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Advisory Committee on Health Effects of Endocrine Disruptors
The Supplement II to the Intermediary Report
1.3.2

 

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  The first substantial data related to multiplicative or additive effects were presented by Soto17 in a paper on the possibility of complex assay systems. The reports by Kortenkamp and coworkers18,19,20 deserve attention in that clear additivity was established21. This is not surprising in view of the signal detection mechanism in hormonal actions. It is an important conclusion that should trigger discussions from a variety of viewpoints.
The finding that some or other anomalies were observed at dose levels lower than the known NOEL or NOAEL is an indirect indication of the non-linearity of the adverse reactions. Grey22 reports the antiandrogen effects of vinclozolin resulting in feminization as indicated by a decreased anus-genital process distance and other indicators at levels of 100-200 mg/kg, which are far lower than the known NOEL (thousands mg/kg).
It is also known that actions of an agent may vary with tissues of the exposed organism in function and in rank correlation of the reactions. Nonylphenol (NP), a compound that has estrogen-like activity, was found to cause a stronger gene expression in the liver than in the uterus where the expression by NP is known to be weaker than that by estradiol, suggesting that other compounds with estrogen-like activity can have different effects upon different target organs. This phenomenon should be taken into consideration in studies on complex effects of endocrine disruptors23.
The oteoblast is one of important target organs of estrogens. A study on effects of genistein, bisphenol A (BPA) and diethylstilbestrol (DES) on human osteoblasts (FOB strain) showed that BPA promoted multiplication more effectively than BPA24. The biological implication of this result is still unclear.
 
 
17 Soto AM, Fernandez MF, Luizzi MF, Oles Karasko AS, Sonnenschein C.: Developing a marker of exposure to xenoestrogen mixtures in human serum. Environ Health Perspect 105(3): 647-654, 1997.
18 Rajapakse N, Silva E, Kortenkamp A:Combining xenoestrogens at levels below individual no-observed-effect concentrations dramatically enhances steroid hormone action. Environ Health Perspect 110(9): 917-921, 2002.
19 Rajapakse N, Silva E, Kortenkamp A:Combining xenoestrogens at levels below individual no-observed-effect concentrations dramatically enhances steroid hormone action. Environ Health Perspect 110(9): 917-921, 2002.
20 Silva E, Rajaakse N, Kortenkamp A.: Something from “nothing”—eight weak estrogenic chemicals combined at concentrations below NOECs produce significant mixture effects. Environ Sci Technol 36(8): 1751-1756, 2002.
21 The authors' term "synergy" should certainly be read as "additivity".
22 Ostby J, Kelce WR, Lambright C, Wolf CJ, Mann P, Gray LE Jr.: The fungicide procymidone alters sexual differentiation in the male rat by acting as an androgen-receptor antagonist in vivo and in vitro. Toxicol Ind Health 15(1-2): 80-93, 1999.
23 Watanabe H, Suzuki A, Goto M, Lubahn DB, Handa H, Iguchi T. Tissue-specific estrogenic and non-estrogenic effects of a zenoestrogen, nonylphenol. J. Mol. Endocr., 33: 243-252, 2004.
24 The mechanism of action is under investigation, according to the authors.

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