Bisphenol A Exposure in Children With Autism Spectrum Disorders
Open accessAbstract
The etiology of autism spectrum disorders (ASD) is believed to involve genetic and environmental components. This study focused on the plasticizer, Bisphenol‐A (BPA). The major pathway for BPA metabolism and excretion is via glucuronidation. To determine whether there was a relationship between BPA exposure and ASD, urine specimens were collected from 46 children with ASD and 52 controls. Free and total BPA concentrations were determined by mass spectrometry. The fraction glucuronidated was calculated from the difference. A metabolomics study was done to investigate metabolite distribution in the urine. (i) Most of the BPA excreted in the urine was as the glucuronide; (ii) about 20% of the ASD children had BPA levels beyond the 90th percentile (>50 ng/mL) of the frequency distribution for the total sample of 98 children; (iii) Mann–Whitney U tests and multiple regression analyses found significant differences ( P < 0.05) between the groups in total and % bound BPA; and (iv) the metabolomics analyses showed the number of absolute partial correlations >|0.30| between metabolite concentrations and total BPA was ∼3 times greater with the ASD group than the controls ( P < 0.001), and the number of absolute partial correlations > |0.30| for % bound BPA was ∼15 times higher with ASD ( P < 0.001). The results suggest there is an association between BPA and ASD. Autism Res 2015, 8: 272–283 . © 2015 International Society for Autism Research, Wiley Periodicals, Inc.
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The published literature on bisphenol A and autism is conflicting, reporting associations ranging from none to rather substantial links with clinical autism and autistic traits.
“Concerning bisphenol A, the published literature, mostly characterized by smaller case–control studies is also conflicting, reporting associations ranging from none to rather substantial links with clinical autism and autistic traits [203–206].”
From The contribution of environmental exposure to the etiology of autism spectrum disorder (2019) · cites this paper as [203]
In a report of 46 children with ASD and 52 age-matched neurotypical control children, total urine BPA concentrations were higher in children with ASD compared with controls.
“Furthermore, in a recent report of 46 children with ASD and 52 age-matched neurotypical control children, total urine BPA concentrations were higher in children with ASD compared with controls [ 137 ].”
From DNA methylation: a mechanism linking environmental chemical exposures to risk of autism spectrum disorders? (2016) · cites this paper as [137]
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Cites
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Bisphenol A: An endocrine disruptor with widespread exposure and multiple effects
Rubin, B. S. (2011) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2011.05.002 · Cited by 1,420 · see citing works
Dolinoy, D. C., Huang, D., & Jirtle, R. L. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0703739104 · Cited by 1,369 · see citing works
Muhle, R., Trentacoste, S. V., & Rapin, I. (2004) · Pediatrics · doi:10.1542/peds.113.5.e472 · Cited by 1,207 · see citing works
In vivo effects of bisphenol A in laboratory rodent studies
Richter, C. A., Birnbaum, L. S., Farabollini, F., Newbold, R. R., Rubin, B. S., Talsness, C. E., Vandenbergh, J. G., Walser-Kuntz, D. R., & vom Saal, F. S. (2007) · Reproductive Toxicology · doi:10.1016/j.reprotox.2007.06.004 · Cited by 1,147 · see citing works
Thayer, K. A., Heindel, J. J., Bucher, J. R., & Gallo, M. A. (2012) · Environmental Health Perspectives · doi:10.1289/ehp.1104597 · Cited by 604 · see citing works
Rudel, R. A., Gray, J., Engel, C. L., Rawsthorne, T. W., Dodson, R. E., Ackerman, J. M., Rizzo, J., Nudelman, J. L., & Brody, J. G. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.1003170 · Cited by 594 · see citing works
Impact of Early-Life Bisphenol A Exposure on Behavior and Executive Function in Children
Braun, J. M., Kalkbrenner, A. E., Calafat, A. M., Yolton, K. A., Ye, X., Dietrich, K. N., & Lanphear, B. P. (2011) · PEDIATRICS · doi:10.1542/peds.2011-1335 · Cited by 565 · see citing works
The estrogenic endocrine disrupting chemical bisphenol A (BPA) and obesity
Saal, F. S. V., Nagel, S. C., Coe, B., Angle, B. M., & Taylor, J. A. (2012) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2012.01.001 · Cited by 449 · see citing works
What causes autism? Exploring the environmental contribution
Landrigan, P. J. (2010) · Current Opinion in Pediatrics · doi:10.1097/mop.0b013e328336eb9a · Cited by 429 · see citing works
Endocrine disruptors and childhood social impairment
Miodovnik, A., Engel, S. M., Zhu, C., Ye, X., Soorya, L. V., Silva, M. J., Calafat, A. M., & Wolff, M. S. (2011) · NeuroToxicology · doi:10.1016/j.neuro.2010.12.009 · Cited by 423 · see citing works
Herbert, M. R. (2010) · Current Opinion in Neurology · doi:10.1097/wco.0b013e328336a01f · Cited by 356 · see citing works
Variability and predictors of urinary bisphenol A concentrations during pregnancy
Braun, J. M., Kalkbrenner, A. E., Calafat, A. M., Bernert, J. T., Ye, X., Silva, M. J., Barr, D. B., Sathyanarayana, S., & Lanphear, B. P. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.1002366 · Cited by 352 · see citing works
Critical evaluation of key evidence on the human health hazards of exposure to bisphenol A
Hengstler, J. G., Foth, H., Gebel, T., Kramer, P.-J., Lilienblum, W., Schweinfurth, H., Völkel, W., Wollin, K., & Gundert‐Remy, U. (2011) · Critical Reviews in Toxicology · doi:10.3109/10408444.2011.558487 · Cited by 345 · see citing works
Psychiatric Comorbidity and Medication Use in Adults with Autism Spectrum Disorder
Buck, T. R., Viskochil, J., Farley, M., Coon, H., McMahon, W. M., Morgan, J., & Bilder, D. A. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2170-2 · Cited by 323 · see citing works
Wolstenholme, J. T., Edwards, M., Shetty, S. R. J., Gatewood, J. D., Taylor, J. A., Rissman, E. F., & Connelly, J. J. (2012) · Endocrinology · doi:10.1210/en.2012-1195 · Cited by 319 · see citing works
Temporal Variability and Predictors of Urinary Bisphenol A Concentrations in Men and Women
Mahalingaiah, S., Meeker, J. D., Pearson, K. R., Calafat, A. M., Ye, X., Petrozza, J. C., & Hauser, R. B. (2007) · Environmental Health Perspectives · doi:10.1289/ehp.10605 · Cited by 300 · see citing works
Ye, X., Wong, L.-Y., Bishop, A. M., & Calafat, A. M. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.1002701 · Cited by 291 · see citing works
Occurrence of endocrine-disrupting chemicals in indoor dust
Hwang, H., Park, E., Young, T. M., & Hammock, B. D. (2008) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2008.05.031 · Cited by 259 · see citing works
Liao, C., & Kannan, K. (2012) · Environmental Science & Technology · doi:10.1021/es300115a · Cited by 251 · see citing works
Metabolic Perturbance in Autism Spectrum Disorders: A Metabolomics Study
Ming, X., Stein, T. P., Barnes, V., Rhodes, N., & Guo, L. (2012) · Journal of Proteome Research · doi:10.1021/pr300910n · Cited by 234 · see citing works
Self-citationEhrlich, S., Williams, P. L., Missmer, S. A., Flaws, J. A., Berry, K. F., Calafat, A. M., Ye, X., Petrozza, J. C., Wright, D. L., & Hauser, R. B. (2012) · Environmental Health Perspectives · doi:10.1289/ehp.1104307 · Cited by 213 · see citing works
Larsson, M., Weiss, B., Janson, S., Sundell, J., & Bornehag, C.-G. (2009) · NeuroToxicology · doi:10.1016/j.neuro.2009.01.011 · Cited by 184 · see citing works
Perinatal exposure to hazardous air pollutants and autism spectrum disorders at age 8
Kalkbrenner, A. E., Daniels, J. L., Chen, J.-C., Poole, C., Emch, M., & Morrissey, J. (2010) · Epidemiology · doi:10.1097/ede.0b013e3181e65d76 · Cited by 184 · see citing works
Effects of Low Doses of Bisphenol A on the Metabolome of Perinatally Exposed CD-1 Mice
Cabaton, N. J., Canlet, C., Wadia, P. R., Tremblay‐Franco, M., Gautier, R., Molina, J., Sonnenschein, C., Cravedi, J., Rubin, B. S., Soto, A. M., et al. (2013) · Environmental Health Perspectives · doi:10.1289/ehp.1205588 · Cited by 147 · see citing works
Bisphenol A and children's health
Braun, J. M., & Hauser, R. B. (2011) · Current Opinion in Pediatrics · doi:10.1097/mop.0b013e3283445675 · Cited by 143 · see citing works
Townsend, M. K., Franke, A. A., Li, X., Hu, F. B., & Eliassen, A. H. (2013) · Environmental Health · doi:10.1186/1476-069x-12-80 · Cited by 106 · see citing works
NTP‐CERHR Expert Panel Report on the reproductive and developmental toxicity of hydroxyurea
Liebelt, E. L., Balk, S. J., Faber, W. D., Fisher, J. W., Hughes, C. L., Lanzkron, S., LEWIS, K. M., Marchetti, F., Mehendale, H. M., Rogers, J. M., et al. (2007) · Birth Defects Research Part B Developmental and Reproductive Toxicology · doi:10.1002/bdrb.20123 · Cited by 98 · see citing works
Nepomnaschy, P. A., Baird, D. D., Weinberg, C. R., Hoppin, J. A., Longnecker, M. P., & Wilcox, A. J. (2009) · Environmental Research · doi:10.1016/j.envres.2009.04.004 · Cited by 84 · see citing works
Makris, K. C., Andra, S. S., Jia, A., Herrick, L., Christophi, C. A., Snyder, S. A., & Hauser, R. B. (2013) · Environmental Science & Technology · doi:10.1021/es304038k · Cited by 70 · see citing works
Immunologic and neurodevelopmental susceptibilities of autism
Pessah, I. N., Seegal, R. F., Lein, P. J., LaSalle, J., Yee, B. K., Van De Water, J., & Berman, R. F. (2008) · NeuroToxicology · doi:10.1016/j.neuro.2008.02.006 · Cited by 51 · see citing works
Autism and Phthalate Metabolite Glucuronidation
Stein, T. P., Schluter, M. D., Steer, R. A., & Ming, X. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1822-y · Cited by 45 · see citing works
Self-citationErickson, B. E. (2008) · Chemical & Engineering News · doi:10.1021/cen-v086n022.p036 · Cited by 38 · see citing works
Ming, X., Brimacombe, M. B., Malek, J. H., Jani, N., & Wagner, G. C. (2008) · Environmental Health Insights · doi:10.4137/ehi.s830 · Cited by 26 · see citing works
Self-citationAssociation of drinking-water source and use characteristics with urinary antimony concentrations
Makris, K. C., Andra, S. S., Herrick, L., Christophi, C. A., Snyder, S. A., & Hauser, R. B. (2012) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/jes.2012.104 · Cited by 26 · see citing works
Evidence for Environmental Susceptibility in Autism
Pessah, I. N., & Lein, P. J. (2008) · Humana Press eBooks · doi:10.1007/978-1-60327-489-0_19 · Cited by 18 · see citing works
Institute of Medicine (2008) · National Academies Press eBooks · doi:10.17226/11946 · Cited by 3 · see citing works
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Bölte, S., Girdler, S., & Marschik, P. B. (2019) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-018-2988-4 · Cited by 509 · see citing works
Keil, K. P., & Lein, P. J. (2016) · Environmental Epigenetics · doi:10.1093/eep/dvv012 · Cited by 167 · see citing works
Plasma phthalate and bisphenol a levels and oxidant-antioxidant status in autistic children
Kondolot, M., Ozmert, E. N., Ascı, A., Erkekoglu, P., Oztop, D. B., Gumus, H., Kocer-Gumusel, B., & Yurdakok, K. (2016) · Environmental Toxicology and Pharmacology · doi:10.1016/j.etap.2016.03.006 · Cited by 74 · see citing works
Thongkorn, S., Kanlayaprasit, S., Jindatip, D., Tencomnao, T., Hu, V. W., & Sarachana, T. (2019) · Scientific Reports · doi:10.1038/s41598-019-39386-w · Cited by 66 · see citing works
Symeonides, C., Vacy, K., Thomson, S., Tanner, S., Chua, H. K., Dixit, S., Mansell, T., O’Hely, M., Novakovic, B., Herbstman, J. B., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-48897-8 · Cited by 66 · see citing works
Effects of maternal or paternal bisphenol A exposure on offspring behavior
Harris, E. P., Allardice, H. A., Schenk, A. K., & Rissman, E. F. (2018) · Hormones and Behavior · doi:10.1016/j.yhbeh.2017.09.017 · Cited by 33 · see citing works
Rahbar, M., Swingle, H., Christian, M., Hessabi, M., Lee, M., Pitcher, M., Campbell, S., Mitchell, A., Krone, R., Loveland, K., et al. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14111425 · Cited by 30 · see citing works
Webb, S. J., Garrison, M. M., Bernier, R., McClintic, A. M., King, B. H., & Mourad, P. D. (2017) · Autism Research · doi:10.1002/aur.1690 · Cited by 29 · see citing works
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Wilson, H. A., Creighton, C., Scharfman, H., Choleris, E., & MacLusky, N. J. (2021) · The Neuroscientist · doi:10.1177/1073858420952046 · Cited by 23 · see citing works
Bhamidimarri, P. M., Alhosani, K., Cai, H., Al-Ali, H., Abukhaled, Y. M., Tawamie, H., Abdelaziz, S., Fawaz, M., Kashir, J., Sajjad, Y., et al. (2026) · Neurobiology of Disease · doi:10.1016/j.nbd.2025.107227 · Cited by 10 · see citing works
- Authors
- Stein, T. P., Schluter, M. D., Steer, R. A., Guo, L., & Ming, X.
- Affiliations
- Rowan University (US)
- Rutgers, The State University of New Jersey (US)
- Seton Hall University (US)
- Corresponding author
- Stein, T. Peter
- Venue
- Autism Research
- Publisher
- Wiley
- Published
- 2015-01-13
- Volume
- 8
- Issue
- 3
- Pages
- 272-283
- ISSN
- 1939-3792 (ISSN-L)
- 1939-3806
- PMC
- PMC4474754
- OpenAlex
- W1722243830
- Cited by
- 151
- References
- 37
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 19 · 2023: 17 · 2022: 14 · 2021: 19 · 2020: 13 · 2019: 12 · 2018: 10 · 2017: 9 · 2016: 12 · 2015: 5
- FWCI
- 7.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Autism Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NJ Governor's Council for Medical Research and Treatment of Autism (CAUT13APL016)
- NIH (#RES015316A)
- Department of Defense (# W81XWH-08-1-0729)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
- Keywords
- bisphenol A, autism spectrum disorder, children, urinary BPA, glucuronidation, urine metabolomics, environmental exposure, plasticizers, autism etiology
- MeSH terms
- Autism Spectrum Disorder, Bisphenol A Compounds, Benzhydryl Compounds, Child, Environmental Exposure, Female, Humans, Male, Phenols, Mass Spectrometry
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