Possible risk of endometriosis for Seveso, Italy, residents: an assessment of exposure to dioxin.

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Seveso, Italy, residents exposed to dioxin after a 1976 accident experienced cumulative exposure levels exceeding those in monkeys that developed endometriosis, suggesting they form an ideal cohort to study endometriosis risk.

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Abstract

A recent study by Rier et al. showed that rhesus monkeys exposed daily for 4 years to 5 or 25 ppt of dioxin in food develop endometriosis, with incidence and severity related to dose. We aimed to determine whether the total time-integrated dioxin exposure of a human population could be comparable to that of Rier's monkeys. We selected a sample of residents of Seveso, Italy, who were acutely exposed to high levels of dioxin following an accident in 1976. We conducted a toxicokinetic analysis which takes into account species and exposure differences in dose and timing between humans and monkeys. The area under the time-concentration curve for dioxin in fat, which corresponds to cumulative exposure over time, ranges for some of the most heavily exposed Seveso residents from approximately 1.7 x 10(6) ppt-days to 1.1 x 10(8) ppt-days. These values exceed in all cases the values for the monkeys exposed to 25 ppt or 5 ppt. Given their exposure, the Seveso population should be an ideal epidemiologic cohort to rule out or confirm whether exposure to dioxin leads to an increased risk of endometriosis in humans.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Polychlorinated Dibenzodioxins Accidents Adipose Tissue Adipose Tissue Animals Endometriosis Environmental Exposure Female Food Contamination Humans Italy Macaca mulatta Polychlorinated Dibenzodioxins Polychlorinated Dibenzodioxins Polychlorinated Dibenzodioxins Risk Factors

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europepmc
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openalex
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pubmed
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