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Vol. 30, Issue 11, 1180-1185, November 2002
Deptartment of Pharmacology and Toxicology, Center for Toxicology, The University of Arizona, Tucson, Arizona
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Abstract |
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Studies have shown that in the rat, bisphenol A (BPA) is metabolized and eliminated primarily as a monoglucuronide, a metabolite without estrogenic activity. The purpose of this study was to determine the extent of monoglucuronide formation in monolayers of hepatocytes from rats, mice, and humans. Noncytotoxic concentrations of BPA (10, 20, and 35 µM; 1.0 µCi), as assessed by lactate dehydrogenase leakage, were incubated with isolated hepatocytes for 0-6 h. Media were collected and analyzed for metabolites by radiochemical high performance liquid chromatography and liquid chromatography-tandem mass spectrometry. The metabolites identified include a monoglucuronide (major metabolite), a sulfate conjugate, and a glucuronide/sulfate diconjugate (minor metabolites). In hepatocytes of male Fischer-344 rats, the predominate metabolite was the diconjugate (glucuronide/sulfate). Under these conditions, the extent of metabolism by 3 h was similar in all species tested because all BPA was converted to conjugates by 3 h. Initial rates of metabolism in hepatocytes followed the order of mice > rats > humans. However, when extrapolated to the whole liver (i.e., cells per liver), the hepatic capacity for BPA glucuronidation is predicted to be humans > rats > mice. This research was supported in part by The Society of Plastics Industry Inc., and Southwest Environmental Health Science Center (ES 06694).
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Introduction |
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Bisphenol A
(BPA1) is used in the production of
polycarbonates, epoxy resins, phenolic resins, and diacrylates.
Polycarbonates, one of the most widely used plastics, accounts for 60%
of the total production of BPA (Perez et al., 1998
). Epoxy-based resins are used in a variety of consumer products that include decorative floor manufacture, lacquer coatings in cans, dental composites and
sealants, and as additives in the production of vinyl and acrylic
resins. Trace amounts of BPA monomer have been reported to leach out of
polycarbonate and epoxy resins (Brotons et al., 1995
). Such leaching
may result in the potential exposure of humans to trace amounts of BPA.
Exposure to BPA is of interest, because it is known to possess weak
estrogenic activity (Dodds and Lawson, 1936
). In vitro it displaces
estradiol from both the
and
estrogen receptor and exhibits weak
estrogenic activity (Krishnan et al., 1993
, Kuiper et al.,
1997
). The binding of BPA to the estrogen receptor has been reported to
be 10,000 times less than that of 17
-estradiol (Gaido et al., 1997
).
Following oral exposure, BPA undergoes its first pass metabolism in the
intestine and/or liver, which greatly limits its systemic
bioavailability (Pottenger et al., 2000
; Upmeier et al., 2000
).
In vitro data show that BPA is rapidly conjugated with glucuronic acid
by hepatic rat microsomes (Yokota et al., 1999
). Recent results
obtained using rat hepatocytes (HC) or perfused liver confirm the
extensive formation of a BPA monoglucuronide (Nakagawa and Tayama,
2000
; Inoue et al., 2001
) and correlate with in vivo findings that
demonstrated the BPA-glucuronide to be the major metabolite eliminated
in the urine (Pottenger et al., 2000
). Since the monoglucuronide is
devoid of estrogenic activity (Matthews et al., 2001
), factors that
influence BPA conjugation have the potential to influence its in vivo
estrogenic effects. Recently, Elsby et al. (2001)
studied the in vitro
metabolism of BPA with hepatic microsomes and reported that the rates
of glucuronidation observed with human hepatic microsomes were lower than rats. Based on these data, these investigators suggested that
systemic exposure to equivalent doses of BPA may be higher in humans
than in rats (Elsby et al., 2001
). However, these data were generated
with microsomal protein and thus do not take into account the total
hepatic capacity to glucuronidate BPA. In addition, determining the
rates of conjugation across species in intact cells is important to
assess the total hepatic capacity for BPA conjugation.
Cultures of freshly isolated HC retain drug-metabolizing enzymes and cofactors associated with both phase 1 and phase 2 metabolism. They provide systems that can evaluate the integrated metabolism of xenobiotics and can be used for species, strain, gender, and age comparisons in BPA metabolism. The studies reported here compare the conjugation of BPA in hepatocytes obtained from rats, mice, and humans. Differences in rates of metabolism were observed as well as the nature of the metabolic products.
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Materials and Methods |
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Chemicals.
Radiolabeled BPA [propyl-2-14C] (1.0 Ci/ml; 4.0 mg/ml in ethanol) with specific activity of 56 mCi/ml) was provided by
Wizard Laboratories (Davis, CA). Radiochemical purity was 99.3%.
Unlabeled BPA was supplied by RTI International Laboratory (Research
Triangle Park, NC; Log 9176-10-02). The purity of both
[14C]BPA and unlabeled BPA was confirmed by
HPLC and found to be greater than 99%. Purity was reassessed routinely
throughout the course of experiments. BPA-glucuronide standard was
provided by the Dow Chemical Company (Midland, MI); Bovine liver
-glucuronidase type B-10, Helix pomatia sulfatase type
H-1, and D-saccharic acid 1,4-lactone were
obtained from Sigma-Aldrich (St. Louis, MO); Flo-Scint III
(Packard BioScience Co., Meriden, CT); Universol Cocktail (ICN
Radiochemicals, Irvine, CA); and HPLC grade acetonitrile (Burdick and
Jackson, INC., Muskegon, MI) were obtained from the indicated vendors.
Animals. Male Fischer-344 (F-344) (250-300g, 77 days old), female F-344 (200-250g, 77 days old), male Sprague-Dawley (SD) (250-300g, 77 days old), female SD (200-250g, 77 days old) rats and male CF1 (30-40g, 77 days old) and female CF1 (25-30g, 77 days old) mice were purchased from Harlan Sprague-Dawley Inc. (Indianapolis, IN). The animals were housed in polyethylene cages with free access to food (Harlan Teklan 4% mouse/rat diet; Harlan Teklan, Indianapolis, IN) and water. All animals were maintained in an Association for Assessment and Accreditation of Laboratory Animal Care approved animal care facility for at least 1 week before experimentation.
Hepatocyte Isolation and Treatment Mouse and rat hepatocytes. Animals were anesthetized with sodium pentobarbital, the portal veins cannulated and livers perfused for 4 min with Hanks balanced salt solution containing EGTA and HEPES. The livers were then perfused with collagenase solution (6.5 min for the rat, 5.5 min for the mouse). Flow rates for perfusion of rat livers were 40 and 20 ml/min for Hanks balanced salt solution and the collagenase solution, respectively. Flow rates for the perfusion of mouse livers were 5 ml/min for each solution. Following these perfusions the livers were removed and dissociated by massaging through sterile gauze. HC were isolated by slow speed centrifugation (2 × 400 rpm, 3 min). Only those cell preparations with >90% viability (as determined by trypan blue exclusion) were used for primary culture.
Human hepatocytes.
Human HC were supplied by Clonetics Normal Human Cell Systems (San
Diego, CA). They were obtained by the Department of
Surgery/Transplantation Institute, University of Pittsburgh. Human HC
were obtained in large numbers (up to 18.5 × 109) from split and whole livers using a
procedure similar to the collagenase perfusion technique used in rodent
and human biopsies (Dorko et al., 1994
). Upon arrival of human HC, cell
viability was determined by trypan blue exclusion. Only those cell
preparations with 85% viability or greater were used for cell culture experiments.
Cell Incubations.
Approximately 0.5 × 106 cells were plated
into six-well tissue culture plates (BD Biosciences, Falcon, Franklin
Lakes, NJ) containing Williams medium E (Invitrogen, Carlsbad,
CA) supplemented with fetal bovine serum (10% for rats and
humans, 1% for mice) (HyClone Laboratories Inc., Logan, UT). After
2 h the monolayers were rinsed once, and medium was replaced with
serum-free Williams medium E. The cells were then incubated with BPA at
37°C, in an atmosphere of 5% CO2, 95% air.
For all hepatocyte experiments, a stock solution of BPA was made in
dimethyl sulfoxide 100 times more concentrated than the incubation
concentration. For time-dependent metabolism studies, a concentration
range of (5-20 µM BPA at 5 µCi/incubation) was used. For
concentration-dependent metabolism, a range of BPA concentrations
(2.5-30 µM BPA at 0.5 µCi/incubation) were used. Rates of BPA
metabolism were determined at an incubation time of 10 min. At
appropriate times, plates were placed in liquid nitrogen (to stop BPA
metabolism) and stored at
80°C until analysis. Data from isolated
HC were used to calculate the in vivo hepatic clearance capacity based
on cell number (Kedderis and Held, 1996
).
Determination of Cytotoxicity in Hepatocytes. HC were incubated for 18 h with BPA over a wide range of concentrations (5-100 µM). Following incubation, the medium was removed and the monolayer rinsed with saline. The cells were then harvested into phosphate buffer containing Triton X-100. Both medium and cells were analyzed for lactate dehydrogenase (LDH) activity (LDH-20 enzymatic kit; Sigma-Aldrich Diagnostics). The LDH activity was expressed as the percentage of LDH released into the medium (LDH in the medium divided by total LDH in cells and medium multiplied by 100).
Determination of BPA Metabolites in Hepatocytes.
After storage at
80°C, samples were thawed and the medium was
removed and placed in 2-ml centrifuge tubes. Plates were then rinsed 2 times with 1 ml of ethanol to lyse remaining cells and obtain
intracellular metabolites and parent compound. Initially, ethanol
washes were counted on a Beckman scintillation counter (Beckman
Coulter, Inc., Fullerton, CA) to determine remaining total cellular
radioactivity. However, subsequent ethanol washes have been run on the
HPLC to identify the source of cellular radioactivity. Samples from HC
medium and ethanol washes were vortexed for 30 s and then
centrifuged for 4 min at 12,000 rpm. Aliquots of medium or ethanol wash
were injected (100 µl) onto a 300 mm × 3.9 mm Alphabond-C18 125A 10 µm analytical column
(Alltech Associates Inc., Deerfield, IL), eluted with a mobile phase of
water/acetonitrile both containing 0.1% acetic acid, at a flow rate of
1 ml/min. Total run time was 50 min. The mobile phase gradient was run
with 95% water and 5% acetonitrile for 5 min then to 5% water and
95% acetonitrile over 25 min. These conditions were maintained for 5 min, until the column was brought back to initial conditions over the
next 15 min. The HPLC system used throughout this work was composed of
a SP8800 ternary HPLC pump and SP8775 autosampler (Thermo Separation
Products, San Jose, CA). The column effluent was monitored in
tandem with a UV-visible detector (Spectra-Physics SP8450) at a
wavelength of 280 nm and with a
-Ram Flow-Through radiochemical
monitor system (IN/US Systems, Inc., Tampa, FL). Bisphenol A eluted at
26 min under these conditions. Bisphenol A-glucuronide generated from
HC experiments coeluted with the synthetic BPA-glucuronide standard at
21 min.
-Glucuronidase and Sulfatase Assay.
Samples were subjected to enzymatic hydrolysis to identify possible
glucuronide or sulfate conjugates of bisphenol A. Samples were
incubated at 37°C for at least 24 h with
-glucuronidase (2000 U/ml) or sulfatase (100 U/ml) according to the method of Peters and
Caldwell (1994)
and analyzed by HPLC with the same method as described above.
LC-MS/MS. Metabolites were mass analyzed on a Finnigan TSQ 7000 triple quadrupole mass spectrometer (Thermo Finnigan MAT, San Jose, CA) set to the electrospray negative-ionization mode. For mass analysis in the negative ion mode, the HPLC conditions were similar to those described above except no acetic acid was added to the mobile phase. After on-column separation of BPA and metabolites, the column out flow was introduced into the mass spectrometer ion source in its entirety at 0.3 ml/min. The ions with m/z values corresponding to BPA and putative metabolites were subjected to collision-induced dissociation (CID) using argon gas within the collision cell of the mass spectrometer and the subsequent product ions were mass filtered to produce the corresponding product ion mass spectrum. Metabolite fragmentation patterns observed in the resulting CID-MS/MS spectra were compared with standards (BPA, BPA-glucuronide) to provide further evidence as to metabolite identity.
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Results |
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Cell Cytotoxicity. After 18 h of incubation of rat HC with concentrations of BPA ranging from 5 to 50 µM, the LDH released at these concentrations was the same as that of control HC incubated for 18 h. At BPA concentrations of 75 and 100 µM, BPA-induced cytotoxicity was apparent as assessed by the increased LDH activity in the media (Fig. 1). Based on these LDH values, noncytotoxic concentrations of BPA (less than 40 µM) were used for metabolism studies with incubations time of 3 h or less.
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-Glucuronidase and Sulfatase Assay.
To further characterize the metabolites of BPA produced by HC, samples
from male human HC were incubated with
-glucuronidase or sulfatase
to determine whether these treatments altered the HPLC profile.
Treatment with these enzymes resulted in a change in the HPLC profile.
Incubation of the samples with
-glucuronidase resulted in loss of
peak C (BPA-glucuronide) with a subsequent and equivalent increase in
peak D (BPA). Additionally, peak A decreased with a corresponding
increase in peak B. Incubation of HC samples with sulfatase caused a
decrease in peaks A and B with a corresponding increase in peaks C and
D. Since
-glucuronidase and sulfatase both affected peak A, this
metabolite is most likely a diconjugate of BPA. Peak B decreased only
when incubated with sulfatase, suggesting a BPA-sulfate conjugate.
LC-MS/MS. Bisphenol A metabolites generated from hepatocytes were separated via HPLC and subjected to mass spectral analysis. The ions with m/z values corresponding to BPA metabolites were subjected to CID.
Peak D (RT, 26 min) was determined to be BPA. This peak had the identical HPLC profile and electrospray mass spectrum as the BPA standard ([M
H]
ion of m/z 227). The CID product ion spectrum
from [M
H]
m/z
227 produced fragment ions at m/z 210 and 198 (Table 1). Plausible chemical formulas
for these fragment ions are
C14H10O2 (m/z 210) and
C13H10O2
(m/z 198).
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-glucuronidase, had the
identical HPLC profile as the BPA monoglucuronide standard. The
deprotonated molecule ([M
H]
,
m/z 403) of this metabolite, when subjected to
CID yielded fragment ions of m/z 227, 192, and
176. The fragment ion observed at m/z 176 corresponds to the radical anion,
C6H8O6.
Another fragment ion signal at m/z 192 is
characteristic of the radical anion, C6H8O7.
The major fragment ion signal at [M
H]
227 represents the
m/z of BPA, which resulted from the loss of glucuronide to give the aglycone.
Metabolite A (RT, 4 min) was
determined to be a glucuronide/sulfate diconjugate metabolite (Table
1). The CID-MS/MS spectra (Fig. 3) of the
[M
H]
ion at
m/z 483 produced product ion signals at
m/z 403, 307, and 227. The major product ion
signal observed at [M
H]
307 resulted
from a loss of a glucuronide. The product ion observed at
m/z 403 resulted from the loss of
SO3. Another product ion signal at
m/z 227 represents the [M
H]
of BPA, which resulted from the loss of
SO3 and glucuronide. This confirmed the presence
of a diconjugate metabolite of BPA containing both glucuronide and
sulfate moieties.
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H]
ion at
m/z 307 contained fragment ions at
m/z 227 and 212. The major product ion signal was
observed at m/z 212, presumably results from the
loss of SO3 and methyl radical to give a radical
anion, m/z 212. The signal observed at
m/z 227 ([M
H]
of BPA) resulted from the loss of SO3.
Metabolic Profile. Hepatocytes from all species incubated with 20 µM [14C]BPA exhibited a time-dependent loss of radiolabled BPA from the medium. This decrease represents an uptake of BPA into HC, as seen with an increase in cellular radioactivity at early time points (Fig. 4). The cellular radioactivity at these early time points (10 min, 30 min, and 1 h) represents predominately [14C]BPA, while at later time points (2, 3, 5, and 6 h) it represents [14C]BPA-metabolites that have yet to be secreted back into the medium. Three hours after addition of [14C]BPA, more than 95% of parent BPA had been eliminated from the medium.
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Concentration-Dependent Metabolite Formation. When various concentrations of BPA (2.5-30 µM) were incubated for 10 min with hepatocytes, two maximal rates of glucuronidation were apparent depending on the concentration range of BPA (Fig. 6). For these initial rate studies the incubations were short (10 min) to maintain high concentrations of BPA (greater than 85%) in the cell. From these experiments the data are graphed as initial velocity (nmol/min/0.5 × 106 cells) versus substrate concentration. Kinetic data obtained from HC exhibited a biphasic curve in all species tested (Fig. 6). Because of this biphasic nature the data could not be evaluated by classic Michaelis-Menten analysis, hence Vmax values were obtained from a visual examination of the curve taking the average rate obtained at the highest plateau (Table 5). The velocity at the lower plateau was approximately one-half of that observed at the higher plateau.
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Discussion |
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Isolated HC from humans, rats, and mice were used to study the
metabolism of BPA in a cellular system that closely simulates in vivo
conditions. Freshly isolated hepatocytes represent a qualitative in
vitro model for xenobiotic metabolism with the same phase I and phase
II metabolites being formed as in vivo (Billings et al., 1977
). These
HC systems complement microsomal and purified enzyme systems in
elucidation of the various steps involved in the biotransformation of
chemicals and in the determination of the relative importance of each
in an integrated system.
In this study, biotransformation experiments were conducted at
concentrations of BPA that did not cause cytotoxicity over 18 h of
incubation. Results showed clear evidence of cytotoxicity of BPA at
concentrations of 50 µM or greater as evidenced by significant LDH
leakage into hepatocyte medium. Other investigators have also shown BPA
at higher concentrations to be cytotoxic to rat HC. For example
Nakagawa and Tayama (2000)
reported that BPA caused an impairment of
mitochondrial function and consequent decrease in cellular levels of
ATP. However, BPA was relatively nontoxic at concentrations below 250 µM and toxic above 500 µM. The differences observed in cytotoxic
concentrations of BPA between these two studies may be attributed to
different experimental design. In the studies reported here, monolayers
of HC were incubated for 18 h with BPA. In the Nakagawa and Tayama
study, suspensions of HC were incubated for only 3 h with BPA.
Monolayers incubated for 18 h can be more sensitive because
molecular/chemical changes may occur early but not be expressed as
cytotoxicity until later. Indeed, Nakawaga and Tayama reported that BPA
at 250 µM, which was noncytotoxic at 3 h, was slightly cytotoxic
at later time points.
Cytotoxicity and metabolism of BPA appeared to be directly related. At
noncytotoxic concentrations, BPA is extensively metabolized to the BPA
monoglucuronide and other minor conjugates. At cytotoxic concentrations, the loss of BPA from media and the formation of the BPA
metabolites were reduced significantly (data not presented). This
suggests that BPA and/or nonconjugated metabolites contribute to the
cytotoxicity. These metabolites might include products of cytochrome
P450 catalyzed reactions such as 5-hydroxybisphenol A or its quinone
derivative (Atkins and Roy, 1995
). However, none of these nonconjugated
metabolites were detected in our studies that used noncytotoxic
concentrations of BPA. Nakagawa and Tayama (2000)
provided further
evidence for the importance of conjugation in reducing cytotoxicity.
They showed that blocking BPA glucuronidation with salicylamide induced
BPA cytotoxicity. As stated in the introduction, the BPA-glucuronide
has also been shown not to bind to the estrogen receptor (Matthews et
al., 2001
). Thus, conjugation of the parent molecule was found
to significantly reduce its cytotoxic and estrogenic potential.
BPA-glucuronide was the major metabolite in HC from all species except
those of male F-344 rats. In this case, a BPA-glucuronide/sulfate diconjugate was the major metabolite formed. Diconjugates have been
identified for other compounds. For example, an acyl
glucuronide/sulfate conjugate of naproxen has been identified as a
major biliary metabolite in male SD rats (Jaggi et al., 2002
). Why HC
from F-344 male rats form the diconjugate is not known. It may relate
to different isoforms of glucuronosyl transferase (UGT) and/or
sulfotransferase enzymes responsible for BPA metabolism. The biological
relevance of this diconjugate also is not known. It has not been
identified as a urinary metabolite of BPA in F-344 male rats in vivo
(Pottenger et al., 2000
). The major metabolite in urine from F-344 rats
was the BPA monoglucuronide. Although several minor unidentified
metabolites of BPA appeared in the urine of male F-344 rats, none
correlated with the retention time of the diconjugate found in this
study, despite very similar analytical conditions. Another explanation for this difference between the in vitro and in vivo results may relate
to biliary excretion of BPA conjugates. If the BPA-glucuronide/sulfate diconjugate is preferentially excreted in bile, intestinal microflora containing considerable hydrolytic activity toward glucuronides and
sulfates could release the aglycone (i.e., BPA), which can then be
reabsorbed and enter enterohepatic circulation (Parkinson, 1998
). It is
interesting that hepatic microsomes from male F-344 rats showed a
reduced capacity to form the monoglucuronide of BPA (Yokota et al.,
1999
). Similar results were obtained in the present study when
comparing the glucuronidation of BPA among male and female SD and F-344
rats. It would be expected that the sulfate conjugate might form to a
greater degree in HC of F-344 male rats. However, the
glucuronide/sulfate diconjugate was the predominate metabolite at
prolonged times of incubation. These results suggest that the
monoglucuronide serve as precursor of the glucuronide/sulfate diconjugate.
Recent reports (Yokoto et al., 1999
) indicate that the UGT
isoform UGT2B1 is involved in BPA glucuronidation in male Wistar rats.
In that study 65% of the male rat liver microsomal UGT activities toward BPA were absorbed by the anti-UGT2B1 antibody. These results suggest that 35% of the metabolism of BPA might be mediated by other
UGT isoforms. In female Wistar rats 65% of the activity remained
unabsorbed to this antibody, which suggests that other isoforms are
responsible for the glucuronidation of BPA in female Wistar rats
(Yokoto, 1999
). The identification of the isozymes responsible for the
phase II metabolism of BPA in various strains and species may provide
further insight into possible species differences in the in vivo
metabolism of BPA.
Contributions to the glucuronidation of BPA by different isoforms of
UGT may also explain the biphasic response observed when different
concentrations of BPA were incubated with hepatocytes. A low capacity,
high specificity UGT could catalyze glucuronidation at low
concentrations, whereas a high capacity, low specificity (promiscuous)
UGT may be predominant at higher concentrations. Alternative
explanations for the observed effect may be substrate activation of
UGT. A biphasic curve was not observed when detergent-activated microsomes were incubated with various concentrations of BPA
(unpublished data). In hepatocytes higher concentrations of BPA may
serve to activate UGT and thus result in an increased rate of
glucuronidation at higher substrate concentrations. Activation of CYP3A
in hepatocytes by high substrate concentrations has recently been
reported by Witherow and Houston (1999)
. Another explanation is that at
10 min of incubation, at low substrate concentrations, insufficient BPA
has diffused from the medium to the microsomal UGT.
When BPA metabolism was studied in human hepatocytes, the results were similar to those obtained in rodent hepatocytes. BPA-glucuronide was the major metabolite formed by male and female human hepatocytes (Fig. 5). Minor amounts of the BPA sulfate and the diconjugate were formed. The only exception was in the hepatocytes obtained from one female. In this case the amount of diconjugate formed was nearly equivalent to that of BPA-glucuronide.
Human hepatocytes did differ from those obtained from rats and mice
with respect to the rate of BPA-glucuronidation. Overall, the rate of
formation of BPA-glucuronide was mice > rats > humans, when
data are presented as nmol/min per 0.5 × 106 hepatocytes. When the total hepatic capacity
to glucuronidate BPA was calculated as shown in Table
4, this rank order was reversed (humans > rats > mice) (Table
5). This change in rank order reflects the total hepatocyte population (cells per liver) available to humans
as compared with rodents. Hepatocytes per gram of liver were based on
the estimates provided by Kedderis and Held (1996)
.
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In summary, the extensive metabolism of BPA in primary cultured HC
indicates that first-pass metabolism and rapid elimination of BPA would
be probable following oral exposure. Humans appeared to have the
largest capacity for glucuronidation, when the rates were extrapolated
to the whole liver, although the confirmation of this finding is
currently in progress with additional studies in human hepatocytes.
This extensive conjugation of BPA can be considered an important
detoxification reaction with respect to its estrogenic effects. Indeed,
the BPA-glucuronide has been shown by Matthews et al. (2001)
not to
serve as a ligand for the estrogen receptor.
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Footnotes |
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Received March 7, 2002; accepted July 29, 2002.
Address correspondence to: I. Glenn Sipes, Ph.D., Department of Pharmacology and Toxicology, College of Pharmacy, The University of Arizona, P.O. Box 210207, Tucson, AZ 85721-0207. E-mail: sipes{at}pharmacy.arizona.edu
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Abbreviations |
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Abbreviations used are: BPA, bisphenol A; HC, hepatocytes; HPLC, high pressure liquid chromatography; F-344, Fischer-344; SD, Sprague Dawley; LDH, lactate dehydrogenase; CID, collision-induced dissociation; LC-MS/MS, liquid-chromatography-tandem mass spectrometry; MS, mass spectrometry; MS/MS, tandem mass spectrometry; UGT, glucuronosyl transferase.
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