Raras
Buscar doenças, sintomas, genes...
Embriofetopatia por dietilstilbestrol
ORPHA:1916CID-10 · Q86.8CID-11 · LB44.6DOENÇA RARA

A síndrome do Dietilestilbestrol (DES) é um conjunto de problemas de má-formação que afeta filhos e netos de mulheres expostas ao DES durante a gravidez. Ela é caracterizada por problemas na formação dos órgãos reprodutores, diminuição da fertilidade e um risco maior de desenvolver um tipo raro de câncer, chamado carcinoma de células claras, na vagina e no colo do útero em mulheres jovens. Entre os problemas de formação nos órgãos reprodutores relatados na síndrome do DES estão: úteros pequenos e com formato de "T" (útero em T) e outras alterações no útero e nas tubas uterinas que aumentam o risco de abortos espontâneos em mulheres. Nos homens, podem ocorrer cistos no epidídimo, pênis de tamanho reduzido (microfalo), testículos que não descem para a bolsa escrotal (criptorquidia) ou testículos subdesenvolvidos (hipoplasia testicular). O DES, que é um estrogênio sintético não esteroide, foi amplamente receitado entre 1940 e 1970 para prevenir abortos espontâneos.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A síndrome do Dietilestilbestrol (DES) é um conjunto de problemas de má-formação que afeta filhos e netos de mulheres expostas ao DES durante a gravidez. Ela é caracterizada por problemas na formação dos órgãos reprodutores, diminuição da fertilidade e um risco maior de desenvolver um tipo raro de câncer, chamado carcinoma de células claras, na vagina e no colo do útero em mulheres jovens. Entre os problemas de formação nos órgãos reprodutores relatados na síndrome do DES estão: úteros pequenos e com formato de "T" (útero em T) e outras alterações no útero e nas tubas uterinas que aumentam o risco de abortos espontâneos em mulheres. Nos homens, podem ocorrer cistos no epidídimo, pênis de tamanho reduzido (microfalo), testículos que não descem para a bolsa escrotal (criptorquidia) ou testículos subdesenvolvidos (hipoplasia testicular). O DES, que é um estrogênio sintético não esteroide, foi amplamente receitado entre 1940 e 1970 para prevenir abortos espontâneos.

Publicações científicas
6.493 artigos
Último publicado: 2026 May

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
All ages
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q86.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Características mais comuns

90%prev.
Micropênis
Muito frequente (99-80%)
90%prev.
Anormalidade do útero
Muito frequente (99-80%)
90%prev.
Carcinoma de mama
Muito frequente (99-80%)
90%prev.
Nascimento prematuro
Muito frequente (99-80%)
90%prev.
Pré-eclâmpsia
90%prev.
Cisto epididimário
Muito frequente (99-80%)
19sintomas
Muito frequente (16)
Frequente (1)
Ocasional (2)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 19 características clínicas mais associadas, ordenadas por frequência.

MicropênisMicropenis
Muito frequente (99-80%)90%
Anormalidade do úteroAbnormality of the uterus
Muito frequente (99-80%)90%
Carcinoma de mamaBreast carcinoma
Muito frequente (99-80%)90%
Nascimento prematuroPremature birth
Muito frequente (99-80%)90%
Pré-eclâmpsiaPreeclampsia
Muito frequente90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico6.493PubMed
Últimos 10 anos21publicações
Pico20153 papers
Linha do tempo
2026Hoje · 2026🧪 1992Primeiro ensaio clínico📈 2015Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

🧬

Nenhum gene associado encontrado

Os dados genéticos desta condição ainda estão sendo catalogados.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Embriofetopatia por dietilstilbestrol

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

Nenhum ensaio clínico registrado para esta condição.

🧪 Está conduzindo uma pesquisa?
Divulgue para pacientes e familiares que acompanham esta doença.
Divulgar pesquisa →

Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Recurrent viral capture of cellular phosphodiesterases that antagonize OAS-RNase L.

Proceedings of the National Academy of Sciences of the United States of America2024 Jan 30

Phosphodiesterases (PDEs) encoded by viruses are putatively acquired by horizontal transfer of cellular PDE ancestor genes. Viral PDEs inhibit the OAS-RNase L antiviral pathway, a key effector component of the innate immune response. Although the function of these proteins is well-characterized, the origins of these gene acquisitions are less clear. Phylogenetic analysis revealed at least five independent PDE acquisition events by ancestral viruses. We found evidence that PDE-encoding genes were horizontally transferred between coronaviruses belonging to different genera. Three clades of viruses within Nidovirales: merbecoviruses (MERS-CoV), embecoviruses (HCoV-OC43), and toroviruses encode independently acquired PDEs, and a clade of rodent alphacoronaviruses acquired an embecovirus PDE via recent horizontal transfer. Among rotaviruses, the PDE of rotavirus A was acquired independently from rotavirus B and G PDEs, which share a common ancestor. Conserved motif analysis suggests a link between all viral PDEs and a similar ancestor among the mammalian AKAP7 proteins despite low levels of sequence conservation. Additionally, we used ancestral sequence reconstruction and structural modeling to reveal that sequence and structural divergence are not well-correlated among these proteins. Specifically, merbecovirus PDEs are as structurally divergent from the ancestral protein and the solved structure of human AKAP7 PDE as they are from each other. In contrast, comparisons of rotavirus B and G PDEs reveal virtually unchanged structures despite evidence for loss of function in one, suggesting impactful changes that lie outside conserved catalytic sites. These findings highlight the complex and volatile evolutionary history of viral PDEs and provide a framework to facilitate future studies.

#2

Prenatal exposure to diethylstilbestrol has multigenerational effects on folliculogenesis.

Scientific reports2024 Dec 28

Diethylstilbestrol (DES) is an estrogenic endocrine disrupting chemical (EDC) that was prescribed to millions of pregnant women worldwide, leading to increased rates of infertility in the exposed offspring. We have previously demonstrated that this reduced fertility persists for multiple generations in the mouse. However, how altered ovarian function contributes to this infertility is unknown. Therefore, this study sought to determine if DES exposure promotes two common ovarian disorders, primary ovarian insufficiency (POI) and polycystic ovary syndrome, contributing to the reduced fertility in DES offspring. Moreover, we investigated if these impacts are transgenerational. Gestating mice were exposed to 100 µg/kg DES, and ovarian morphology was observed in F1-F3 female descendants. F1 females trended towards fewer primordial and more secondary follicles and similarly, F2 females had fewer primordial and significantly more secondary follicles compared to controls. No differences in follicle proportions were observed in the F3. Moreover, DES exposure did not increase follicular cysts. These results show that DES accelerates folliculogenesis, indicative of a POI phenotype and that this is likely contributing to the reduced fertility observed in DES descendants. Moreover, this study highlights the ability of estrogenic EDCs to disrupt folliculogenesis, which may exacerbate the onset of POI in women already at risk. Undescended testicles are a relatively common condition, occurring in about 3% of full-term male infants, and can be found in as many as 30% of premature male neonates. This condition is the most common congenital defect affecting the male genitalia. Testicular descent through the inguinal canal normally starts during the 28th week of gestation. About 80% of undescended testes noted at birth will migrate into the scrotum by 3 months. Undescended testes that remain outside the scrotum by 6 months of age will likely require surgery. Cryptorchidism can be unilateral or bilateral (10%).  In unilateral cryptorchidism, the right side is involved more often. Testicular descent through the inguinal canal normally starts during the 28th week of gestation. Around 70% of undescended testes are palpable, with 90% identifiable in the inguinal canal. More than 90% of patients with cryptorchidism will also have a concomitant patent processus vaginalis or indirect inguinal hernias. Long-term issues with untreated cryptorchidism include reduced male fertility (especially with bilateral cryptorchidism), testis atrophy, testicular torsion, increased risk of traumatic injury, and a higher risk of testicular cancer. Although the exact cause is indeterminate, it is believed to be a combination of maternal factors, genetics, hormonal variations, mechanical effects, neurotransmitter levels, and toxic environmental exposures.  Multiple known risk factors contribute to the development of undescended testes. The most significant appears to be prematurity, but low birth weight and a family history of cryptorchidism are also quite significant.  Other risk factors include the following: Associated congenital syndromes (Down, Noonan, and Prader–Willi). Cerebral palsy. Cosmetics use. Endocrine-disrupting drugs or toxins. Exposure to phthalate, di(2-ethylhexyl) phthalate . Genetic disorders . Ibuprofen use. In vitro fertilization. Increased alcohol consumption (5 or more drinks per week, which triples the risk). Low testosterone disorders (Kallmann syndrome, Klinefelter syndrome). Low placental weight. Maternal diabetes. Maternal diethylstilbestrol use or exposure. Maternal obesity. Neural tube defects. Pesticides exposure. Persistent Müllerian duct syndrome. Preeclampsia (especially severe). Small for gestational-age infants. Smoking. Twinning .

#3

Phosphodiesterase and psychiatric disorders: a two-sample Mendelian randomization study.

Journal of translational medicine2023 Aug 21

Phosphodiesterases (PDEs) have been associated with psychiatric disorders in observational studies; however, the causality of associations remains unestablished. Specifically, cyclic nucleotide PDEs were collected from genome-wide association studies (GWASs), including PDEs obtained by hydrolyzing both cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) (PDE1A, PDE2A, and PDE3A), specific to cGMP (PDE5A, PDE6D, and PDE9A) and cAMP (PDE4D and PDE7A). We performed a bidirectional two-sample Mendelian randomization (MR) analysis to investigate the relationship between PDEs and nine psychiatric disorders. The inverse-variance-weighted (IVW) method, MR-Egger, and weighted median were used to estimate causal effects. The Cochran's Q test, MR-Egger intercept test, MR Steiger test, leave-one-out analyses, funnel plot, and MR pleiotropy residual sum and outlier (MR-PRESSO) were used for sensitivity analyses. The PDEs specific to cAMP were associated with higher-odds psychiatric disorders. For example, PDE4D and schizophrenia (SCZ) (odds ratios (OR) = 1.0531, PIVW = 0.0414), as well as major depressive disorder (MDD) (OR = 1.0329, PIVW = 0.0011). Similarly, PDE7A was associated with higher odds of attention-deficit/hyperactivity disorder (ADHD) (OR = 1.0861, PIVW = 0.0038). Exploring specific PDE subtypes and increase intracellular cAMP levels can inform the development of targeted interventions. We also observed PDEs (which hydrolyzes both cAMP and cGMP) was associated with psychiatric disorders [OR of PDE1A was 1.0836 for autism spectrum disorder; OR of PDE2A was 0.8968 for Tourette syndrome (TS) and 0.9449 for SCZ; and OR of PDE3A was 0.9796 for MDD; P < 0.05]. Furthermore, psychiatric disorders also had some causal effects on PDEs [obsessive-compulsive disorder on increased PDE6D and decreased PDE2A and PDE4D; anorexia nervosa on decreased PDE9A]. The results of MR were found to be robust using multiple sensitivity analysis. In this study, potential causal relationships between plasma PDE proteins and psychiatric disorders were established. Exploring other PDE subtypes not included in this study could provide a more comprehensive understanding of the role of PDEs in psychiatric disorders. The development of specific medications targeting PDE subtypes may be a promising therapeutic approach for treating psychiatric disorders.

#4

Inhibition of phosphodiesterase 12 results in antiviral activity against several RNA viruses including SARS-CoV-2.

The Journal of general virology2023 Jul

The 2',5'- oligoadenylate synthetase (OAS) - ribonuclease L (RNAseL) - phosphodiesterase 12 (PDE12) pathway is an essential interferon-induced effector mechanism against RNA virus infection. Inhibition of PDE12 leads to selective amplification of RNAseL activity in infected cells. We aimed to investigate PDE12 as a potential pan-RNA virus antiviral drug target and develop PDE12 inhibitors that elicit antiviral activity against a range of viruses. A library of 18 000 small molecules was screened for PDE12 inhibitor activity using a fluorescent probe specific for PDE12. The lead compounds (CO-17 or CO-63) were tested in cell-based antiviral assays using encephalomyocarditis virus (EMCV), hepatitis C virus (HCV), dengue virus (DENV), West Nile virus (WNV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), in vitro. Cross reactivity of PDE12 inhibitors with other PDEs and in vivo toxicity were measured. In EMCV assays, CO-17 potentiated the effect of IFNα by 3 log10. The compounds were selective for PDE12 when tested against a panel of other PDEs and non-toxic at up to 42 mg kg-1 in rats in vivo. Thus, we have identified PDE12 inhibitors (CO-17 and CO-63), and established the principle that inhibitors of PDE12 have antiviral properties. Early studies suggest these PDE12 inhibitors are well tolerated at the therapeutic range, and reduce viral load in studies of DENV, HCV, WNV and SARS-CoV-2 in human cells and WNV in a mouse model.

#5

Dysfunctional Ovarian Stem Cells Due to Neonatal Endocrine Disruption Result in PCOS and Ovarian Insufficiency in Adult Mice.

Stem cell reviews and reports2022 Dec

Polycystic ovarian syndrome (PCOS) is a common global cause of anovulatory infertility but underlying etiology leading to PCOS still remains elusive. Fetal and perinatal endocrine disruption reportedly affects germ cell nests (GCN) breakdown, meiosis, and primordial follicle (PF) assembly with unassembled oocytes in neonatal ovaries. We recently reported that very small embryonic-like stem cells (VSELs) and ovarian stem cells (OSCs) express ERα, ERβ and FSHR, undergo distinct cyclic changes and neo-oogenesis encompassing GCN formation, meiosis, and primordial follicle (PF) assembly on regular basis in adult mice ovaries and these GCN are arrested in pre-meiotic or early meiotic stage in aged ovaries. Present study was undertaken to evaluate whether neonatal exposure to endocrine disruption (estradiol E2 or diethylstilbestrol DES) affects ovarian stem cells and their differentiation (neo-oogenesis) and PF assembly in adult 100 days old ovaries. Neonatal exposure to E2 resulted in typical features of PCOS including hyperandrogenism, infertility, increased stromal compartment, absent corpus lutea, and cystic follicles whereas DES treated ovaries showed rapid recruitment of follicles in young ovaries and multi-ovular/cystic follicles. Ovary surface epithelial cells smears showed large numbers of growth-arrested GCN in zygotene/pachytene with increased expression of Mlh-1 and Scp-1 suggesting defects at synapsis and recombination stages during prophase-1 of meiosis. Being immortal and expression of ERα and ERβ makes VSELs directly vulnerable to carry developmental endocrine insults to adult life. Dysfunction of VSELs/OSCs possibly results in oocyte defects observed in our study in PCOS/POI besides the widely reported defects in granulosa cells.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 21

2024

Prenatal exposure to diethylstilbestrol has multigenerational effects on folliculogenesis.

Scientific reports
2024

Recurrent viral capture of cellular phosphodiesterases that antagonize OAS-RNase L.

Proceedings of the National Academy of Sciences of the United States of America
2023

Phosphodiesterase and psychiatric disorders: a two-sample Mendelian randomization study.

Journal of translational medicine
2023

Inhibition of phosphodiesterase 12 results in antiviral activity against several RNA viruses including SARS-CoV-2.

The Journal of general virology
2022

Dysfunctional Ovarian Stem Cells Due to Neonatal Endocrine Disruption Result in PCOS and Ovarian Insufficiency in Adult Mice.

Stem cell reviews and reports
2022

Testicular cancer in mice: interplay between stem cells and endocrine insults.

Stem cell research &amp; therapy
2022

High incidence of Mayer-Rokitansky-Küster-Hauser syndrome syndrome in third-generation DES women.

Therapie
2021

Testicular Stem Cell Dysfunction Due to Environmental Insults Could Be Responsible for Deteriorating Reproductive Health of Men.

Reproductive sciences (Thousand Oaks, Calif.)
2020

Primary vaginal clear cell adenocarcinoma accompanied by Herlyn-Werner-Wunderlich syndrome without prenatal diethylstilbestrol exposure: a case report.

International journal of clinical and experimental pathology
2021

New frontiers of developmental endocrinology opened by researchers connecting irreversible effects of sex hormones on developing organs.

Differentiation; research in biological diversity
2021

"Idiopathic" partial androgen insensitivity syndrome in 11 grandsons of women treated by diethylstilbestrol during gestation: a multi-generational impact of endocrine disruptor contamination?

Journal of endocrinological investigation
2020

Genital tract and reproductive characteristics in daughters of women and men prenatally exposed to diethylstilbestrol (DES).

Therapie
2020

The regulatory effect of genistein on P450 aromatase and follicle-stimulating hormone receptor in mouse experimental model of menopausal metabolic syndrome.

Journal of animal physiology and animal nutrition
2019

Environmental toxins and the impact of other endocrine disrupting chemicals in women's reproductive health.

JBRA assisted reproduction
2018

Effect of esculetin on bone metabolism in ovariectomized rats.

Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan
2018

Establishment of a rat model for uterine leiomyomas based on Western and traditional Chinese medicine theories.

Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas
2018

Maternal obesogenic diet induces endometrial hyperplasia, an early hallmark of endometrial cancer, in a diethylstilbestrol mouse model.

PloS one
2016

Uterus transplantation in France: for which patients?

European journal of obstetrics, gynecology, and reproductive biology
2015

The Role of Hox Genes in Female Reproductive Tract Development, Adult Function, and Fertility.

Cold Spring Harbor perspectives in medicine
2015

Neonatal exposure to xenoestrogens impairs the ovarian response to gonadotropin treatment in lambs.

Reproduction (Cambridge, England)
2015

Resveratrol, tryptophanum, glycine and vitamin E: a nutraceutical approach to sleep disturbance and irritability in peri- and post-menopause.

Minerva ginecologica

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

Ainda não temos associações cadastradas para Embriofetopatia por dietilstilbestrol.

É de uma associação que acompanha esta doença? Fale com a gente →

Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Embriofetopatia por dietilstilbestrol

Pacientes, familiares e cuidadores se organizam em comunidades pra compartilhar experiências, fazer perguntas e se apoiar. Você pode ser o primeiro.

Tire suas dúvidas

Perguntas, dicas e experiências compartilhadas aqui na página

Participe da discussão

Faça login para postar dúvidas, compartilhar experiências e interagir com especialistas.

Fazer login

Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Recurrent viral capture of cellular phosphodiesterases that antagonize OAS-RNase L.
    Proceedings of the National Academy of Sciences of the United States of America· 2024· PMID 38277437mais citado
  2. Prenatal exposure to diethylstilbestrol has multigenerational effects on folliculogenesis.
    Scientific reports· 2024· PMID 39730480mais citado
  3. Phosphodiesterase and psychiatric disorders: a two-sample Mendelian randomization study.
    Journal of translational medicine· 2023· PMID 37605207mais citado
  4. Inhibition of phosphodiesterase 12 results in antiviral activity against several RNA viruses including SARS-CoV-2.
    The Journal of general virology· 2023· PMID 37432877mais citado
  5. Dysfunctional Ovarian Stem Cells Due to Neonatal Endocrine Disruption Result in PCOS and Ovarian Insufficiency in Adult Mice.
    Stem cell reviews and reports· 2022· PMID 35834052mais citado
  6. Bioprospection of Piliostigma thonningii ethanol extract for anti-fibroid activity via molecular docking and in vivo hormonal evaluation in female wistar rats.
    J Steroid Biochem Mol Biol· 2026· PMID 41763412recente
  7. Clear cell adenocarcinoma of the cervix in a perimenopausal woman: a case report and immunohistochemical study.
    Discov Oncol· 2026· PMID 41758478recente
  8. Rare case of primary HPV negative vaginal cancer presenting in a young woman with normal cervix.
    Gynecol Oncol Rep· 2026· PMID 41623323recente
  9. Prenatal diethylstilbestrol exposure and risk of benign breast disease: The National Cancer Institute Diethylstilbestrol Follow-up Study.
    Int J Cancer· 2026· PMID 41590827recente
  10. Conplastic FVB/N-mt129S6/SvEvTac mice: A new tool for cancer research.
    PLoS One· 2026· PMID 41575966recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:1916(Orphanet)
  2. MONDO:0016012(MONDO)
  3. GARD:1859(GARD (NIH))
  4. Busca completa no PubMed(PubMed)
  5. Q2003840(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Embriofetopatia por dietilstilbestrol
Compêndio · Raras BR

Embriofetopatia por dietilstilbestrol

ORPHA:1916 · MONDO:0016012
Prevalência
Unknown
Herança
Not applicable
CID-10
Q86.8 · Outras síndromes com malformações congênitas devidas a causas exógenas conhecidas
CID-11
Início
All ages
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0853695
Wikidata
DiscussaoAtiva

Nenhuma novidade ainda. O agente esta monitorando.

0membros
0novidades