Abstract
Purpose
Acrylamide (AA) is a potential carcinogen that mainly comes from fried, baked and roasted foods, and Hb adducts of AA (HbAA) and its metabolite glycidamide (HbGA) are the biomarkers of its exposure. Increasing evidence suggests that AA is associated with various hormone-related cancers. This study aims to explore the association of HbAA and HbGA with female serum sex hormone concentrations.
Methods
942 women from the National Health and Nutrition Examination Survey cycles (2013–2016) were included in this cross-sectional study. The associations between HbAA or HbGA or HbGA/HbAA and sex hormones were assessed by the multiple linear regression. Further stratified analyses were conducted to figure out the effects of menopausal status, BMI and smoking status on sex hormone levels.
Results
Among all participants, 597 were premenopausal and 345 were postmenopausal. HbAA was positively associated with both two androgen indicators. Specifically, a ln-unit increase in HbAA was associated with 0.41 ng/dL higher ln(total testosterone, TT) (95% CI 0.00, 0.27) and 0.14 ng/dL higher ln(free testosterone) (95%CI 0.00, 0.28), respectively. However, HbGA concentrations had no association with sex hormones in the overall population. Additionally, HbGA/HbAA was negatively associated with TT and SHBG in the overall population as well as postmenopausal women. In stratified analysis, higher HbAA was associated with rising TT in postmenopausal women (β = 0.29, 95%CI 0.04, 0.53) and underweight/normal-weight women (β = 0.18, 95%CI 0.03, 0.33). Other indicators had no significant association detected in estradiol and sex hormone-binding globulin.
Conclusion
Our results revealed that HbAA was positively associated with androgen concentrations, especially in postmenopausal and BMI < 25 women.
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Data availability
The datasets generated during and/or analyzed during the current study are available in the NHANES repository, https://www.cdc.gov/nchs/nhanes/.
References
Yin G, Liao S, Gong D, Qiu H. (2021) Association of acrylamide and glycidamide haemoglobin adduct levels with diabetes mellitus in the general population. Environmental pollution. https://doi.org/10.1016/j.envpol.2021.116816
IARC working group on the evaluation of carcinogenic risks to humans: some industrial chemicals. Lyon, 15–22 February 1994. IARC monographs on the evaluation of carcinogenic risks to humans. 1994 60:1–560
Koszucka A, Nowak A, Nowak I, Motyl I (2020) Acrylamide in human diet, its metabolism, toxicity, inactivation and the associated European union legal regulations in food industry. Crit Rev Food Sci Nutr 60(10):1677–1692. https://doi.org/10.1080/10408398.2019.1588222
Törnqvist M, Fred C, Haglund J, Helleberg H, Paulsson B, Rydberg P (2002) Protein adducts: quantitative and qualitative aspects of their formation, analysis and applications. J Chromatogr, B: Anal Technol Biomed Life Sci 778(1–2):279–308. https://doi.org/10.1016/s1570-0232(02)00172-1
Shipp A, Lawrence G, Gentry R et al (2006) Acrylamide: review of toxicity data and dose-response analyses for cancer and noncancer effects. Crit Rev Toxicol 36(6–7):481–608. https://doi.org/10.1080/10408440600851377
Exon JH (2006) A review of the toxicology of acrylamide. J toxicology env health Part B, Critical rev 9(5):397–412. https://doi.org/10.1080/10937400600681430
Final FDA acrylamide action plan, data. FDA consumer. 2004 38 (3) 27
Pelucchi C, Bosetti C, Galeone C, La Vecchia C (2015) Dietary acrylamide and cancer risk: an updated meta-analysis. Int J Cancer 136(12):2912–2922. https://doi.org/10.1002/ijc.29339
Olesen PT, Olsen A, Frandsen H, Frederiksen K, Overvad K, Tjønneland A (2008) Acrylamide exposure and incidence of breast cancer among postmenopausal women in the danish diet, cancer and health study. Int J Cancer 122(9):2094–2100. https://doi.org/10.1002/ijc.23359
Zhivagui M, Ng AWT, Ardin M et al (2019) Experimental and pan-cancer genome analyses reveal widespread contribution of acrylamide exposure to carcinogenesis in humans. Genome Res 29(4):521–531. https://doi.org/10.1101/gr.242453.118
Hölzl-Armstrong L, Kucab JE, Moody S et al (2020) Mutagenicity of acrylamide and glycidamide in human TP53 knock-in (Hupki) mouse embryo fibroblasts. Arch Toxicol 94(12):4173–4196. https://doi.org/10.1007/s00204-020-02878-0
Besaratinia A, Pfeifer GP (2004) Genotoxicity of acrylamide and glycidamide. J Natl Cancer Inst 96(13):1023–1029. https://doi.org/10.1093/jnci/djh186
Hogervorst JG, Fortner RT, Mucci LA et al (2013) Associations between dietary acrylamide intake and plasma sex hormone levels. Cancer epidemiology, biomarkers prevention : publication of the Am Association Cancer Res, cosponsored Am Soc Preventive Oncology 22(11):2024–2036. https://doi.org/10.1158/1055-9965.Epi-13-0509
Dourson M, Hertzberg R, Allen B et al (2008) Evidence-based dose-response assessment for thyroid tumorigenesis from acrylamide. Regulatory toxicology and pharmacology : RTP 52(3):264–289. https://doi.org/10.1016/j.yrtph.2008.08.004
Aldawood N, Alrezaki A, Alanazi S et al (2020) Acrylamide impairs ovarian function by promoting apoptosis and affecting reproductive hormone release, steroidogenesis and autophagy-related genes: an in vivo study. Ecotoxicology environmental safety. https://doi.org/10.1016/j.ecoenv.2020.110595
Erdemli Z, Erdemli ME, Turkoz Y, Gul M, Yigitcan B, Gozukara BH (2019) The effects of acrylamide and vitamin E administration during pregnancy on adult rats testis. Andrologia 51(7):e13292. https://doi.org/10.1111/and.13292
Yilmaz BO, Yildizbayrak N, Aydin Y, Erkan M (2017) Evidence of acrylamide- and glycidamide-induced oxidative stress and apoptosis in Leydig and Sertoli cells. Hum Exp Toxicol 36(12):1225–1235. https://doi.org/10.1177/0960327116686818
Centers for Disease Control and Prevention (CDC). National health and nutrition examination survey (NHANES). Accessed June 3, 2022, Available at: https://www.cdc.gov/nchs/nhanes/index.htm
Acrylamide and Glycidamide Lab Procedure Manual Accessed June 3, 2022, Available at: https://wwwn.cdc.gov/Nchs/Nhanes/2015-2016/AMDGYD_I.htm
Laboratory Method Files. Accessed (2022), Available at: https://wwwn.cdc.gov/Nchs/Nhanes/2015-2016/TST_I.htm
Vermeulen A, Verdonck L, Kaufman JM (1999) A critical evaluation of simple methods for the estimation of free testosterone in serum. J Clin Endocrinol Metab 84(10):3666–3672. https://doi.org/10.1210/jcem.84.10.6079
Wang Y, Aimuzi R, Nian M, Zhang Y, Luo K, Zhang J (2021) Perfluoroalkyl substances and sex hormones in postmenopausal women: NHANES 2013–2016. Environ Int 149:106408. https://doi.org/10.1016/j.envint.2021.106408
Chu PL, Liu HS, Wang C, Lin CY (2020) Association between acrylamide exposure and sex hormones in males: NHANES, 2003–2004. PLoS ONE 15(6):e0234622. https://doi.org/10.1371/journal.pone.0234622
Li Z, Sun J, Zhang D (2021) Association between acrylamide hemoglobin adduct levels and depressive symptoms in US adults: NHANES. J Agric Food Chem 69(46):13762–13771. https://doi.org/10.1021/acs.jafc.1c04647
Chen WY, Fu YP, Zhong W, Zhou M (2021) The association between dietary inflammatory index and Sex hormones among postmenopausal Women in the US. Front Endocrinol 12:771565. https://doi.org/10.3389/fendo.2021.771565
NHANES Survey Methods and Analytic Guidelines. Accessed , 2022, Available at: https://wwwn.cdc.gov/nchs/nhanes/analyticguidelines.aspx
Hogervorst JG, Schouten LJ, Konings EJ, Goldbohm RA, van den Brandt PA (2007) A prospective study of dietary acrylamide intake and the risk of endometrial, ovarian, and breast cancer. Cancer epidemiology, biomarkers prevention : publication of the Ame Association Cancer Res, cosponsored Ame Soc Preventive Oncology 16(11):2304–2313. https://doi.org/10.1158/1055-9965.Epi-07-0581
Nagata C, Konishi K, Tamura T et al (2015) Associations of acrylamide intake with circulating levels of sex hormones and prolactin in premenopausal Japanese women. Cancer epidemiology, biomarkers prevention publication Association Cancer Res, cosponsored American Soc Preventive Oncology 24(1):249–254. https://doi.org/10.1158/1055-9965.Epi-14-0935
Vikström AC, Abramsson-Zetterberg L, Naruszewicz M, Athanassiadis I, Granath FN, Törnqvist M (2011) In vivo doses of acrylamide and glycidamide in humans after intake of acrylamide-rich food. Toxicological Sci Off J Soc Toxicology 119(1):41–49. https://doi.org/10.1093/toxsci/kfq323
Nagata C, Konishi K, Wada K et al (2018) Associations of acrylamide intake with urinary sex hormone levels among preschool-age Japanese Children. Am J Epidemiol 187(1):75–81. https://doi.org/10.1093/aje/kwx197
Liu S, Ben X, Liang H et al (2021) Association of acrylamide hemoglobin biomarkers with chronic obstructive pulmonary disease in the general population in the US: NHANES 2013–2016. Food Funct 12(24):12765–12773. https://doi.org/10.1039/d1fo02612g
Shiver TM, Sackett DL, Knipling L, Wolff J (1992) Intermediate filaments and steroidogenesis in adrenal Y-1 cells: acrylamide stimulation of steroid production. Endocrinology 131(1):201–207. https://doi.org/10.1210/endo.131.1.1319319
Longcope C (1986) Adrenal and gonadal androgen secretion in normal females. Clin Endocrinol Metab 15(2):213–228. https://doi.org/10.1016/s0300-595x(86)80021-4
Raju J, Roberts J, Taylor M et al (2015) Toxicological effects of short-term dietary acrylamide exposure in male F344 rats. Environ Toxicol Pharmacol 39(1):85–92. https://doi.org/10.1016/j.etap.2014.11.009
Song HX, Wang R, Geng ZM, Cao SX, Liu TZ (2008) Subchronic exposure to acrylamide affects reproduction and testis endocrine function of rats Zhonghua nan ke xue. National J andrology. 14(5):406–410
Camacho L, Latendresse JR, Muskhelishvili L et al (2012) Effects of acrylamide exposure on serum hormones, gene expression, cell proliferation, and histopathology in male reproductive tissues of fischer 344 rats. Toxicol Lett 211(2):135–143. https://doi.org/10.1016/j.toxlet.2012.03.007
Ose J, Poole EM, Schock H et al (2017) Androgens are differentially associated with ovarian cancer subtypes in the ovarian cancer cohort consortium. Can Res 77(14):3951–3960. https://doi.org/10.1158/0008-5472.Can-16-3322
Allen NE, Key TJ, Dossus L et al (2008) Endogenous sex hormones and endometrial cancer risk in women in the European Prospective Investigation into Cancer and Nutrition (EPIC). Endocr Relat Cancer 15(2):485–497. https://doi.org/10.1677/erc-07-0064
Wang B, Mi M, Wang J et al (2009) Does the increase of endogenous steroid hormone levels also affect breast cancer risk in Chinese women? a case-control study in chongqing China. Inter J Cancer 124(8):1892–1899. https://doi.org/10.1002/ijc.24132
Bianchi VE, Bresciani E, Meanti R, Rizzi L, Omeljaniuk RJ, Torsello A (2021) The role of androgens in women’s health and wellbeing. Pharmacol Res 171:105758. https://doi.org/10.1016/j.phrs.2021.105758
Wei Q, Li J, Li X, Zhang L, Shi F (2014) Reproductive toxicity in acrylamide-treated female mice. Reproductive toxicology (Elmsford, NY) 46:121–128. https://doi.org/10.1016/j.reprotox.2014.03.007
Simons P, Valkenburg O, Stehouwer CDA, Brouwers M (2021) Sex hormone-binding globulin: biomarker and hepatokine? Trends Endocrinol Metab 32(8):544–553. https://doi.org/10.1016/j.tem.2021.05.002
Zhu JL, Chen Z, Feng WJ, Long SL, Mo ZC. (2019) Sex hormone-binding globulin and polycystic ovary syndrome. Clinica chimica acta; international journal of clinical chemistry. 499:142–148. https://doi.org/10.1016/j.cca.2019.09.010
Glisic M, Rojas LZ, Asllanaj E et al (2018) Sex steroids, sex hormone-binding globulin and levels of N-terminal pro-brain natriuretic peptide in postmenopausal women. Int J Cardiol 261:189–195. https://doi.org/10.1016/j.ijcard.2018.03.008
Brand JS, van der Schouw YT (2010) Testosterone, SHBG and cardiovascular health in postmenopausal women. Intern J Impotence Res 22(2):91–104. https://doi.org/10.1038/ijir.2009.64
Oh H, Wild RA, Manson JE et al (2021) Obesity, height, and serum androgen metabolism among postmenopausal women in the women’s health initiative observational study. Cancer epidemiology, biomarkers prevention publication of the Ame Association Cancer Res, cosponsored by the Ame Soc Preventive Oncology 30(11):2018–2029. https://doi.org/10.1158/1055-9965.Epi-21-0604
Keevil BG (2016) LC-MS/MS analysis of steroids in the clinical laboratory. Clin Biochem 49(13–14):989–997. https://doi.org/10.1016/j.clinbiochem.2016.04.009
Funding
This work was supported by the National Natural Science Foundation of China (Grant No. 31771662).
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Conceptualization, RW, QM, and FM; methodology, formal analysis and software, RW; validation, RW and XD; investigation, RW and XD; resources and data curation, RW; writing–original draft preparation, RW and XD; writing–review and editing, RW, QM, and FM; visualization, RW and FM; supervision and project administration, QM and FM; funding acquisition, FM.
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This study was performed in line with the principles of the Declaration of Helsinki. Ethics approval was accepted by the institutional review board of the NCHS and study design was confirmed in accordance with the Helsinki Declaration.
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Wang, R., Deng, X., Ma, Q. et al. Association between acrylamide exposure and sex hormones among premenopausal and postmenopausal women: NHANES, 2013–2016. J Endocrinol Invest 46, 1533–1547 (2023). https://doi.org/10.1007/s40618-022-01976-3
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DOI: https://doi.org/10.1007/s40618-022-01976-3