Abstract
Bisphenol A (BPA) is a synthetic chemical widely employed to synthesize epoxy resins, polymer materials, and polycarbonate plastics. BPA is abundant in the environment, i.e., in food containers, water bottles, thermal papers, toys, medical devices, etc., and is incorporated into soil/water through leaching. Being a potent endocrine disrupter, and has the potential to alter several body mechanisms. Studies confirmed its anti-androgen action and estrogen-like effects, which impart many negative health impacts, especially on the immune system, neuroendocrine process, and reproductive mechanism. Moreover, it can also induce mutagenesis and carcinogenesis, as per recent scientific research. This review focuses on BPA’s presence and concentrations in different environments, food sources and the basic mechanisms of BPA-induced toxicity and health disruptions. It is a unique review of its type because it focuses on the association of cancer, hormonal disruption, immunosuppression, and infertility with BPA. These issues are widespread today, and BPA significantly contributes to their incidence because of its wide usage in daily life utensils and other accessories. The review also discusses researched-based measures to cope with the toxic chemical.
Introduction
Xenoestrogens or endocrine disruptors are natural or synthetic compounds harmful to the endocrine system because they stop endogenous hormone production and normal functioning (1). Due to rapid advancement in human lifestyle, endocrine-disrupting chemicals are being introduced competently into the environment extensively, and living beings are directly or indirectly exposed to harmful chemicals such as Bisphenol A (BPA) (2–4).
Bisphenol A is among toxic chemicals, first highlighted by Aleksandr Dianin in 1891, then in 1905, they were made by Zincke using acetone condensation with two correspondents of phenol. In the mid-twentieth century (1940), a sudden rise in polymers (polycarbonates, polysulfone, polyacrylate, and epoxy resins) was observed with BPA. The polymers were also used as an antioxidant and endpoint for inhibiting polymerization in polyvinyl chloride plastics. Besides, flame retardant polymers, including tetrabromobisphenol-A were also prepared using the polymers (5). It makes different polymers, such as epoxy resins, polycarbonates, and other polymer materials (6, 7). Epoxy resins and polycarbonates were in high demand in 2015, 64 and 34%, respectively. Demand increases are expected with each passing year (8).
Additionally, in recent years, their uses have expanded to produce optical and electronic materials. Polymers also produce plastic food containers, drinking glasses, bowls, cups, and microwave-safe utensils (9, 10). Canned materials can be a significant source for food adulteration owing to direct contact since epoxy resins are utilized to protect the can from the inside (11, 12). They are used in other industries like the ink and paint industry, manufacturing of thermal papers, compact discs, electronics etc. (12, 13).
Since then, BPA has been abundantly used in food packaging materials, take-away water bottles, and lacquer coatings for tin cans causing human exposure to BPA via food and drinks (2–4). Furthermore, occupational workers get BPA exposure through direct contact with skin or inhalation, whereas the standard population is exposed to BPA by dust inhalation (14, 15). BPA has been linked to several serious health issues in animal model research. Numerous human-based epidemiological and observational studies on BPA exposure revealed similar results. BPA exposure is associated with the incidence of growth disruption, halting normal development, infertility, endocrine system disruption, immune system suppression, and carcinogenicity (16, 17).
By keeping in view the scenario mentioned above of BPA production and its utilization in different domains of life, the present review is aimed to elaborate on the different human BPA exposure routes and adverse health effects of toxicity with a special focus on basic mechanisms of endocrine disruption, infertility, carcinogenesis, and immunosuppression.
Global production
The estimated global volume of BPA utilization was 7.69 million metric tons in 2015 for different applications that were forecasted to increase to 7.7 million in 2016. Approximately 4.8% compound annual growth rate (CAGR) is observed from 2016 to 2022. The production is predicted to increase to 10.7 million metric tons in 2020 because of the broad applications of polycarbonate plastics and epoxy resins in every field. The global demand for BPA is estimated to reach USD 22.49 billion in 2022. It was recorded to be approximately USD 15.6 billion in 2015, with a forecast of 16.4 as of 2016, marking a faster CAGR of 5.4% in value. The largest market of BPA is located in the Asia Pacific, contributing to approximately 52% of the market share, while 36% is produced by the USA and Western Europe (18, 19). Due to these applications, its extensive scale application is observed in everyday life, such as in producing papers, toys, water pipes, electronic products, and other plastic materials (20, 21).
Physico-chemical properties
The molecular weight of BPA [4, 4-isopropylidenediphenol; 2, 2-bis (4-hydroxyphenyl)-propane] is 228.29 g/cm3, with a white crystal-like appearance and highly reactive due to the presence of hydroxyl group in the structure. The melting and boiling points of the toxic chemical are 156 and 220°C (at 5 hPa), respectively. The coefficient of BPA in water octanol is expressed in a logarithmic form value of 3.32 (log P = 3.32), indicating its high solubility in fats and less soluble in water (about 200 mg/dm3 at 25°C). Moreover, it can also be transformed into the ether, esters, and salts like other phenols. Additionally, the electrophilic substitution of BPA generally includes sulphonation, alkylation, and nitration (20, 22).
Applications of bisphenol A
Bisphenol A is a well-known synthetic chemical globally used to manufacture different polymers, including epoxy resins, polycarbonates, and other polymer materials. Polycarbonates and epoxy resins are prominent polymers in significant bisphenol applications. Some other uses of bisphenol A include the production of different resins (unsaturated polyester, polysulfone, polyetherimide, and polyacrylate) (6, 7). In 2015, global demand for polycarbonates and epoxy resins was 64 and 34%, respectively. Moreover, the rise in demand for these two polymers will be observed with an average annual rate of 3 and 4% for the next 5 years (8). Furthermore, in recent years, their applications extended to manufacturing optical and electronic materials. Plastic cups, bottles, bowls, food containers, and utensils used for microwaves are also synthesized with polymers (9, 10).
Epoxy resins protect the can from the inside; therefore, they can be a considerable source for the adulteration of food items due to direct contact (11, 12). The storage bottles are also layered with epoxy resins for a similar purpose (23). Nonetheless, epoxy resins are also successfully applied in the paint and ink industry. Beyond this, epoxy resins also have a well-established reputation in manufacturing thermal paper, compact discs (CD), and digital video discs (12, 13). Whereas the derivate compounds from BPA are used in tickets and newspapers for antioxidants and stabilizers (15, 24) and, in the textiles industry, it is employed for infant socks preparation (25).
Exposure to bisphenol A
Bisphenol A is present almost everywhere in our surroundings and significantly affects our life. It can be part of the food and environment directly or indirectly, affecting living organisms.
Environment
Bisphenol A is an ‘omnipresent’ contaminant due to its presence in all possible resources that might be the source of its human exposure through air, water, and soil (26). There are three main routes for human exposure environmental, occupational, and contaminated food consumption (27). Workers synthesizing BPA and their related derivative compounds (i.e., polycarbonate, epoxy resins, and polyvinyl chloride) are easy targets for occupational exposure. The main reason for the environmental exposure is the contamination of the atmosphere, soil, and aquatic systems owing to the BPA entering the environment due to its use in thermal paper recycling and relevant industries (27, 28).
According to the findings of Zhang et al. (29), who assessed the BPA concentration in water of different areas of China, 19 out of 20 water treatment plants had 5–14 ng/L of BPA. A similar situation was reported in Canada, France and South Germany. The main reason behind the increased incidence of BPA is the increased occurrence of epoxy resins and polycarbonate plastics. According to the Global Bisphenol A (BPA) Market Report and Forecast 2021–2026 report, the worldwide BPA market was $10.92 billion in 2020. The expected Compound Annual Growth Rate (CAGR) is 7.8% between 2021 and 2026 (30). Manufacturing of BPA products, their utilization, aging, and disposal in the environment are the major reasons behind the addition of BPA in ecosystems (31). Point sources include effluents from sewage treatment facilities and landfill leachate, whereas non-point sources include epoxy resin and polycarbonate plastic shards that infiltrate aquatic bodies (32).
According to various studies, approximately 56 μg/L of BPA can be ingested from the aquatic environment, 1–150 μg/kg from soil (33, 34), while 2–208 ng/m3 of BPA can be inhaled from the surroundings and dust contributes 0.2–17.6 μg/g contamination (35). In addition, contaminated seafood ingestion, metallic food cans, and plastic bottles can contribute 13.3–213 μg/kg, 2–82 ng/g, and 0.234 μg/L, respectively (36), whereas landfill leachates (17.2 mg/L) (37), dermal route (7.1–71 μg/day) (38), and dental material (0.013–30 mg/day) also contaminate the environment (39).
Food
Food exposure is the most important because fulfilling daily dietary needs is essential for survival (Table 1). Contamination of BPA through food exposure occurs due to the use of BPA for manufacturing different types of plastic containers [polycarbonate (PC) and polyvinylchloride (PVC) plastics] used for food serving and exposing their direct interaction with food. Epoxy resins are also used to manufacture food cans for inner coatings. Therefore, canned food products also play a significant role in adulterating food items. Residual monomers of these compounds migrate from the can to the food product, and food consumption causes safety issues in individuals (11, 12). Besides, food packaging materials are the primary cause of BPA accumulation in human beings. It is due to the penetration of BPA from packaging into foodstuff and beverages (40, 41). There are also secondary reasons which lead to exposure to BPA and hence the infected human population (25, 42, 43).
TABLE 1
| Food | BPA level | References |
| Cereals | 0.9–3.7 | (118) |
| Fish | 7.2–103 | (119) |
| Fruits and vegetables | 10.99–94 | (120) |
| Canned (fruits and vegetables) | 3.6–267 | (121) |
| Canned soft drinks | 0.033–3.9 | (122) |
| Milk | 1.33–175 | (123) |
Level of BPA (g/kg) in different food commodities.
Migration of bisphenol A particles into the food system
The migration of particles from the wrapping material to the food material is quite a complex phenomenon. It depends on different factors, including the composition of different food items, duration of contact time, the food temperature during contact, and packaging material type refs. Studies revealed that fat in foods also contributes to the migration of particles. Similarly, there is also a direct relationship between the square root of contact time and the concentration of molecules being migrated. Moreover, the high-temperature also leads to a rapid migration rate of residues (11, 12). BPA penetration into packaged products accelerates at higher temperatures (used for boiling water) than the lower temperature, around 20°C. It is also illustrated that the migration rate could be 55 folds more than the latter temperature (44). Food present in packaged products shows less absorption of BPA than the food preserved in canned materials with a standard concentration of 0.45 ng per 100 g (45).
Moreover, compounds like epoxy resins and PVC are used in manufacturing industries to protect the inner side of the can from corrosion and rust development due to direct contact with different food items (23). Bottles used for storage purposes also have such types of protective glaze. Monomers residues of BPA migrate into the food during high-temperature processing and storage in these bottles due to incomplete polymerization (23, 46).
Babies fed on mother milk or non-PC bottles had minimum BPA levels compared to babies using PC-free packaging. BPA levels were low compared to infants’ body mass using non-PC feeders and eating solid foods (6–36 months) (47). The research was conducted in two steps to check BPA levels in fresh, frozen, and canned foodstuff (using 204 samples). Firstly, they checked the BPA concentrations in canned products and then calculated BPA intake through diet. Results showed that the foods not packed in canned material had lower BPA levels (7%) than canned foods (73%), while dietary assessment of adults revealed canned coatings materials as the main BPA contributor. Altogether 12.6 ng/kg was calculated per day in the human body, out of which 12.4 ng/kg was penetrated from canned foods. Moreover, 3–12.95 ng/kg per day was the tendency of dietary consumption. In contrast, 30–70 ng/kg/day was determined in the urinary bladder, higher than the central capacity of dietary intake (48).
Human exposure to bisphenol A
Bisphenol A is almost everywhere in our environment and is released from common consumer goods (Figure 1). It may enter our body through different routes like dermal and oral exposure or only through inhalation (49). The primary route of exposure is dietary exposure, including consumption of seafood or even freshwater fish polluted via BPA, fresh food commodities from polluted regions, ingestion of food packed in plastic and cans containers, and drinking polluted water (50). The second foremost route of absorption for BPA is dermal exposure (51). Direct paper contact (especially thermal paper), toys, and medical devices proportionally increase the BPA potential against the skin. Inhalation is the third most important route of exposure through BPA-containing vapors, mists, dust, and gases (50).
FIGURE 1
Bisphenol A -human exposure’s primary source is canned food items. Therefore, this compound’s exposure mainly depends on the duration and amount of canned food usage in a person’s diet regimen. In kids older than 3 years, BPA exposure’s highest mean value was approximately 69.9 ng/kg body weight/day, with an utmost value of 189 ng/kg body weight/day. In adults, 139.9 ng/kg body weight/day was the highest mean value, with the maximum contact up to 419 ng/kg body weight/day (47). Wilson and colleagues estimated in a study that the exposure through inhalation for toddlers (1.5–5 years) was 0.23–0.42 ng/kg of body weight per day (52).
Generally, infants (0–6 months old) are the most affected through the alimentary canal all over the population with BPA exposure and its disruptions. The main reason for this exposure is the daily feeding of canned milk formulas in plastic feeder bottles containing PC. Hence, these plastic feeding bottles and canned milk powders make them most vulnerable to BPA’s side effects. Various research studies have been conducted to asses BPA levels and found that the BPA concentration is less than tolerable daily intake (TDI) (47).
Although, BPA exposure through inhalation and dermal routes accounts for less than 5% of all contact sources. The occupational population shares a more significant proportion (50). In a study, 154 composite samples were assessed for BPA analysis and 55 samples with BPA levels ranging from 0.19 to105.0 ng/g, respectively. The experimental results also indicated that canned foods had higher BPA concentrations than other food samples (23).
Metabolism of bisphenol A
Bisphenol A is highly metabolized and secreted into urine, primarily as a glucuronide conjugate with a half-life of 2 h (53). BPA’s half-life also depends on the glucuronidase enzyme, which activates BPA through deconjugation in the bloodstream, and other organs (54). Furthermore, the valid biomarker of BPA exposure is total BPA (including free or conjugated) urinary concentration (55). The health aspect of free BPA (a weak estrogen) has been primarily observed in animal models. At the same time, limited neonatal human researches are available to check behavioral and executive functional effects, especially during critical child developmental stages and in the shortening of congenital space in male offspring (56, 57). However, several experiments revealed that BPA initially affects hepatic injury (53, 58). After ingestion, most BPA in the liver and gut is rapidly bound with glucuronic acid to release BPA glucuronide (BPA-G) by the glucuronidation process, facilitated by many enzymes (59).
Moreover, being fat-soluble, BPA has high adipose tissue affinity and is then released steadily to other histological structures in humans and mice (60, 61). An investigation to estimate the BPA division in humans highlighted that BPA is demonstrable in almost all human histological structures. In adipose tissues, it ranged from 1.13 to 12.27 ng/g, 0.78 to 3.34 ng/g in the liver, and 1 to 2.35 ng/g in the brain. In breast milk, total BPA was observed as 1.09 ng/mL, out of which 0.41 ng/mL content was identified as unconjugated BPA (6).
Furthermore, the conjugated BPA does not combine with the estrogen receptor (ER); therefore, they are biologically inactive and inert. However, another investigation revealed that BPA-conjugated forms could disturb cellular responsive action throughout membrane ERα contacts, which is responsible for quick signaling feedback (62). In contrast, in trace concentrations, unconjugated BPA (free BPA) can convert into other compounds such as BPA sulfate or BPA-S.
Bio-monitoring records reveal that BPA interaction with humans is prevalent (55, 63). However, there is still massive controversy on the legality of the reported measure of unconjugated BPA in whole blood, plasma, or serum. The discussion point is that adult human blood samples have up to 0.5–2 ng/mL (2.2–8.8 nM) unconjugated BPA. It is very high than the predicted levels of 0.51 μg/kg of body weight per day calculated based on adults’ estimated daily intake (48). Presumably, few of the even most substantial daily consumption records in this range (and lower) depend on the whole day urinary output, with back calculations of 596 German women and men (64).
Pharmacokinetics of bisphenol A
According to the research conducted by Volkel et al., subjects were given a dose of 54–90 μg/kg of BW/day orally. The results showed that unconjugated BPA was not recognized in urine or serum in any human oral pharmacokinetic (PK) study. Though, the maximum value of finding in the study, 2.27 ng/ml (9.9 nM), is not as much susceptible as more current competencies of 0.05–0.3 ng/ml (0.25–1.76 nM) (65–67).
Another study, utilizing a LOD range of 0.01–0.95 ng/mL, was conducted in which 10 men were given a soup having an unconjugated d6-BPA of 0.097 ng/ml (0.42 nM) at 1.5 h, followed by administration of 29.9 μg/kg of body weight of BPA (68). The d6-BPA was 0.29% of the total BPA, leading researchers to conclude that the sublingual dietary exposure and absorption were reportedly different. Studies regarding the BPA’s pharmacokinetics in rats, mice, and rhesus monkeys using isotope compounds showed that oral consumption of 75 to over 1,000 μg/kg of body weight per day is essential concentrations of unconjugated BPA reported in humans (66, 69–71).
Overall, these changes led to the estimation that unconjugated BPA in the blood is linked with the preparation of the sample, storage, systematic procedure, and exposure conditions. For example, in hospitals where patients may be interacted with BPA from medical equipment or in professional settings (63, 72–78).
Impact of bisphenol A on health
In animal model studies, BPA has reportedly caused many critical health conditions. Several human-based epidemiological and observational researches showed similar findings on exposure to BPA (47). Disrupted growth susceptibility is higher at certain phases of the life cycle on BPA exposure, halting normal development. Fetal or postnatal development stages are more critical as the body systems are not fully developed. BPA affected growth disruption due to its metabolism and elimination through enzyme systems amalgamation (16, 17). Because of the previous studies, this review will cover the effect of BPA on the human reproductive system, endocrine system, immune system, and carcinogenicity.
Endocrine disruption
The endocrine system is one of the most synchronized and complex systems. BPA is an adverse endocrine-disrupting chemical (EDC) which suppresses or alters hormonal and enzyme synthesis, secretion, release, and transportation. BPA hinders the system’s activity by replacing endogenous hormones with transporter proteins (Figure 2). This alteration changes the free and bound hormonal concentrations present in plasma. This chemical also influences the neuroendocrine function, causing a physiological interruption in the organs. Studies have shown the increased serum level of estradiol in females and reduced testosterone in males due to BPA (79, 80).
FIGURE 2
Mental health is highly influenced by the disrupter, which causes sex-specific mental impairment and behavioral changes. Disturbed and depressive tendencies rose because “Dehydroepiandrosterone (DHEA),” a neuroactive steroid in males, is decreased, resulting in a possible pathway of the depressive-like phenotype (81). Previous studies regarding the endocrine disruption of BPA are compiled to assess its potent role (Table 2).
TABLE 2
| Specimen | Route of exposure | Findings/Health impact | References |
| Rats | Skin | BPA directly affects the central nervous system on exposure, primarily affecting CA3 pyramidal neurons and GABAA receptors. | (124) |
| Mice | BPA injection (125 mg/kg) | BPA exposure leads to endocrine disruption, which affects the immune system. BPA-induced steroid genesis and Nur77 gene expression in testicular Leydig cells. | (125) |
| Pregnant female mice | Oral | BPA affects the sex steroid hormone in the urogenital sinus of a fetus. Due to endocrine disruption, BPA increases estrogenic production and adversely affects the fetus’s heart, kidneys, cerebellum, and ovaries. | (126) |
| Male offspring rats | Injection of BPA (low doses) | Hyperactivity and attention deficit due to endocrine disruption. In the basolateral amygdala, the BPA accumulation results in abnormal synaptic plasticity leading to these defects. | (127) |
| Rats offspring | Oral (during gestation and lactation) | Metabolic disruption due to raised glutamate and L-α-glutamyl- L-aspartic acid ratio in the hippocampus because the 2 metabolites are involved in the malate-aspartate metabolic shuttle. Myelination, growth, glial, and neuronal development alterations due to endocrine disruption. | (128) |
Effect of BPA on the endocrine system.
Reproductive system
Evidential studies have indicated that the reproductive system’s higher interruption susceptibility is observed due to this BPA (Table 3). Being an easy target, the reproductive system undergoes disturbing sex hormone activity and exertion. BPA also distracts the function and primary development of the reproductive system (Figure 3). Recent studies reported the BPA linkage with increased levels of serum luteinizing hormone (LH), estradiol (E2), progesterone, and testosterone (T) while decreased concentrations of serum cortisol (80). A significant association between BPA and higher total testosterone (TT) concentration in serum was also reported (82).
TABLE 3
| Specimen | Route of exposure | Findings | References |
| Female Sprague– Dawley rats | Oral | Significant hormonal disorders altered the structure and functions of the ovaries and uterus. | (129) |
| KGN ovarian granulosa-like tumor cell line | In vitro | Reduction in insulin-like growth factor 1 (IGF-1) induced by FSH and aromatase expression. BPA causes a reduction in granulosa cell DNA synthesis with no changes in DNA fragmentation, showing that BPA does not encourage apoptosis. | (130) |
| Pregnant women | Oral | Creatinine-identical BPA concentrations caused a reduction in reproducibility. BPA concentration was not altered by the intake of canned fruit, fresh vegetables, fruits, or fresh and frozen fish purchased from the store. High-molecular-weight phthalate and serum tobacco smoke metabolic compound levels were significantly linked with BPA levels. | (131) |
| Males | Oral | Increased serum total testosterone, prolactin, and estradiol resulted in a reduction in the androgen index. | (132, 133) |
| Males | Serum | Sexual desire and functionality were decreased in men, followed by premature ejaculation. | (134) |
| Males | Oral | A higher level of BPA in plasma and seminal plasma has a risk of an increased infertility level. | (135) |
| Males | Serum administration | The concentration of sperm was decreased, and sperm velocity ratios were increased, followed by a reduction in sperm motility and count. | (133, 136–138) |
| Females | Oral | The level of Luteinizing hormone and progesterone was increased; hence, the risk for PCOS also increased. | (139, 140) |
Impact of BPA on the reproductive system.
FIGURE 3
The endometrial wall thickness and cycle of sex hormones associations are well studied. Scientists observed an age-based relationship between altered endometrial wall thickness and BPA levels (83). Moreover, polycystic ovary syndrome (PCOS) patients exhibited higher BPA serum concentrations than healthy women and patients (84, 85). The researchers also detected BPA’s potential role in PCOS and adverse pregnancy outcomes like premature delivery and miscarriage (86).
Males facing prolonged BPA exposure tend to have low sperm quality, sexual dysfunction, and impaired fertility. The amplitude of lateral head displacement (ALH), Wobble (WOB), Linearity (LIN), Mean Angular Displacement (MAD), sperm concentration, and association with BPA illustrated the fluctuated characteristics and velocity rate reduction. This array results in impaired reproductive function in males (87).
Carcinogenicity
The incidence of numerous cancer types is rising exceptionally and appears to be linked with BPA (Table 4). It includes breast (88), ovarian, uterus, prostate (89–91), and testicular cancer (92). The findings of the various in vivo studies on animals (i.e., mice, rats, etc.) concluded that the raised estrogenic activity depicts the carcinogenic mechanistic action of BPA (93). BPA’s activation of tumorigenesis and cancerous cell development are still under experimentation (88). BPA stimulates cellular responses through binding to ER, although they reflect a weak affinity to each other (Figure 4).
TABLE 4
| Specimen | Route of exposure | Findings | References |
| Rat | Oral | The increased number of Leydig cells and proliferation was caused due to exposure to BPA during the Perinatal period. | (141) |
| Rat | Antenatal | Ductal carcinoma and ductal hyperplasias were developed due to increased BPA exposure during the perinatal period carcinoma in situ and malignant tumors. | (142) |
| Rat | Neonatal exposure | Polycystic ovary syndrome was reported due to the neonatal exposure to. | (143) |
| Mouse | Prenatal exposure | Cystadenomas, a high rate of progressive lesions of the oviduct and ovarian cysts, were observed due to Prenatal exposure to BPA. | (144) |
| Mouse | Neonatal exposure | Increased adenomyosis, cystic endometrial hyperplasia, and leiomyomas developed due to neonatal exposure to BPA. | (144) |
| Mouse | Oral | BPA exposure was studied in the renal xenograft model, and a high rate of adenocarcinoma of human progenitor cells and prostate intraepithelial neoplasia were reported. | (145) |
| Mouse | Perinatal exposure | Exposure to BPA during the perinatal period effect the offspring/infant greatly, and it leads to neoplastic lesions and hepatic pre-neoplastic. | (146) |
| Breeding C57Bl6 mice | Oral | Perinatal contact with BPA amplified the number of TEBs and the progesterone response of the mammary epithelial cells. | (147) |
| Non-human primates | Oral | BPA exposure to the fetus accelerated mammary epithelial development and a high rate of mammary buds’ density. | (148) |
Role of BPA in carcinogenicity.
FIGURE 4
The binding ability of the receptor to hold co-repressors is lost. As the regulation of co-regulators by the BPA–ER complex is disproportionate to the affinity of BPA to ER, the type and expression levels of ER-regulated targets are determinants for the tissue and cellular specificity of the BPA response. BPA can induce genomic responses at concentrations lower than the levels at which it is expected to bind to nuclear ERs (94).
Immunosuppressive action
Studies have revealed that oxidative stress, immune function, and inflammation are directly related to BPA exposure. The correlation between BPA and the induction of mitochondrial damage and cellular apoptosis resulted in systematic degradation (95–97), causing an alternation in immune cell populations and functioning of the innate and adaptive immune system owing to developmental BPA exposure (Figure 5).
FIGURE 5
Similarly, it also decreased T regulatory (Treg) cells and up-regulated pro-inflammatory and anti-inflammatory cytokines and chemokines. T1D development in females and males could be accelerated and decline on exposure to BPA (Table 5) (98).
TABLE 5
| Specimen | Route of exposure | Findings | References |
| Pregnant women | Environmental (inhalation or dermal) | Concentrations of BPA in the mother’s urine were reciprocally associated with odds of increased IL-33/TSLP. | (149) |
| Humans | Oral and environmental | BPA can harm the immune system’s functions as assessed by CMV antibody levels and allergy or hay fever diagnosis. | (150) |
| Sprague–Dawley rats | Oral | Ten measurements out of 530 were different from vehicle controls and were primarily associated with dendritic or macrophage cell populations. BPA may have negatively affected the competency of the immune system. | (151) |
| Mice | Oral | BPA exposure via the oral route, in a given amount and for the shown contact period, has minor manipulation of features of the inflammatory response, stimulating immune-mediated diseases of the GIT. | (152) |
| Mice | Oral | Imbalances induced in intestinal and systemic immune via perinatal treatment, the appearance of inflammatory M1 macrophages in gonadal white adipose tissue with signs of aging, combined with a reduction in insulin sensitivity and an enhancement in weight gain. | (153) |
| Pregnant mice | Oral | Mother exposure to BPA modulated inborn immunity in mature offspring but did not damage the anti-viral adaptive immune response, which is dangerous for virus permission and endurance after influenza virus infection. | (154) |
| BALB/female mice | Oral | The chances of asthma increased when the mother was exposed to BPA. It might increase the airway hyperresponsiveness in their infants’ lungs as they were bare to BPA before birth and after birth via breast milk compared to those exposed to BPA after birth or not treated with BPA at all. | (155) |
| Adult zebrafish | Oral | Down-regulation in the transcription of genes involved in enzymatic antioxidant defense and impaired anxiety and fear responses. | (156) |
| Larvae of Labeo rohita | Oral | Oxidative stress and suppressed NF-κB signaling pathway leading to immunosuppression. | (157) |
| Human granulosa KGN cells | In vitro | Damage to biomacromolecules-main targets of oxidative stress was significantly increased after treatment with BPA. | (158) |
| Adult rats | Oral | BPA-induced systemic oxidative stress change ROS-induced signaling pathways in the brain. | (159) |
Effect of BPA on the immune system.
Legislations
The primary source of contact for BPA is food for the general population. According to the United States Environmental Protection Agency (EPA), BPA’s reference dose is 50 μg/kg BW/day. EFSA decreased this TDI dose from 50 μg/kg BW/day to 4 μg/kg BW/day in 2015 due to its harmful health effects (12).
A temporary TDI of BPA was set by the CEF panel that was 4 μg/kg BW per day. The board applied an uncertainty factor of 150 for this purpose for different body systems, including the reproductive system, metabolism, neurobehavioral, immune system, and mammary glands. It was done to assess the uncertainty along with inter and intraspecies differences. CEF declared no harmful health impacts by comparing this t-TDI with the estimates of exposure from the diet for any age group and common health concerns from the combined exposure. Therefore, this estimation of exposure to non-dietary sources showed considerable uncertainty compared to dietary sources’ estimates, imploring further research (99).
The rate of exposure from non-dietary sources, including thermal paper or medical devices based on current t-TDI derived by EFSA, was assessed by the SCENIHR or RAC, the Risk Assessment Committee. SCENIHR concluded that neonates in ICU, dialysis patients, and young children with prolonged medical treatment are at higher risk of getting adverse health effects from BPA as it may enter through systemic exposure after exposure to non-oral routes. But besides that, we cannot neglect the benefits of these devices (100). RAC also published and presented a restriction proposal for using BPA in the thermal paper under ECHA as an opinion of BPA’s hazards on human health. The consumers were satisfied by RAC, ensuring the risk of BPA exposure through the thermal paper was controlled. Simultaneously, the chance of getting BPA exposure from cashiers was not declared adequately in control. Severe effects can be faced by pregnant female workers working in a high-exposure environment (101).
For infants and children
Higher exposure rates of BPA are reported in Infants and children compared to adults. For breastfed infants, the average (95th percentile) BPA intake was 0.3 μg/kg body weight (BW) per day (1.3 μg/kg BW per day) for the age of 0 and 6 months. At the same time, 2.4 mg/kg BW per day (4.5 mg/kg BW per day) was reported for infants receiving formula from polycarbonate, according to WHO (47). European Union and Brazil have set the permissible limit of 600 μg/kg in infant foods. A study was conducted to assess the limit of BPA in infant formulas and reported the presence of BPA below the required level (0.2–10.2 μg/kg) (102). Another study estimated the BPA intake in different age groups and genders and concluded that their exposure was below the permissible limit (25 μg/kg of body weight/day) of Health Canada. However, dietary exposure to BPA for infants (0.22–0.33 μg/kg of body weight/day) was more than for adults (0.052–0.081 μg/kg of body weight/day). The increased intake was linked to the intake of canned and liquid milk-based infant formula (23).
Restrictions on the use of bisphenol A
Several restrictions on BPA use have been made after detecting its deteriorating health effects in different countries. The No Observed Adverse Effect Level (NOAEL) of BPA at a dose of 5,000 ng/kg body weight/day through the food intake was considered by the Food and Drug Administration in 2008 in the United States. Some EU Member States’ also banned it in food packaging and containers for children up to 3 years of age, while some have prolonged this ban for other products. Denmark also prohibited using BPA in packaging materials, including cups, or bottles related to food, especially for a breast milk substitute, in 2010. The use of BPA in baby bottles was also banned after 1st March 2011 by EU Commission Directive No. 8/2011 as a preventive measure (103).
Likewise, baby pacifiers containing BPA were also banned in Austria in 2011. All the materials containing BPA that had a chance to contact food were suspended in France by passing a law in 2012 except for industrial equipment, such as tanks and pipes. They also introduced the labeling requirements for food items prepared for children and pregnant women. In 2013, Sweden banned the BPA-containing materials in lacquers of packaging linings for food prepared for children aged 0–3 years (104).
FDA restricted baby bottles and Sippy cups having BPA in 2012 and BPA derivatives in cans on infant formula in 2013 (41, 105, 106). The Commission also conducted an evaluation (started in December 2017) focusing on existing legislation on food packaging; this evaluation ended in 2019. To support the Commission’s evaluation, the Joint Research Centre published a study (107) on the market condition of food packaging not coordinated in the EU. In December 2017, EFSA announced that a strategy was finalized to re-evaluate BPA toxicity with a working group for better results. BPA usage was restricted in thermal paper in January 2020, which would be through registration, evaluation, and authorization. Then restriction of chemicals regulation will decrease the use of BPA in all types of recycling packaging (108).
Alternatives to bisphenol A
There is a need to find alternative solutions to BPA due to the health hazards of this compound’s use in packaging material. Several studies have been conducted in the previous few years to find the best suitable alternative to BPA having the same properties. Researchers have identified a few compounds that can be used as a replacement for BPA. The low estrogenic and endocrine potential of tetramethyl bisphenol F epoxy resin, bisguaiacol F, and tetramethyl bisphenol F diglycidyl ether is demonstrated in several studies. The researcher also suggested that further research is needed on this group of compounds to assess the potential possible effects of these compounds on human health.
Meanwhile, the authors suggested that they could be viable alternatives to BPA. These BPA substitute-based products are consumed under the label of “BPA-free.” This term gives the impression that the products are safe, but the substitutes’ safety is not fully verified (109, 110).
The increased restrictive rules for using BPA for human health and the environment have become a significant standard for substitution in research and industry (19, 111). Several “bisphenol analogs” have been produced to replace BPA in various applications (112). The most significant market shares are held by BPF (4, 4′-methylene diphenyl), BPS [bis (4-hydroxyphenyl) sulfone], and BPAF [2, 2-bis (4-hydroxyphenyl) hexafluoropropylene] (113–115). Reports and databases are available on the viability of these monomers as BPA substitutes. In Korea, BPS is used for thermal receipt papers and BPF as a water pipe coating agent instead of BPA (116). Although further research is needed to assess these compounds’ potential effects, the authors suggest they could be viable alternatives to BPA (117).
Conclusion
Bisphenol A can cause multiple organ toxicity after entering the body through the respiratory, dermal, and gastrointestinal tract. It disturbs different cellular mechanisms and hormonal functions by binding with the receptors and activating downstream pathways. The outcomes of BPA exposure are cancers, endocrine disruptions, immunosuppression and reproductive defects. However, there are still ambiguities and many unanswered questions about BPA’s metabolism and its toxic effects. There is a need to elaborate on the combined effects of BPA with other pollutants. Conclusively, BPA-free alternatives should be promoted to avoid these adverse consequences.
Future recommendations
It is obvious from the current review that more basic non-human primate research and clinical studies are needed to understand the too-complex mechanisms behind BPA activity fully. Nevertheless, several variations across species have been identified, although rats and mice have been demonstrated to be ideal models for investigating the causes of chronic human diseases. Additionally, additional research is needed as a preventative and precautionary measure, especially for developing fetuses and young children, as they are more vulnerable to the harmful effects of this prevalent compound in both developed and developing countries, which requires more attention even through public awareness campaigns. However, because humans are exposed to various pollutants, it is important to consider that BPA may have additive and synergistic effects with other widely used compounds.
Statements
Author contributions
MM, TT, AyS, and SM: conceptualization. AmS, MN, and FT: methodology. TT, FT, and SK: software. MM, TT, FT, and SM: writing—original draft preparation. MM, AyS, and X-AZ: writing—review and editing. X-AZ: supervision. SI: supervision and funding acquisition. All authors have read and agreed to the published version of the manuscript.
Funding
This research was funded, in part, by grants (Project Nos. NC.X337-5-21-170-1 and NC.X341-5-21-170-1) in addition to the 1890 capacity building project from the National Institute of Food and Agriculture (NIFA). This research was funded by the Guangdong Provincial Key Laboratory of Intelligent Food Manufacturing, Foshan University, Foshan, China (Project ID: 2022B1212010015).
Acknowledgments
We would like to acknowledge the support of the Agricultural Research Station at North Carolina Agricultural and Technical State University (Greensboro, NC, United States).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Author disclaimer
The contents are solely the authors’ responsibility and do not necessarily represent the official views of NIFA.
Abbreviations
- BW
bodyweight
- CAGR
compound annual growth rate
- CEF
EFSA panel on food contact materials, enzymes, flavorings, and processing aids
- EFSA
European food safety authority
- EPA
environmental protection agency
- FAO
food and agriculture organization
- FDA
food and drug administration
- FSH
follicle-stimulating hormone
- GABAA
aminobutyric acid type A
- IGF-1
insulin-like growth factor 1
- PC
polycarbonate
- PK
pharmacokinetic
- PVC
polyvinylchloride
- RAC
risk assessment committee
- SCENIHR
EU scientific committee on emerging and newly identified health risks
- TDI
tolerable daily intake
- USD
United States dollar
- WHO
World Health Organization.
References
1.
MaYLiuHWuJYuanLWangYDuXet alThe adverse health effects of bisphenol A and related toxicity mechanisms.Environ Res. (2019) 176:108575. 10.1016/j.envres.2019.108575
2.
KhanMROuladsmaneMAlammariAMAzamM. Bisphenol A leaches from packaging to fruit juice commercially available in markets.Food Packaging Shelf Life. (2021) 28:100678. 10.1016/j.fpsl.2021.100678
3.
WangRHuangYDongSWangPSuX. The occurrence of bisphenol compounds in animal feed plastic packaging and migration into feed.Chemosphere. (2021) 265:129022. 10.1016/j.chemosphere.2020.129022
4.
ZhangYYuanZ-LDengX-YWeiH-DWangW-LXuZet alMetal-organic framework mixed-matrix membrane-based extraction combined HPLC for determination of bisphenol A in milk and milk packaging.Food Chem. (2022) 386:132753. 10.1016/j.foodchem.2022.132753
5.
WangXNagRBruntonNPSiddiqueMABHarrisonSMMonahanFJet alHuman health risk assessment of bisphenol A (BPA) through meat products.Environ Res. (2022) 213:113734. 10.1016/j.envres.2022.113734
6.
WangHLiuZ-HZhangJHuangR-PYinHDangZet alInsights into removal mechanisms of bisphenol A and its analogues in municipal wastewater treatment plants.Sci Total Environ. (2019) 692:107–16. 10.1016/j.scitotenv.2019.07.134
7.
TözümMSAlay AksoySAlkanC. Manufacturing surface active shell and bisphenol A free thermochromic acrylic microcapsules for textile applications.Int J Energy Res. (2021) 45:7018–37. 10.1002/er.6287
8.
MarkitI.Bisphenol A. Chemical Economics Handbook. (2016). Available online at: https://www.ihs.com/products/bisphenol-chemical-economics-handbook.html
9.
EFSA Panel on Food Contact Materials and Aids.Scientific opinion on the risks to public health related to the presence of bisphenol A (BPA) in foodstuffs.EFSA J. (2015) 13:3978. 10.2903/j.efsa.2015.3978
10.
HamedEMLiSF. Molecularly imprinted polymers-based sensors for bisphenol-A: recent developments and applications in environmental, food and biomedical analysis.Trends Environ Anal Chem. (2022) 35:e00167. 10.1016/j.teac.2022.e00167
11.
FlintSMarkleTThompsonSWallaceE. Bisphenol A exposure, effects, and policy: a wildlife perspective.J Environ Manag. (2012) 104:19–34. 10.1016/j.jenvman.2012.03.021
12.
NeufeldKEzellKGrowWA. Plastic additives decrease agrin-induced acetylcholine receptor clusters and myotube formation in C2C12 skeletal muscle cell culture.CellBio. (2015) 4:12. 10.4236/cellbio.2015.41002
13.
BrownMSSommaLMendozaMNohYMahlerGJKohA. Upcycling compact discs for flexible and stretchable bioelectronic applications.Nat Commun. (2022) 13:3727. 10.1038/s41467-022-31338-9
14.
ErrenTC. Bisphenol A and cancer: a prelude to challenging epidemiology.Int Arch Occup Environ Health. (2022) 95:313–4. 10.1007/s00420-021-01752-5
15.
HahladakisJNIacovidouEGerassimidouS. An overview of the occurrence, fate, and human risks of the bisphenol-A present in plastic materials, components, and products.Integr Environ Assess Manag. (2022): 10.1002/ieam.4611
16.
GeronaRRWoodruffTJDickensonCAPanJSchwartzJMSenSet alBisphenol-A (BPA), BPA glucuronide, and BPA sulfate in midgestation umbilical cord serum in a northern and central California population.Environ Sci Technol. (2013) 47:12477–85. 10.1021/es402764d
17.
DivakaranK.Age-Related and Genetically-Determined Variation in Bisphenol A-Metabolizing Enzymes: Impact on Infant Bisphenol A Disposition.Milwaukee, WI: Medical College of Wisconsin (2014).
18.
ExpertsI.Bisphenol-A-a Global Market Overview.Columbus, OH: Hexion Inc (2016).
19.
AlmeidaSRaposoAAlmeida-GonzálezMCarrascosaC. Bisphenol A: food exposure and impact on human health.Compr Rev Food Sci Food Saf. (2018) 17:1503–17. 10.1111/1541-4337.12388
20.
VasiljevicTHarnerT. Bisphenol A and its analogues in outdoor and indoor air: properties, sources and global levels.Sci Total Environ. (2021) 789:148013. 10.1016/j.scitotenv.2021.148013
21.
XingJZhangSZhangMHouJ. A critical review of presence, removal and potential impacts of endocrine disruptors bisphenol A.Comp Biochem Physiol C Toxicol Pharmacol. (2022) 254:109275. 10.1016/j.cbpc.2022.109275
22.
DesaiDPJagtapRN. Synthesis of ultraviolet curable bisphenol-based epoxy acrylates and comparative study on its physico-chemical properties.J Appl Polym Sci. (2022) 139:52022. 10.1002/app.52022
23.
CaoX-LPerez-LocasCDufresneGClementGPopovicSBeraldinFet alConcentrations of bisphenol A in the composite food samples from the 2008 Canadian total diet study in Quebec City and dietary intake estimates.Food Addit Contam. (2011) 28:791–8. 10.1080/19440049.2010.513015
24.
MichałowiczJ. Bisphenol A–sources, toxicity and biotransformation.Environ Toxicol Pharmacol. (2014) 37:738–58. 10.1016/j.etap.2014.02.003
25.
FreireCMolina-MolinaJ-MIribarne-DuránLMJiménez-DíazIVela-SoriaFMustielesVet alConcentrations of bisphenol A and parabens in socks for infants and young children in Spain and their hormone-like activities.Environ Int. (2019) 127:592–600. 10.1016/j.envint.2019.04.013
26.
HuangYWongCZhengJBouwmanHBarraRWahlströmBet alBisphenol A (BPA) in China: a review of sources, environmental levels, and potential human health impacts.Environ Int. (2012) 42:91–9. 10.1016/j.envint.2011.04.010
27.
KangJ-HKondoFKatayamaY. Human exposure to bisphenol A.Toxicology. (2006) 226:79–89. 10.1016/j.tox.2006.06.009
28.
ReneERKarSKrishnanJPakshirajanKLópezMEMurthyDet alStart-up, performance and optimization of a compost biofilter treating gas-phase mixture of benzene and toluene.Bioresour Technol. (2015) 190:529–35. 10.1016/j.biortech.2015.03.049
29.
ZhangYChenZWuPDuanYZhouLLaiYet alThree-dimensional heterogeneous electro-fenton system with a novel catalytic particle electrode for bisphenol A removal.J Hazard Mater. (2020) 393:120448. 10.1016/j.jhazmat.2019.03.067
30.
LiangLZhangJFengPLiCHuangYDongBet alOccurrence of bisphenol A in surface and drinking waters and its physicochemical removal technologies.Front Environ Sci Eng. (2015) 9:16–38. 10.1007/s11783-014-0697-2
31.
RadwanEKIbrahimMAdelAFaroukM. The occurrence and risk assessment of phenolic endocrine-disrupting chemicals in Egypt’s drinking and source water.Environ Sci Pollut Res. (2020) 27:1776–88. 10.1007/s11356-019-06887-0
32.
MakinwaTUadiaP. Occurrence of bisphenol A (BPA) in ponds, rivers and Lagoons in South-Western Nigeria and uptake in Catfish evidence of environmental contamination.Food Public Health. (2017) 7:1–6.
33.
LangdonKWarneMSJSmernikRShareefAKookanaR. Field dissipation of 4-nonylphenol, 4-t-octylphenol, triclosan and bisphenol A following land application of biosolids.Chemosphere. (2012) 86:1050–8. 10.1016/j.chemosphere.2011.11.057
34.
CorralesJKristofcoLASteeleWBYatesBSBreedCSWilliamsESet alGlobal assessment of bisphenol A in the environment: review and analysis of its occurrence and bioaccumulation.Dose Resp. (2015) 13:1559325815598308. 10.1177/1559325815598308
35.
RudelRABrodyJGSpenglerJDVallarinoJGenoPWSunGet alIdentification of selected hormonally active agents and animal mammary carcinogens in commercial and residential air and dust samples.J Air Waste Manag Assoc. (2001) 51:499–513. 10.1080/10473289.2001.10464292
36.
BasheerCLeeHKTanKS. Endocrine disrupting alkylphenols and bisphenol-A in coastal waters and supermarket seafood from Singapore.Mar Pollut Bull. (2004) 48:1161–7. 10.1016/j.marpolbul.2004.04.009
37.
YamamotoTYasuharaAShiraishiHNakasugiO. Bisphenol A in hazardous waste landfill leachates.Chemosphere. (2001) 42:415–8. 10.1016/S0045-6535(00)00079-5
38.
BiedermannSTschudinPGrobK. Transfer of bisphenol A from thermal printer paper to the skin.Anal Bioanal Chem. (2010) 398:571–6. 10.1007/s00216-010-3936-9
39.
Van LanduytKNawrotTGeebelenBDe MunckJSnauwaertJYoshiharaKet alHow much do resin-based dental materials release? A meta-analytical approach.Dental Mater. (2011) 27:723–47. 10.1016/j.dental.2011.05.001
40.
VandenbergLNChahoudIHeindelJJPadmanabhanVPaumgarttenFJSchoenfelderG. Urinary, circulating, and tissue biomonitoring studies indicate widespread exposure to bisphenol A.Environ Health Perspect. (2010) 118:1055–70. 10.1289/ehp.0901716
41.
UsmanAAhmadM. From BPA to its analogues: is it a safe journey?Chemosphere. (2016) 158:131–42. 10.1016/j.chemosphere.2016.05.070
42.
MorganMKNashMBarrDBStarrJMCliftonMSSobusJR. Distribution, variability, and predictors of urinary bisphenol A levels in 50 North Carolina adults over a six-week monitoring period.Environ Int. (2018) 112:85–99. 10.1016/j.envint.2017.12.014
43.
Molina-MolinaJJiménez-DíazIFernándezMRodriguez-CarrilloAPeinadoFMustielesVet alDetermination of bisphenol A and bisphenol S concentrations and assessment of estrogen-and anti-androgen-like activities in thermal paper receipts from Brazil, France, and Spain.Environ Res. (2019) 170:406–15. 10.1016/j.envres.2018.12.046
44.
Le CorreLBesnardPChagnonM-C. BPA, an energy balance disruptor.Crit Rev Food Sci Nutr. (2015) 55:769–77. 10.1080/10408398.2012.678421
45.
GeensTApelbaumTZGoeyensLNeelsHCovaciA. Intake of bisphenol A from canned beverages and foods on the Belgian market.Food Addit Contam. (2010) 27:1627–37. 10.1080/19440049.2010.508183
46.
NoonanGOAckermanLKBegleyTH. Concentration of bisphenol A in highly consumed canned foods on the US market.J Agric Food Chem. (2011) 59:7178–85. 10.1021/jf201076f
47.
World Health Organization.Toxicological and Health Aspects of Bisphenol A. Report of Joint FAO/WHO Expert Meeting, 2-5 November 2010 and Report of Stakeholder Meeting on Bisphenol A, 1 November 2010.Ottawa, ON: World Health Organization (2011).
48.
LorberMSchecterAPaepkeOShropshireWChristensenKBirnbaumL. Exposure assessment of adult intake of bisphenol A (BPA) with emphasis on canned food dietary exposures.Environ Int. (2015) 77:55–62. 10.1016/j.envint.2015.01.008
49.
KoniecznaARutkowskaARachonD. Health risk of exposure to bisphenol A (BPA).Rocz Państw Zakł Hig. (2015) 66:5–11.
50.
GeensTAertsDBerthotCBourguignonJ-PGoeyensLLecomtePet alA review of dietary and non-dietary exposure to bisphenol-A.Food Chem Toxicol. (2012) 50:3725–40. 10.1016/j.fct.2012.07.059
51.
ZalkoDJacquesCDuplanHBruelSPerduE. Viable skin efficiently absorbs and metabolizes bisphenol A.Chemosphere. (2011) 82:424–30. 10.1016/j.chemosphere.2010.09.058
52.
WilsonNKChuangJCMorganMKLordoRASheldonLS. An observational study of the potential exposures of preschool children to pentachlorophenol, bisphenol-A, and nonylphenol at home and daycare.Environ Res. (2007) 103:9–20. 10.1016/j.envres.2006.04.006
53.
VölkelWColnotTCsanádyGAFilserJGDekantW. Metabolism and kinetics of bisphenol A in humans at low doses following oral administration.Chem Res Toxicol. (2002) 15:1281–7. 10.1021/tx025548t
54.
GinsbergGRiceDC. Does rapid metabolism ensure negligible risk from bisphenol A?Environ Health Perspect. (2009) 117:1639–43.
55.
CalafatAMYeXWongL-YReidyJANeedhamLL. Exposure of the US population to bisphenol A and 4-tertiary-octylphenol: 2003–2004.Environ Health Perspect. (2008) 116:39–44. 10.1289/ehp.10753
56.
MiaoMYuanWHeYZhouZWangJLiD. Parental exposure to bisphenol A during pregnancy and the anogenital distance of male offspring.Epidemiology. (2011) 22:S242. 10.1097/01.ede.0000392434.72621.fb
57.
ChevrierCPetitCPhilippatCMortamaisMSlamaRRougetFet alMaternal urinary phthalates and phenols and male genital anomalies.Epidemiology (Cambridge Mass.). (2012) 23:353. 10.1097/EDE.0b013e318246073e
58.
TominagaTNegishiTHirookaHMiyachiAInoueAHayasakaIet alToxicokinetics of bisphenol A in rats, monkeys and chimpanzees by the LC–MS/MS method.Toxicology. (2006) 226:208–17. 10.1016/j.tox.2006.07.004
59.
ShelbyMD. NTP-CERHR monograph on the potential human reproductive and developmental effects of bisphenol A.Ntp Cerhr Mon. (2008) 22:v,vii–ix,1–64assim.
60.
FernandezMArrebolaJTaoufikiJNavalónABallesterosOPulgarRet alBisphenol-A and chlorinated derivatives in adipose tissue of women.Reprod Toxicol. (2007) 24:259–64. 10.1016/j.reprotox.2007.06.007
61.
DoergeDRTwaddleNCVanlandinghamMBrownRPFisherJW. Distribution of bisphenol A into tissues of adult, neonatal, and fetal Sprague–Dawley rats.Toxicol Appl Pharmacol. (2011) 255:261–70. 10.1016/j.taap.2011.07.009
62.
ViñasRGoldblumRMWatsonCS. Rapid estrogenic signaling activities of the modified (chlorinated, sulfonated, and glucuronidated) endocrine disruptor bisphenol A.Endocr Disrupt. (2013) 1:e25411. 10.4161/endo.25411
63.
TeeguardenJGHanson-DruryS. A systematic review of Bisphenol A “low dose” studies in the context of human exposure: a case for establishing standards for reporting “low-dose” effects of chemicals.Food Chem Toxicol. (2013) 62:935–48. 10.1016/j.fct.2013.07.007
64.
KochHMKolossa-GehringMSchröter-KermaniCAngererJBrüningT. Bisphenol A in 24 h urine and plasma samples of the German environmental specimen bank from 1995 to 2009: a retrospective exposure evaluation.J Expo Sci Environ Epidemiol. (2012) 22:610–6. 10.1038/jes.2012.39
65.
MortensenMECalafatAMYeXWongL-YWrightDJPirkleJLet alUrinary concentrations of environmental phenols in pregnant women in a pilot study of the National Children’s Study.Environ Res. (2014) 129:32–8. 10.1016/j.envres.2013.12.004
66.
Vom SaalFSWelshonsWV. Evidence that bisphenol A (BPA) can be accurately measured without contamination in human serum and urine, and that BPA causes numerous hazards from multiple routes of exposure.Mol Cell Endocrinol. (2014) 398:101–13. 10.1016/j.mce.2014.09.028
67.
WoudenbergFVan Den BergMErismanJVan Den HazelPLebretELeemansRet alAdvisory letter the health risks of bisphenol A analogues.Gezondheidsraad. (2014):
68.
TeeguardenJGTwaddleNCChurchwellMIYangXFisherJWSeryakLMet al24-hour human urine and serum profiles of bisphenol A: evidence against sublingual absorption following ingestion in soup.Toxicol Appl Pharmacol. (2015) 288:131–42. 10.1016/j.taap.2015.01.009
69.
DoergeDRTwaddleNCVanlandinghamMFisherJW. Pharmacokinetics of bisphenol A in neonatal and adult Sprague-Dawley rats.Toxicol Appl Pharmacol. (2010) 247:158–65. 10.1016/j.taap.2010.06.008
70.
DoergeDRTwaddleNCWoodlingKAFisherJW. Pharmacokinetics of bisphenol A in neonatal and adult rhesus monkeys.Toxicol Appl Pharmacol. (2010) 248:1–11. 10.1016/j.taap.2010.07.009
71.
TaylorJAVom SaalFSWelshonsWVDruryBRottinghausGHuntPAet alSimilarity of bisphenol A pharmacokinetics in rhesus monkeys and mice: relevance for human exposure.Environ Health Perspect. (2011) 119:422–30. 10.1289/ehp.1002514
72.
ChapinREAdamsJBoekelheideKGrayLEJr.HaywardSWLeesPSet alNTP-CERHR expert panel report on the reproductive and developmental toxicity of bisphenol A.Birth Defects Res B Dev Reprod Toxicol. (2008) 83:157–395. 10.1002/bdrb.20147
73.
DekantWVölkelW. Human exposure to bisphenol A by biomonitoring: methods, results and assessment of environmental exposures.Toxicol Appl Pharmacol. (2008) 228:114–34. 10.1016/j.taap.2007.12.008
74.
TwaddleNCChurchwellMIVanlandinghamMDoergeDR. Quantification of deuterated bisphenol A in serum, tissues, and excreta from adult Sprague-Dawley rats using liquid chromatography with tandem mass spectrometry.Rapid Commun Mass Spectrom. (2010) 24:3011–20. 10.1002/rcm.4733
75.
MielkeHPartoschFGundert-RemyU. The contribution of dermal exposure to the internal exposure of bisphenol A in man.Toxicol Lett. (2011) 204:190–8. 10.1016/j.toxlet.2011.04.032
76.
CalafatAMKochHMSwanSHHauserRGoldmanLRLanphearBPet alMisuse of blood serum to assess exposure to bisphenol A and phthalates.Breast Cancer Res. (2013) 15:403. 10.1186/bcr3494
77.
LongneckerMHarbakKKisslingGHoppinJEggesboMJuskoTet alThe concentration of bisphenol A in urine is affected by specimen collection, a preservative, and handling.Environ Res. (2013) 126:211–4. 10.1016/j.envres.2013.07.002
78.
YeXZhouXHenningsRKramerJCalafatAM. Potential external contamination with bisphenol A and other ubiquitous organic environmental chemicals during biomonitoring analysis: an elusive laboratory challenge.Environ Health Perspect. (2013) 121:283–6. 10.1289/ehp.1206093
79.
XiWLeeCYeungWGiesyJPWongMHZhangXet alEffect of perinatal and postnatal bisphenol A exposure to the regulatory circuits at the hypothalamus–pituitary–gonadal axis of CD-1 mice.Reprod Toxicol. (2011) 31:409–17. 10.1016/j.reprotox.2010.12.002
80.
WisniewskiPRomanoRMKizysMMOliveiraKCKasamatsuTGiannoccoGet alAdult exposure to bisphenol A (BPA) in Wistar rats reduces sperm quality with disruption of the hypothalamic–pituitary–testicular axis.Toxicology. (2015) 329:1–9. 10.1016/j.tox.2015.01.002
81.
XinFFischerEKrappCKrizmanENLanYMesarosCet alMice exposed to bisphenol A exhibit depressive-like behavior with neurotransmitter and neuroactive steroid dysfunction.Horm Behav. (2018) 102:93–104. 10.1016/j.yhbeh.2018.05.010
82.
MustielesVOcón-HernandezOMínguez-AlarcónLDávila-AriasCPérez-LobatoRCalventeIet alBisphenol A and reproductive hormones and cortisol in peripubertal boys: the INMA-Granada cohort.Sci Total Environ. (2018) 618:1046–53. 10.1016/j.scitotenv.2017.09.093
83.
Mínguez-AlarcónLGaskinsAJChiuY-HWilliamsPLEhrlichSChavarroJEet alUrinary bisphenol A concentrations and association with in vitro fertilization outcomes among women from a fertility clinic.Hum Reprod. (2015) 30:2120–8. 10.1093/humrep/dev183
84.
AkınLKendirciMNarinFKurtogluSSaraymenRKondolotMet alThe endocrine disruptor bisphenol A may play a role in the aetiopathogenesis of polycystic ovary syndrome in adolescent girls.Acta Paediatr. (2015) 104:e171–7. 10.1111/apa.12885
85.
VahediMSaeediAPoorbaghiSLSepehrimaneshMFattahiM. Metabolic and endocrine effects of bisphenol A exposure in market seller women with polycystic ovary syndrome.Environ Sci Pollut Res. (2016) 23:23546–50. 10.1007/s11356-016-7573-5
86.
ShenYZhengYJiangJLiuYLuoXShenZet alHigher urinary bisphenol A concentration is associated with unexplained recurrent miscarriage risk: evidence from a case-control study in eastern China.PLoS One. (2015) 10:e0127886. 10.1371/journal.pone.0127886
87.
JiMXiaJDiJLiuYChenRChenZet alGraphene-like boron nitride induced accelerated charge transfer for boosting the photocatalytic behavior of Bi4O5I2 towards bisphenol a removal.Chem Eng J. (2018) 331:355–63. 10.1016/j.cej.2017.08.100
88.
SongHZhangTYangPLiMYangYWangYet alLow doses of bisphenol A stimulate the proliferation of breast cancer cells via ERK1/2/ERRγ signals.Toxicol Vitro. (2015) 30:521–8. 10.1016/j.tiv.2015.09.009
89.
MaffiniMVRubinBSSonnenscheinCSotoAM. Endocrine disruptors and reproductive health: the case of bisphenol-A.Mol Cell Endocrinol. (2006) 254:179–86. 10.1016/j.mce.2006.04.033
90.
DolinoyDCHuangDJirtleRL. Maternal nutrient supplementation counteracts bisphenol A-induced DNA hypomethylation in early development.Proc Natl Acad Sci USA. (2007) 104:13056–61. 10.1073/pnas.0703739104
91.
DohertyLFBromerJGZhouYAldadTSTaylorHS. In utero exposure to diethylstilbestrol (DES) or bisphenol-A (BPA) increases EZH2 expression in the mammary gland: an epigenetic mechanism linking endocrine disruptors to breast cancer.Horm Cancer. (2010) 1:146–55. 10.1007/s12672-010-0015-9
92.
FenichelPChevalierNBrucker-DavisF. Bisphenol A: an endocrine and metabolic disruptor.Ann Endocrinol. (2013) 74:211–20. 10.1016/j.ando.2013.04.002
93.
RubinBS. Bisphenol A: an endocrine disruptor with widespread exposure and multiple effects.J Steroid Biochem Mol Biol. (2011) 127:27–34. 10.1016/j.jsbmb.2011.05.002
94.
WelshonsWVNagelSCVom SaalFS. Large effects from small exposures. III. Endocrine mechanisms mediating effects of bisphenol A at levels of human exposure.Endocrinology. (2006) 147:s56–69. 10.1210/en.2005-1159
95.
MoonMKKimMJJungIKKooYDAnnHYLeeKJet alBisphenol A impairs mitochondrial function in the liver at doses below the no observed adverse effect level.J Korean Med Sci. (2012) 27:644–52. 10.3346/jkms.2012.27.6.644
96.
XuYAiJZhangH. The mechanism of degradation of bisphenol A using the magnetically separable CuFe2O4/peroxymonosulfate heterogeneous oxidation process.J Hazard Mater. (2016) 309:87–96. 10.1016/j.jhazmat.2016.01.023
97.
ParkJCLeeM-CYoonD-SHanJKimMHwangU-Ket alEffects of bisphenol A and its analogs bisphenol F and S on life parameters, antioxidant system, and response of defensome in the marine rotifer Brachionus koreanus.Aqu Toxicol. (2018) 199:21–9. 10.1016/j.aquatox.2018.03.024
98.
XuXZongSChenWLiuD. Comparative study of bisphenol A degradation via heterogeneously catalyzed H2O2 and persulfate: reactivity, products, stability and mechanism.Chem Eng J. (2019) 369:470–9. 10.1016/j.cej.2019.03.099
99.
BolognesiCCastleLCravediJ-PEngelK-HFowlerPAFFranzRet alScientific opinion on the risks to public health related to the presence of bisphenol A (BPA) in foodstuffs: executive summary.EFSA J. (2015) 13:3978.
100.
TestaiEHartemannPRodríguez-FarréERastogiSCDe JongWBustosJet alThe Safety of the use of Bisphenol A in Medical Devices.Brussels: European Commission (2015). 10.1016/j.yrtph.2016.01.014
101.
ECHA.Registry of Restriction Intentions until Outcome.Helsinki: ECHA (2015).
102.
SunNGuoQOuJ-B. Simultaneous determination of endogenous hormones and exogenous contaminants in infant formula powdered milk by salting-out assisted liquid–liquid extraction combined with solid-phase extraction purification and UPLC-MS/MS.Anal Methods. (2017) 9:6177–85. 10.1039/C7AY02038D
103.
Official Journal of the European Union.COMMISSION DIRECTIVE 2011/8/EU of 28 January 2011 amending Directive 2002/72/EC as regards the restriction of use of bisphenol A in plastic infant feeding bottles.OJ. (2011) 50:11–4.
104.
Cwiek-LudwickaK. Bisphenol A (BPA) in food contact materials-new scientific opinion from EFSA regarding public health risk.Rocz Państw Zakł Hig. (2015) 66:299–307.
105.
ParkH-SKoduruJRChooK-HLeeB. Activated carbons impregnated with iron oxide nanoparticles for enhanced removal of bisphenol A and natural organic matter.J Hazard Mater. (2015) 286:315–24. 10.1016/j.jhazmat.2014.11.012
106.
QinF-XJiaS-YLiuYLiH-YWuS-H. Adsorptive removal of bisphenol A from aqueous solution using metal-organic frameworks.Desalination Water Treat. (2015) 54:93–102. 10.1080/19443994.2014.883331
107.
CatherineSBarbaraRSimoneGEddoHAnjaMFilipeALJet alNon-Harmonised Food Contact Materials in the EU: Regulatory and Market Situation: BASELINE STUDY: Final Report.Brussels: European Commission (2016).
108.
European Commission.COMMISSION REGULATION (EU) 2018/213 of 12 February 2018 on the use of Bisphenol A in Varnishes and Coatings Intended to come into Contact with Food and Amending Regulation (EU) No 10/2011 as Regards the use of that Substance in Plastic Food Contact Materials Official Journal of the European Union.Brussels: European Commission (2018).
109.
EladakSGrisinTMoisonDGuerquinM-JN’tumba-BynTPozzi-GaudinSet alA new chapter in the bisphenol A story: bisphenol S and bisphenol F are not safe alternatives to this compound.Fertil Steril. (2015) 103:11–21. 10.1016/j.fertnstert.2014.11.005
110.
RochesterJRBoldenAL. Bisphenol S and F: a systematic review and comparison of the hormonal activity of bisphenol A substitutes.Environ Health Perspect. (2015) 123:643–50. 10.1289/ehp.1408989
111.
TicknerJJacobsM. Improving the identification, evaluation, adoption and development of safer alternatives: needs and opportunities to enhance substitution efforts within the context of REACH.Environ Health Perspect. (2016) 124:265–80. 10.1289/ehp.1409581
112.
ChenDKannanKTanHZhengZFengY-LWuYet alBisphenol analogues other than BPA: environmental occurrence, human exposure, and toxicity ⋅ a review.Environ Sci Technol. (2016) 50:5438–53. 10.1021/acs.est.5b05387
113.
AndújarNGálvez-OntiverosYZafra-GómezARodrigoLÁlvarez-CuberoMJAguileraMet alBisphenol A analogues in food and their hormonal and obesogenic effects: a review.Nutrients. (2019) 11:2136. 10.3390/nu11092136
114.
PelchKWignallJAGoldstoneAERossPKBlainRBShapiroAJet alA scoping review of the health and toxicological activity of bisphenol A (BPA) structural analogues and functional alternatives.Toxicology. (2019) 424:152235. 10.1016/j.tox.2019.06.006
115.
LiguoriFMoreno-MarrodanCBarbaroP. Biomass-derived chemical substitutes for bisphenol A: recent advancements in catalytic synthesis.Chem Soc Rev. (2020) 49:6329–63. 10.1039/D0CS00179A
116.
SongCYKimWGyeMC. Current state of use and the risks of bisphenols: a minireview.Korean J Environ Biol. (2017) 35:581–94. 10.11626/KJEB.2017.35.4.581
117.
SzafranATStossiFManciniMGWalkerCLAnd ManciniMA. Characterizing properties of non-estrogenic substituted bisphenol analogs using high throughput microscopy and image analysis.PLoS One. (2017) 12:e0180141. 10.1371/journal.pone.0180141
118.
NiuYZhangJWuYShaoB. Analysis of bisphenol A and alkylphenols in cereals by automated on-line solid-phase extraction and liquid chromatography tandem mass spectrometry.J Agric Food Chem. (2012) 60:6116–22. 10.1021/jf301401k
119.
Munguia-LopezEGerardo-LugoSPeraltaEBolumenSSoto-ValdezH. Migration of bisphenol A (BPA) from can coatings into a fatty-food simulant and tuna fish.Food Addit Contam. (2005) 22:892–8. 10.1080/02652030500163674
120.
YoshidaTHorieMHoshinoYNakazawaHHorieMNakazawaH. Determination of bisphenol A in canned vegetables and fruit by high performance liquid chromatography.Food Addit Contam. (2001) 18:69–75. 10.1080/026520301446412
121.
CunhaSFernandesJ. Assessment of bisphenol A and bisphenol B in canned vegetables and fruits by gas chromatography–mass spectrometry after QuEChERS and dispersive liquid–liquid microextraction.Food Control. (2013) 33:549–55. 10.1016/j.foodcont.2013.03.028
122.
CaoX-LCorriveauJPopovicS. Levels of bisphenol A in canned soft drink products in Canadian markets.J Agric Food Chem. (2009) 57:1307–11. 10.1021/jf803213g
123.
O’MahonyJMoloneyMMccormackMNichollsIAMizaikoffBDanaherM. Design and implementation of an imprinted material for the extraction of the endocrine disruptor bisphenol A from milk.J Chromatogr B. (2013) 931:164–9. 10.1016/j.jchromb.2013.05.025
124.
ChoiI-SChoJ-HParkE-JParkJ-WKimS-HLeeM-Get alMultiple effects of bisphenol A, an endocrine disrupter, on GABAA receptors in acutely dissociated rat CA3 pyramidal neurons.Neurosci Res. (2007) 59:8–17. 10.1016/j.neures.2007.05.003
125.
SongK-HLeeKChoiH-S. Endocrine disrupter bisphenol a induces orphan nuclear receptor Nur77 gene expression and steroidogenesis in mouse testicular Leydig cells.Endocrinology. (2002) 143:2208–15. 10.1210/endo.143.6.8847
126.
AraseSIshiiKIgarashiKAisakiKYoshioYMatsushimaAet alEndocrine disrupter bisphenol A increases in situ estrogen production in the mouse urogenital sinus.Biol Reprod. (2011) 84:734–42. 10.1095/biolreprod.110.087502
127.
ZhouJZhuX-SCaiZ-H. The impacts of bisphenol A (BPA) on abalone (Haliotis diversicolor supertexta) embryonic development.Chemosphere. (2011) 82:443–50. 10.1016/j.chemosphere.2010.09.056
128.
KunzNCammEJSommELodygenskyGDarbreSAubertMLet alDevelopmental and metabolic brain alterations in rats exposed to bisphenol A during gestation and lactation.Int J Dev Neurosci. (2011) 29:37–43. 10.1016/j.ijdevneu.2010.09.009
129.
HamdyHYahiaDAfifiSSalemDA. Endocrine disruption induced by bisphenol A in young and adult female Sprague Dawley rats.Comp Clin Pathol. (2018) 27:967–74. 10.1007/s00580-018-2689-2
130.
KwintkiewiczJNishiYYanaseTGiudiceLC. Peroxisome proliferator–activated receptor-γ mediates bisphenol A inhibition of FSH-stimulated IGF-1, aromatase, and estradiol in human granulosa cells.Environ Health Perspect. (2010) 118:400–6. 10.1289/ehp.0901161
131.
BraunJMKalkbrennerAECalafatAMYoltonKYeXDietrichKNet alImpact of early-life bisphenol A exposure on behavior and executive function in children.Pediatrics. (2011) 128:873–82. 10.1542/peds.2011-1335
132.
MeekerJDCalafatAMHauserR. Urinary bisphenol A concentrations in relation to serum thyroid and reproductive hormone levels in men from an infertility clinic.Environ Sci Technol. (2010) 44:1458–63. 10.1021/es9028292
133.
LiuXMiaoMZhouZGaoEChenJWangJet alExposure to bisphenol-A and reproductive hormones among male adults.Environ Toxicol Pharmacol. (2015) 39:934–41. 10.1016/j.etap.2015.03.007
134.
FengMWuXLiJDingLWangZShenYet alRelationship between daily exposure to bisphenol A and male sexual function-a study from the reproductive center.Zhonghua liu xing bing xue za zhi. (2018) 39:836–40.
135.
Den HondETournayeHDe SutterPOmbeletWBaeyensWCovaciAet alHuman exposure to endocrine disrupting chemicals and fertility: a case–control study in male subfertility patients.Environ Int. (2015) 84:154–60. 10.1016/j.envint.2015.07.017
136.
HartRJDohertyDAKeelanJAMinaeeNSThorstensenEBDickinsonJEet alThe impact of antenatal bisphenol A exposure on male reproductive function at 20–22 years of age.Reprod Biomed Online. (2018) 36:340–7. 10.1016/j.rbmo.2017.11.009
137.
RadwanMWielgomasBDziewirskaERadwanPKałużnyPKlimowskaAet alUrinary bisphenol A levels and male fertility.Am J Mens Health. (2018) 12:2144–51. 10.1177/1557988318799163
138.
TianYZhouXMiaoMLiD-KWangZLiRet alAssociation of bisphenol A exposure with LINE-1 hydroxymethylation in human semen.Int J Environ Res Public Health. (2018) 15:1770. 10.3390/ijerph15081770
139.
AdoamneiEMendiolaJVela-SoriaFFernándezMFOleaNJørgensenNet alUrinary bisphenol A concentrations are associated with reproductive parameters in young men.Environ Res. (2018) 161:122–8. 10.1016/j.envres.2017.11.002
140.
PollackAZMumfordSLKrallJRCarmichaelAESjaardaLAPerkinsNJet alExposure to bisphenol A, chlorophenols, benzophenones, and parabens in relation to reproductive hormones in healthy women: a chemical mixture approach.Environ Int. (2018) 120:137–44. 10.1016/j.envint.2018.07.028
141.
NanjappaMKSimonLAkingbemiBT. The industrial chemical bisphenol A (BPA) interferes with proliferative activity and development of steroidogenic capacity in rat Leydig cells.Biol Reprod. (2012) 86:1–12. 10.1095/biolreprod.111.095349
142.
AcevedoNDavisBSchaeberleCMSonnenscheinCSotoAM. Perinatally administered bisphenol a as a potential mammary gland carcinogen in rats.Environ Health Perspect. (2013) 121:1040–6. 10.1289/ehp.1306734
143.
FernándezMBourguignonNLux-LantosVLibertunC. Neonatal exposure to bisphenol A and reproductive and endocrine alterations resembling the polycystic ovarian syndrome in adult rats.Environ Health Perspect. (2010) 118:1217–22. 10.1289/ehp.0901257
144.
NewboldRRJeffersonWNPadilla-BanksE. Long-term adverse effects of neonatal exposure to bisphenol A on the murine female reproductive tract.Reprod Toxicol. (2007) 24:253–8. 10.1016/j.reprotox.2007.07.006
145.
PrinsGSHuW-YShiG-BHuD-PMajumdarSLiGet alBisphenol A promotes human prostate stem-progenitor cell self-renewal and increases in vivo carcinogenesis in human prostate epithelium.Endocrinology. (2014) 155:805–17. 10.1210/en.2013-1955
146.
WeinhouseCAndersonOSBerginILVandenberghDJGyekisJPDingmanMAet alDose-dependent incidence of hepatic tumors in adult mice following perinatal exposure to bisphenol A.Environ Health Perspect. (2014) 122:485–91. 10.1289/ehp.1307449
147.
AyyananALaribiOSchuepbach-MallepellSSchrickCGutierrezMTanosTet alPerinatal exposure to bisphenol a increases adult mammary gland progesterone response and cell number.Mol Endocrinol. (2011) 25:1915–23. 10.1210/me.2011-1129
148.
TharpAPMaffiniMVHuntPAVandevoortCASonnenscheinCSotoAM. Bisphenol A alters the development of the rhesus monkey mammary gland.Proc Natl Acad Sci USA. (2012) 109:8190–5. 10.1073/pnas.1120488109
149.
Ashley-MartinJDoddsLLevyARPlattRWMarshallJSArbuckleTE. Prenatal exposure to phthalates, bisphenol A and perfluoroalkyl substances and cord blood levels of IgE, TSLP and IL-33.Environ Res. (2015) 140:360–8. 10.1016/j.envres.2015.04.010
150.
Rees ClaytonEMToddMDowdJBAielloAE. The impact of bisphenol A and triclosan on immune parameters in the US population, NHANES 2003–2006.Environ Health Perspect. (2011) 119:390–6. 10.1289/ehp.1002883
151.
LiJBachACrawfordRBPhadnis-MogheASChenWD’ingilloSet alCLARITY-BPA: effects of chronic bisphenol A exposure on the immune system: part 2–characterization of lymphoproliferative and immune effector responses by splenic leukocytes.Toxicology. (2018) 396:54–67. 10.1016/j.tox.2018.02.004
152.
RoyAGayloACaoWSaubermannLJLawrenceBP. Neither direct nor developmental exposure to bisphenol A alters the severity of experimental inflammatory colitis in mice.J Immunotoxicol. (2013) 10:334–40. 10.3109/1547691X.2012.747231
153.
MalaiséYMenardSCartierCGaultierELasserreFLencinaCet alGut dysbiosis and impairment of immune system homeostasis in perinatally-exposed mice to bisphenol A precede obese phenotype development.Sci Rep. (2017) 7:14472. 10.1038/s41598-017-15196-w
154.
RoyABauerSMLawrenceBP. Developmental exposure to bisphenol A modulates innate but not adaptive immune responses to influenza A virus infection.PLoS One. (2012) 7:e38448. 10.1371/journal.pone.0038448
155.
NakajimaYGoldblumRMMidoro-HoriutiT. Fetal exposure to bisphenol A as a risk factor for the development of childhood asthma: an animal model study.Environ Health. (2012) 11:8. 10.1186/1476-069X-11-8
156.
SalahinejadAAttaranANaderiMMeuthenDNiyogiSChiversDP. Chronic exposure to bisphenol S induces oxidative stress, abnormal anxiety, and fear responses in adult zebrafish (Danio rerio).Sci Total Environ. (2021) 750:141633. 10.1016/j.scitotenv.2020.141633
157.
FaheemMAdeelMKhaliqSLoneKP. Bisphenol-A induced antioxidants imbalance and cytokines alteration leading to immune suppression during larval development of Labeo rohita.Environ Sci Pollut Res. (2020) 27:26800–9. 10.1007/s11356-020-08959-y
158.
HuangMLiuSFuLJiangXYangM. Bisphenol A and its analogues bisphenol S, bisphenol F and bisphenol AF induce oxidative stress and biomacromolecular damage in human granulosa KGN cells.Chemosphere. (2020) 253:126707. 10.1016/j.chemosphere.2020.126707
159.
KobayashiKLiuYIchikawaHTakemuraSMinamiyamaY. Effects of bisphenol A on oxidative stress in the rat brain.Antioxidants. (2020) 9:240. 10.3390/antiox9030240
Summary
Keywords
bisphenol A, endocrine disruptor, synthetic chemical, polycarbonate plastics, epoxy resins, BPA toxicity
Citation
Manzoor MF, Tariq T, Fatima B, Sahar A, Tariq F, Munir S, Khan S, Nawaz Ranjha MMA, Sameen A, Zeng X-A and Ibrahim SA (2022) An insight into bisphenol A, food exposure and its adverse effects on health: A review. Front. Nutr. 9:1047827. doi: 10.3389/fnut.2022.1047827
Received
18 September 2022
Accepted
12 October 2022
Published
03 November 2022
Volume
9 - 2022
Edited by
Seydi Yıkmış, Tekirdağ Namik Kemal Üniversitesi, Turkey
Reviewed by
Muhammad Tayyab Rashid, Henan University of Technology, China; Umair Shabbir, Kangwon National University, South Korea
Updates
Copyright
© 2022 Manzoor, Tariq, Fatima, Sahar, Tariq, Munir, Khan, Nawaz Ranjha, Sameen, Zeng and Ibrahim.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Xin-An Zeng, xazeng@scut.edu.cnAysha Sameen, dr.ayshasameen@gcwuf.edu.pkSalam A. Ibrahim, ibrah001@ncat.edu
†These authors have contributed equally to this work
This article was submitted to Nutrition and Food Science Technology, a section of the journal Frontiers in Nutrition
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