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

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BISPHENOL A<br />

Table 104<br />

Estimates of U.S. General Populati<strong>on</strong> Intake of Bisphenol A<br />

Exposure source Populati<strong>on</strong> BPA mg/kg bw/day Notes Source<br />

Formula Infant<br />

Breast milk Infant<br />

Food Infant (0–4 m<strong>on</strong>ths old)<br />

Infant (6–12 m<strong>on</strong>ths old)<br />

Child (4–6 years old)<br />

Adult<br />

Aggregate Child (1.5–5 years old)<br />

Estimates based <strong>on</strong> urinary metabolites<br />

Aggregate Child<br />

Adult<br />

0.001<br />

0.001<br />

0.0016<br />

0.0008–0.00165<br />

0.0012<br />

0.00037 (canned food)<br />

0.00048 (canned<br />

food 1 wine)<br />

0.00004-0.00007<br />

0.00007<br />

0.000026<br />

between urinary levels of bisphenol A <strong>and</strong> plasma LH,<br />

FSH, <strong>and</strong> free testoster<strong>on</strong>e, found reduced FSH levels<br />

am<strong>on</strong>g <strong>the</strong> exposed men. No fertility endpoints were<br />

evaluated. Three studies were c<strong>on</strong>sidered to have low<br />

utility in <strong>the</strong> evaluati<strong>on</strong> process due to limitati<strong>on</strong>s in<br />

design <strong>and</strong> analysis but suggest directi<strong>on</strong>s for future<br />

research. Two of <strong>the</strong>se studies measured serum bisphenol<br />

A in healthy women, women with polycystic ovary<br />

syndrome <strong>and</strong> healthy men <strong>and</strong> evaluated correlati<strong>on</strong>s<br />

with serum g<strong>on</strong>adotropins, prolactin, testoster<strong>on</strong>e, <strong>and</strong><br />

o<strong>the</strong>r <strong>and</strong>rogens. No fertility endpoints were included in<br />

<strong>the</strong>se studies. The third study of 37 women found<br />

significantly lower bisphenol A c<strong>on</strong>centrati<strong>on</strong>s am<strong>on</strong>g<br />

women with endometrial cancer <strong>and</strong> complex endometrial<br />

hyperplasia compared to healthy women <strong>and</strong><br />

women with simple hyperplasia.<br />

4.3.2 Experimental animal. Female reproductive<br />

toxicity testing using multiple dose levels has been<br />

evaluated in 2 rat, 1 mouse, <strong>and</strong> 1 gerbil study. Endpoints<br />

affected in <strong>the</strong>se studies included brain progester<strong>on</strong>e<br />

receptor, estrous cyclicity, resorpti<strong>on</strong>s, <strong>and</strong> social sniffing.<br />

Male reproductive toxicity testing using multiple<br />

dose levels has been evaluated in 7 rat <strong>and</strong> 2 mouse<br />

studies. Affected endpoints in males included reproductive<br />

organ weight <strong>and</strong> histology, serum testoster<strong>on</strong>e,<br />

daily sperm producti<strong>on</strong>, sperm motility, sperm c<strong>on</strong>centrati<strong>on</strong>,<br />

percent pregnant females after mating, <strong>and</strong><br />

females with resorpti<strong>on</strong>s after mating. There are 4<br />

multigenerati<strong>on</strong> tests, 2 in rats <strong>and</strong> 2 in mice, involving<br />

gavage or dietary treatments with bisphenol A with dose<br />

levels as low as 0.0009 mg/kg bw/day. There are also 2<br />

reproductive assessments by c<strong>on</strong>tinuous breeding, 1 of<br />

which involved subcutaneous implants for bisphenol A<br />

delivery <strong>and</strong> 1 of which used dietary administrati<strong>on</strong> in<br />

which <strong>the</strong> lowest dose level was B437.5 mg/kg bw/day.<br />

4.4 Summary of <strong>Reproductive</strong> Toxicity Data<br />

The hypo<strong>the</strong>sis has been advanced that <strong>the</strong> Charles<br />

River Sprague-Dawley (SD) rat is insensitive to estrogens<br />

<strong>and</strong> o<strong>the</strong>r EDCs <strong>and</strong> <strong>the</strong>refore it should not be used for<br />

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

Assumes 4.5 kg bw, 700 ml<br />

formula at 6 mg/L<br />

BPA (U.S. canned formula max)<br />

Assumes 4.5 kg bw, 700 ml at 6.3 mg/L<br />

(U.S. breast milk max)<br />

European Commissi<strong>on</strong><br />

European Commissi<strong>on</strong><br />

European Commissi<strong>on</strong><br />

Max 5 0.00007–0.00157<br />

Assumes 50% absorpti<strong>on</strong><br />

U.S. 6–8-year-old girls<br />

(max 5 0.00217)<br />

U.S. populati<strong>on</strong> 95th<br />

percentile 0.0.00159<br />

Expert Panel<br />

Expert Panel<br />

Table 11 Table 14<br />

Table 11 Table 14<br />

Table 11 Table 14<br />

Wils<strong>on</strong> et al.<br />

(2003, 2006)<br />

Table 15<br />

Table 15<br />

379<br />

developmental EDC studies <strong>and</strong> <strong>the</strong> studies of <strong>the</strong> effects<br />

of BPA that used this strain should be discounted. In<br />

order to address this important issue Expert Panel<br />

members reviewed <strong>the</strong> literature <strong>on</strong> estrogen-sensitivity<br />

am<strong>on</strong>g rat strains <strong>and</strong> <strong>the</strong> following is a summary of our<br />

findings.<br />

Different strains of rats show clear, robust reproducible<br />

differences in resp<strong>on</strong>ses to potent estrogens <strong>and</strong><br />

anti<strong>and</strong>rogens. Several traits have been shown to be<br />

estrogen sensitive in rats including prolactin regulati<strong>on</strong><br />

in <strong>the</strong> pituitary, thymic involuti<strong>on</strong>, uterine pyometra, <strong>and</strong><br />

liver carcinogenesis to name a few. It is evident that <strong>the</strong><br />

SD rat <strong>and</strong> o<strong>the</strong>r rat strains are less sensitive to <strong>the</strong> effects<br />

of estrogens than <strong>the</strong> F344 rat. However, for some traits,<br />

<strong>the</strong> reverse is true. In additi<strong>on</strong>, while <strong>the</strong> SD was less<br />

sensitive than <strong>the</strong> F344 to estrogen, <strong>the</strong> reverse was true<br />

for sensitivity to tamoxifen.<br />

The sensitivity to estrogens has been mapped to<br />

specific chromosomes for several traits. In no case has<br />

it been dem<strong>on</strong>strated that <strong>the</strong> SD strain is completely<br />

insensitive to any known estrogen. It is evident that<br />

different traits map to different chromosomes <strong>and</strong> <strong>the</strong><br />

degree of estrogen sensitivity varies from tissue to tissue,<br />

likely depending <strong>on</strong> <strong>the</strong> tissue-specific gene regulated by<br />

ER <strong>on</strong> <strong>the</strong> chromosome.<br />

Therefore, <strong>on</strong>e cannot c<strong>on</strong>clude that <strong>the</strong> SD is<br />

insensitive to estrogens <strong>and</strong> <strong>the</strong> results of BPA studies<br />

with BPA should be ignored. In fact, <strong>the</strong>re are several<br />

studies reporting low dose effects that used <strong>the</strong> SD rat. A<br />

comparis<strong>on</strong> of <strong>the</strong> uterotrophic data from <strong>the</strong> OECD<br />

study with EE, BPA, <strong>and</strong> o<strong>the</strong>r estrogens does not<br />

indicate that <strong>the</strong> SD rat is less sensitive to any estrogen<br />

versus <strong>the</strong> Wistar. In this study, oral EE at 1 mg/kg/day<br />

for 3 days stimulated uterine weight whereas 0.3 mg/kg/<br />

day was uterotrophic when administered s.c. In additi<strong>on</strong>,<br />

in <strong>the</strong> pubertal female rat assay, EE, <strong>the</strong> antiestrogen<br />

tamoxifen <strong>and</strong> <strong>the</strong> estrogenic pesticide methoxychlor<br />

produced equivalent resp<strong>on</strong>ses in <strong>the</strong> L<strong>on</strong>g–Evans <strong>and</strong><br />

SD female rats.<br />

Although some have hypo<strong>the</strong>sized that <strong>the</strong> Crl: CD<br />

(SD) rat is more insensitive to estrogens than SD rats

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