Figures & data
Table 1. Summary of the epidemiological literature exploring the link between phthalate exposure and adverse reproductive health outcomes in women.
Table 2. Summary of the NOAELs and LOAELs in mg/kg/d as well as the direction of change for each outcome, respectively, found in animal studies for each individual phthalate.
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Study on the di-n-butyl phthalate and di-2-ethylhexyl phthalate level of girl serum related with precocious puberty in Shanghai. Wei Sheng Yan Jiu, 36, 93–95 Wolff MS, Teitelbaum SL, Pinney SM, et al. (2010). Investigation of relationships between urinary biomarkers of phytoestrogens, phthalates, and phenols and pubertal stages in girls. Environ Health Perspect, 118, 1039–46 Cobellis L, Latini G, De FC, et al. (2003). High plasma concentrations of di-(2-ethylhexyl)-phthalate in women with endometriosis. Hum Reprod, 18, 1512–15 Huang PC, Tsai EM, Li WF, et al. (2010). Association between phthalate exposure and glutathione S-transferase M1 polymorphism in adenomyosis, leiomyoma and endometriosis. Hum Reprod, 25, 986–94 Itoh H, Iwasaki M, Hanaoka T, et al. (2009). Urinary phthalate monoesters and endometriosis in infertile Japanese women. Sci Total Environ, 408, 37–42 Kim SH, Chun S, Jang JY, et al. (2011). Increased plasma levels of phthalate esters in women with advanced-stage endometriosis: a prospective case-control study. Fertil Steril, 95, 357–9 Reddy BS, Rozati R, Reddy BV, Raman NV. (2006a). Association of phthalate esters with endometriosis in Indian women. BJOG, 113, 515–20 Weuve J, Hauser R, Calafat AM, et al. (2010). Association of exposure to phthalates with endometriosis and uterine leiomyomata: findings from NHANES, 1999–2004. Environ Health Perspect, 118, 825–32 Burdorf A, Brand T, Jaddoe VW, et al. (2011). The effects of work-related maternal risk factors on time to pregnancy, preterm birth and birth weight: the Generation R Study. Occup Environ Med, 68, 197–204 Tabacova S, Little R, Balabaeva L. (1999). Maternal exposure to phthalates and complications of pregnancy. Epidemiology, 10, S127 Toft G, Jonsson BA, Lindh CH, et al. (2012). Association between pregnancy loss and urinary phthalate levels around the time of conception. 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Environ Health Perspect, 3, 91–4 Heindel JJ, Gulati DK, Mounce RC, et al. (1989). Reproductive toxicity of three phthalic acid esters in a continuous breeding protocol. Fundam Appl Toxicol, 12, 508–18 Saillenfait AM, Roudot AC, Gallissot F, et al. (2011b). Developmental toxic potential of di-n-propyl phthalate administered orally to rats. J Appl Toxicol, 31, 36–44 Ema M, Kurosaka R, Harazono A, et al. (1996c). Phase specificity of developmental toxicity after oral administration of mono-n-butyl phthalate in rats. Arch Environ Contam Toxicol, 31, 170–6 Gray LEJr, Laskey J, Ostby J. (2006). Chronic di-n-butyl phthalate exposure in rats reduces fertility and alters ovarian function during pregnancy in female Long–Evans hooded rats. Toxicol Sci, 93, 189–95 Saillenfait AM, Sabate JP, Gallissot F. (2006). Developmental toxic effects of diisobutyl phthalate, the methyl-branched analogue of di-n-butyl phthalate, administered by gavage to rats. Toxicol Lett, 165, 39–46 Ema M, Kurosaka R, Amano H, Ogawa Y. (1994). Embryolethality of butyl benzyl phthalate during early pregnancy in rats. Reprod Toxicol, 8, 231–6 Ema M, Harazono A, Miyawaki E, Ogawa Y. (1996a). Characterization of developmental toxicity of mono-n-benzyl phthalate in rats. Reprod Toxicol, 10, 365–72 Ema M, Miyawaki E, Kawashima K. (1998). Reproductive effects of butyl benzyl phthalate in pregnant and pseudopregnant rats. Reprod Toxicol, 12, 127–32 Ema M, Miyawaki E. (2002). Effects on development of the reproductive system in male offspring of rats given butyl benzyl phthalate during late pregnancy. Reprod Toxicol, 16, 71–6 Ema M, Miyawaki E, Hirose A, Kamata, E. (2003). Decreased anogenital distance and increased incidence of undescended testes in fetuses of rats given monobenzyl phthalate, a major metabolite of butyl benzyl phthalate. Reprod Toxicol, 17, 407–12 Moral R, Santucci-Pereira J, Wang R, Russo IH, Lamartiniere CA, Russo J. (2011). In utero exposure to butyl benzyl phthalate induces modifications in the morphology and the gene expression profile of the mammary gland: an experimental study in rats. Environ Health, 10, 5 . doi: 10.1186/1476-069X-10-5 Nagao T, Ohta R, Marumo H, et al. (2000). Effect of butyl benzyl phthalate in Sprague–Dawley rats after gavage administration: a two-generation reproductive study. Reprod Toxicol, 14, 513–32 Hannas BR, Furr J, Lambright CS, et al. (2011). Dipentyl phthalate dosing during sexual differentiation disrupts fetal testis function and postnatal development of the male Sprague–Dawley rat with greater relative potency than other phthalates. Toxicol Sci, 120, 184–93 Saillenfait AM, Gallissot F, Sabate JP. (2009a). Differential developmental toxicities of di-n-hexyl phthalate and dicyclohexyl phthalate administered orally to rats. J Appl Toxicol, 29, 510–21 Saillenfait AM, Sabate JP, Gallissot F. (2009b). Effects of in utero exposure to di-n-hexyl phthalate on the reproductive development of the male rat. Reprod Toxicol, 28, 468–76 Hoshino N, Iwai M, Okazaki Y. (2005). A two-generation reproductive toxicity study of dicyclohexyl phthalate in rats. J Toxicol Sci, 30, 79–96 Yamasaki K, Okuda H, Takeuchi T, Minobe Y. (2009). Effects of in utero through lactational exposure to dicyclohexyl phthalate and p,p′-DDE in Sprague–Dawley rats. Toxicol Lett, 189, 14–20 Grande SW, Andrade AJ, Talsness CE, et al. (2006). A dose-response study following in utero and lactational exposure to di(2-ethylhexyl)phthalate: effects on female rat reproductive development. Toxicol Sci, 91, 247–54 Ma M, Kondo T, Ban S, et al. (2006). Exposure of prepubertal female rats to inhaled di(2-ethylhexyl)phthalate affects the onset of puberty and postpubertal reproductive functions. Toxicol Sci, 93, 164–71 Moore RW, Rudy TA, Lin TM, et al. (2001). Abnormalities of sexual development in male rats with in utero and lactational exposure to the antiandrogenic plasticizer Di(2-ethylhexyl) phthalate. Environ Health Perspect, 109, 229–37 Pocar P, Fiandanese N, Secchi C, et al. (2012). Exposure to di(2-ethyl-hexyl) phthalate (DEHP) in utero and during lactation causes long-term pituitary-gonadal axis disruption in male and female mouse offspring. Endocrinology, 153, 937–48 Schmidt JS, Schaedlich K, Fiandanese N, et al. (2012). Di(2-ethylhexyl) Phthalate (DEHP) impairs female fertility and promotes adipogenesis in C3H/N mice. Environ Health Perspect, 120, 1123--9 Svechnikova I, Svechnikov K, Soder O. (2007). The influence of di-(2-ethylhexyl) phthalate on steroidogenesis by the ovarian granulosa cells of immature female rats. J Endocrinol, 194, 603–9 Takai R, Hayashi S, Kiyokawa J, et al. (2009). Collaborative work on evaluation of ovarian toxicity. Two- or four-week repeated dose studies and fertility study of di-(2-ethylhexyl) phthalate (DEHP) in female rats. J Toxicol Sci, 34, SP111–19 Saillenfait AM, Roudot AC, Gallissot F, Sabate JP. (2011a). Prenatal developmental toxicity studies on di-n-heptyl and di-n-octyl phthalates in Sprague–Dawley rats. Reprod Toxicol, 32, 268–76 McKee RH, Pavkov KL, Trimmer GW, et al. (2006). An assessment of the potential developmental and reproductive toxicity of di-isoheptyl phthalate in rodents. Reprod Toxicol, 21, 241–52 Boberg J, Christiansen S, Axelstad M, et al. (2011). Reproductive and behavioral effects of diisononyl phthalate (DINP) in perinatally exposed rats. Reprod Toxicol, 31, 200–9 Waterman SJ, Keller LH, Trimmer GW, et al. (2000). Two-generation reproduction study in rats given di-isononyl phthalate in the diet. Reprod Toxicol, 14, 21–36 Hushka LJ, Waterman SJ, Keller LH, et al. (2001). Two-generation reproduction studies in Rats fed di-isodecyl phthalate. 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