Loading…
Prenatal Exposure to Di(2-Ethylhexyl) Phthalate Causes Long-Term Transgenerational Effects on Female Reproduction in Mice
Abstract Di(2-ethylhexyl) phthalate (DEHP) is a plasticizer in many consumer products. Although DEHP is a known endocrine disruptor, little is known about the effects of DEHP exposure on female reproduction. Thus, this study tested the hypothesis that prenatal DEHP exposure affects follicle numbers,...
Saved in:
Published in: | Endocrinology (Philadelphia) 2018-02, Vol.159 (2), p.795-809 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c514t-6d359f300a537a31870f3f5423da57f9738f8d3fd856c31462c547f2b97eaf663 |
---|---|
cites | cdi_FETCH-LOGICAL-c514t-6d359f300a537a31870f3f5423da57f9738f8d3fd856c31462c547f2b97eaf663 |
container_end_page | 809 |
container_issue | 2 |
container_start_page | 795 |
container_title | Endocrinology (Philadelphia) |
container_volume | 159 |
creator | Brehm, Emily Rattan, Saniya Gao, Liying Flaws, Jodi A |
description | Abstract
Di(2-ethylhexyl) phthalate (DEHP) is a plasticizer in many consumer products. Although DEHP is a known endocrine disruptor, little is known about the effects of DEHP exposure on female reproduction. Thus, this study tested the hypothesis that prenatal DEHP exposure affects follicle numbers, estrous cyclicity, and hormone levels in multiple generations of mice. Pregnant CD-1 mice were orally dosed with corn oil (vehicle control) or DEHP (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) from gestational day 11 until birth. The F1 females were mated with untreated males to create the F2 generation, and the F2 females were mated with untreated males to create the F3 generation. At 1 year, ovaries, hormones, and estrous cycles were analyzed in each generation. Prenatal DEHP exposure altered estrous cyclicity (750 mg/kg/d), increased the presence of ovarian cysts (750 mg/kg/d), and decreased total follicle numbers (750 mg/kg/d) in the F1 generation. It also decreased anogenital distance (200 µg/kg/d) and altered follicle numbers (200 µg/kg/d and 500 mg/kg/d) in the F2 generation, and it altered estrous cyclicity (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) and decreased folliculogenesis (200 µg/kg/d and 500 mg/kg/d) in the F3 generation. Further, prenatal DEHP increased estradiol levels (F1 and F3), decreased testosterone levels (F1, F2, and F3), decreased progesterone levels (F2), altered gonadotropin hormone levels (F1 and F3), and decreased inhibin B levels (F1 and F3). Collectively, these data show that prenatal exposure to DEHP has multigenerational and transgenerational effects on female reproduction and it may accelerate reproductive aging.
This study shows that prenatal exposure to di(2-ethylhexyl) phthalate causes long-term transgenerational effects on female reproduction and may accelerate reproductive aging. |
doi_str_mv | 10.1210/en.2017-03004 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5774227</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1210/en.2017-03004</oup_id><sourcerecordid>2303847751</sourcerecordid><originalsourceid>FETCH-LOGICAL-c514t-6d359f300a537a31870f3f5423da57f9738f8d3fd856c31462c547f2b97eaf663</originalsourceid><addsrcrecordid>eNp1kk1v1DAQhi0Eoh9w5IoscSmHFH_GyQWpWraAtIgKLWfLdcabVIkdbAd1_z1Jt5SCxGkszaNHM_MaoVeUnFNGyTvw54xQVRBOiHiCjmktZKGoIk8fvY_QSUo3hFAhBH-OjljNWEVZfYz2VxG8yabH69sxpCkCzgF_6M5Ysc7tvm_hdt-_xVdtbk1vMuCVmRIkvAl-V2whDngbjU878BBN7oJfTM6BzQkHjy9hMD3gbzDG0Ex2AXDn8ZfOwgv0zJk-wcv7eoq-X663q0_F5uvHz6uLTWElFbkoGy5rNy9nJFeG00oRx50UjDdGKlcrXrmq4a6pZGk5FSWzUijHrmsFxpUlP0XvD95xuh6gseBzNL0eYzeYuNfBdPrvju9avQs_tVRKMKZmwdm9IIYfE6Sshy5Z6HvjIUxJ01qVZD4_pzP65h_0JkxxvknSbAYqoZRcqOJA2RhSiuAehqFEL6Fq8HoJVd-FOvOvH2_wQP9O8c-EYRr_5zp8EP4Lpt6paw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2303847751</pqid></control><display><type>article</type><title>Prenatal Exposure to Di(2-Ethylhexyl) Phthalate Causes Long-Term Transgenerational Effects on Female Reproduction in Mice</title><source>Oxford Journals Online</source><creator>Brehm, Emily ; Rattan, Saniya ; Gao, Liying ; Flaws, Jodi A</creator><creatorcontrib>Brehm, Emily ; Rattan, Saniya ; Gao, Liying ; Flaws, Jodi A</creatorcontrib><description>Abstract
Di(2-ethylhexyl) phthalate (DEHP) is a plasticizer in many consumer products. Although DEHP is a known endocrine disruptor, little is known about the effects of DEHP exposure on female reproduction. Thus, this study tested the hypothesis that prenatal DEHP exposure affects follicle numbers, estrous cyclicity, and hormone levels in multiple generations of mice. Pregnant CD-1 mice were orally dosed with corn oil (vehicle control) or DEHP (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) from gestational day 11 until birth. The F1 females were mated with untreated males to create the F2 generation, and the F2 females were mated with untreated males to create the F3 generation. At 1 year, ovaries, hormones, and estrous cycles were analyzed in each generation. Prenatal DEHP exposure altered estrous cyclicity (750 mg/kg/d), increased the presence of ovarian cysts (750 mg/kg/d), and decreased total follicle numbers (750 mg/kg/d) in the F1 generation. It also decreased anogenital distance (200 µg/kg/d) and altered follicle numbers (200 µg/kg/d and 500 mg/kg/d) in the F2 generation, and it altered estrous cyclicity (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) and decreased folliculogenesis (200 µg/kg/d and 500 mg/kg/d) in the F3 generation. Further, prenatal DEHP increased estradiol levels (F1 and F3), decreased testosterone levels (F1, F2, and F3), decreased progesterone levels (F2), altered gonadotropin hormone levels (F1 and F3), and decreased inhibin B levels (F1 and F3). Collectively, these data show that prenatal exposure to DEHP has multigenerational and transgenerational effects on female reproduction and it may accelerate reproductive aging.
This study shows that prenatal exposure to di(2-ethylhexyl) phthalate causes long-term transgenerational effects on female reproduction and may accelerate reproductive aging.</description><identifier>ISSN: 1945-7170</identifier><identifier>ISSN: 0013-7227</identifier><identifier>EISSN: 1945-7170</identifier><identifier>DOI: 10.1210/en.2017-03004</identifier><identifier>PMID: 29228129</identifier><language>eng</language><publisher>Washington, DC: Endocrine Society</publisher><subject>17β-Estradiol ; Aging ; Animals ; Anogenital ; Consumer products ; Corn oil ; Cysts ; Diethylhexyl Phthalate - toxicity ; Endocrine disruptors ; Endocrine Disruptors - toxicity ; Endocrinology ; Estradiol - metabolism ; Estrous Cycle ; Estrus cycle ; Exposure ; Female ; Females ; Folliculogenesis ; Gonadotropins ; Hormones ; Humans ; Inhibin ; Male ; Males ; Maternal Exposure - adverse effects ; Menopause ; Mice ; Ovaries ; Ovary - drug effects ; Ovary - metabolism ; Ovary - physiopathology ; Phthalates ; Pituitary (anterior) ; Pregnancy ; Prenatal experience ; Prenatal exposure ; Prenatal Exposure Delayed Effects - etiology ; Prenatal Exposure Delayed Effects - metabolism ; Prenatal Exposure Delayed Effects - physiopathology ; Progesterone ; Reproduction ; Reproduction - drug effects ; Sex hormones ; Testosterone ; Testosterone - metabolism</subject><ispartof>Endocrinology (Philadelphia), 2018-02, Vol.159 (2), p.795-809</ispartof><rights>Copyright © 2018 Endocrine Society 2018</rights><rights>Copyright © 2018 Endocrine Society.</rights><rights>Copyright © 2018 Endocrine Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-6d359f300a537a31870f3f5423da57f9738f8d3fd856c31462c547f2b97eaf663</citedby><cites>FETCH-LOGICAL-c514t-6d359f300a537a31870f3f5423da57f9738f8d3fd856c31462c547f2b97eaf663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29228129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brehm, Emily</creatorcontrib><creatorcontrib>Rattan, Saniya</creatorcontrib><creatorcontrib>Gao, Liying</creatorcontrib><creatorcontrib>Flaws, Jodi A</creatorcontrib><title>Prenatal Exposure to Di(2-Ethylhexyl) Phthalate Causes Long-Term Transgenerational Effects on Female Reproduction in Mice</title><title>Endocrinology (Philadelphia)</title><addtitle>Endocrinology</addtitle><description>Abstract
Di(2-ethylhexyl) phthalate (DEHP) is a plasticizer in many consumer products. Although DEHP is a known endocrine disruptor, little is known about the effects of DEHP exposure on female reproduction. Thus, this study tested the hypothesis that prenatal DEHP exposure affects follicle numbers, estrous cyclicity, and hormone levels in multiple generations of mice. Pregnant CD-1 mice were orally dosed with corn oil (vehicle control) or DEHP (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) from gestational day 11 until birth. The F1 females were mated with untreated males to create the F2 generation, and the F2 females were mated with untreated males to create the F3 generation. At 1 year, ovaries, hormones, and estrous cycles were analyzed in each generation. Prenatal DEHP exposure altered estrous cyclicity (750 mg/kg/d), increased the presence of ovarian cysts (750 mg/kg/d), and decreased total follicle numbers (750 mg/kg/d) in the F1 generation. It also decreased anogenital distance (200 µg/kg/d) and altered follicle numbers (200 µg/kg/d and 500 mg/kg/d) in the F2 generation, and it altered estrous cyclicity (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) and decreased folliculogenesis (200 µg/kg/d and 500 mg/kg/d) in the F3 generation. Further, prenatal DEHP increased estradiol levels (F1 and F3), decreased testosterone levels (F1, F2, and F3), decreased progesterone levels (F2), altered gonadotropin hormone levels (F1 and F3), and decreased inhibin B levels (F1 and F3). Collectively, these data show that prenatal exposure to DEHP has multigenerational and transgenerational effects on female reproduction and it may accelerate reproductive aging.
This study shows that prenatal exposure to di(2-ethylhexyl) phthalate causes long-term transgenerational effects on female reproduction and may accelerate reproductive aging.</description><subject>17β-Estradiol</subject><subject>Aging</subject><subject>Animals</subject><subject>Anogenital</subject><subject>Consumer products</subject><subject>Corn oil</subject><subject>Cysts</subject><subject>Diethylhexyl Phthalate - toxicity</subject><subject>Endocrine disruptors</subject><subject>Endocrine Disruptors - toxicity</subject><subject>Endocrinology</subject><subject>Estradiol - metabolism</subject><subject>Estrous Cycle</subject><subject>Estrus cycle</subject><subject>Exposure</subject><subject>Female</subject><subject>Females</subject><subject>Folliculogenesis</subject><subject>Gonadotropins</subject><subject>Hormones</subject><subject>Humans</subject><subject>Inhibin</subject><subject>Male</subject><subject>Males</subject><subject>Maternal Exposure - adverse effects</subject><subject>Menopause</subject><subject>Mice</subject><subject>Ovaries</subject><subject>Ovary - drug effects</subject><subject>Ovary - metabolism</subject><subject>Ovary - physiopathology</subject><subject>Phthalates</subject><subject>Pituitary (anterior)</subject><subject>Pregnancy</subject><subject>Prenatal experience</subject><subject>Prenatal exposure</subject><subject>Prenatal Exposure Delayed Effects - etiology</subject><subject>Prenatal Exposure Delayed Effects - metabolism</subject><subject>Prenatal Exposure Delayed Effects - physiopathology</subject><subject>Progesterone</subject><subject>Reproduction</subject><subject>Reproduction - drug effects</subject><subject>Sex hormones</subject><subject>Testosterone</subject><subject>Testosterone - metabolism</subject><issn>1945-7170</issn><issn>0013-7227</issn><issn>1945-7170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kk1v1DAQhi0Eoh9w5IoscSmHFH_GyQWpWraAtIgKLWfLdcabVIkdbAd1_z1Jt5SCxGkszaNHM_MaoVeUnFNGyTvw54xQVRBOiHiCjmktZKGoIk8fvY_QSUo3hFAhBH-OjljNWEVZfYz2VxG8yabH69sxpCkCzgF_6M5Ysc7tvm_hdt-_xVdtbk1vMuCVmRIkvAl-V2whDngbjU878BBN7oJfTM6BzQkHjy9hMD3gbzDG0Ex2AXDn8ZfOwgv0zJk-wcv7eoq-X663q0_F5uvHz6uLTWElFbkoGy5rNy9nJFeG00oRx50UjDdGKlcrXrmq4a6pZGk5FSWzUijHrmsFxpUlP0XvD95xuh6gseBzNL0eYzeYuNfBdPrvju9avQs_tVRKMKZmwdm9IIYfE6Sshy5Z6HvjIUxJ01qVZD4_pzP65h_0JkxxvknSbAYqoZRcqOJA2RhSiuAehqFEL6Fq8HoJVd-FOvOvH2_wQP9O8c-EYRr_5zp8EP4Lpt6paw</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Brehm, Emily</creator><creator>Rattan, Saniya</creator><creator>Gao, Liying</creator><creator>Flaws, Jodi A</creator><general>Endocrine Society</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180201</creationdate><title>Prenatal Exposure to Di(2-Ethylhexyl) Phthalate Causes Long-Term Transgenerational Effects on Female Reproduction in Mice</title><author>Brehm, Emily ; Rattan, Saniya ; Gao, Liying ; Flaws, Jodi A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-6d359f300a537a31870f3f5423da57f9738f8d3fd856c31462c547f2b97eaf663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>17β-Estradiol</topic><topic>Aging</topic><topic>Animals</topic><topic>Anogenital</topic><topic>Consumer products</topic><topic>Corn oil</topic><topic>Cysts</topic><topic>Diethylhexyl Phthalate - toxicity</topic><topic>Endocrine disruptors</topic><topic>Endocrine Disruptors - toxicity</topic><topic>Endocrinology</topic><topic>Estradiol - metabolism</topic><topic>Estrous Cycle</topic><topic>Estrus cycle</topic><topic>Exposure</topic><topic>Female</topic><topic>Females</topic><topic>Folliculogenesis</topic><topic>Gonadotropins</topic><topic>Hormones</topic><topic>Humans</topic><topic>Inhibin</topic><topic>Male</topic><topic>Males</topic><topic>Maternal Exposure - adverse effects</topic><topic>Menopause</topic><topic>Mice</topic><topic>Ovaries</topic><topic>Ovary - drug effects</topic><topic>Ovary - metabolism</topic><topic>Ovary - physiopathology</topic><topic>Phthalates</topic><topic>Pituitary (anterior)</topic><topic>Pregnancy</topic><topic>Prenatal experience</topic><topic>Prenatal exposure</topic><topic>Prenatal Exposure Delayed Effects - etiology</topic><topic>Prenatal Exposure Delayed Effects - metabolism</topic><topic>Prenatal Exposure Delayed Effects - physiopathology</topic><topic>Progesterone</topic><topic>Reproduction</topic><topic>Reproduction - drug effects</topic><topic>Sex hormones</topic><topic>Testosterone</topic><topic>Testosterone - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brehm, Emily</creatorcontrib><creatorcontrib>Rattan, Saniya</creatorcontrib><creatorcontrib>Gao, Liying</creatorcontrib><creatorcontrib>Flaws, Jodi A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Endocrinology (Philadelphia)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brehm, Emily</au><au>Rattan, Saniya</au><au>Gao, Liying</au><au>Flaws, Jodi A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal Exposure to Di(2-Ethylhexyl) Phthalate Causes Long-Term Transgenerational Effects on Female Reproduction in Mice</atitle><jtitle>Endocrinology (Philadelphia)</jtitle><addtitle>Endocrinology</addtitle><date>2018-02-01</date><risdate>2018</risdate><volume>159</volume><issue>2</issue><spage>795</spage><epage>809</epage><pages>795-809</pages><issn>1945-7170</issn><issn>0013-7227</issn><eissn>1945-7170</eissn><abstract>Abstract
Di(2-ethylhexyl) phthalate (DEHP) is a plasticizer in many consumer products. Although DEHP is a known endocrine disruptor, little is known about the effects of DEHP exposure on female reproduction. Thus, this study tested the hypothesis that prenatal DEHP exposure affects follicle numbers, estrous cyclicity, and hormone levels in multiple generations of mice. Pregnant CD-1 mice were orally dosed with corn oil (vehicle control) or DEHP (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) from gestational day 11 until birth. The F1 females were mated with untreated males to create the F2 generation, and the F2 females were mated with untreated males to create the F3 generation. At 1 year, ovaries, hormones, and estrous cycles were analyzed in each generation. Prenatal DEHP exposure altered estrous cyclicity (750 mg/kg/d), increased the presence of ovarian cysts (750 mg/kg/d), and decreased total follicle numbers (750 mg/kg/d) in the F1 generation. It also decreased anogenital distance (200 µg/kg/d) and altered follicle numbers (200 µg/kg/d and 500 mg/kg/d) in the F2 generation, and it altered estrous cyclicity (20 and 200 µg/kg/d and 500 and 750 mg/kg/d) and decreased folliculogenesis (200 µg/kg/d and 500 mg/kg/d) in the F3 generation. Further, prenatal DEHP increased estradiol levels (F1 and F3), decreased testosterone levels (F1, F2, and F3), decreased progesterone levels (F2), altered gonadotropin hormone levels (F1 and F3), and decreased inhibin B levels (F1 and F3). Collectively, these data show that prenatal exposure to DEHP has multigenerational and transgenerational effects on female reproduction and it may accelerate reproductive aging.
This study shows that prenatal exposure to di(2-ethylhexyl) phthalate causes long-term transgenerational effects on female reproduction and may accelerate reproductive aging.</abstract><cop>Washington, DC</cop><pub>Endocrine Society</pub><pmid>29228129</pmid><doi>10.1210/en.2017-03004</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1945-7170 |
ispartof | Endocrinology (Philadelphia), 2018-02, Vol.159 (2), p.795-809 |
issn | 1945-7170 0013-7227 1945-7170 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5774227 |
source | Oxford Journals Online |
subjects | 17β-Estradiol Aging Animals Anogenital Consumer products Corn oil Cysts Diethylhexyl Phthalate - toxicity Endocrine disruptors Endocrine Disruptors - toxicity Endocrinology Estradiol - metabolism Estrous Cycle Estrus cycle Exposure Female Females Folliculogenesis Gonadotropins Hormones Humans Inhibin Male Males Maternal Exposure - adverse effects Menopause Mice Ovaries Ovary - drug effects Ovary - metabolism Ovary - physiopathology Phthalates Pituitary (anterior) Pregnancy Prenatal experience Prenatal exposure Prenatal Exposure Delayed Effects - etiology Prenatal Exposure Delayed Effects - metabolism Prenatal Exposure Delayed Effects - physiopathology Progesterone Reproduction Reproduction - drug effects Sex hormones Testosterone Testosterone - metabolism |
title | Prenatal Exposure to Di(2-Ethylhexyl) Phthalate Causes Long-Term Transgenerational Effects on Female Reproduction in Mice |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T19%3A15%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prenatal%20Exposure%20to%20Di(2-Ethylhexyl)%20Phthalate%20Causes%20Long-Term%20Transgenerational%20Effects%20on%20Female%20Reproduction%20in%20Mice&rft.jtitle=Endocrinology%20(Philadelphia)&rft.au=Brehm,%20Emily&rft.date=2018-02-01&rft.volume=159&rft.issue=2&rft.spage=795&rft.epage=809&rft.pages=795-809&rft.issn=1945-7170&rft.eissn=1945-7170&rft_id=info:doi/10.1210/en.2017-03004&rft_dat=%3Cproquest_pubme%3E2303847751%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c514t-6d359f300a537a31870f3f5423da57f9738f8d3fd856c31462c547f2b97eaf663%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2303847751&rft_id=info:pmid/29228129&rft_oup_id=10.1210/en.2017-03004&rfr_iscdi=true |