1 Act together to coordinate functions of all body systems Nervous system ◦ Nerve impulses/ Neurotransmitters ◦ Faster responses, briefer effects, acts on specific target Endocrine system ◦ Hormone – mediator molecule released in one part of the body but regulates activity of cells in other parts ◦ Slower responses, effects last longer, broader influence 2 2 kinds of glands ◦ Exocrine – ducted ◦ Endocrine – ductless Secrete products into interstitial fluid, diffuse into blood Endocrine glands include ◦ Pituitary, thyroid, parathyroid, adrenal and pineal glands ◦ Hypothalamus, thymus, pancreas, ovaries, testes, kidneys, stomach, liver, small intestine, skin, heart, adipose tissue, and placenta not exclusively endocrine glands 3 4 Hormones affect only specific target tissues with specific receptors Receptors constantly synthesized and broken down 5 ◦ Lipid-soluble – use transport proteins Steroid Thyroid Nitric oxide (NO) ◦ Water-soluble – circulate in “free” form Amine Peptide/ protein Eicosanoid 6 Response depends on both hormone and target cell Lipid-soluble hormones bind to receptors inside target cells Water-soluble hormones bind to receptors on the plasma membrane ◦ Activates second messenger system ◦ Amplification of original small signal Responsiveness of target cell depends on ◦ Hormone’s concentration ◦ Abundance of target cell receptors ◦ Influence exerted by other hormones Permissive, synergistic and antagonistic effects 7 Regulated by ◦ Signals from nervous system ◦ Chemical changes in the blood ◦ Other hormones Most hormonal regulation by negative feedback ◦ Few examples of positive feedback 8 Natural or synthetic compounds that alter the hormonal and homeostatic systems that enable an organism to communicate with and respond to its environment. Exposure to EDCs can be environmental or developmental. 9 Age at exposure Latency from exposure Mixture of chemicals Dose/response Long-term latent effects 10 The endocrine disruptors have shared properties. There are similarities in the receptors and enzymes involved in the synthesis, release, and degradation of hormones. 11 Can be transmitted to future generations through epigenetic modifications or continued exposure of offspring to the compounds. 12 There is strong evidence of adverse reproductive outcomes: •Infertility •Cancers •Malformations 13 There is growing evidence for effects on other endocrine systems: •Thyroid •Neuroendocrine •Obesity and metabolism •Insulin and glucose homeostasis 14 Environment Food Consumer products 15 EDCs interfere with hormone biosynthesis, metabolism, or action. Such interference results in a deviation from normal homeostatic control or reproduction. 16 Presents evidence that EDCs have effects on male and female reproduction, breast development and cancer, prostate cancer, neuroendocrinology, thyroid, metabolism and obesity, and cardiovascular endocrinology 17 Based on •results from animal models •human clinical observations •epidemiological studies 18 Some pathways include: •Estrogenic •Antiandrogenic •Thyroid •Neurotransmitter receptors and systems 19 •Organochlorinated pesticides and industrial chemicals •Plastics and plasticizers •Fuels •Others present in the environment or in widespread use 20 industrial solvents/lubricants: Polychlorinated biphenols (PCBs) Polybrominated biphenols (PBBs) Dioxins Plastics: bisphenol A (BPA) Plasticizers: phthalates Pesticides: methoxychlor, chloropyrifos, DDT Fungicides: vinclozolin Pharmaceuticals: DES 21 Natural chemicals in food and feed: Phytoestrogens – genistein and coumestrol - widely consumed and in infant formula (soybased) 22 23 24 25 26 27 28 29 30 31 It is the phenolic structure: 32 They are thought to mimic natural steroid hormone and enable EDCs to interact with steroid hormone receptors as analogs or antagonists. Several classes of EDCs act as antiandrogens and as thyroid hormone receptor agonists or antagonists. Androgenic EDCs have been identified. 33 EDCs enter the food chain and can bioaccumulate (due to low water solubility and high lipid solubility. Contaminated drinking water Breathing contaminated air and contacting contaminated soil Occupational exposure to pesticides and industrial chemicals 34 Challenges to discerning EDC involvement in a particular disorder ◦ Each person’s unique exposure to a variety of known and unknown EDCs ◦ Individual differences in metabolism, body composition, and genetic traits ◦ Human disorders usually result from long term chronic exposure to low levels of mixtures of EDCs ◦ Latency between exposure to EDCs and occurrence of clinical disorder makes causal connection difficult (may be years or decades) 35 EDCs act by more than one mechanism. An EDC may have mixed steroidal properties: it may be both estrogenic and antiandrogenic. An EDC may be metabolized into different subproducts with different properties. Balance between estrogenic and androgenic properties of EDCs may be significant because reproduction in both sexes involves an interplay of androgens and estrogens. 36 Many organs are targeted by sex steroids and vulnerable to endocrine disruption. ◦ Hypothalamic-pituitary-gonadal system ◦ Breast ◦ Uterus ◦ Cervix ◦ Vagina ◦ Brain ◦ Bone, muscle and skin In addition, reproductive dysfunction can result from thyroid disruption 37 Interference with development and function of the female reproductive tract can predispose women to: Infertility Ectopic gestation Poor pregnancy outcomes Endometriosis Uterine fibroids Altered anatomy and functionality 38 Hypothesized that the significant increase of breast cancer in the industrialized world in the last 50 years may be due to exposure to hormonally active chemicals. Similar increase in incidence of testicular cancer, male genital tract abnormalities, and decrease in sperm quantity/quality suggest a link to the introduction of these chemicals into the environment. 39 Interface between Nervous and Endocrine systems Controls diverse functions, such as reproduction, stress, growth, lactation, metabolism and energy balance, osmoregulation, other homeostatic regulators Mediates ability of organism to respond to environment through rapid (neuronal) and more sustained (endocrine) responses 40 Neuroendocrine cells in brain have both neuronal and endocrine properties As a result, EDCs can have neurobiological and neurotoxic effects along with endocrine effects Several levels of organization: the brain (hypothalamus), the pituitary gland, and a target organ The reproductive Hypothalamus-PituitaryGonad (HPG) connection is the best studied in the area of endocrine disruption 41 Gonadotropin-releasing hormone (GnRH) (also called Luteinizing hormone) is produced in the hypothalamus and drives reproduction throughout the life cycle. It is the primary stimulus to the pituitary and the gonads. 42 GnRH release stimulates gonadotropin release from anterior pituitary Gonadotropin release activates steroidogenesis and gametogenesis in the ovary and testes Steroid hormones produced by the gonad act on target tissues that release estrogen, progestin and/or androgen receptors (AR) Many EDCs interfere with steroid hormone actions 43 But GnRH neurons do not have steroid receptors This means that other cells in the brain that do have steroid receptors and that regulate GnRH cells through afferent neural inputs are targets for EDCs Neuronal cells with steroid receptors include those that make neurotransmitters (such as serotonin and dopamine) and can regulate GnRH neurons EDCs have been shown to cause neurotoxicity to these neurons This is evidence of convergence of effects of EDCs on the link between neural and endocrine systems 44