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

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304 CHAPIN ET AL.<br />

high-doses of bisphenol A induce ovary-independent<br />

vaginal stratificati<strong>on</strong> <strong>and</strong> polyovular follicles when<br />

administered during postnatal but not prenatal<br />

development.<br />

Strengths/Weaknesses: The use of diethylstilbestrol as<br />

a positive c<strong>on</strong>trol is a strength as are an experimental<br />

design that appropriately examined litter effects. The use<br />

of relatively high-doses by s.c. injecti<strong>on</strong> <strong>and</strong> small sample<br />

sizes for ovarian histopathology are weaknesses.<br />

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

This study is adequate but of limited utility due to <strong>the</strong><br />

route <strong>and</strong> dose level.<br />

Nikaido et al. (2005), supported by <strong>the</strong> Japanese<br />

Ministry of Health, Labor, <strong>and</strong> Welfare, examined <strong>the</strong><br />

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

<strong>the</strong> reproductive system in female mice. Mice used in this<br />

study were housed in polyisopentene cages with white<br />

pine chip bedding. The mice were fed a low-phytoestrogen<br />

diet (NIH-07 PLD; Oriental Yeast Co.) <strong>and</strong> provided<br />

water in polycarb<strong>on</strong>ate bottles with rubber stoppers. At<br />

15 days of age, 17–24 female CD-1 mice/group were s.c.<br />

injected with DMSO vehicle, 10 mg/kg bw/day<br />

bisphenol A (Z99% purity), or 10 mg/kg bw/day<br />

diethylstilbestrol for 4 days. Additi<strong>on</strong>al groups were<br />

dosed with o<strong>the</strong>r compounds, but those results will not<br />

be discussed. [No informati<strong>on</strong> was provided <strong>on</strong> <strong>the</strong><br />

numbers of litters represented.] Mice were weaned at 21<br />

days of age. Body weights were measured weekly. Day of<br />

vaginal opening was determined <strong>and</strong> estrous cyclicity<br />

was assessed over 21-day periods beginning at 5, 9, <strong>and</strong><br />

21 weeks of age. Six mice/group/time period were killed<br />

<strong>and</strong> necropsied at 4, 8, 12, <strong>and</strong> 24 weeks of age. [In<br />

c<strong>on</strong>trast to <strong>the</strong> Materials <strong>and</strong> Methods secti<strong>on</strong>, <strong>the</strong>re<br />

was no menti<strong>on</strong> of animals killed at 12 weeks of age in<br />

<strong>the</strong> Abstract or Results secti<strong>on</strong> of <strong>the</strong> study.] Ovaries,<br />

uteri, vaginas, <strong>and</strong> inguinal mammary gl<strong>and</strong>s were fixed<br />

in 10% neutral buffered formalin. Histopathological<br />

analyses were c<strong>on</strong>ducted of <strong>the</strong> ovary, uterus, <strong>and</strong><br />

vagina. Mammary gl<strong>and</strong>s were examined as wholemount<br />

preparati<strong>on</strong>s. It appears that all endpoints were<br />

assessed in every mouse. Statistical analyses included<br />

homogeneity of variance analysis <strong>and</strong> ANOVA or<br />

Kruskal–Wallis test. If statistical significance was obtained,<br />

data were fur<strong>the</strong>r analyzed by Fisher protected<br />

least significant difference test.<br />

Exposure to bisphenol A resulted in no effects <strong>on</strong> body<br />

weight gain, age of vaginal opening, estrous cyclicity,<br />

histopathological changes in <strong>the</strong> uterus or vagina, or<br />

growth or development of <strong>the</strong> mammary gl<strong>and</strong>. At 4<br />

weeks of age, 33% of mice in <strong>the</strong> c<strong>on</strong>trol group, 83% of<br />

mice in <strong>the</strong> bisphenol A group, <strong>and</strong> 100% of mice in <strong>the</strong><br />

diethylstilbestrol group lacked corpora lutea. [It appears<br />

that <strong>the</strong> study authors c<strong>on</strong>sidered <strong>the</strong> lack of corpora<br />

lutea to be normal based <strong>on</strong> <strong>the</strong> age of mice.] No effects<br />

<strong>on</strong> corpora lutea numbers or numbers of polyovular<br />

follicles were observed at later ages. Mice treated with<br />

diethylstilbestrol experienced accelerated vaginal opening<br />

<strong>and</strong> increased time in estrus. In <strong>the</strong>ir c<strong>on</strong>clusi<strong>on</strong>, <strong>the</strong><br />

study authors reiterated <strong>the</strong> lack of effects in <strong>the</strong><br />

bisphenol A group.<br />

Strengths/Weaknesses: The use of diethylstilbestrol as<br />

a positive c<strong>on</strong>trol is a strength, but <strong>the</strong> lack of informati<strong>on</strong><br />

<strong>on</strong> sample size of dams, small sample size for<br />

postnatal endpoints, subcutaneous route, <strong>and</strong> high-dose<br />

level are weaknesses.<br />

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

This study is inadequate <strong>and</strong> not useful in <strong>the</strong> evaluati<strong>on</strong>.<br />

Markey et al. (2005), supported by NIH, examined <strong>the</strong><br />

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

development in mice. CD-1 mice were fed Purina<br />

rodent chow that tested ‘‘negligible for estrogenicity in<br />

<strong>the</strong> E-SCREEN assay.’’ Cages <strong>and</strong> bedding tested<br />

negative for estrogenicity in <strong>the</strong> E-SCREEN assay. Tap<br />

water was supplied in glass bottles. From GD 9 (GD<br />

1 5 day of vaginal plug) through PND 4, 6–10 mice/<br />

group were exposed to bisphenol A [purity not reported<br />

in <strong>the</strong> manuscript; 9772% per A. Soto, pers<strong>on</strong>al<br />

communicati<strong>on</strong>, March 2, 2007] at 0 (DMSO vehicle),<br />

0.000025, or 0.000250 mg/kg bw/day through a s.c.<br />

pump. Offspring were culled to 10/litter <strong>on</strong> PND 7 <strong>and</strong><br />

weaned <strong>on</strong> PND 20. One pup/litter from 6–10 litters/<br />

treatment group was killed <strong>on</strong> <strong>the</strong> day of proestrus at 3<br />

m<strong>on</strong>ths of age. The uterus <strong>and</strong> vagina were weighed <strong>and</strong><br />

subjected to morphometric analysis. The uterus was also<br />

assessed for cell proliferati<strong>on</strong> by bromodeoxyuridine<br />

(BrdU) incorporati<strong>on</strong>, apoptosis by TUNEL method, <strong>and</strong><br />

expressi<strong>on</strong> of ERa <strong>and</strong> progester<strong>on</strong>e receptor by an<br />

immunostaining procedure. Data that were normally<br />

distributed <strong>and</strong> showed homogeneity of variance were<br />

analyzed by ANOVA <strong>and</strong> least significant difference test.<br />

O<strong>the</strong>r data were analyzed by Kruskall–Wallis <strong>and</strong> Mann–<br />

Whitney U test.<br />

Significant effects observed in 3-m<strong>on</strong>th-old offspring<br />

exposed to <strong>the</strong> high-dose included decreased absolute<br />

<strong>and</strong> relative (to body weight) vaginal weight, decreased<br />

volume of uterine lamina propria, <strong>and</strong> increased percentage<br />

of proliferating uterine gl<strong>and</strong>ular epi<strong>the</strong>lial cells. In<br />

mice of both dose groups, <strong>the</strong>re were significant<br />

increases in expressi<strong>on</strong> of ERa <strong>and</strong> progester<strong>on</strong>e receptor<br />

in uterine luminal epi<strong>the</strong>lial cells; levels of both receptors<br />

were also increased in <strong>the</strong> subepi<strong>the</strong>lial stroma. No<br />

treatment effects were observed for apoptosis in uterine<br />

luminal <strong>and</strong> gl<strong>and</strong>ular epi<strong>the</strong>lial cells. No treatment<br />

effects were observed for vaginal morphometry or cell<br />

proliferati<strong>on</strong>. The study authors c<strong>on</strong>cluded that envir<strong>on</strong>mentally<br />

relevant doses of bisphenol A affect <strong>the</strong><br />

development of <strong>the</strong> genital tract at <strong>the</strong> gross <strong>and</strong> cellular<br />

level in <strong>the</strong> female offspring of mice exposed during<br />

pregnancy.<br />

Strengths/Weaknesses: The administrati<strong>on</strong> of very<br />

low doses is a strength. A critical weakness is <strong>the</strong> use<br />

of DMSO as a vehicle which is known to degrade <strong>the</strong><br />

pump apparatus, <strong>and</strong> is inappropriate as a vehicle for in<br />

vivo studies. A critical weakness is <strong>the</strong> uncertainty of <strong>the</strong><br />

DMSO 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 />

Muñ oz-de-Toro et al. (2005), supported by NIH <strong>and</strong><br />

Nati<strong>on</strong>al University of Litoral (Argentina), examined <strong>the</strong><br />

effect of perinatal bisphenol exposure <strong>on</strong> mammary<br />

gl<strong>and</strong> development in mice. Food, caging, <strong>and</strong> bedding<br />

material were reported to test negligible for estrogenicity<br />

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

CD-1 mice (n 5 6–10/group) were implanted with<br />

osmotic pumps designed to deliver bisphenol A [purity<br />

not indicated] at 0 (DMSO vehicle), 0.000025, or<br />

0.000250 mg/kg bw/day from GD 9 (GD 1 5 day of<br />

vaginal plug) through PND 3 (not defined). Offspring<br />

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

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