Review
The estrogenic endocrine disrupting chemical bisphenol A (BPA) and obesity

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Abstract

There is increasing experimental and epidemiological evidence that fetal programming of genetic systems is a contributing factor in the recent increase in adult obesity and other components of metabolic syndrome. In particular, there is evidence that epigenetic changes associated with the use of manmade chemicals may interact with other factors that influence fetal and postnatal growth in contributing to the current obesity epidemic. The focus of this review is on the developmental effects of estrogenic endocrine disrupting chemicals (EDCs), and more specifically on effects of exposure to the estrogenic EDC bisphenol A (BPA), on adipocytes and their function, and the ultimate impact on adult obesity; BPA exposure also results in impaired reproductive capacity. We discuss the interaction of EDCs with other factors that impact growth during fetal and neonatal life, such as placental blood flow and nutrient transport to fetuses, and how these influence fetal growth and abnormalities in homeostatic control systems required to maintain normal body weight throughout life.

Highlights

► Estrogenic EDC exposure may lead to obesity via genetic programming. ► Estrogens and EDCs directly regulate adipocyte function. ► Developmental EDC exposure influences adult body weight and metabolism. ► Effects of EDCs on body weight and on glucose homeostasis are seen at low doses.

Section snippets

Effects of exposure to estrogens in adulthood on adipose tissue

Estrogens and other sex hormones regulate the functioning of tissues in addition to those involved in reproduction in adults. The effects that occur when a hormone is present often do not occur after the hormone is withdrawn. These are termed “activational” effects. The typical view is that increased plasma concentrations of estrogens are associated with a reduction in food intake and body weight in adults, and that the loss of ovarian estrogen secretion related to menopause in women results in

Production and response to hormones in adipocytes

Fat tissue is now recognized to produce hormones that are critical for regulating metabolism and other processes. Leptin is produced by fat cells and impacts body weight via effects on the hypothalamus, and also impacts reproductive processes via effects on gonadotropin releasing hormone (GnRH) (Gao and Horvath, 2008, Donato et al., 2011). Adiponectin is produced by adipocytes and plays a role in regulating glucose uptake into cells (Ben-Jonathan et al., 2009). Interestingly, leptin and

Endocrine disrupting chemicals (EDCs): a paradigm shift in the study of environmental chemicals

A meeting held in 1991 (Colborn et al., 1992) brought to the attention of the scientific community and the public that chemicals present in household products, such as building materials, plastics, cleaning fluids, cosmetics and pesticides, previously considered safe by regulatory agencies, could interfere with endocrine signaling systems in the body. This discovery (Colborn et al., 1993) has led over the last two decades to an extensive amount of research on endocrine disrupting chemicals or

The adult phenotype due to intrauterine growth restriction (IUGR) is similar to developmental exposure to BPA

There is extensive epidemiological evidence showing that babies with intrauterine growth restriction (IUGR) who then experience a rapid “catch-up” growth spurt during childhood are at high risk for adult obesity and type 2 diabetes (as well as other aspects of metabolic syndrome), consistent with the DOHaD hypothesis (Heindel and vom Saal, 2009, Oken and Gillman, 2003). Thus, fetal growth rate interacts with childhood-adolescence growth rate in terms of whether IUGR leads to adult obesity and

Conclusions

At this time there is limited human data relating obesity with environmental chemicals, and specifically environmental chemicals that are estrogenic or otherwise disrupt estrogen homeostasis. However, there has been an increase in experimental animal research relating environmental chemical exposure to obesity, insulin and glucose dysregulation, and type 2 diabetes. Findings from these studies have led to an increased awareness that energy expenditure and components of diet, while important,

Disclosure statement

S.C.N., J.A.T., B.L.C. and B.M.A. have nothing to disclose. F.S.v.S. has been a consultant for attorneys involved in product labeling litigation.

Role of the funding source

Support during the preparation of this chapter was provided by grants to F.S.v.S. (ES018764) and to S.C.N. (HD056441). The study sponsors had no further part in the study or in the decision to submit the paper for publication.

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