title: Gene-environment interactions: a review of effects on reproduction and development.
abstract: Polymorphisms in genes can lead to differences in the level of susceptibility of individuals to potentially adverse effects of environmental influences, such as chemical exposure, on prenatal development or male or female reproductive function. We have reviewed the literature in this area, with the caveat that papers involving straight gene knock-outs in experimental animals, without a clear human relevance, were largely excluded. This review represents current knowledge in this rapidly moving field, presenting both human epidemiological and animal data, where available. Among the polymorphic genes and environmental interactions discussed with respect to prenatal development are those for P-glycoprotein (multidrug resistance protein) and the avermectins; methylenetetrahydrofolate reductase (MTHFR), an enzyme in folate metabolism, and dietary folic acid; transforming growth factor alpha (TGFalpha) and cigarette smoke; and alcohol dehydrogenase (ADH) and cytochrome P-450 (CYP) 2E1 in association with alcohol consumption. Effects on male reproduction attributable to gene-environment interaction involve infertility seen as a result of either organophosphorous (OP) pesticide interaction with the polymorphic paraoxonase (PON1) gene or antiandrogenic agent interaction with the androgen receptor (AR). MTHFR, folate metabolism, and dietary folic acid are also considered in conjunction with preeclampsia and early pregnancy loss, and the effect of the interaction of glutathione S-transferase (GST) with exposure to benzene or cigarette smoke on pregnancy maintenance is explored. As a conclusion, we offer a discussion of lessons learned and suggested research needs.
authors.affiliation: Reproductive Toxicology Division, National Health and Environmental Effects Research Laboratory, Office of Research and Development, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina 27711, USA. cummings.audrey@epa.gov
authors.forename: Audrey M
authors.initials: AM
authors.lastname: Cummings
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Kavlock
mesh_terms: D000818:Animals; D004032:Diet; D004195:Disease Models, Animal; D018432:Drug Resistance, Multiple; D004777:Environment; D004782:Environmental Health; D016021:Epidemiologic Studies; D020022:Genetic Predisposition to Disease; D006128:Growth / Q000187:drug effects* / Q000235:genetics*; D006801:Humans; D007246:Infertility / Q000209:etiology; D010575:Pesticides / Q000506:poisoning; D011110:Polymorphism, Genetic; D012098:Reproduction / Q000187:drug effects* / Q000235:genetics*; D015262:Xenobiotics / Q000378:metabolism
chemical_list: D010575:Pesticides; D015262:Xenobiotics