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

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gl<strong>and</strong>s were also c<strong>on</strong>ducted. Data were analyzed by<br />

ANOVA, least significant difference test, <strong>and</strong> t-test. [The<br />

statistical analyses c<strong>on</strong>sidered litter differences, method<br />

unstated.]<br />

At 1 m<strong>on</strong>th of age, <strong>the</strong> rate of ductal migrati<strong>on</strong> into <strong>the</strong><br />

stroma was increased in <strong>the</strong> low-dose group <strong>and</strong><br />

decreased in <strong>the</strong> high-dose group; values in <strong>the</strong> 2<br />

treatment groups were significantly different from <strong>on</strong>e<br />

ano<strong>the</strong>r but nei<strong>the</strong>r dose group was significantly<br />

different from <strong>the</strong> c<strong>on</strong>trol group. Bisphenol A treatment<br />

increased percentages of ducts <strong>and</strong> buds at 6 m<strong>on</strong>ths of<br />

age. Bromodeoxyuridine incorporati<strong>on</strong> was decreased in<br />

epi<strong>the</strong>lial cells at both doses at 10 days of age, decreased<br />

in stromal cells at <strong>the</strong> high-dose at 1 m<strong>on</strong>th of age, <strong>and</strong><br />

increased in stromal cells at both dose levels at 6 m<strong>on</strong>ths<br />

of age. At 1 m<strong>on</strong>th of age, <strong>the</strong> ratio of bromodeoxyuridine-positive<br />

epi<strong>the</strong>lial to stromal cells was 4:1 in <strong>the</strong><br />

c<strong>on</strong>trol group, 2:1 in <strong>the</strong> 0.000025 mg/kg bw/day group,<br />

<strong>and</strong> 6:1 in <strong>the</strong> 0.000250 mg/kg/bw/day group. The<br />

percentage of alveoli c<strong>on</strong>taining secretory products was<br />

increased at <strong>the</strong> low dose at 6 m<strong>on</strong>ths of age. The study<br />

authors c<strong>on</strong>cluded gestati<strong>on</strong>al exposure to low doses of<br />

bisphenol A alters timing of DNA syn<strong>the</strong>sis in mammary<br />

epi<strong>the</strong>lium <strong>and</strong> stroma, resulting in a histoarchitecture<br />

that is not typical for a virgin mouse.<br />

Strengths/Weaknesses: The examinati<strong>on</strong> of <strong>the</strong> mammary<br />

gl<strong>and</strong>, a system not often studied, is a strength. A<br />

critical weakness is <strong>the</strong> uncertainty of <strong>the</strong> DMSO<br />

c<strong>on</strong>centrati<strong>on</strong> as a vehicle <strong>and</strong> <strong>the</strong>refore pump performance.<br />

An additi<strong>on</strong>al weakness is that <strong>the</strong> proliferative<br />

changes reported in mammary tissues in virgin mice<br />

have not been satisfactorily established as precursors of<br />

breast cancer.<br />

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

This study is inadequate for <strong>the</strong> evaluati<strong>on</strong> process given<br />

exposure uncertainties.<br />

Markey et al. (2003), supported by NIH <strong>and</strong> <strong>the</strong><br />

Massachusetts Department of Public Health, examined<br />

<strong>the</strong> effects of prenatal bisphenol A exposure <strong>on</strong> development<br />

of <strong>the</strong> female reproductive system <strong>and</strong> mammary<br />

gl<strong>and</strong> in mice. CD-1 mice were fed Purina Rodent<br />

Chow that tested as having negligible estrogenicity.<br />

Cages <strong>and</strong> bedding tested negative for estrogenicity in<br />

<strong>the</strong> E-SCREEN assay. Water was provided in glass<br />

bottles. Mice (n 5 6–10/group) were administered bisphenol<br />

A [purity not indicated in <strong>the</strong> manuscript;<br />

9772% per A. Soto, pers<strong>on</strong>al communicati<strong>on</strong>, March 2,<br />

2007] at 0 (DMSO vehicle), 0.000025, or 0.000250 mg/kg<br />

bw/day by s.c. pump from GD 9 through <strong>the</strong> remainder<br />

of pregnancy (GD 1 5 day of vaginal plug). [The dose<br />

levels were incorrect in <strong>the</strong> original <strong>and</strong> were corrected<br />

by an erratum (Markey et al., 2004).] Number of<br />

offspring, sex ratio, body weight, <strong>and</strong> age at vaginal<br />

opening were assessed. Beginning at 3 m<strong>on</strong>ths of age <strong>and</strong><br />

c<strong>on</strong>tinuing for 2 weeks, estrous cyclicity was assessed by<br />

visual examinati<strong>on</strong> of <strong>the</strong> external vagina <strong>and</strong> c<strong>on</strong>firmati<strong>on</strong><br />

by vaginal smears. Female offspring (6–10/group)<br />

were killed at 1, 3, 4, 6, 9, <strong>and</strong> 12 m<strong>on</strong>ths of age <strong>on</strong> <strong>the</strong><br />

afterno<strong>on</strong> of proestrus. <strong>Reproductive</strong> organs were<br />

grossly assessed, <strong>and</strong> morphometric measurements were<br />

obtained for ovary <strong>and</strong> mammary gl<strong>and</strong>. [Although<br />

<strong>the</strong> methods secti<strong>on</strong> suggests that morphometric measurements<br />

were obtained at each time period of<br />

sacrifice, it does not appear that <strong>the</strong> measurements<br />

were taken at 12 m<strong>on</strong>ths of age. The 1-m<strong>on</strong>th data<br />

Birth Defects Research (Part B) 83:157–395, 2008<br />

BISPHENOL A<br />

291<br />

were reported in a previous publicati<strong>on</strong> (Markey<br />

et al., 2001a).] A histopathological evaluati<strong>on</strong> of <strong>the</strong><br />

ovary was c<strong>on</strong>ducted at 3 m<strong>on</strong>ths of age. <strong>Reproductive</strong><br />

organ weights were obtained at 1, 3, <strong>and</strong> 6 m<strong>on</strong>ths<br />

of age. [As in o<strong>the</strong>r studies reported from this<br />

laboratory, different litters were represented at each<br />

time period (A. Soto, pers<strong>on</strong>al communicati<strong>on</strong><br />

March 2, 2007).] Statistical analyses included ANOVA,<br />

Kruskal–Wallis, <strong>and</strong> Mann–Whitney tests. [It was not<br />

clear if <strong>the</strong> litter or offspring was c<strong>on</strong>sidered <strong>the</strong><br />

statistical unit.]<br />

Bisphenol A exposure had no significant effect <strong>on</strong> litter<br />

size or sex ratio. A significant interacti<strong>on</strong> between age for<br />

body weight <strong>and</strong> treatment was reported from 2–12<br />

m<strong>on</strong>ths of age but <strong>the</strong> effect <strong>on</strong> body weight was not<br />

explained. No significant effects were observed for<br />

vaginal opening in treated mice. Significant increases<br />

were observed in percentages of 3-m<strong>on</strong>th-old mice with<br />

estrus/metestrus for Z4 or 8 days. At 6 m<strong>on</strong>ths of age,<br />

<strong>the</strong> incidence of fluid-filled ovarian bursae was increased<br />

in both treatment groups. <strong>Reproductive</strong> organ weights<br />

were not affected at 1 or 6 m<strong>on</strong>ths of age, but at 3 m<strong>on</strong>ths<br />

of age, absolute <strong>and</strong> relative (to body weight) weights of<br />

vagina were decreased in <strong>the</strong> high-dose group. The<br />

percentage of ovary tissue c<strong>on</strong>sisting of antral follicles<br />

was increased in <strong>the</strong> high-dose group at 3 m<strong>on</strong>ths of age.<br />

No significant differences were observed for mammary<br />

structures at 4 m<strong>on</strong>ths of age. At 6 m<strong>on</strong>ths of age, <strong>the</strong><br />

percentage of alveolar buds/lobulo-alveoli was increased<br />

in both dose groups compared to <strong>the</strong> c<strong>on</strong>trol group. The<br />

percentage of alveolar buds/lobulo-alveoli was decreased<br />

in <strong>the</strong> low-dose group compared to c<strong>on</strong>trol<br />

group at 9 m<strong>on</strong>ths of age. The study authors c<strong>on</strong>cluded<br />

that exposure of mice to envir<strong>on</strong>mentally relevant doses<br />

of bisphenol A during <strong>the</strong> development of estrogensensitive<br />

tissues results in effects that are manifested in<br />

adulthood.<br />

Strengths/Weaknesses: The examinati<strong>on</strong> of <strong>the</strong> mammary<br />

gl<strong>and</strong>, a system not often studied, is a strength. A<br />

critical weakness is <strong>the</strong> uncertainty of <strong>the</strong> DMSO<br />

c<strong>on</strong>centrati<strong>on</strong> as a vehicle <strong>and</strong> <strong>the</strong>refore pump<br />

performance.<br />

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

This study is inadequate for <strong>the</strong> evaluati<strong>on</strong> process given<br />

exposure uncertainties.<br />

V<strong>and</strong>enberg et al. (2007), supported by NIEHS <strong>and</strong><br />

Tufts, examined <strong>the</strong> effects of prenatal bisphenol A<br />

exposure <strong>on</strong> mouse mammary gl<strong>and</strong> development. CD-1<br />

mice were fed Harlan Teklad 2008, which was reported to<br />

c<strong>on</strong>tain 20 fmol/g estrogen equivalents. The type of<br />

caging <strong>and</strong> bedding used was not reported but <strong>the</strong>y were<br />

stated to test negative for estrogenicity in <strong>the</strong> E-SCREEN.<br />

Water was supplied in glass bottles. On GD 8 (GD<br />

1 5 day of vaginal plug) mice were implanted [subcutaneous<br />

(A. Soto, pers<strong>on</strong>al communicati<strong>on</strong>, March 2,<br />

2007)] with osmotic pumps that delivered <strong>the</strong> 50% DMSO<br />

vehicle or bisphenol A [purity not reported in manuscript;<br />

9772% per A. Soto, pers<strong>on</strong>al communicati<strong>on</strong>,<br />

March 2, 2007] at 0.000250 mg kg bw/day. The bisphenol<br />

A dose was selected because it was predicted (or<br />

estimated) to be envir<strong>on</strong>mentally relevant <strong>and</strong> shown<br />

to alter mammary endpoints (Markey et al., 2001a;<br />

Muñoz-de-Toro et al., 2005). Pumps were left in place<br />

until dams were killed <strong>on</strong> GD 18. [The number of dams<br />

treated was not reported in <strong>the</strong> paper. The Expert Panel

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