Long-term environmental effects of chemical exposure have long been of concern and, more recently, chemicals which cause changes to the sexual development of exposed organisms have been identified. It is thought that low-level exposure to a wide range of chemicals may be affecting endocrine function, leading to a reduction in fertility and an increase in reproductive cancers. Endocrine Disrupting Chemicals reviews the scientific evidence and attempts to put the subject into context. Along with an overview of the issue, there is discussion of the specialised aspects in relation to wildlife; environmental oestrogens and male reproduction; and naturally occurring oestrogenic substances. With contributions from representatives of the Medical Research Council's Institute for Environment and Health and the US Environmental Protection Agency, the articles provide a comprehensive and detailed review of current issues. This book will be of interest to a wide readership, including industrial and environmental scientists, managers and policy makers.
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The series has been edited by Professors Hester and Harrison since it began in 1994.
Professor Roy Harrison OBE is listed by ISI Thomson Scientific (on ISI Web of Knowledge) as a Highly Cited Researcher in the Environmental Science/Ecology category. He has an h-index of 54 (i.e. 54 of his papers have received 54 or more citations in the literature). In 2004 he was appointed OBE for services to environmental science in the New Year Honours List. He was profiled by the Journal of Environmental Monitoring (Vol 5, pp 39N-41N, 2003). Professor Harrison’s research interests lie in the field of environment and human health. His main specialism is in air pollution, from emissions through atmospheric chemical and physical transformations to exposure and effects on human health. Much of this work is designed to inform the development of policy.
Now an emeritus professor, Professor Ron Hester's current activities in chemistry are mainly as an editor and as an external examiner and assessor. He also retains appointments as external examiner and assessor / adviser on courses, individual promotions, and departmental / subject area evaluations both in the UK and abroad.
Overview of the Endocrine Disrupters Issue Barry Phillips and Paul Harrison, 1,
Environmentally Induced Endocrine Abnormalities in Fish David E. Kime, 27,
Effects of Endocrine Disrupting Chemicals in Invertebrates Michael H. Depledge, Tamara S. Galloway and Zoe Billinghurst, 49,
Endocrine Disruption in Mammals, Birds, Reptiles and Amphibians Catherine Botham, Philip Holmes and Paul Harrison, 61,
Oestrogens, Environmental Oestrogens and Male Reproduction Katie J. Turner, 83,
Human Health Effects of Phytoestrogens Philip HoImes and Barry Phillips, 109,
Endocrine Disrupter Research and Regulation in the United States Anthony F. Maciorowski and Gary E. Timm, 135,
Subject Index, 147,
Overview of the Endocrine Disrupters Issue
BARRY PHILLIPS AND PAUL HARRISON
1 The emergence of Endocrine Disruption as a Toxicological Problem
For a number of years, concern has been growing over changes in the health and fecundity of both humans and wildlife which may be associated with the disruption of hormonal systems by environmental chemicals. The issue of environmental endocrine disrupters has become a focus of considerable media attention throughout the world and is now on the agenda of many expert groups, panels and steering committees of governmental organizations, industry and academia in Europe, the USA and Japan. The major findings driving this interest are derived from experimental and epidemiological studies on humans and wildlife, particularly those pertaining to effects on reproductive health which may result from exposure to endocrine disrupters early in life.
It is pertinent to ask why endocrine disruption has become such an active and controversial issue in the last decade, and whether toxicology has neglected effects on the endocrine system in the past. It might reasonably be assumed that the effects of chemicals on the endocrine system, a vital and integral part of the biology of higher organisms, would be detected by long-established tests for toxicity in experimental animals. For example, one might expect standard regulatory tests for reproductive toxicity in rodents to detect the consequences of disruption of sex hormone action. If a chemical had a biologically significant effect on reproductive capacity, then such tests would be expected to detect it, regardless of the mechanism involved. Indeed, many compounds have been tested for adverse effects on the reproductive system and in some cases these effects can be ascribed to, or at least include, disruption of part of the endocrine system. Ethanol, for example, could be said to be an endocrine disrupter in that it causes a variety of hormonal disturbances in experimental animals and humans. In female mice, rats, rabbits and monkeys it causes disturbances of the oestrus cycle, ovulatory function and fertility. In male rats, testicular atrophy and a decrease in the plasma levels of testosterone and luteinizing hormone has been observed. A lowering of plasma testosterone levels, leading sometimes to testicular atrophy and impotence, was also found in male alcoholics. When these effects were discovered, they were regarded as interesting and important but were not sufficient to trigger the rapid growth of a distinct new area of toxicology dedicated to endocrine disruption.
With regard specifically to oestrogenic chemicals, the range of toxicological effects that they can produce, and their detectability by rodent toxicity tests, is well illustrated by work on the synthetic oestrogen diethylstilboestrol (DES). Used pharmaceutically from the late 1940s to the early 1970s to prevent abortions and pregnancy complications in women, DES was eventually found to increase abortions, neonatal deaths and premature births and to increase, post-pubertally, the incidence of clear-cell adenocarcinoma of the vagina of girls exposed in utero. A study of men exposed in utero showed that 31.5% had abnormalities of the reproductive tract compared with 7.8% of controls. The abnormalities included cryptorchidism and hypospadias. Sperm concentration and quality were also lower, although reduced fertility has not been observed in these men. ° Exposure of mice in utero induced very similar effects to those seen in humans." In 1979, the International Agency for Research on Cancer (IARC) concluded from the evidence then available that DES was causally associated with the occurrence of cancer in humans.' At the same time, there was 'sufficient evidence' for its carcinogenicity in experimental animals; studies as early as the 1940s showed an increase in mammary tumours in mice.
It is not certain that all the effects of DES can be ascribed to its oestrogenic activity (that is to say, directly related to its ability to bind to the oestrogen receptor), but it would appear from experience with this compound that rodent assays are able to detect the relevant toxicological effects. What then was the stimulus to the rapid growth of the endocrine disruption issue in the 1990s? As is usually the case, the convergence of several lines of enquiry was crucial. A number of worrying trends had been reported relating to male human reproductive health: declining sperm counts and increases in the incidence of testicular cancer, hypospadias and cryptorchidism. One suggested explanation for these trends was increasing exposure to certain environmental chemicals. By this time, a variety of adverse trends in the reproductive health of wildlife had also been noted and ascribed to pollution. In some cases, specific chemicals were implicated and endocrine disruption already suspected as a common mechanism. At the same time, evidence was emerging from a variety of experimental studies that many extensively used chemicals, often widely distributed in the environment, had the ability to bind to, and activate, oestrogen receptors. In general, their affinity for the receptor was very weak compared with the natural ligand or with synthetic oestrogens such as DES. However, their activity was seen as sufficient to support a working hypothesis that environmental chemicals might be damaging the reproductive health of human and wildlife populations by disrupting sex hormone action. A crucial factor in fuelling concern was the suspicion that chemicals acting through the medium of hormone receptors might, like the natural hormones, have profound effects at very low concentrations.
The perceived conjunction of a threat to the survival of both human and wildlife populations led to a rapid and vigorous response from governments, international organizations, non-governmental environmental organizations and from the chemical industry. The nature of the response differed between organizations but encompassed the needs both for further research and practical measures to obviate the possible threat. In general, the following requirements were identified:
• Further research was needed to confirm the existence and severity of the reported adverse trends in the reproductive health of both humans and wildlife.
• In cases where an adverse effect was confirmed, a definite, causative link with exposure to an environmental chemical or chemicals needed to be established.
• Reliable methods were required for the detection of chemicals with the potential to cause the adverse effects identified. Existing methods might be sufficient but...
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