Autrup Herman, Barile Frank A, Berry Sir Colin, Blaauboer Bas J, Boobis Alan, Bolt Herrmann, Borgert Christopher J, Dekant Wolfgang, Dietrich Daniel, Domingo Jose L, Gori Gio Batta, Greim Helmut, Hengstler Jan, Kacew Sam, Marquardt Hans, Pelkonen Olavi, Savolainen Kai, Heslop-Harrison Pat, Vermeulen Nico P
Institute of Public Health, University of Aarhus, Aarhus, Denmark.
College of Pharmacy and Health Sciences, St John's University, Queens, New York, USA.
Toxicol In Vitro. 2020 Sep;67:104861. doi: 10.1016/j.tiv.2020.104861. Epub 2020 Apr 30.
Theoretically, both synthetic endocrine disrupting chemicals (S-EDCs) and natural (exogenous and endogenous) endocrine disrupting chemicals (N-EDCs) can interact with endocrine receptors and disturb hormonal balance. However, compared to endogenous hormones, S-EDCs are only weak partial agonists with receptor affinities several orders of magnitude lower. Thus, to elicit observable effects, S-EDCs require considerably higher concentrations to attain sufficient receptor occupancy or to displace natural hormones and other endogenous ligands. Significant exposures to exogenous N-EDCs may result from ingestion of foods such as soy-based diets, green tea and sweet mustard. While their potencies are lower as compared to natural endogenous hormones, they usually are considerably more potent than S-EDCs. Effects of exogenous N-EDCs on the endocrine system were observed at high dietary intakes. A causal relation between their mechanism of action and these effects is established and biologically plausible. In contrast, the assumption that the much lower human exposures to S-EDCs may induce observable endocrine effects is not plausible. Hence, it is not surprising that epidemiological studies searching for an association between S-EDC exposure and health effects have failed. Regarding testing for potential endocrine effects, a scientifically justified screen should use in vitro tests to compare potencies of S-EDCs with those of reference N-EDCs. When the potency of the S-EDC is similar or smaller than that of the N-EDC, further testing in laboratory animals and regulatory consequences are not warranted.
从理论上讲,合成内分泌干扰化学物(S-EDCs)以及天然(外源性和内源性)内分泌干扰化学物(N-EDCs)都能与内分泌受体相互作用并扰乱激素平衡。然而,与内源性激素相比,S-EDCs只是弱的部分激动剂,其受体亲和力要低几个数量级。因此,为了引发可观察到的效应,S-EDCs需要相当高的浓度才能获得足够的受体占有率,或者取代天然激素和其他内源性配体。大量接触外源性N-EDCs可能源于食用大豆类饮食、绿茶和甜芥末等食物。虽然它们的效力比天然内源性激素低,但通常比S-EDCs强得多。在高膳食摄入量时观察到了外源性N-EDCs对内分泌系统的影响。它们的作用机制与这些影响之间的因果关系是确定的,并且在生物学上是合理的。相比之下,认为人类接触S-EDCs的量低得多可能会引发可观察到的内分泌效应这一假设是不合理的。因此,毫不奇怪,寻找S-EDC暴露与健康影响之间关联的流行病学研究失败了。关于潜在内分泌效应的检测,科学合理的筛选应使用体外试验来比较S-EDCs与参考N-EDCs的效力。当S-EDC的效力与N-EDC相似或小于N-EDC时,无需在实验动物中进行进一步检测和采取监管措施。