'Gender-bending' chemicals found to 'feminise' boys
- 17:17 27 May 2005 by Andy Coghlan
"Gender-bending" chemicals mimicking the female
hormone oestrogen can disrupt the development of baby boys, suggests the
first evidence linking certain chemicals in everyday plastics to
effects in humans.
The chemicals implicated are phthalates,
which make plastics more pliable in many cosmetics, toys, baby-feeding
bottles and paints and can leak into water and food.
All previous studies suggesting these
chemicals blunt the influence of the male hormone testosterone on
healthy development of males have been in animals. "This research
highlights the need for tougher controls of gender-bending chemicals,"
says Gwynne Lyons, toxics adviser to the WWF, UK. Otherwise, "wildlife
and baby boys will be the losers".
The incriminating findings came from a
study of 85 baby boys born to women exposed to everyday levels of
phthalates during pregnancy. It was carried out by Shanna Swan at the
University of Rochester School of Medicine and Dentistry, New York, US,
and colleagues.
As an index of feminisation, she measured
the "anogenital distance" (AGD) between the anus and to the base of the
penis. She also measured the volume of each boy's penis. Earlier studies
have shown that the AGD is twice in boys what it is in girls, mainly
because in boys the hormone testosterone extends the length of the
perineum separating the anus from the testicles.
Undescended testicles
In animals, AGD is reduced by phthalates -
which mimic oestrogen - which keep testosterone from doing its normal
job. At higher doses, animals develop more serious abnormalities such as
undescended testicles and misplaced openings to the urethra on the
penis - a group of symptoms called "phthalate syndrome" in animals.
When Swan's team measured concentrations
of nine phthalate metabolites in the urine of pregnant women, they found
that four were linked with shorter AGD in sons born to women showing
high exposure levels.
Although none of the boys developed
abnormal genitals, the quarter of mothers who were exposed to the
highest concentrations of phthalates were much more likely to have had
boys with short AGDs compared with the quarter of mothers who had the
lowest exposures to the chemicals.
And although all the boys had genitals
classified as "normal", 21% of the boys with short AGDs had incomplete
testicular descent, compared with 8% of other boys. And on average, the
smaller the AGD, the smaller the penis.
Changing masculinisation
Swan believes that at
higher exposures, boys may suffer from testicular dysgenesis syndrome -
the human collection of more serious abnormalities which corresponds to
"phthalate syndrome".
"We're not exactly seeing testicular
dysgenesis syndrome, but a cluster of endpoints consistent with it,"
said Swan on at an international conference on Endocrine Disrupting
Chemicals in San Diego, US.
"If you see this, you're very likely to
see every other aspect of masculinisation changed too," says Fred vom
Saal, professor of reproductive biology at the University of
Missouri-Columbia, US.
Vom Saal says this could include
behavioural changes like those seen in animals, including an aversion to
"rough-and-tumble" play and a reduction in aggressiveness.
Criticising methods
Environmentalists say the results strengthen
the case for a ban or restriction on some phthalates in baby toys, as
has been proposed in Europe and California.
But phthalate manufacturers maintain that
the chemicals have been thoroughly tested and are safe. They are also
critical of aspects of the study. David Cadogan, director of the
European Council for Plasticisers and Intermediates, points out that
just one urine sample was taken from each pregnant woman, which cannot
rule out drastic variations in exposure over time.
Also, he says that all AGD measurements
should have been taken in babies exactly the same age, not in babies
ranging from three to 24 months in age as in the study. The disparity in
ages meant that complicated mathematical analyses had to be applied
which may have made it more difficult to distinguish genuine differences
in AGD from differences accounted for by age or weight.
Swan's results will appear in the journal Environmental Health Perspectives.
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