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338 DJERIDANE, TOUITOU AND de SEZE
poral brain of about 0.3 W/kg. For each subject, exposure was on the uated the retentivity of any potential effect or a rebound effect (postex-
same side of the head for all sessions. posure period).
Figure 1 shows the experimental design.
Phone Exposure
Biochemical Assays
Volunteers used GSM phones for 2 h/day, 5 days/week, for 4 weeks. Each
subject was exposed in our laboratory in either the 14:00–16:00 h or 16:30–
Serum levels of cortisol, testosterone, TSH, GH, PRL and ACTH were
18:30 h period. All the subjects were tested within a 3-month period. Five
assayed using commercial immunofluorometry (Delphia娂, Wallac, Fin-
groups of four subjects were exposed at the same time during each session.
land). The intra-assay coefficients of variation were as follows: for cor-
During the exposure sessions, the attention of the volunteers and a correct
tisol, 2.2% at 400 ng/ml; for testosterone, 4.5% at 4 ng/ml; for TSH,
usual listening position were maintained by TV projection of movies. Movies
were selected to avoid boring presentations, excessive suspense, dramatic 4.5% at 1.05 IU/ml; for GH, 6% at 0.40 mIU/liter; for PRL, 7.4% at
killing, exciting sexuality, or depressing morbidity. For tests, the audio signal 11.7 ng/ml; for ACTH, 6.2% at 20 pmol/liter.
from the television set was distributed to four fixed telephones of the con-
ventional commuted network. This enabled each subject to call a receiving Variables
telephone from his own GSM handset to hear the movie soundtrack. To
reproduce the same behavioral conditions on all the sampling days, a sham The following variables were analyzed for each individual volunteer
exposure was also performed on the days of the first and the last blood and for each of the four sampling sessions: the maximum of the 24-h
drawing sessions at the same times as the actual exposures. For sham ex- serum concentrations, the time of this peak (closest integer clock time),
posure, the radiofrequency output on these days was switched to a 50 ⍀ and the area under the curve. The area under the curve was calculated
non-emitting load instead of the antenna. In this case, movie sound was heard with Prism v3.00 (GraphPad威).
directly from the TV speakers.
Statistical Analysis
Sampling Protocol
Volunteers went to the Clinical Research Center of the Hospital for the To obtain high sensitivity in view of possible wide interindividual var-
sampling sessions. They were there for 24 h and arrived at around 18:30 iations, subjects were their own controls, using the pre-exposure session
h. After 15 min of rest, their blood samples were collected through an for reference. The means ⫾ SD for each variable (peak serum concen-
indwelling antecubital catheter hourly between 22:00 and 10:00 h and tration, time of this peak, and area under the curve) were calculated for
every 3 h between 10:00 and 22:00 h, for a total of 17 samples over 24 each session, and the 2-week, 4-week and postexposure sessions were
h. Volunteers had dinner at 20:00 h and went to bed at 22:45 h. During compared with the pre-exposure session. The non-parametric Friedman’s
the sampling sessions, volunteers were synchronized photically by a reg- test was performed to evaluate whether and to what extent exposure af-
ular light pattern (on at 07:00 h, off at 23:00 h). Night samplings were fects hormone levels. The analysis factor was the period pre-exposure,
performed under moderate light (intensity less than 10 lux). Volunteers 2-week or 4-week exposure, or postexposure; when appropriate, the post
usually remained asleep during samplings, but arousal sometimes oc- hoc Dunn’s Multiple Comparison Test was performed for more precise
curred depending on the depth of sleep and position of the catheterized comparison between specific periods. The Friedman’s test was performed
arm. Data acquisition occurred over four sessions. The first took place with Prism v3.00 (GraphPad威). Reported differences are the relative dif-
before the beginning of the listening sessions (pre-exposure period); the ferences expressed as percentages of the mean values for the 19 volun-
next was performed at the middle of the 1-month listening period (second teers at the time when the change was considered to the mean value of
week of exposure period). The third took place at the end of the listening the 19 volunteers at the indicated period. When not otherwise mentioned,
period (fourth week of exposure period), and the last 15 days later eval- the reference period is the pre-exposure period.
900 MHz ELECTROMAGNETIC FIELD AND CIRCADIAN HORMONE SECRETION 339
FIG. 2. Circadian patterns of ACTH, cortisol and testosterone for each session. Each point is the mean hormone
concentration ⫾ standard error of the mean of 19 subjects shown before, during and after a 4-week exposure period.
RESULTS peak. For GH, this was correlated with a decrease in the area
under the curve. No time of the peak in the serum hormone
One volunteer had to be excluded from the analysis be-
concentrations was significantly different over the 4-week
cause his hormone profile indicated that he did not adhere to
sampling period (Table 1 and Figs. 2, 3).
the normal daytime schedule. Thus the total number of vol-
unteers for the analysis was 19. All hormone profiles re-
ACTH
mained within normal physiological ranges; their circadian
profiles are presented in Figs. 2 and 3. For cortisol and GH, ACTH concentrations showed a morning peak, with the
we observed a significant decrease in the maximum of the maximum serum ACTH level occurring between 07:00 h
340 DJERIDANE, TOUITOU AND de SEZE
FIG. 3. Circadian patterns of TSH, GH and PRL for each session. Each point is the mean hormone concentration
⫾ standard error of the mean of 19 (for TSH and GH) or 18 (for PRL) subjects shown before, during and after a
4-week exposure period.
and 08:00 h (Fig. 2). The only significant difference ap- consider this as an effect of the exposure. There was also
peared in the Friedman’s test for the area under the curve a nonsignificant difference in the area under the curve as
(P ⫽ 0.043), a 10.1% increase when the intraindividual well in the peak time: 1.2 h earlier for the 4-week exposure
coefficient of variation is 18%. Since the post test shows session compared to the pre-exposure session, when the
that this difference mainly affects the comparison between average intraindividual variation was 1.9 h. The largest dif-
the pre-exposure and the postexposure sessions, we cannot ference in the maximum was a nonsignificant 5.6% increase
900 MHz ELECTROMAGNETIC FIELD AND CIRCADIAN HORMONE SECRETION 341
TABLE 1
Area under the Curve, Peak Time and Peak Value Analyzed by using the Friedman’s Test over the
Pre-exposure to Postexposure Periods
Hormone Measurement Pre-exposure 2-week exposure 4-week exposure Postexposure
ACTH Area under the curve (pmol/liter ⫻ h) 441 ⫾ 191 482 ⫾ 227 470 ⫾ 195 490 ⫾ 212
Peak time (h) 7.5 ⫾ 1.7 7.1 ⫾ 1.0 6.3 ⫾ 2.0 7.7 ⫾ 2.7
Peak value (pmol/liter) 33 ⫾ 14 35 ⫾ 10 35 ⫾ 10 33 ⫾ 12
Cortisol Area under the curve (ng/ml ⫻ h) 1200 ⫾ 460 1100 ⫾ 310 1200 ⫾ 280 1200 ⫾ 330
Peak time (h) 8.1 ⫾ 1.6 7.2 ⫾ 2.4 7.5 ⫾ 1.3 8.2 ⫾ 1.4
Peak value (ng/ml) 98 ⫾ 30 88 ⫾ 24* 100 ⫾ 23 105 ⫾ 17
Testosterone Area under the curve (ng/ml ⫻ h) 123 ⫾ 36 125 ⫾ 36 125 ⫾ 35 135 ⫾ 23
Peak time (h) 3.1 ⫾ 1.2 3.1 ⫾ 1.0 3.1 ⫾ 2.1 3.1 ⫾ 1.1
Peak value (ng/ml) 4.9 ⫾ 1.4 5.0 ⫾ 1.0 5.0 ⫾ 1.2 5.2 ⫾ 0.9
TSH Area under the curve (IU/ml ⫻ h) 40 ⫾ 13 38 ⫾ 13 38 ⫾ 15 34 ⫾ 12
Peak time (h) 1.0 ⫾ 2.8 0.3 ⫾ 2.9 1.3 ⫾ 3.2 0.0 ⫾ 3.2
Peak value (IU/ml) 2.3 ⫾ 1.1 2.3 ⫾ 1.0 2.4 ⫾ 0.7 2.2 ⫾ 1.3
GH Area under the curve (mIU/liter ⫻ h) 102 ⫾ 61 84 ⫾ 60* 86 ⫾ 69 90 ⫾ 70
Peak time (h) 1.5 ⫾ 2.1 1.5 ⫾ 2.1 1.5 ⫾ 2.0 1.5 ⫾ 2.1
Peak value (m IU/liter) 29 ⫾ 14 23 ⫾ 15* 22 ⫾ 16* 25 ⫾ 17
PRL Area under the curve (ng/ml ⫻ h) 195 ⫾ 46 202 ⫾ 46 224 ⫾ 65 204 ⫾ 58
Peak time (h) 4.2 ⫾ 3.9 4.1 ⫾ 4.7 4.6 ⫾ 3.0 5.0 ⫾ 4.7
Peak value (ng/ml) 11 ⫾ 5 11 ⫾ 4 12 ⫾ 3 12 ⫾ 4
Notes. Values are shown as means ⫾ SD. Area under the curve: *P ⫽ 0.013: 2-week exposure compared to pre-exposure for GH. Peak value: *P
⫽ 0.025: 2-week exposure compared to pre-exposure for cortisol; *P ⫽ 0.003: 2-week and 4-week exposure compared to pre-exposure for GH.
coefficient of variation was 34.8%. This decrease was cor- serum concentrations of the pituitary hormones ACTH,
related with a nonsignificant 12 to 17% decrease in the area TSH, GH, PRL, LH and FSH. For the small changes ob-
under the curve. served in GH and cortisol, a counterbalanced exposure de-
sign with 2 weeks of exposure in each phase would allow
PRL us to detect the extent to which the subjects acclimatized
to the exposure and whether exposure order could be a
One volunteer presented with stomach spasms for the source of variability; however, this would have decreased
4-week exposure session and was given metoclopramid, the number of exposure sessions and the total exposure du-
which is known to cause an increased secretion of PRL. ration, which could have led to no effect. Thus further stud-
Thus this volunteer was removed from the analysis, leaving ies are needed.
18 volunteers for the analysis of PRL. There were no dif- Changes that could be considered biologically relevant
ferences in PRL concentrations between the pre-exposed are of the order of the average relative spontaneous varia-
and exposed subjects (Fig. 3). The largest difference in the tion of an individual’s value from one session to another.
area under the curve was a nonsignificant 9.3% increase on With 19 values, as in our study, such a change is of the
the 4-week exposure session, when the intraindividual co- order of the standard deviation of values between individ-
efficient of variation was 9%. The largest difference in the uals. This is also the amplitude of the difference that would
peak time was a nonsignificant later time peak of 0.8 h in be needed to reach a power of 80% for this study. The
the postexposure session, when the average of intraindivid- observed changes are far below this value, which means
ual variation was 2.8 h. The largest difference in the max- that mobile phone exposure does not alter the blood con-
imum was a nonsignificant 3.9% increase on the 4-week centrations of most of the hormones studied.
exposure session, correlated to the increase in the area un- There are currently no data on the effects of RF EMFs
der the curve, when the intraindividual coefficient of vari- on reproductive function in men. In contrast to a study that
ation was 16%. reported that 900 MHz RF EMFs induced a significant de-
crease in total serum testosterone levels in rats (14), the
present study found no difference. It is possible that the
DISCUSSION
difference in the effects observed in rodents and humans
Radiofrequency-radiation exposure can be harmful be- may be because that animals detect and perceive magnetic
cause of its ability to heat biological tissue (16). We studied fields differently (22) or are not affected in the same way.
the effects of 900 MHz GSM EMFs on the circadian pat- In conclusion, our data indicate that mobile phones emit-
terns of serum steroid (cortisol and testosterone) and pitu- ting 900 MHz EMFs do not induce any modification of
itary (TSH, GH, PRL, and ACTH) hormones in healthy either hormone concentrations or circadian patterns (no
male subjects from exposure levels that would not heat tis- modification of the shape of the curve: neither phase ad-
sue. All hormones remained within the normal physiolog- vance nor phase delay), except for cortisol and GH, where
ical range throughout and after exposure of healthy men to we observe a significant decrease in the maximum of the
EMFs emitted by cellular phones 2 h/day, 5 days/week, for peak when comparing the 2-week (for growth hormone and
4 weeks. Also, exposure did not affect the serum levels of cortisol) and 4-week (for growth hormone) exposure peri-
any of the hormones tested. The hormone concentrations ods to the pre-exposure period, but no difference persisted
remained within normal physiological ranges (17–21). In in the postexposure period. The results also suggest that the
addition, no significant effects were found on PRL, TSH 900 MHz EMF exposure, at least under our experimental
and ACTH with respect to the dynamic characteristics of conditions, does not appear to affect human endocrine func-
the circadian blood level profiles. The circadian hormone tions, which is in good agreement with the inconsistent re-
patterns were in agreement with those reported in other sults obtained in some epidemiological studies (1, 2).
studies (17–21), but we found significant decreases of about Though our experiment was performed with a long duration
of exposure, it cannot be ruled out that repetitive exposures
28% and 12% in the peak secretion of GH and cortisol,
for a year or more may have effects on humans, especially
respectively. For cortisol, the decrease was significant when
on young teenagers who use phones for several hours per
comparing the 2-week exposure session to the pre-exposure
day.
session. Such a small decrease (12%) in the circadian am-
plitude is unlikely to be indicative of a health risk. Inter-
estingly, it has been shown elsewhere that salivary and se- ACKNOWLEDGMENTS
rum cortisol levels in humans (5, 11) were independent of This work has been funded by Motorola, Inc.
the EMF exposure. For GH, the decrease in the maximum Received: December 8, 2006; accepted: October 9, 2007
level was correlated with a nonsignificant 12 to 17% de-
crease in the area under the curve. Our data on the circadian
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