Residual congener pattern of dioxins in human breast milk in southern Vietnam

This study evaluated residual congener patterns of dioxin/furan (=PCDD/DF) related to tactical herbicides aerially sprayed over the regions of southern Vietnam through Operation Ranch Hand. The study focused on Cam Chinh (CC) commune, Quang Tri province (an area sprayed with tactical herbicides), and the Cam Phuc (CP) commune, Ha Tinh province (a non-sprayed area). Breast milk samples for analysis were collected in September 2002 and July 2003 from lactating primiparous and multiparous mothers born after the war (<31 years old). We found the levels of each congener in the CC commune were higher than in the CP commune, and determined specificity in the PCDD/DF congener pattern in CC commune samples by cluster analysis. The congener pattern is characterized by higher (the hexa-, the hepta-, and the octa-) chlorinated PCDD/DFs; this appears to be the same profile as that presented by pentachlorophenol (PCP), rather than 2,4,5-trichlorophenoxy acid (2,4,5-T) contaminated with 2,3,7,8-TCDD. A GC/MS study in the 1970s detected the chlorophenols 2,4-di and 2,4,6-trichlorophenol in some Agent Orange samples, which contained, like PCP, a wide variety of PCDD/DF congeners. In this context, it may be expected that certain tactical herbicides contaminated with various chlorophenol impurities, have a unique congener pattern when compared with pure 2,4,5-T formulations.     

Salivary cortisol and cortisone levels,and breast milk dioxin concentrations in Vietnamese primiparas

There is a great deal of concern regarding the adverse effects of polychlorinated dibenzodioxins (PCDD) and polychlorinated dibenzofurans (PCDF) present in Agent Orange and other herbicides on Vietnam's population and ecosystems. The purpose of this study was to determine the effect of dioxin exposure on adrenal steroids in saliva, and dioxin levels in breast milk, of primiparas in an Agent Orange/dioxin hot-spot and a non-exposed area in Vietnam on the basis of epidemiological research. The subjects were 35 lactating women who had recently given birth to their first or second child. A further sub-study involved eight primiparas from each area. All subjects were aged between 20 and 30 years with infants aged between 4 and 16 weeks. The mean concentration of PCDD, PCDF, and PCDD?+?PCDF toxic equivalents (TEQ) in breast milk in the hot-spot area was significantly higher than in the non-exposed area. Cortisol and cortisone levels in the saliva of primiparas in the hot-spot area were also significantly higher than those in the non-exposed area. There was a significant negative correlation between cortisol and the cortisol/cortisone ratio and PCDD?+?PCDF and PCDF TEQ levels in the hot-spot area. Furthermore, the correlation between cortisol and cortisone and the PCDD + PCDF, PCDD, and PCDF TEQ in the combination of hot spot + non-exposed area was significant according to the curve (bell style). Our results suggest that Agent Orange/dioxin exposure still exerts a major influence on the salivary hormones of the Vietnamese population.     

Dioxin levels in the breast milk and estradiol and androgen levels in the saliva of Vietnamese primiparae

Human exposure to polychlorinated dibenzodioxins (PCDD) and dibenzofurans (PCDF), especially 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD), was investigated in Vietnam since initial severe adverse health effects were reported in the late 1970s. The purpose of this study was to determine the effects of dioxin exposure on steroid hormones of primiparae in an Agent Orange/dioxin hot-spot and a non-exposed area in Vietnam. Sixteen primiparae (8 at each site), all of whom were aged between 20 and 30 years with infants aged between 4 and 16 weeks, agreed to participate in this study. The mean dioxin levels in breast milk of primiparae from the hot-spot area, in terms of PCDD, PCDF, and PCDD?+?PCDF toxic equivalents (TEQ), were significantly higher than those for the non-exposed area. PCDD TEQ, PCDF TEQ, and PCDD?+?PCDF TEQ levels showed a significant correlation with dehydroepiandrosterone (DHEA), androstenedione (A-dione), and estradiol (E2) in the saliva of primiparae in a combination of hot-spot and non-exposed areas in Vietnam. The dose–response curve between salivary E2 or A-dione levels and dioxin levels was U-shaped in humans. This study provides an overview of studies regarding dioxin hot-spots and effects on human health and steroid hormone levels in particular, with a focus on the toxicity attributed to dioxins and furans. Furthermore, causal evidence regarding the effects of dioxins on endocrine disruption in humans is provided.