Zusammenfassung
Hintergrund
Die Exposition gegenüber Umweltgiften ist ubiquitär in industrialisierten Ländern.
Fragestellung
Expositionsrouten und gesundheitsrelevante Effekte besonders mit Blick auf die Reproduktion bei Frauen und der intrauterinen Entwicklung von Kindern sowie perinatale Programmierung.
Material und Methoden
Auswertung und Reflektion aktueller Publikationen zum Thema mit Darstellung neuster Erkenntnisse und relevanter Zukunftsperspektiven.
Ergebnisse
Durch epidemiologische Studien gilt als gesichert, dass Menschen und Tiere heute einer Vielzahl von Umweltgiften ausgesetzt sind und trotz strenger Grenzwerte gesundheitsrelevante Effekte nicht ausgeschlossen werden können, sondern als sehr wahrscheinlich gelten. Mechanistische Untersuchungen tragen zum besseren Verständnis und zur Verdeutlichung der Dringlichkeit bei.
Schlussfolgerung
Mit weiterführenden epidemiologischen und experimentellen Studien können Bedeutung und Risiken für die Reproduktion und die kindliche Entwicklung durch Umweltgifte besser ergründet und politische Entscheidungsfindung sowie medizinische Prävention von Gesundheitseffekten vorangetrieben werden.
Abstract
Background
Exposure to environmental chemicals is ubiquitous in industrialized countries.
Objectives
Defining paths of exposure and health-related effects with regard to female reproductive parameters, perinatal programming and intrauterine fetal development.
Methods
Evaluation of and reflection on the recent body of literature on this topic and a presentation of novel findings and relevant future perspectives.
Results
Epidemiologic studies have proven that, in today’s environment, humans and animals alike are exposed to environmental toxicants and that, despite strict regulations, health effects cannot be ruled out, but appear instead highly likely. Mechanistic research can contribute to a better understanding of these threats and highlight their urgency.
Conclusions
Following novel epidemiologic and experimental studies, the significance of and risks to reproduction and infant development from environmental toxicants can be better understood and political decision-making and medical prevention of health effects further advanced.
Literatur
Pellizzari ED et al (2019) Identifying and prioritizing chemicals with uncertain burden of exposure: opportunities for biomonitoring and health-related research. Environ Health Perspect 127(12):126001
Bundesinstitut für Risikobewertung (2020) BfR – Leitbild. https://www.bfr.bund.de/de/bfr___leitbild-200288.html. Zugegriffen: 18. Dez. 2020
Zimmermann L et al (2019) Benchmarking the in vitro toxicity and chemical composition of plastic consumer products. Environ Sci Technol 53(19):11467–11477
Wang T et al (2018) The NIEHS TaRGET II Consortium and environmental epigenomics. Nat Biotechnol 36(3):225–227
Dietert RR (2014) Developmental immunotoxicity, perinatal programming, and noncommunicable diseases: focus on human studies. Adv Med. https://doi.org/10.1155/2014/867805
Darbre PD, Harvey PW (2008) Paraben esters: review of recent studies of endocrine toxicity, absorption, esterase and human exposure, and discussion of potential human health risks. J Appl Toxicol 28(5):561–578
Ye X et al (2006) Parabens as urinary biomarkers of exposure in humans. Environ Health Perspect 114(12):1843–1846
Becker K et al (2009) GerES IV: phthalate metabolites and bisphenol A in urine of German children. Int J Hyg Environ Health 212(6):685–692
Braun JM, Sathyanarayana S, Hauser R (2013) Phthalate exposure and children’s health. Curr Opin Pediatr 25(2):247–254
Paoli D et al (2020) Phthalates and bisphenol A: presence in blood serum and follicular fluid of Italian women undergoing assisted reproduction techniques. Toxics 8(4):91
Völkel W et al (2002) Metabolism and kinetics of bisphenol A in humans at low doses following oral administration. Chem Res Toxicol 15(10):1281–1287. https://doi.org/10.1021/tx025548t
Ghazipura M et al (2017) Exposure to benzophenone‑3 and reproductive toxicity: a systematic review of human and animal studies. Reprod Toxicol 73:175–183
Kim S, Choi K (2014) Occurrences, toxicities, and ecological risks of benzophenone‑3, a common component of organic sunscreen products: a mini-review. Environ Int 70:143–157
Foster W et al (2000) Detection of endocrine disrupting chemicals in samples of second trimester human amniotic fluid. J Clin Endocrinol Metab 85(8):2954–2957
Gore AC et al (2015) EDC-2: the Endocrine Society’s second scientific statement on endocrine-disrupting chemicals. Endocr Rev 36(6):E1–E150
Colborn T, vom Saal FS, Soto AM (1993) Developmental effects of endocrine-disrupting chemicals in wildlife and humans. Environ Health Perspect 101(5):378–384
Hensel A (2010) Einführung in die Thematik Endokrine Disruptoren. BfR, Berlin
Juncker J‑C, Brüssel (2018) Verordnung (EU) 2018/213 der Kommission über die Verwendung von Bisphenol A in Lacken und Beschichtungen, die dazu bestimmt sind, mit Lebensmitteln in Berührung zu kommen. European Commission Publications Office, Brüssel, S 1–7
EFSA Panel on Food Contact Materials et al (2019) Update of the risk assessment of di-butylphthalate (DBP), butyl-benzyl-phthalate (BBP), bis(2-ethylhexyl)phthalate (DEHP), di-isononylphthalate (DINP) and di-isodecylphthalate (DIDP) for use in food contact materials. EFS2 17(12):e5838
Calafat AM et al (2008) Exposure of the U.S. population to bisphenol A and 4‑tertiary-octylphenol: 2003–2004. Environ Health Perspect 116(1):39–44
Deceuninck Y et al (2015) Determination of bisphenol A and related substitutes/analogues in human breast milk using gas chromatography-tandem mass spectrometry. Anal Bioanal Chem 407(9):2485–2497
Rattan S, Flaws JA (2019) The epigenetic impacts of endocrine disruptors on female reproduction across generations. Biol Reprod 101(3):635–644
Lopez-Rodriguez D et al (2020) Cellular and molecular features of EDC exposure: consequences for the GnRH network. Nat Rev Endocrinol. https://doi.org/10.1038/s41574-020-00436-3
López-Rodríguez D et al (2019) Persistent vs transient alteration of folliculogenesis and estrous cycle after neonatal vs adult exposure to bisphenol A. Endocrinology 160(11):2558–2572
Zhou C, Gao L, Flaws JA (2017) Exposure to an environmentally relevant phthalate mixture causes transgenerational effects on female reproduction in mice. Endocrinology 158(6):1739–1754
Newbold RR et al (1998) Increased tumors but uncompromised fertility in the female descendants of mice exposed developmentally to diethylstilbestrol. Carcinogenesis 19(9):1655–1663
Kreitinger JM, Beamer CA, Shepherd DM (2016) Environmental immunology: lessons learned from exposure to a select panel of immunotoxicants. J Immunol 196(8):3217–3225
Sunyer J et al (2010) DDE in mothers’ blood during pregnancy and lower respiratory tract infections in their infants. Epidemiology 21(5):729–735
Holladay SD (1999) Prenatal immunotoxicant exposure and postnatal autoimmune disease. Environ Health Perspect 107(Suppl 5):687–691
Leifer CA, Dietert RR (2011) Early life environment and developmental immunotoxicity in inflammatory dysfunction and disease. Toxicol Environ Chem 93(7):1463–1485
Rogers JA, Metz L, Yong VW (2013) Review: endocrine disrupting chemicals and immune responses: a focus on bisphenol‑A and its potential mechanisms. Mol Immunol 53(4):421–430
Robinson L, Miller R (2015) The impact of bisphenol A and phthalates on allergy, asthma, and immune function: a review of latest findings. Curr Environ Health Rep 2(4):379–387
Herberth G et al (2017) Prenatal phthalate exposure associates with low regulatory T‑cell numbers and atopic dermatitis in early childhood: results from the LINA mother-child study. J Allergy Clin Immunol 139(4):1376–1379.e8
Jahreis S et al (2018) Maternal phthalate exposure promotes allergic airway inflammation over 2 generations through epigenetic modifications. J Allergy Clin Immunol 141(2):741–753
Leppert B et al (2020) Maternal paraben exposure triggers childhood overweight development. Nat Commun 11(1):561
Santamaria CG et al (2020) Dermal exposure to the UV filter benzophenone‑3 during early pregnancy affects fetal growth and sex ratio of the progeny in mice. Arch Toxicol 94(8):2847–2859
Santamaría CG et al (2019) The UV filter benzophenone 3, alters early follicular assembly in rat whole ovary cultures. Toxicol Lett 303:48–54
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T. Kretschmer und A.C. Zenclussen geben an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
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Kretschmer, T., Zenclussen, A.C. Maternale Schadstoffexposition und kindliche (intrauterine) Entwicklung. Gynäkologe 54, 253–259 (2021). https://doi.org/10.1007/s00129-021-04778-5
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DOI: https://doi.org/10.1007/s00129-021-04778-5