Cited by 43Effects and risks of endocrine disrupting chemicalsPesticide Exposure and ToxicityToxic Organic Pollutants Impact

Excretion of Urinary Metabolites of the Phthalate Esters DEP and DEHP in 16 Volunteers after Inhalation and Dermal Exposure

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Krais, Annette M., Andersen, Christina, Eriksson, Axel C., Johnsson, Eskil, Nielsen, Jörn, Pagels, Joakim, Gudmundsson, Anders, Lindh, Christian H. +1 more·2018·International Journal of Environmental Research and Public Health

Abstract

Phthalate esters are suspected endocrine disruptors that are found in a wide range of applications. The aim of this study was to determine the excretion of urinary metabolites in 16 individuals after inhalation and/or dermal exposure to 100–300 µg/m3 of deuterium-labelled diethyl phthalate (D4-DEP) and bis(2-ethylhexyl) phthalate (D4-DEHP). Dermal exposure in this study represents a case with clean clothing acting as a barrier. After inhalation, D4-DEP and D4-DEHP metabolites were excreted rapidly, though inter-individual variation was high. D4-DEP excretion peaked 3.3 h (T½ of 2.1 h) after combined inhalation and dermal exposure, with total excreted metabolite levels ranging from 0.055 to 2.351 nmol/nmol/m3 (nmol of urinary metabolites per phthalates air concentration in (nmol/m3)). After dermal exposure to D4-DEP, metabolite excretion peaked 4.6 h (T½ of 2.7 h) after exposure, with excreted metabolite levels in between 0.017 and 0.223 nmol/nmol/m3. After combined inhalation and dermal exposure to D4-DEHP, the excretion of all five analysed metabolites peaked after 4.7 h on average (T½ of 4.8 h), and metabolite levels ranged from 0.072 to 1.105 nmol/nmol/m3 between participants. No dermal uptake of particle phase D4-DEHP was observed. In conclusion, the average excreted levels of metabolites after combined inhalation and dermal exposure to D4-DEP was three times higher than after combined exposure to D4-DEHP; and nine times higher than after dermal exposure of D4-DEP. This study was made possible due to the use of novel approaches, i.e., the use of labelled phthalate esters to avoid the background concentration, and innovative technique of phthalate generation, both in the particle and the gas phase.

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Crossref · 10.3390/ijerph15112514

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  • Urinary elimination of MEP was fast, with a mean apparent urinary elimination half-life of 8 hours, which was longer than the previously reported 2.7 (0.7-11) hours.

    “Urinary elimination of MEP was fast with a mean apparent urinary elimination half-life of 8 hours (Fig. 3), which was longer than previ­ ously reported in another study (2.7 (0.7 -11) hours (Krais et al., 2018)).”

    From Human skin absorption of three phthalates (2024) · cites this paper as Krais et al., 2018

    Section 3.1 reports a mean D4-MEP urinary excretion half-life of 2.7 hours after dermal exposure, supporting the cited comparison value. The cited paper’s text does not report the accompanying 0.7–11-hour range. The 8-hour estimate belongs to the citing study, not the claim attributed to Krais et al. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Urinary metabolites were almost equally distributed at all times post-exposure, similar to what was observed after inhalation.

    “Urinary metabolites were almost equally distributed at all times post-exposure, similar to what was observed after inhalation (Krais et al., 2018).”

    From Human skin absorption of three phthalates (2024) · cites this paper as Krais et al., 2018

    Section 3.2 reports that some oxidised DEHP metabolites reached urinary levels comparable to the monoester after combined inhalation and dermal exposure. It does not establish that metabolites were almost equally distributed at all post-exposure times: their peak times differed, and one metabolite had a much lower peak level. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Phthalate metabolite distributions vary depending on the route of entry.

    “Phthalate metabo­ lite distributions vary depending on the route of entry (Krais et al., 2018; Liss et al., 1985; Peck and Albro, 1982).”

    From Human skin absorption of three phthalates (2024) · cites this paper as Krais et al., 2018

    Section 3.1 reports different urinary metabolite levels and peak times after dermal versus combined inhalation and dermal exposure to DEP. Section 3.2 reports that DEHP metabolites were below detection after dermal exposure but detectable after combined exposure. These findings support route-dependent excretion, but the paper does not establish that the relative distribution among different metabolites changes with route. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 41

  1. [3]Morawska L. Afshari A. Bae G.N. Buonanno G. Chao C.Y. Hänninen O. Hofmann W. Isaxon C. Jayaratne E.R. Pasanen P. Indoor aerosols: From personal exposure to risk assessment Indoor Air 2013 6 462 487 10.1111/ina.12044 23574389 · DOI
  2. [4]Bekö G. Weschler C.J. Langer S. Callesen M. Toftum J. Clausen G. Children’s Phthalate Intakes and Resultant Cumulative Exposures Estimated from Urine Compared with Estimates from Dust Ingestion, Inhalation and Dermal Absorption in Their Homes and Daycare Centers PLoS ONE 2013 8 e62442 10.1371/journal.pone.0062442 23626820 PMC3633888 · DOI
  3. [5]Dodson R.E. Nishioka M. Standley L.J. Perovich L.J. Brody J.G. Rudel R.A. Endocrine disruptors and asthma-associated chemicals in consumer products Environ. Health Perspect. 2012 120 935 943 10.1289/ehp.1104052 22398195 PMC3404651 · DOI
  4. [6]Bornehag C.G. Lundgren B. Weschler C.J. Sigsgaard T. Hagerhed-Engman L. Sundell J. Phthalates in indoor dust and their association with building characteristics Environ. Health Perspect. 2005 11 1399 1404 10.1289/ehp.7809 16203254 PMC1281287 · DOI
  5. [7]Gao D.W. Wen Z.D. Phthalate esters in the environment: A critical review of their occurrence, biodegradation, and removal during wastewater treatment processes Sci. Total Environ. 2016 15 986 1001 10.1016/j.scitotenv.2015.09.148 26473701 · DOI
  6. [8]Bergh C. Torgrip R. Emenius G. Ostman C. Organophosphate and phthalate esters in air and settled dust—A multi-location indoor study Indoor Air 2012 21 67 76 10.1111/j.1600-0668.2010.00684.x 21054550 · DOI
  7. [9]Shi W. Hu X. Zhang F. Hu G. Hao Y. Zhang X. Liu H. Wei S. Wang X. Giesy J.P. Occurrence of thyroid hormone activities in drinking water from eastern China: Contributions of phthalate esters Environ. Sci. Technol. 2012 46 1811 1818 10.1021/es202625r 22191625 · DOI
  8. [10]Weschler C.J. Nazaroff W.W. SVOC exposure indoors: Fresh look at dermal pathways Indoor Air 2012 22 356 377 10.1111/j.1600-0668.2012.00772.x 22313149 · DOI · Paper page
  9. [11]Weschler C.J. Nazaroff W.W. Dermal uptake of organic vapors commonly found in indoor air Environ. Sci. Technol. 2014 48 1230 1237 10.1021/es405490a 24328315 · DOI · Paper page
  10. [12]Gong M. Zhang Y. Weschler C.J. Predicting dermal absorption of gas-phase chemicals: Transient model development, evaluation, and application Indoor Air 2014 24 292 306 10.1111/ina.12079 24245588 · DOI
  11. [15]Jeng H.A. Exposure to Endocrine Disrupting Chemicals and Male Reproductive Health Front. Public Health 2014 2 55 10.3389/fpubh.2014.00055 24926476 PMC4046332 · DOI
  12. [16]Hsu N.Y. Lee C.C. Wang J.Y. Li Y.C. Chang H.W. Chen C.Y. Bornehag C.G. Wu P.C. Sundell J. Su H.J. Predicted risk of childhood allergy, asthma, and reported symptoms using measured phthalate exposure in dust and urine Indoor Air 2012 22 186 199 10.1111/j.1600-0668.2011.00753.x 21995786 · DOI
  13. [17]Jaakkola J.J. Knight T.L. The role of exposure to phthalates from polyvinyl chloride products in the development of asthma and allergies: A systematic review and meta-analysis Environ. Health Perspect. 2008 116 845 853 10.1289/ehp.10846 18629304 PMC2453150 · DOI
  14. [18]Bekö G. Callesen M. Weschler C.J. Toftum J. Langer S. Sigsgaard T. Høst A. Kold Jensen T. Clausen G. Phthalate exposure through different pathways and allergic sensitization in preschool children with asthma, allergic rhinoconjunctivitis and atopic dermatitis Environ. Res. 2015 137 432 439 10.1016/j.envres.2015.01.012 25625823 · DOI
  15. [19]Bornehag C.G. Nanberg E. Phthalate exposure and asthma in children Int. J. Androl. 2010 33 333 345 10.1111/j.1365-2605.2009.01023.x 20059582 · DOI
  16. [20]Singh S. Li S.S.-L. Phthalates: Toxicogenomics and inferred human diseases Genomics 2011 97 148 157 10.1016/j.ygeno.2010.11.008 21156202 · DOI
  17. [21]Wittassek M. Angerer J. Phthalates: Metabolism and exposure Int. J. Androl. 2008 31 131 138 10.1111/j.1365-2605.2007.00837.x 18070048 · DOI
  18. [23]Koch H.M. Preuss R. Angerer J. Di(2-ethylhexyl)phthalate (DEHP): Human metabolism and internal exposure—An update and latest results Int. J. Androl. 2006 29 155 165 10.1111/j.1365-2605.2005.00607.x 16466535 · DOI · Paper page
  19. [25]Koch H.M. Lorber M. Christensen K.L. Pälmke C. Koslitz S. Brüning T. Identifying sources of phthalate exposure with human biomonitoring: Results of a 48h fasting study with urine collection and personal activity patterns Int. J. Hyg. Environ. Health 2013 216 672 681 10.1016/j.ijheh.2012.12.002 23333758 · DOI
  20. [26]Langer S. Bekö G. Weschler C.J. Brive L.M. Toftum J. Callesen M. Clausen G. Phthalate metabolites in urine samples from Danish children and correlations with phthalates in dust samples from their homes and daycare centers Int. J. Hyg. Environ. Health 2014 217 78 87 10.1016/j.ijheh.2013.03.014 23623597 · DOI
  21. [27]Wan H.T. Leung P.Y. Zhao Y.G. Wei X. Wong M.H. Wong C.K. Blood plasma concentrations of endocrine disrupting chemicals in Hong Kong populations J. Hazard. Mater. 2013 261 763 769 10.1016/j.jhazmat.2013.01.034 23411151 · DOI
  22. [28]Fromme H. Gruber L. Seckin E. Raab U. Zimmermann S. Kiranoglu M. Schlummer M. Schwegler U. Smolic S. Völkel W. Phthalates and their metabolites in breast milk–results from the Bavarian Monitoring of Breast Milk (BAMBI) Environ. Int. 2011 37 715 722 10.1016/j.envint.2011.02.008 21406311 · DOI
  23. [29]Kato K. Silva M.J. Reidy J.A. Hurtz D. III Malek N.A. Needham L.L. Nakazawa H. Barr D.B. Calafat A.M. Mono(2-ethyl-5-hydroxyhexyl) phthalate and mono-(2-ethyl-5-oxohexyl) phthalate as biomarkers for human exposure assessment to di-(2-ethylhexyl) phthalate Environ. Health Perspect. 2004 112 327 330 10.1289/ehp.6663 14998748 PMC1241862 · DOI
  24. [30]Frederiksen H. Kranich S.K. Jørgensen N. Taboureau O. Petersen J.H. Andersson A.M. Temporal variability in urinary phthalate metabolite excretion based on spot, morning, and 24-h urine samples: Considerations for epidemiological studies Environ. Sci. Technol. 2013 47 958 967 10.1021/es303640b 23234290 · DOI
  25. [31]Andersen C. Krais A. Eriksson A.C. Jakobsson J. Löndahl J. Nielsen J. Lindh C.H. Pagels J. Gudmundsson A. Wierzbicka A. Inhalation and Dermal Uptake of Particle and Gas-phase Phthalates—A Human Exposure Study J. Environ. Sci. Technol. 2018 10.1021/acs.est.8b03761 30264993 · DOI
  26. [32]Weiss J.M. Gustafsson Å. Gerde P. Bergman Å. Lindh C.H. Krais A.M. Daily intake of phthalates, MEHP, and DINCH by ingestion and inhalation Chemosphere 2018 208 40 49 10.1016/j.chemosphere.2018.05.094 29860143 · DOI
  27. [33]Bornehag C.G. Carlstedt F. Jönsson B.A. Lindh C.H. Jensen T.K. Bodin A. Jonsson C. Janson S. Swan S.H. Prenatal phthalate exposures and anogenital distance in Swedish boys Environ. Health Perspect. 2015 123 101 107 10.1289/ehp.1408163 25353625 PMC4286276 · DOI
  28. [34]Davies J.D. Senussi M.H. Mireles-Cabodevila E. Should A Tidal Volume of 6 mL/kg Be Used in All Patients? Respir. Care 2016 61 774 790 10.4187/respcare.04651 27235313 · DOI
  29. [35]U.S. EPA Exposure Factors Handbook—Chapter 6: Inhalation Rates and Chapter 7: Dermal Exposure Report No.: EPA/600/R-09/052F Environmental Protection Agency, National Center for Environmental Assessment Washington, DC, USA 2011
  30. [36]Anderson W.A. Castle L. Hird S. Jeffery J. Scotter M.J. A twenty-volunteer study using deuterium labelling to determine the kinetics and fractional excretion of primary and secondary urinary metabolites of di-2-ethylhexylphthalate and di-iso-nonylphthalate Food Chem. Toxicol. 2011 49 2022 2029 10.1016/j.fct.2011.05.013 21609750 · DOI
  31. [37]Zapletal A. Samanek M. Paul T. Lung Function in Children and Adolescents Karger Basel, Switzerland 1987
  32. [38]Peck C.C. Albro P.W. Toxic potential of the plasticizer Di(2-ethylhexyl) phthalate in the context of its disposition and metabolism in primates and man Environ. Health Perspect. 1982 45 11 17 10.1289/ehp.824511 7140682 PMC1568993 · DOI · Paper page
  33. [39]Hopf N.B. Berthet A. Vernez D. Langard E. Spring P. Gaudin R. Skin permeation and metabolism of di(2-ethylhexyl) phthalate (DEHP) Toxicol. Lett. 2014 224 47 53 10.1016/j.toxlet.2013.10.004 24140552 · DOI · Paper page
  34. [40]Weschler C.J. Bekö G. Koch H.M. Salthammer T. Schripp T. Toftum J. Clausen G. Transdermal Uptake of Diethyl Phthalate and Di(n-butyl) Phthalate Directly from Air: Experimental Verification Environ. Health Perspect. 2015 123 928 934 10.1289/ehp.1409151 25850107 PMC4590762 · DOI · Paper page
  35. [41]Morrison G.C. Weschler C.J. Bekö G. Koch H.M. Salthammer T. Schripp T. Toftum J. Clausen G. Role of clothing in both accelerating and impeding dermal absorption of airborne SVOCs J. Expo. Sci. Environ. Epidemiol. 2016 26 113 118 10.1038/jes.2015.42 26058800 · DOI
  36. [42]Janjua N.R. Frederiksen H. Skakkebaek N.E. Wulf H.C. Andersson A.M. Urinary excretion of phthalates and paraben after repeated whole-body topical application in humans Int. J. Androl. 2008 31 118 130 10.1111/j.1365-2605.2007.00841.x 18194284 · DOI
  37. [43]Gaspar F.W. Castorina R. Maddalena R.L. Nishioka M.G. McKone T.E. Bradman A. Phthalate exposure and risk assessment in California child care facilities Environ. Sci. Technol. 2014 48 7593 7601 10.1021/es501189t 24870214 · DOI
  38. [44]Huang T. Saxena A.R. Isganaitis E. James-Todd T. Gender and racial/ethnic differences in the associations of urinary phthalate metabolites with markers of diabetes risk: National Health and Nutrition Examination Survey 2001–2008 Environ. Health 2014 13 6 10.1186/1476-069X-13-6 24499162 PMC3922428 · DOI
  39. [45]Koch H.M. Preuss R. Drexler H. Angerer J. Exposure of nursery school children and their parents and teachers to di-n-butylphthalate and butylbenzylphthalate Int. Arch. Occup. Environ. Health 2005 78 223 229 10.1007/s00420-004-0570-x 15776263 · DOI
  40. [46]Weng T.I. Chen M.H. Lien G.W. Chen P.S. Lin J.C. Fang C.C. Chen P.C. Effects of Gender on the Association of Urinary Phthalate Metabolites with Thyroid Hormones in Children: A Prospective Cohort Study in Taiwan Int. J. Environ. Res. Public Health 2017 14 123 10.3390/ijerph14020123 28146055 PMC5334677 · DOI
  41. [47]Watkins D.J. Peterson K.E. Ferguson K.K. Mercado-García A. Tamayo y Ortiz M. Cantoral A. Meeker J.D. Téllez-Rojo M.M. Relating Phthalate and BPA Exposure to Metabolism in Peripubescence: The Role of Exposure Timing, Sex, and Puberty J. Clin. Endocrinol. Metab. 2016 101 79 88 10.1210/jc.2015-2706 26529628 PMC4701847 · DOI

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Authors
Krais, A. M., Andersen, C., Eriksson, A. C., Johnsson, E., Nielsen, J., Pagels, J., Gudmundsson, A., Lindh, C. H., & Wierzbicka, A.
Affiliations
  • Lund University (SE)
  • Medicon Village (SE)
  • Division of Occupational and Environmental Medicine, Institute of Laboratory Medicine, Lund University, SE-22363 Lund, Sweden
Corresponding author
Krais, Annette M.
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2018-11-09
Volume
15
Issue
11
Pages
2514
ISSN
1660-4601 (ISSN-L)
OpenAlex
W2899589527
Cited by
43
References
3
Citations by year
2026: 3 · 2025: 7 · 2024: 4 · 2023: 5 · 2022: 9 · 2021: 7 · 2020: 1 · 2019: 7
FWCI
1.85
Type
journal article
Language
en
Open access
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Lund University Publications (Lund University) (submittedVersion)
Funders
Svenska Forskningsrådet Formas (216-2013-1478, 216-2013-1966)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
  • Life Sciences › Agricultural and Biological Sciences › Plant Science › Pesticide Exposure and Toxicity
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Toxic Organic Pollutants Impact
Keywords
phthalates, diethyl phthalate, DEHP, urinary metabolites, inhalation exposure, dermal exposure, endocrine disruptors, human exposure assessment, interindividual variability
MeSH terms
Adult, Diethylhexyl Phthalate, Environmental Exposure, Female, Humans, Male, Middle Aged, Phthalic Acids, Sweden, Volunteers, Inhalation Exposure, Endocrine Disruptors, Young Adult

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