2017
DOI: 10.1016/j.reprotox.2017.04.009
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Current perspective of diethylstilbestrol (DES) exposure in mothers and offspring

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Cited by 69 publications
(32 citation statements)
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“…Studies have shown that the presence of DES has affected multiple signaling pathways in the body, but this is not yet fully clarified. It is now commonly believed that early DES exposure causes its effects by genetic and epigenetic alterations, not by changes in gene mutation [92]. Neonatal exposure to DES can cause extensive changes in gene expression that persist into adulthood.…”
Section: Diethylstilbestrolmentioning
confidence: 99%
“…Studies have shown that the presence of DES has affected multiple signaling pathways in the body, but this is not yet fully clarified. It is now commonly believed that early DES exposure causes its effects by genetic and epigenetic alterations, not by changes in gene mutation [92]. Neonatal exposure to DES can cause extensive changes in gene expression that persist into adulthood.…”
Section: Diethylstilbestrolmentioning
confidence: 99%
“…It was given to pregnant women to prevent miscarriage, its pharmaceutical use discontinued in the United States only in 1971 after the discovery of a cancer cluster in young women exposed in utero. DES changes the epigenome of exposed organisms, particularly during early development, and resulting alterations in gene expression cause multigenerational reproductive abnormalities and cancer risks in descendents of women who took DES (Al Jishi and Sergi 2017).…”
Section: Enter Growth Promotersmentioning
confidence: 99%
“…These ideas are helpful in assessing cause and effect but cannot prove an association. For example, there may be a small exposure with a large effect occurring only rarely, such as pregnant women exposed to diethylstilbestrol (DES), an estrogen drug used to prevent abortions, and their daughters who were observed to have an increased chance of a rare vaginal carcinoma (transitional cell cancer); moreover, some offspring of the daughters of women exposed to DES also had some abnormalities . This is difficult to explain with a temporal association, and even biologic plausibility, of DES exposure in utero causing cancer decades later, which is very remote from the exposure.…”
mentioning
confidence: 99%