarction and low-dose combined oral contraceptives. Lancet. 1996;347:627–8.

    Article  CAS  PubMed  Google Scholar 

  7. Lewis MA, Heinemann LA, Spitzer WO, MacRae KD, Bruppacher R. The use of oral contraceptives and the occurrence of acute myocardial infarction in young women. Results from the Transnational Study on Oral Contraceptives and the Health of Young Women. Contraception. 1997;56:129–40.

    Article  CAS  PubMed  Google Scholar 

  8. Dunn N, Thorogood M, Faragher B, de Caestecker L, MacDonald TM, Mann R. Oral contraceptives and myocardial infarction: results of the MICA case–control study. BMJ. 1999;318:1579–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Tanis BC, van den Bosch MA, Kemmeren JM, Cats VM, Helmerhorst FM, Algra A, Rosendaal FR. Oral contraceptives and the risk of myocardial infarction. N Engl J Med. 2001;345:1787–93.

    Article  CAS  PubMed  Google Scholar 

  10. Sidney S, Siscovick DS, Petitti DB, Schwartz SM, Quesenberry CP, Psaty BM, Koepsell TD. Myocardial infarction and use of low-dose oral contraceptives: a pooled analysis of 2 US studies. Circulation. 1998;98(11):1058–63.

    Article  CAS  PubMed  Google Scholar 

  11. Grabrick DM, Hartmann LC, Cerhan JR, Vierkant RA, Therneau TM, Vachon CM, Sellers TA. Risk of breast cancer with oral contraceptive use in women with a family history of breast cancer. J Am Med Assoc. 2000;284:1791–8.

    Article  CAS  Google Scholar 

  12. Rosenberg L, Zhang Y, Coogan PF, Strom BL, Palmer JR. A case–control study of oral contraceptive use and incident breast cancer. Am J Epidemiol. 2009;169:473–9.

    Article  PubMed  Google Scholar 

  13. Stanford JL, Brinton LA, Hoover RN. Oral contraceptives and breast cancer: results from an expanded case–control study. Br J Cancer. 1989;60:375–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Neuberger J, Forman D, Doll R, Williams R. Oral contraceptives and hepatocellular carcinoma. BMJ. 1986;92:1355–7.

    Article  Google Scholar 

  15. Bajpayee M, Pandey AK, Parmar D, Mathur N, Seth PK, Dhawan A. Comet assay responses in human lymphocytes are not influenced by the menstrual cycle: a study in healthy Indian females. Mutat Res. 2005;565:163–72.

    Article  CAS  PubMed  Google Scholar 

  16. Kapiszewska M, Kalemba M, Grzesiak A, Kocemba K. The level of endogenous DNA damage in lymphocytes isolated from blood is associated with the fluctuation of 17β estradiol concentration in the follicular phase of healthy young women. Acta Biochim Pol. 2005;52:535–9.

    CAS  PubMed  Google Scholar 

  17. Singh NP, McCoy MT, Tice RR, Schneider EL. A simple technique for quantitation of low levels of DNA damage in individual cells. Exp Cell Res. 1988;175:184–91.

    Article  CAS  PubMed  Google Scholar 

  18. Moore JS, Monson JP, Kaltsas G, Putignano P, Wood PJ, Sheppard MC, Stewart PM. Modulation of 11β-hydroxysteroid dehydrogenase isozymes by growth hormone and insulin-like growth factor: in vivo and in vitro studies. J Clin Endocrinol Metab. 1999;84:4172–7.

    CAS  PubMed  Google Scholar 

  19. Speroff L, Glass RH, Kase NG. Oral contraception. In: Fritz MA, Speroff L, editors. Clinical gynecologic endocrinology and infertility. Philadelphia: Lippincott Williams & Wilkins; 1999. p. 867–944.

    Google Scholar 

  20. Pike MC, Ross RK. Progestins and menopause: epidemiological studies of risks of endometrial and breast cancer. Steroids. 2000;65:659–64.

    Article  CAS  PubMed  Google Scholar 

  21. Siddique YH, Afzal M. Evaluation of genotoxic potential of synthetic progestin chlormadinone acetate. Toxicol Lett. 2004;153:221–5.

    Article  CAS  PubMed  Google Scholar 

  22. Siddique YH, Afzal M. Evaluation of genotoxic potential of ethynodiol diaacetate in human lymphocytes in vitro. Curr Sci. 2004;86:1161–5.

    CAS  Google Scholar 

  23. Dorn SB, Degen GH, Muller T, Bonacker D, Joosten HF, van der Louw J, Bolt HM. Proposed criteria for specific and non-specific chromosomal genotoxicity based on hydrophobic interactions. Mutat Res. 2007;628:67–75.

    Article  CAS  PubMed  Google Scholar 

  24. Dorn SB, Bolt HM, Thevis M, Diel P, Degen GH. Micronucleus induction in V79 cells by the anabolic doping steroids desoxymethyltestosterone (madol) and 19-norandrostenedione. Toxicol Lett. 2008;183:58–64.

    Article  CAS  PubMed  Google Scholar 

  25. Seraj MJ, Umemoto A, Tanaka M, Kajikawa A, Hamada K, Monden Y. DNA adduct formation by hormonal steroids in vitro. Mutat Res. 1996;370:49–59.

    Article  CAS  PubMed  Google Scholar 

  26. Siddique YH, Ara G, Beg T, Afzal M. Genotoxic potential of medroxyprogesterone acetate in cultured human peripheral blood lymphocytes. Life Sci. 2006;80:212–8.

    Article  CAS  PubMed  Google Scholar 

  27. Siddique YH, Afzal M. A review on the genotoxic effects of some synthetic progestins. Int J Pharmacol. 2008;4:410–30.

    Article  CAS  Google Scholar 

  28. Yan ZH, Lu GH, Yang XF. Single and combined effects of estrone and 17β-estradiol on male gold fish. Biomed Environ Sci. 2013;26:176–84.

    PubMed  Google Scholar 

  29. Siddique YH, Beg T, Afzal M. Genotoxic potential of ethinylestradiol in cultured mammalian cells. Chem Biol Interact. 2005;151:133–41.

    Article  CAS  PubMed  Google Scholar 

  30. Franconi F, Campesi I. Pharmacogenomics, pharmacokinetics and pharmacodynamics: interaction with biological differences between men and women. Br J Pharmacol. 2014;171:580–94.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Ozcagli E, Sardas S, Biri A. Assessment of DNA damage in postmenopausal women under hormone replacement therapy. Maturitas. 2005;51:280–5.

    Article  CAS  PubMed  Google Scholar 

  32. Kayikcioglu F, Gunes M, Baltaci V, Koçak M, Alpas I, Haberal A. Sister-chromatid exchange frequencies in postmenopausal hormone replacement patients. Mutat Res. 2000;452:37–9.

    Article  CAS  PubMed  Google Scholar 

  33. Kaplan MM. Alkaline phosphatase. Gastroenterology. 1972;62:452–68.

    CAS  PubMed  Google Scholar 

  34. Rosalki SB. Gamma-glutamyl transpeptidase. Adv Clin Chem. 1975;17:53–107.

    Article  CAS  PubMed  Google Scholar 

  35. Vroon DH, Israili Z. Alkaline phosphatase and gamma glutamyltransferase. 3rd ed. Boston: Butterworths; 1990.

    Google Scholar 

  36. Palmer JR, Rosenberg L, Kaufman DW, Warshauer ME, Stolley P, Shapiro S. Oral contraceptive use and liver cancer. Am J Epidemiol. 1989;130:878–81.

    CAS  PubMed  Google Scholar 

  37. Thane CW, Bates CJ, Prentice A. Oral contraceptives and nutritional status in adolescent British girls. Nutr Res. 2002;22:449–62.

    Article  CAS  Google Scholar 

  38. Naz F, Jyoti S, Akhtar N, Afzal M, Siddique YH. Lipid profile of women using oral contraceptive pills. Pak J Biol Sci. 2012;15:947–50.

    Article  CAS  PubMed  Google Scholar 

  39. Machado RB, de Melo NR, Maia H, Cruz AM. Effect of a continuous regimen of contraceptive combination of ethinylestradiol and drospirenone on lipid, carbohydrate and coagulation profiles. Contraception. 2010;81:102–6.

    Article  CAS  PubMed  Google Scholar 

  40. Naz F, Jyoti S, Akhtar N, Afzal M, Siddique YH. Genotoxic damage in cultured human peripheral blood lymphocytes of oral contraceptive users. Egypt J Med Hum Genet. 2012;13:301–5.

    Article  CAS  Google Scholar 

  41. Biri A, Civelek E, Karahalil B, Şardaş S. Assessment of DNA damage in women using oral contraceptives. Mutat Res. 2002;521:113–9.

    Article  CAS  PubMed  Google Scholar 

  42. Santos MCS, Rebelo ACS, Zuttin RS, César MC, Catai AM, Silva E. Influence of oral contraceptive use on lipid levels and cardiorespiratory responses among healthy sedentary women. Rev Bras Fisioter. 2008;12:188–94.

    Article  Google Scholar 

  43. Schulte-Hermann R, Timmermann-Trosiener I, Schuppler J. Promotion of spontaneous preneoplastic cells in rat liver as a possible explanation of tumor production by nonmutagenic compounds. Cancer Res. 1983;43:839–44.

    CAS  PubMed  Google Scholar 

  44. Ochs H, Düsterberg B, Günzel P, Schulte-Hermann R. Effect of tumor promoting contraceptive steroids on growth and drug metabolizing enzymes in rat liver. Cancer Res. 1986;46:1224–32.

    CAS  PubMed  Google Scholar 

  45. Braz MG, Salvadori DM. Lack of genotoxicity induced by endogenous and synthetic female sex hormones in peripheral blood cells detected by alkaline comet assay. Environ Mol Mutagen. 2007;48:414–20.

    Article  CAS  PubMed  Google Scholar 

  46. Roy D, Liehr JG. Estrogen, DNA damage and mutations. Mutat Res. 1999;424:107–15.

    Article  CAS  PubMed  Google Scholar 

  47. Sponchiado G, de Lucena Reynaldo EMF, de Andrade ACB, de Vasconcelos EC, Adam ML, deOliveira CMR. Genotoxic effects in erythrocytes of Oreochromis niloticus exposed to nanograms-per-liter concentration of 17β-estradiol (E2): an assessment using micronucleus test and comet assay. Water Air Soil Pollut. 2011;218:353–60.

    Article  CAS  Google Scholar 

  48. Gallmeier E, Winter JM, Cunningham SC, Kahn SR, Kern SE. Novel genotoxicity assays identify norethindrone to activate p53 and phosphorylate H2AX. Carcinogenesis. 2005;26:1811–20.

    Article  CAS  PubMed  Google Scholar 

  49. Siest G, Visvikis S, Herbeth B, Gueguen R, Vincent-Viry M, Sass C, Chevrier P. Objectives, design and recruitment of a familial and longitudinal cohort for studying gene–environment interactions in the field of cardiovascular risk: the Stanislaus cohort. Clin Chem Lab Med. 1998;36:35–42.

    CAS  PubMed  Google Scholar 

  50. Schiele F, Vincent-Viry M, Fournier B, Starck M, Siest G. Biological effects of eleven combined oral contraceptives on serum triglycerides, gamma-glutamyltransferase, alkaline phosphatase, bilirubin and other biochemical variables. Clin Chem Lab Med. 1998;36:871–8.

    Article  CAS  PubMed  Google Scholar 

  51. Naz F, Jyoti S, Afzal M, Siddique YH. Biochemical effects of oral contraceptives among users: a review. Int J Pharmacol. 2012;8:314–20.

    Article  CAS  Google Scholar 

  52. Smith TR, Miller MS, Lohman KK, Case LD, Hu JJ. DNA damage and breast cancer risk. Carcinogenesis. 2003;24:883–9.

    Article  CAS  PubMed  Google Scholar 

  53. Colleu-Durel S, Guitton N, Nourgalieva K, Leveque J, Danic B. Genomic instability and breast cancer. Oncol Rep. 2001;8:1001–5.

    CAS  PubMed  Google Scholar 

  54. Bolton JL. Quinoids, quinoid radicals, and phenoxyl radicals formed from estrogens and antiestrogens. Toxicology. 2002;2002(1771):55–65.

    Article  Google Scholar 

Download references

Acknowledgments

The authors are thankful to University Grant Commission (UGC), New Delhi for the award of project entitled: “Biochemical and Cytogenetic effects of Oral Contraceptives among women of different reproductive histories” [F. No. 39-582/2010(SR)] to Dr. Yasir Hasan Siddique, Department of Zoology, Aligarh Muslim University, Aligarh.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yasir Hasan Siddique.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Naz, F., Jyoti, S., Rahul et al. Effect of Oral Contraceptive Pills on the Blood Serum Enzymes and DNA Damage in Lymphocytes Among Users. Ind J Clin Biochem 31, 294–301 (2016). https://doi.org/10.1007/s12291-015-0533-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-015-0533-x

Keywords

Navigation