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Monograph on the Potential Human Reproductive and ... - OEHHA

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220 CHAPIN ET AL.<br />

Table 54<br />

Differences Between Laboratories in Rat Uterotrophic<br />

Assay With Bisphenol A a<br />

Laboratory Rat strain<br />

Immature,<br />

gavage x 3 days<br />

2<br />

7<br />

12<br />

13<br />

Immature,<br />

s.c. x 3 days<br />

2<br />

6<br />

7<br />

8<br />

12<br />

13<br />

15<br />

18<br />

20<br />

21<br />

Adult, s.c.<br />

x 3 days<br />

2<br />

6<br />

7<br />

8<br />

12<br />

Adult, s.c.<br />

x 7 days<br />

2<br />

7<br />

a Kanno et al. (2003b).<br />

CD(SD)IGS<br />

CD(SD)IGS<br />

CD(SD)IGS BR<br />

Wistar<br />

CD(SD)IGS<br />

CD(SD)IGS BR<br />

CD(SD)IGS<br />

Alpk:ApfSD<br />

CD(SD)IGS BR<br />

Wistar<br />

Wistar<br />

Sprague–Dawley<br />

Sprague–Dawley<br />

CD(SD) BR<br />

CD(SD)IGS<br />

CD(SD)IGS BR<br />

CD(SD)IGS<br />

Alpk:ApfSD<br />

CD(SD)IGS BR<br />

CD(SD)IGS<br />

CD(SD)IGS<br />

Lowest effective dose<br />

level (mg/kg bw/day)<br />

200<br />

10<br />

x<br />

x<br />

x<br />

10<br />

10<br />

375<br />

x<br />

x<br />

100<br />

x<br />

x<br />

x<br />

100<br />

x<br />

x<br />

x<br />

x<br />

x<br />

100<br />

x<br />

x<br />

600<br />

x<br />

300<br />

x<br />

x<br />

x<br />

300<br />

300<br />

1000<br />

x<br />

600<br />

x<br />

600<br />

600<br />

1000<br />

1000<br />

1000<br />

in juvenile ovariectomized DA/Han, Sprague–Dawley,<br />

<strong>and</strong> Wistar rats. After 3 days of treatment with bisphenol<br />

A 200 mg/kg bw/day, <strong>the</strong>re were small statistically<br />

significant increases in uterine weight in DA/Han <strong>and</strong><br />

Sprague–Dawley rats but not in Wistar rats. There were<br />

no alterati<strong>on</strong>s in uterine or vaginal epi<strong>the</strong>lium or in<br />

uterine clusterin mRNA expressi<strong>on</strong> in any of <strong>the</strong> strains<br />

after bisphenol A treatment.<br />

Inter-laboratory variati<strong>on</strong> in <strong>the</strong> uterotrophic assay<br />

was evaluated by <strong>the</strong> Organizati<strong>on</strong> for Ec<strong>on</strong>omic<br />

Cooperati<strong>on</strong> <strong>and</strong> Development (OECD) (Kanno et al.,<br />

2003b). Coded chemicals, including bisphenol A, were<br />

sent to up to 212 different laboratories. Four assay<br />

protocols were evaluated including oral treatment of<br />

intact immature rats for 3 days, s.c. treatment of intact<br />

immature rats for 3 days, s.c. treatment of ovariectomized<br />

6–8-week-old rats for 3 days, <strong>and</strong> s.c. treatment of<br />

ovariectomized 6–8-week-old rats for 7 days. Not all<br />

laboratories used all protocols or tested all compounds.<br />

Rat strains <strong>and</strong> suppliers were not st<strong>and</strong>ardized across<br />

laboratories. Comparis<strong>on</strong>s were made between labs<br />

based <strong>on</strong> <strong>the</strong> lowest dose level at which body weightadjusted<br />

blotted uterine weight was significantly different<br />

from <strong>the</strong> c<strong>on</strong>trol. Results are summarized in Table 54.<br />

The lowest effective dose of bisphenol A was uniformly<br />

identified for <strong>the</strong> assays performed in ovariectomized<br />

adults. Assays performed in immature animals varied in<br />

identificati<strong>on</strong> of <strong>the</strong> lowest effective bisphenol A dose<br />

Multiple of c<strong>on</strong>trol value<br />

6.0<br />

5.5<br />

5.0<br />

PCNA labeling<br />

4.5<br />

3.0<br />

2.5 Vaginal opening PND 26<br />

2.0<br />

Epi<strong>the</strong>lial cell height<br />

1.5 Uterine wet weight<br />

1.0<br />

Body weight<br />

0.5<br />

0.0<br />

0.1 1.0 10.0 100.0<br />

Bisphenol A dose, mg/kg bw/day<br />

Fig. 4. Dose–resp<strong>on</strong>se curves for endpoints of estrogenic activity<br />

in s.c.-dosed mice. On pair-wise testing, body weight was<br />

increased at 0.5 mg/kg bw/day <strong>and</strong> decreased at 100 mg/kg<br />

bw/day; vaginal opening was advanced at 0.1 <strong>and</strong> 100 mg/kg<br />

bw/day; epi<strong>the</strong>lial cell height was increased at 5, 75, <strong>and</strong><br />

100 mg/kg bw/day; PCNA labeling was increased at 75 <strong>and</strong><br />

100 mg/kg bw/day; <strong>and</strong> uterine wet weight was increased at<br />

100 mg/kg bw/day. Data from Markey et al. (2001b).<br />

level. There was no apparent effect of strain <strong>on</strong><br />

sensitivity of <strong>the</strong> uterotrophic resp<strong>on</strong>se in immature<br />

(intact or castrate) or adult female rats.<br />

Intra-laboratory variability has been noted for <strong>the</strong><br />

bisphenol A uterotrophic assay in immature mice<br />

(Tinwell <strong>and</strong> Joiner, 2000). Of 8 studies performed over<br />

a 2-year period at s.c. bisphenol A dose levels up to 200<br />

or 300 mg/kg bw/day, 4 showed a significant increase in<br />

uterine weight at 200 mg/kg bw/day. The o<strong>the</strong>r 4<br />

studies, including <strong>the</strong> 2studies that went to 300 mg/kg<br />

bw/day, showed no effect of bisphenol A treatment <strong>on</strong><br />

uterine weight despite <strong>the</strong> expected resp<strong>on</strong>se to diethylstilbestrol.<br />

Study authors noted that reducing <strong>the</strong><br />

permissible body weight of <strong>the</strong> mice selected for study<br />

resulted in lower <strong>and</strong> less variable c<strong>on</strong>trol uterine<br />

weights <strong>and</strong> greater likelihood of bisphenol A effect<br />

(Tinwell <strong>and</strong> Joiner, 2000; Ashby et al., 2004). [The Expert<br />

Panel notes that <strong>the</strong>se studies all used high s.c. doses of<br />

bisphenol A.]<br />

Markey et al. (2001b) proposed that <strong>the</strong> rodent<br />

uterotrophic assay is relatively insensitive to <strong>the</strong> estrogenic<br />

effects of bisphenol A. These authors treated<br />

immature CD-1 mice with bisphenol A in s.c. minipumps<br />

<strong>and</strong> evaluated uterine weight, relative area of uterine<br />

compartments, epi<strong>the</strong>lial height, expressi<strong>on</strong> of lactoferrin<br />

<strong>and</strong> proliferating cell nuclear antigen (PCNA), <strong>and</strong><br />

inducti<strong>on</strong> of vaginal opening. Dose–resp<strong>on</strong>se curves for<br />

<strong>the</strong> endpoints that showed significant changes from<br />

c<strong>on</strong>trol are illustrated in Figure 4. The study authors also<br />

noted that significant alterati<strong>on</strong>s in some endpoints were<br />

observed at much lower doses (0.1 mg/kg bw/day for<br />

vaginal opening <strong>and</strong> 5 mg/kg bw/day for epi<strong>the</strong>lial cell<br />

height), giving rise to a U-shaped dose–resp<strong>on</strong>se curve.<br />

[The asserti<strong>on</strong>s of some investigators notwithst<strong>and</strong>ing,<br />

<strong>the</strong> Expert Panel notes that oral bisphenol A does not<br />

c<strong>on</strong>sistently produce robust estrogenic resp<strong>on</strong>ses <strong>and</strong>,<br />

when seen, estrogenic effects after oral treatment occur<br />

at high-dose levels.]<br />

Transgenic reporter mice have permitted in vivo<br />

identificati<strong>on</strong> of activati<strong>on</strong> of <strong>the</strong> estrogen resp<strong>on</strong>se<br />

Birth Defects Research (Part B) 83:157–395, 2008

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