Hormones and Endocrine Disruptors Quiz

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Questions and Answers

Which of the following is the MOST accurate description of how the course was designed to engage students?

  • By simplifying the content to ensure all students can easily grasp the information, regardless of their prior knowledge.
  • By presenting the material in a way that fosters curiosity and enthusiasm, emphasizing relevance to daily life and healthy choices. (correct)
  • By focusing solely on the challenging aspects of harmful chemicals to encourage serious study habits.
  • By discouraging interaction among students to minimize distractions and maintain a focused learning environment.

Based on the chart, which of the following EDCs is correctly matched with its major category/use and a potential health effect?

  • DDT - Herbicide - Feminization
  • Phthalate - Pesticide - Impairs egg shell thickness
  • Atrazine - Pesticide - Cancer
  • BPA - Plasticizer - Reduces sperm quantity and quality (correct)

According to the information, Atrazine is categorized as a(n) ________ and functions by ________.

  • Herbicide; Antagonizing testosterone (correct)
  • Plasticizer; Mimicking estrogen
  • Pesticide; Impairing egg shell thickness
  • Plasticizer; Reducing sperm quantity and quality

Which of the following hormone types describes hormones that travel throughout the blood to act at a distant site?

<p>Endocrine (A)</p> Signup and view all the answers

Which of the following is an example of a neurohormone?

<p>Oxytocin (B)</p> Signup and view all the answers

If a researcher discovers a new chemical that interferes with the signaling of estrogen, in what category should this chemical be classified?

<p>Endocrine Disruptor (A)</p> Signup and view all the answers

BPA and Phthalates are both categorized as plasticizers. Based on the information provided, what effect do they have in common?

<p>Reduce sperm quantity and quality (A)</p> Signup and view all the answers

Which communication type involves hormones acting on nearby cells?

<p>Paracrine (C)</p> Signup and view all the answers

What is the primary effect of cortisol on glucose uptake in muscle and adipose tissue?

<p>Inhibition (A)</p> Signup and view all the answers

Which of the following pancreatic hormones directly increases blood glucose levels?

<p>Glucagon (C)</p> Signup and view all the answers

A patient presents with increased sodium reabsorption and increased potassium excretion. Which adrenal hormone is most likely elevated?

<p>Aldosterone (D)</p> Signup and view all the answers

Which of the following is NOT a function of adrenaline released from the adrenal medulla?

<p>Stimulation of digestion (A)</p> Signup and view all the answers

What is the impact of increased levels of somatostatin on insulin and glucagon secretion?

<p>Inhibits both insulin and glucagon secretion (A)</p> Signup and view all the answers

Which hormone directly stimulates triglyceride synthesis in adipocytes?

<p>Insulin (C)</p> Signup and view all the answers

A researcher is studying the impact of a novel drug on phosphate homeostasis. They observe that the drug inhibits phosphate reabsorption in the kidney. What is the most likely outcome?

<p>A small net drop in serum phosphate (B)</p> Signup and view all the answers

What effect does noradrenaline have on blood pressure?

<p>Increases blood pressure (A)</p> Signup and view all the answers

A woman experiences masculinizing effects due to an adrenal hormone imbalance. Which hormone is most likely responsible?

<p>DHEA (B)</p> Signup and view all the answers

An infant being nursed by its mother is found to be exposed to dioxin at a rate significantly exceeding the EPA's Risk Specific Dose. Which of the following values represents the closest difference between the infant's exposure and the EPA's recommended dose, expressed as a multiple?

<p>10,000 times higher (A)</p> Signup and view all the answers

Which hormone promotes glycogenesis in the liver?

<p>Insulin (C)</p> Signup and view all the answers

What is the primary concern regarding the exposure of developing fetuses and infants to endocrine-disrupting chemicals (EDCs) like dioxin?

<p>Disruption of hormonal balance, leading to developmental and functional abnormalities. (D)</p> Signup and view all the answers

A study reveals a steady annual decline of 1.5% in sperm counts among men in industrialized nations. If this trend continues, which of the following best describes the long-term implications for reproductive health?

<p>A potential indicator of widespread exposure to environmental toxins affecting male reproductive function. (D)</p> Signup and view all the answers

DES, a synthetic estrogen, was historically prescribed to pregnant women. What is the most significant adverse effect of DES exposure revealed through subsequent research?

<p>Teratogenic effects leading to structural abnormalities of the reproductive system. (B)</p> Signup and view all the answers

Which of the following disorders associated with endocrine disruptors are classified as developmental, behavioral, or mental disorders?

<p>Anger, inattention, decreased mental capacity, and ADHD. (C)</p> Signup and view all the answers

Why do humans, as apex predators, tend to accumulate higher concentrations of EDCs compared to organisms lower in the food chain?

<p>EDCs biomagnify as they move up the food chain, leading to higher concentrations in top predators. (D)</p> Signup and view all the answers

What is the most significant concern regarding the exposure of fetuses and infants to EDCs?

<p>EDCs can interfere with normal hormonal signaling during critical developmental stages. (C)</p> Signup and view all the answers

What distinguishes a synergistic effect from an additive effect when multiple chemicals, including EDCs, are combined?

<p>A synergistic effect results in a combined toxicity greater than the sum of individual toxicities, while an additive effect results in a combined toxicity equal to the sum. (B)</p> Signup and view all the answers

How might EDCs such as dieldrin, endosulfan, and toxaphene exert a more potent effect when combined?

<p>By amplifying each other's ability to mimic or disrupt natural hormones in the body. (B)</p> Signup and view all the answers

An EDC binds to a hormone receptor inside a cell and prevents a natural hormone from binding. What is the likely outcome of this?

<p>A normal signal fails to occur, and the body does not respond properly. (D)</p> Signup and view all the answers

Why is the blubber layer of Beluga whales significant in the context of organochlorines?

<p>It serves as a primary site for organochlorine accumulation. (A)</p> Signup and view all the answers

Vitellogenin is a precursor protein of egg yolk normally found in female vertebrates. Which of the following scenarios would raise concerns about EDC exposure in a wildlife population?

<p>Elevated vitellogenin levels are observed in male fish. (D)</p> Signup and view all the answers

Cryptorchidism, the condition of undescended testicles, has been linked to EDC exposure. What mechanism directly connects environmental toxins to this specific developmental issue?

<p>EDCs interfere with hormone signaling pathways essential for normal testicular descent. (A)</p> Signup and view all the answers

A manufacturer is looking for a plasticizer for flexible PVC. Considering health and environmental impacts, which of the fallowing would be the LEAST suitable choice?

<p>BPA (Bisphenol A). (C)</p> Signup and view all the answers

Considering its lifecycle from production to disposal, which type of plastic contributes the most significant exposure to EDCs?

<p>Polyvinyl chloride (PVC). (D)</p> Signup and view all the answers

A community is considering incinerating PVC waste. What is the primary environmental concern associated with this disposal method?

<p>Formation and release of dioxins. (A)</p> Signup and view all the answers

Which of the following scenarios would most likely result in the release of dioxins into food?

<p>Heating food in the microwave using PVC plastic containers. (D)</p> Signup and view all the answers

What is the main health concern associated with the use of BPA in products like water bottles and food can linings?

<p>It mimics estrogen and disrupts the endocrine system. (C)</p> Signup and view all the answers

What is the primary reason why certain PCB congeners are considered more toxic than others?

<p>Higher chlorinated PCBs are associated with neurological damage. (B)</p> Signup and view all the answers

Given that the half-life of dioxin in the human body is 8.5 years, approximately how long would it take for the concentration of dioxin in a person's body to reduce to 25% of its original level, assuming continuous exposure ceases?

<p>17 years (C)</p> Signup and view all the answers

Which statement best describes why PCBs were historically used in electrical transformers and capacitors?

<p>PCBs were used as coolants and fluids for transformers and capacitors, as stabilizing additives in flexible PVC coatings of electrical wiring. (D)</p> Signup and view all the answers

Which characteristic of children makes them more susceptible to the effects of endocrine-disrupting chemicals (EDCs) compared to adults?

<p>An immature blood-brain barrier which allows more chemical passage. (C)</p> Signup and view all the answers

Which of the following is a common source of endocrine-disrupting chemicals (EDCs) found in ordinary household products?

<p>Breakdown products of detergents and associated surfactants, including nonylphenol and octylphenol. (D)</p> Signup and view all the answers

A study investigates the effects of a specific pesticide on the reproductive health of rats. Which category does this pesticide most likely belong to, considering its potential to disrupt endocrine functions?

<p>Pesticides. (D)</p> Signup and view all the answers

A chemical plant has a history of leaks, resulting in the contamination of the local water supply with dioxins and furans. Which category of endocrine-disrupting chemicals (EDCs) do these contaminants belong

<p>Persistent Organohalogens. (C)</p> Signup and view all the answers

An individual is exposed to high levels of di-ethylhexyl phthalate (DEHP) through contaminated food packaging. Which category of endocrine-disrupting chemicals does DEHP belong to?

<p>Phthalates. (C)</p> Signup and view all the answers

Researchers are studying the impact of heavy metals on cognitive development in children living near industrial sites. Which of the following heavy metals is recognized as a common endocrine-disrupting chemical (EDC)?

<p>Arsenic. (A)</p> Signup and view all the answers

A pharmacist is counseling a patient about potential side effects of cimetidine. The patient has a history of cardiovascular issues. Which category of endocrine disruptors does cimetidine belong to, and what potential toxicity should the pharmacist highlight?

<p>Pharmaceuticals, potential for cardiovascular toxicity. (B)</p> Signup and view all the answers

A public health campaign aims to reduce exposure to endocrine-disrupting chemicals (EDCs) from motor vehicle emissions. Which of the following measures would be most effective in achieving this goal?

<p>Reducing idling times and promoting the use of public transportation. (B)</p> Signup and view all the answers

Flashcards

Endocrine Disrupting Chemicals (EDCs)

Chemicals that can interfere with the endocrine system, mimicking or blocking hormones.

DDT

A pesticide known to cause cancer and impair eggshell thickness in birds.

Atrazine

A herbicide that can cause feminization.

BPA

A plasticizer that may cause cancer and reduce sperm quality/quantity.

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Phthalate

A plasticizer that may cause cancer and reduce sperm quality/quantity.

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Endocrine Hormones

Hormones traveling through the blood to affect distant cells.

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Paracrine Hormones

Hormones that act on nearby cells.

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Autocrine Hormones

Hormones that act on the same cell that secreted them.

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Phosphate excretion

Inhibits phosphate reabsorption in the kidneys, increasing phosphate excretion, leading to a slight decrease in serum phosphate.

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Insulin function

Secreted by β islet cells, promotes glucose uptake, glycogenesis, glycolysis, lipid intake, and triglyceride synthesis.

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Glucagon function

Secreted by α islet cells, promotes glycogenolysis and gluconeogenesis in the liver, increasing blood glucose levels.

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Somatostatin function

Secreted by δ islet cells, inhibits insulin and glucagon release and suppresses pancreatic exocrine secretion.

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Pancreatic polypeptide function

Secreted by PP cells, self-regulates pancreatic secretion and affects hepatic glycogen levels.

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Glucocorticoids (cortisol) function

Secreted by zona fasciculata and reticularis, stimulates gluconeogenesis, fat breakdown, inhibits protein synthesis and immune/inflammatory responses.

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Mineralocorticoids (aldosterone) function

Secreted by zona glomerulosa, stimulates sodium and water reabsorption and potassium/H+ secretion in kidneys, increasing blood pressure.

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Adrenal androgens function

Secreted by zona fasciculata and reticularis, have masculinizing effects (more pronounced in females).

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Adrenaline (epinephrine) function

Secreted by chromaffin cells, mediates 'fight-or-flight' by increasing heart rate, vasodilation, glycogen breakdown, and pupil dilation.

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Noradrenaline (norepinephrine) function

Secreted by chromaffin cells, mediates 'fight-or-flight' by increasing heart rate, vasoconstriction, blood pressure, and skeletal muscle readiness.

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Endocrine Disruptors (EDCs)

Chemicals that can interfere with endocrine (hormone) systems, causing adverse developmental, reproductive, neurological, and immune effects in both humans and wildlife.

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Birth Defects due to EDCs

Alterations in sexual and functional development, neurologic disorders, diabetes, immunologic disorders, early puberty. Examples: Feminization of males by ATZ, masculinization in PCOS.

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Cancers Linked to EDCs

Breast, colon, vaginal, endometriosis, cervix, testicular cancers, non-Hodgkin's lymphoma. Linked to sexual differentiation, structural abnormalities of reproductive organs, and subfertility.

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EDCs and Neurodevelopment

Developmental, behavioral, and mental disorders including ADHD, autism, learning disabilities, decreased mental capacity, propensity to violence, reduced motor skills, and poor eye-hand coordination.

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Diethylstilbestrol (DES)

A synthetic estrogen formerly used to prevent miscarriages. Later found to be a teratogen (causing birth defects).

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PVC (Polyvinyl Chloride)

A synthetic plastic polymer used in pipes, toys, and medical equipment.

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Dioxins

Toxic compounds produced during PVC manufacturing and when heating food in plastic containers.

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PCBs (Polychlorinated Biphenyls)

A group of 209 compounds used as coolants and stabilizers, now recognized as environmental pollutants.

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PCB Congeners

The term for individual PCB compounds.

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Blubber

A thick layer of fat and tissue in marine mammals, used for insulation and energy storage; a site for pollutant accumulation.

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Toxaphene

Organochlorine pesticide found in high concentrations in Beluga whale blubber.

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Plasticizers

Chemicals added to plastics to increase flexibility; BPA and phthalates are common examples.

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BPA (Bisphenol A)

A plasticizer found in water bottles and can linings that can lower sperm count and increase cancer risk.

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What does ppm stand for?

Concentration in parts per million.

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What are endocrine-disrupting chemicals (EDCs)?

Chemicals that can disrupt the endocrine system by mimicking hormones, blocking hormone receptors, or interfering with hormone metabolism.

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What is the synergistic effect?

The combined effect of multiple chemicals is greater than the sum of their individual effects.

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How do EDCs interact with estrogen receptors (ERs)?

EDCs mimic estrogen and bind with estrogen receptors.

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What happens when EDCs mimic natural hormones?

When the body responds excessively to stimulation.

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What is cryptorchidism?

Testicles that have not descended.

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What is vitellogenin?

A precursor protein of egg yolk, used as a biomarker for estrogen exposure.

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What is PVC?

Poly Vinyl Chloride contributes the greatest exposure to EDCs of all plastics. It is toxic during production, use, and when it is disposed of.

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Persistent Organohalogens

A group of persistent chemicals including dioxins and furans.

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Bisphenols

Chemicals like Bisphenol A that interfere with endocrine function.

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Drug Estrogens

Pharmaceuticals designed to mimic or affect estrogen in the body.

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Heavy Metal EDCs

Toxic metals like lead and mercury that disrupt endocrine function.

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Combustion Byproducts

Chemicals produced by burning fuels that can disrupt the endocrine system.

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Surfactant Degradation Products

Breakdown products of detergents/surfactants that can disrupt endocrine function.

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Immature Blood-Brain Barrier

Children are more vulnerable to EDCs because their blood-brain barrier is not fully formed.

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Study Notes

Teaching Philosophy

  • Professor Banu aims to create a stress-free learning environment where students feel comfortable, supported, and free to interact with joy, curiosity, and passion.
  • The professor believes that this type of classroom environment dramatically impacts students' learning interests, performance, interaction, and the outcome of their overall learning in a positive way.
  • Aims to foster students' self-esteem, and help each student feel their own values, uniqueness, and talents.
  • A key point is to break the stranger anxiety between the students and the teacher.
  • The professor said she is available for students as long as they need her, and she makes herself easily approachable.
  • When interacting with students, the professor views, addresses, approaches, and interacts with students as the future leaders, physicians, directors, presidents, and researchers.
  • This approach increases learning ability and raises the bar above the average learning curve.
  • Strives to foster curiosity and enthusiasm in students for learning by designing the course in an engaging way.
  • Focus is on teaching the materials and exploring related information, and interacting with the other students about the new information that they learn.
  • The professor understands this is a challenging course; however, students seem to appreciate learning about exposure to these harmful chemicals and how to avoid them in their daily lives, thus making healthy lifestyle choices and sharing what they learn with their family and friends.

Endocrine Organs

  • Hypothalamus
  • Pituitary
  • Pineal
  • Thyroid
  • Parathyroid
  • Thymus
  • Adrenal
  • Kidney
  • Pancreas
  • Ovary
  • Uterus
  • Testes

Endocrine Disruptors and Hormone Mimicry

  • Thyroid gland & hormone are mimicked by PCBs
  • Ovaries & Estrogen are mimicked by BPAs
  • Testis & Testosterone is antagonized by Atrazine

Types of Hormones

  • Endocrine hormones travel through the blood: examples are steroid and thyroid hormones.
  • Paracrine hormones act on nearby cells
  • Autocrine hormones act on themself: cytokines
  • Neurocrine hormones are secreted by neural cells (neurotransmitters and neurohormones)

Examples of Neurotransmitters and Neurohormones

  • Examples of neurotransmitters; glutamate, aspartate, D-serine, GABA, and glycine
  • Examples of monoamines; dopamine (DA), norepinephrine (noradrenaline; NE, NA), epinephrine (adrenaline), histamine, and serotonin (SER, 5-HT).
  • Examples of neurohormones; oxytocin and antidiuretic hormone (also referred to as vasopressin).

Amine Hormones

  • Amine Hormones are derived from the amino acid tyrosine.
  • Includes thyroid hormones and catecholamines (chromaffin cells of the adrenal medulla)
  • Stored until secreted in the body

Steroid Hormones

  • Made from cholesterol, are lipophilic (dissolve in fats) and can enter target cells
  • Immediately released from the cells after synthesis
  • Interact with cytoplasmic or nuclear receptors
  • Activate DNA for protein synthesis
  • Slower acting and have a longer half-life than peptide hormones
  • Examples: cortisol, estrogen & testosterone

Steroid Hormone Actions

  • Hydrophobic steroids bind to plasma protein carriers and only hormone unbound can diffuse into the target cell steroid hormone receptors are in the cytoplasm or nucleus
  • The receptor-hormone complex binds to DNA and activates or represses genes
  • Activated genes create new mRNA which moves back to the cytoplasm
  • This translation produces new proteins used for important cell processes
  • Some steroid hormones also bind to cell receptors that use 2nd messenger systems which creates fast cell responses

Endocrine Disruptors Introduction

  • Endocrine disruptors are synthetic chemicals, or natural phytoestrogens, that affect the endocrine systems of humans and animals.
  • They mimic, block, or interfere with the natural instructions of hormones to cells.
  • Classes of EDCs include heavy metals, combustion by-products, pharmaceuticals (like DES), pesticides (like DDT, dieldrin, and endosulfan), plasticizers (like DEHP, phthalates, and BPA), flame retardants (PBDEs), detergents, and persistent organochlorines (PCBs, dioxins, and furans).

Definitions of Endocrine Disruptors

  • 1996 EPA Definition: An exogenous agent that interferes with production, release, transport, metabolism, binding, action, or elimination of natural hormones responsible for homeostasis and developmental regulation
  • 1996 EU Definition: An exogenous substance causing adverse health effects in an intact organism or its progeny, secondary to endocrine function changes. Potential EDCs possesses properties expected to cause endocrine disruption in an intact organism.
  • 2002 WHO/IPCS Definition: An exogenous substance or mixture altering endocrine system function(s), causing adverse effects in an intact organism, its progeny, or (sub)populations.
  • 2012 Endocrine Society Definition: An exogenous chemical or mixture interfering with hormone action aspects.

Common Sources of EDCs

  • Sources include industrial processes, steel foundries, motor vehicles, PVC incinerators, building fires, cigarette smoke, pesticides, fungicides, cosmetics, and sunscreens.

EDCs in Everyday Use

  • Common sources of EDCs include pharmaceuticals (birth control pills), dental sealants, solvents, surfactants, pesticides (Roundup), and some plastics.
  • EDCs have a large variety of molecular features and potency, and the effect of potency depends on target organ/cells
  • EDC’s mimic naturally found hormones to potentially cause overstimulation
  • Bind to a receptor to block the hormone from binding, leads to interferences with natural hormone metabolism in the liver.

EDC Accumulation and Action

  • Some toxicants, like EDCs, can be excreted or metabolized while others are stored in the body's fatty tissues.
  • Fat-soluble toxicants are stored in fatty tissues
  • Bioaccumulation = toxicants build up in animal tissues
  • Biomagnification=toxicants concentrate in top predators
  • Humans are at the top so will have the highest level of EDCs

Dangers to Fetus

  • EDCs can cross the placenta into the fetus.
  • EDCs can be passed down to the infants through their mother’s milk
  • Combinations of 2 or more chemicals can cause the toxicity levels to rise
  • Combinations of weak environmental estrogens, such as dieldrin and endosulfan are 1000x as strong as each one separately

How EDCs work in the cell

  • EDCs mimic the chemical structure of hormones to bind with estrogen receptors

EDC Effects on Wildlife

  • Mammals, birds, fish, amphibians, and reptiles are all impacted by EDCs
  • Impactful EDCs- Mercury, PCBs
  • Common outcomes- Sterility, tumor growth and decreased testosterone
  • TCDD is another name for dioxin
  • Vitellogenin, a precursor protein of egg yolk, present only in females, is a biomarker of exposure to environmental estrogens in vertebrates.

Sources of Human EDC Exposure

  • Poly Vinyl Chloride (PVC) is responsible for the greatest level of Edc exposure
  • PVC is toxic when produced, used and disposed of
  • Found in toys, clothing, water pipes, raincoats and medical supplies
  • Dioxin produced from PVC manufacturing
  • BPA (Bisphenol-A) is common in PVC and leaks into liquid and greasy foods.
  • Flexible PVC products - 95% of phthalates are used in PVC to function as half the products weight!

EDC Health Outcomes

  • Heating foods in the microwave using plastic = dioxins produced
  • Dioxins are a carcinogen and highly toxic, with half life of 8.5 years in the human body
  • Some symptoms from EDC exposure include neurological damage, dermal and ocular lesions, irregular menstrual cycles and decreased immune response

Specific examples EDCs

  • Some common classes of chemicals and examples are:
    • Plasticizers: Bisphenol-A is the most common
  • Polystyrene: Used for food packaging, may leach Styrene
  • Pesticides: Americans use ~2 billion pounds/year, and some are endocrine disruptors that stay in the food chain for decades -DDT in particular can cause congenital malformations, decreased sperm count, and increases in breast cancer.
  • Herbicides: one example is Atrazine(ATZ)
    • ~75 million lbs are used each year in the US
    • Can run off into rivers and groundwater at toxic levels and contaminate drinking water
    • Inhibits production of testosterone and causes chemical castrations, causing the feminization of males
      • Northern Leopard Frogs, for example, have been found to have eggs growing in their testicles Birth defects: alterations in sexual and functional development, neurologic disorders, diabetes mellitus, immunologic disorders, early puberty in young girls
  • Cancers: breast, colon, vaginal, endometriosis, cervix, testicular; sexual differentiation of the brain and other estrogen target tissues, structural abnormalities of the oviduct, uterus, cervix and vagina, a contributing factor to subfertility

Dirty Dozen EDCs

  • BPA: Linked to cancer and reproductive/heart problems, found in 93% Americans
  • Dioxin: disrupt hormone signaling, powerful carcinogens. Found in butter, meat, milk, seafood and eggs
  • Atrazine: in most water crops, pervasive in drinking H20 - delayed puberty + prostate inflammation = prostate cancer
  • Phthalates: hormone changes/lower sperm count - male reproductive defects, also with obesity and thyroid irregularities
  • Perchlorate: compete with iodine and disrupts thyroid hormone development
  • Fire retardants: Immitate the functions of thyroid hormones and can lower humans IQ levels
  • Lead and Arsenic: damages organ systems can cause cancer, skin problems + weight and hormone malfunction
  • Mercury: contaminates seafood, can deregulate cycle and interfere with pregnancy
  • PFCs:  link to decreased sperm quality, thyroid disease and high cholesterol, among other health issues
  • Organophosphate pesticides and Glycol Ethers

How to Reduce EDC Exposure

  • Avoid strong chemicals, glues, paints, nail/carpet polish.
  • Don't heat food/eat hot food in plastic containers.
  • Purchase organic produce, meats and milk
  • Buy local produce, lower food the chain, avoid canned goods, spend less time in places that smell of chemicals

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