Institute of Public Health, University of Aarhus , Aarhus, Denmark.
College of Pharmacy and Health Sciences, St John's University , Queens, USA.
J Toxicol Environ Health A. 2020 Jul 17;83(13-14):485-494. doi: 10.1080/15287394.2020.1756592. Epub 2020 Jun 18.
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 than S-EDCs. 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 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,合成内分泌干扰物 (S-EDCs) 和天然 (外源性和内源性) 内分泌干扰物 (N-EDCs) 都可以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,其受体亲和力低几个数量级。因此,为了产生可观察到的效果,S-EDCs 需要相当高的浓度才能达到足够的受体占有率或取代天然激素和其他内源性配体。外源性 N-EDCs 的显著暴露可能是由于摄入了大豆饮食、绿茶和甜芥菜等食物。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。在外源 N-EDCs 高膳食摄入量的情况下,观察到它们对内分泌系统的影响。已经确定了它们的作用机制与这些影响之间的因果关系,并且在生物学上是合理的。相比之下,假设人类接触低得多的 S-EDCs 可能会引起可观察到的内分泌影响是不合理的。因此,流行病学研究在寻找 S-EDC 暴露与健康影响之间的关联时失败并不奇怪。关于测试潜在的内分泌影响,科学合理的筛选应该使用测试来比较 S-EDCs 与参考 N-EDCs 的效力。当 S-EDC 的效力与 N-EDC 的效力相似或更小时,不需要在实验室动物中进一步测试和监管后果。