Monograph on the Potential Human Reproductive and ... - OEHHA
Monograph on the Potential Human Reproductive and ... - OEHHA
Monograph on the Potential Human Reproductive and ... - OEHHA
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344 CHAPIN ET AL.<br />
different diets but exposed to vehicle, no effects of diet<br />
<strong>on</strong> daily sperm producti<strong>on</strong> were observed. The <strong>on</strong>ly<br />
significant effect reported was a 9% lower weight of right<br />
epididymis in rats fed CE2 compared to RM3 or 5002<br />
feed. The study authors stated that <strong>the</strong> effect was likely<br />
spurious due to lack of effect <strong>on</strong> o<strong>the</strong>r endpoints, no<br />
effect <strong>on</strong> left or total epididymis weight, <strong>and</strong> lack of <strong>the</strong><br />
effect in <strong>the</strong> first 4 experiments. The study authors<br />
c<strong>on</strong>cluded that <strong>the</strong>re was no evidence in <strong>the</strong>ir study that<br />
bisphenol A affected reproductive organ weights or daily<br />
sperm producti<strong>on</strong>. Lack of bisphenol A-induced effect <strong>on</strong><br />
daily sperm producti<strong>on</strong> was in c<strong>on</strong>trast to observati<strong>on</strong>s<br />
of <strong>the</strong> Sakaue et al. (2001) study, which reported a<br />
decrease in this endpoint. Subtle genetic differences in<br />
<strong>the</strong> rats were suggested as a possible reas<strong>on</strong> for<br />
differences in results between <strong>the</strong> 2 studies.<br />
Given <strong>the</strong> robustness <strong>and</strong> comprehensiveness of this<br />
study, it is highly useful. It str<strong>on</strong>gly suggests that <strong>the</strong><br />
NOAEL for potential bisphenol A-mediated effects <strong>on</strong><br />
<strong>the</strong> adult rat reproductive system exceeds 200 mg/kg/<br />
day. Absence of c<strong>on</strong>firmati<strong>on</strong> of <strong>the</strong> work of Sakaue et al.<br />
(2001) led to an extensive study of <strong>the</strong> potential variables<br />
(e.g., diet, housing, etc.) that might account for <strong>the</strong><br />
discrepancies. These data suggests that subtle changes in<br />
study endpoints, especially daily sperm producti<strong>on</strong> <strong>and</strong><br />
organ weights, may occur by r<strong>and</strong>om chance or genetic<br />
differences in <strong>the</strong> respective lab’s supplier of rats may<br />
play a role. These data also str<strong>on</strong>gly suggest bisphenol A<br />
administered orally has no effect <strong>on</strong> sperm producti<strong>on</strong><br />
albeit following <strong>on</strong>ly 6 days of administrati<strong>on</strong>.<br />
Strengths/Weaknesses: This study reports a well<br />
c<strong>on</strong>ducted, comprehensive assessment of <strong>the</strong> potential<br />
effects of bisphenol A delivered by 6 daily doses <strong>on</strong> daily<br />
sperm producti<strong>on</strong>. The 6-day treatment period is a<br />
(underst<strong>and</strong>able) weakness.<br />
Utility (Adequacy) for CERHR Evaluati<strong>on</strong> Process:<br />
This study is adequate <strong>and</strong> useful for <strong>the</strong> evaluati<strong>on</strong><br />
process.<br />
Tohei et al. (2001), supported in part by <strong>the</strong> Japan<br />
Society for <strong>the</strong> Promoti<strong>on</strong> of Science, examined <strong>the</strong><br />
effects of bisphenol A exposure <strong>on</strong> testicular functi<strong>on</strong><br />
of Wistar–Imamichi rats. [No informati<strong>on</strong> was provided<br />
about compositi<strong>on</strong> of chow, bedding, or caging.] In a<br />
series of studies, rats were dosed with bisphenol A<br />
[purity not indicated] in sesame oil by s.c. injecti<strong>on</strong> for 2<br />
weeks. Bisphenol A doses were 0.1 or 1 mg/day [B0.3 or<br />
3 mg/kg bw/day based <strong>on</strong> <strong>the</strong> reported body weights of<br />
300–350 g]. The dose of 1 mg/day bisphenol A was stated<br />
to be similar to <strong>the</strong> highest exposures reported in<br />
humans, which were based <strong>on</strong> saliva levels measured<br />
in patients receiving composite dental sealants. Doses<br />
<strong>and</strong> exposure durati<strong>on</strong> were based <strong>on</strong> results of<br />
preliminary studies. Five or 6 animals/dose group were<br />
used in each experiment. Statistical analyses included<br />
ANOVA, Fisher protected least significant difference<br />
test, <strong>and</strong> Mann–Whitney U test.<br />
In <strong>the</strong> first study c<strong>on</strong>ducted to examine testicular <strong>and</strong><br />
pituitary functi<strong>on</strong>, LH, FSH, prolactin, testoster<strong>on</strong>e, <strong>and</strong><br />
inhibin were measured in plasma, pituitary, <strong>and</strong>/or testis<br />
by RIA in rats s.c. dosed with 1 mg/day bisphenol A for 2<br />
weeks. Statistically significant effects [percent differences<br />
compared to c<strong>on</strong>trols, as estimated from a graph]<br />
included increases in plasma levels of LH [150%] <strong>and</strong><br />
prolactin [1067%] <strong>and</strong> decreases in levels of plasma<br />
testoster<strong>on</strong>e [29%] <strong>and</strong> testicular inhibin [36%].<br />
In a sec<strong>on</strong>d experiment to examine testicular resp<strong>on</strong>se,<br />
rats were s.c. dosed with 0.1 or 1 mg/day bisphenol A for<br />
2 weeks. The rats <strong>the</strong>n received 10 IU hCG through an<br />
atrial cannula. Blood samples were drawn for measurement<br />
of progester<strong>on</strong>e <strong>and</strong> testoster<strong>on</strong>e levels before <strong>and</strong> at<br />
various time intervals between 30 <strong>and</strong> 180 min following<br />
<strong>the</strong> hCG challenge. Plasma progester<strong>on</strong>e <strong>and</strong> testoster<strong>on</strong>e<br />
levels were increased following <strong>the</strong> hCG challenge in<br />
c<strong>on</strong>trol rats. In <strong>the</strong> bisphenol A-treated rats, <strong>on</strong>ly a slight<br />
increase in progester<strong>on</strong>e levels occurred 30 min following<br />
challenge, <strong>and</strong> plasma progester<strong>on</strong>e levels were significantly<br />
lower compared to <strong>the</strong> c<strong>on</strong>trol group at 60–150 min<br />
following challenge. There was an increase in plasma<br />
testoster<strong>on</strong>e level following challenge of <strong>the</strong> bisphenol A<br />
group, but values were significantly lower than c<strong>on</strong>trol<br />
values at 90–120 min following <strong>the</strong> challenge.<br />
In a third experiment examining pituitary resp<strong>on</strong>se,<br />
adult male rats were castrated 5 days before bisphenol A<br />
treatment. Castrated rats were s.c. injected with 1 mg/<br />
day bisphenol A <strong>and</strong> 75 mg/day testoster<strong>on</strong>e propi<strong>on</strong>ate<br />
for 2 weeks. The rats <strong>the</strong>n received 250 ng g<strong>on</strong>adotropinreleasing<br />
horm<strong>on</strong>e by s.c. injecti<strong>on</strong>. Plasma LH was<br />
measured before <strong>and</strong> at various time intervals between<br />
0.25 <strong>and</strong> 4 hr following <strong>the</strong> g<strong>on</strong>adotropin-releasing<br />
horm<strong>on</strong>e challenge. No statistically significant effects<br />
were observed.<br />
In a fourth study, males were dosed with 1 mg/day<br />
bisphenol A for 2 weeks <strong>and</strong> <strong>the</strong>n paired with females in<br />
proestrus. Sexual functi<strong>on</strong> was evaluated by scoring<br />
mounts, intromissi<strong>on</strong>s, <strong>and</strong> ejaculati<strong>on</strong>s. No significant<br />
effects were observed for sexual functi<strong>on</strong>. Based <strong>on</strong> <strong>the</strong><br />
findings reported in all studies, <strong>the</strong> study authors<br />
c<strong>on</strong>cluded that ‘‘The testis is probably a more sensitive<br />
site for [bisphenol A] acti<strong>on</strong> than <strong>the</strong> hypothalamuspituitary<br />
axis.’’<br />
Strengths/Weaknesses: RIAs appear to have been<br />
c<strong>on</strong>ducted competently. Subcutaneous is not a relevant<br />
route of exposure, <strong>and</strong> <strong>the</strong> sample size was limited.<br />
Blood collecti<strong>on</strong> via decapitati<strong>on</strong> is not appropriate,<br />
because decapitati<strong>on</strong> stress affects plasma prolactin <strong>and</strong><br />
LH secreti<strong>on</strong>. No menti<strong>on</strong> is made of <strong>the</strong> order of killing.<br />
If c<strong>on</strong>trols were killed first <strong>and</strong> <strong>the</strong> guillotine was not<br />
cleaned between uses (<strong>and</strong> animals were not in separate<br />
rooms), <strong>the</strong>re may be serious c<strong>on</strong>founding of <strong>the</strong> data.<br />
Because rat plasma testoster<strong>on</strong>e levels are normally<br />
highly variable, <strong>the</strong> low degree of variability in this<br />
study, given <strong>the</strong> small sample size, is remarkable<br />
(B70.12 ng/mL). No functi<strong>on</strong>al c<strong>on</strong>sequence of <strong>the</strong><br />
alterati<strong>on</strong>s in horm<strong>on</strong>e levels were described. Weaknesses<br />
include use of two doses delivered subcutaneously,<br />
critically small sample sizes, use of an<br />
inappropriate method of plasma collecti<strong>on</strong>, <strong>the</strong> stressful<br />
nature of cannula inserti<strong>on</strong> just <strong>on</strong>e day before measurement,<br />
<strong>and</strong> inappropriate statistical analyses that did not<br />
account for temporally repeated measures.<br />
Utility (Adequacy) for CERHR Evaluati<strong>on</strong> Process:<br />
This study is inadequate for <strong>the</strong> evaluati<strong>on</strong> process.<br />
Kim et al. (2002b), supported by <strong>the</strong> Korean<br />
Ministry of Health <strong>and</strong> Social Welfare, examined <strong>the</strong><br />
effects of bisphenol A exposure <strong>on</strong> <strong>the</strong> male reproductive<br />
system. A translati<strong>on</strong> of <strong>the</strong> study was provided<br />
by <strong>the</strong> American Plastics Council. Four-week-old<br />
male F344 rats (7/group) were given bisphenol A in<br />
drinking water at 0 (ethanol vehicle), 0.1, 1, 10, or<br />
100 ppm for 13 weeks. According to <strong>the</strong> study authors,<br />
Birth Defects Research (Part B) 83:157–395, 2008