Although this study did not examine EMF exposure, earlier research published by Christoph Augner and his colleagues found that people who lived within 100 meters of cell phone towers had greater salivary alpha-amylase levels. In an experimental study, the researchers found that exposure to higher levels of GSM cell tower radiation increased the levels of this salivary enzyme.
Yahyazadeh A, Deniz OG, Kaplan AA, Altun G, Yurt KK, Davis D. The genomic effects of cell phone exposure on the reproductive system. Environmental Research. Available online 5 June 2018.
Humans are exposed to increasing levels of electromagnetic fields (EMF) at various frequencies as technology advances. In this context, improving understanding of the biological effects of EMF remains an important, high priority issue. Although a number of studies in this issue and elsewhere have focused on the mechanisms of the oxidative stress caused by EMF, the precise understanding of the processes involved remains to be elucidated. Due to unclear results among the studies, the issue of EMF exposure in the literature should be evaluated at the genomic level on the reproductive system. Based on this requirement, a detail review of recently published studies is necessary. The main objectives of this study are to show differences between negative and positive effect of EMF on the reproductive system of animal and human. Extensive review of literature has been made based on well known data bases like Web of Science, PubMed, MEDLINE, Google Scholar, Science Direct, Scopus. This paper reviews the current literature and is intended to contribute to a better understanding of the genotoxic effects of EMF emitted from mobile phones and wireless systems on the human reproductive system, especially on fertility. The current literature reveals that mobile phones can affect cellular functions via non-thermal effects. Although the cellular targets of global system for mobile communications (GSM)-modulated EMF are associated with the cell membrane, the subject is still controversial. Studies regarding the genotoxic effects of EMF have generally focused on DNA damage. Possible mechanisms are related to ROS formation due to oxidative stress. EMF increases ROS production by enhancing the activity of nicotinamide adenine dinucleotide (NADH) oxidase in the cell membrane. Further detailed studies are needed to elucidate DNA damage mechanisms and apoptotic pathways during oogenesis and spermatogenesis in germ cells exposed to EMF.
This paper reviews the current literature and is intended to contribute to a better understanding of the genotoxic effects of EMF emitted from mobile phones and wireless systems on the human reproductive system, especially on fertility. The current literature reveals that mobile phones can affect cellular functions via non-thermal effects (Diem et al., 2005; Hanci et al., 2013 ; Odaci et al., 2016a). Although the cellular targets of GSM-modulated EMF are associated with the cell membrane, the subject is still controversial (Eberhardt et al., 2008). Studies regarding the genotoxic effects of EMF have generally focused on DNA damage (Mortelmans and Rupa, 2004; Young, 2002; Zeiger, 2004; Panagopoulos, 2012 ; Turedi et al., 2016). Possible mechanisms are related to ROS formation due to oxidative stress (Moustafa et al., 2004; Hanukoglu et al., 2006). EMF increases ROS production by enhancing the activity of NADH oxidase in the cell membrane (Friedman et al., 2007b). In this context, EMF affected spermatozoa may have a high degree rate of infertilization. It seems that previous genomic studies do not show definitive evidence regarding EMF affected cells in the fertilization. Although we evaluated broadly the genomic effects of cell phone exposure on the reproductive system using both animal and human studies, one of the weaknesses of this work is insufficient review of human studies. This may come from limited number of EMF based human studies in the literature. Further detailed studies are needed to elucidate DNA damage mechanisms and apoptotic pathways during oogenesis and spermatogenesis in germ cells that are exposed to EMF.
• Oxidative stress based EMF exposure modulates nitric oxide level in the germ cells.
• Oxidative stress based EMF exposure inhibits antioxidant mechanisms in the germ cells.
With current advances in technology, a number of epidemiological and experimental studies have reported a broad range of adverse effects of electromagnetic fields (EMF) on human health. Multiple cellular mechanisms have been proposed as direct causes or contributors to these biological effects. EMF-induced alterations in cellular levels can activate voltage-gated calcium channels and lead to the formation of free radicals, protein misfolding and DNA damage. Because rapidly dividing germ cells go through meiosis and mitosis, they are more sensitive to EMF in contrast to other slower-growing cell types. In this review, possible mechanistic pathways of the effects of EMF exposure on fertilization, oogenesis and spermatogenesis are discussed. In addition, the present review also evaluates metabolomic effects of GSM-modulated EMFs on the male and female reproductive systems in recent human and animal studies. In this context, experimental and epidemiological studies which examine the impact of mobile phone radiation on the processes of oogenesis and spermatogenesis are examined in line with current approaches.
EMF emitted by mobile phones has a number of well-documented adverse metabolomic effects on the male and female reproductive systems and can lead to infertility by increasing ROS production and reducing GSH and other antioxidants. The primary target of the EMF emitted by mobile phones may be the cell membrane (Pall in press, this volume). This then results in accelerated activity of membrane NADH oxidase and, consequently, greater rates of ROS formation that cannot be easily conjugated or detoxified. Although many studies have reported morphological and functional deteriorations in testis and ovary following EMF exposures, as well both structural and functional deficits in reproductive health, the underlying mechanisms have not been fully elucidated. To assist in further clarification of these processes and mechanisms, Table 1 summarizes key studies on the metabolomic effects of EMF on reproductive systems. Future studies will benefit greatly from standardized exposure protocols and evaluations of key metabolomic indicators.
Increasing use of cell-phone is one of the most important risk factors for population health. We designed an experimental study aimed at evaluating the effects of cell-phone radiofrequency (RF) waves exposure on fertilization in mice. Two hundred male and female NMRI-mice were used. One hundred males divided in five groups (n = 20) as control and exposed groups. Those irradiated with cell-phone RF in “Standby-mode” 1, 5 and 10 h daily named groups II, III and IV; respectively. Group V irradiated with cell-phone on “Active-mode” one hour daily. After 30 days irradiation, 50 males and 50 females were kept 24 h to assess their embryos. Fifty males were scarified to evaluate both in vitro and in vivo parameters, and 50 females received PMSG & HCG for both quantitative and qualitative evaluation. Comparing groups III, IV and V with control-group showed significantly decreased in the number of two-cell embryos (p = .000); however, a significant increase was found in the number of dead embryos (p = .000). Furthermore, 5 h daily irradiation significantly decreased grade-A embryos (p = .015); while, it significantly increased grade-B, C and D embryos (p-values = 0.026, 0.007, 0.006; respectively). Moreover, comparing groups IV and V to control-group, significant increase was found in pregnancy duration (p = .005, p = .009; respectively). However, in the mentioned groups a significant decrease was seen in number of newborn mice (p = .001, p = .004; respectively). In conclusion our findings showed that the cell-phone radiation can affect development of embryos as well as the number of newborn and pregnancy duration in NMRI-mouse, which might be a significant cause of reproductive failure.
Present study investigated the long-term effects of mobile phone (1800MHz) radiation in stand-by, dialing and receiving modes on the female reproductive function (ovarian and uterine histo-architecture, and steroidogenesis) and stress responses (oxidative and nitrosative stress). We observed that mobile phone radiation induces significant elevation in ROS, NO, lipid peroxidation, total carbonyl content and serum corticosterone coupled with significant decrease in antioxidant enzymes in hypothalamus, ovary and uterus of mice. Compared to control group, exposed mice exhibited reduced number of developing and mature follicles as well as corpus lutea. Significantly decreased serum levels of pituitary gonadotrophins (LH, FSH), sex steroids (E2 and P4) and expression of SF-1, StAR, P-450scc, 3β-HSD, 17β-HSD, cytochrome P-450 aromatase, ER-α and ER-β were observed in all the exposed groups of mice, compared to control. These findings suggest that mobile phone radiation induces oxidative and nitrosative stress, which affects the reproductive performance of female mice.
These results led us to conclude that chronic exposure to long-term mobile phone radiation may severely affect the ovarian and uterine activity of female mice and thus may lead to infertility. The effects were more pronounced/deleterious in stand-by and receiving conditions. Further, the results of this study performed on the rodent model, Mus musculus, may not be extrapolated to human being as the SAR value delivered to human at the ovary or uterus end will be much less than (and not comparable to) the value for the rodent at the desired site due to greater depth of the site from the skin surface of human being, assuming large body size ratio between two type of subjects, i.e., human being and rodent. However, if the human being is exposed to mobile phone radiation over longer duration, there may be the possibility of the radiation producing similar effect on human female reproductive system, on the assumption, that the total energy absorbed in the two cases is of same order of magnitude. Therefore, we anticipate that, these findings will improve our understanding of the etiology of female infertility due to heavy mobile phone usage.
The rise in female infertility problems may be, at least in part, due to a contribution from mobile phone radiation exposure to females. Hence, we anticipate that the outcome of the present study will not only contribute in framing of proper guidelines for safer use of mobile phone, which is an unavoidable device of present life style but may also assist in deciding the threshold limits to minimize adverse effects of the long term exposure to mobile phone radiations for females. However, further investigation is required in humans and non-human primates to determine whether the risks are similar and to establish safe exposure limits.
Chen H, Qu Z, Liu W. Effects of Simulated Mobile Phone Electromagnetic Radiation on Fertilization and Embryo Development. Fetal Pediatr Pathol. 2016 Dec 16:1-7.
This study investigated the effects of 935-MHz electromagnetic radiation (ER) on fertilization and subsequent embryonic development in mice. Ovulating mice were irradiated at three ER intensities for 4 h/day (d) or 2 h/d for three consecutive days; the ova were then harvested for in vitro fertilization to observe the 6-h fertilization rate (6-FR), 72-h morula rate (72-MR), and 110-h blastula rate (110-BR). Compared with the control group, the 6-FR, 72-MR, and 110-BR were decreased in the low ER intensity group, but the differences were not significant; in the mid- and high-intensity ER groups, 72-MR and 110-BR in the 4 h/d and 2 h/d subgroups were decreased, showing significant differences compared with the control group. Moreover, the comparison between 4 h/d and 2 h/d subgroups showed significant differences. Mid- and high-intensity ER at 935 MHz can reduce the fertilization rate in mice, and reduce the blastulation rate, thus reducing the possibility of embryo implantation.
Electromagnetic radiation devices consisted of four parts: a signal source (with frequency ranging from 935 to 960 MHz and magnetic field strength ranging from –15 db to +15 db), a rectifier (220 VAC/27 VDC; 300 W), a power amplifier, and a specific antenna with a length of 15 cm.
The mice were divided into seven groups by using a random table method: low-intensity (2 h/d and 4 h/d subgroups), mid-intensity (570 μW/cm2: 2 h/d and 4 h/d subgroups), high-intensity (1400 μW/cm2: 2 h/d and 4 h/d subgroups), and control groups.
Stress May Diminish a Woman's Fertility, Study Suggests
First U.S. review to show a possible link between stress and how long it takes to get pregnant
Mary Brophy Marcus, HealthDay News, Mar 24, 2014
Stress may increase a woman's risk of infertility, new research suggests.
The authors of the study wanted to investigate the relationship between stress and infertility. So they looked at levels of an enzyme linked with stress in the saliva of women who were trying to get pregnant.
They also tracked the women's ability to conceive over a 12-month period.
"Women with higher levels of the stress biomarker had a two-fold increased risk of infertility," said study author Courtney Lynch. The enzyme they measured is called salivary alpha-amylase.
"Alpha-amylase is an enzyme that is secreted into the mouth that helps the body start to digest carbohydrates," said Lynch, director of reproductive epidemiology at the Ohio State University College of Medicine. "It is also linked to the fight-or-flight part of the stress system."
For the study, Lynch and her colleagues collected data from about 500 couples who were recruited from targeted counties in Texas and Michigan.
"We tried to find couples who were just starting to try to get pregnant," Lynch said. "We sent a nursing team out to their houses who did interviews and trained the women how to use saliva-collection kits."
The women took saliva samples twice -- at the start of the study and again after they'd had their first menstrual period during the study time frame. For most, that was about a month into the study, Lynch said. Since alpha-amylase can be affected by alcohol, tobacco and caffeine consumption, the researchers asked the women to take their saliva samples right after waking up in the morning.
The researchers followed the couples for up to 12 months, collecting information on whether they'd conceived.
Of the approximately 400 couples who completed the study, 87 percent of the women became pregnant. After adjusting for age, race, income and the use of alcohol, caffeine and cigarettes, the researchers found that the women with the highest alpha-amylase levels had a 29 percent lower probability of pregnancy compared to the women who had the lowest levels of the enzyme.
The study results were published in the March 24 issue of the journal Human Reproduction.
Lynch said it's important to be clear that the results do not suggest that stress alone is the reason a woman can't get pregnant.
"The message is not that everyone should go enroll in yoga tomorrow," she said. "The message is that if you've tried for five or six months and you aren't getting anywhere, maybe you should look at your lifestyle and think about whether or not stress might be a problem for you.
And if it is, you might want to consider a stress-management program."
The authors said this is the first U.S. study to show a possible association between a stress indicator and how long it takes a woman to become pregnant.
Dr. Suleena Kansal Kalra is a reproductive endocrinology and infertility specialist at the University of Pennsylvania. She called the new research "a great first step -- it's presenting a way to measure [indicators] of stress."
"Part of the challenge is that we don't have validated [indicators] of stress hormones or validated questionnaires that measure stress, so the next step is that we really need to start validating some of these tools," said Kalra, who was not involved with the new research.
"Ultimately, we want to know how we can measure stress, and then, can we intervene?"
Exactly how stress affects fertility is not well understood, Lynch said. The study's authors said the women in the group with higher levels of the stress-related enzyme had sex about as often as those in the low-level group, so frequency of intercourse did not play a role.
Kalra said some women stop ovulating during stressful times, while others conceive in high-stress environments.
Lynch said the researchers have also collected data on men but have not yet analyzed it, so it's not yet clear how much a man's stress might influence a couple's fertility.
Women struggling with infertility who have stressful lifestyles should not blame themselves, Lynch said. "I don't want women to see this in the news and say, 'It's my fault I'm not pregnant,'" she said. "We know stress is not the major indicator of whether or not you're going to get pregnant."
Kalra agreed, noting that, "Age is the No. 1 factor linked to the inability to conceive. Mother Nature is cruel and unfair. All our success rates are better in women under 35. That does not mean every woman in her late 30s is going to be infertile, but age is the greatest predictor of success."
She added that cigarette smoking is "absolutely associated with a decrease in the ability to become pregnant," and obesity is beginning to be looked at as well.
Kalra is launching a fertility wellness program this spring at Penn that will combine yoga, meditation, nutrition counseling and a psychologist-led support group to help women who are hoping to become pregnant.
"Not being able to start your family when you're ready to do so can create a lot of stress for couples, particularly women," Kalra said.
"I'm not sure stress is an underlying cause of infertility, and I often find it counterproductive to tell women if they're a little less stressed they would become pregnant," she said. "We don't know if that's true. I generally say, 'I want you to feel as good as possible when you're embarking on the journey to have a family.' "
To learn more about reducing stress, visit the U.S. National Center for Complementary and Alternative Medicine.
SOURCES: Courtney Lynch, Ph.D., M.P.H., director, reproductive epidemiology, and assistant professor, obstetrics and gynecology and epidemiology, Ohio State University College of Medicine; Suleena Kansal Kalra, M.D., M.S.C.E., assistant professor, obstetrics and gynecology, and director, fertility wellness program, University of Pennsylvania, Philadelphia; March 24, 2014, Human Reproduction, online
Lynch CD, Sundaram R, Maisog JM, Sweeney AM, Buck Louis GM.Preconception stress increases the risk of infertility: results from a couple-based prospective cohort study--the LIFE study. Hum Reprod. 2014 Mar 23.
STUDY QUESTION: Are women's stress levels prospectively associated with fecundity and infertility?
SUMMARY ANSWER: Higher levels of stress as measured by salivary alpha-amylase are associated with a longer time-to-pregnancy (TTP) and an increased risk of infertility.
WHAT IS KNOWN ALREADY: Data suggest that stress and reproduction are interrelated; however, the directionality of that association is unclear.
STUDY DESIGN, SIZE, DURATION: In 2005-2009, we enrolled 501 couples in a prospective cohort study with preconception enrollment at two research sites (Michigan and Texas, USA). Couples were followed for up to 12 months as they tried to conceive and through pregnancy if it occurred. A total of 401 (80%) couples completed the study protocol and 373 (93%) had complete data available for this analysis.
PARTICIPANTS/MATERIALS, SETTING, METHODS: Enrolled women collected saliva the morning following enrollment and then the morning following their first observed study menses for the measurement of cortisol and alpha-amylase, which are biomarkers of stress. TTP was measured in cycles. Covariate data were captured on both a baseline questionnaire and daily journals.
MAIN RESULTS AND THE ROLE OF CHANCE: Among the 401 (80%) women who completed the protocol, 347 (87%) became pregnant and 54 (13%) did not. After adjustment for female age, race, income, and use of alcohol, caffeine and cigarettes while trying to conceive, women in the highest tertile of alpha-amylase exhibited a 29% reduction in fecundity (longer TTP) compared with women in the lowest tertile [fecundability odds ratios (FORs) = 0.71; 95% confidence interval (CI) = (0.51, 1.00); P < 0.05]. This reduction in fecundity translated into a >2-fold increased risk of infertility among these women [relative risk (RR) = 2.07; 95% CI = (1.04, 4.11)]. In contrast, we found no association between salivary cortisol and fecundability.
LIMITATIONS, REASONS FOR CAUTION: Due to fiscal and logistical concerns, we were unable to collect repeated saliva samples and perceived stress questionnaire data throughout the duration of follow-up. Therefore, we were unable to examine whether stress levels increased as women continued to fail to get pregnant. Our ability to control for potential confounders using time-varying data from the daily journals, however, minimizes residual confounding.
WIDER IMPLICATIONS OF THE FINDINGS: This is the first US study to demonstrate a prospective association between salivary stress biomarkers and TTP, and the first in the world to observe an association with infertility.
STUDY FUNDING/COMPETING INTEREST(S): This study was supported by the Intramural Research Program of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (contracts #N01-HD-3-3355, N01-HD-3-3356, N01-HD-3358). There are no conflicts of interest to declare.
Augner C, Hacker GW. Are people living next to mobile phone base stations more strained? Relationship of health concerns, self-estimated distance to base station, and psychological parameters. Indian J Occup Environ Med. 2009 Dec;13(3):141-5.
BACKGROUND AND AIMS: Coeval with the expansion of mobile phone technology and the associated obvious presence of mobile phone base stations, some people living close to these masts reported symptoms they attributed to electromagnetic fields (EMF). Public and scientific discussions arose with regard to whether these symptoms were due to EMF or were nocebo effects. The aim of this study was to find out if people who believe that they live close to base stations show psychological or psychobiological differences that would indicate more strain or stress. Furthermore, we wanted to detect the relevant connections linking self-estimated distance between home and the next mobile phone base station (DBS), daily use of mobile phone (MPU), EMF-health concerns, electromagnetic hypersensitivity, and psychological strain parameters.
DESIGN, MATERIALS AND METHODS: Fifty-seven participants completed standardized and non-standardized questionnaires that focused on the relevant parameters. In addition, saliva samples were used as an indication to determine the psychobiological strain by concentration of alpha-amylase, cortisol, immunoglobulin A (IgA), and substance P.
RESULTS: Self-declared base station neighbors (DBS </= 100 meters) had significantly higher concentrations of alpha-amylase in their saliva, higher rates in symptom checklist subscales (SCL) somatization, obsessive-compulsive, anxiety, phobic anxiety, and global strain index PST (Positive Symptom Total). There were no differences in EMF-related health concern scales.
CONCLUSIONS: We conclude that self-declared base station neighbors are more strained than others. EMF-related health concerns cannot explain these findings. Further research should identify if actual EMF exposure or other factors are responsible for these results.
Augner C, Hacker GW, Oberfeld G, Florian M, Hitzl W, Hutter J, Pauser G. Effects of exposure to GSM mobile phone base station signals on salivary cortisol, alpha-amylase, and immunoglobulin A. Biomed Environ Sci. 2010 Jun;23(3):199-207.
OBJECTIVE: The present study aimed to test whether exposure to radiofrequency electromagnetic fields (RF-EMF) emitted by mobile phone base stations may have effects on salivary alpha-amylase, immunoglobulin A (IgA), and cortisol levels.
METHODS: Fifty seven participants were randomly allocated to one of three different experimental scenarios (22 participants to scenario 1, 26 to scenario 2, and 9 to scenario 3). Each participant went through five 50-minute exposure sessions. The main RF-EMF source was a GSM-900-MHz antenna located at the outer wall of the building. In scenarios 1 and 2, the first, third, and fifth sessions were "low" (median power flux density 5.2 microW/m(2)) exposure. The second session was "high" (2126.8 microW/m(2)), and the fourth session was "medium" (153.6 microW/m(2)) in scenario 1, and vice versa in scenario 2. Scenario 3 had four "low" exposure conditions, followed by a "high" exposure condition. Biomedical parameters were collected by saliva samples three times a session. Exposure levels were created by shielding curtains.
RESULTS: In scenario 3 from session 4 to session 5 (from "low" to "high" exposure), an increase of cortisol was detected, while in scenarios 1 and 2, a higher concentration of alpha-amylase related to the baseline was identified as compared to that in scenario 3. IgA concentration was not significantly related to the exposure.
CONCLUSIONS: RF-EMF in considerably lower field densities than ICNIRP-guidelines may influence certain psychobiological stress markers.
Nazıroğlu M, Yüksel M, Köse SA, Özkaya MO. Recent reports of Wi-Fi and mobile phone-induced radiation on oxidative stress and reproductive signaling pathways in females and males.J Membr Biol. 2013 Dec;246(12):869-75.
Environmental exposure to electromagnetic radiation (EMR) has been increasing with the increasing demand for communication devices. The aim of the study was to discuss the mechanisms and risk factors of EMR changes on reproductive functions and membrane oxidative biology in females and males. It was reported that even chronic exposure to EMR did not increase the risk of reproductive functions such as increased levels of neoantigens abort. However, the results of some studies indicate that EMR induced endometriosis and inflammation and decreased the number of follicles in the ovarium or uterus of rats. In studies with male rats, exposure caused degeneration in the seminiferous tubules, reduction in the number of Leydig cells and testosterone production as well as increases in luteinizing hormone levels and apoptotic cells. In some cases of male and female infertility, increased levels of oxidative stress and lipid peroxidation and decreased values of antioxidants such as melatonin, vitamin E and glutathione peroxidase were reported in animals exposed to EMR. In conclusion, the results of current studies indicate that oxidative stress from exposure to Wi-Fi and mobile phone-induced EMR is a significant mechanism affecting female and male reproductive systems. However, there is no evidence to this date to support an increased risk of female and male infertility related to EMR exposure.
.. EMR exposure from Wi-Fi and mobile phones is related to oxidative stress and overproduction of free oxygen radicals in female and male infertility. Use of mobile phones and wireless devices has been increasing day by day. There are very scarce data on Wi-Fi-induced reproductive dysfunction in female and male individuals. However, carcinogenic and proliferative effects of mobile phones (Kim et al. 2010) and Wi-Fi (Kumar et al. 2011; Kesari et al. 2011; Nazırog˘lu et al. 2012b) have been reported in animals and cell culture systems, although there is no report on Wi-Fi- or mobile phone-induced cancer in reproductive tissues of female and male individuals. In the future, the role of EMR from mobile phones and wireless devices in female and male fertility should be investigated.
Shibkova DZ, Shilkova TV, Ovchinnikova AV. [Early and Delayed Effects of Radio Frequency Electromagnetic Fields on the Reproductive Function and Functional Status of the Offspring of Experimental Animals]. [Article in Russian]. Radiats Biol Radioecol. 2015 Sep-Oct;55(5):514-9.
The aim of our experimental research was to study the impact of radio frequency electromagnetic fields (RF EMF) on the reproductive function of male and female mice of CBA in 2 models of exposure, as well as on the morphofunctional state of progeny of irradiated animals. It was found that RF EMF under conditions of repeated short-term exposures (within 5 days for 10 minutes at PES 1.2 mW/cm2) affects the course of pregnancy in female mice, the number of litters, fertility and preservation of offspring, morphometric characteristics of the offspring of experimental animals at different models of irradiation (exposure of animals to RF EMF prior to mating and during pregnancy).