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. 2021 Jan 3;42(3):295–353. doi: 10.1210/endrev/bnaa035

Table 3.

Early and late gestational presence of endocrine-disrupting chemicals and their associations with maternal and fetal mediators

EDC classes Inflammation Oxidative stress Hormonal changes Metabolomic changes Microbiomic changes
Early Mid to late term Early Mid to late term Early Mid to late term Early Mid to late term Early Mid to late term
Metals Maternal: Se, Mo, Cd, Ni, Cu, Zn, Pb ↑ MCP3 and IL8 (334) Maternal: Se, Mo, Ni ↑ maternal MCP3 (334)
Maternal W and U ↓ cord MCP1 (334)
Maternal Mo, Ni, Cd, Zn ↑ cord MCP1a and MCP3 (334)
Maternal As ↑ IL1B, IL8, IFNG, TNF (355)
Maternal Pb and Cu ↓ cord nitrotyrosine and chlor- tyrosine (333) Maternal V, As, Pb ↓ free T3 (36)
Maternal As, Se, Mn, Ni, Sb ↓ free and total T3 or T4 (381)
Maternal Ce and Yb ↓ cord TSH (382)
Maternal Cd ↑ urine L-cystine, L-tyrosine, and dityrosine; ↓histamine, and uric acid (256) ↑ uric acid (399) Maternal toenail As level ↑ butyry- lqlycine and tartrate (400)
Maternal TM2: higher Cu and lower Mo: ↑ glucose level (394)
Maternal Ar ↑ TM2 cord 17- methylstearate, laurate (12:0) and 4- vinylphenol sulfate
(400)
Maternal Methyl Hg Gut microbiome composition changed (416) Maternal Methyl Hg No effect on gut microbiome composition (416)
Parabens Maternal urine: butyl paraben ↓ CRP (351)
Ethyl paraben ↓ IL1B (356)
Maternal urine: butyl, ethyl, methyl,
propyl paraben ↑ 8-hydroxy- deoxyguanosine and 8- isoprostane (362) Maternal term urine: Methyl and ethyl paraben ↑ malondealdehyde (MDA) and 8- hydroxydeoxy- guanosine (63)
Maternal butyl paraben ↓ E2 and free T4 (375); ↑ total T4 (376)
Maternal methyl and propyl paraben ↓ mid-pregnancy E2 and ↑ late-pregnancy E2 (375)

Maternal propyl paraben Maternal: ↓ free T4 (376)
Maternal term urine: EtPB ↑ cord blood triiodothy- ronine levels (278)
Maternal urine: Parabens affect purine metabolism, fatty acid β-oxidation, and other pathways: methyl paraben ↑ hypoxanthine and 7- methylxanthine; ethyl paraben ↑ benzoic acid; propyl paraben ↑ trimethylamine N-oxide, dihydrobiopterin, and 2,6-dimethy- lheptanoyl carnitine (401) Maternal butyl paraben ↑ TM2 glucose
Propyl paraben ↓ glucose (353)
PAHs Placental PAH DNA adducts: ↑ TBARS and 7-ethoxy- coumarin O-deethylase, ↓ glutathione S-transferase activity (367) Maternal urine: 1- hydroxypyrene ↑ MDA (366, 367); placental 1- hydroxypyrene: ↑8-OHdG (75) Maternal Hydroxylated PAH ↓ E2 and T (280)
Phytoestrogens Maternal equal ↑ E3 (84)
Maternal matairesinol, enterodiol and entero- lactone ↑ urine hydroxylation products of estrogens (219)
Bisphenols Maternal BPA ↑ IL6 (350)
Maternal BP3 ↓ CRP (351)
Maternal BPA ↑ 3-nitrotyrosine (364) Maternal BPA ↑ cord 3-nitrotyrosine (364)
Maternal BP3 ↑ 8-hydroxy- deoxyguanosine (8-OHdG) and 8-isoprostane (363)
Maternal BPS ↑ 8-isoprostane (363)
BPA: baseline cortisol↑ in female, baseline cortisol↓ in male (383)
Maternal BPF: ↑ free T3 (384)
Maternal BPA ↓ maternal TSH (369, 370); ↑ maternal free T4 (370)
↓ maternal T (374)
↑ cord E2 (294)
Maternal BPA ↓ CRH (364)
Maternal BPF ↑ free T4 (364)
BPA ↑ maternal palmitic acid; oleic acid and total free fatty acids (364) Maternal BPA ≠ glucose levels (249) ↑ urine - endocanna binoid, palmitoleamide and lysophosphatidy- lethanolamine 18:0 (402)
Cord ↓leptin and ↑high-molecular-weight adiponectin (445)
Phthalates Maternal MnBP, MBzP, MCOMHP, meCPP, MEHP ↑ MCP3 and IL8 (353) Maternal MnBP, mCINP, meCPP, MEHP, MEHHP, MEOHP ↑ MCP3 (353)
Maternal MnBP/ MEHP ↑ cord MCP1a /MCP3 (353)
Maternal MnBP, MIP, MNP ↑ 8-iso-prostaglandin F2α (351)
Maternal MCPP and MCINP ↓ chlor-tyrosine (333) Maternal MBzP and MCOMHP ↓ cord nitro-tyrosine (333) Maternal DEHP slower rise in hCG (305)
Maternal MiBP, MEHP, MEOHP ↑ E1 and E2 (378)
Maternal MBzP ↑ E2 (378)
Maternal MCNP and DEHP ↓ free T (378)
Maternal urine: MnBP, MBzP, MCIP ↑ hCG (386)
Maternal MEHP and DEHP ≠ cord E2, T, FSH, LH, T3, T4, and TSH (282)
Maternal MEP: ↓ maternal total T4 (372); ↑ total and free T (377)
Maternal DEHP: ↓ maternal total and free T (377)
Maternal MEP ↑ blood glucose (396)
Maternal DEHP ↓ triglycerides, palmitic, oleic, linoleic, and α-linolenic acids (397)
Maternal MEP, MnBP, MiBP, DEHP ↑ nicotinamide mononucleotide, cysteine T2, cystine, and L-aspartic acid (398)
MiBP, MnBP, and DEHP ↓ Cord leptin (445)

↓ cord cortisol, cortisone and glucocorticoid/adrenal androgen ratio, and ↑ cord DHEA and DHEA/androstenedione ratio (439)
Maternal MBszP ↓ TSH (372)
Maternal MEP, MnBP, MiBP, DEHP ↓ total T4
Cord: ↓ TSH and total T4 (372) ↓ androstenedione, T and DHEAS and ↑E2 and E3 (114)
Organohalogens Maternal PBDE and PFAS ↑ IL6 and TNF (352) Maternal serum HCB and PCB congeners ↓ total T3 and ↑ free T4 (387)
PFOS: ↓ maternal TM3 cortisone (388)
PFOS and PFNA ↓ newborn TSH (430)
PFOA and PFOS Maternal hypothyroid (389)
Cord: PFOS ↑ DHEA and cortisol; PFOA ↓ DHEA (441)
PCB ↓ newborn T3 and T4 (436,437)
↓ T and ↑ E2 (443)
PCDF ↑ maternal 4-hydroxyl E2; PCDD ↓4-hydroxyl E2/ 2-hydroxyl E2 ratio (390)
PBDE ↑ cord TSH (436)
≠ maternal and cord E2 (444)
PBDE ↑ maternal fasting glucose (395)
PFAS ↓ maternal glucose (403)
PFOS ↑ maternal glucose;
PFOS metabolite inverse-U shaped association (404)
Agrochemicals Maternal HCH, DDD, DDE ↑ IL6 and IL4 (357)
Maternal plasma PBDEs ↑ IL6 and TNF; PFAS ↑ IL6; hydroxylated PBDE metabolites ↓ IL10 (352); ≠ CRP (354)
DDE and HCB maternal (366) and cord (429) ↓ total T3 and T4; ↓ TSH (389)
DAP ≠ maternal and cord TSH, T3 and T4 (374)
Maternal pyrethroids ↑ TSH (373)
Chlordanes, cis-HCB, heptachlor epoxide, Mirex, and toxaphenes Cord: ↓ T, cortisol, cortisone, prolactin, ↑ DHEA, FSH (♂) (442)
DDT Cord: ↓ DHEA and ↑ cortisol (♀) (442)
Maternal urine pesticides: ↑ glycine, threonine, lactate and glycerop- hosphoc- holine and ↓ citrate (405)
Antifouling agents
Personal care products Maternal urine: Triclosan ↑ CRP, IL10, TNF; 2,5- dichlorophenol ↑ CRP (356) Maternal triclosan ↑ 8-hydroxy- deoxyguanosine (363) Maternal triclosan ≠ TSH, T3 or T4 (385) Maternal triclosan ↑ E3 (376)
Maternal triclocarban ↑ T3 and T3/T4 (375)
Pharmaceuticals see sections above for effects of bisphenols and phthalates

Abbreviations: ↑, increase; ↓, decrease; ≠, no association; ∑, sum; ♂, male; ♀, female; CRP, C-reactive protein; DDE, diphenyl dichloro ethylene; DEHP, phthalate di(2-ethylhexyl)-phthalate; E2, estradiol; E3, estriol; Early, first trimester; EDC, endocrine-disrupting chemical; FSH, follicle-stimulating hormone; IFNG, interferon γ; IGF1, insulin-like growth factor; IL, interleukin; MDA, malondialdehyde; mid to late, second and third trimester; mRNA, messenger RNA; miRNA, microRNA; PAHs, polyaromatic hydrocarbons; PBDE, polybrominated diphenyl ether; PCB, polychlorinated biphenyl; PFAS, perfluorinated alkylated substance; PFOA, perfluorooctanoic acid; PFOS, perfluorooctane sulfonic acid; T3, 3,5,3′-triiodothyronine; T4, thyroxine; TM, trimester; TNF, tumor necrosis factor; TSH, thyrotropin.