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

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270 CHAPIN ET AL.<br />

doses of potent estrogens induce gross abnormalities in<br />

<strong>the</strong> male reproductive system; <strong>and</strong> that <strong>on</strong>ly agents that<br />

suppress <strong>and</strong>rogen receptor while increasing ERa <strong>and</strong><br />

progester<strong>on</strong>e receptor are likely to cause gross developmental<br />

abnormalities in <strong>the</strong> male reproductive system.<br />

Strengths/Weaknesses: Strengths include expertise of<br />

<strong>the</strong> group coupled to well-performed experiments, data<br />

recording, <strong>and</strong> interpretati<strong>on</strong>. Bisphenol A was not a<br />

primary target in this study but was <strong>on</strong>e of a series of<br />

estrogenic compounds, allowing comparis<strong>on</strong> with o<strong>the</strong>r<br />

similar compounds. However, a significant weakness are<br />

<strong>the</strong> s.c. route of administrati<strong>on</strong>, <strong>on</strong>ly a single varying<br />

dose level of bisphenol A was used, <strong>and</strong> <strong>the</strong>re was no<br />

accounting for litter effects within <strong>the</strong> c<strong>on</strong>text of<br />

individual animal treatments within litters.<br />

Utility (Adequacy) for CERHR Evaluati<strong>on</strong> Process:<br />

This work is inadequate for <strong>the</strong> evaluati<strong>on</strong> process, based<br />

<strong>on</strong> lack of clarity for experimental or statistical c<strong>on</strong>trol for<br />

litter effects.<br />

Rivas et al. (2002), supported by <strong>the</strong> European Uni<strong>on</strong><br />

<strong>and</strong> <strong>the</strong> Spanish Ministry of Educati<strong>on</strong>, examined <strong>the</strong><br />

effects of bisphenol A exposure <strong>on</strong> reproductive tract<br />

development of male rats. The main focus of <strong>the</strong><br />

study was determining <strong>the</strong> effects of decreased <strong>and</strong>rogen<br />

producti<strong>on</strong> in combinati<strong>on</strong> with a low dose of<br />

diethylstilbestrol. Effects of flutamide were also examined<br />

but will not be discussed. Wistar rats were fed a soyfree<br />

diet (rat <strong>and</strong> mouse soya-free breeding diet; SDS,<br />

Dundee, Scotl<strong>and</strong>). [No informati<strong>on</strong> was provided about<br />

caging <strong>and</strong> bedding materials.] Litters of 8–12 male pups<br />

were assembled by cross-fostering <strong>on</strong> PND 1 (day of<br />

birth). Male rats were s.c. injected with <strong>the</strong> corn oil vehicle<br />

or 0.1 mg bisphenol A [purity not indicated] <strong>on</strong> PND 2, 4,<br />

6, 8, 10, <strong>and</strong> 12 with <strong>and</strong> without co-administrati<strong>on</strong> of<br />

10 mg/kg GnRH antag<strong>on</strong>ist (a suppressor of <strong>and</strong>rogen<br />

producti<strong>on</strong>). [Assuming a 5–25 g body weight during<br />

this interval, <strong>the</strong> bisphenol A dose would be B20 mg/kg<br />

bw/day at <strong>the</strong> beginning of <strong>the</strong> interval <strong>and</strong> B4 mg/kg<br />

bw/day at <strong>the</strong> end of <strong>the</strong> interval.] Additi<strong>on</strong>al rats were<br />

s.c. injected with diethylstilbestrol at doses of 0.1 or 10 mg<br />

<strong>on</strong> PND 2, 4, 6, 8, 10, <strong>and</strong> 12 with <strong>and</strong> without<br />

administrati<strong>on</strong> of GnRH antag<strong>on</strong>ist. Rats were killed <strong>on</strong><br />

PND 15. The testis was fixed in Bouin soluti<strong>on</strong> <strong>and</strong><br />

testicular structures were measured. Plasma testoster<strong>on</strong>e<br />

levels were measured using an ELISA technique. From 3–<br />

10 animals/group were examined for each endpoint.<br />

Data were analyzed by ANOVA.<br />

Treatment with bisphenol A al<strong>on</strong>e did not affect<br />

plasma testoster<strong>on</strong>e levels but treatment with GnRH<br />

antag<strong>on</strong>ist al<strong>on</strong>e <strong>and</strong> in combinati<strong>on</strong> with bisphenol A<br />

significantly lowered plasma testoster<strong>on</strong>e levels. Treatment<br />

of rats with bisphenol A al<strong>on</strong>e or in combinati<strong>on</strong><br />

with GnRH antag<strong>on</strong>ist had no significant effect <strong>on</strong> rete<br />

testis luminal area, efferent duct luminal area, efferent<br />

duct epi<strong>the</strong>lial cell height, or vas deferens epi<strong>the</strong>lial cell<br />

height. Exposure to <strong>the</strong> high diethylstilbestrol dose<br />

increased rete area, <strong>and</strong> both doses of diethylstilbestrol<br />

decreased plasma testoster<strong>on</strong>e levels, increased efferent<br />

duct luminal area, <strong>and</strong> decreased epi<strong>the</strong>lial cell height in<br />

efferent duct <strong>and</strong> vas deferens. The study authors<br />

c<strong>on</strong>cluded that <strong>the</strong> estrogenicity of bisphenol A when<br />

injected at a moderately high-dose was insufficient for<br />

disrupting <strong>the</strong> estrogen-<strong>and</strong>rogen balance in rats.<br />

Strengths/Weaknesses: This study was performed<br />

carefully <strong>and</strong> well-documented. Weaknesses include:<br />

<strong>the</strong> dose of bisphenol A was high <strong>and</strong> <strong>on</strong>ly a single dose<br />

level administered subcutaneously was examined; <strong>and</strong><br />

litter effects were not addressed in <strong>the</strong> c<strong>on</strong>text within<br />

litter dosing of cross-fostered litters.<br />

Utility (Adequacy) for CERHR Evaluati<strong>on</strong> Process:<br />

This work is inadequate for <strong>the</strong> evaluati<strong>on</strong> process, based<br />

<strong>on</strong> lack of clarity <strong>on</strong> c<strong>on</strong>trol for litter effects.<br />

Sharpe et al. (2003), supported in part by <strong>the</strong> European<br />

Uni<strong>on</strong> <strong>and</strong> <strong>the</strong> Spanish Ministry of Educati<strong>on</strong>, examined<br />

<strong>the</strong> effects of ne<strong>on</strong>atal exposure of rats to bisphenol A <strong>on</strong><br />

Leydig cell development <strong>and</strong> functi<strong>on</strong>. Wistar rat dams<br />

were fed a st<strong>and</strong>ard soy-c<strong>on</strong>taining feed (rat <strong>and</strong> mouse<br />

breeding diet; SDS). [No informati<strong>on</strong> was provided <strong>on</strong><br />

feed given to male offspring following weaning or<br />

bedding <strong>and</strong> caging materials.] Litters of 9–12 male<br />

pups were created by cross fostering pups <strong>on</strong> PND 1 (day<br />

of birth). Male pups were s.c. injected with <strong>the</strong> corn oil<br />

vehicle or 0.5 mg/day bisphenol A [purity not reported]<br />

<strong>on</strong> PND 2–12. [Assuming 5–25 g body weight during<br />

this interval, <strong>the</strong> dose would be B100 mg/kg bw/day at<br />

<strong>the</strong> beginning of <strong>the</strong> interval <strong>and</strong> B20 mg/kg bw/day at<br />

<strong>the</strong> end of <strong>the</strong> interval.] O<strong>the</strong>r groups of rats received<br />

diethylstilbestrol at 0.1–10 mg/day <strong>on</strong> PND 2, 4, 6, 8, 10,<br />

<strong>and</strong> 12. Additi<strong>on</strong>al rats were treated with GnRH<br />

antag<strong>on</strong>ist Antarelix or 4-tert-octylphenol, but those<br />

results will not be discussed. Rats were killed <strong>on</strong> PND<br />

18, 25, 35, or 90. Testes were weighed <strong>and</strong> fixed in Bouin<br />

soluti<strong>on</strong>. Secti<strong>on</strong>s of testes were immunostained with <strong>the</strong><br />

Leydig cell marker 3b-hydroxysteroid dehydrogenase to<br />

evaluate Leydig cell development in 5–7 animals/group.<br />

Plasma testoster<strong>on</strong>e levels were measured by ELISA.<br />

Group sizes for evaluati<strong>on</strong> of testes weight <strong>and</strong> plasma<br />

testoster<strong>on</strong>e were 2–23, with most groups c<strong>on</strong>taining at<br />

least 8 animals. Data were analyzed by ANOVA.<br />

The <strong>on</strong>ly significant effect <strong>on</strong> plasma testoster<strong>on</strong>e level<br />

following exposure to bisphenol A was an increase <strong>on</strong><br />

PND 18 (n 5 4). In rats of <strong>the</strong> bisphenol A group<br />

examined at each time period, <strong>the</strong>re were no significant<br />

effects <strong>on</strong> testis weight, percent Leydig cell nuclear<br />

volume/testis, Leydig cell nuclear volume/testis, or total<br />

Leydig cell volume (nuclear1cytoplasmic volume/testis).<br />

Significant results in rats exposed to diethylstilbestrol<br />

included decreased Leydig nuclear cell volume at <strong>the</strong><br />

mid- or high-dose <strong>on</strong> or before PND 35 <strong>and</strong> reduced<br />

plasma testoster<strong>on</strong>e level <strong>and</strong> testis weight at all doses<br />

<strong>and</strong> most time points of evaluati<strong>on</strong>. The study authors<br />

c<strong>on</strong>cluded that <strong>the</strong>re were no c<strong>on</strong>sistent changes in<br />

Leydig cell development following exposure to bisphenol<br />

A.<br />

Strengths/Weaknesses: A strength is that bisphenol A<br />

was <strong>on</strong>e of a number of compounds examined enabling<br />

internal comparis<strong>on</strong> with o<strong>the</strong>r similar molecules. Limitati<strong>on</strong>s<br />

include use of a single high but variable dose of<br />

bisphenol A <strong>and</strong> small sample sizes for critical<br />

endpoints.<br />

Utility (Adequacy) for CERHR Evaluati<strong>on</strong> Process:<br />

This study is inadequate due to small or uncertain<br />

sample sizes for key endpoints.<br />

Khurana et al. (2000), supported by NIH, March of<br />

Dimes, <strong>and</strong> Pardee Foundati<strong>on</strong>, examined <strong>the</strong> effects of<br />

ne<strong>on</strong>atal bisphenol A exposure <strong>on</strong> prolactin levels in rats.<br />

[The type of chow used <strong>and</strong> compositi<strong>on</strong> of bedding<br />

<strong>and</strong> caging materials were not reported.] On PND 1–5<br />

(day of birth 5 PND 0), 8–10 Fischer 344 rat pups/sex/<br />

group (litter relati<strong>on</strong>ships are unclear) were s.c.<br />

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

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