Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity

Bisphenol A (BPA) and its substitutes are widely used in daily life. Animal and cell line experiments have confirmed the effects of bisphenols on oxidative stress and inflammation. However, current population evidence for the effects of BPA alternatives, such as bisphenol F (BPF) and bisphenol S (BP...

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Main Authors: Ren Zhou, Lei Zhang, Yu Sun, Jia Yan, Hong Jiang
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Ecotoxicology and Environmental Safety
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0147651323010503
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author Ren Zhou
Lei Zhang
Yu Sun
Jia Yan
Hong Jiang
author_facet Ren Zhou
Lei Zhang
Yu Sun
Jia Yan
Hong Jiang
author_sort Ren Zhou
collection DOAJ
description Bisphenol A (BPA) and its substitutes are widely used in daily life. Animal and cell line experiments have confirmed the effects of bisphenols on oxidative stress and inflammation. However, current population evidence for the effects of BPA alternatives, such as bisphenol F (BPF) and bisphenol S (BPS), on oxidative stress and inflammation is still sparse. Based on the National Health and Nutrition Examination Survey 2013–2016 data, our study used linear regression, weighted quantile sum model, and Bayesian kernel machine regression model to evaluate the effects of BPA, BPS, and BPF alone and in combination on oxidative stress (serum total bilirubin, and iron) and inflammation (alkaline phosphatase, C-reactive protein, γ-glutamyl transferase ferritin, neutrophil count, lymphocyte count, and neutrophil-to-lymphocyte ratio) markers. On this basis, the possible roles of oxidative stress and inflammation in obesity, which is associated with exposure to bisphenols (BPs), were initially explored. Based on the different covariates selected, a total of 3039 and 2258 participants were included in our study for models 1 and 2, respectively; the median age of participants was 48 years, and 48.7 % were male. Based on all models, our results showed that exposure to BPs alone or in combination was associated with downregulation of serum total bilirubin. Urinary BPF concentration was specifically associated with the neutrophil-to-lymphocyte ratio. Serum total bilirubin may play a role in the association between obesity and BP mixture exposure. Upregulation of the neutrophil-to-lymphocyte ratio was not associated with obesity. In conclusion, our study found that single or combined exposure to BPs, as measured in urine, may be associated with changes in oxidative stress and inflammatory markers, and a decrease in serum total bilirubin may play a mediating role in BP-induced obesity.
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spelling doaj.art-4fc19febbdd74b94b815078cdbf7025f2023-11-01T04:45:50ZengElsevierEcotoxicology and Environmental Safety0147-65132023-11-01266115546Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesityRen Zhou0Lei Zhang1Yu Sun2Jia Yan3Hong Jiang4Department of Anesthesiology, The Ninth People’s Hospital of Shanghai, Jiao Tong University School of Medicine, Shanghai 200011, People’s Republic of ChinaDepartment of Anesthesiology, The Ninth People’s Hospital of Shanghai, Jiao Tong University School of Medicine, Shanghai 200011, People’s Republic of ChinaDepartment of Anesthesiology, The Ninth People’s Hospital of Shanghai, Jiao Tong University School of Medicine, Shanghai 200011, People’s Republic of ChinaCorrespondence to: The Ninth People’s Hospital of Shanghai, Jiao Tong University School of Medicine, No. 639 Zhizaoju Road, Shanghai 200011, People’s Republic of China.; Department of Anesthesiology, The Ninth People’s Hospital of Shanghai, Jiao Tong University School of Medicine, Shanghai 200011, People’s Republic of ChinaCorrespondence to: The Ninth People’s Hospital of Shanghai, Jiao Tong University School of Medicine, No. 639 Zhizaoju Road, Shanghai 200011, People’s Republic of China.; Department of Anesthesiology, The Ninth People’s Hospital of Shanghai, Jiao Tong University School of Medicine, Shanghai 200011, People’s Republic of ChinaBisphenol A (BPA) and its substitutes are widely used in daily life. Animal and cell line experiments have confirmed the effects of bisphenols on oxidative stress and inflammation. However, current population evidence for the effects of BPA alternatives, such as bisphenol F (BPF) and bisphenol S (BPS), on oxidative stress and inflammation is still sparse. Based on the National Health and Nutrition Examination Survey 2013–2016 data, our study used linear regression, weighted quantile sum model, and Bayesian kernel machine regression model to evaluate the effects of BPA, BPS, and BPF alone and in combination on oxidative stress (serum total bilirubin, and iron) and inflammation (alkaline phosphatase, C-reactive protein, γ-glutamyl transferase ferritin, neutrophil count, lymphocyte count, and neutrophil-to-lymphocyte ratio) markers. On this basis, the possible roles of oxidative stress and inflammation in obesity, which is associated with exposure to bisphenols (BPs), were initially explored. Based on the different covariates selected, a total of 3039 and 2258 participants were included in our study for models 1 and 2, respectively; the median age of participants was 48 years, and 48.7 % were male. Based on all models, our results showed that exposure to BPs alone or in combination was associated with downregulation of serum total bilirubin. Urinary BPF concentration was specifically associated with the neutrophil-to-lymphocyte ratio. Serum total bilirubin may play a role in the association between obesity and BP mixture exposure. Upregulation of the neutrophil-to-lymphocyte ratio was not associated with obesity. In conclusion, our study found that single or combined exposure to BPs, as measured in urine, may be associated with changes in oxidative stress and inflammatory markers, and a decrease in serum total bilirubin may play a mediating role in BP-induced obesity.http://www.sciencedirect.com/science/article/pii/S0147651323010503BisphenolsOxidative stressInflammationWeighted quantile sumBayesian kernel machine regression
spellingShingle Ren Zhou
Lei Zhang
Yu Sun
Jia Yan
Hong Jiang
Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity
Ecotoxicology and Environmental Safety
Bisphenols
Oxidative stress
Inflammation
Weighted quantile sum
Bayesian kernel machine regression
title Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity
title_full Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity
title_fullStr Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity
title_full_unstemmed Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity
title_short Association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity
title_sort association of urinary bisphenols with oxidative stress and inflammatory markers and their role in obesity
topic Bisphenols
Oxidative stress
Inflammation
Weighted quantile sum
Bayesian kernel machine regression
url http://www.sciencedirect.com/science/article/pii/S0147651323010503
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AT jiayan associationofurinarybisphenolswithoxidativestressandinflammatorymarkersandtheirroleinobesity
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