Research Results
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2023
Int J Cancer
This study of over 1,200 postmenopausal women found that higher blood levels of PFOS (a common “forever chemical” found in items like stain-resistant fabrics and food packaging) were associated with 59-134% increased risk of hormone receptor-positive breast cancers, while PFOA (another widespread PFAS chemical) showed modest associations with hormone receptor-negative tumors. PFAS are called “forever chemicals” because they persist indefinitely in the environment and human body, and these findings suggest they may contribute to breast cancer through hormone disruption. These results add to growing concerns about PFAS exposure from contaminated water, food packaging, and consumer products, though the different associations for PFOS and PFOA by tumor subtype require further investigation to fully understand how these chemicals affect breast cancer development.
2021
Environ Res
This large U.S. study using NHANES data found that multiple PFAS chemicals were associated with increased odds of both breast and ovarian cancer, with dose-response relationships showing dramatically higher risks at the highest exposure levels—women in the highest quartile of exposure had 130% increased odds for breast cancer (up to 607% for PFHxS) and 77-125% increased odds for ovarian cancer compared to those in the lowest quartile. Different PFAS chemicals showed stronger correlations with different cancers: PFOA was most strongly correlated with breast cancer while PFHxS was most strongly correlated with ovarian cancer, suggesting these endocrine-disrupting chemicals may affect different hormone-sensitive tissues through distinct mechanisms. No associations were found with prostate or uterine cancers. These findings are particularly concerning because PFAS are ubiquitous environmental contaminants found in everyday products and the water supply, and the strong dose-response relationships suggest that reducing PFAS exposure could potentially lower the risk of these estrogen-related cancers in women.
2020
Environ Int
This Taiwanese study of 239 women found that higher plasma levels of PFOS (a “forever chemical”) were associated with 134% increased breast cancer risk in women aged 50 and younger, with each natural log unit increase in exposure more than doubling the odds of developing the disease. Both PFOS and PFHxS (another PFAS chemical) showed positive associations specifically with estrogen receptor-positive breast tumors in younger women, suggesting these endocrine-disrupting chemicals may particularly affect hormone-sensitive breast cancers during reproductive years. These findings are concerning because PFAS are ubiquitous environmental contaminants found in water, food packaging, and consumer products, and the study adds to growing evidence that these persistent chemicals may contribute to rising breast cancer rates among younger women. The results highlight the potential health consequences of widespread PFAS contamination, particularly for women of reproductive age who may face elevated risk of hormone-driven breast cancers.
2019
Cancer Epidemiol
A 22-year Italian study following nearly 9,000 women found that those with the highest dietary cadmium intake (a toxic metal found in foods like grains, vegetables, and shellfish) had a 54% increased breast cancer risk compared to those with the lowest intake, with even stronger associations in premenopausal women (73% increased risk). Cadmium—classified as a proven human carcinogen—enters the food supply primarily through contaminated soil and water, with diet being the main exposure source for non-smokers at an average intake of about 8 micrograms per day in this population. The increased risk was consistent across all breast cancer subtypes regardless of hormone receptor status, supporting cadmium as a dietary risk factor for breast cancer and highlighting the need for strategies to reduce cadmium levels in the food supply through soil remediation and crop selection.
2018
Am J Epidemiol
A cohort study of 4,503 female autoworkers in Michigan exposed to metalworking fluids (MWFs)—oil and chemical mixtures used in metal manufacturing—found that increased exposure to straight mineral oil MWFs was associated with a 13% increased breast cancer risk per interquartile range increase in cumulative exposure. Among younger women who developed premenopausal breast cancer, exposure to synthetic MWFs (chemical lubricants without oil) showed elevated risk, suggesting potentially different carcinogenic mechanisms in younger versus older women. This occupational study addresses a critical gap in breast cancer research by providing quantitative exposure-response data for a specific chemical mixture affecting a large workforce, offering one of the few leads on modifiable environmental risk factors for breast cancer.
2025
J Exp Sci Environ Epidemiol
A nationwide US study analyzing drinking water contamination and cancer incidence (2016-2021) found that PFAS (“forever chemicals”) in public water systems were associated with increased rates of multiple cancers, with incidence rate increases ranging from 2% to 33% across different cancer types. The strongest association was a 33% increased rate of oral cavity and pharyngeal cancers linked to PFBS exposure, with other significant associations found for digestive, respiratory, endocrine, thyroid, urinary, brain, and soft tissue cancers, showing notable sex-based differences in cancer patterns. Researchers estimate that PFAS contamination in US drinking water may contribute to approximately 4,600-6,900 new cancer cases annually, underscoring the urgent public health need for stricter water quality standards and expanded monitoring of these persistent environmental pollutants.
2024
Heliyon
A mouse study found that ginger volatile oil (GVO) reduced triple-negative breast cancer tumor growth in animals exposed to bisphenol A (BPA), a common plastic chemical known to promote cancer, with the effect linked to restoration of healthy gut bacteria. BPA exposure disrupted the gut microbiome by reducing bacterial diversity and beneficial bacteria like Lactobacillus, but treatment with ginger oil reversed these changes and increased the ratio of beneficial bacteria while decreasing harmful bacteria. The findings suggest that ginger compounds may counteract BPA’s cancer-promoting effects through their impact on the gut microbiome, offering a potential dietary strategy to mitigate harm from plastic chemical exposure, though human studies are needed to confirm these results.
2024
Environ Health Perspect
A mouse study examining DNA methylation changes from lead and DEHP (phthalate) exposure during pregnancy and early development found that the brain (cerebral cortex) showed the most epigenetic changes (66% for lead, 57% for DEHP), with alterations concentrated in gene regulatory regions that control gene expression. The research identified imprinted genes—particularly Gnas and Grb10—as targets of both chemical exposures across multiple tissues, with some DNA methylation signatures in blood matching those in target organs like liver and brain, suggesting blood tests could potentially detect toxic exposures affecting other organs. Notably, lead exposure caused consistent hypermethylation of the Grb10 gene’s control region in both blood and liver of male offspring, providing preliminary evidence that epigenetic changes in easily accessible blood samples might serve as biomarkers for chemical exposures affecting critical organs like the brain. These findings are significant for breast cancer prevention because early-life exposures to lead and phthalates can alter epigenetic programming in ways that may increase disease risk decades later, and identifying blood-based biomarkers could enable early detection of harmful exposures during vulnerable developmental windows.
2023
Res Square
A study of 104 drinking water sources across Iranian cities found dangerous levels of arsenic and chromium exceeding safety standards in some locations, with the highest arsenic concentrations in Bashet (15.47 µg/L) and chromium in Behmai (292.21 µg/L), both significantly above acceptable limits. Health risk assessments showed that arsenic exposure in Bashet and chromium exposure in Behmai posed definite cancer risks (risk factors exceeding 1), with cancer risks from contaminated drinking water confirmed in multiple cities including Bashet, Gachsaran, and Behmai. These findings highlight a serious public health concern, as chronic exposure to these carcinogenic heavy metals through drinking water can increase risks for various cancers including breast cancer, underscoring the urgent need for water treatment interventions and alternative water sources in affected communities.
2023
Reprod Toxicol
A review of epidemiologic literature examining environmental chemical exposures during pregnancy and three maternal health outcomes (preeclampsia, gestational diabetes, and breast cancer) found that pregnancy represents a unique critical period when biological changes can heighten women’s susceptibility to chemicals from air, food, water, and consumer products—including flame retardants, plasticizers, pesticides, and lead—though research has disproportionately focused on fetal outcomes rather than maternal health risks, which remain poorly characterized for most chemicals. While evidence shows that lead exposure increases risk of pregnancy-induced hypertensive disorders and pregnancy can amplify women’s vulnerability to environmental chemicals, variations in study design, exposure assessment methods, and inconsistent adjustment for confounders limited comparability across studies. The authors emphasize that future research must recognize pregnancy as a critical window for women’s lifelong health, calling for incorporation of biomarkers of exposure and effect, deliberate timing and methods of measurement, and consistent confounder adjustment to strengthen understanding of the pregnancy exposome and its impacts on maternal health outcomes beyond the immediate postpartum period.
2023
Sci Total Environ
In a transgenic mouse model (MMTV-Erbb2) that naturally develops mammary tumors, mice given oral cadmium (3.6 mg/L in drinking water for 23 weeks) developed palpable tumors significantly earlier and showed accelerated tumor growth compared with unexposed controls. Cadmium exposure increased the proliferation marker Ki-67, enhanced focal necrosis and new blood vessel formation in mammary tumors, and triggered greater intratumoral glutamine metabolism. Notably, disrupting gut microbiota with antibiotics delayed tumor onset and reduced tumor weight, implicating gut-microbiome–mediated metabolic reprogramming in cadmium-driven mammary tumorigenesis.
2023
Environ Sci Technol
The following study discusses a strategic framework to improve how chemicals are managed in North America. The Essential-Use Approach is a policy that prioritizes restricting the use of chemicals based on necessity and safety. It proposes three guiding questions: Is the chemical essential to the product’s function? Is it the safest option? Is it necessary for health and safety? They also prioritize speed of assesments so that chemicals can be quickly phased out if evidence suggests danger to human health. This study is a call for change and aims to become a tool to simplify decision-making for regulating organizations, help businesses avoid liability related to harmful chemicals, and ultimately improve public health by ensuring only the safest substances are used in consumer products.
2022
Sci Rep
A study of drinking water found widespread contamination with phthalates (plastic chemicals) and bisphenol-A, with DEHP—the most common phthalate detected—exceeding safety limits in concentrations up to 8,351 µg/L in winter and 410 µg/L in summer, posing potential health risks to consumers. The research revealed significant seasonal variations with higher contamination in winter than summer, and health risk assessment showed that DEHP exposure from drinking water alone exceeded safe levels (hazard quotient >1), raising concerns about hormone disruption and potential breast cancer risk. These findings highlight an urgent need for water treatment plants to implement better technologies to remove these endocrine-disrupting chemicals and ensure safe drinking water, as current contamination levels may threaten both human and environmental health.
2022
Int J Environ Res Public Health
A recent study highlights the risk of Bisphenol A (BPA) exposure from bottled water, emphasizing how temperature can influence BPA leaching into the water. While BPA isn’t used in PET bottle manufacturing, contamination can occur due to recycled materials. Findings indicate that BPA levels in bottled water increase with temperature, even when not at the highest temperatures. BPA, a known endocrine-disrupting chemical (EDC), is linked to reproductive health issues, developmental disorders, and even cancer.
2022
Chemosphere
A study analyzing 12 commercial bottled water brands found that all tested products contained 2-6 different phthalate chemicals at concentrations ranging from 6.3 to 112.2 ng/mL, with di-n-butyl phthalate (DnBP) showing the highest levels followed by DEHP, DiBP, DMP, DEP, and DiPP. Using an optimized solid-phase microextraction method combined with tandem mass spectrometry, researchers detected these endocrine-disrupting chemicals—which leach from plastic bottles into drinking water—at levels detectable with limits as low as 0.3-2.6 ng/mL. These findings raise significant public health concerns given that phthalates are recognized endocrine disruptors with estrogenic properties that have been linked to breast cancer and other hormone-related health effects, and that billions of people worldwide consume bottled water daily with cumulative lifetime exposures potentially reaching harmful levels, highlighting the urgent need for regulatory limits on phthalates in bottled water and increased adoption of alternative packaging materials that don’t leach endocrine-disrupting chemicals.
2022
Molecules
A review of endocrine-disrupting compounds (EDCs) in drinking water examines this emerging class of environmental contaminants—ranging from naturally occurring to synthetic compounds—that exist as complex mixtures at trace levels but can cause adverse health effects even at low concentrations. The review covers the perceived and actual health risks of EDC exposure through water ingestion (a major human exposure route), regulatory efforts to limit contamination, and analytical methods including advanced sample preparation, instrumentation, and bioassays for multiclass EDC identification and quantitation. Given that human exposure to EDCs via drinking water poses significant health concerns even at trace concentrations, the ability to detect and evaluate EDC contamination with high sensitivity and accuracy is critically important for protecting public health and informing regulatory policy.
2022
Ecotoxicology
An experimental study using wild-type and thyroid hormone receptor alpha knockout (thrαa⁻/⁻) zebrafish embryos/larvae found that avobenzone and octinoxate—organic UV filters commonly used in sunscreens and widely detected in water—disrupt the thyroid endocrine system, with significantly lower survival rates in thrαa⁻/⁻ fish exposed to ≥3 μM of either compound, indicating the thyroid hormone receptor plays a crucial role in their toxicity. Avobenzone exposure increased the T3:T4 ratio with upregulation of the deio2 gene, while both chemicals decreased T4 levels and triggered compensatory upregulation of hypothalamus and pituitary genes (trh, tshβ, tshr), indicating feedback mechanisms attempting to maintain hormonal homeostasis. These findings demonstrate that two widely used sunscreen ingredients act as thyroid endocrine disruptors by affecting thyroid hormone receptors and disrupting the hypothalamus-pituitary-thyroid (HPT) axis, raising concerns about aquatic environmental contamination from these chemicals and potential impacts on thyroid function in exposed organisms, including implications for human exposure through water and dermal application.
2022
J Hazard Mater
This study investigates human exposure to bisphenol A (BPA) and bisphenol S (BPS) by handling thermal paper receipts. The study analyzed the BPS and BPA concentrations from the fingerprints of individuals who handled thermal paper receipts and compared them to those of people who didn’t handle thermal paper receipts. The results found that 20–40 μg of BPS or BPA is transferred to human skin as seen through the fingerprint after contact with thermal papers containing 100–300 μg. Additionally, the transfer of BPA was 2.9–5.2 times higher than BPS, which is consistent with higher concentrations in receipts. However, washing hands significantly reduced the transfer of both BPS and BPA. This is important because the study also determined lipid metabolism was affected at concentrations greater than 10 mg/L. Additionally, it had adverse effects on the growth of water flees, indicating that it may potentially have some effect on human development as well.
2021
Water Res
A study of 101 bottled water products sold in the US found that PFAS chemicals were detected in 39% of tested products at concentrations ranging from 0.17 to 18.87 ng/L (median 0.98 ng/L), with 97% of samples below 5 ng/L, though some products approached levels of regulatory concern. Spring water products contained significantly higher PFAS levels than purified water, with reverse osmosis (RO) treatment—used in 71% of purified waters but only 2% of spring waters—effectively removing PFAS contamination across all chain lengths. Notably, perfluoropropanoic acid (PFPrA), an ultrashort-chain PFAS measured for the first time in bottled water, accounted for 42% of detected PFAS mass and was found almost exclusively in spring water products, raising concerns given the lack of enforceable PFAS regulations for bottled water in the US despite these “forever chemicals” being linked to multiple health concerns including potential breast cancer risk, and highlighting the need for mandatory PFAS monitoring and disclosure requirements for bottled water manufacturers.
2021
Environ Res
Biodegradable polymers are emerging as a promising solution for removing endocrine-disrupting chemicals (EDCs) from wastewater. EDC’s, found in pharmaceuticals, pesticides, and personal care products pose serious health risks, impacting the endocrine system and disrupting reproductive health. Traditional water treatments often fail to fully remove EDCs. Biodegradable polymers, with strong adsorptive properties, offer a sustainable and effective method, helping to minimize EDC exposure and protect human and environmental health.
2021
BMC Complement Med Ther
This study focused on the effect that tartrazine (E102), a common yellow food dye, had on the progression of breast cancer in rats that were exposed to 7,12-Dimethylbenz(a)anthracene (DMBA), a polycyclic aromatic hydrocarbons (PAH) that is widely known for its carcinogenicity. The researchers discovered that tartrazine accelerated the development and growth of tumors in the rats with 100% of rats having early incidents of breast cancer when exposed to both DMBA and tartrazin, and only 80% having early incidence when exposed to DMBA alone. The authors also hypothesized that tartrazine could cause oxidative stress, leading to DNA damage by producing Reactive Oxygen Species. These results may apply to humans as well, and raise concerns about the safety of prolonged or high-dose exposure to synthetic food dyes like tartrazine, especially in individuals who may already have other risk factors for cancer.
2018
Eur J Public Health
A 34-year study in Italy’s Veneto Region, where drinking water was contaminated with PFAS chemicals from a manufacturing plant operating since 1964, found significantly higher mortality rates in contaminated communities compared to uncontaminated areas for multiple diseases including diabetes, heart disease, stroke, Alzheimer’s, and breast cancer in women. Women in PFAS-contaminated areas showed elevated mortality from kidney cancer, breast cancer, and Parkinson’s disease, while both men and women had increased deaths from cardiovascular and metabolic diseases. These population-level findings suggest PFAS exposure—from widespread “forever chemicals” used in nonstick cookware, food packaging, stain-resistant fabrics, and firefighting foam—may increase risks for multiple serious diseases including breast cancer, though individual-level studies are needed to confirm causal relationships and understand the mechanisms behind these health impacts.
2014
Environ Health Perspect
This review of exposure biomarkers for chemicals potentially linked to breast cancer identified methods for 102 chemicals causing mammary tumors in rodents, finding biomarkers for nearly 75% of them, with human exposure biomarkers existing for 62 chemicals (45 measured in non-occupationally exposed populations) and the CDC tracking 23 of them. Among rodent mammary carcinogens with >50% population detection frequency were PAHs (98%), methyleugenol (98%), PFOA (>50%), chlordane (>50%), acrylamide (>50%), and benzene (>50%), indicating near-universal exposure to multiple mammary carcinogens, with several additional chemicals showing >50% detection of urinary metabolites including ethylene oxide, acrylonitrile, fenvalerate, and vinyl chloride (71-75%). The study found consistent carcinogenicity between humans and rodents for many chemicals, though limited data exists for direct effects in humans, and emphasizes the availability of biomonitoring tools and resources to advance breast cancer prevention efforts. The findings underscore that populations are ubiquitously exposed to multiple known mammary carcinogens simultaneously, highlighting the urgent need for biomonitoring programs to assess mixed exposures and inform prevention strategies targeting modifiable environmental risk factors for breast cancer.
2024
Water Res
A pilot study collected tapwater samples from low-income California communities in five regions (Gold Country, San Francisco Bay Area, Central Valley, and southeast Los Angeles) with suspected water quality challenges and elevated breast cancer rates, analyzing 251 organic chemicals and 32 inorganic constituents. The five most frequently detected contaminants were barium (100% of samples), disinfection byproducts including total trihalomethanes (90%), bromodichloromethane (86.7%), and chloroform (85%), and copper (95%), with mixtures of regulated and unregulated contaminants varying by region, water source, and public water system size. Multiple exceedances of health-based Maximum Contaminant Level Goals (MCLGs) were observed—including 54 samples exceeding zero tolerance for total trihalomethanes, 52 for bromodichloromethane, 11 for lead, and 10 each for PFOA and PFOS—along with enforceable Maximum Contaminant Level (MCL) exceedances for total trihalomethanes (3 samples) and PFAS compounds (9-10 samples for PFOA/PFOS). The findings underscore critical water quality concerns in socially disadvantaged communities and provide a foundation for future studies examining potential linkages between tapwater contaminant mixtures and breast cancer rates in vulnerable California populations facing compounded environmental stressors.
2024
Environ Sci Technol
Trifluoroacetic acid (TFA)—a persistent and mobile chemical produced when many PFAS, fluorinated gases, pesticides, and pharmaceuticals break down—is accumulating irreversibly in rain, soil, drinking water, human blood, and food at concentrations orders of magnitude higher than other PFAS. TFA exhibits reproductive and liver toxicity in mammals and bioaccumulates readily in plants, yet ecotoxicity data remain limited, particularly for terrestrial ecosystems. Due to its extreme persistence, ongoing emissions from multiple sources, and irreversibly increasing concentrations, TFA may represent a “planetary boundary threat”—a substance reaching global-scale exposure levels that could trigger irreversible disruptions to vital Earth systems. The authors call for binding regulatory actions to reduce emissions of TFA and the many precursor chemicals that transform into TFA in the environment.
2022
Sci Total Environ
A comprehensive review of endocrine-disrupting compounds (EDCs) in water systems found that these emerging contaminants pose significant health risks to humans and aquatic life, yet conventional water treatment processes fail to remove them effectively and no regulatory discharge limits currently exist. The review examined various treatment approaches (physical, chemical, biological, and hybrid methods) and identified agricultural waste-based adsorbents as a promising, low-cost, and sustainable solution for efficiently removing EDCs from water. Research findings indicate that these abundantly available agri-waste materials can effectively capture EDCs, offering an economical alternative to conventional treatment methods, though the review also highlights ongoing challenges and the need for further development of these technologies to address the growing threat of endocrine-disrupting pollution in water supplies.
2020
Environ Health Perspect
This article focuses on microplastics (MP’s), their effect on marine life and routes of human exposure. MP human exposure usually occurs through inhalation or ingestion which comes from contaminated fish and environment. MP’s are concerning because they spread either as pellets/by products or through degradation and fragmentation of plastic products. When this occurs, and reaches water and marine life, they then become contaminated with this plastic and degrade further, and leave forever chemicals as well. Due to the complex and persistent nature of these chemicals, they remain in organ systems of humans for long periods of time. It is important to remember that in small amounts they may not cause many effects but as these chemicals accumulate, it can cause risk to reproductive and hormonal issues.