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Cited by 281

The DOI matches its Crossref record; 134 of the 134 references it cites were found in a registry or an index.

Thyroid-Disrupting Chemicals: Interpreting Upstream Biomarkers of Adverse Outcomes

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Miller, Mark D., Crofton, Kevin M., Rice, Deborah C., Zoeller, R. Thomas·2009·Environmental Health Perspectives

Abstract

BACKGROUND: There is increasing evidence in humans and in experimental animals for a relationship between exposure to specific environmental chemicals and perturbations in levels of critically important thyroid hormones (THs). Identification and proper interpretation of these relationships are required for accurate assessment of risk to public health. OBJECTIVES: We review the role of TH in nervous system development and specific outcomes in adults, the impact of xenobiotics on thyroid signaling, the relationship between adverse outcomes of thyroid disruption and upstream causal biomarkers, and the societal implications of perturbations in thyroid signaling by xenobiotic chemicals. DATA SOURCES: We drew on an extensive body of epidemiologic, toxicologic, and mechanistic studies. DATA SYNTHESIS: THs are critical for normal nervous system development, and decreased maternal TH levels are associated with adverse neuropsychological development in children. In adult humans, increased thyroid-stimulating hormone is associated with increased blood pressure and poorer blood lipid profiles, both risk factors for cardiovascular disease and death. These effects of thyroid suppression are observed even within the "normal" range for the population. Environmental chemicals may affect thyroid homeostasis by a number of mechanisms, and multiple chemicals have been identified that interfere with thyroid function by each of the identified mechanisms. CONCLUSIONS: Individuals are potentially vulnerable to adverse effects as a consequence of exposure to thyroid-disrupting chemicals. Any degree of thyroid disruption that affects TH levels on a population basis should be considered a biomarker of adverse outcomes, which may have important societal outcomes.

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Metadata

Authors
Miller, M. D., Crofton, K. M., Rice, D. C., & Zoeller, R. T.
Venue
Environmental Health Perspectives
Published
2009-07
Volume
117
Issue
7
Pages
1033-1041
ISSN
  • 0091-6765 (ISSN-L)
  • 1552-9924
OpenAlex
W1986456272
Cited by
281
References
134
FWCI
13.42
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Thyroid-Disrupting Chemicals: Interpreting Upstream Biomarkers of Adverse Outcomes. https://app.cochat.ai/papers/10.1289/ehp.0800247
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Miller, M. D., Crofton, K. M., Rice, D. C., & Zoeller, R. T. (2009). Thyroid-Disrupting Chemicals: Interpreting Upstream Biomarkers of Adverse Outcomes. Environmental Health Perspectives. https://doi.org/10.1289/ehp.0800247

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