Bernard Jégou Directeur de recherche Inserm Unité 1085 "Institut de recherche en santé, environnement et travail" (Inserm/ Université de Rennes, EHESP School of Public Health) Bernard.firstname.lastname@example.org 02 23 23 69 11
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A recent study conducted by Inserm researchers within Irset has shown that sustained ibuprofen use in young male athletes induces a hormonal imbalance known as “compensated hypogonadism”, usually observed in elderly males. This situation arises due to the negative effects of ibuprofen on testosterone production, and on the production of two other testicular hormones. These results have been published in Proceedings of the National Academy of Sciences.
Ibuprofen, which can be purchased without a prescription, is one of the most widely used medications in the population. This anti-inflammatory analgesic is mainly used for headache, toothache, chronic pain, influenza, fever, and certain rheumatic disorders. Furthermore, numerous studies have shown that vast quantities of ibuprofen are used by athletes, often as self-medication or when pressured by their professional circle. Conducted by Inserm researchers that have already demonstrated the potential harmful effects of aspirin and acetaminophen on adult human testicles and those of ibuprofen on testicular development during pregnancy, and supported by colleagues from Rennes University Hospital, David Møberg Kristensen and his Danish colleagues, and researchers from LABERCA in Nantes, this new study brings together, in an unprecedented manner:
– Cultures of fragments of human testicles having been exposed to ibuprofen and taken from specimens related to therapeutic procedures or organ donation;
– And cultures of an immortalized human cell line.
The conclusions of the clinical trial show that levels of one pituitary hormone, luteinizing hormone (LH), rise strongly in men exposed to ibuprofen. This hormone plays a key role in controlling testosterone production. This increase has been shown to result from direct negative effects of ibuprofen on the expression of genes coding for several enzymes responsible for steroidogenesis, responsible for testosterone production.
Furthermore, ex vivo and in vitro studies have highlighted direct effects on testosterone production. Ibuprofen has been shown to inhibit a hormone produced by Sertoli cells – inhibin B – which is responsible for regulating follicle-stimulating hormone (FSH).
Moreover, the production of anti-Müllerian hormone by Sertoli cells is also inhibited, both in volunteers exposed to ibuprofen, and in the cultures of human testicle fragments.
Lastly, ibuprofen suppresses testicular prostaglandin production in ex vivo and in vitro tests.
According to Bernard Jégou, Inserm research director and research director at the EHESP French School of Public Health, who is the coordinator of this study, and joint lead author Christèle Desdoits-Lethimonier, research engineer at Université de Rennes 1, the conclusions of this research should require serious consideration: “there are male subpopulations who continuously take ibuprofen, namely men not suffering from chronic disease, such as high-level athletes. If compensated hypogonadism develops, they run the risk of increasing the hazards already associated with this medicinal product, impairing their physical condition (muscles and bones), and potentially jeopardizing their reproductive and even mental health”.
 Irset: Research Institute for Environmental and Occupational Health
 Albert O, Desdoits-Lethimonier C, Lesne L, Legrand A, Guille F, Bensalah K, Dejucq-Rainsford N, Jegou B (2013) Paracetamol, aspirin and indomethacin display endocrine disrupting properties in the adult human testis in vitro. Hum Reprod 28(7):1890–1898.
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Ibuprofen alters human testicular physiology to produce a state of compensated hypogonadism David Møbjerg Kristensen1, Christèle Desdoits-lethimonier2, Abigail Mackey1, Marlene Dalgaard3, Federico De Masi3, Cecilie Hurup Munkbøl1, Bjarne Styrishave1, Jean-Philippe Antignac4, Bruno Le Bizec4, Christian Platel5, Anders Hay-Schmidt1, Tina Jensen6, Laurianne LESNE2, Séverine Mazaud-Guittot2, Karsten Kristiansen1,7, Søren Brunak1, Michael Kjaer1, Anders Juul1, Bernard Jégou2 1 University of Copenhagen, 2 Université de Rennes I, Inserm, EHESP-School of Public Health, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085 3 Technical University of Denmark, 4 LUNAM université, ONIRIS, UMR 1329 INRA, 5 CHU Rennes, 6 University of Southern Denmark 7 Institute of Metagenomics, Shenzhen, PNAS http://dx.doi.org/doi/10.1073/pnas.1715035115