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

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234 CHAPIN ET AL.<br />

Table 68<br />

Toxicokinetic Values for Free Bisphenol A in Lactating<br />

Rats a<br />

Endpoint Blood value Milk value<br />

Systemic clearance, 119.2/142.4/154.1 b<br />

mL/min/kg<br />

Steady state 66.1/120.0/217.1 b<br />

bisphenol<br />

A c<strong>on</strong>centrati<strong>on</strong>,<br />

ng/mL<br />

Milk/serum ratio 2.7/2.6/2.4 b<br />

173.1/317.4/493.9 b<br />

Rats were i.v. injected 0.47, 0.94, or 1.88 mg/kg bw <strong>and</strong> <strong>the</strong>n<br />

infused over a 4-hr time period with 0.13, 0.27, 0.54 mg/hr.<br />

a Yoo et al. (2001).<br />

b Effect at each dose, from low to high dose.<br />

Table 69<br />

Toxicokinetic Values for Radioactive Dose in Lactating<br />

Rats (Total Bisphenol A) a<br />

Endpoint Blood value Milk value<br />

Cmax, mg – eq/L 27.2 4.46<br />

Tmax, hr 4 8<br />

Eliminati<strong>on</strong> half-life, hr 31 26<br />

AUC (0–48 hr), mg –eq � hr/L) 689 156<br />

a Kurebayashi et al. (2005).<br />

Rats were orally dosed with 0.5 mg/kg bw <strong>on</strong> PND 11.<br />

day) or high-doses (10–100 mg/kg bw/day) were similar.<br />

In c<strong>on</strong>trast to rodents <strong>and</strong> similar to humans, most of <strong>the</strong><br />

dose in orally- or i.v.-exposed m<strong>on</strong>keys was eliminated<br />

through urine.<br />

Toxicokinetics of bisphenol A were examined in<br />

pregnant rats <strong>and</strong> are summarized in Table 66 for free<br />

bisphenol A <strong>and</strong> Table 67 for total dose. One study<br />

dem<strong>on</strong>strated similar dispositi<strong>on</strong>, metabolism, <strong>and</strong> eliminati<strong>on</strong><br />

of bisphenol A in pregnant <strong>and</strong> n<strong>on</strong>-pregnant rats<br />

(Domoradzki et al., 2003). A number of rodent studies<br />

dem<strong>on</strong>strated distributi<strong>on</strong> of bisphenol A or radioactive<br />

dose to fetuses following oral dosing of <strong>the</strong> dam<br />

(Miyakoda et al., 1999; Takahashi <strong>and</strong> Oishi, 2000;<br />

Domoradzki et al., 2003; Kim <strong>and</strong> Hwang, 2003; Kabuto<br />

et al., 2004; Kurebayashi et al., 2005). Bisphenol A<br />

distributi<strong>on</strong> to fetus was also dem<strong>on</strong>strated with i.v.<br />

dosing of rats (Shin et al., 2002) <strong>and</strong> s.c. dosing of mice or<br />

m<strong>on</strong>keys (Uchida et al., 2002; Zalko et al., 2003). In a<br />

study in which bisphenol A was orally administered to<br />

rats <strong>on</strong> GD 19, bisphenol A glucur<strong>on</strong>ide was not detected<br />

in fetuses (Miyakoda et al., 2000); study authors noted<br />

<strong>the</strong> possibilities that bisphenol A glucur<strong>on</strong>ide was not<br />

likely transferred from dams to fetuses <strong>and</strong> that fetuses<br />

do not likely possess glucur<strong>on</strong>idati<strong>on</strong> ability. Some of <strong>the</strong><br />

studies dem<strong>on</strong>strated slower eliminati<strong>on</strong> of bisphenol A<br />

from fetuses than maternal blood following oral dosing<br />

(Miyakoda et al., 1999; Takahashi <strong>and</strong> Oishi, 2000).<br />

Toxicokinetics data in lactating rats are summarized in<br />

Table 68 for free bisphenol A <strong>and</strong> Table 69 for total dose.<br />

Distributi<strong>on</strong> of bisphenol A to milk <strong>and</strong>/or nursing pups<br />

was dem<strong>on</strong>strated in rodent studies with oral or i.v.<br />

exposures (Snyder et al., 2000; Yoo et al., 2001;<br />

Kurebayashi et al., 2005). One study reported that most of<br />

<strong>the</strong> bisphenol A dose is present as bisphenol A glucur<strong>on</strong>ide<br />

in milk of lactating rats (Snyder et al., 2000). In a study that<br />

compared bisphenol A c<strong>on</strong>centrati<strong>on</strong>s in maternal serum,<br />

milk, <strong>and</strong> offspring after rat dams were administered low<br />

oral doses (0.006 or 6 mg/kg bw/day), a significant<br />

increase in bisphenol A c<strong>on</strong>centrati<strong>on</strong> was <strong>on</strong>ly observed<br />

in <strong>the</strong> serum of dams from <strong>the</strong> high-dose group <strong>on</strong> PND 21;<br />

no increase was observed in milk or pups (Yoshida et al.,<br />

2004). Ano<strong>the</strong>r study dem<strong>on</strong>strated higher c<strong>on</strong>centrati<strong>on</strong>s<br />

of bisphenol A in milk compared to maternal serum after<br />

i.v. dosing of rat dams (Yoo et al., 2001).<br />

A number of in vitro studies compared bisphenol A<br />

metabolic velocity rates in microsomes or hepatocytes<br />

from rodents <strong>and</strong> humans. Generally, faster rates were<br />

dem<strong>on</strong>strated by rodent than human hepatocytes <strong>and</strong><br />

microsomes (Elsby et al., 2001; Pritchett et al., 2002)<br />

[reviewed in (European-Uni<strong>on</strong>, 2003)]. One of <strong>the</strong> studies<br />

noted that adjustment for total hepatocyte number in<br />

vivo resulted in higher predicted rates for humans than<br />

rodents (Pritchett et al., 2002). The European Uni<strong>on</strong><br />

(2003) noted that <strong>the</strong> interpretati<strong>on</strong> of such studies<br />

should included knowledge about in vivo c<strong>on</strong>diti<strong>on</strong>s<br />

such as varying metabolic capacity of hepatic cells,<br />

relati<strong>on</strong>ship of hepatic size to body size, <strong>and</strong> possibly<br />

important physiological endpoints such as blood flow.<br />

2.6.2 General toxicity. Gross signs of toxicity<br />

observed in rats acutely exposed to bisphenol A included<br />

pale livers <strong>and</strong> gastrointestinal hemorrhage [reviewed by<br />

<strong>the</strong> (European-Uni<strong>on</strong>, 2003)]. Acute effects of inhalati<strong>on</strong><br />

exposure in rats included transient <strong>and</strong> slight inflammati<strong>on</strong><br />

of nasal epi<strong>the</strong>lium <strong>and</strong> ulcerati<strong>on</strong> of <strong>the</strong> or<strong>on</strong>asal<br />

duct. Based <strong>on</strong> LD50 observed in animals, <strong>the</strong> European<br />

Uni<strong>on</strong> (2003) c<strong>on</strong>cluded that bisphenol A is of low acute<br />

toxicity through all exposure routes relevant to humans.<br />

According to <strong>the</strong> European Uni<strong>on</strong> (2003), <strong>the</strong>re is evidence<br />

that bisphenol A is irritating <strong>and</strong> damaging to <strong>the</strong> eye <strong>and</strong><br />

is irritating to <strong>the</strong> respiratory tract <strong>and</strong> possibly <strong>the</strong> skin.<br />

Findings regarding sensitizati<strong>on</strong> potential were not clear.<br />

Possible target organs or systems of toxicity identified<br />

in repeat-dose animal studies with oral dosing included<br />

intestine, liver, kidney, <strong>and</strong> male, <strong>and</strong> female reproductive<br />

systems [reviewed in (NTP, 1982; Yamasaki et al., 2002a;<br />

European-Uni<strong>on</strong>, 2003)]. Intestinal findings (effect levels)<br />

in rats included cecal enlargement (Z25 mg/kg bw/day)<br />

<strong>and</strong> cecal mucosal hyperplasia (Z200 mg/kg bw/day).<br />

Hepatic effects included prominent hepatocyte nuclei or<br />

inflammati<strong>on</strong> in rats (Z500 mg/kg bw/day), multinucleated<br />

giant hepatocytes in mice (Z120 mg/kg bw/day),<br />

<strong>and</strong> increased weight with no evidence of histopathology<br />

in dogs (Z270 mg/kg bw/day). Renal tubule degenerati<strong>on</strong><br />

or necrosis was observed in rats dosed with<br />

Z500 mg/kg bw/day. <strong>Reproductive</strong> findings are discussed<br />

in Secti<strong>on</strong> 4.0. Effects in subchr<strong>on</strong>ic inhalati<strong>on</strong><br />

studies in rats included cecal enlargement resulting from<br />

distenti<strong>on</strong> by food <strong>and</strong> transient, slight hyperplasia <strong>and</strong><br />

inflammati<strong>on</strong> of epi<strong>the</strong>lium in <strong>the</strong> anterior nasal cavity;<br />

both effects occurred at (Z50 mg/m 3 ).<br />

2.6.3 Estrogenicity. Estrogenicity of bisphenol A<br />

has been evaluated using in vitro (Table 52) <strong>and</strong> in vivo<br />

(Table 53) assays. In those studies estrogenic potency was<br />

compared to 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> estrogenic<br />

potency of bisphenol A ranging over about 8 orders of<br />

magnitude (Fig. 2). On <strong>the</strong> o<strong>the</strong>r h<strong>and</strong>, <strong>the</strong> average potency<br />

<strong>on</strong>ly differs by 1 order of magnitude <strong>and</strong> <strong>the</strong>re is very little<br />

difference between rat <strong>and</strong> mouse means.<br />

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

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