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Metabolic effects of Endocrine Disrupting Chemicals: novel testing METhods and adverse outcome pathways

Periodic Reporting for period 4 - EDCMET (Metabolic effects of Endocrine Disrupting Chemicals: novel testing METhods and adverse outcome pathways)

Période du rapport: 2023-07-01 au 2024-06-30

Accumulating evidence links endocrine disruptor (ED) exposure to increased incidence of metabolic effects in humans and several mechanisms, such as modulation of nuclear receptors (NRs), impairments of mitochondrial respiration or excessive cellular accumulation of lipids, may be behind these effects. New and improved approaches are needed to increase the quality, efficiency, and effectiveness of existing methods to evaluate the effects of EDs and to meet the demanding and evolving regulatory requirements worldwide. The EDCMET project focused on developing novel or improved computational and in vitro methods, such as cell-free assays and cell culture systems, standardized in vivo animal models and unbiased omics techniques to assess the metabolic effects of EDs. Epidemiological and field monitoring data were used to gain information regarding human exposure to EDs and related metabolic effects. EDCMET applied the adverse outcome pathway (AOP) paradigm to identify molecular initiating events (MIEs) and novel mechanisms of action and predict the emerging adverse biological phenotypes.
Transcriptional activation by NRs is controlled by the ligand-binding domain with different binding modes for receptor ligands, such as EDs. Existing NR crystal structures often fail to capture the dynamic conformational changes triggered by ligands and protein partners, which poses a challenge to understand these interactions. To address the challenge, EDCMET developed an in silico molecular modeling approach to identify and map interactions between NRs and EDs and applied the method to study the NR-ED interactions of metabolically relevant NRs. The developed tool is able to reliably predict ED interactions with multiple NRs with both agonist (activating) and antagonist (repressing) modes, and thus, can identify the initial MIEs to predict ED-protein interactions potentially leading to metabolic dysfunction. The EDTox tool was developed to prioritize chemicals based on their ED potential and to study the mode of action of EDs within toxicogenomic-driven gene networks. A combination of approaches, ranging from simple statistical analyses to more complex machine learning algorithms was used to identify potential exposure and effect biomarkers based on publicly available and de novo EDCMET data. A model predicting NR regulation of liver metabolism and emerging phenotypes was constructed.

To assess the metabolic adverse effects of EDs mediated by NRs, EDCMET developed several in vitro assays to assess NR-coregulator interactions, as well as cell-based assays to study NR activation in response to ED exposure. Further, high throughput mitochondrial respiration and triglyceride accumulation assays in hepatic cells have been developed. The assays have been used to screen a set of over 30 ED compounds as well as assay-specific controls to scientifically validate the developed assays for use in addressing the metabolic effects of EDs. In addition, changes in HepG2 and HepaRG human liver cell transcriptomes upon exposure to EDs were profiled. The in vitro assays were evaluated using the Test readiness criteria implemented in the EURION Cluster. The triglyceride accumulation assay, achieving the highest readiness score, was selected for further validation by the PEPPER initiative. Further validation and regulatory review are needed to ensure that the EDCMET in vitro assays meet the scientific and regulatory standards for use in toxicology assessments.

Standardized in vivo protocols have been established for several metabolic endpoint measuring disturbances in lipid and glucose homeostasis. EDCMET showed that application of a repeated dose 28-day oral toxicity test is insensitive in detecting metabolic disruption by EDs and therefore is not suitable for screening purposes. Instead, combination of nutritional challenge with high-fat diet (HFD) and treatment with EDCs was found to be a useful method of detecting EDC-induced metabolic effects and a protocol utilizing 20-week ED exposure under HFD-feeding was established. Another protocol investigating effects of in utero exposure on later metabolic health was developed to represent the effects in developing individuals. The EDCMET in vivo studies have also provided a significant amount of new mechanistic information on metabolic disruption through major pathways such as the NRs PXR and PPARα as MIEs. An AOP concept was developed and published for PXR-induced hypercholesterolemia predominantly based on data provided by the EDCMET project.

The most important findings related to human health risks in EDCMET are i) the importance of considering sex differences, as health biomarkers and outcomes were found to be different in males and females, ii) the difference in effects of exposure found also in internal exposome on metabolic effects, iii) the physiological status of children and pregnant women is affecting the outcomes of exposure and iv) the levels of older, partially banned, pesticides and other environmental contaminants in serum are decreasing, while levels of newer EDCs are increasing.
EDCMET has developed an array of new or improved testing tools for risk assessment of metabolism-disrupting EDs and verified the usefulness of these tools in identifying novel disrupted pathways in human liver as well as to increase human relevancy in testing and risk prediction and reduction of the use of laboratory animals. The levels of EDs measured from human samples were linked to metabolic endpoints and health outcomes. Thus, EDCMET, together with the EURION Cluster, has laid the groundwork for future testing and ED toxicity assessment and contributed to a better understanding of human exposure and the associated burden of metabolic diseases.
EDCMET staff at the general assembly meeting in Berlin, November 2021
EDCMET staff at the general assembly meeting in Amsterdam, February 2023
EDCMET staff at the project kick-off meeting in Brussels, February 2019