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Scientific
findings of the impacts of endocrine disrupters at low doses
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Research
on endocrine disrupting compounds is revealing that endocrine-disrupting
compounds have impacts at levels dramatically lower than thought relevant
to traditional toxicology. Recent examples:
In mice, adult exposure to levels of bisphenol A experienced by almost all Americans causes insulin resistance.
When adult humans develop insulin resistance, 25% go on to develop Type 2 diabetes. More... In mice, exposure to bisphenol A in the womb at extremely low levels alters mammary gland development around puberty. The changes, which involved increased numbers of terminal buds and an increased sensitivity to estrogen, are consistent with an increased risk to breast cancer. The levels of exposure are within the range that many people experience More...
Two estrogenic contaminants cause adverse effects in prostate development in mice at levels to which millions of Americans are exposed each year. The results raises questions about the possible contributions of these compounds, the birth control agent ethinylestradiol and the plastic monomer bisphenol A, in human prostate diseases, including prostate cancer. The study also shows the futility of predicting the developmental consequences of low-dose exposures based on high-dose experiments. More...
Mice exposed to bisphenol A at one-fifth the level currently considered safe by the US EPA show altered maternal behavior toward pups. The changes involve less attentiveness, more time away and less nursing. These results suggest that current BPA standards may need to be strengthened by a factor of 5,000. This would make it difficult to employ BPA in many of its current, widespread uses. More...
Exposure in the womb to extremely low levels of bisphenol A alters sexual differentiation of the brain and behavior in rats. One area of the brain that typically is larger in females than males showed a reversal in size dimorphism. And sexual differences were eliminated in a measurement of behavior in which males typically differ from females. More...
Several 'weakly' estrogenic compounds including bisphenol A and endosulfan are as powerful as estrogen at increasing calcium influx into cells and stimulating prolactin secretion. The effects are mediated by a cell membrane surface receptor instead of nuclear hormone receptors, the focus of most studies to date. Changes in calcium and prolactin occur at extremely low doses, well within the range of human exposures. More...
Cadmium
provokes estrogenic responses at extremely low levels of exposure.
Research published in Nature Medicine reveals that cadmium provokes
estrogenic responses in rats at levels much less than 1% of those
traditionally used in toxicological studies. The effects include alterations
in the uterus and mammary gland, increases in estrogen-controlled
gene expression, and, following exposure in the womb, increases in
adult weight and the speed of reaching sexual maturity. The authors
call for more research on links between breast cancer and cadmium
exposure. 15 July 2003. More...
Scientists
from the University of Missouri have published an analysis indicating
that regulatory testing for endocrine-active substances
must be changed radically if there is any hope to detect
developmental disruption at low contamination levels. They conclude
that current methods are physically incapable of
revealing low level impacts mediated by hormone receptors, because
at the high levels used, the receptor systems will be saturated
(swamped) and incapable of showing any response to
changes in contaminant dose. Under these circumstances, it is literally
impossible to extrapolate from commonly-used high level experiments
to the risks created by low level exposures.
The
researchers also suggest that background contamination of experiments
by hormonally-active substances is likely to be widespread
and to have further undermined regulatory testing, by making it
highly likely that this background contamination prevented toxicologists
from detecting low level impacts. Instead of finding a real effect,
the experiment would have been interpreted erroneously as
having demonstrated no effect.
The
net result is that the standards currently used may need strengthening
by a factor of 10,000 or greater. 11 March 2003. More...
Research
on the impact of atrazine on frog sexual development reveals that
levels of atrazine as low as 0.1 parts per billion induce hermaphroditism
in Xenopus laevus, the "laboratory rat" of the
frog world. Atrazine contamination at ten-fold higher can be found
in rainwater in the United States, in regions where atrazine is
not in agricultural use. Up to 40 parts per billion can be measured
in rainwater in areas of atrazine use. EPA's current water quality
standard for atrazine allows 3 ppb in drinking water, 30 times higher
than required to affect over 15% of males exposed. Previous work
on atrazine and frog development had indicated that levels 30,000
times higher were necessary to produce effects. This new research
highlights the need to carry out toxicological studies at environmentally
relevant exposure levels. More...
Three
recently published (Fall 2001) studies using laboratory animals
of the low dose effects of bisphenol A (BPA) reinforce
public health concerns about the possible impacts of this ubiquitous
plastic compound. In one, Dr. Caroline Markey and colleagues describe
effects on mammary gland tissue in adult mice after exposure
in the womb that raises plausible questions about BPA involvement
in stimulation of breast cancer. In a second, Jorge Ramos et
al. report on impacts
that low level BPA exposure has on adult prostate, the details
of which resemble processes involved
in human prostate cancer. And the third, by a scientific team from
Japan led by Dr. Motoharu Sakaue, demonstrates that BPA
suppresses sperm count in adult mice. Added to already disturbing
information about BPA impacts, these new studies highlight the need
for an urgent reconsideration by FDA and EPA of the need for better
protections for people from BPA exposure.
Markowski,
VP, G Zareba, S Stern, C Cox and B Weiss. 2001. Altered Operant
Responding for Motor Reinforcement and the Determination of Benchmark
Doses Following Perinatal Exposure to Low-Level 2,3,7,8-Tetrachlorodibenzo-p-dioxin.
Environmental Health Perspectives 109:621-627.
Markowski
et al. demonstrate that even at extraordinarily low levels--
parts per trillion--dioxin can reduce motivation in rats
to perform in standard psychological testing. The levels at which
these impacts are detected are comparable to background levels in
people around the world. More...
Park,
D, SC Hempleman, and CR Propper. 2001. Endosulfan Exposure Disrupts
Pheromonal Systems in the Red-Spotted Newt: A Mechanism for Subtle
Effects of Environmental Chemicals. Environmental Health
Perspectives 109:669-673.
Park
et al. discover that exposure to extremely low levels of
a commonly-used pesticide, endosulfan,
interferes with reproduction in the red-spotted newt, a salamander.
Their
experiments reveal an impact at 5 parts per billion (ppb),
which was the lowest concentration they used. This concentration
is well within the range of endosulfan contamination regularly encountered
in the real world. More...
Rubin,
BS, MK Murray, DA Damassa, JC King and AM Soto. 2001. Perinatal
Exposure to Low Doses of Bisphenol A Affects Body Weight, Patterns
of Estrous Cyclicity, and Plasma LH Levels. Environmental Health
Perspectives 109: 675-680.
In
experiments with rats, Rubin et al. confirm results obtained
by Howdeshell
et al. (1999) on the effects of early exposure to bisphenol
A on adult female weight, and extend the understanding of bisphenol
A impacts to include effects on other aspects of reproduction. More...
A
review panel convened by the National Toxicology Program and the
US National Institute of Environmental Health Sciences confirms
the existence of low-dose effects well beneath levels revealed
by traditional toxicological testing. More...
Kaltreider,
RC, AM. Davis, JP Lariviere, and JW Hamilton 2001. Arsenic Alters
the Function of the Glucocorticoid Receptor as a Transcription Factor.
Environmental Health Perspectives 109:245-251.
At
extremely low levels (10 ppb), arsenic inteferes with glucocorticoid-receptor
control of DNA transcription. This may be important in understanding
the links between low level chronic exposure to arsenic, cancer
and diabetes. More...
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US
National Toxicology Program's scientific
peer review of low-dose effects of endocrine disrupting compounds.
October 2000.
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Ulrich,
EM, A Caperell-Grant, S-H Jung, RA Hites, and RM Bigsby. 2000. Environmentally
Relevant Xenoestrogen Tissue Concentrations Correlated to Biological
Responses in Mice. Environmental Health Perspectives 108:973-977.
This
paper demonstrates that DDT and HCH both induce estrogenic changes
in mice when exposed chronically to very low doses of these compounds.
Most alarming according to the authors, is the fact that they observed
statistically significant results within the range of background
exposures experienced by people in the real world. More...
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Gupta,
C. 2000. Reproductive malformation of the male offspring following
maternal exposure to estrogenic chemicals. Proceedings of the
Society for Experimental Biology and Medicine 224:61-68.
Gupta
shows that bisphenol A, arochlor 1016 (a PCB mixture) and DES enlarge
the adult prostates of mice exposed in utero to very low
levels, confirming effects first found by Fred
vom Saal. More...
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Gray,
LE, J Ostby, E Monosson and WR Kelce. 1999. Environmental antiandrogens:
low doses of the fungicide vinclozolin alter sexual differentiation
of the male rat. Toxicology and Industrial Health 15: 48-64.
Previous
studies of the impact of vinclozilin, a widely-used fungicide, had
reported that the lowest level of contamination at which an impact
could be produced in developing offspring was 50 to 100+ milligrams/kilogram
(parts per million, delivered per day to a pregnant female). Gray
et al. report here that when they examine developmental endpoints
known to be sensitive to anti-androgenic drugs, they find vinclozilin
produces detectable effects at the lowest levels used in their experiment,
3.125 parts per million. The impacts detected included hypospadias
(down to 50 ppm), ectopic testes (100 ppm), the number of nipples
(3.125 ppm) and sperm count declines. Male pups exposed to 100 ppm
vinclozolin were about 70% female-like in their phenotype. More...
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Howdeshell,
K, AK Hotchkiss, KA Thayer, JG Vandenbergh and FS vom Saal. 1999.
Plastic bisphenol A speeds growth and puberty. Nature
401: 762-764.
Howdeshell
et al. found that female mice, exposed in the womb by delivering
low doses of bisphenol A (2.4 parts per billion) to the mother in
food, pass a milestone in sexual development significantly earlier
than unexposed mice. They
also show that position in the womb interacts with contamination:
those females positioned between female litter mates were most effected
by bisphenol a, while those between males were least effected.
More...
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Christian
M and G Gillies. 1999. Developing hypothalamic dopaminergic neurones
as potential targets for environmental estrogens. Journal of Endocrinology
160:R1-R6.
Christian
and Gillies demonstrate impacts of octylphenol at parts per trillion
levels in a cell culture preparation using hypothalamic cells taken
and cultured from fetal rat brains. More...
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Welshons,
WV, SC Nagel, KA Thayer, BM Judy, and FS vom Saal. 1999. Low-dose
bioactivity of xenoestrogens in animals: fetal exposure to low doses
of methoxychlor and other xenoestrogens increases adult prosate
size in mice. Toxicology and Industrial Health 15:12-25.
Experimental
manipulation of serum concentrations of several synthetic estrogenic
compounds causes an increase in the prostate size of the exposed
male mice once they reach adulthood. The concentration of the contaminants
necessary to produce this change is extremely low: as little as
2 parts per billion of bisphenol A, .02 parts per billion DES, and
20 parts per billion methoxychlor caused significant increases.
The research on DES and bisphenol A had been published earlier.
This paper presents new data on methoxychlor.
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Porter,
WP, JW Jaeger and IH Carlson. 1999. Endocrine, immune and behavioral
effects of aldicarb (carbamate), atrazine (triazine) and nitrate
(fertilizer) mixtures at groundwater concentrations. Toxicology
and Industrial Health 15: 133-150.
Porter
et al. experiment with combinations of two common pesticides
and a fertilizer, exposing adult male mice to mixtures and concentrations
within the range of exposures regularly encountered in human drinking
water in agricultural regions in mid-West of the United States.
Exposure was through voluntary consumption of drinking water. Measuring
endocrine, immune and behavioral variables, they observed significant
changes in endocrine, immune and behavior in response to mixtures
of the contaminants, but rarely in response to single compounds
at the same concentration. More...
Porter
et al. also comment on the inadequacies of current testing
protocols used to establish regulatory standards. More...
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Rice,
DC and S Hayward 1999. Effects of postnatal exposure of monkeys
to a PCB mixture on concurrent random interval-random interaval
and progressive ratio performance. Neurotoxicology and Teratology
21:47-58.
Rice
and Hayward report that male monkeys that had been dosed with a
low level PCB mixture (7.5 parts per billion, representative of
the doses typically found in human breast milk) differed significantly
from controls in one of the measures used to assess their behavior.
"The PCB-treated monkeys emitted more responses than controls
over the first few sessions of the PR (progressive ratio schedule),
which may be indicative of retarded acquisition of their steady
state PR performance."
Rice
has commented in scientific lectures that the treatment level (7.5
ppb) was misreported to her before the onset of the experiments,
and that had it been reported properly (the value given was much
higher than 7.5 ppb) she would not have done the experiments because
it seemed unlikely there would be any impact.
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MacLusky,
NJ, TJ Brown, S Schantz, BW Seo and RE Peterson. 1998. Hormonal
interactions in the effects of halogenated aromatic hydrocarbons of
the developing brain. Toxicology and Industrial Health 14:185-208.
As
discussed in Our Stolen Future (Chapter 7), RE Peterson's lab has
shown that extremely low doses of dioxin experienced in utero
can disturb reproductive function and behavior in adulthood (Mably
et al. 1992a,b,c). Here, MacLusky et al. show that fetal exposure
to a low level of dioxin (0.7 µg/kg or 0.7 ppb) "disturbed
sexual differentiation of reproductive behavior, potentiating the
expression of feminine sexual behavior and reducing masculine behavior."
They
also studied cognitive function in rats exposed in utero.
Here their experiments revealed an enhancement in rat performance
in maze tests, comparing treated animals to controls. Treated
animals committed significantly fewer errors.
More...
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Rice,
DC. 1998. Effects of postnatal exposure of monkeys to a PCB mixture
on spatial discrimination reversal and DRL performance. Neurotoxicology
and Teratology 20(4):391-400.
This
is one paper in a series
by Deborah Rice and by Rice and Stephen Hayward that explore the
consequences of low level neonatal PCB exposure in monkeys
for their subsequent performance in a variety of behavioral tests.
The
experiments involved monkeys that had been exposed at birth to different
levels of PCBs. The exposures were within the range of levels measured
in Canadian women (Rice did this work on the scientific staff of
Health Canada, in Ottowa, Ontario, Canada). Specifically, blood
PCB levels were 0.30-0.37 ppb for controls and 1.84-2.84 ppb for
treated levels). This exposure was achieved by dosing the infant
chimps with7.5 ppb/day of a PCB mixture representative of that found
in human milk.
Rice
has commented in scientific lectures that the treatment level (7.5
ppb) was misreported to her before the onset of the experiments,
and that had it been reported properly (the value given was much
higher than 7.5 ppb) she would not have done the experiments because
it seemed unlikely there would be any impact.
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Nagel,
SC, FS vom Saal, KA Thayer, MG Dhar, M Boechler and WV Welshons. 1997.
Relative binding affinity-serum modified access (RBA-SMA) assay
predicts in vivo bioactivity of the xenoestrogens Bisphenol
A and Octylphenol. Environmental Health Perspectives 105:70-76.
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Nagel
et al. present data demonstrating that bisphenol A can alter fetal
mouse development at extraordinarily low levels of exposure. Pregnant
female mice were fed bisphenol A mixed in corn oil at two concentrations:
2 and 20 micrograms per kg of body weight (parts per billion). Prostate
weight was then determined at the age of 6 months. Males exposed
to both levels of bisphenol A experienced an increase in prostate
size.
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These
results are profoundly important for two reasons.
- They
demonstrate the remarkable sensitivity of fetal development to
low level hormone disruption.
- They
reveal bisphenol A effects on mice at levels, when corrected for
body size differences, are within the range of bisphenol A regularly
ingested by people as a result of the use of polycarbonate plastics
in common products.
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In
this paper Nagel et al. also combine several different types of information
to predict the potency of bisphenol A and octylphenol. Bisphenol A
is more powerful than predicted simply on the basis of binding affinity
alone, while octylphenol is less powerful. Studies like this are important
in understanding why simplistic arguments
about the quantity of phytoestrogens in the diet are misleading. More...
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vom
Saal, F, BG Timms, MM Montano, P Palanza, KA Thayer, SC Nagel, MD
Dhar, VK Ganjam, S Parmigiani and WV Welshons. 1997. Prostate
enlargement in mice due to fetal exposure to low doses of estradiol
or diethylstilbestrol and opposite effects at high doses. Proceedings
of the National Academy of Sciences USA 94:2056-61.
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| This
paper establishes that low level variation in estradiol and DES can
both effect significant changes in adult prostate characteristics,
when exposure occurs during fetal development. |
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- Relative
to controls, males treated with as little as 0.02 nanograms/gram
(0.02 parts per billion) DES had heavier prostate glands.
- Relative
to controls, males that experienced a change in free serum estradiol
less of than one part per trillion had heavier prostate glands
(by 27%), a 6-fold increase in the number of androgen receptors
in the prostate, a 2-fold increase in the number of androgen receptors
per prostate cell, and a 40% increase in the number of cells per
prostate.
- For
both DES and estradiol, the dose response curve relating exposure
to impact were non-monotonic, i.e., intermediate exposures produced
larger prostates than low or high exposures. While dose-reponse
relationships like this are common in physiological processes,
they are not expected by traditional toxicology. More...
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Gaylor,
DW. 1992. Incidence of developmental defects at the No Observed
Adverse Effect Level (NOAEL). Regulatory Toxicology and Pharmacology
15:151-160.
"The NOAEL is the dose at which it is judged there is no significant
increase in the incidence of any important adverse biological effect."
The NOAEL level is used to establish the reference dose, or RfD.
Setting the RfD usually involves looking at animal data, determining
a NOEAL, and then using a safety factor (for example, 10) to allow
for greater sensitivity of some people compared to others. It is
assumed that exposures at or below the RfD generally result in negligible
effects.
Gaylor
asked about the incidence of adverse developmental for expsoures
at the NOAEL level. He found that in 24% of cases, the observed
risk of abnormal fetuses exceeded 1% at the NOAEL.
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