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. Author manuscript; available in PMC: 2018 Mar 1.
Published in final edited form as: Int J Hyg Environ Health. 2016 Nov 19;220(2 Pt A):179–188. doi: 10.1016/j.ijheh.2016.11.007

Table 1.

List of chemical mixtures targeting male reproductive development in the Earl Gray, Jr. laboratory, USEPA (as of October, 2016)

Type of mixture Mixture study designa:
Chemicals in mixture
Mechanism of individual chemicals Mixture
model(s)
testedb
Reference
Similar
mechanisms of
action, same
signaling
pathwayc
B, EQ:

Vinclozolin (VIN) + Procymidon
(PROCYM)
VIN and PROCYM: Androgen receptor (AR) antagonists RA (Andrew Hotchkiss and Earl Gray, Jr., unpublished; Howdeshell et al., 2008)
B, EQ:

Di(n)butyl phthalate (DBP) +
Benzyl butyl phthalate (BBP)
DBP and BBP: inhibitors of fetal testosterone (T) synthesis
with a one common active metabolite (monobutyl phthalate
(MBP)
RA (Andrew Hotchkiss and Earl Gray, Jr., unpublished; Howdeshell et al., 2008)
B, EQ:

DBP + Diethylhexyl phthlate
(DEHP)
DBP and DEHP: inhibitors of fetal T synthesis with different
active metabolites (MBP and monoethylhexyl phthalate
(MEHP)
DA, RA Howdeshell et al., 2007
FR-D, EQ:

BBP + DBP + DEHP +
Diisobutyl phthalate (DiBP) +
Dipentyl phthalate (DPeP)
BBP, DBP, DEHP, DiBP, and DPeP: inhibitors of fetal T
synthesis
DA, RA Howdeshell et al, 2008; Howdeshell et al. 2015
FR-D, EQ:

BBP + DBP + DEHP + DiBP +
DPeP + Dihexyl phthlate (DHP) +
Diheptyl phthalate (DHeP) +
Diisoheptyl phthalate (DiHeP) +
dicyclohexyl phthalate (DCHP)
BBP, DBP, DEHP, DiBP, DHP, DHeP, DiHeP, DCHP, and
DPeP: inhibitors of fetal T synthesis
DA, RA Hannas et al., 2012
B, EQ:

BBP + Linuron (LIN)
BBP: inhibitor of fetal T synthesis
LIN: AR antagonist and direct inhibitor of T synthesis
DA Hotchkiss et al. 2004
FR-D, EQ:

DBP + PROCYM
DBP: inhibitor of fetal T synthesis
PROCYM: AR antagonist
DA, RA Hotchkiss et al. 2010
FR-D, EQ:

VIN + PROCYM + Prochloraz
(PROCL) + LIN + BBP + DBP +
DEHP
VIN and PROCYM: AR antagonists
LIN: AR antagonist and direct inhibitor of T synthesis
PROCL: AR antagonist and direct inhibitor of steroid
hormone synthesis
BBP, DBP, and DEHP: inhibitors of fetal T synthesis
DA, RA, IA,
TEQ
Rider et al., 2008
FR-D, EQ:

VIN + PROCYM + PROCL +
LIN + BBP + DBP + DEHP +
DiBP + DiHeP + DPeP
VIN and PROCYM: AR antagonists
LIN: AR antagonist and direct inhibitor of T synthesis
PROCL: AR antagonist and inhibitor of steroid hormone
synthesis
BBP, DBP, DEHP, DiBP, DiHeP, DPeP: inhibitors of fetal T
synthesis
DA, RA, IA Rider et al., 2010
FR-D, EQ:

DBP + Pyrifluquinazon (PFQ)
DBP: inhibitor of fetal T synthesis
PFQ: Possible AR antagonist
DA, RA Earl Gray, Jr., under preparation
Different
signaling
pathways, same
target tissue
B, EQ

DBP + 2,3,7,8-
Tetrachlorodibenzo-p-dioxin
(TCDD)
DBP: inhibitor of fetal T synthesis
TCDD: Aryl hydrocarbon receptor (AhR) agonist
RA Rider et al., 2010
Converging
AOPs, same target
tissue
B, EQ:

DPeP + Simvastatin (SIM)
DPeP: inhibitor of fetal T synthesis
SIM: inhibitor of cholesterol synthesis (via inhibition of 3-
hydroxy-3-methylglutaryl coenzyme A (HMG-CoA)
reductase) resulting in reduced fetal T synthesis
RA Beverly et al., 2014
Converging
AOPs, same target
tissue and
different
mechanisms of
action, same
signaling pathway
18 chemical, FR-D, LOEL study:

VIN + PROCYM + PROCL +
PFQ + p,p’- dichlorodiphenyl
dichloroethylene (pp’DDE) + LIN
+ PHTHALATES (BBP + DBP +
DEHP + DiBP + DiHeP + DPeP+
DHeP+ DCHP+ DHP) +
flutamide (FLUT) + finasteride
(FIN) + SIM
VIN, PFQ, FLUT, p,p’DDE and PROCYM: AR antagonists
LIN: AR antagonist and direct inhibitor of T synthesis
PROCL: AR antagonist and direct inhibitor of steroid
hormone synthesis
BBP + DBP + DEHP + DiBP + DiHeP + DPeP+ DHeP+
DCHP+ DHP: inhibitors of fetal T synthesis
SIM: inhibitor of cholesterol synthesis (via inhibition of 3-
hydroxy-3-methylglutaryl coenzyme A (HMG-CoA)
reductase) resulting in reduced fetal T synthesis
FIN: direct inhibitor of dihydrotestosterone (DHT) synthesis
(via 5 alpha reductase)
DA, RA, IA, Justin Conley and Earl Gray, Jr., under preparation
15 chemical FR-D, NOEL study:
VIN + PROCYM + PROCL
+PFQ+ pp’DDE+LIN +
PHTHALATES (BBP + DBP +
DEHP + DiBP + DiHeP + DPeP+
DHeP+ DCHP+ DHP)
VIN, PFQ, p,p’DDE and PROCYM: AR antagonists
LIN: AR antagonist and direct inhibitor of T synthesis
PROCL: AR antagonist and direct inhibitor of steroid
hormone synthesis
BBP + DBP + DEHP + DiBP + DiHeP + DPeP+ DHeP+
DCHP+ DHP: inhibitors of fetal T synthesis
DA, RA, IA, Justin Conley and Earl Gray, Jr., ongoing
a

Mixture study design: binary (B) or fixed ratio dilution (FR-D) design with equipotent doses (EQ), doses based on one-fifth the lowest observed effect level (LOEL), or doses based on twice the,no observed effect level (NOEL) for the individual chemicals for the top dose.

b

Mixture models tested include: dose addition (DA), integrated addition (IA), response addition (RA), and toxic equivalency factor (TEQ). Studies that did not specifically test a mixture model, but compared the data to the individual chemical responses were considered to have tested RA.

c

AOP: adverse outcome pathway.