“…As we already discussed, altere transplacental programming is the critical step. However, xenoestrogen exposure during puberty (with its dramatic endocrine changes) may also play a role in the multi-step process of testicular carcinogenesis; alkylphenols (detergent by-products able to act as ER-agonists) do trigger a rapid, ERα36-PI3kinase pathway, which, in its turn, can modulate the expression of the DNAmethyltransferase-3 (Dnmt3) gene family which is involved in DNA methylation control, a mechanism suggested to play a role in testicular cancer [86]. It is noteworthy that, when investigating dietary risk factors, testicular cancer was significantly related with transplacental (maternal) and prepubertal consumption of cheese [87].…”