Flouris AD, Metsios GS, Jamurtas AZ, Koutedakis Y. Sexual dimorphism in the acute effects of secondhand smoke on thyroid hormone secretion, inflammatory markers and vascular function. Am J Physiol Endocrinol Metab 294: E456-E462, 2008. First published December 11, 2007 doi:10.1152/ajpendo.00699.2007.-Experimental evidence for the physiological effects of secondhand smoke (SHS) is limited, although it affects millions of people globally and its prevalence is increasing, despite currently adopted antismoking measures. Also, scarce evidence suggests that the effects of SHS may be more pronounced in men. We conducted a randomized single-blind crossover study to investigate the sex-specific SHS effects in a controlled simulated bar/restaurant environment on gonadal and thyroid hormones, inflammatory cytokines, and vascular function. Twentyeight (women ϭ 14) nonsmoking adults underwent a 1-h exposure to moderate SHS and a 1-h control trial. Serum and urine cotinine, gonadal and thyroid hormones, inflammatory cytokines, heart rate, and arterial blood pressure were assessed before exposure and immediately after in both trials. Results showed that testosterone (P ϭ 0.019) and progesterone (P Ͻ 0.001) in men and 17-estradiol (P ϭ 0.001) and progesterone (P Ͻ 0.001) in women were significantly decreased after SHS. In men, SHS was accompanied by increased free thyroxine (P Ͻ 0.001), triiodothyronine (P ϭ 0.020), and decreased the triiodothyronine-to-free thyroxine ratio (P ϭ 0.033). In women, significant SHS-induced change was observed only in free thyroxine (P ϭ 0.010), with considerable sex variation in free thyroxine and triiodothyronine and a decrease in luteinizing hormone (P ϭ 0.026) and follicle-stimulating hormone (P Ͻ 0.001). After SHS, IL-1 (P ϭ 0.001) and systolic blood pressure (P ϭ 0.040) were increased in men but not women. We concluded that a 1-h SHS exposure at bar/ restaurant levels is accompanied by decrements in gonadal hormones in both sexes and marked increases in thyroid hormone secretion, IL-1 production, and systolic blood pressure in men.environmental tobacco smoke; cotinine; estrogen; cytokines MORE THAN 126 MILLION AMERICAN and 130 million Chinese adult nonsmokers are currently exposed to secondhand smoke (SHS) on a daily basis, while global estimates include 700 million children and 50 million pregnant women (31). These figures generate major concerns given the overwhelming evidence on the adverse health effects of SHS (26) together with recent reports showing that, despite currently adopted measures, the prevalence rates of smoking are increasing (30). Experimental data from our (17) and other (14,18,19,26) laboratories suggest that even brief exposures to SHS cause marked changes in thyroid hormone secretion, platelet aggregation, endothelial function, arterial pressure waveform, inflammatory markers, as well as other hemodynamic alterations involved in the development of ischemic heart disease. At least some of these effects appear to be more pronounced in men compared with women (14, 20),...