Cited by 73Effects and risks of endocrine disrupting chemicalsViral Infections and Immunology ResearchCardiac Fibrosis and Remodeling

BPA Alters Estrogen Receptor Expression in the Heart After Viral Infection Activating Cardiac Mast Cells and T Cells Leading to Perimyocarditis and Fibrosis

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Bruno, Katelyn Ann, Mathews, Jessica Elizabeth, Yang, Alex Lingyun, Frisancho, J. Augusto, Scott, Ashley Jennie, Greyner, Henry David, Molina, Frank Anthony, Greenaway, Merci Shekinah +10 more·2019·Frontiers in Endocrinology

Abstract

Myocarditis is an inflammatory heart disease that leads to dilated cardiomyopathy (DCM) and heart failure. Sex hormones play an important role in the development of myocarditis with testosterone driving disease in males and estrogen being cardioprotective in females. The human population is widely exposed to the endocrine disruptor bisphenol A (BPA) from plastics such as water bottles, plastic food containers, copy paper and receipts. Several clinical and numerous animal studies have found an association between elevated BPA levels and cardiovascular disease. A recent report found elevated levels of BPA in the serum of patients with DCM compared to healthy controls. In this study we examined whether exposure to BPA for two weeks prior to viral infection and leading up to myocarditis at day 10 altered inflammation in female BALB/c mice housed in standard plastic cages/water bottles with soy-free food and bedding. We found that a human relevant dose of BPA (25µg/L) in drinking water, with an estimated exposure of 5µg BPA/kg BW, significantly increased myocarditis and pericarditis compared to control water without altering viral genome levels in the heart. BPA exposure activated ERa and ERb in the spleen 24 hours after infection and phosphorylated ERa and ERb during myocarditis, but decreased ERa and increased ERb mRNA in the heart as measured by qRT-PCR. Exposure to BPA significantly increased CD4+ T cells, IFNg, IL-17A, TLR4, caspase-1, and IL-1b in the heart. BPA exposure also increased cardiac fibrosis compared to controls. Mast cells, which are associated with cardiac remodeling, were found to increase in number and degranulation, particularly along the pericardium. Interestingly, plastic caging/water bottle exposure alone led to increased mast cell numbers, pericardial degranulation and fibrosis in female BALB/c mice compared to animals housed in glass cages/water bottles with soy-free food and bedding. These data suggest that BPA exposure may increase the risk of developing myocarditis after a viral infection in women.

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  • Increased TNFα and IL-1β in the heart and perivascular fibrosis were found, which typically indicates perivascular mast cell degranulation.

    “They also found increased TNF α and IL-1 β in the heart and perivascular fibrosis, which in our experience typically indicates perivascular mast cell degranulation. 157,160,182,183”

    From COVID-19, Myocarditis and Pericarditis (2023) · cites this paper as [183]

    The Results (BPA Effect on Inflammatory Mediators; page unavailable) report increased cardiac IL-1β after BPA exposure and show perivascular fibrosis in the treated mice. They do not report increased TNFα in the heart; the Discussion mentions TNFα release in other cell studies instead. The statement about what typically indicates perivascular mast-cell degranulation is explicitly the citing authors’ own interpretation. (LLM, conf=0.87)

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Authors
Bruno, K. A., Mathews, J. E., Yang, A. L., Frisancho, J. A., Scott, A. J., Greyner, H. D., Molina, F. A., Greenaway, M. S., Cooper, G. M., Bucek, A., Morales-Lara, A. C., Hill, A. R., Mease, A. A., Di Florio, D. N., Sousou, J. M., Coronado, A. C., Stafford, A. R., & Fairweather, D.
Affiliations
  • Mayo Clinic (US)
  • Johns Hopkins University (US)
Corresponding author
Fairweather, DeLisa
Venue
Frontiers in Endocrinology
Published
2019-09-04
Volume
10
Pages
598-598
ISSN
1664-2392 (ISSN-L)
OpenAlex
W2967622055
Cited by
73
References
6
Citations by year
2026: 5 · 2025: 12 · 2024: 10 · 2023: 10 · 2022: 11 · 2021: 16 · 2020: 8 · 2019: 1
FWCI
3.89
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Endocrinology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • American Heart Association (16GRNT30950007)
  • National Institutes of Health (NIH-R01, ES07141, TR002380, HL111938, TL1TR002380)
  • National Heart, Lung, and Blood Institute (R01HL111938)
  • National Institute of Allergy and Infectious Diseases (R21AI145356)
  • National Institute of Environmental Health Sciences (R21ES024414, T32ES007141)
  • National Center for Advancing Translational Sciences
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
Keywords
bisphenol A, estrogen receptor alpha, estrogen receptor beta, myocarditis, pericarditis, myocardial fibrosis, mast cells, mast cell degranulation, CD4+ T cells, viral infection, endocrine disruptors, dilated cardiomyopathy, inflammation, sex differences, female mice

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