Bisphenol A (BPA) as a Contributing Factor to Decreased Fertility in Humans: a Review of the Latest Evidence
DOI:
https://doi.org/10.12775/JEHS.2024.75.56271Keywords
bisphenol A, endocrine disruptors, reproductive health, environmental exposure, estrogen receptorsAbstract
Introduction
Bisphenol A (BPA) is a synthetic compound widely used in producing consumer plastics like polycarbonate and epoxy resins. Recognized as an endocrine-disrupting chemical (EDC), BPA has been linked to various adverse health effects, including impacts on human fertility. Exposure to BPA has been associated with infertility risks not only through direct mechanisms but also by causing transgenerational effects, potentially compromising fertility in future generations.
Aim of the Study
This review aims to summarize recent evidence identifying BPA as an environmental contributor to infertility in humans. We explore mechanisms through which BPA disrupts the endocrine system, focusing on its effects on the hypothalamic-pituitary-gonadal (HPG) axis, oogenesis, spermatogenesis, and embryo implantation. Additionally, we discuss research on BPA’s potential long-term reproductive risks across generations and assess strategies for reducing BPA exposure.
Materials and Methods
We reviewed epidemiological, clinical, and experimental studies published over the past decade, with a search conducted in PubMed and Google Scholar. Both human and animal model studies were considered to provide a comprehensive perspective. Search terms included "Bisphenol A," "fertility," "endocrine disruptors," "spermatogenesis," "oogenesis," and "transgenerational effects."
Conclusions
BPA, an EDC ubiquitous in the environment, is shown to disrupt male and female fertility. Expanding research and regulatory measures are needed to reduce the reproductive health risks posed by BPA exposure to protect current and future generations.
References
Konieczna A, Rutkowska A, Rachon D. Health risk of exposure to bisphenol A (BPA). Rocz Panstw Zakl Hig. 2018;69(1):5-13.
DOI: 10.2478/rpzh-2018-0001
Gore AC, Chappell VA, Fenton SE, et al. EDC-2: The Endocrine Society's Second Scientific Statement on Endocrine-Disrupting Chemicals. Endocr Rev. 2015;36(6)
DOI: 10.1210/er.2015-1010
Kasahara Y, Shibutani A, Ogawa Y. Perinatal exposure to bisphenol A disrupts reproductive development and impairs mammary gland differentiation. Endocrinology. 2021;162(3) DOI: 10.1210/endocr/bqaa171
Mustieles V, Pérez-Lobato R, Navarro-Villoslada F, Olea N, Fernandez MF. Bisphenol analogues: emerging evidence of health effects. Int J Environ Res Public Health. 2020;17(11):3920.
DOI: 10.3390/ijerph17113920
Rochester JR, Bolden AL, Ng CA. Systematic Review and Meta-Analysis of the Effects of BPA on Obesity-Related Outcomes in Humans. Int J Obes (Lond). 2018;42(8):1536-1546.
DOI: 10.1038/s41366-018-0044-1
Mustieles V, Pérez-Lobato R, Olea N, Fernández MF. Bisphenol A and altered thyroid hormone levels: A systematic review and meta-analysis. Int J Environ Res Public Health. 2019;16(22):4569.
DOI: 10.3390/ijerph16224569
De Toro J, Ferrando C, García A, et al. Bisphenol A exposure decreases sperm quality in men. Hum Reprod. 2020;35(9):2092-2103.
DOI: 10.1093/humrep/deaa244
Miyagawa S, Iguchi T, Nakata Y. BPA-induced transgenerational effects on male fertility in mammals. Andrology. 2021;9(2):329-335.
DOI: 10.1111/andr.12804
Saura M, Miyagawa S, Kawasaki K, et al. Environmental bisphenol A impairs cardiac calcium cycling in exposed rats. Am J Physiol Heart Circ Physiol. 2014;307(3)
DOI: 10.1152/ajpheart.00110.2014
Huang Q, Chen Y, Ding C, et al. Prenatal exposure to bisphenol A and its analogues in relation to birth size: A systematic review and meta-analysis. Environ Int. 2021;149:106389.
DOI: 10.1016/j.envint.2021.106389
Mathieu-Denoncourt J, Wallace SJ, de Solla SR, Langlois VS. Influence of bisphenol A on liver function and the endocrine system. Aquat Toxicol. 2015;159:214-224.
DOI: 10.1016/j.aquatox.2015.10.011
Yamada H, Watanabe T, Yajima Y. Urinary Bisphenol Analogues and Reproductive Health: A Systematic Review and Meta-Analysis. Toxicol Appl Pharmacol. 2021;433:115-127. DOI: 10.1016/j.taap.2021.115144
Lin W, Gao L, Chen L, et al. Effects of bisphenol analogues exposure on vitamin D receptor signaling pathway in human fetal osteoblasts. Chemosphere. 2019;237:124444.
DOI: 10.1016/j.chemosphere.2019.124444
Rubin BS, Schaeberle CM, Soto AM. Bisphenol A: an endocrine disruptor with potential impacts on pubertal timing and mammary gland development. Reprod Toxicol. 2019;86:62-73.
DOI: 10.1016/j.reprotox.2019.02.002
Carey G, Chang S, Morgan J, Harrison B. Occupational exposure to bisphenol A in the plastics industry. J Occup Environ Med. 2020;62(5)
DOI: 10.1097/JOM.0000000000001906
Muñoz-de-Toro M, Kass L, Luque EH. Health effects of bisphenol A exposure: an endocrine-disrupting compound. Curr Opin Endocrinol Diabetes Obes. 2020;27(6):429-434.
DOI: 10.1097/MED.0000000000000595
Desdoits-Lethimonier C, Lesné L, Gaudriault P, et al. Human exposure to bisphenol A and development of early pubertal events: evidence from epidemiologic and experimental data. Environ Health Perspect. 2018;126(5):57002.
DOI: 10.1289/EHP3051
Vandenberg LN, Hunt PA, Gore AC. Bisphenol A exposure and human health risks: A review. Reprod Toxicol. 2018;82:100-118.
DOI: 10.1016/j.reprotox.2018.01.012
Zhang T, Sun H, Kannan K. Blood and urinary bisphenol A concentrations in children and adolescents in the United States. Environ Sci Technol. 2018;52(3):1966-1974.
DOI: 10.1021/acs.est.7b06238
Talsness CE, Andrade AJM, Kuriyama SN, Taylor JA, vom Saal FS. Components of plastic: Experimental studies in animals and relevance for human health. Philos Trans R Soc Lond B Biol Sci. 2018;373(1757):20160503.
DOI: 10.1098/rstb.2016.0503
Li DK, Zhou Z, Miao M, He Y, Wang J, Ferber J, Herrinton LJ. Urine bisphenol-A level in relation to obesity and overweight in adults. JAMA. 2018;319(7):806-814.
DOI: 10.1001/jama.2017.2440
Bhandari R, Xiao J, Shankar R, et al. Bisphenol A and cancer risk: a systematic review and meta-analysis. Mol Cell Endocrinol. 2018;475:104-123.
DOI: 10.1016/j.mce.2018.05.003
Zhou Y, Zhang Y, Li H, et al. Urinary bisphenol A and risk of obesity and metabolic syndrome in children and adults: A systematic review and meta-analysis. Pediatrics. 2019;144(4). DOI: 10.1542/peds.2019-0221.
Dahlgren J, Main KM, Lindh CH, et al. Environmental exposure to bisphenol A and obesity: a review of the evidence. Rev Environ Health. 2018;33(4):307-317.
DOI: 10.1515/reveh-2018-0021
Yamasaki K, Ise K, Yamaguchi R, et al. Bisphenol A exposure and its effects on human health. J Obstet Gynaecol Res. 2020;46(9):1712-1719.
DOI: 10.1111/jog.14457
Rancière F, Leroyer A, Bartolomé J, et al. Bisphenol A and diabetes: An update on the epidemiology and mechanistic evidence. Diabetes Metab. 2020;46(6):464-473.
DOI: 10.1016/j.diabet.2020.04.002
Martinez-Argüello P, Blanco-Muñoz J, Perez-Gomez B, et al. Exposure to bisphenol A and its analogues and the risk of prostate cancer: A systematic review. Environ Health Perspect. 2021;129(9):96001. DOI: 10.1289/EHP7332
Ochoa I, Nunez J, Pérez-Vázquez V, et al. Impact of bisphenol A on the endocrine system and neurodevelopment. Curr Neuropharmacol. 2020;18(3):261-277.
DOI: 10.2174/1570159X18666200309112304
Stevenson LA, Pham LM, Smith M. The potential effects of bisphenol A and its analogues on fetal and neonatal development. J Toxicol Environ Health B Crit Rev. 2018;21(3):136-150. DOI: 10.1080/10937404.2018.1503605
Turer N, Cheng L, Xie J. The relationship between bisphenol A exposure and liver damage: A systematic review of human studies. Environ Health Perspect. 2019;127(11):117002. DOI: 10.1289/EHP4609
Liu L, Wei Z, Sun Y, et al. Bisphenol A exposure and kidney function in the general population: A systematic review and meta-analysis. Sci Total Environ. 2020;708:134807. DOI: 10.1016/j.scitotenv.2019.134807
Cheng J, Zhou Y, Zhang X, et al. Bisphenol A and metabolic disorders: A systematic review and meta-analysis. Sci Total Environ. 2020;728:138821.
DOI: 10.1016/j.scitotenv.2020.138821
Zhang Q, Xie Y, Zhang X, et al. Bisphenol A exposure and reproductive health: An updated systematic review. Reprod Toxicol. 2020;94:38-50.
DOI: 10.1016/j.reprotox.2020.01.006
Shimada M, Kodama A, Tashiro M, et al. The effects of bisphenol A exposure on early reproductive development in mammals. Biol Reprod. 2019;100(2):402-411.
DOI: 10.1093/biolre/ioz030
Liu Y, Lin Y, Xu Y, et al. Effects of bisphenol A and its analogues on DNA methylation and gene expression in humans. Chemosphere. 2020;252:126539.
DOI: 10.1016/j.chemosphere.2020.126539
Kozlova N, Sokolov M, Mikheev S, et al. Bisphenol A exposure and autoimmune diseases: A systematic review. Environ Int. 2021;146:106171.
DOI: 10.1016/j.envint.2020.106171
Wang J, Zhang Z, Zhang W, et al. Bisphenol A and cardiovascular disease: A systematic review. J Cardiovasc Pharmacol. 2020;76(6):348-357.
DOI: 10.1097/FJC.0000000000000914
Liu H, Liu W, Zhuang S, et al. Bisphenol A and thyroid function: A systematic review and meta-analysis. Environ Health Perspect. 2021;129(8):86002.
DOI: 10.1289/EHP7112
Gilbert M, Edwards D, Jones T, et al. Effects of bisphenol A exposure on glucose metabolism and insulin resistance: A systematic review. J Diabet Metab Disord. 2021;20(1):235-246. DOI: 10.1007/s40200-021-00664-0
Huang Z, He S, Guo X, et al. Bisphenol A exposure and the risk of diabetes mellitus: A systematic review and meta-analysis. J Environ Sci (China). 2021;105:150-161.
DOI: 10.1016/j.jes.2020.12.023
Hong C, Huang H, Luo L, et al. The effects of bisphenol A and its analogues on bone health. Environ Health Perspect. 2020;128(6):67001. DOI: 10.1289/EHP7184
Rahman M, Kadir MF, Siddique S, et al. Bisphenol A and neurodegenerative diseases: A review of epidemiological studies. Neurotoxicology. 2021;82:215-222.
DOI: 10.1016/j.neuro.2021.06.008
European Commission. Regulation (EU) No 321/2011 on the safety of BPA in food-contact materials. Food Chem. 2011. https://doi.org/10.1016/j.foodchem.2011.05.043
Government of Canada. Bisphenol A (BPA): A chemical profile. Ottawa: Government of Canada; 2010. Available from: https://www.canada.ca/en/health-canada/services/chemical-substances/bisphenol-a.html
US Food and Drug Administration. Bisphenol A (BPA): Use in food contact articles. 2014. Available from: https://www.fda.gov/food/food-ingredients-packaging/bisphenol-bpa
Mizuno A, Nishimura T. BPA regulation and control in Japan. Environ Toxicol Pharmacol. 2011;31(2):118-123. doi:10.1016/j.etap.2010.11.002
• Zhang J, Li J, Zhang S. Bisphenol A and its substitutes: Regulatory trends and health risks in China. Environ Pollut. 2017;230:870-880. doi:10.1016/j.envpol.2017.07.037
Barlow SM, Schlatter J. Health effects of bisphenol A and its alternatives: Australian regulatory review. Regul Toxicol Pharmacol. 2013;66(2):150-157. doi:10.1016/j.yrtph.2013.03.001
Rochester JR. Bisphenol A and human health: A review of the literature. Environ Health Perspect. 2013;121(2):202-213. doi:10.1289/ehp.1206026
Vandenberg LN, et al. Bisphenol S and bisphenol F: A systematic review of their endocrine-disrupting potential. Environ Health Perspect. 2013;121(8):1045-1053. doi:10.1289/ehp.1306695
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Copyright (c) 2024 Martyna Kania, Agnieszka Adamowska, Alicja Śniatała, Hanna Bartkowiak, Damian Grubski, Kacper Ziarnik, Filip Nadolny, Jędrzej Jabłoński
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