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1249821 
Journal Article 
Antiandrogenic activity of phthalate mixtures: validity of concentration addition 
Christen, V; Crettaz, P; Oberli-Schrämmli, A; Fent, K 
2012 
Toxicology and Applied Pharmacology
ISSN: 0041-008X
EISSN: 1096-0333 
259 
169-176 
English 
Phthalates and bisphenol A have very widespread use leading to significant exposure of humans. They are suspected to interfere with the endocrine system, including the androgen, estrogen and the thyroid hormone system. Here we analyzed the antiandrogenic activity of six binary, and one ternary mixture of phthalates exhibiting complete antiandrogenic dose-response curves, and binary mixtures of phthalates and bisphenol A at equi-effective concentrations of EC(10), EC(25) and EC(50) in MDA-kb2 cells. Mixture activity followed the concentration addition (CA) model with a tendency to synergism at high and antagonism at low concentrations. Isoboles and the toxic unit approach (TUA) confirmed the additive to synergistic activity of the binary mixtures BBP+DBP, DBP+DEP and DEP+BPA at high concentrations. Both methods indicate a tendency to antagonism for the EC(10) mixtures BBP+DBP, BBP+DEP and DBP+DEP, and the EC(25) mixture of DBP+BPA. A ternary mixture revealed synergism at the EC(50), and weak antagonistic activity at the EC(25) level by the TUA. A mixture of five phthalates representing a human urine composition and reflecting exposure to corresponding parent compounds showed no antiandrogenic activity. Our study demonstrates that CA is an appropriate concept to account for mixture effects of antiandrogenic phthalates and bisphenol A. The interaction indicates a departure from additivity to antagonism at low concentrations, probably due to interaction with the androgen receptor and/or cofactors. This study emphasizes that a risk assessment of phthalates should account for mixture effects by applying the CA concept. 
Phthalates; Benzylbutylphthalate (BBP); Dibutyl phthalate (DBP); Diethylphthalate (DEP); Dimethyl phthalate (DMP); Di-2-ethylhexyl phthalate (DEHP); Bisphenol A; Mixture activity; Antiandrogenicity; Concentration addition; Toxic unit approach; Isobole method 
IRIS
• BBP (Butyl benzyl phthalate)
     Literature Search
          LitSearch Dec 2012
               PubMed
               WOS
               TSCATS
     Excluded: No Primary Data on Health Effects
          Mixtures only
• Dibutyl Phthalate (DBP)
     Database Searches
          Pubmed
          Web of Science
     LitSearch Nov 2012
          PubMed
          WOS
          Merged reference set
     LitSearch Dec 2012 - June 2013
          Web of Science
     Excluded: No Primary Data on Health Effects
          Mixtures only
• Diethyl phthalate (DEP)
     Database searches
          Initial Litsearch
               Web of Science
               Merged reference set
          Aug 2013 update
               Web of Science
          Jan 2020 update
               PubMed
               Web of Science
     Excluded: No Primary Data on Health Effects
          Mixtures only
• Phthalates – Targeted Search for Epidemiological Studies
     Source – all searches
          Pubmed
          WOS
          Toxnet
     Excluded
     Source – no date limit through June 2013 (Private)
          Pubmed
          WOS
          ToxNet