Bisphenol A (BPA) is the most common monomer in polycarbonate plastics and an endocrine disruptor. Though some effects of BPA on thyroid hormone (TH) synthesis and action have been described, the impact of this compound on thyroid H2O2 generation remains elusive. H2O2 is a reactive oxygen species (ROS), which could have deleterious effect on thyrocytes if in excess. Therefore, herein we aimed at evaluating the effect of BPA exposition both in vivo and in vitro on H2O2 generation in thyrocytes, besides other essential steps for TH synthesis. Female Wistar rats were treated with vehicle (control) or BPA 40 mg/kg BW for 15 days, by gavage. We then evaluated thyroid iodide uptake, mediated by sodium-iodide symporter (NIS), thyroperoxidase (TPO) and dual oxidase (DOUX) activities (H2O2 generation). Hydrogen peroxide generation was increased, while iodide uptake and TPO activity were reduced by BPA exposition. We have also incubated the rat thyroid cell line PCCL3 with 10−9 M BPA and evaluated Nis and Duox mRNA levels, besides H2O2 generation. Similar to that found in vivo, BPA treatment also led to increased H2O2 generation in PCCL3. Nis mRNA levels were reduced and Duox2 mRNA levels were increased in BPA-exposed cells. To evaluate the importance of oxidative stress on BPA-induced Nis reduction, PCCL3 was treated with BPA in association to N-acetylcysteine, an antioxidant, which reversed the effect of BPA on Nis. Our data suggest that BPA increases ROS production in thyrocytes, what could lead to oxidative damage thus possibly predisposing to thyroid disease.
Bisphenol A (BPA) is the most common monomer in polycarbonate plastic composition. It is used not only in the manufacture of polycarbonate-made products, such as beverage and food containers, but also in the synthesis of epoxy resins, found in the covering of canned food (1). When submitted to acidic pH or high temperature, the polymer undergoes breakdown of the ester bonds and BPA can be released from the matrix, contaminating food, beverages and environment (2, 3).
BPA is an endocrine disruptor, being considered a selective estrogen receptor modulator (SERM) (4, 5), with important effects on reproductive function (4, 6). Besides that, BPA was shown to have positive association with serum TSH (7) and negative association with free T4 levels (8), thus suggesting an impact also in thyroid axis. Furthermore, BPA has been shown to increase oxidative stress, leading to oxidative damage of proteins, lipids and nucleic acids in liver, central nervous system, reproductive system and kidney (9, 10).
For thyroid hormone (TH) synthesis, thyrocytes require iodide, which is transported through the basolateral plasma membrane by Na+/I− symporter (NIS) (11, 12, 13). Thyroperoxidase (TPO), the key enzyme in TH biosynthesis, oxidizes iodide in the presence of H2O2, produced by dual oxidases (DUOX1 and DUOX2) (14, 15, 16, 17). However, an excessive production of hydrogen peroxide could lead to oxidative stress, since H2O2 is a reactive oxygen species (ROS) and thyroid gland damage (18, 19, 20).
Since BPA has been shown to increase oxidative damage in several tissues and since thyrocytes are exposed to high levels of ROS due to TH biosynthesis, herein we hypothesized that BPA exposure could lead to an increased ROS production in thyrocytes thus affecting thyroid function. Therefore, our aim was to investigate the effect of BPA exposure on thyroid H2O2 production both in vivo and in vitro, besides the effect of BPA treatment on two proteins essential for TH synthesis: NIS and TPO.
Materials and methods
In all experiments, adult (4–5 months old) female Wistar rats were kept in controlled temperature (22–25°C) animal room, with a 12-h light:12-h darkness cycle. We have chosen to study female rats since the prevalence of thyroid diseases is higher in women than in men (20, 21). Pelleted commercial chow (Paulinea, São Paulo, Brazil) and water were available ad libitum. The Institutional Committee for Use of Animals in Research approved the study (number: IBCCF167), and the procedures were in compliance with the International Guiding Principles for Biomedical Research Involving Animals of the Council for International Organizations of Medical Sciences (Geneva, Switzerland), and the guiding principles for care and use of animals from the American Physiological Society.
Animals were divided into two groups: Control (C) and bisphenol A (BPA). Control rats received vehicle (corn oil:isopropanol 20% v/v) and BPA group received bisphenol A in the dose of 40 mg/kg body weight (BW) (22, 23, 24), dissolved in vehicle. Both were administered daily by gavage. After 15 days of treatment, animals were weighed and killed. The dose of BPA was chosen based on the non-observable adverse effect level (NOAEL) for BPA, established in 50 mg/kg BW (25, 26). Thus, we decided to use a dose lower than NOAEL.
The thyroids were collected and fixed in 10% formaldehyde (pH 7.4) for 48 h, followed by dehydration in ethanol (Vetec, Rio de Janeiro, Brazil) and clarification in xylene (Vetec, Rio de Janeiro, Brazil). Tissues were embedded in paraffin and cut at the thickness of 5 μm. Sections were stained with hematoxylin and eosin for topographic analysis according to Andrade et al. (27). High-resolution images (1600 × 1200 pixels) were obtained using digital camera (QImaging Retigar-2000R Fast 1394 Mono, Surrey BC, Canada) coupled to light microscope (Olympus BX50). High-quality images were captured with the QCapture Pro7 (QImaging).
We have previously shown that the measurement of radioiodide uptake 15 min after 125I–NaI administration (short term iodide uptake) reflects iodide transport through the sodium-iodide symporter without the influence of in vivo thyroid iodine organification activity (28). Thus, in order to evaluate the in vivo NIS function using thyroid radioiodine uptake measurements, the animals received Na-125I (3700 Bq i.p., Amersham, Buckinghamshire, England) 15 min before decapitation. Thyroids were removed and weighed. The radioactivity of the thyroid glands was measured using a gamma counter (LKB), and the percentage of the 125I in the gland relative to the total 125I injected was calculated. Results were expressed as relative to control.
Thyroid peroxidase activity
TPO extraction and activity measurement were performed as previously described (28, 29). Rat thyroids were minced and homogenized in 0.5 mL of 50 mM Tris–HCl buffer, pH 7.2, containing 1 mM KI, using an Ultra-Turrax homogenizer (Staufen, Germany). The homogenate was centrifuged at 100,000 g, 4°C for 1 h. The pellet was suspended in 0.5 mL triton (0.1% v/v) and incubated at 4°C for 24 h to solubilize TPO. The suspension was centrifuged at 100,000 g, 4°C for 1 h, and the supernatant containing solubilized TPO was used for the assays.
The assay mixture contained: 1.0 mL of freshly prepared 50 mmol/L sodium phosphate buffer, pH 7.4, containing 24 mmol/L KI and 11 mmol/L glucose, and increasing amounts of solubilized TPO. The ﬁnal volume was adjusted to 2.0 mL with 50 mmol/L sodium phosphate buffer, pH 7.4, and the reaction was started by the addition of 10 µL of 0.1% w/v glucose oxidase (Boehringer Grade I). The increase in absorbance at 353 nm (tri-iodide production) was registered for 3 min on a Hitachi spectrophotometer (U-3300). The ΔA353 nm/min was determined from the linear portion of the reaction curve and related to protein concentration. Protein concentration was determined by the Bradford assay (30). Results were expressed as relative to control.
Thyroid H2O2 production
H2O2 generation was quantified in thyroid particulate fractions by the Amplex red/horseradish peroxidase assay (Molecular Probes, Invitrogen), which detects the accumulation of a fluorescent oxidized product, as previously described (18, 31). To measure H2O2 production from particulate fraction, the excised thyroid glands remained at 4°C for 24 h in 50 mmol/L sodium phosphate buffer (pH 7.2) containing 0.25 mol/L sucrose, 0.5 mmol/L dithiothreitol (DTT), 1 mmol/L EGTA, 5 mg/mL aprotinin and 34.8 mg/mL phenylmethylsulphonyl ﬂuoride (PMSF) before homogenization. Then, the homogenate was centrifuged at 100,000 g for 35 min at 4°C and suspended in 0.25 mL of 50 mmol/L sodium phosphate buffer (pH 7.2) containing 0.25 mol/L sucrose, 2 mmol/L MgCl2, 5 mg/mL aprotinin and 34.8 mg/mL PMSF (32). This particulate fraction was incubated in 150 mmol/L sodium phosphate buffer (pH 7.4) containing 100 U/mL superoxide dismutase (SOD) (Sigma), 0.5 U/mL horseradish peroxidase (HRP) (Roche), 50 µmol/L Amplex red (Molecular Probes), 1 mmol/L EGTA, with or without 1.5 mmol/L CaCl2. Then, 0.1 mg/mL NADPH was added to start the reaction and the fluorescence was immediately measured in a microplate reader (Victor X4; PerkinElmer, Norwalk, CT) at 30°C, using excitation wavelength at 530 nm and emission wavelength at 595 nm. H2O2 production was quantified using standard calibration curves (31).
The specific enzymatic activity was obtained as nmol of H2O2 per hour per milligram of protein (nmol/h/mg protein) and calcium-dependent H2O2 generation was obtained by subtracting H2O2 generation in the absence of calcium from that obtained in the presence of calcium. Then, the results were expressed as relative to control. Protein concentration was determined by the Bradford assay (30).
Serum T3 and T4 were determined by specific coated tube RIA kits (MP Biomedicals, Orangeburg, NY, USA). Intra- and interassay coefficients of variation for T3 were 4.4–5.6% and 5.3–7.5%, respectively, and sensitivity was 6.7 ng/dL. For T4 intra-and interassay coefficients of variation were 3.3–8.1% and 5.3–11.4%, respectively, and sensitivity was 0.76 μg/dL. All procedures were performed following the fabricant recommendations.
Rat thyroid cell line PCCL3 (donated by Prof. Roberto Di Lauro, Stazione Zoologica Anton Dohrn) was maintained in Coon’s modified Ham’s F-12 medium (HiMedia Laboratories, Mumbai, India), which contains 10 mM glucose, supplemented with 5% v/v fetal bovine serum and a six-hormone mixture (1 mIU/mL TSH, 10 mg/mL insulin, 5 mg/mL transferrin, 10 nM hydrocortisone, 10 ng/mL somatostatin, and 10 ng/mL glycyl-l-histidyl-l-lysine acetate) and maintained in a humidified 5% v/v CO2 incubator at 37°C.
Cell treatment and cell viability assay
In order to evaluate the possible toxic effect of bisphenol A on PCCL3 cells, we treated the cells with different concentrations of BPA (10−9, 10−7, 10−5 and 10−3 mol/L BPA) or vehicle (ethanol 0.1% v/v) for 24 h. As an index of cell viability, we used the commercially available MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay (Sigma–Aldrich), according to the manufacturer’s recommendations. This is a colorimetric assay to determine the number of viable cells. The assay is based on the cellular conversion of the tetrazolium salt into formazan that is soluble in tissue culture medium, and it is measured directly at 490 nm in 96-well assay plates. Absorbance is directly proportional to the number of living cells in culture. After treatment, cells were stained with MTT (0.5 mg/mL) for 3 h at 37°C in a humidified 5% CO2 atmosphere. Then, cells were lysed with DMSO (P A). All determinations were done in triplicates. Since we did not find reduction of cell viability with 10−9 mol/L BPA, suggesting that BPA is not toxic for PCCL3 cells at this concentration, we decided to perform the next experiments using this concentration. Moreover, literature data suggest that the concentration of BPA in the serum is in nmol/L range in humans (33, 34). Results were expressed as relative to control.
In order to evaluate the involvement of the prooxidant effect of BPA on Nis and Tpo mRNA regulation, PCCL3 cells were incubated for 24 h with or 10−9 mol/L BPA in association or not with 1 mmol/L N-acetylcysteine (NAC), which was added 30 min before BPA addition (35).
Total RNA was extracted using the RNeasy Plus Mini Kit (Qiagen), following the manufacturer’s instructions. After DNase treatment, reverse transcription was followed by real-time PCR, as previously described (36). Specific oligonucleotides, as described in Table 1, were purchased from Applied Biosystems (Foster City, California, USA). GAPDH was used as internal control. Results were expressed as relative to control.
Primers used for real-time PCR assay.
|Nis||Forward||5′ GCT CAT CCT GAA CCA AGT GA 3′|
|Reverse||5′ ACG AGC ATT ACC ACA ACC TG 3′|
|Duox1||Forward||5′ ATT TCT TGG GAG GTA CAG CG 3′|
|Reverse||5′ GTT AGG CAG GTA GGG TTC TTT C 3′|
|Duoxa1||Forward||5′ TGA CCA GCT TAT TCA TCG GG 3′|
|Reverse||5′ CTG TGA GGG TGA TGT TGA GTC 3′|
|Duox2||Forward||5′ AGG AGT GGC ATA AGT TTG AGG 3′|
|Reverse||5′ CCT TGT CAC CCA GAT GAA GTA G 3′|
|Duoxa2||Forward||5′ TGG TAT TCT TGT CCT TGG CTG 3′|
|Reverse||5′ GGA GGT ACT GAA GGC TTT GTA G 3′|
|Tpo||Forward||5′ GAA TGA GGA ACT GAC CGA GAG 3′|
|Reverse||5′ TGA CAA GCC ACA GAA CTC TC 3′|
|β-Tsh||Forward||5′ TCT GCG CTG GGT ATT GTA TG 3′|
|Reverse||5′ CGG TAT TTC CAC CGT TCT GT 3′|
|Gapdh||Forward||5′ TGA TTC TAC CCA CGG GAA GT 3′|
|Reverse||5′ AGC ATC ACC CCA TTT GAT GT 3′|
β-Tsh, beta subunit of thyroid stimulating hormone (TSH); Duox1, dual oxidase 1; Duox2, dual oxidase 2; Duoxa1, dual oxidase maturation factor 1; Duoxa2, dual oxidase maturation factor 2; Gapdh, glyceraldehyde 3-phosphate dehydrogenase; Nis, sodium iodide symporter; Tpo, thyroperoxidase.
H2O2 production in intact cells
Extracellular H2O2 generation was quantified by the Amplex red/horseradish peroxidase assay, which detects the accumulation of a fluorescent oxidized product, as previously described (18, 31). Cells (1 × 105) in Dulbecco’s PBS (D-PBS) containing CaCl2 and MgCl2 were incubated with d-glucose (1 mg/mL), superoxide dismutase (100 U/mL), horseradish peroxidase (0.5 U/mL), and Amplex red (50 μmol/L), in the presence or absence of 1 μmol/L ionomycin, a calcium ionophore, since DUOX, the enzyme responsible for H2O2 generation associated to TH synthesis, is a calcium-dependent NADPH oxidase (19). The fluorescence was immediately measured in a microplate reader (Victor3, Perkin Elmer) for 30 min (excitation wavelength = 530 nm and emission wavelength = 595 nm). H2O2 generation was determined using standard calibration curves. Results were obtained as nmols of H2O2 per hour per 105 cells. In order to obtain calcium-dependent H2O2 generation, which is associated to DUOX activity, H2O2 generation obtained in the presence of ionomycin was subtracted by that found in the absence of ionomycin. Then, results were expressed as relative to control.
All the results are expressed as mean ± s.e.m. and were analyzed by Unpaired t-test. Experiments were performed at least twice and at least two animals/cell replicates per group per experiment were used. Results of cell viability assay were analyzed by One-way ANOVA followed by the Newman–Keuls multiple comparison test, since there were more than two groups. Statistical analyses were conducted using the software GraphPad Prism (version 5, GraphPad Software Inc, San Diego, California), and the level of significance was established at P < 0.05.
Body and thyroid weight
BPA treatment led to a slight though significant increase in BW, as shown in Table 2. This result suggest that the energetic homeostasis was affected by BPA what is in accordance with the well-known obesogenic effect of BPA (37). On the other hand, absolute and relative thyroid weight remained unchanged (Table 2).
Effect of BPA treatment on body weight, absolute and relative thyroid weight of female rats.
|Group||Body weight (g)||Absolute thyroid weight (mg)||Relative thyroid weight (mg/100 g BW)|
|Control||218.6 ± 3.4||17.3 ± 0.9||7.8 ± 0.4|
|BPA||228.0 ± 3.1*||16.9 ± 0.8||7.7 ± 0.3|
Female Wistar rats were treated with vehicle (Control, corn oil:isopropanol 20% v/v) or bisphenol A (BPA, 40 mg/kg BW), orally by gavage, daily for 15 days (n = 16 per group, *P < 0.05 vs control group).
The thyroid glands from control rats showed a normal tissue organization: follicles with simple cuboidal epithelial cells surrounding a cavity rich in eosinophilic material or colloid, besides a rich vascular stroma (Fig. 1). In BPA-treated group, we observed many hypoactive follicles, with squamous epithelium surrounded by interfollicular connective tissue.
Thyroid iodide uptake, TPO activity and H2O2 generation in rats
Since iodide is an essential element for TH biosynthesis (12), we have evaluated the effect of BPA on in vivo thyroid radioiodide uptake. In fact, BPA treatment significantly decreased thyroid iodide uptake (Fig. 2A).
TH synthesis requires not only iodide uptake, but also iodide oxidation and organification, reactions catalyzed by thyroperoxidase, in the presence of H2O2 (38). We have thus evaluated TPO activity and H2O2 generation. BPA led to a significant reduction of TPO activity (Fig. 2B), similarly to that found for NIS. Therefore, two fundamental steps for TH biosynthesis were affected by BPA treatment: iodide uptake and TPO activity.
Thyroid H2O2 generation in the absence of calcium remained unchanged (Fig. 3A), while thyroid H2O2 generation in the presence of calcium was increased in BPA-treated group (Fig. 3B). Thus, calcium-dependent H2O2 generation was significantly increased in the thyroid of rats treated with BPA (Fig. 3C). Since H2O2 is a ROS, the increment in H2O2 levels could lead to an enhancement of oxidative stress in the gland, especially because TPO activity, which consumes H2O2, is reduced.
Serum total T4 and T3 and pituitary β-Tsh mRNA
Since thyroid iodide uptake and thyroperoxidase activity were reduced by BPA treatment, we next evaluated TH levels. Surprisingly, we have found an increment in T4 levels in the serum of BPA-exposed rats, while T3 remained unchanged (Table 3). Thus, despite the reduction of TPO activity found in the dosage in vitro, it is possible that, in vivo, the greater availability of the TPO cofactor, H2O2, has led to the increased T4 synthesis. In accordance to the increased serum T4, we have found a significant reduction of Tsh beta chain mRNA levels in the pituitary of the rats treated with BPA (Table 3).
Effect of BPA treatment on serum total T4 and T3 concentrations and mRNA levels of TSH beta chain in pituitary of female rats.
|Group||Total T4 (µg/dL)||Total T3 (ng/dL)||Pituitary mRNA levels of β-TSH (relative to control)|
|Control||3.6 ± 0.2||50.7 ± 3.4||1.0 ± 0.2|
|BPA||4.8 ± 0.3*||59.0 ± 5.3||0.5 ± 0.1*|
Female Wistar rats were treated with vehicle (Control, corn oil:isopropanol 20% v/v) or bisphenol A (BPA, 40 mg/kg BW), orally by gavage, daily for 15 days (n = 10 per group for serum total T4 and total T3 and n = 4 per group for pituitary β-TSH mRNA levels, *P < 0.05 vs control group).
PCCL3 cell viability
Since the changes in proteins involved in TH synthesis observed in vivo could be due to a direct effect of BPA or could be related to hormonal changes caused by BPA, we next evaluated the direct effect of BPA on thyrocytes, using the non-tumor rat thyroid cell line PCCL3 as a model. However, since BPA could be toxic for PCCL3, we have first evaluated the effect of BPA on cell viability. In fact, at the concentration 10−3 mol/L, BPA seems to be toxic for PCCL3, significantly reducing its viability (Fig. 4A). Surprisingly, 10−7 mol/L BPA significantly increased cell viability, suggesting that this compound could increase cell proliferation, reduce cell death or both. Since 10−9 mol/L BPA did not affect cell viability and since this concentration is in the range of BPA concentration found in human serum (33, 34), we decided to use 10−9 mol/L BPA for the next experiments.
Nis mRNA levels in PCCL3
Since in vivo data have shown an inhibitory effect of BPA on thyroid iodide uptake, which is mediated by NIS, we have next evaluated Nis mRNA levels in PCCL3 cells treated with BPA. We have found a reduction of Nis mRNA levels in BPA-treated cells (Fig. 4B). Thus, BPA seems to act by transcriptional mechanism to regulate Nis mRNA levels.
H2O2 generation and Duox and Duoxa mRNA levels in PCCL3
Since in vivo data found herein showed an increment of thyroid H2O2 generation and since it has been shown that ROS have an inhibitory effect on NIS (39), we have then evaluated the effect of BPA on H2O2 generation and on Duox1, Duox2, Duoxa1 and Duoxa2 mRNA levels. DUOX1 and DUOX2 are calcium-dependent NADPH oxidases responsible for H2O2 generation associated to TH biosynthesis (15, 16) and DUOXA1 and DUOXA2 are the maturation factors necessary for full DUOX1 and DUOX2 activities, respectively (40). In fact, mutations in Duox2 have been associated to dyshormonogenesis and goiter (16, 41). Duox2 mRNA levels showed a significant increase in BPA-treated cells, (Fig. 5B), while Duox1 mRNA levels remained unchanged (Fig. 5A). Moreover, mRNA levels of both Duoxa1 (Fig. 5C) and Duoxa2 (Fig. 5D) were not altered by BPA treatment.
H2O2 generation in the absence of ionomycin remained unchanged (Fig. 6A), while H2O2 generation in the presence of ionomycin was increased by BPA (Fig. 6B). Calcium-dependent extracellular H2O2 generation was significantly increased in BPA-treated cells (Fig. 6C), thus suggesting that the stimulatory effect of BPA on thyrocyte H2O2 generation occurs not only in vivo but also in vitro, what could be deleterious to the thyroid gland since H2O2 is a ROS.
Effect of BPA on Nis and Tpo mRNA levels is reversed by NAC
Since BPA seems to have an inhibitory effect on NIS and TPO, besides increasing ROS production, we have next evaluated the involvement of oxidative stress in the effect of BPA. As shown in Fig. 7A, co-incubation of BPA-treated cells with N-acetylcysteine (NAC), an antioxidant, prevented the inhibitory effect of BPA on Nis expression. In a similar way, NAC also prevented the reduction of Tpo mRNA levels by BPA (Fig. 7B). Thus, our result suggests that the inhibitory effect of BPA on Nis and Tpo expression might involve increased oxidative stress.
BPA has been shown to be a widespread environmental contaminant and can be found in the serum and urine of both wildlife (42) and humans (43). This exposition affects many organs and systems, including reproductive system (44), nervous system (45) and thyroid (46). Despite that, data regarding the impact of BPA on thyroid redox homeostasis and its consequences on proteins involved in TH synthesis remains elusive.
TH synthesis requires hydrogen peroxide generation, since H2O2 is the essential cofactor for TPO (47). In vivo, DUOX is the enzyme responsible for H2O2 generation associated to TH biosynthesis (16). Since DUOX is a calcium-dependent NADPH oxidase (48), herein we have evaluated thyroid H2O2 generation both in the presence and in the absence of calcium. In fact, thyroid calcium-dependent H2O2 generation was increased in BPA-treated group, suggesting that the gland could be exposed to an increased oxidative stress. The reduction in TPO activity reinforces the idea of an unbalance in redox homeostasis, since TPO is an important consumer of the H2O2 generated by DUOX (49). Moreover, TPO has been shown to be sensitive to the oxidative stress induced in conditions of high DUOX activity (31). Besides, there is a negative correlation between DUOX and TPO in human thyroid nodular lesions and in experimental model of type 1 diabetes mellitus (18, 50). Therefore, increased H2O2 generation in the thyroid of rats exposed to BPA, due to a higher DUOX activity, might have induced a decrease in TPO activity through the oxidation of this enzyme.
In zebrafish embryo–larvae, tpo mRNA levels remained unchanged after BPA exposition (51), and TPO activity from rat thyroid microsomes was shown to be unaffected by incubation with BPA in vitro (52). On the other hand, in the rat thyroid cell line FRTL-5, BPA reduced Tpo mRNA levels (52). Therefore, besides the oxidation of TPO protein due to increased ROS production, BPA treatment could also reduce TPO activity due to the downregulation of Tpo gene expression.
Despite the reduced in vitro TPO activity found in rats treated with BPA, T4 levels were not reduced in this group, in fact T4 was increased. The greater availability of TPO cofactor H2O2 in the thyroid gland of BPA-treated animals might have contributed to the increment in serum T4 levels in this group.
BPA has been shown to increase oxidative stress in some tissues, such as testis (53), liver (54) and heart (55). However, to our knowledge, this is the first report describing the effect of BPA increasing thyroid H2O2 generation. It was previously shown that the thyroid gland is exposed to a higher risk of oxidative DNA damage when compared to other tissues, due to the necessity of H2O2 generation during TH biosynthesis (56). Therefore, the increment in ROS generation due to BPA exposure could predispose the gland to oxidative stress and thus to thyroid diseases.
NIS has been shown to be sensitive to ROS (57, 58, 59). Since BPA induced an increment in H2O2 generation, we have also evaluated NIS-mediated thyroid iodide uptake. In fact, in vivo thyroid iodide uptake was reduced by BPA treatment, which could be related to an increased oxidative stress or could be related to a direct effect of BPA regulating NIS expression. Then, we have evaluated BPA effect on Nis mRNA levels. In fact, the treatment of the rat thyroid cell line PCCL3 cells with 10−9 M BPA led to a significant reduction of Nis expression.
In zebrafish embryo–larvae, the treatment with BPA did not affect nis mRNA levels (51), while in rat thyroid cell line FRTL5, BPA was shown to reduce iodide uptake, besides reducing Nis expression (52). Therefore, at least in rats, BPA seems to be able to reduce both NIS expression and function, what is in accordance to our data. Since BPA is a xenoestrogen (60), it is possible that the effect of BPA downregulating NIS is due to its estrogenic activity, since estrogen has been shown to downregulate NIS in FRTL-5 cells (61). On the other hand, the possible estrogenic effect of BPA regulating NIS expression does not exclude the possibility that the increased ROS production could also affect NIS expression and function, so we have also evaluated H2O2 generation in PCCL3 exposed to BPA.
We have observed that, similarly to that found in vivo, BPA treatment has also increased calcium-dependent extracellular H2O2 generation in vitro. This effect could be related to the increased Duox2 expression found herein, which has been shown to be the DUOX isoform essential to hormonogenesis, since mutation in this enzyme leads to hypothyroidism (41, 62). On the other hand, it is known that the main isoform responsible for H2O2 generation in PCCL3 cells is DUOX1 (63). Another possibility is the regulation of DUOX activity at post-transcriptional level by BPA. Both DUOX1 and DUOX2 have been described to be regulated by cascades of phosphorylation (64). Even though BPA can activate nuclear estrogen receptor, this endocrine disruptor is known to be more potent acting by non-nuclear estrogen receptors (65). Therefore, BPA could act at membrane estrogen receptors, activating phosphorylation cascades and thus activating DUOX and increasing H2O2 generation in PCCL3. In fact, estrogen has been shown to increase ROS production in PCCL3 cells, which express both nuclear and membrane estrogen receptors (66). However, future studies are needed to elucidate the mechanism of BPA action regulating ROS production by thyrocytes.
The effect of BPA downregulating Nis and Tpo requires increased oxidative stress, since NAC was able to prevent the reduction of Nis and Tpo mRNA levels induced by BPA in PCCL3. NAC has previously been shown to prevent oxidative damage induced by BPA in Sertoli cells (67) and rat brain (68). Thus, BPA seem to cause a redox imbalance in the thyrocytes, disrupting the normal functioning of the thyroid gland.
The present study showed that the exposition of thyrocytes to the endocrine disruptor bisphenol A can increase ROS production, both in vivo and in vitro. Moreover, BPA decreased thyroid iodide uptake and thyroperoxidase activity, two essential steps for TH synthesis. This effect might be related to an increased oxidative stress since NAC could prevent the reduction of Tpo and Nis mRNA levels induced by BPA in PCCL3. The enhancement of ROS production by thyrocytes related to the exposition to BPA could lead to oxidative damage of the gland, thus predisposing individuals exposed to BPA to thyroid diseases.
Declaration of interest
The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
This work was supported by Fundação de Amparo à Pesquisa do Rio de Janeiro (FAPERJ), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).
The authors are grateful for the technical assistance of Norma Lima de Araújo Faria, Wagner Nunes Bezerra and José Humberto Tavares de Abreu. They are grateful to Fabio Hecht Castro Medeiros for the assistance in the treatment of the figures.
Vom SaalFSWelshonsWV. Evidence that bisphenol A (BPA) can be accurately measured without contamination in human serum and urine, and that BPA causes numerous hazards from multiple routes of exposure. Molecular and Cellular Endocrinology 2014 398 101–113. (https://doi.org/10.1016/j.mce.2014.09.028)
RichterCATaylorJARuhlenRLWelshonsWVVom SaalFS. Estradiol and bisphenol-A stimulate androgen receptor and estrogen receptor gene expression in fetal mouse prostate mesenchyme cells. Environmental Health Perspectives 2007 115 902–908. (https://doi.org/10.1289/ehp.9804)
AdewaleHBJeffersonWNNewboldRRPatisaulHB. Neonatal bisphenol-A exposure alters rat reproductive development and ovarian morphology without impairing activation of gonadotropin-releasing hormone neurons. Biology of Reproduction 2009 81 690–699. (https://doi.org/10.1095/biolreprod.109.078261)
GeensTDirtuACDirinckEMalarvannanGVan GaalLJorensPGCovaciA. Daily intake of bisphenol A and triclosan and their association with anthropometric data, thyroid hormones and weight loss in overweight and obese individuals. Environment International 2015 76 98–105. (https://doi.org/10.1016/j.envint.2014.12.003)
RaveraSReyna-NeyraAFerrandinoGAmzelLMCarrascoN. The sodium/iodide symporter (NIS): molecular physiology and preclinical and clinical applications. Annual Review of Physiology 2017 79 261–289. (https://doi.org/10.1146/annurev-physiol-022516-034125)
DupuyCOhayonRValentANoël-HudsonMSDèmeDVirionA. Purification of a novel flavoprotein involved in the thyroid NADPH oxidase. Cloning of the porcine and human cdnas. Journal of Biological Chemistry 1999 274 37265–37269. (https://doi.org/10.1074/jbc.274.52.37265)
FigueiredoMDCardosoLCFerreiraACCamposDVda Cruz DomingosMCorboRNasciuttiLEVaismanMCarvalhoDP. Goiter and hypothyroidism in two siblings due to impaired Ca(+2)/NAD(P)H-dependent H(2)O(2)-generating activity. Journal of Clinical Endocrinology and Metabolism 2001 86 4843–4848. (https://doi.org/10.1210/jcem.86.10.7934)
MorenoJCBikkerHKempersMJvan TrotsenburgASBaasFde VijlderJJVulsmaTRis-StalpersC. Inactivating mutations in the gene for thyroid oxidase 2 (THOX2) and congenital hypothyroidism. New England Journal of Medicine 2002 347 95–102. (https://doi.org/10.1056/NEJMoa012752)
SantosMCLouzadaRASouzaECFortunatoRSVasconcelosALSouzaKLCastroJPCarvalhoDPFerreiraAC. Diabetes mellitus increases reactive oxygen species production in the thyroid of male rats. Endocrinology 2013 154 1361–1372. (https://doi.org/10.1210/en.2012-1930)
MiaoSGaoZKouZXuGSuCLiuN. Influence of bisphenol A on developing rat estrogen receptors and some cytokines in rats: a two-generational study. Journal of Toxicology and Environmental Health: Part A 2008 71 1000–1008. (https://doi.org/10.1080/15287390801907467)
McCaffreyKAJonesBMabreyNWeissBSwanSHPatisaulHB. Sex specific impact of perinatal bisphenol A (BPA) exposure over a range of orally administered doses on rat hypothalamic sexual differentiation. Neurotoxicology 2013 36 55–62. (https://doi.org/10.1016/j.neuro.2013.03.001)
AndradeMNSantos-SilvaAPRodrigues-PereiraPPaiva-MeloFDde Lima JuniorNCTeixeiraMPSoaresPDiasGRMGraceliJBde CarvalhoDPet al. The environmental contaminant tributyltin leads to abnormalities in different levels of the hypothalamus-pituitary-thyroid axis in female rats. Environment and Pollution 2018 241 636–645. (https://doi.org/10.1016/j.envpol.2018.06.006)
FortunatoRSLima de SouzaECAmeziane-el HassaniRBoufraqechMWeyemiUTalbotMLagente-ChevallierOde CarvalhoDPBidartJMSchlumbergerMet al. Functional consequences of dual oxidase-thyroperoxidase interaction at the plasma membrane. Journal of Clinical Endocrinology and Metabolism 2010 95 5403–5411. (https://doi.org/10.1210/jc.2010-1085)
MühlbauerMda SilvaACMarassiMPLourençoALFerreiraACde CarvalhoDP. Retinoic acid modulation of thyroid dual oxidase activity in rats and its impact on thyroid iodine organification. Journal of Endocrinology 2010 205 271–277. (https://doi.org/10.1677/JOE-09-0421)
HuJWangYXiangXPengCGaoRGoswamiRZhouHZhangYZhenQChengQet al. Serum bisphenol A as a predictor of chronic kidney disease progression in primary hypertension: a 6-year prospective study. Journal of Hypertension 2016 34 332–337. (https://doi.org/10.1097/HJH.0000000000000780)
Serrano-NascimentoCda Silva TeixeiraSNicolaJPNachbarRTMasini-RepisoAMNunesMT. The acute inhibitory effect of iodide excess on sodium/iodide symporter expression and activity involves the PI3K/Akt signaling pathway. Endocrinology 2014 155 1145–1156. (https://doi.org/10.1210/en.2013-1665)
AzouziNCaillouxJCazarinJMKnaufJACracchioloJAl GhuzlanAHartlDPolakMCarréAEl MzibriM NADPH oxidase NOX4 is a critical mediator of BRAFV600E-induced downregulation of the sodium/iodide symporter in papillary thyroid carcinomas. Antioxidants and Redox Signaling 2017 26 864–877. (https://doi.org/10.1089/ars.2015.6616)
De MarcoGAgrettiPMontanelliLDi CosmoCBagattiniBDe ServiMFerrariniEDimidaAFreitas FerreiraACMolinaroAet al. Identification and functional analysis of novel dual oxidase 2 (DUOX2) mutations in children with congenital or subclinical hypothyroidism. Journal of Clinical Endocrinology and Metabolism 2011 96 E1335. (https://doi.org/10.1210/jc.2010-2467)
ChoiJKnudsenLEMizrakSJoasA. Identification of exposure to environmental chemicals in children and older adults using human biomonitoring data sorted by age: results from a literature review. International Journal of Hygiene and Environmental Health 2017 220 282–298. (https://doi.org/10.1016/j.ijheh.2016.12.006)
SongYRufJLothairePDequanterDAndryGWillemseEDumontJEVan SandeJDe DekenX. Association of duoxes with thyroid peroxidase and its regulation in thyrocytes. Journal of Clinical Endocrinology and Metabolism 2010 95 375–382. (https://doi.org/10.1210/jc.2009-1727)
GinabredaMGCardosoLCNobregaFMFerreiraACGonçalvesMDVaismanMCarvalhoDP. Negative correlation between thyroperoxidase and dual oxidase H2O2-generating activities in thyroid nodular lesions. European Journal of Endocrinology 2008 158 223–227. (doi:10.1530/EJE-07-0602)
WuYBelandFAFangJL. Effect of triclosan, triclocarban, 2,2′,4,4′-tetrabromodiphenyl ether, and bisphenol A on the iodide uptake, thyroid peroxidase activity, and expression of genes involved in thyroid hormone synthesis. Toxicology in Vitro 2016 32 310–319. (https://doi.org/10.1016/j.tiv.2016.01.014)
ElswefySEAbdallahFRAtteiaHHWahbaASHasanRA. Inflammation, oxidative stress and apoptosis cascade implications in bisphenol A-induced liver fibrosis in male rats. International Journal of Experimental Pathology 2016 97 369–379. (https://doi.org/10.1111/iep.12207)
Serrano-NascimentoCNicolaJPda TeixeiraSPoyaresLLLellis-SantosCBordinSMasini-RepisoAMNunesMT. Excess iodide downregulates Na(+)/I(−) symporter gene transcription through activation of PI3K/Akt pathway. Molecular and Cellular Endocrinology 2016 426 73–90. (https://doi.org/10.1016/j.mce.2016.02.006)
KizysMMLLouzadaRAMitne-NetoMJaraJRFuruzawaGKde CarvalhoDPDias-da-SilvaMRNesi-FrançaSDupuyCMacielRMB. DUOX2 mutations are associated with congenital hypothyroidism with ectopic thyroid gland. Journal of Clinical Endocrinology and Metabolism 2017 102 4060–4071. (https://doi.org/10.1210/jc.2017-00832)
RiguttoSHosteCGrasbergerHMilenkovicMCommuniDDumontJECorvilainBMiotFDe DekenX. Activation of dual oxidases Duox1 and Duox2: differential regulation mediated by camp-dependent protein kinase and protein kinase C-dependent phosphorylation. Journal of Biological Chemistry 2009 284 6725–6734. (https://doi.org/10.1074/jbc.M806893200)
FortunatoRSBragaWMOrtenziVHRodriguesDCAndradeBMMiranda-AlvesLRondinelliEDupuyCFerreiraACCarvalhoDP. Sexual dimorphism of thyroid reactive oxygen species production due to higher NADPH oxidase 4 expression in female thyroid glands. Thyroid 2013 23 111–119. (https://doi.org/10.1089/thy.2012.0142)