Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysis

Background: Bisphenol-S (BPS), as a new human public health concern, was introduced to the plastic industry by BPA-free labeled products following the restrictions of Bisphenol-A (BPA) as a safe alternative. However, recent research has revealed a controversial issue. In this regard, the present stu...

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Main Authors: Beheshteh Abouhamzeh, Zohreh Zare, Moslem Mohammadi, Mahmood Moosazadeh, Alireza Nourian
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2023;volume=14;issue=1;spage=37;epage=37;aulast=Abouhamzeh
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author Beheshteh Abouhamzeh
Zohreh Zare
Moslem Mohammadi
Mahmood Moosazadeh
Alireza Nourian
author_facet Beheshteh Abouhamzeh
Zohreh Zare
Moslem Mohammadi
Mahmood Moosazadeh
Alireza Nourian
author_sort Beheshteh Abouhamzeh
collection DOAJ
description Background: Bisphenol-S (BPS), as a new human public health concern, was introduced to the plastic industry by BPA-free labeled products following the restrictions of Bisphenol-A (BPA) as a safe alternative. However, recent research has revealed a controversial issue. In this regard, the present study aimed to review the relationship between BPS exposure and reproductive system dis/malfunction. Methods: PubMed and other databases were searched up to January 2021. The standard mean difference (SMD) with a 95% confidence interval (CI) was calculated for the main parameters using the random-effects model. Finally, 12 studies with 420 subjects were included in this research. Forest plot, meta-regression, and non-linear dose-response effect were calculated for each parameter by random-effects model. Results: Based on the results of in vitro assessment, a significant increase was found in the oxidative stress parameters, including superoxide dismutase (SMD: 0.63, 95% CI: 0.321, 0.939), thiobarbituric acid reactive substances (SMD: 0.760, 95% CI: 0.423, 1.096), and reactive oxygen species (SMD: 0.484, 95% CI: 0.132, 0.835). In addition, the hormonal assessment revealed a significant decrease in male testosterone concertation (SMD: -0.476, 95% CI: -0.881, -0.071). Moreover, in vivo examination revealed a significant decrease in hormonal parameters, such as female testosterone (SMD: -0.808, 95% CI: -1.149, -0.467), female estrogen (SMD: -2.608, 95% CI: -4.588, -0.628), female luteinizing hormone (SMD: -0.386, 95% CI: -0.682, -0.089), and female follicle-stimulating hormone (FSH) (SMD: -0.418, 95% CI: -0.716, -0.119). Besides, linear and non-linear correlations were detected in the main parameters. Conclusion: In conclusion, based on the current meta-analysis, BPS was suggested to be toxic for the reproductive system, similar to the other bisphenols. Moreover, a possible correlation was indicated between oxidative and hormonal status disruption induced by BPS in male and female reproductive systems dis/malfunction.
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spelling doaj.art-6874b04e31e941919de955701df281c22023-05-18T06:20:57ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132023-01-01141373710.4103/ijpvm.ijpvm_271_21Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysisBeheshteh AbouhamzehZohreh ZareMoslem MohammadiMahmood MoosazadehAlireza NourianBackground: Bisphenol-S (BPS), as a new human public health concern, was introduced to the plastic industry by BPA-free labeled products following the restrictions of Bisphenol-A (BPA) as a safe alternative. However, recent research has revealed a controversial issue. In this regard, the present study aimed to review the relationship between BPS exposure and reproductive system dis/malfunction. Methods: PubMed and other databases were searched up to January 2021. The standard mean difference (SMD) with a 95% confidence interval (CI) was calculated for the main parameters using the random-effects model. Finally, 12 studies with 420 subjects were included in this research. Forest plot, meta-regression, and non-linear dose-response effect were calculated for each parameter by random-effects model. Results: Based on the results of in vitro assessment, a significant increase was found in the oxidative stress parameters, including superoxide dismutase (SMD: 0.63, 95% CI: 0.321, 0.939), thiobarbituric acid reactive substances (SMD: 0.760, 95% CI: 0.423, 1.096), and reactive oxygen species (SMD: 0.484, 95% CI: 0.132, 0.835). In addition, the hormonal assessment revealed a significant decrease in male testosterone concertation (SMD: -0.476, 95% CI: -0.881, -0.071). Moreover, in vivo examination revealed a significant decrease in hormonal parameters, such as female testosterone (SMD: -0.808, 95% CI: -1.149, -0.467), female estrogen (SMD: -2.608, 95% CI: -4.588, -0.628), female luteinizing hormone (SMD: -0.386, 95% CI: -0.682, -0.089), and female follicle-stimulating hormone (FSH) (SMD: -0.418, 95% CI: -0.716, -0.119). Besides, linear and non-linear correlations were detected in the main parameters. Conclusion: In conclusion, based on the current meta-analysis, BPS was suggested to be toxic for the reproductive system, similar to the other bisphenols. Moreover, a possible correlation was indicated between oxidative and hormonal status disruption induced by BPS in male and female reproductive systems dis/malfunction.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2023;volume=14;issue=1;spage=37;epage=37;aulast=Abouhamzehbisphenol sglandmeta-analysisoxidative stressreproductive system
spellingShingle Beheshteh Abouhamzeh
Zohreh Zare
Moslem Mohammadi
Mahmood Moosazadeh
Alireza Nourian
Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysis
International Journal of Preventive Medicine
bisphenol s
gland
meta-analysis
oxidative stress
reproductive system
title Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysis
title_full Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysis
title_fullStr Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysis
title_full_unstemmed Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysis
title_short Bisphenol-S influence on oxidative stress and endocrine biomarkers of reproductive system: A systematic review and meta-analysis
title_sort bisphenol s influence on oxidative stress and endocrine biomarkers of reproductive system a systematic review and meta analysis
topic bisphenol s
gland
meta-analysis
oxidative stress
reproductive system
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2023;volume=14;issue=1;spage=37;epage=37;aulast=Abouhamzeh
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AT zohrehzare bisphenolsinfluenceonoxidativestressandendocrinebiomarkersofreproductivesystemasystematicreviewandmetaanalysis
AT moslemmohammadi bisphenolsinfluenceonoxidativestressandendocrinebiomarkersofreproductivesystemasystematicreviewandmetaanalysis
AT mahmoodmoosazadeh bisphenolsinfluenceonoxidativestressandendocrinebiomarkersofreproductivesystemasystematicreviewandmetaanalysis
AT alirezanourian bisphenolsinfluenceonoxidativestressandendocrinebiomarkersofreproductivesystemasystematicreviewandmetaanalysis