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Journal of Medical Toxicology logoLink to Journal of Medical Toxicology
. 2006 Sep;2(3):126–135. doi: 10.1007/BF03161027

Phthalates in food and medical devices

Karen Chou 1,3,, Robert O Wright 2,3
PMCID: PMC3550149  PMID: 18077888

Summary

Phthalates are ubiquitous environmental chemicals with a broad range of potential adverse health effects. Exposure pathways include air, water, packaged food and household products. Biological effects include disruption of the balance of sex hormones, allergic reactions, and enzyme inhibition. Carcinogenicity is seen in animals. In human studies, phthalates have been associated with poorer sperm quality, the symptomatology of asthma, and shortened AGD. Given the widespread use of phthalates in industrialized countries, further research, particularly on birth outcomes, endocrine disruption and child development are greatly needed.

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Abbreviations

BBP

Butyl benzyl phthalate

BiBP

Butyl isobutyl phthalate

BBzP

Butyl benzyl phthalate

BW

Body Weight

DBP

Dibutyl phthalate

DEHP

Di (2-ethylhexyl) phthalate

DEP

Diethyl phthalate

DiDP

Di(isodecyl) phthalate

DINP

Diisononyl phthalate

DIOP

Diisooctyl phthalate

DiBP

Di(isobutyl) phthalate

DMP

Dimethyl-phthalate

DnNP

Di-n-nonyl phthalate

DnOP

Di-n-octyl phthalate

ECMO

Extracorporeal membrane oxygenation

GIT

Gastro-intestinal tract

IT

Tolerable intake

MBP

Mono-n-butyl phthalate

MBzP

Monobenzyl phthalate

MCL

Maximum Contaminant Level

MCPP

Mono-3-carboxypropyl phthalate

MEHP

Monoethylhexyl phthalate

MEP

Monoethyl phthalate

MEHHP

Mono-2-ethyl-5-hydroxyhexyl phthalate

MEOHP

Mono-2-ethyl-5-oxohexyl phthalate

MiBP

Monoisobutyl phthalate

MMP

Monomethyl phthalate

TPN

Total parenteral nutrition

References

  1. Adibi JJ, Perera FP, Jedrychowski W, Camann DE, Barr D, Jacek R, Whyatt RM. Prenatal exposures to phthalates among women in New York City and Krakow, Poland. Environ Health Perspect. 2003;111:1719–1722. doi: 10.1289/ehp.6235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Akingbemi BT, Ge R, Klinefelter GR, Zirkin BR, Hardy MP. Phthalate-induced Leydig cell hyperplasia is associated with multiple endocrine disturbances. Proc Natl Acad Sci USA. 2004;101:775–780. doi: 10.1073/pnas.0305977101. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Akingbemi BT, Youker RT, Sottas CM, Ge R, Katz E, Klinefelter GR, Zirkin BR, Hardy MP. Modulation of rat Leydig cell steroidogenic function by di(2-ethylhexyl)phthalate. Biol Reprod. 2001;65:1252–1259. doi: 10.1095/biolreprod65.4.1252. [DOI] [PubMed] [Google Scholar]
  4. Amorim MJ, Ferreira JP. Microparticles for delivering therapeutic peptides and proteins to the lumen of the small intestine. Eur J Pharm Biopharm. 2001;52:39–44. doi: 10.1016/S0939-6411(01)00148-5. [DOI] [PubMed] [Google Scholar]
  5. Babich MA, Chen SB, Greene MA, Kiss CT, Porter WK, Smith TP, Wind ML, Zamula WW. Risk assessment of oral exposure to diisononyl phthalate from children’s products. Regul Toxicol Pharmacol. 2004;40:151–167. doi: 10.1016/j.yrtph.2004.06.005. [DOI] [PubMed] [Google Scholar]
  6. Bally MB, Opheim DJ, Shertzer HG. Di-(2-ethylhexyl) phthalate enhances the release of lysosomal enzymes from alveolar macrophages during phagocytosis. Toxicology. 1980;18:49–60. doi: 10.1016/0300-483X(80)90037-2. [DOI] [PubMed] [Google Scholar]
  7. Bornehag CG, Sundell J, Weschler CJ, Sigsgaard T, Lundgren B, Hasselgren M, Hagerhed Engman L. The association between asthma and allergic symptoms in children and phthalates in house dust: a nested case-control study. Environ Health Perspect. 2004;112:1393–1397. doi: 10.1289/ehp.7187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Calafat AM, Slakman AR, Silva MJ, Herbert AR., Needham LL. Automated solid phase extraction and quantitative analysis of human milk for 13 phthalate metabolites. J Chromatogr B Analyt Technol Biomed Life Sci. 2004;805:49–56. doi: 10.1016/j.jchromb.2004.02.006. [DOI] [PubMed] [Google Scholar]
  9. Casajuana N., Lacorte S. New methodology for the determination of phthalate esters, bisphenol A, bisphenol A diglycidyl ether, and nonylphenol in commercial whole milk samples. J Agric Food Chem. 2004;52:3702–3707. doi: 10.1021/jf040027s. [DOI] [PubMed] [Google Scholar]
  10. Castle L, Gilbert J, Eklund T. Migration of plasticizer from poly(vinyl chloride) milk tubing. Food Addit Contam. 1990;7:591–596. doi: 10.1080/02652039009373924. [DOI] [PubMed] [Google Scholar]
  11. Castle L, Mayo A, Gilbert J. Migration of plasticizers from printing inks into foods. Food Addit Contam. 1989;6:437–443. doi: 10.1080/02652038909373802. [DOI] [PubMed] [Google Scholar]
  12. Castle L, Mercer AJ, Startin JR, Gilbert J. Migration from plasticized films into foods. 3. Migration of phthalate, sebacate, citrate and phosphate esters from films used for retail food packaging. Food Addit Contam. 1988;5:9–20. doi: 10.1080/02652038809373657. [DOI] [PubMed] [Google Scholar]
  13. CDC, N. C. f. E. H. Third natnal report on human exposure to environmental chemcials, N. C. f. E. H. Division of Laboratory Sciences, Centers for Disease Control and Prevention, Department of Health and Human Services, ed.2005.
  14. Cobellis L, Latini G, De Felice C, Razzi S, Paris I, Ruggieri F, Mazzeo P, Petraglia F. High plasma concentrations of di-(2-ethylhexyl)-phthalate in women with endometriosis. Hum Reprod. 2003;18:1512–1515. doi: 10.1093/humrep/deg254. [DOI] [PubMed] [Google Scholar]
  15. Colon I, Caro D, Bourdony CJ, Rosario O. Identification of phthalate esters in the serum of young Puerto Rican girls with premature breast development. Environ Health Perspect. 2000;108:895–900. doi: 10.2307/3434999. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Criado M. V., Fernandez Pinto V. E., Badessari A., Cabral D. Conditions that regulate the growth of moulds inoculated into bottled mineral water. Int J Food Microbiol. 2005;99:343–349. doi: 10.1016/j.ijfoodmicro.2004.10.036. [DOI] [PubMed] [Google Scholar]
  17. Davis BJ, Maronpot RR, Heindel JJ. Di-(2-ethylhexyl) phthalate suppresses estradiol and ovulation in cycling rats. Toxicol Appl Pharmacol. 1994;128:216–223. doi: 10.1006/taap.1994.1200. [DOI] [PubMed] [Google Scholar]
  18. Dostal LA, Weaver RP, Schwetz BA. Transfer of di(2-ethylhexyl) phthalate through rat milk and effects on milk composition and the mammary gland. Toxicol Appl Pharmacol. 1987;91:315–325. doi: 10.1016/0041-008X(87)90054-8. [DOI] [PubMed] [Google Scholar]
  19. Doull J, Cattley R, Elcombe C, Lake BG, Swenberg J, Wilkinson C, Williams G, van Gemert M. A cancer risk assessment of di(2-ethylhexyl)phthalate: application of the new U.S. EPA Risk Assessment Guidelines. Regul Toxicol Pharmacol. 1999;29:327–357. doi: 10.1006/rtph.1999.1296. [DOI] [PubMed] [Google Scholar]
  20. Duty SM, Ackerman RM, Calafat AM, Hauser R. Personal care product use predicts urinary concentrations of some phthalate monoesters. Environ Health Perspect. 2005;113:1530–1535. doi: 10.1289/ehp.8083. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Duty SM, Calafat AM, Silva MJ, Ryan L, Hauser R. Phthalate exposure and reproductive hormones in adult men. Hum Reprod. 2005;20:604–610. doi: 10.1093/humrep/deh656. [DOI] [PubMed] [Google Scholar]
  22. Duty SM, Silva MJ, Barr DB, Brock JW, Ryan L, Chen Z, Herrick RF, Christiani DC, Hauser R. Phthalate exposure and human semen parameters. Epidemiology. 2003;14:269–277. doi: 10.1097/00001648-200305000-00005. [DOI] [PubMed] [Google Scholar]
  23. Duty SM, Singh NP, Silva MJ, Barr DB, Brock JW, Ryan L, Herrick RF, Christiani DC, Hauser R. The relationship between environmental exposures to phthalates and DNA damage in human sperm using the neutral comet assay. Environ Health Perspect. 2003;111:1164–1169. doi: 10.1289/ehp.5756. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Faouzi MA, Dine T, Gressier B, Kambia K, Luyckx M, Pagniez D, Brunet C, Cazin M, Belabed A, Cazin JC. Exposure of hemodialysis patients to di-2-ethylhexyl phthalate. Int J Pharm. 1999;180:113–121. doi: 10.1016/S0378-5173(98)00411-6. [DOI] [PubMed] [Google Scholar]
  25. FDA, C. Safety Assessment of Di(2-ethylhexy)phthalate (DEHP) Released from PVC Medical Devices, U. F. a. D. A. Center for Devices and Radiological Health, ed.2001.
  26. Feigal D. W. FDA Public Health Notification: PVC Devices Containing the Plasticizer DEHP, U. F. a. D. A. Center for Devices and Radiological Health, ed.2002.
  27. Fennell T. R., Krol W. L., Sumner S. C., Snyder R. W. Pharmacokinetics of dibutylphthalate in pregnant rats. Toxicol Sci. 2004;82:407–418. doi: 10.1093/toxsci/kfh294. [DOI] [PubMed] [Google Scholar]
  28. Foster PM, Cattley RC, Mylchreest E. Effects of din-butyl phthalate (DBP) on male reproductive development in the rat: implications for human risk assessment. Food Chem Toxicol. 2000;38:S97–S99. doi: 10.1016/s0278-6915(99)00128-3. [DOI] [PubMed] [Google Scholar]
  29. Gourlay T, Stefanou DC, Asimakopoulos G, Taylor KM. The effect of circuit surface area on CD11b(mac-1) expression in a rat recirculation model. Artif Organs. 2001;25:475–479. doi: 10.1046/j.1525-1594.2001.025006475.x. [DOI] [PubMed] [Google Scholar]
  30. Green R, Hauser R, Calafat AM, Weuve J, Schettler T, Ringer S, Huttner K, and Hu H. (Use of di(2-ethylhexyl) phthalate containing medical products and urinary levles of mono(2-ethylhexyl) phthalate in neonatal intensive care unit infants (National Institute of Environmental Health Sciences, National Institutes of Health, US Department of Health and Human Services).2005. [DOI] [PMC free article] [PubMed]
  31. Guzman M, Molpeceres J, Garcia F, Aberturas MR. Preparation, characterization and in vitro drug release of poly-epsilon-caprolactone and hydroxypropyl methylcellulose phthalate ketoprofen loaded microspheres. J Microencapsul. 1996;13:25–39. doi: 10.3109/02652049609006801. [DOI] [PubMed] [Google Scholar]
  32. Haishima Y, Matsuda R, Hayashi Y, Hasegawa C, Yagami T, Tsuchiya T. Risk assessment of di(2-ethylhexyl) phthalate released from PVC blood circuits during hemodialysis and pump-oxygenation therapy. Int J Pharm. 2004;274:119–129. doi: 10.1016/j.ijpharm.2004.01.009. [DOI] [PubMed] [Google Scholar]
  33. Hauser R, Williams P, Altshul L, Calafat AM. Evidence of interaction between polychlorinated biphenyls and phthalates in relation to human sperm motility. Environ Health Perspect. 2005;113:425–430. doi: 10.1289/ehp.7305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Hites RA. Phthalates in the Charles and the Merrimack rivers. Environ Health Perspect. 1973;3:17–21. doi: 10.2307/3428025. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Hogman CF, Eriksson L, Ericson A, Reppucci AJ. Storage of saline-adenine-glucose-mannitol-suspended red cells in a new plastic container: polyvinylchloride plasticized with butyryln-trihexyl-citrate. Transfusion. 1991;31:26–29. doi: 10.1046/j.1537-2995.1991.31191096180.x. [DOI] [PubMed] [Google Scholar]
  36. Hoppin JA, Brock JW, Davis BJ, Baird DD. Reproducibility of urinary phthalate metabolites in first morning urine samples. Environ Health Perspect. 2002;110:515–518. doi: 10.1289/ehp.02110515. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Hoppin JA, Ulmer R, London SJ. Phthalate exposure and pulmonary function. Environ Health Perspect. 2004;112:571–574. doi: 10.1289/ehp.6564. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Jaeger RJ, Weiss AL, Brown K. Infusion of di-2-ethylhexylphthalate for neonates: a review of potential health risk. J Infus Nurs. 2005;28:54–60. doi: 10.1097/00129804-200501000-00007. [DOI] [PubMed] [Google Scholar]
  39. Jarfelt K, Dalgaard M, Hass U, Borch J, Jacobsen H, Ladefoged O. Antiandrogenic effects in male rats perinatally exposed to a mixture of di(2-ethylhexyl) phthalate and di(2-ethylhexyl) adipate. Reprod Toxicol. 2005;19:505–515. doi: 10.1016/j.reprotox.2004.11.005. [DOI] [PubMed] [Google Scholar]
  40. Jepsen KF, Abildtrup A, Larsen ST. Monophthalates promote IL-6 and IL-8 production in the human epithelial cell line A549. Toxicol In Vitro. 2004;18:265–269. doi: 10.1016/j.tiv.2003.09.008. [DOI] [PubMed] [Google Scholar]
  41. Jonsson BA, Richthoff J, Rylander L, Giwercman A, Hagmar L. Urinary phthalate metabolites and biomarkers of reproductive function in young men. Epidemiology. 2005;16:487–493. doi: 10.1097/01.ede.0000164555.19041.01. [DOI] [PubMed] [Google Scholar]
  42. Jung Koo H., Mu Lee B. Human monitoring of phthalates and risk assessment. J Toxicol Environ Health A. 2005;68:1379–1392. doi: 10.1080/15287390590956506. [DOI] [PubMed] [Google Scholar]
  43. Karle VA, Short BL, Martin GR, Bulas DI, Getson PR, Luban NL, O’Brien AM, Rubin RJ. Extracorporeal membrane oxygenation exposes infants to the plasticizer, di(2-ethylhexyl) phthalate. Crit Care Med. 1997;25:696–703. doi: 10.1097/00003246-199704000-00023. [DOI] [PubMed] [Google Scholar]
  44. Kato K, Silva MJ, Needham LL, Calafat AM. Determination of 16 phthalate metabolites in urine using automated sample preparation and on-line preconcentration/high-performance liquid chromatography/tandem mass spectrometry. Anal Chem. 2005;77:2985–2991. doi: 10.1021/ac0481248. [DOI] [PubMed] [Google Scholar]
  45. Kavlock R, Boekelheide K, Chapin R, Cunningham M, Faustman E, Foster P, Golub M, Henderson R, Hinberg I, Little R, et al. NTP Center for the Evaluation of Risks to Human Reproduction: phthalates expert panel report on the reproductive and developmental toxicity of butyl benzyl phthalate. Reprod Toxicol. 2002;16:453–487. doi: 10.1016/S0890-6238(02)00029-1. [DOI] [PubMed] [Google Scholar]
  46. Kavlock R, Boekelheide K, Chapin R, Cunningham M, Faustman E, Foster P, Golub M, Henderson R, Hinberg I, Little R, et al. NTP Center for the Evaluation of Risks to Human Reproduction: phthalates expert panel report on the reproductive and developmental toxicity of di-n-butyl phthalate. Reprod Toxicol. 2002;16:489–527. doi: 10.1016/S0890-6238(02)00033-3. [DOI] [PubMed] [Google Scholar]
  47. Kim IH, Park JH, Cheong IW, Kim JH. Swelling and drug release behavior of tablets coated with aqueous hydroxypropyl methylcellulose phthalate (HPMCP) nanoparticles. J Control Release. 2003;89:225–233. doi: 10.1016/S0168-3659(03)00089-0. [DOI] [PubMed] [Google Scholar]
  48. Kurahashi N, Kondo T, Omura M, Umemura T, Ma M, Kishi R. The effects of subacute inhalation of di (2-ethylhexyl) phthalate (DEHP) on the testes of prepubertal Wistar rats. J Occup Health. 2005;47:437–444. doi: 10.1539/joh.47.437. [DOI] [PubMed] [Google Scholar]
  49. Larsen ST, Hansen JS, Hammer M, Alarie Y, Nielsen GD. Effects of mono-2-ethylhexyl phthalate on the respiratory tract in BALB/c mice. Hum Exp Toxicol. 2004;23:537–545. doi: 10.1191/0960327104ht486oa. [DOI] [PubMed] [Google Scholar]
  50. Latini G, De Felice C, Presta G, Del Vecchio A, Paris I, Ruggieri F, Mazzeo P. In utero exposure to di-(2-ethylhexyl)phthalate and duration of human pregnancy. Environ Health Perspect. 2003;111:1783–1785. doi: 10.1289/ehp.6202. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Latini G., De Felice C., Verrotti A. Plasticizers, infant nutrition and reproductive health. Reprod Toxicol. 2004;19:27–33. doi: 10.1016/j.reprotox.2004.05.011. [DOI] [PubMed] [Google Scholar]
  52. Latini G, Verrotti A, De Felice C. DI-2-ethylhexyl phthalate and endocrine disruption: a review. Curr Drug Targets Immune Endocr Metabol Disord. 2004;4:37–40. doi: 10.2174/1568008043340017. [DOI] [PubMed] [Google Scholar]
  53. Liss GM, Albro PW, Hartle RW, Stringer WT. Urine phthalate determinations as an index of occupational exposure to phthalic anhydride and di(2-ethylhexyl)phthalate. Scand J Work Environ Health. 1985;11:381–387. doi: 10.5271/sjweh.2209. [DOI] [PubMed] [Google Scholar]
  54. Ljungvall K, Karlsson P, Hulten F, Madej A, Norrgren L, Einarsson S, Rodriguez Martinez H, Magnusson U. Delayed effects on plasma concentration of testosterone and testicular morphology by intramuscular low-dose di(2-ethylhexyl) phthalate or oestradiol benzoate in the prepubertal boar. Theriogenology. 2005;64:1170–1184. doi: 10.1016/j.theriogenology.2005.02.003. [DOI] [PubMed] [Google Scholar]
  55. Loff S, Kabs F, Subotic U, Schaible T, Reinecke F, Langbein M. Kinetics of diethylhexyl-phthalate extraction From polyvinylchloride-infusion lines. JPEN J Parenter Enteral Nutr. 2002;26:305–309. doi: 10.1177/0148607102026005305. [DOI] [PubMed] [Google Scholar]
  56. Lopez Roldan P, de Lopez Alda MJ, Barcelo D. Simultaneous determination of selected endocrine disrupters (pesticides, phenols and phthalates) in water by in-field solid-phase extraction (SPE) using the prototype PROFEXS followed by online SPE (PROSPEKT) and analysis by liquid chromatography-atmospheric pressure chemical ionisation-mass spectrometry. Anal Bioanal Chem. 2004;378:599–609. doi: 10.1007/s00216-003-2187-4. [DOI] [PubMed] [Google Scholar]
  57. Lovekamp Swan T, Davis BJ. Mechanisms of phthalate ester toxicity in the female reproductive system. Environ Health Perspect. 2003;111:139–145. doi: 10.1289/ehp.5658. [DOI] [PMC free article] [PubMed] [Google Scholar]
  58. Luks Betlej K, Popp P, Janoszka B, Paschke H. Solid-phase microextraction of phthalates from water. J Chromatogr A. 2001;938:93–101. doi: 10.1016/S0021-9673(01)01363-2. [DOI] [PubMed] [Google Scholar]
  59. Makhija SN, Vavia PR. Controlled porosity osmotic pump-based controlled release systems of pseudoephedrine. I. Cellulose acetate as a semipermeable membrane. J Control Release. 2003;89:5–18. doi: 10.1016/S0168-3659(02)00482-0. [DOI] [PubMed] [Google Scholar]
  60. McKee RH, Butala JH, David RM, Gans G. NTP center for the evaluation of risks to human reproduction reports on phthalates: addressing the data gaps. Reprod Toxicol. 2004;18:1–22. doi: 10.1016/j.reprotox.2003.09.002. [DOI] [PubMed] [Google Scholar]
  61. Mihovec Grdic M, Smit Z, Puntaric D, Bosnir J. Phthalates in underground waters of the Zagreb area. Croat Med J. 2002;43:493–497. [PubMed] [Google Scholar]
  62. Modigh CM, Bodin SL, Lillienberg L, Dahlman Hoglund A, Akesson B, Axelsson G. Time to pregnancy among partners of men exposed to di(2-ethylhexyl)phthalate. Scand J Work Environ Health. 2002;28:418–428. doi: 10.5271/sjweh.694. [DOI] [PubMed] [Google Scholar]
  63. Moore RW, Rudy TA, Lin TM, Ko K, Peterson RE. Abnormalities of sexual development in male rats with in utero and lactational exposure to the antiandrogenic plasticizer Di(2-ethylhexyl) phthalate. Environ Health Perspect. 2001;109:229–237. doi: 10.2307/3434690. [DOI] [PMC free article] [PubMed] [Google Scholar]
  64. Mortensen GK, Main KM, Andersson AM, Leffers H, Skakkebaek NE. Determination of phthalate monoesters in human milk, consumer milk, and infant formula by tandem mass spectrometry (LC-MS-MS) Anal Bioanal Chem. 2005;382:1084–1092. doi: 10.1007/s00216-005-3218-0. [DOI] [PubMed] [Google Scholar]
  65. Nagao T, Ohta R, Marumo H, Shindo T, Yoshimura S, Ono H. Effect of butyl benzyl phthalate in Sprague-Dawley rats after gavage administration: a two-generation reproductive study. Reprod Toxicol. 2000;14:513–532. doi: 10.1016/S0890-6238(00)00105-2. [DOI] [PubMed] [Google Scholar]
  66. O’Connor JC, Frame SR, Ladics GS. Evaluation of a 15-day screening assay using intact male rats for identifying antiandrogens. Toxicol Sci. 2002;69:92–108. doi: 10.1093/toxsci/69.1.92. [DOI] [PubMed] [Google Scholar]
  67. Oie L., Hersoug L. G., Madsen J. O. Residential exposure to plasticizers and its possible role in the pathogenesis of asthma. Environ Health Perspect. 1997;105:972–978. doi: 10.2307/3433878. [DOI] [PMC free article] [PubMed] [Google Scholar]
  68. Petersen J. H. Survey of di-(2-ethylhexyl)phthalate plasticizer contamination of retail Danish milks. Food Addit Contam. 1991;8:701–705. doi: 10.1080/02652039109374027. [DOI] [PubMed] [Google Scholar]
  69. Rhind SM, Kyle CE, Telfer G, Duff EI, Smith A. Alkyl phenols and diethylhexyl phthalate in tissues of sheep grazing pastures fertilized with sewage sludge or inorganic fertilizer. Environ Health Perspect. 2005;113:447–453. doi: 10.1289/ehp.7469. [DOI] [PMC free article] [PubMed] [Google Scholar]
  70. Roth B, Herkenrath P, Lehmann HJ, Ohles HD, Homig HJ, Benz Bohm G, Kreuder J, Younossi Hartenstein A. Di-(2-ethylhexyl)-phthalate as plasticizer in PVC respiratory tubing systems: indications of hazardous effects on pulmonary function in mechanically ventilated, preterm infants. Eur J Pediatr. 1988;147:41–46. doi: 10.1007/BF00442609. [DOI] [PubMed] [Google Scholar]
  71. Rozati R, Reddy PP, Reddanna P, Mujtaba R. Role of environmental estrogens in the deterioration of male factor fertility. Fertil Steril. 2002;78:1187–1194. doi: 10.1016/S0015-0282(02)04389-3. [DOI] [PubMed] [Google Scholar]
  72. Saillenfait AM, Payan JP, Fabry JP, Beydon D, Langonne I, Gallissot F, Sabate JP. Assessment of the developmental toxicity, metabolism, and placental transfer of Di-n-butyl phthalate administered to pregnant rats. Toxicol Sci. 1998;45:212–224. doi: 10.1006/toxs.1998.2518. [DOI] [PubMed] [Google Scholar]
  73. Sharman M, Read WA, Castle L, Gilbert J. Levels of di-(2-ethylhexyl)phthalate and total phthalate esters in milk, cream, butter and cheese. Food Addit Contam. 1994;11:375–385. doi: 10.1080/02652039409374236. [DOI] [PubMed] [Google Scholar]
  74. Shimizu T, Kouketsu K, Morishima Y, Goto S, Hasegawa I, Kamiya T, Tamura Y, Kora S. A new polyvinylchloride blood bag plasticized with less-leachable phthalate ester analogue, din-decyl phthalate, for storage of platelets. Transfusion. 1989;29:292–297. doi: 10.1046/j.1537-2995.1989.29489242792.x. [DOI] [PubMed] [Google Scholar]
  75. Sjoberg P, Bondesson U, Kjellen L, Lindquist NG, Montin G, Ploen L. Kinetics of di-(2-ethylhexyl) phthalate in immature and mature rats and effect on testis. Acta Pharmacol Toxicol (Copenh) 1985;56:30–37. doi: 10.1111/j.1600-0773.1985.tb01249.x. [DOI] [PubMed] [Google Scholar]
  76. Sjoberg P, Bondesson U, Sedin G, Gustafsson J. Dispositions of di- and mono-(2-ethylhexyl) phthalate in newborn infants subjected to exchange transfusions. Eur J Clin Invest. 1985;15:430–436. doi: 10.1111/j.1365-2362.1985.tb00297.x. [DOI] [PubMed] [Google Scholar]
  77. Sjoberg PO, Bondesson UG, Sedin EG, Gustafsson JP. Exposure of newborn infants to plasticizers. Plasma levels of di-(2-ethylhexyl) phthalate and mono-(2-ethylhexyl) phthalate during exchange transfusion. Transfusion. 1985;25:424–428. doi: 10.1046/j.1537-2995.1985.25586020115.x. [DOI] [PubMed] [Google Scholar]
  78. Sugita T, Kawamura Y, Tanimura M, Matsuda R, Niino T, Ishibashi T, Hirabahashi N, Matsuki Y, Yamada T, Maitani T. [Estimation of daily oral exposure to phthalates derived from soft polyvinyl chloride baby toys] Shokuhin Eiseigaku Zasshi. 2003;44:96–102. doi: 10.3358/shokueishi.44.96. [DOI] [PubMed] [Google Scholar]
  79. Swan SH, Main KM, Liu F, Stewart SL, Kruse RL, Calafat AM, Mao CS, Redmon JB, Ternand CL, Sullivan S, Teague JL. Decrease in anogenital distance among male infants with prenatal phthalate exposure. Environ Health Perspect. 2005;113:1056–1061. doi: 10.1289/ehp.8100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  80. Swedish E. In: Persistent Organic Pollutants, Monitor 16. Bernes C., editor. Stockholm: Swedish EPA; 1998. [Google Scholar]
  81. Tsumura Y, Ishimitsu S, Kaihara A, Yoshii K, Nakamura Y, Tonogai Y. Di(2-ethylhexyl) phthalate contamination of retail packed lunches caused by PVC gloves used in the preparation of foods. Food Addit Contam. 2001;18:569–579. doi: 10.1080/02652030120071. [DOI] [PubMed] [Google Scholar]
  82. Tsumura Y, Ishimitsu S, Saito I, Sakai H, Kobayashi Y, Tonogai Y. Eleven phthalate esters and di(2-ethylhexyl) adipate in one-week duplicate diet samples obtained from hospitals and their estimated daily intake. Food Addit Contam. 2001;18:449–460. doi: 10.1080/02652030117484. [DOI] [PubMed] [Google Scholar]
  83. Walinder R, Norback D, Wessen B, Venge P. Nasal lavage biomarkers: effects of water damage and microbial growth in an office building. Arch Environ Health. 2001;56:30–36. doi: 10.1080/00039890109604052. [DOI] [PubMed] [Google Scholar]
  84. Wang YB, Song L, Zhu ZP, Chen JF, Wang XR. Effects of dibutyl phthalate on sertoli cells of rat testis. Zhonghua Yu Fang Yi Xue Za Zhi. 2005;39:179–181. [PubMed] [Google Scholar]
  85. Waterman SJ, Keller LH, Trimmer GW, Freeman JJ, Nikiforov AI, Harris SB, Nicolich MJ, McKee RH. Two-generation reproduction study in rats given di-isononyl phthalate in the diet. Reprod Toxicol. 2000;14:21–36. doi: 10.1016/S0890-6238(99)00067-2. [DOI] [PubMed] [Google Scholar]
  86. Wilkinson CF, Lamb JCt. The potential health effects of phthalate esters in children’s toys: a review and risk assessment. Regul Toxicol Pharmacol. 1999;30:140–155. doi: 10.1006/rtph.1999.1338. [DOI] [PubMed] [Google Scholar]
  87. Wine RN, Li LH, Barnes LH, Gulati DK, Chapin RE. Reproductive toxicity of di-n-butylphthalate in a continuous breeding protocol in Sprague-Dawley rats. Environ Health Perspect. 1997;105:102–107. doi: 10.2307/3433070. [DOI] [PMC free article] [PubMed] [Google Scholar]
  88. Yamashita U, Sugiura T, Yoshida Y, Kuroda E. Effect of endocrine disrupters on macrophage functions in vitro. J UOEH. 2005;27:1–10. doi: 10.7888/juoeh.27.1_1. [DOI] [PubMed] [Google Scholar]

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