title: Summary of the National Toxicology Program's report of the endocrine disruptors low-dose peer review.
abstract: At the request of the U.S. Environmental Protection Agency (U.S. EPA), the National Toxicology Program organized an independent and open peer review to evaluate the scientific evidence on low-dose effects and nonmonotonic dose-response relationships for endocrine-disrupting chemicals in mammalian species. For this peer review, "low-dose effects" referred to biologic changes that occur in the range of human exposures or at doses lower than those typically used in the standard testing paradigm of the U.S. EPA for evaluating reproductive and developmental toxicity. The demonstration that an effect is adverse was not required because in many cases the long-term health consequences of altered endocrine function during development have not been fully characterized. A unique aspect of this peer review was the willing submission of individual animal data by principal investigators of primary research groups active in this field and the independent statistical reanalyses of selected parameters prior to the peer review meeting by a subpanel of statisticians. The expert peer-review panel (the panel) also considered mechanistic data that might influence the plausibility of low-dose effects and identified study design issues or other biologic factors that might account for differences in reported outcomes among studies. The panel found that low-dose effects, as defined for this review, have been demonstrated in laboratory animals exposed to certain endocrine-active agents. In some cases where low-dose effects have been reported, the findings have not been replicated. The shape of the dose-response curves for reported effects varied with the end point and dosing regimen and were low-dose linear, threshold-appearing, or nonmonotonic. The findings of the panel indicate that the current testing paradigm used for assessments of reproductive and developmental toxicity should be revisited to see whether changes are needed regarding dose selection, animal-model selection, age when animals are evaluated, and the end points being measured following exposure to endocrine-active agents.
authors.affiliation: National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina 27709, USA. melnickr@niehs.nih.gov
authors.forename: Ronald
authors.initials: R
authors.lastname: Melnick
authors.forename: George
authors.initials: G
authors.lastname: Lucier
authors.forename: Mary
authors.initials: M
authors.lastname: Wolfe
authors.forename: Roxanne
authors.initials: R
authors.lastname: Hall
authors.forename: George
authors.initials: G
authors.lastname: Stancel
authors.forename: Gail
authors.initials: G
authors.lastname: Prins
authors.forename: Michael
authors.initials: M
authors.lastname: Gallo
authors.forename: Kenneth
authors.initials: K
authors.lastname: Reuhl
authors.forename: Shuk-Mei
authors.initials: SM
authors.lastname: Ho
authors.forename: Terry
authors.initials: T
authors.lastname: Brown
authors.forename: John
authors.initials: J
authors.lastname: Moore
authors.forename: Julian
authors.initials: J
authors.lastname: Leakey
authors.forename: Joseph
authors.initials: J
authors.lastname: Haseman
authors.forename: Michael
authors.initials: M
authors.lastname: Kohn
mesh_terms: D000728:Androgens / Q000009:adverse effects* / Q000032:analysis; D000818:Animals; D001559:Benzhydryl Compounds; D004195:Disease Models, Animal; D004305:Dose-Response Relationship, Drug; D004703:Endocrine System / Q000187:drug effects*; D004781:Environmental Exposure; D004967:Estrogens / Q000009:adverse effects* / Q000032:analysis; D004968:Estrogens, Non-Steroidal / Q000009:adverse effects / Q000032:analysis; D006801:Humans; D010380:Peer Review; D010636:Phenols / Q000009:adverse effects / Q000032:analysis; D011634:Public Health; D015203:Reproducibility of Results; D012107:Research Design; D000098826:Bisphenol A Compounds
chemical_list: D000728:Androgens; D001559:Benzhydryl Compounds; D004967:Estrogens; D004968:Estrogens, Non-Steroidal; D010636:Phenols; C006780:bisphenol A; D000098826:Bisphenol A Compounds