Monograph on the Potential Human Reproductive and ... - OEHHA
Monograph on the Potential Human Reproductive and ... - OEHHA
Monograph on the Potential Human Reproductive and ... - OEHHA
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210 CHAPIN ET AL.<br />
related. No histopathological alterati<strong>on</strong>s were observed<br />
for cecal wall morphology. Hemolyzed blood was<br />
observed in <strong>the</strong> stomachs of three to seven of 10<br />
males/group exposed to 50 <strong>and</strong> 150 mg/m 3 , but <strong>the</strong>re<br />
were no signs of histopathological alterati<strong>on</strong>s in <strong>the</strong><br />
gastrointestinal tract. Slight histopathological alterati<strong>on</strong>s,<br />
c<strong>on</strong>sisting of hyperplasia in stratified squamous <strong>and</strong><br />
ciliated epi<strong>the</strong>lium lining <strong>and</strong> inflammati<strong>on</strong> of submucosal<br />
tissues was observed in <strong>the</strong> anterior nasal cavities<br />
of all (10/dose/sex) males <strong>and</strong> females exposed to<br />
Z50 mg/m 3 . Slight-to-moderate hyperplasia of goblet<br />
cells was also observed in <strong>the</strong> lateral nasal wall. No o<strong>the</strong>r<br />
treatment-related histopathological alterati<strong>on</strong>s were observed,<br />
including in reproductive organs.<br />
During <strong>the</strong> 4-week recovery period, body weights<br />
remained lower in males <strong>and</strong> females of <strong>the</strong> 50 <strong>and</strong><br />
150 mg/m 3 groups At 4 weeks following exposure,<br />
terminal body weights of males <strong>and</strong> females in <strong>the</strong><br />
150 mg/m 3 group were B6% lower than c<strong>on</strong>trol values.<br />
A decrease in white blood cell count in females from <strong>the</strong><br />
10 <strong>and</strong> 150 mg/m 3 groups was <strong>the</strong> <strong>on</strong>ly hematological<br />
effect observed. The clinical chemistry effects that were<br />
somewhat c<strong>on</strong>sistent with effects observed immediately<br />
following treatment were increased alkaline phosphatase<br />
activity in females exposed to 10 <strong>and</strong> 150 mg/m 3 <strong>and</strong><br />
decreased serum glutamic pyruvic activity transaminase<br />
activity in females exposed to 150 mg/m 3 ; <strong>the</strong> study<br />
authors did not c<strong>on</strong>sider <strong>the</strong> clinical chemistry changes<br />
to be treatment-related. The study authors c<strong>on</strong>cluded<br />
that an increase in relative brain weight in males of <strong>the</strong><br />
150 mg/m 3 group was related to decreased body weights<br />
in those animals. Enlarged cecal size was observed in 5 of<br />
10 males of <strong>the</strong> 150 mg/m 3 group, a decreased incidence<br />
compared to <strong>the</strong> period immediately following treatment.<br />
Nasal histopathology was observed in <strong>the</strong> 150 mg/<br />
m 3 but was reduced in magnitude <strong>and</strong> severity compared<br />
to rats observed immediately following exposure.<br />
In rats examined following 12 weeks of recovery, body<br />
weights of males in <strong>the</strong> 150 mg/m 3 group remained<br />
lower than c<strong>on</strong>trols, <strong>and</strong> terminal body weight was<br />
decreased by B6%. An increase in white blood cell<br />
counts but not differential counts was observed in male<br />
rats of <strong>the</strong> 10 <strong>and</strong> 150 mg/m 3 group. The <strong>on</strong>ly clinical<br />
chemistry finding c<strong>on</strong>sistent with earlier observati<strong>on</strong>s<br />
was decreased total protein <strong>and</strong> globulin in females from<br />
<strong>the</strong> 150 mg/m 3 group, but <strong>the</strong> study authors did not<br />
c<strong>on</strong>sider <strong>the</strong> effect to be biologically significant. Organ<br />
weight changes in <strong>the</strong> 150 mg/m 3 group included<br />
decreased absolute kidney <strong>and</strong> lung weights in males<br />
<strong>and</strong> decreased absolute <strong>and</strong> relative kidney weights in<br />
females. No histopathological alterati<strong>on</strong>s were observed<br />
in kidney or lung. No o<strong>the</strong>r gross or histopathological<br />
alterati<strong>on</strong>s were observed, including cecal enlargement<br />
<strong>and</strong> nasal histopathology, which were observed at earlier<br />
time periods.<br />
2.2.2 Estrogenicity. The first identificati<strong>on</strong> of bisphenol<br />
A as an estrogen has been attributed to Dodds<br />
<strong>and</strong> Laws<strong>on</strong> (1936), who reported that 100 mg injected by<br />
an unspecified route twice daily for 3 days resulted in<br />
maintenance of 5 of 5 rats in vaginal estrus for 40 days.<br />
The estrogenicity of bisphenol A has since been<br />
evaluated using several different kinds of assays. In<br />
vitro studies are summarized in Table 52, <strong>and</strong> in vivo<br />
studies are summarized in Table 53 using comparis<strong>on</strong>s<br />
with 17b-estradiol, ethinyl estradiol, diethylstilbestrol,<br />
<strong>and</strong>, in <strong>on</strong>e study, estr<strong>on</strong>e. There is c<strong>on</strong>siderable<br />
variability in <strong>the</strong> results of <strong>the</strong>se studies with <strong>the</strong><br />
estrogenic potency of bisphenol A ranging over about 8<br />
orders of magnitude, but similar means (Fig. 2).<br />
The most comm<strong>on</strong> method of comparing potency is to<br />
test resp<strong>on</strong>ses over a range of c<strong>on</strong>centrati<strong>on</strong>s <strong>and</strong> to<br />
compare <strong>the</strong> c<strong>on</strong>centrati<strong>on</strong>s producing <strong>the</strong> half-maximal<br />
(or o<strong>the</strong>r fracti<strong>on</strong>al) resp<strong>on</strong>se of <strong>the</strong> comparator estrogen.<br />
An alternative is to compare <strong>the</strong> magnitude of <strong>the</strong><br />
resp<strong>on</strong>se at an equimolar c<strong>on</strong>centrati<strong>on</strong> of <strong>the</strong> 2 estrogens.<br />
The difference in <strong>the</strong>se two methods is illustrated<br />
in Figure 3. An example of <strong>the</strong> difference in potency<br />
estimati<strong>on</strong>s according to comparis<strong>on</strong> method is <strong>the</strong> study<br />
of Vivacqua et al. (2003), in which <strong>the</strong> fold-increase in<br />
reporter activity for an estrogen-resp<strong>on</strong>sive gene was<br />
compared over a range of c<strong>on</strong>centrati<strong>on</strong>s for bisphenol A<br />
<strong>and</strong> for 17b-estradiol. This study’s Figure 3 presents<br />
curves analogous to Figure 3, but also presents a bar<br />
graph comparing resp<strong>on</strong>se of <strong>the</strong> reporter at a 10 -7 M<br />
c<strong>on</strong>centrati<strong>on</strong> of each estrogen. Based <strong>on</strong> <strong>the</strong> halfmaximal<br />
resp<strong>on</strong>se to 17b-estradiol, bisphenol-A<br />
appeared 1000 times less potent than 17b-estradiol,<br />
but based <strong>on</strong> <strong>the</strong> fold-difference in reporter activity<br />
at 10 -7 M, bisphenol A was about half as potent.<br />
Data for o<strong>the</strong>r estrogenicity comparis<strong>on</strong>s in this study<br />
<strong>and</strong> in many o<strong>the</strong>r studies are presented <strong>on</strong>ly using bar<br />
graphs comparing resp<strong>on</strong>ses at <strong>the</strong> same molar c<strong>on</strong>centrati<strong>on</strong>s<br />
of <strong>the</strong> 2 estrogens, <strong>the</strong>reby overestimating <strong>the</strong><br />
estrogenic potency of bisphenol A compared to studies in<br />
which comparis<strong>on</strong>s are based <strong>on</strong> <strong>the</strong> half-maximal<br />
resp<strong>on</strong>se.<br />
Competitive binding assays, which evaluate <strong>the</strong> c<strong>on</strong>centrati<strong>on</strong><br />
at which bisphenol A displaces labeled 17bestradiol<br />
from ER, are summarized in <strong>the</strong> top part of<br />
Table 52. The receptor binding of bisphenol A in <strong>the</strong>se<br />
assays varies over 3 orders of magnitude. Bisphenol A<br />
competes for human ER binding at molar c<strong>on</strong>centrati<strong>on</strong>s<br />
20–10,000 times that of <strong>the</strong> native lig<strong>and</strong>. When bisphenol<br />
A binding to ERa <strong>and</strong> ERb was compared in <strong>the</strong> same<br />
study, 3 reports found little difference by receptor<br />
subtype (Kuiper et al., 1998; Paris et al., 2002; Takayanagi<br />
et al., 2006), <strong>and</strong> 3 studies found binding to ERb to be 4,<br />
10, 47, <strong>and</strong> 254 times greater than binding to ERa<br />
(Routledge et al., 2000; Mat<strong>the</strong>ws et al., 2001; Seidlová-<br />
Wuttke et al., 2004, 2005; Takemura et al., 2005). Yeast<br />
reporter systems, which reflect activati<strong>on</strong> of post-receptor<br />
pathways, show less variability; <strong>the</strong>se studies show<br />
bisphenol A activity to be 10,000–26,000 times less than<br />
that of 17b-estradiol.<br />
Some variability in estimating bisphenol A potency<br />
appears to be due to differences between laboratories.<br />
Andersen et al. (1999a) reported results from 3 laboratories<br />
that evaluated <strong>the</strong> proliferative resp<strong>on</strong>se of MCF-7<br />
breast cancer cells to bisphenol A. The laboratories,<br />
which were in <strong>the</strong> U.S., Spain, <strong>and</strong> Denmark, were sent<br />
samples of <strong>the</strong> same stock of bisphenol A, 17b-estradiol,<br />
<strong>and</strong> MCF-7 cells. Procedures were similar in <strong>the</strong> labs,<br />
although two different counting methods were used. The<br />
bisphenol A potencies relative to 17b-estradiol were<br />
5 x 10 -7 , 3 x 10 -6 , <strong>and</strong> 1 x10 -5 . Laboratory variability<br />
may underlie some of <strong>the</strong> large differences in cell-based<br />
assays for ER activati<strong>on</strong>; in those studies bisphenol A<br />
molar potency compared to 17b-estradiol were reported<br />
to vary by over 7 orders of magnitude (Table 52). Ano<strong>the</strong>r<br />
explanati<strong>on</strong> for this wide range of reported values is <strong>the</strong><br />
Birth Defects Research (Part B) 83:157–395, 2008