biology.clc.uc.edu Effects of Pesticides on the Endocrine System Pesticide Health Effects Medical Education Database (PHEMED) Definition Synthetic chemicals that mimic hormones Disruption by: Receptors over-respond to the mimic Receptors respond at inappropriate times Block a receptor by competing with other hormones Stimulate or inhibit the endocrine system causing over or under production of natural hormones (thyroid) Chemicals with established links to endocrine disruption DES – diethylstibesterol Dioxins – CDD’s polychlorinated dioxins PCB’s – polychlorinated biphenyls DDT mimics estrogen DDE (major byproduct) interferes with testosterone function DES Vaginal CA in offspring of women taking DES as morning after pill or during pregnancy to avert SAB’s DES daughters increased risk for infertility, miscarriages, ectopic pregnancies. DES sons: evidence of increased risk: undescended testicles smaller penis size poorer sperm quality Dioxins Formed during: chlorine bleaching process at pulp and paper mills chlorination of waster and water treatment contaminant of chlorinated phenols (2,4,5-TCP, PCP) chlorinated pesticides or herbicides (such as 2,4,5-T, older 2,4-D, hexachlorophene, Silvex® ) none currently in use Agent Orange (combination of 2,4,5-T+ 2,4-D) Interferes with sex hormones PCB’s Persists in the environment + body (lipophylic) Banned uses that would disperse PCB’s: Continued use in ‘closed systems’ capacitors and insulating fluids in transformers vacuum pump fluids and hydraulic fluids Human exposure plasticizers in paints and cements fire retardant fabric treatments heat stabilizing additives for PVC electrical insulation Adhesives/ paints and water-proofing railway ties appliances, fluorescent light fixtures, electrical equipment > 30 years old Contaminated food (contaminated fish, dairy, meat) Air from hazardous waste sites Workplaces where closed systems are repaired Minics estrogen + interferes with thyroid hormones Pesticides Suspected to be Endocrine Disruptors Herbicides: 2,4-D Alachlor Amitrole Atrazine Metribuzin Nitrofen* Trifluralin http://www.nrdc.org/health/kids/ocar/chap5e.asp Pesticides Suspected to be Endocrine Disruptors Fungicides: Benomyl Fenarimol Mancozeb Maneb Vinclozolin Metiram Zineb Tributyltin Ziram Fumigants: DBCP* http://www.nrdc.org/health/kids/ocar/chap5e.asp Pesticides Suspected to be Endocrine Disruptors Insecticides: Aldicarb Aldrin* Carbaryl Chlordane* Dicofol Dieldrin* Endosulfan Endrin* Fenvalerate Heptachlor* Kepone* Lindane Malathion Methomyl Methoxychlor Mirex* Parathion* Pentachlorophenol Permethrin Toxaphene* http://www.nrdc.org/health/kids/ocar/chap5e.asp Health Effects of Endocrine Disruptors (ED’s) in Humans No firm causal evidence w/low exposure Suggestive relationship with : Reproduction Endometriosis Precocious puberty Nural function Immune function Cancers: breast, endometrial, testicular, prostate, thyroid Source: WHO/IPCS. Global assessment of the state-of-the-science of endocrine disruptors. WHO/PCS/EDC/02.2 Reproductive Decline in human sperm quality Impaired fertility and increased SAB’s Relationship to ED’s speculative Declining sex ratios Meta analysis studies reached different conclusions Not necessarily due to endocrine disrupters (ED’s) Evidence of unidentified external causes but mechanism unknown Developmental male reproductive tract abnormalities ED exposure evidence unclear Experimental data with a number of chemicals demonstrate they can disrupt male reproductive tracts. Gynecological Endometriosis Association with ED reported but studies equivocal Precocious Puberty Concern regarding influence of ED’s on early onset of puberty Role of other factors such as nutrition needs clarification Neural Function Prenatal exposure to ED’s (PCB’s) result in neurodevelopmental, behavioral and neuro-endocrine function problems. Human and animal data Effects more likely a result of altered thyroid or neuro-transmitters. In most instances ED mechanism not demonstrated Immune Function Some ED’s alter human and animal immunity Unknown if these alterations due to an endocrine mediated mechanism Cancers of Hormonally Sensitive Organs Temporal association between rise in hormone sensitive organ cancers and wide spread use of industrial chemicals Increase incidence not explained by improved diagnostic techniques. Hypothesis – is it from ED’s? Breast Cancer Studies measuring DDE (DDT metabolite stored in fat tissue) in adult women do not support a causative relationship. New study measuring the more active p,p´-DDT metabolite in frozen blood from women at delivery from the 1950’s show a 5 fold relationship. * *Cohen et al. (2007) DDT and Breast Cancer in Young Women: New Data on the Significance of Age at Exposure. EHP. 115(10) 1406-1414. Other Cancers Endometrial - limited data – no causal relationship established. Prostate – some associations positive and some negative. Mechanism unknown. Testicular – temporal rise without link to same time frame as use of ED’s Thyroid – no direct link to ED exposure has been demonstrated. Future Adverse health outcomes appear biologically plausible given: Known effects of endogenous and exogenous hormones sensitive organs Demonstrated effects on wildlife and laboratory animals They are a high priority research area is required – EPA required to screen products for potential effects on the endocrine system Other non-ED mechanisms must also be explored