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Endocrine-Disrupting Chemicals and Persistent Organic Pollutants in Infant Formulas and Baby Food: Legislation and Risk Assessments.

Hatzidaki et al,

2023

Foods

A review of regulations for endocrine-disrupting chemicals and persistent organic pollutants in infant formula found that while breast milk remains the healthiest option, infant formula must be strictly monitored to ensure it is pollutant-free, particularly given the vulnerability of newborns to chemical exposures. Current regulations and upper limits for contaminants in infant formula vary worldwide, though standardized policies exist to protect infants, and continuous monitoring is required to maintain safety standards. The authors emphasize that risk assessment studies are limited but urgently needed to better understand exposure variations and evaluate the health risks infants face from dietary exposure to pollutants during this critical developmental period.

Endocrine-disrupting chemicals and breast cancer: a meta-analysis.

Liu et al,

2023

Frontiers

This meta-analysis aimed to evaluate the association between exposure to endocrine-disrupting chemicals (EDCs), including phthalates and other common environmental pollutants, and breast cancer risk. The study found that certain EDCs—such as p,p′-DDT, chlordane, HCH, and specific PCBs—were positively associated with increased breast cancer risk, while a few compounds like BBP and PFDoDA showed a negative association.

Hormonal Injustice: Environmental Toxicants as Drivers of Endocrine Health Disparities.

Weiss et al,

2023

Endocrinol Metab Clin North Am

Multiple social and structural determinants of health undoubtedly contribute to the marked racial/ethnic-, gender-, and socioeconomic-based disparities in endocrine health; however, the contribution of environmental injustice is vastly underappreciated. Indeed, those groups disproportionately burdened by endocrine disorders are often exposed to higher levels of various EDCs, including PCBs, phthalates, bisphenols, OC pesticides, air pollutants, PFASs, toxic metals/metalloids, and BFRs. These chemicals threaten our reproductive and metabolic health, contributing to diabetes prevalences, obesity, and disorders related to hormonal regulation. This review increases awareness of these disparities and encouraged equitable healthcare for those who are disadvantaged.

Occurrence of phthalates in different food matrices: A systematic review of the main sources of contamination and potential risks.

da Costa et al,

2023

Compr Rev Food Sci Food Saf

A systematic review of phthalate contamination in food identified 19 phthalates across multiple food categories, with 57 measurements exceeding legal limits and DEHP showing the highest incidence; risk assessment revealed high probability of exceeding tolerable daily intake for DEHP and DBP in fish, oils/fats, cereals, and dairy for both children and adults, with fats/oils being the most critical category. Migration from food contact materials is positively correlated with temperature, contact time, fat content, and acidity, with contamination occurring throughout the production chain. The widespread contamination exceeding safe exposure limits—particularly for vulnerable populations including children—highlights the urgent need for stricter regulation of phthalates in food packaging and production materials.

Food Thermal Labels are a Source of Dietary Exposure to Bisphenol S and Other Color Developers.

Xu et al,

2023

Environ Sci Technol

This review investigates the migration of bisphenols and alternative color developers from thermal labels on cling-wrapped fresh food, identifying them as significant dietary sources of these compounds. While no BPA was found in packaging, high concentrations of bisphenol S (BPS) and other alternatives were detected, particularly in thermal labels. Migration studies revealed that BPS and related compounds leach into food, especially fish, raising potential health concerns. These findings highlight the need for further risk assessments regarding these alternative chemicals in food packaging due to past findings about BPA being an endocrine disruptor. This will help mitigate exposure risks and ensure consumer safety.

Case-Cohort Study of the Association between PFAS and Selected Cancers among Participants in the American Cancer Society’s Cancer Prevention Study II LifeLink Cohort.

Winquist et al,

2023

Environ Health Perspect

A case-cohort study within the prospective Cancer Prevention Study II (CPS-II) LifeLink cohort examined associations between serum per- and polyfluoroalkyl substances (PFAS) concentrations and cancer risk by analyzing blood samples collected 1998-2001 from 999 randomly selected participants and 3,762 cancer cases (breast, bladder, kidney, pancreas, prostate, and hematologic cancers), with particular attention to histologic subtypes. The study found that higher serum PFOA concentrations were positively associated with renal cell carcinoma in women (HR per PFOA doubling: 1.54; 95% CI: 1.05-2.26) but not men, while higher PFHxS concentrations were associated with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) in men (HR per PFHxS doubling: 1.34; 95% CI: 1.02-1.75), with some variation in associations observed across histologic subtypes within cancer sites. These findings in a general population cohort support previous observations linking PFOA to kidney cancer in women and identify a new association between PFHxS and CLL/SLL in men, highlighting the importance of considering both sex differences and specific histologic cancer subtypes when evaluating PFAS-cancer relationships. The study demonstrates that PFAS exposure at levels found in the general U.S. population may be associated with increased risk of certain cancers, extending concerns beyond highly exposed occupational or community populations.

Environmental mixtures and breast cancer: identifying co-exposure patterns between understudied vs breast cancer-associated chemicals using chemical inventory informatics.

Koval et al,

2022

J Expo Sci Environ Epidemiol

A comprehensive analysis of 6,793 chemicals in commercial use identified 50 high-priority understudied chemicals that frequently co-occur with known breast cancer-associated chemicals in everyday exposure sources like food, consumer products, and personal care items. Using chemical databases and structural similarity analyses, researchers found these understudied chemicals share physicochemical properties with established mammary carcinogens and potential endocrine disruptors, yet have not been adequately evaluated for breast cancer risk. The findings highlight that real-world chemical exposures occur as mixtures rather than isolated compounds, and that focusing solely on individual well-known chemicals may miss important combination effects—underscoring the urgent need for mixtures-based research in clinical, epidemiological, and toxicological studies to better understand and prevent environmentally-driven breast cancer.

Molecular consequences of the exposure to toxic substances for the endocrine system of females.

Kowalczyk et al,

2022

Biomed Pharmacother

A review of endocrine-disrupting chemicals (EDCs)—ubiquitous substances found in cosmetics, plastic food packaging, and medicines that enter the body through skin, digestive, or respiratory routes—examined their toxic effects even at microgram doses on the female reproductive system and genetic mechanisms. EDCs disrupt endocrine functions by binding to steroid hormone receptors, interfering with hormone synthesis and secretion, and modulating epigenetic processes that can lead to gene expression disturbances, contributing to neoplastic diseases, neurological disorders, circulatory problems, and reproductive dysfunction. Prenatal exposure can affect offspring development, with particular impacts on ovarian function leading to reduced fertility through disturbances in steroid receptor function, steroidogenesis, and gametogenesis. The review emphasizes that despite widespread exposure to these chemicals in everyday products, continued research is needed to fully understand their effects on the female reproductive system and potential transgenerational impacts mediated through epigenetic mechanisms.

Determination of phthalates in bottled waters using solid-phase microextraction and gas chromatography tandem mass spectrometry.

Alshehri et al,

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.

Assessment of migrating endocrine-disrupting chemicals in bottled acidic juice using type UVM-7 mesoporous silica modified with cyclodextrin

Belenguer-Sapiña et al.

2022

Food Chem

This study introduced a novel material, UVM-7 mesoporous silica modified with cyclodextrins, for extracting endocrine-disrupting chemicals (EDCs) from apple juice. The cyclodextrin units enhance selectivity, allowing for precise detection of EDCs like bisphenols and parabens in low ng/L concentrations, meeting regulatory limits. When compared with conventional methods, the UVM-7-based extraction shows high recovery rates (94-100%) and low deviation, making it a promising, sensitive tool for identifying harmful chemicals leaching from packaging.

Occurrence and seasonal disparity of emerging endocrine disrupting chemicals in a drinking water supply system and associated health risk.

Kumawat et al,

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.

Endocrine-Disrupting Chemicals and Breast Cancer: Disparities in Exposure and Importance of Research Inclusivity.

Santaliz Casiano et al,

2022

Endocrinology

A review examining PFAS (found in nonstick cookware, food packaging, and stain-resistant fabrics) and parabens (used in personal care products) found that exposure to these endocrine-disrupting chemicals is linked to breast cancer development, with marginalized and socially disadvantaged communities facing disproportionately higher exposures due to structural racism and inequitable environmental conditions. These disparities in chemical exposure may contribute to poorer breast cancer outcomes in these populations, yet breast cancer research continues to underrepresent these communities, limiting our ability to address treatment disparities and improve survival rates. The authors emphasize the urgent need to both reduce EDC exposures in vulnerable communities and increase research inclusion of diverse populations to understand how environmental injustices intersect with breast cancer risk and develop interventions that address these health inequities.

Endocrine disrupting chemicals and breast cancer: a systematic review of epidemiological studies.

Wan et al,

2022

Crit Rev Food Sci Nutr

This systematic review of 131 epidemiological studies evaluated the association between various endocrine-disrupting chemicals, including phthalates and hormonal exposures like contraceptive pills, and the risk of breast cancer. It found that several EDCs, particularly phthalates and oral contraceptive use, were consistently associated with increased breast cancer risk across multiple studies.

Waterborne exposure to avobenzone and octinoxate induces thyroid endocrine disruption in wild-type and thrαa−/− zebrafish larvae

Ka et al,

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.

Direct analysis of phthalate esters in vegetable oils by means of comprehensive two-dimensional gas chromatography combined with triple quadrupole mass spectrometry.

Arena et al,

2022

Food Chem

A study analyzing 27 vegetable oils using advanced two-dimensional gas chromatography found phthalates—endocrine-disrupting chemicals used as plasticizers that have been linked to cancer—in vegetable oil products, though specific concentration ranges and detection frequencies were not provided in the abstract. The researchers developed a simple, direct analytical method requiring only dilution with solvent (no complex sample preparation) that achieved good repeatability, low detection limits (0.06-2.10 mg/kg), and high accuracy (-9.2% to 10.4%), making it suitable for routine monitoring of phthalate contamination in edible oils. These findings raise concerns about dietary phthalate exposure through cooking oils—a staple food ingredient consumed daily by billions—particularly since phthalates can migrate into oils from plastic packaging, processing equipment, or storage containers, and given their known endocrine-disrupting properties and associations with hormone-related cancers including breast cancer, highlighting the need for stricter regulations on phthalate use in food contact materials and routine monitoring of edible oils for these contaminants.

Urinary parabens and breast cancer risk: Modification by LINE-1 and LUMA global DNA methylation, and associations with breast cancer defined by tumor promoter methylation status.

Parada et al,

2022

Molec Carcinogen

A case-control study of 708 breast cancer patients and 598 controls from Long Island found that paraben exposure—particularly methylparaben—was associated with significantly increased breast cancer risk among women with hypomethylated (undermethylated) DNA, showing a 46% increased risk in the highest versus lowest exposure group and a 32% increased risk per one-quantile increase in combined paraben exposure. Importantly, paraben exposure was specifically associated with breast tumors characterized by hypomethylation of the CCND2 gene promoter, with methylparaben showing a 25% increased risk and combined parabens showing a 55% increased risk for this tumor subtype. These findings suggest that parabens—ubiquitous preservatives in personal care products—may contribute to breast cancer development through epigenetic mechanisms, particularly in women with pre-existing DNA methylation abnormalities, identifying a potentially vulnerable subpopulation and a specific molecular pathway through which these chemicals may promote carcinogenesis.

Consumption of ultra-processed foods and their link with increasing risk of cancer

Supe et al,

2022

BMJ

Ultra-processed foods (UPFs), commonly found in ready-to-eat items like packaged snacks, frozen meals, and sodas, are filled with added sugars, unhealthy fats, and harmful chemicals like preservatives and flavor enhancers. These foods are increasingly linked to serious health issues, including obesity and cancer. Studies show that replacing UPFs with whole, unprocessed foods can reduce the risk of disease and improve overall health. The harmful ingredients in these products, such as phthalates and bisphenols, can also disrupt the endocrine system, further increasing the risk of developing serious health problems, including cancer.

Environmental endocrine disruptor concentrations in urine samples from Mexican Indigenous women.

Rodríguez-Báez et al,

2022

Environ Sci Pollut Res

The following study explores the presence of endocrine disruptors such as phthalates (specifically mono-2-ethyl phthalate and mono-n-butyl phthalate), bisphenol A (BPA), and 1-hydroxypyrene in the urine samples of marginalized Indigenous populations. The study found that 100% of the women sampled showed exposure to these harmful chemicals, with higher concentrations than observed in similar studies from other communities. This increased exposure is linked to environmental and cultural factors, such as the common use of plastic containers and practices such as burning garbage. The women sampled were found to have especially high levels of mono-2-ethyl phthalate, which suggests significant exposure to di(2-ethylhexyl) phthalate. These findings highlight the vulnerability of indigenous communities to pollution due to a lack of awareness, limited healthcare access, and inadequate regulatory measures.

Influence of Temperature on the Quantity of Bisphenol A in Bottled Drinking Water.

Ginter-Kramarczyk et al,

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.

Recent Trends in Multiclass Analysis of Emerging Endocrine Disrupting Contaminants (EDCs) in Drinking Water.

Lazofsky et al,

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.

Detection of ultrashort-chain and other per- and polyfluoroalkyl substances (PFAS) in U.S. bottled water.

Chow et al,

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.

Endocrine disrupting chemicals and breast cancer cells.

Darbre et al,

2021

Adv Pharmacol

A comprehensive review examining endocrine-disrupting chemicals (EDCs) in breast tissue concludes that hundreds of these environmental chemicals are entering human breast tissue and contributing to the global rise in breast cancer incidence through multiple biological mechanisms. Laboratory studies demonstrate that EDCs can activate all the established “hallmarks of cancer” in human breast cancer cells—even at concentrations measured in actual human breast tissue—with effects amplified when chemicals are present as mixtures rather than individually. The authors argue that EDCs must now be formally recognized as a breast cancer risk factor to enable prevention strategies that include reducing environmental chemical exposures, particularly given that the varied mixtures of EDCs found in individual breast tissues act through overlapping mechanisms to promote cancer development.

Biodegradable polymers and their nano-composites for the removal of endocrine-disrupting chemicals (EDCs) from wastewater: A review

Sharabati et al,

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.

Oral administration of tartrazine (E102) accelerates the incidence and the development of 7,12-dimethylbenz(a) anthracene (DMBA)-induced breast cancer in rats.

Zingue et al,

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.

Environmental exposures and breast cancer risk in the context of underlying susceptibility: A systematic review of the epidemiological literature.

Zeinomar et al,

2020

Environ Res

A systematic review of 100 publications across 56 epidemiologic studies found that research enriched with women at higher baseline breast cancer risk—through family history, early-onset disease, or genetic susceptibility—consistently showed stronger and more frequent associations between environmental chemical exposures and breast cancer compared to average-risk populations. Specifically, 80% of studies enriched with family history or early-onset cases showed significant associations with exposures including PAHs, air pollution, DDT, PCBs, PFAS, metals, personal care products, and occupational chemicals, while 74% of studies examining genetic susceptibility found significant gene-environment interactions for various pollutants in women with variants affecting carcinogen metabolism, DNA repair, and oxidative stress. These findings suggest that the inconsistent evidence for environmental chemicals and breast cancer in the literature may partly stem from studying predominantly average-risk populations who may be less susceptible to environmental carcinogens, highlighting the critical need for future research to focus on high-risk populations and measure exposures during key windows of susceptibility (puberty, pregnancy, menopause) to more accurately capture the role of environmental chemicals in breast cancer development.

Health risks of chemicals in consumer products: A review.

Li et al,

2019

Environ Int

A systematic review of 342 peer-reviewed articles covering 202 unique chemicals used in consumer products analyzed exposure pathways, functional uses, product applications, exposure routes, and associated health risks, finding that phthalates, bisphenol-A, and polybrominated diphenyl ethers were the most frequently studied chemicals, with frequently reported uses including plasticizers, polymers/monomers, and flame retardants in food contact materials, personal care products, cosmetics, furniture, flooring, and electronics. The analysis revealed that publication volume on chemicals tends to surge following major regulatory changes or exposure incidents rather than before market introduction, indicating a reactive rather than proactive approach to chemical safety assessment. These findings highlight the critical gap between the increasingly diverse array of chemicals used in consumer products and our lagging understanding of their exposure pathways and human health risks, emphasizing the urgent need to develop capacity and mechanisms for identifying health risks prior to chemical releases rather than after exposure incidents or regulatory action, to enable preventive rather than reactive public health protection.

Food advanced glycation end products as potential endocrine disruptors: An emerging threat to contemporary and future generation.

Ravichandran et al,

2019

Environ Int

Advanced glycation end products (AGEs), formed during the processing of foods at high temperatures, act as endocrine disruptors and are linked to various health risks. These compounds accumulate in the body over time, promoting oxidative stress, aging, diabetes, and other degenerative diseases. Processed foods, often convenient and inexpensive, are significant sources of AGEs, contributing to hormonal disruption and potential long-term health effects. Choosing minimally processed, whole foods can help reduce exposure to these harmful compounds and support overall hormonal balance, reinforcing the importance of food quality in maintaining long-term health and well-being.

The effects of bisphenol A, benzyl butyl phthalate, and di(2-ethylhexyl) phthalate on estrogen receptor alpha in estrogen receptor-positive cells under hypoxia.

Park et al,

2019

Environ Pollut

This study investigated how three endocrine-disrupting chemicals (BPA, BBP, and DEHP) affect estrogen receptor alpha (ERα) activity under normal and low-oxygen (hypoxic) conditions in breast and endometrial cancer cells. The researchers found that BPA and BBP activated ERα at specific concentrations, while DEHP did not, but all three chemicals enhanced ERα-mediated gene activity and decreased ERα protein levels under hypoxic conditions. BPA and BBP also affected hypoxia-related factors, decreasing hypoxia-inducible factor-1 activity while increasing VEGF (a blood vessel growth factor) secretion in breast cancer cells, whereas DEHP had different effects. The findings suggest that these endocrine disruptors can alter ERα regulation under low-oxygen conditions, which may influence disease processes since hypoxia is common in tumors and other pathological states.

Environmental chemicals and breast cancer: An updated review of epidemiological literature informed by biological mechanisms.

Rodgers et al,

2018

Environ Res

A systematic review of 158 studies examining environmental chemicals and breast cancer found the strongest evidence for increased risk from exposures during critical developmental periods (in utero, adolescence, pregnancy) to DDT, dioxins, PFOSA, air pollution, and occupational solvents, with risk estimates ranging from 1.4 to 5 times higher. A landmark 50-year study that captured DDT exposure during windows of breast development showed particularly elevated risks, while research on genetic variations found that women with certain DNA repair gene variants had higher breast cancer risk from PAH (polycyclic aromatic hydrocarbon) exposure. However, most studies failed to assess exposure timing during biologically relevant windows of susceptibility, and many current-use chemicals in consumer products remain inadequately studied, with major challenges including reconstructing decades-old exposures and measuring rapidly metabolized chemicals in complex real-world mixtures.

Parabens and their effects on the endocrine system.

Nowak et al,

2018

Mol Cell Endocrinol

A review examining parabens—one of the most widely used preservatives worldwide in foods, cosmetics, and pharmaceuticals—found that these easily absorbed chemicals are classified as endocrine-disrupting chemicals (EDCs) that can disrupt hormonal homeostasis and cause multidirectional health implications affecting body fitness and function. The review summarizes current literature on paraben properties, occurrence, metabolism, and particularly their influence on the human endocrine system, emphasizing the importance of assessing their safety given their ubiquitous use and absorption. With parabens now recognized as EDCs capable of disrupting endocrine function, the authors highlight concerns about widespread population exposure through everyday consumer products and the need for precise assessment of their health impacts on human physiology.

Breast cancer is associated with methylation and expression of the a disintegrin and metalloproteinase domain 33 (ADAM33) gene affected by endocrine‑disrupting chemicals.

Yang et al,

2018

Oncol Rep

This study investigated whether exposure to bisphenol A (BPA) and phthalate metabolites affects breast cancer risk through epigenetic changes in the ADAM33 gene, which plays a role in cancer progression. The researchers conducted a case-control study with 44 breast cancer patients and 22 controls, analyzing ADAM33 gene methylation patterns in blood samples and measuring urinary concentrations of endocrine-disrupting chemicals. They found that certain phthalate metabolites (MEHHP, MECPP, MEOHP) were positively associated with increased methylation of the ADAM33 gene, which was linked to higher gene expression levels. Surprisingly, the study suggests these phthalate metabolites may have a protective effect against breast cancer by increasing ADAM33 methylation and expression, contrary to the typical expectation that endocrine disruptors increase cancer risk.

Breast cancer risk and serum levels of per- and poly-fluoroalkyl substances: a case-control study nested in the California Teachers Study.

Hurley et al,

2018

Environ Health

A nested case-control study within the California Teachers Study examined 902 women with invasive breast cancer and 858 controls who provided blood samples an average of 35 months after case diagnosis to assess whether serum concentrations of six per- and poly-fluoroalkyl substances (PFASs)—PFOA, PFNA, PFUnDA, PFHxS, PFOS, and MeFOSAA—were associated with breast cancer risk. For all invasive breast cancers combined, none of the adjusted odds ratios were statistically significant, though marginally significant inverse associations were observed for PFUnDA and PFHxS; statistically significant inverse associations for these two compounds were found only among the 107 women with hormone receptor-negative tumors, not among the 743 with hormone-positive tumors. The authors conclude that the study provides no evidence that post-diagnosis serum PFAS levels are related to breast cancer risk, and suggest that the few inverse associations observed may be due to chance or study design artifacts, particularly because measurements were taken after diagnosis rather than before. Future research should include pre-diagnosis PFAS measurements, genetic susceptibility factors, and endogenous estrogen levels to better assess whether these widely used synthetic chemicals—some of which are known mammary toxicants and endocrine disruptors—influence breast cancer development.

Implication of dietary phthalates in breast cancer. A systematic review.

Zuccarello et al,

2018

Food Chem Tox

A systematic review of 25 studies examining phthalates (plastic chemicals) and breast cancer found that while laboratory studies show certain phthalates can activate estrogen receptors and promote cancer cell growth, epidemiological studies in humans have produced mixed and inconclusive results. The main source of phthalate exposure is through diet—particularly from food and beverages in plastic packaging—but current human studies have significant limitations in how they measure exposure and account for other risk factors. The review calls for better-designed future studies that use hair samples instead of urine for more accurate long-term exposure assessment, include dietary factors and genetic markers as confounders, and investigate phthalates’ effects beyond just estrogen-driven cancers to include all breast cancer subtypes.

Bisphenol A exposure through receipt handling and its association with insulin resistance among female cashiers

Lee et al,

2018

Environ Int

A study of 54 female cashiers in South Korea found that handling thermal paper receipts without gloves doubled their urinary BPA levels during work shifts, but wearing gloves completely prevented this increase in exposure. Higher BPA levels were associated with elevated fasting insulin and insulin resistance, markers of metabolic dysfunction that can lead to diabetes and cardiovascular disease. The findings demonstrate that cashiers face significant occupational BPA exposure from receipt handling and that simple protective measures like wearing gloves can effectively eliminate this exposure route, offering an immediate and practical intervention to protect workers’ health.

Environmental estrogen-like endocrine disrupting chemicals and breast cancer.

Morgan et al,

2017

Molec Cell Endocrinol

This study examines the role of environmental estrogen-like endocrine-disrupting chemicals (EEDs) in breast cancer development. EEDs are synthetic compounds that mimic estrogen, and the ones being studied in this paper include polychlorinated biphenyls (PCBs), bisphenol A (BPA), and phthalates. The results of the study show that of the EEDs tested, only one type of PCB, PCB138, had a strong association with the formation of breast cancer, where as phthalates (and it metabolites) but and BPA showed no strong correlation. Additionaly, the researchers identify that these EEDs promote the proliferation of breast cancer cells, induce epigenetic changes that may increase susceptibility to cancer, as well as alter developmental pathways during critical windows of breast development.

A review of hair product use on breast cancer risk in African American women.

Stiel et al,

2016

Cancer Med

A review examining breast cancer disparities in African American women—who now have similar incidence rates to non-Hispanic White women but significantly higher mortality—found growing evidence linking hair product use to breast cancer risk through exposure to estrogen-like chemicals and endocrine-disrupting chemicals (EDCs). The review identified three converging lines of evidence: environmental estrogen and EDC exposures increase breast cancer risk, these chemicals are present in personal care products including hair products, and certain hair products used disproportionately by African American women may contribute to elevated breast cancer risk in this population. The findings highlight an understudied environmental justice issue and call for additional research using community-collaborative approaches to better understand how culturally specific beauty practices may contribute to health disparities, representing what researchers term the potential “cost of beauty.”

Disruptive chemicals, senescence and immortality.

Carnero et al,

2015

Carcinogenesis

This study explores the relationship between chemical carcinogens, cellular senescence, and the process of cellular immortalization, which is a sign of cancer development. The article discusses how certain chemicals can disrupt normal cellular processes, leading to cellular senescence, the process where cells stop dividing but remain metabolically active. This thereby enables the progression of cancer. These chemicals interfere with key regulatory pathways, such as those involving the p53 and pRb proteins, which are crucial for maintaining the balance between cell division and arrest. The authors emphasize that exposure to certain chemicals can lead to disruptions to cellular senescence pathways.

Disruptive environmental chemicals and cellular mechanisms that confer resistance to cell death.

Narayanan et al,

2015

Carcinogenesis

This study explores the linkage between environmental chemical exposures and cellular resistance to cell death, a carcinogenic trait. The researchers in this study specifically investigate BPA, chlorothalonil, dibutyl phthalate, and more because of their disruptive effects that may be involved in these carcinogenic pathways. The researchers found that arsenic interferes with cellular signaling pathways and induces oxidative stress, leading to impaired apoptosis; dioxins bind to aryl hydrocarbon receptors (AHRs), which alters gene expression and disrupts normal cell death processes; BPA mimics the estrogen hormone, affecting hormonal balance and promoting cell survival pathways that inhibit cell death. By allowing cells to evade cell death, these environmental chemicals can promote the survival of cells with genetic mutations and therefore increase the risk of cancer development.

Caramel Color in Soft Drinks and Exposure to 4-Methylimidazole: A Quantitative Risk Assessment

Smith et al,

2015

PLOS One

A recent study investigated the potential carcinogen 4-methylimidazole (4-MEI) in popular beverages colored with caramel, revealing potential cancer risks. Using data from California, where Proposition 65 enforces warning labels on drinks exceeding safe 4-MEI levels, researchers found that 4-MEI concentrations varied by brand and region. For example, Malta Goya had the highest 4-MEI levels, while Coca-Cola had the lowest. Regular consumption of certain sodas could result in daily 4-MEI exposure above safe limits.

New exposure biomarkers as tools for breast cancer epidemiology, biomonitoring, and prevention: a systematic approach based on animal evidence.

Rudel et al,

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.

Early-life Exposure to Endocrine Disrupting Chemicals and Later-life Health Outcomes: An Epigenetic Bridge?

Vaiserman et al,

2014

Aging Dis

The following review article described how exposure to EDCs during early development can lead to adverse health outcomes later in life through epigenetic mechanisms based on existing studies. The article emphasizes that exposure to EDCs during critical developmental periods such as in utero and early childhood, can have lasting effects on health since, during these periods, the body’s systems are particularly vulnerable to exposures. Additionally, the article finds a link between early-life exposure to EDCs and increased risk of various health issues later on in life, including metabolic disorders and cancers. The suspected mechanism by which these chemicals do this is thought to be mediated by epigenetic changes, which are changes to gene expression without altering the DNA. Therefore, the article emphasizes understanding how exposure during such sensitive periods in development can pose such drastic problems later on in life.

Designing Endocrine Disruption Out of the Next Generation of Chemicals.

Schug et al,

2013

Green Chemistry

Scientists have developed TiPED (Tiered Protocol for Endocrine Disruption), a voluntary five-tier testing system designed to help chemists identify hormone-disrupting properties in new chemicals during the design phase—before they enter consumer products—ranging from computer-based predictions to cell and animal studies. The protocol was created by experts in green chemistry and environmental health to broadly test whether new chemicals can mimic or block hormones or interfere with hormone signaling, which is critical for preventing endocrine disruption that can contribute to diseases like breast cancer. Testing of six known endocrine disruptors with different mechanisms of action successfully identified all of them, demonstrating the protocol’s effectiveness, though the system will continue evolving as scientific understanding advances. This tool represents an important shift toward preventing chemical hazards at the design stage rather than discovering them years later after widespread human exposure, which could significantly reduce public health risks including breast cancer.

Endocrine disruptors and asthma-associated chemicals in consumer products.

Dodson et al,

2012

Environ Health Perspect

This study analyzed 213 everyday products, including cosmetics, cleaners, and personal care items, for endocrine-disrupting chemicals (EDCs) and asthma-related compounds. Testing revealed 55 chemicals, with fragranced products and sunscreens containing the highest levels. Vinyl products were also found to contain significant amounts of bis(2-ethylhexyl) phthalate (DEHP), a known EDC. Many harmful chemicals were not listed on product labels, limiting consumer ability to avoid them. These results highlight the presence of potentially harmful chemicals in commonly used products, raising concerns about their widespread use in household and personal care items.

Bisphenol A: an endocrine disruptor with widespread exposure and multiple effects.

Rubin et al,

2011

J Steroid Biochem Mol Biol

Bisphenol A (BPA) is a widely produced chemical used in plastics and food container linings, with frequent human exposure due to its leaching into food and beverages. BPA, a known endocrine disruptor, was initially deemed a weak estrogen but has shown potency comparable to estradiol, a form of estrogen, shown to affect multiple hormonal pathways. Studies on rodents reveal adverse effects at levels below and at the current acceptable daily intake, raising concerns about human health impacts about concentration. BPA’s estrogenic effects highlight the importance of investigating BPA’s complex, widespread impacts on health.

Endocrine-disrupting pesticides in infant formulas marketed in Brazil: Interference-free GC-MS analysis and early-life dietary exposure assessment.

Petrarca et al,

2025

Food Res Int

A study analyzing 60 infant formula products sold in Brazil detected dimethoate, an endocrine-disrupting insecticide, in five samples, with one soy-based formula exceeding the legal residue limit of 10 µg/kg established to protect infants under 1 year old. While estimated daily intakes from the contaminated formulas were within acceptable safety limits and unlikely to cause immediate health concerns, the findings are notable because infants are particularly vulnerable to endocrine-disrupting chemicals during critical developmental windows in the first months of life. The research highlights the need for continued monitoring of pesticide residues in infant formula, as exposure to endocrine disruptors during early development can have long-lasting effects on hormonal systems and potentially increase risks for diseases like breast cancer later in life.

Identification of Environmental Compounds That May Trigger Early Female Puberty by Activating Human GnRHR and KISS1R.

Yang et al,

2024

Endocrinology

The researchers in this study aimed to identify certain environmental chemicals that may contribute to the trend of earlier puberty onset in females by stimulating 2 key receptors. These receptors being investigated are kisseptin and gonadotropin-releasing hormone receptors in the hypothalamus which are highly involved in triggering puberty in females. The study identified musk ambrette, a synthetic fragrance commonly used in personal care products like perfumes, soaps, and detergents, as an agonist of KISS1R and triggered the release of Gnrh1, which could be a cause of early puberty as well. Additionally, agonists of GnRHR were investigated and found to be mainly from a group of cholinergic agonists with structures similar to methacholine. These agonists upregulated Fos, Jun, and Egr1 genes in the downstream pathway of GnRHR. Agonists such as musk ambrette and those that stimulate GnRHR may therefore contribute to early puberty due to their stimulation of key pathways involved in puberty.

Microplastic Contamination of Seafood Intended for Human Consumption: A Systematic Review and Meta-Analysis.

Danopoulos et al,

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.

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