Table 9 Human studies on NSW and hormonal levels

From: Night shift work and breast cancer: from etiopathology to precision risk analysis

NSW Effect

Parameter(s)

Outcome

Year

Ref.

↑ E2 and ↓ morning urinary aMT6s in long-term NSW vs day workers

Plasma E2, Morning urinary aMT6s

↑ E2, ↓ aMT6s

2004

252

NS changes in sex steroids in NSW vs day workers

Circulating sex steroids (E2, P, E1, E1S, DHEA, DHEAS, T, androstenedione), morning urinary aMT6s

NS trend ↓ aMT6s

2006

176

↑ E2 and ↑ E1 in graveyard shift / awake ≥1 a.m. vs day workers

Serum E2, E1, T, DHEAS

↑ E2, ↑ E1; T, DHEAS NS

2008

253

NS associations in rotating NSW vs day workers

Urinary aMT6s, E2, E1, P, prolactin

NS

2012

254

↓ aMT6s, ↑ FSH/LH during NSW vs day workers

Urinary aMT6s, urinary E1C, FSH, LH

↓ aMT6s; ↑ FSH, ↑ LH; E1C NS

2012

255

↑ E2 in premenopausal NSW nurses without naps vs napping and day workers

Serum 17β-E2

↑ E2

2013

206

↑ E2 in rotating NSW vs day workers

Serum 17β-E2, urinary aMT6s

↑ E2; aMT6s NS

2014

180

↓ aMT6s; ↑ E2 and P (follicular), ↓ T (phase-specific) in rotating NSW vs day workers

Urinary aMT6s, serum E2, P, T, cortisol, DHEA/S

↓ aMT6s; ↑ E2, ↑ P; ↓ T; cortisol, DHEA/S NS

2015

256

↑ androgens and progestagens; delayed peaks in NSW vs day workers

24 h urinary androgens (T, DHEA, androsterone, OH-androstenedione, androstanediol), progestagens

↑ androgens and progestagens; delayed peak

2015

257

↑ E2 and DHEAS in long-term rotating NSW ( > 15 y) postmenopausal vs day workers

Serum E2, DHEAS, T

↑ E2, ↑ DHEAS; T NS

2016

258

↓ E2 and melatonin; ↑ leptin, ↑ TNF-α, ↑ IL-1β, ↑ IL-6 in whole-night NSW vs day workers

Melatonin, E2, leptin, TNF-α, IL-1β, IL-6

↓ melatonin, ↓ E2; ↑ leptin, ↑ TNF-α, ↑ IL-1β, ↑ IL-6

2020

259

↓ ESR1/ESR2 gene expression in NSW vs day workers

ESR1 and ESR2 gene expression in PBMCs

↓ ESR1, ↓ ESR2

2024

212

↑ corticosterone, ↑ 11-deoxycortisol, ↑ DHEA, ↑ androstenedione; ↓ E2 in NSW vs day workers

Serum corticosterone, 11-deoxycortisol, DHEA, androstenedione, E2

↑ corticosterone, ↑ 11-deoxycortisol, ↑ DHEA, ↑ androstenedione; ↓ E2

2025

188

  1. NSW night shift work, E2 estradiol, E1 estrone, P progesterone, T testosterone, DHEA dehydroepiandrosterone, DHEAS dehydroepiandrosterone sulfate, aMT6s 6-sulfatoxymelatonin, E1S estrone sulfate, FSH follicle-stimulating hormone, LH luteinizing hormone, NS non-significant, ESR1 estrogen receptor α gene, ESR2 estrogen receptor β gene, TNF-α tumor necrosis factor α, IL-1β interleukin-1β, IL-6 interleukin-6, PBMCs peripheral blood mononuclear cells. Arrows indicate direction of change relative to day workers ( ↑ increase; ↓ decrease).