Dietary exposure and human risk assessment of phthalate esters based on total diet study in Cambodia

Cumulative health risk in children and adolescents exposed to bis(2-ethylhexyl) phthalate (DEHP)

Bis(2-ethylhexyl) phthalate (DEHP) has been widely concerned owing to its widespread detection and endocrine disrupting effect. Nevertheless, systematic analysis and evaluation of the current status of DEHP contamination are still insufficient for children and adolescents. Dietary exposure and nondietary exposure to DEHP were investigated to estimate the total average daily dose (ADD). The top three contributors were dust exposure, edible oil and vegetable intake. Dietary intake contributed highly (70%) to daily exposure to DEHP. By analyzing the monitoring data on DEHP exposure, the cumulative health risks of DEHP were assessed for different age groups of children and adolescents in East China. The probability distributions of noncarcinogenic and carcinogenic risks were determined by Monte Carlo simulation. The results showed that the risk level reduced with age. The predicted mean noncarcinogenic and carcinogenic risks for all age groups exceeded the acceptable level, indicating that the general population would be at high risk by DEHP overexposure. Schoolchildren at ages 6∼<9 were more susceptible to DEHP exposure, with a 30% possibility of exceeding the safety limit Based on these results, gradual banning and restriction should be carried out to decrease DEHP contamination and potential health risks.

Worldwide risk assessment of phthalates and bisphenol A in humans: The need for updating guidelines

Phthalates and bisphenol A (BPA) are compounds widely used as raw materials in the production of plastics, making them ubiquitous in our daily lives. This results in widespread human exposure and human health hazards. Although efforts have been conducted to evaluate the risk of these compounds in diverse regions around the world, data scattering may mask important trends that could be useful for updating current guidelines and regulations. This study offers a comprehensive global assessment of human exposure levels to these chemicals, considering dietary and nondietary ingestion, and evaluates the associated risk. Overall, the exposure daily intake (EDI) values of phthalates and BPA reported worldwide ranged from 1.11 × 10-7 to 3 700 µg kg bw-1 d-1 and from 3.00 × 10-5 to 6.56 µg kg bw-1 d-1, respectively. Nevertheless, the dose-additive effect of phthalates has been shown to increase the EDI up to 5 100 µg kg bw-1 d-1, representing a high risk in terms of noncarcinogenic (HQ) and carcinogenic (CR) effects. The worldwide HQ values of phthalates and BPA ranged from 2.25 × 10-7 to 3.66 and from 2.74 × 10-7 to 9.72 × 10-2, respectively. Meanwhile, a significant number of studies exhibit high CR values for benzyl butyl phthalate (BBP) and di(2-ethylhexyl) phthalate (DEHP). Moreover, DEHP has shown the highest maximum mean CR values for humans in numerous studies, up to 179-fold higher than BBP. Despite mounting evidence of the harmful effects of these chemicals at low-dose exposure on animals and humans, most regulations have not been updated. Thus, this article emphasizes the need for updating guidelines and public policies considering compelling evidence for the adverse effects of low-dose exposure, and it cautions against the use of alternative plasticizers as substitutes for phthalates and BPA because of the significant gaps in their safety.

Interactions of human drug transporters with chemical additives present in plastics: Potential consequences for toxicokinetics and health

Human membrane drug transporters are recognized as major actors of pharmacokinetics; they also handle endogenous compounds, including hormones and metabolites. Chemical additives present in plastics interact with human drug transporters, which may have consequences for the toxicokinetics and toxicity of these widely-distributed environmental and/or dietary pollutants, to which humans are highly exposed. The present review summarizes key findings about this topic. In vitro assays have demonstrated that various plastic additives, including bisphenols, phthalates, brominated flame retardants, poly-alkyl phenols and per- and poly-fluoroalkyl substances, can inhibit the activities of solute carrier uptake transporters and/or ATP-binding cassette efflux pumps. Some are substrates for transporters or can regulate their expression. The relatively low human concentration of plastic additives from environmental or dietary exposure is a key parameter to consider to appreciate the in vivo relevance of plasticizer-transporter interactions and their consequences for human toxicokinetics and toxicity of plastic additives, although even low concentrations of pollutants (in the nM range) may have clinical effects. Existing data about interactions of plastic additives with drug transporters remain somewhat sparse and incomplete. A more systematic characterization of plasticizer-transporter relationships is needed. The potential effects of chemical additive mixtures towards transporter activities and the identification of transporter substrates among plasticizers, as well as their interactions with transporters of emerging relevance deserve particular attention. A better understanding of the human toxicokinetics of plastic additives may help to fully integrate the possible contribution of transporters to the absorption, distribution, metabolism and excretion of plastics-related chemicals, as well as to their deleterious effects towards human health.

Paternal phthalate exposure-elicited offspring metabolic disorders are associated with altered sperm small RNAs in mice

Exposure to ubiquitous plastic-associated endocrine disrupting chemicals (EDCs) is associated with the increased risk of many chronic diseases. For example, phthalate exposure is associated with cardiometabolic mortality in humans, with societal costs ∼ $39 billion/year or more. We recently demonstrated that several widely used plastic-associated EDCs increase cardiometabolic disease in appropriate mouse models. In addition to affecting adult health, parental exposure to EDCs has also been shown to cause metabolic disorders, including obesity and diabetes, in the offspring. While most studies have focused on the impact of maternal EDC exposure on the offspring's health, little is known about the effects of paternal EDC exposure. In the current study, we investigated the adverse impact of paternal exposure to a ubiquitous but understudied phthalate, dicyclohexyl phthalate (DCHP) on the metabolic health of F1 and F2 offspring in mice. Paternal DCHP exposure led to exacerbated insulin resistance and impaired insulin signaling in F1 offspring without affecting diet-induced obesity. We previously showed that sperm small non-coding RNAs including tRNA-derived small RNAs (tsRNAs) and rRNA-derived small RNAs (rsRNAs) contribute to the intergenerational transmission of paternally acquired metabolic disorders. Using a novel PANDORA-seq, we revealed that DCHP exposure can lead to sperm tsRNA/rsRNA landscape changes that were undetected by traditional RNA-seq, which may contribute to DCHP-elicited adverse effects. Lastly, we found that paternal DCHP can also cause sex-specific transgenerational adverse effects in F2 offspring and elicited glucose intolerance in female F2 descendants. Our results suggest that exposure to endocrine disrupting phthalates may have intergenerational and transgenerational adverse effects on the metabolic health of their offspring. These findings increase our understanding of the etiology of chronic human diseases originating from chemical-elicited intergenerational and transgenerational effects.

Phthalic acid esters in grains, vegetables, and fruits: concentration, distribution, composition, bio-accessibility, and dietary exposure

Grain, vegetable, and fruit samples were collected from Xi'an City in Northwest China and analyzed for the characteristics, bio-accessibility, and dietary exposure of 22 phthalic acid esters (PAEs). All the studied PAEs were ubiquitously detected, except for diethyl phthalate in vegetables and fruits. In grains, the sum of detectable PAEs (∑22PAEs) varied between 0.0840 and 40.0 µg/g, with a mean of 4.19 µg/g, presenting rice >  > beans > flour, and the major PAEs were di-n-butyl phthalate (DnBP) and bis(2-ethylhexyl) phthalate (DEHP). In vegetables, the ∑21PAEs ranged from 0.190 to 56.8 µg/g, with a mean of 8.07 µg/g, exhibiting leafy vegetables > root vegetables > fruits-vegetables > fungus > cauliflower > beans, and the main PAEs were di-iso-butyl phthalate (DiBP), DnBP, DEHP, di-iso-nonyl phthalate (DiNP), and di-iso-decyl phthalate (DiDP). In fruits, the ∑21PAEs varied between 0.300 and 12.6 µg/g, with a mean of 3.97 µg/g, presenting spring-winter season fruits > summer-autumn season fruits and shell-less fruits > shelled fruits, and the predominant PAEs were DiBP, DnBP, DEHP, DiNP, and DiDP. The bio-accessibility of PAEs in the gastrointestinal fluid simulant was higher than that in the single gastric or intestinal fluid simulant. The bio-accessibility of PAEs was correlated with the physiochemical properties of PAEs. The estimated daily intakes (EDIs) of human dietary exposure to PAEs were lower than the reference doses of United States Environmental Protection Agency and the tolerable dairy intakes (TDIs) of European Food Safety Authority (EFSA), except for the EDI of DnBP in the grains and DiBP in the vegetables higher than or close to the TDI of the EFSA. The research suggested that special attention should be paid to human dietary exposure to DnBP and DiBP, especially for children and adolescents.

Dietary exposure and risk assessment of phthalic acid esters through a total diet study in Shenzhen, South China

Phthalic acid esters (PAEs) are typical endocrine disruptors which are ubiquitous contaminants. Human exposure to PAEs is through multiple routes of which the diet is recognised as the main source of daily intake. The aim of this study was to evaluate the dietary exposure to PAEs of residents in Shenzhen (China) through a total diet study and assess the potential health risk. A total of 16 different phthalate esters in samples of 12 composite food groups were determined by GC-MS. The main dietary sources of PAE exposure among adult residents in Shenzhen were potatoes (21%), eggs (21%), meat (15%) and aquatic products (14%). The median total dietary exposure to PAEs in Shenzhen residents was 7780 ng kg^-1 bw d^-1, and the hazard quotients (HQ) of dimethyl phthalate (DMP), diethyl phthalate (DEP), di-isobutyl phthalate (DIBP), dibutyl phthalate (DBP) and di-2-ethylhexyl phthalate (DEHP) were 0.09, 0.06, 0.07, 0.10 and 0.03, respectively. Therefore, the risks from dietary PAE exposure were low. However, with the increasing use of PAEs and their accumulation in the environment, the probability of PAEs entering the food chain is gradually increasing and, therefore, PAEs should be strictly controlled and regularly monitored.

Di-n-butyl phthalate promotes monocyte recruitment via miR-137-3p-SP1-MCP-1 pathway

Since non-covalent bound character and widespread application in numerous products, people are exposed to di-n-butyl phthalate (DBP) at low levels through various ways. Epidemiological studies suggested an association between DBP exposure and atherosclerosis (AS). Still, molecular mechanisms remain unclear. This study aimed to explore the effects of DBP on monocyte recruitment, a key and initial step of AS. EA.hy926 cells were treated with DBP (10-9-10-5 M) or DMSO as control. Chemotaxis assay was applied to investigate THP-1 recruitment. Expression of mRNA /miRNAs and proteins were measured by qRT-PCR and Western blotting, respectively. Levels of monocyte chemotactic protein 1 (MCP-1) in supernatant were detected by ELISA assay. Receptor internalization assay was performed to confirm C-C chemokine receptor type 2 (CCR2) subcellular localization in THP-1 cells and the binding between CCR2 and MCP-1. Dual-luciferase reporter assay was used to analyze the combination between miR-137-3p and specificity protein 1 (SP1), as well as SP1 and MCP-1. Results showed that number of recruited THP-1 cells after EA.hy926 cells treated by DBP was significantly higher than that in the control group due to promoted MCP-1 expression. In addition, expression of MCP-1 was regulated through miR-137-3p-SP1 cascade. Besides, overexpression of miR-137-3p reversed the increased number of recruited THP-1 cells. Our results implied that DBP might promote THP-1 recruitment by targeting miR-137-3p-SP1-MCP-1 in EA.hy926 cells.

Occurrence and dietary exposure risks of phthalate esters in food in the typical valley city Xi'an, Northwest China

Diet is an important exposure pathway of phthalate esters (PAEs) for humans. A total of 174 food samples covering 11 food groups were collected from Xi'an, a typical valley city in Northwest China, and analyzed to assess the occurrence and exposure risks for PAEs in the food. Twenty-two PAEs were detected. The sum of the 22 PAEs (∑22PAEs) varied between 0.0340 and 56.8 µg/g, with a mean of 3.94 µg/g. The major PAEs were di-iso-butyl phthalate (DiBP), di-n-butyl phthalate (DnBP), bis(2-ethylhexyl) phthalate (DEHP), di-iso-nonyl phthalate (DiNP), and di-iso-decyl phthalate (DiDP), which were associated mainly with the usage of plasticizers. Bio-availability of the PAEs in the combined gastro-intestinal fluid simulant of digestion was higher than that in the single gastric or intestinal fluid simulant. Bis(2-methoxyethyl) phthalate exhibited the highest bio-availability in each of the three simulants. Bio-availability of the PAEs was negatively correlated with the molecular weight and octanol-water partition coefficient of the PAEs and positively correlated with the solubility and vapor pressure of the PAEs. The estimated daily intake (EDI) of PAEs based on national and municipal food consumption data was lower than the reference dose (RfD) of the United States Environmental Protection Agency and the tolerable dairy intake (TDI) of European Food Safety Authority (EFSA), except for the EDI of DnBP and DiBP being higher than the TDI of EFSA. Grains and vegetables were the major sources of human dietary exposure to PAEs. The hazardous quotient for human dietary exposure to PAEs was less than the critical value of 1 and the cancer risk of butyl benzyl phthalate and DEHP was in the range of 10^-11-10^-6, suggesting relatively low health risks. The results indicated that human exposure to DnBP, DiBP, DEHP, DiNP, and DiDP in food is considerable and a health concern.

Comprehensively screening of citric acid ester (CAE) plasticizers in Chinese foodstuffs, and the food-based assessment of human exposure risk of CAEs

An increasing number of studies on the toxicities of citric acid esters (CAEs)-a class of so-called "safe" alternative plasticizers-have highlighted the urgent need to understand their contamination profiles in foodstuffs and the corresponding potential risks to human health. This study determined the concentrations of 8 target CAEs in 105 foodstuff samples, grouped into 6 food categories, collected from Nanjing City, China, in 2020. All eight CAEs were detected in at least one of the analyzed samples and had detection frequencies (DFs) of 5-47%. The DFs and distribution profiles of the target CAEs varied among different food categories; for example, cereals had the highest DF (92%), while meat/fish contained the highest mean total concentration of CAEs (8.35 ng/g wet weight (ww)). Among the target CAEs, acetyl tributyl citrate (ATBC) had the highest DF (47%), and tributyl citrate (TBC) exhibited the highest mean concentration (1.24 ng/g ww). Based on the food ingestion route, the estimated total daily intake (EDI) values of the target CAEs for adults under average- and high-exposure scenarios were 38.3 ng/kg of body weight (bw) and 111 ng/kg bw, respectively, which were attributed to the high percentage contributions of TBC (50.6%) and ATBC (23.7%). In addition, a suspect and characteristic fragment-dependent screening strategy was applied to the foodstuff data, and a novel CAE, monoethyl citrate (MEC, CAS: 4552-00-5), with a DF of 34% was tentatively identified. Overall, this study provides novel and comprehensive information regarding the pollution status of CAEs in foodstuffs.

Pregnane X Receptor Mediates Atherosclerosis Induced by Dicyclohexyl Phthalate in LDL Receptor-Deficient Mice

Plastic-associated endocrine disrupting chemicals (EDCs) have been implicated in the etiology of cardiovascular disease (CVD) in humans, but the underlying mechanisms remain elusive. Dicyclohexyl phthalate (DCHP) is a widely used phthalate plasticizer; whether and how exposure to DCHP elicits adverse effects in vivo is mostly unknown. We previously reported that DCHP is a potent ligand of the pregnane X receptor (PXR) which acts as a xenobiotic sensor to regulate xenobiotic metabolism. PXR also functions in macrophages to regulate atherosclerosis development in animal models. In the current study, LDL receptor-deficient mice with myeloid-specific PXR deficiency (PXRΔMyeLDLR-/-) and their control littermates (PXRF/FLDLR-/-) were used to determine the impact of DCHP exposure on macrophage function and atherosclerosis. Chronic exposure to DCHP significantly increased atherosclerotic lesion area in the aortic root and brachiocephalic artery of PXRF/FLDLR-/- mice by 65% and 77%, respectively. By contrast, DCHP did not affect atherosclerosis development in PXRΔMyeLDLR-/- mice. Exposure to DCHP led to elevated expression of the scavenger receptor CD36 in macrophages and increased macrophage form cell formation in PXRF/FLDLR-/- mice. Our findings provide potential mechanisms underlying phthalate-associated CVD risk and will ultimately stimulate further investigations and mitigation of the adverse effects of plastic-associated EDCs on CVD risk in humans.

Targeted screening of 11 bisphenols and 7 plasticizers in food composites from Canada and South Africa

A sensitive method based on ultrasound-assisted liquid extraction coupled with liquid chromatography was applied to screen 18 plastic-related contaminants in 168 food composites (namely fish fillets, chicken breast, canned tuna, leafy vegetables, bread and butter) collected in Montreal (Canada), Pretoria and Vhembe (South Africa). Bisphenol A (BPA), bisphenol S (BPS) and seven plasticizers (di-n-butyl phthalate (DBP), diethyl phthalate (DEP), (2-ethylhexyl) phthalate (DEHP), di-(2-ethylhexyl) adipate (DEHA), di-isononyl phthalate (DINP), di-(isononyl)-cyclohexane-1,2-dicarboxylate (DINCH)) were detected in different foods from both countries. DBP and DEP were the most frequently detected contaminants in food collected in Montreal (75% for both) and DINP was the most frequently detected contaminant in food from South Africa (67%). DEHA concentration in packaged fish were significantly higher than the values for non-packaged fish (p < 0.01) suggesting that the packaging film can be one source of DEHA in fish.

Endocrine-disrupting chemicals used as common plastic additives: Levels, profiles, and human dietary exposure from the Indian food basket

Endocrine-disrupting chemicals (EDCs) such as phthalic acid esters (PAEs) and bisphenol A (BPA) are the most widely used plastic additives in polymeric materials. These EDCs are ubiquitously distributed in the environment. Hence selected PAEs and BPA were investigated in twenty-five food types and drinking water (supply and packaged) from the metropolitan city, Delhi, and the peri-urban areas of a non-metropolitan city, Dehradun. Except cabbage and orange, the sum of thirteen PAEs (∑₁₃PAEs) and BPA in all the other food types were significantly higher in Delhi over Dehradun (p < 0.01). Highest mean ∑₁₃PAEs (665 ng/g) and BPA (73 ng/g) were observed in cottage cheese and potatoes, respectively followed by fish (PAEs - 477 ng/g, BPA - 16 ng/g). Supply water from the west zone of Delhi was found to contain the highest concentration of BPA (309 ng/L) and ∑₁₃PAEs (5765 ng/L) with the dominance of diethyl phthalate (DEP). Based on the compositional profile and compound-wise principal component analysis, environmental contamination and food processing were attributed as significant sources of most priority PAEs in food samples. Di-ethyl hexyl phthalate (DEHP) was over 100-fold higher in the bottled water from local brands than composite bottled water samples. Packaging material was identified as a source for di-n-butyl phthalate (DnBP) in packaged food. This study observed the highest estimated daily dietary intake (EDI) in the high-fat-containing food products viz., cottage cheese, and fish from north Delhi. High bioaccumulation of BPA can be a possible reason for elevated EDI in vegetables and local fish of Delhi. Unlike Dehradun, EDI for ∑₁₃PAEs and BPA was slightly higher for the non-vegetarian adult when compared to the vegetarian adult. DEHP and DnBP exhibited the highest estimated estrogenic potential for bottled water from local brands. Dietary exposure due to six priority PAEs contamination in food stuffs was two to four-fold higher in Delhi than Dehradun for adult man and woman.

Effects of Dicyclohexyl Phthalate Exposure on PXR Activation and Lipid Homeostasis in Mice

BACKGROUND

Exposure to plastic-associated endocrine disrupting chemicals (EDCs) has been associated with an increased risk of cardiovascular disease (CVD) in humans. However, the underlying mechanisms for this association are unclear. Many EDCs have been shown to function as ligands of the nuclear receptor pregnane X receptor (PXR), which functions as xenobiotic sensor but also has pro-atherogenic effects in vivo.

OBJECTIVE

We sought to investigate the contribution of PXR to the adverse effects dicyclohexyl phthalate (DCHP), a widely used phthalate plasticizer, on lipid homeostasis and CVD risk factors.

METHODS

Cell-based assays, primary organoid cultures, and PXR conditional knockout and PXR-humanized mouse models were used to investigate the impact of DCHP exposure on PXR activation and lipid homeostasis in vitro and in vivo. Targeted lipidomics were performed to measure circulating ceramides, novel predictors for CVD.

RESULTS

DCHP was identified as a potent PXR-selective agonist that led to higher plasma cholesterol levels in wild-type mice. DCHP was then demonstrated to activate intestinal PXR to elicit hyperlipidemia by using tissue-specific PXR-deficient mice. Interestingly, DCHP exposure also led to higher circulating ceramides in a PXR-dependent manner. DCHP-mediated PXR activation stimulated the expression of intestinal genes mediating lipogenesis and ceramide synthesis. Given that PXR exhibits considerable species-specific differences in receptor pharmacology, PXR-humanized mice were also used to replicate these findings.

DISCUSSION

Although the adverse health effects of several well-known phthalates have attracted considerable attention, little is known about the potential impact of DCHP on human health. Our studies demonstrate that DCHP activated PXR to induce hypercholesterolemia and ceramide production in mice. These results indicate a potentially important role of PXR in contributing to the deleterious effects of plastic-associated EDCs on cardiovascular health in humans. Testing PXR activation should be considered for risk assessment of phthalates and other EDCs. https://doi.org/10.1289/EHP9262.

Vortex-assisted Dispersive Solid-phase Extraction Using Schiff-base Ligand Anchored Nanomagnetic Iron Oxide for Preconcentration of Phthalate Esters and Determination by Gas Chromatography and Flame Ionization Detector

Phthalate esters are synthetic chemicals that are widely used in plastic industries as plasticizer. They are harmful to humans and could be carcinogenic. In this research, a new nanosorbent was prepared via a Schiff-base reaction between p-dimethylaminobenzaldehyde and Fe₃O₄@SiO₂-NH₂ nanoparticles. A characterization of the sorbent was performed by Fourier-transform infrared spectroscopy, transmission electron microscopy, scanning electron microscopy, and energy-dispersive spectroscopy. A modified nanosorbent has a core shell structure, and shows a great tendency towards the sorption of phthalate esters. Hence, it was utilized for the dispersive solid-phase extraction of six phthalate esters and determination by gas chromatography-flame ionization detection. Several variables, such as the pH, sorbent amount, salt effects, extraction and desorption time, extraction solvent type and volume, were investigated to establish the optimal conditions. Calibration graphs were linear in the range of 1.0 - 150.0 μg L^-1 for dimethyl phthalate, bis-(2-ethylhexyl) phthalate, di-n-octyl phthalate and 0.1 - 200.0 μg L^-1 for diethyl phthalate, di-n-butyl phthalate and butyl benzyl phthalate, respectively. The obtained limits of detections (S/N = 3) were in the range of 0.02 - 0.31 μg L^-1. Application of the method for the enrichment and determination of phthalate esters in mineral water, natural low fat yogurt and sodium chloride infusion (0.9%, w/v) was investigated.

Scoping review of nutrition intervention and dietary assessment studies in Khmer populations living in Cambodia

BACKGROUND

This scoping review aims to describe the body of nutrition intervention and dietary assessment research undertaken with Khmer populations in Cambodia, as well as summarise the nutrition knowledge base and highlight priority areas for future research.

METHODS

Five databases and the grey literature were searched, following PRISMA-ScR guidelines. Studies involving dietary assessment or nutrition interventions published after 1992 were identified using specific search terms and extracted to a customised data extraction table for categorisation and analysis. Study participants were Khmer people of any age and gender, living in rural or urban Cambodia.

RESULTS

Of the 100 included studies, 58 were dietary assessment only studies, 24 were nutrition interventions only, and 18 studies involved both assessment of intake and an intervention. Sixty-eight percent of study populations were mothers and young children, of which 52 studies focused on children aged under 5 years. Nineteen interventions involved supplementation and six trialled fortification of rice or fish sauce. Anaemia was the most common nutrition condition studied (n = 17), followed by malnutrition (n = 15) and malnutrition risk factors (n = 11). General nutrition status was explored in 25 studies, and individual micronutrients that were studied included iron (n = 27), zinc (n = 6), vitamin A (n = 4) and thiamine (n = 3).

CONCLUSIONS

Diet-related research in Khmer populations in Cambodia has predominantly focused on dietary assessment or evaluation of interventions aimed at reducing malnutrition and resolving micronutrient deficiencies. Areas identified as emerging needs included non-communicable diseases, the ageing population and non-iron deficiency anaemia.

Bioaccumulation of legacy and emerging organophosphorus flame retardants and plasticizers in insects during metamorphosis

Seven insect taxa belonging to five different orders were collected from a former Chinese e-waste dumping site to investigate the occurrences of organophosphorus flame retardants (PFRs) and plasticizers. The total PFR and plasticizer concentrations were in the ranges of 2.3-91 ng/g ww (median: 20 ng/g ww) and 420-15600 ng/g ww (4040 ng/g ww), respectively. The contaminant patterns varied greatly among different insect taxa owing to their specific habitats and feeding habits. The larvae of litchi stinkbugs and grasshoppers exhibited significantly higher PFR concentrations than their adult counterparts. In contrast, the adults of butterflies, moths, and dragonflies exhibited significantly higher PFR concentrations than their larvae. Additionally, negative linear correlations were frequently observed between the ratios of PFR and plasticizer concentrations in adult to larva (A/L) and log K_OW in the four studied insect taxa, which were different from those corresponding to persistent organic pollutants. Notably, the contaminant concentrations of dragonfly ecdysis were significantly higher than those of dragonfly larvae, indicating that ecdysis is an important pathway by which dragonflies remove PFRs and plasticizers.

Phthalate esters contamination in vegetable-soil system of facility greenhouses in Jingmen, central China and the assessment of health risk

Residual levels of six priority phthalate esters (PAEs) compounds in top soils and vegetables of 40 selected greenhouses in two typical facility vegetable greenhouse production areas of Jingmen (Hubei, central China) were determined. Total concentrations of six target PAEs (Σ6PAEs) in 72 vegetable and 40 soil samples ranged from 862 ± 209 to 4260 ± 385 µg kg^-1 (dry weight, DW), and from 1122 ± 156 to 4134 ± 272 µg kg^-1 (DW), respectively. Di-n-butyl phthalate and di-(2-ethylhexyl) phthalate (DEHP) are the two most frequently and massively detected in all samples. The highest Σ6PAEs appeared in leaf samples of Tuanlin, vegetable fruits of Zhongxiang and soils of Tuanlin. No carcinogenic risk was posed based on the results of health risk assessment, but non-carcinogenic risk of DEHP to children less than 6 years old in Tuanlin (all 24 sampling sites) and Zhongxiang (4/16 sampling sites) and people older than 6 years old in Tuanlin (19/24 sampling sites) were achieved from hazard quotient values. The contamination risk problem of PAEs in Tuanlin deserves greatest concern in Jingmen. Combined with the results of our former study, the health risks of target pollutants were clarified and the lack of survey data on PAE concentrations in facility vegetable greenhouses of central China was filled in. Due to high residuals and significant non-carcinogenic risk values, DEHP should be nominated as priority PAEs in China. Our study suggested better regulation for PAEs control in intensively managed greenhouses and references for revision of Chinese environmental standards.

Occurrence, Ecological and Health Risk Assessment of Phthalate Esters in Surface Water of U-Tapao Canal, Southern, Thailand

Phthalate esters (PAEs) are well known for their environmental contamination and endocrine-disrupting effects on wildlife and humans. In this study, the occurrence of PAEs and ecotoxicological risk assessments were performed in one of the significant canals in southern Thailand, named U-Tapao. Water samples were collected and analyzed for the six most common PAEs by using a gas chromatograph-mass spectrometer (GC-MS). Of the 6 PAEs analyzed, only three PAEs, including di-n-butyl phthalate (DBP), di (2-Ethylhexyl) phthalate (DEHP), and diisononyl phthalate (DiNP) were detected in water samples. The total concentration of PAEs ranged from 1.44 to 12.08 µg/L, with a mean level of 4.76 µg/L. The total average concentration of PAEs found in the canal was higher than the criteria of 3 µg/L for PAEs recommended for the protection of fish and other aquatic organisms by the United States Environmental Protection Agency (USEPA). The results of the potential ecological risk assessment of the risk quotient (RQ) method revealed that DEHP and DiNP posed a high risk to algae and crustacean and crustacean and fish, respectively, whereas DBP posed a medium risk to the different aquatic species. However, current levels of noncarcinogenic and carcinogenic risks via ingestion and dermal exposure in children and adults are within acceptable limits. The baseline data of PAEs in this canal will be beneficial to the strategic and future pollutant control along the canal network.

Phthalates in preschool children's clothing manufactured in seven Asian countries: Occurrence, profiles and potential health risks

Phthalates could be introduced into clothing as chemical additives or impurities, becoming a potential source of human exposure. We measured the concentrations of 15 phthalates in new preschool children's clothing manufactured in seven Asian countries. Phthalates were prevalent in all samples, and total concentrations were 2.92-223 μg/g, indicating a moderate contamination level. Bis(2-ethylhexyl) phthalate, di(isobutyl) phthalate and di-n-butyl phthalate were the most abundant phthalates measured, representing a median of 48.5 %, 13.6 % and 13.4 % of the total concentrations, respectively. Total concentrations did not differ significantly by country of manufacture, while the concentrations of individual phthalates and their composition profiles varied widely. We also found differing phthalate levels by item type, fabric composition, and color. Under the assumed two exposure scenarios, the median of summed dermal exposure doses of six phthalate were 539 and 950 ng/kg of body weight per day, respectively. When children wore trousers, long-sleeved shirts, briefs and socks at the same time, the reproductive risks exceeded acceptable level, although the carcinogenic risk of DEHP was low. Our results suggested that new clothing is an important route of phthalate exposure to preschool children. More research is required to investigate the contaminations and associated with risks in child clothing.

Occurrence of Selected Organic Contaminants in Edible Insects and Assessment of Their Chemical Safety

BACKGROUND

Feeding the continuously growing world population is challenging, and edible insects offer a sustainable alternative to conventional sources of animal proteins. As with any food source, the potential presence of hazardous organic chemicals, such as persistent organic pollutants (POPs), plasticizers and flame retardants (FRs), must be investigated to guarantee consumer chemical safety.

OBJECTIVES

Here, we have investigated the contamination levels of several classes of organic compounds in edible insects. To evaluate their chemical safety, a dietary exposure risk assessment was then performed by combining the measured chemical contamination with the most recent food consumption data from local surveys.

METHODS

Insect samples, belonging to six orders (Orthoptera, Coleoptera, Lepidoptera, Hemiptera, Odonata, Hymenoptera) were purchased from five European and three Asian countries. POPs and halogenated FRs were analyzed by gas chromatography-mass spectrometry (GC/MS) and organophosphorus FRs and plasticizers were quantified by liquid chromatography-MS/MS, according to validated protocols.

RESULTS

The overall levels of chemical contamination varied greatly among the insect orders and country of purchase, but they were generally low and comparable with other commonly consumed animal products.

DISCUSSION

Here we show that, besides the activities during rearing, the industrial post-harvesting handling and addition of ingredients are supplementary factors influencing the chemical load of the final insect food-product. The total estimated dietary intakes of the considered classes of compounds through insect consumption are comparable with those generally assessed in common food of animal origin worldwide and, when compared with existing reference dose values, suggest that the risk of adverse health effects from exposure to the targeted organic compounds via insect consumption is unlikely. https://doi.org/10.1289/EHP5782.

Analysis of Pollution of Phthalates in Pork and Chicken in Taiwan Using Liquid Chromatography-Tandem Mass Spectrometry and Assessment of Health Risk

Phthalates are widely used plasticizers that can cause endocrine disruption, mutagenicity, and carcinogenic effects and can contaminate food through various pathways. Investigations are scanty on phthalate pollution of livestock and poultry meat and their dietary exposure to humans. The present study assessed residual levels of phthalates in unpackaged pork (30 samples) and unpackaged chicken (30 samples) and their relevance to meat consumption and health risks in the Taiwanese population. Phthalate quantity was assessed by liquid chromatography-tandem mass spectrometry; the materials included diisononyl phthalate, diisodecyl phthalate, benzyl butyl phthalate, di-2-ethylhexyl phthalate (DEHP), and di-n-butyl phthalate. The Taiwan Food and Drug Administration (TFDA) has established values of tolerable daily intake (TDI) for the five phthalates. The major compound detected was DEHP, which ranged from 0.62 to 0.80 mg/kg in two pork samples, and 0.42-0.45 mg/kg in three chicken samples. Collectively, 8.33% of the phthalate-residue-containing samples tested positive for DEHP. The concentrations of DEHP were lower than the screening value of 1.0 mg/kg, as defined by the TFDA. Health risk was calculated as the estimated daily intake (DI) for any likely adverse effects; the DI of DEHP residues was <1% of the TDI value. The estimated risk was insignificant and considered to be safe, indicating that there is no risk to the health of Taiwanese population due to meat consumption. However, it is suggested that a phthalate monitoring program in meat should be instituted for any possible effects in future on human health.

Phthalates and organophosphorus insecticide residues in shrimp determined by liquid/gas chromatography-Tandem mass spectrometry and a health risk assessment

Shrimps are the most widely and increasingly cultured crustaceans in land-based ponds in Taiwan. However, few studies have investigated the phthalate contamination of and insecticide residues in shrimp. In this study, we applied a validated method to analyze the phthalate and 18 insecticides residues in shrimp. A total of 46 samples of whiteleg, grass, or giant river shrimp were collected from aquafarms and production areas in Taiwan. We detected 0.02-0.70 mg/kg of di-2-ethylhexyl phthalate (DEHP) in three shrimps; 0.02-0.03 mg/kg of chlorpyrifos in three shrimps, and 0.03 mg/kg of trichlorfon in one shrimp, indicating that 6.52% and 8.70% of the samples contained phthalate and insecticide residues, respectively. Furthermore, the assessed risk was negligible and indicated no immediate health risk associated with shrimp consumption. Continual monitoring of the residues in shrimps is critical for further assessment of possible effects on human health.

Determination of selected endocrine disruptors in organic, free-range, and battery-produced hen eggs and risk assessment

An increasing amount of evidence suggests that phthalic acid esters (PAE), polychlorinated biphenyls (PCB), polybrominated diphenyl ethers (PBDE), and organochlorine pesticides (OCP) are related to mutagenic, carcinogenic, and endocrine disruptor effects (EDCs). These lipophilic compounds are highly resistant to breakdown processes, and consequently remain in the environment, followed by uptake into the food chain. Human exposure to lipophilic compounds results from the consumption of food containing EDCs, mainly foodstuffs of animal origin with a high fat content, since these contaminants accumulate in fatty tissues. Foodstuffs in which EDCs can accumulate include meat, fish, eggs, and milk. We investigated the contamination in edible eggs to determine whether relative differences in the contaminants' residue levels appeared in three types of egg production (i.e., battery, free-range, and organic). The results showed that PAEs, especially dimethyl phthalate contamination, was the most abundant in the battery eggs, and the PCBs, PBDEs, and OCPs were the most abundant in the free-range eggs. The eggs were contaminated by more than one chemical, and as many as five contaminants (PCB180, PBDE47, dimethyl phthalate, diethyl phthalate, and di-n-butyl phthalate in battery eggs, and PCB138, PCB153, PCB180, diethyl phthalate, and di-2-ethylhexyl phthalate in organic eggs) were detected in the same egg. However, none of the chemicals detected were at the maximum limit of acceptable risk.

Distribution and contamination status of phthalic acid esters in the sediments of a tropical monsoonal estuary, Cochin - India

Phthalic acid esters (PAEs) are a group of endocrine-disrupting chemicals listed as priority pollutants by United States Environmental Protection Agency (USEPA, 2009). This study provides baseline information on seasonal distribution and contamination status of six phthalic acid esters (∑₆PAEs) in sediments of a tropical estuary (Cochin-India). In general, the sediments accumulated more PAEs during the post monsoon (mean 2325 ngg^-1; between 1402 and 3121 ngg^-1) and monsoon (mean 1372 ngg^-1; between 331 and 4015 ngg^-1) periods indicating land run off as the major transport pathway. Moderate run off and comparatively high residence time lead to effective sorption and settling of PAEs in the surface sediments during post monsoon season. Despite a high discharge of PAEs in to the water column, their deposition on to the sediments occurs at a lower rate during monsoon than that post monsoon season. PAEs were (mean 810 ngg^-1; between 44 and 1722 ngg^-1) lowest in pre monsoon season. The pre monsoon season is characterized by a minimal runoff consequent to the trapping of these organic pollutants in the river catchment area. The mid and high molecular PAEs (DEHP-Di ethylhexyl phthalate, BBP-Benzyl butyl phthalate and DnBP-Di-n-butyl phthalate) were the dominant congeners relative to the low molecular weight congeners (DMP-Dimethyl phthalate and DEP-Diethyl phthalate). DEHP and BBP levels exceeded permissible risk levels indicating a serious ecological hazard to the estuarine ecosystem.

Daily intake of phthalates, MEHP, and DINCH by ingestion and inhalation

Phthalate esters, suspected endocrine disrupting chemicals, are used in a wide range of applications. Because phthalate esters are not covalently bound, they can easily leach into the indoor environment and associate to dust particles. Thus, exposure may occur through inhalation, ingestion, or contact with the skin. However, it is unclear to what degree indoor dust contributes to the daily intake of phthalate esters. This study investigates household dust as an exposure pathway for seven phthalate esters, the monoester MEHP, and the plasticizer DINCH. Household dust collected from children's sleeping rooms and from living rooms were analysed using gas and liquid chromatography tandem mass spectrometry. To compare two exposure pathways, different dust particle sizes were generated: a respirable fraction (<5 μm) and an ingested particle fraction in the anticipated size range of skin adherence (<75 μm). Modelling of dust inhalation and ingestion showed that the daily intake of dust-bound phthalate esters was likely to be 2 times (inhalation) to 12 times (ingestion) higher for 21-month-old children than for adults. These children's daily uptake of phthalate esters was 40-140 times higher through ingestion than inhalation. Furthermore, dust may be an exposure pathway for phthalate esters as well as for MEHP. Therefore, phthalate monoesters could be environmental contaminants of their own and need to be considered in health risk assessments.

Common Illnesses in Tropical Asia and Significance of Medical Volunteering

This study was conducted to provide practical information for actual preparation of medical volunteering in tropical Asia, mainly the distribution of common illnesses encountered during mission. From 2012 to 2017, we visited two rural areas of Eastern Cambodia for medical volunteering missions, Cham Lak and Khsoem. Neither area has electricity or public water. We classified the common cases encountered during missions into six groups (upper respiratory infection, gastroenteritis, vaginitis and/or cystitis, dermatitis, work-related pain and parasite prevention) and assessed the distribution. In Cham Lak and Khsoem, 558 and 371 people were treated, respectively. The most commonly encountered cases in children under age of 18 were upper respiratory infection, followed by parasite control and dermatitis, in both areas. There was no significant difference in distribution between the two areas. For adults, the most common illnesses in Cham Lak area were vaginitis and/or cystitis, followed by gastroenteritis and work-related pain. In Khsoem area, the common illnesses were work-related pain followed by gastroenteritis, and upper respiratory infection. The distribution between the two areas differed significantly (p <0.001). The difference might be due to the water source and main crops of agriculture. Successful preparation of a medical volunteering needs deep understanding of the destination community.

Urinary concentrations of 25 phthalate metabolites in Brazilian children and their association with oxidative DNA damage

Exposure of humans to phthalates has received considerable attention due to the ubiquitous occurrence and potential adverse health effects of these chemicals. Nevertheless, little is known about the exposure of the Brazilian population to phthalates. In this study, concentrations of 25 phthalate metabolites were determined in urine samples collected from 300 Brazilian children (6-14years old). Further, the association between urinary phthalate concentrations and a biomarker of oxidative stress, 8-hydroxy-2'-deoxyguanosine (8OHDG), was examined. Overall, eleven phthalate metabolites were found in at least 95% of the samples analyzed. The highest median concentrations were found for monoethyl phthalate (mEP; 57.3ngmL^-1), mono-(2-ethyl-5-carboxypentyl) phthalate (mECPP; 52.8ngmL^-1), mono-isobutyl phthalate (mIBP; 43.8ngmL^-1), and mono-n-butyl phthalate (mBP; 42.4ngmL^-1). The secondary metabolites of di(2-ethylhexyl) phthalate (DEHP), and mEP, mIBP, and mBP were the most abundant compounds, accounting for >90% of the total concentrations. On the basis of the measured concentrations of urinary phthalate metabolites, we estimated daily intakes of the parent phthalates, which were 0.3, 1.7, 1.8, 2.1, and 7.2μg/kg-bw/day for dimethyl phthalate, di-n-butyl phthalate, diisobutyl phthalate, diethyl phthalate, and DEHP, respectively. Approximately one-quarter of the Brazilian children had a hazard index of >1 for phthalate exposures. Statistically significant positive associations were found between 8OHDG and the concentration of the sum of phthalate metabolites, sum of DEHP metabolites, mEP, mIBP, mBP, monomethyl phthalate, mono(3-carboxypropyl) phthalate, monobenzyl phthalate, monocarboxyoctyl phthalate, monocarboxynonyl phthalate, monoisopentyl phthalate, and mono-n-propyl phthalate. To the best of our knowledge, this is the first study to report the exposure of a Brazilian population to phthalates.