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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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