Abstract
Background
Estrogen has been implicated as a risk factor for meningioma. Bisphenol A (BPA), a widely used synthetic xenoestrogen, has already been reported to be associated with several estrogen-sensitive tumors.
Method
An exploratory association study of 243 meningioma cases and 258 frequency-matched healthy controls was conducted, using subjects from a hospital-based study to demonstrate the association of urine BPA concentration and the risk of meningioma. The specimens and data of patients were collected at Union Hospital, Wuhan, China, from 2009 to 2010.
Results
A positive association between increasing levels of urinary BPA and meningioma was observed, independent of confounding factors such as gender, age, race, body mass index, HRT use, BMI, and family history of cancer. Compared to quartile 1 (referent), the multivariate-adjusted odds ratio of meningioma associated with quartile 4 was 1.45 (95 % CI, 1.02–1.98) (P trend = 0.03).
Conclusion
In this case–control study from China, a clear association between urinary BPA concentrations and diagnosis of meningioma was detected.
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References
Longstreth WT, Dennis LK, McGurire VM et al (1993) Epidemiology of intracranial meningioma. Cancer (Phila) 72:639–648
Sadetzki S, Flint-Richter P, Ben-Tal T et al (2002) Radiation-induced meningioma: a descriptive study of 253 cases. J Neurosurg 97:1078–1082
Alexiou GA, Markoula S, Gogou P et al (2011) Genetic and molecular alterations in meningiomas. Clin Neurol Neurosurg 113:261–267
Whittle IR, Smith C, Navoo P et al (2004) Meningiomas. Lancet 363:1535–1543
Roelvink NC, Kamphorst W, van Alphen HA et al (1987) Pregnancy-related primary brain and spinal tumors. Arch Neurol 44:209–215
Schoenberg BS, Christine BW, Whisnant JP (1975) Nervous system neoplasms and primary malignancies of other sites. The unique association between meningiomas and breast cancer. Neurology 25:705–712
Carroll RS, Zhang J, Black PM (1999) Expression of estrogen receptors alpha and beta in human meningiomas. J Neurooncol 42:109–116
Hsu DW, Efird JT, Hedley-Whyte ET (1997) Progesterone and estrogen receptors in meningiomas: prognostic considerations. J Neurosurg 86:113–120
Speirs V, Boyle-Walsh E, Fraser WD (1997) Constitutive co-expression of estrogen and progesterone receptor mRNA in human meningiomas by RT-PCR and response of in vitro cell cultures to steroid hormones. Int J Cancer 72:714–719
Michaud DS, Gallo V, Schlehofer B et al (2010) Reproductive factors and exogenous hormone use in relation to risk of glioma and meningioma in a large European cohort study. Cancer Epidemiol Biomarkers Prev 19:2562–2569
Pines A (2010) Hormone therapy and brain tumors. Climacteric 14:215–216
Blitshteyn S, Crook JE, Jaeckle KA (2008) Is there an association between meningioma and hormone replacement therapy? J Clin Oncol 26:279–282
Claus EB, Black PM, Bondy ML et al (2007) Exogenous hormone use and meningioma risk: what do we tell our patients? Cancer (Phila) 110:471–476
Calafat AM, Ye X, Wong LY et al (2008) Exposure of the U.S. population to bisphenol A and 4-tertiary-octylphenol: 2003–2004. Environ Health Perspect 116:39–44
Rubin BS (2011) Bisphenol A: an endocrine disruptor with widespread exposure and multiple effects. J Steroid Biochem Mol Biol 127:27–34
Kundakovic M, Champagne FA (2011) Epigenetic perspective on the developmental effects of bisphenol A. Brain Behav Immun 25:1084–1093
Wolstenholme JT, Rissman EF, Connelly JJ (2010) The role of bisphenol A in shaping the brain, epigenome and behavior. Horm Behav 59:296–305
Okada H, Tokunaga T, Liu X et al (2008) Direct evidence revealing structural elements essential for the high binding ability of bisphenol A to human estrogen-related receptor-gamma. Environ Health Perspect 116:32–38
Matsushima A, Kakuta Y, Teramoto T et al (2007) Structural evidence for endocrine disruptor bisphenol A binding to human nuclear receptor ERR gamma. J Biochem 142:517–524
Melzer D, Harries L, Cipelli R et al (2011) Bisphenol A exposure is associated with in vivo estrogenic gene expression in adults. Environ Health Perspect 127:27–34
Soto AM, Vandenberg LN, Maffini MV et al (2008) Does breast cancer start in the womb? Basic Clin Pharmacol Toxicol 102:125–133
Henderson BE, Bernstein L, Ross RK et al (1988) The early in utero oestrogen and testosterone environment of blacks and whites: potential effects on male offspring. Br J Cancer 57:216–218
Powell IJ, Meyskens FL (2001) African American men and hereditary/familial prostate cancer: intermediate-risk populations for chemoprevention trials. Urology 57:178–181
Timms BG, Howdeshell KL, Barton L et al (2005) Estrogenic chemicals in plastic and oral contraceptives disrupt development of the fetal mouse prostate and urethra. Proc Natl Acad Sci USA 102:7014–7019
Ho SM, Tang WY, Belmonte de Frausto J et al (2006) Developmental exposure to estradiol and bisphenol A increases susceptibility to prostate carcinogenesis and epigenetically regulates phosphodiesterase type 4 variant 4. Cancer Res 66:5624–5632
Lang IA, Galloway TS, Scarlett A et al (2008) Association of urinary bisphenol A concentration with medical disorders and laboratory abnormalities in adults. JAMA 300:1303–1310
Gazzeri R, Galarza M, Gazzeri G (2007) Growth of a meningioma in a transsexual patient after estrogen-progestin therapy. N Engl J Med 357:2411–2412
Jay JR, MacLaughlin DT, Riley KP et al (1985) Modulation of meningioma cell growth by sex steroid hormones in vitro. J Neurosurg 62:757–762
Vandenberg LN, Maffini MV, Sonnenschein C et al (2009) Bisphenol-A and the great divide: a review of controversies in the field of endocrine disruption. Endocr Rev 30:75–95
Calafat AM, Kuklenyik Z, Reidy JA et al (2005) Urinary concentrations of bisphenol A and 4-nonylphenol in a human reference population. Environ Health Perspect 113:391–395
Hiroi H, Tsutsmi O, Momoeda M et al (1999) Differential interactions of bisphenol A and 17-beta-estradiol with estrogen receptor alpha (ER-alpha) and ER-beta. Endocr J 46:773–778
Matthews JB, Twomey K, Zacharewski TR (2001) In vitro and in vivo interactions of bisphenol A and its metabolite, bisphenol A glucuronide, with estrogen receptors alpha and beta. Chem Res Toxicol 14:149–157
Lewis JB, Lapp CA, Schafer TE et al (2000) 4-Hydroxytamoxifen-induced cytotoxicity and bisphenol A: competition for estrogen receptors in human breast cancer cell lines. In Vitro Cell Dev Biol Anim 36:320–326
Lapensee EW, Tuttle TR, Fox SR et al (2009) Bisphenol A at low nanomolar doses confers chemoresistance in estrogen receptor-alpha-positive and -negative breast cancer cells. Environ Health Perspect 117:175–180
Rubin BS, Soto AM (2009) Bisphenol A: perinatal exposure and body weight. Mol Cell Endocrinol 304:55–62
Newbold RR, Padilla-Banks E, Jefferson WN (2009) Environmental estrogens and obesity. Mol Cell Endocrinol 304:84–89
Shankar A, Teppala S (2011) Relationship between urinary bisphenol A levels and diabetes mellitus. J Clin Endocrinol Metab 15:3455–3462
Benson VS, Pirie K, Green J et al (2008) Lifestyle factors and primary glioma and meningioma tumours in the Million Women Study cohort. Br J Cancer 99:185–190
Jhawar BS, Fuchs CS, Colditz GA et al (2003) Sex steroid hormone exposures and risk for meningioma. J Neurosurg 99:848–853
Michaud DS, Bove G, Gallo V et al (2011) Anthropometric measures, physical activity, and risk of glioma and meningioma in a large prospective cohort study. Cancer Prev Res (Phila) 4:1385–1392
Acknowledgments
This work was supported by the National Natural Science Foundation of China (grant NSFC-30871386).
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B. Duan and X. Hu contributed equally to this work.
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Duan, B., Hu, X., Zhao, H. et al. The relationship between urinary bisphenol A levels and meningioma in Chinese adults. Int J Clin Oncol 18, 492–497 (2013). https://doi.org/10.1007/s10147-012-0408-6
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DOI: https://doi.org/10.1007/s10147-012-0408-6