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AOP: 536
Title
Estrogen receptor agonism leading to reduced survival and population growth due to renal failure
Short name
Graphical Representation
Point of Contact
Contributors
- Camille Baettig
Coaches
OECD Information Table
OECD Project # | OECD Status | Reviewer's Reports | Journal-format Article | OECD iLibrary Published Version |
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This AOP was last modified on November 01, 2024 21:05
Revision dates for related pages
Page | Revision Date/Time |
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Agonism, Estrogen receptor | June 24, 2024 13:35 |
Increase, Vitellogenin synthesis in liver | June 24, 2024 13:38 |
Increase, Plasma vitellogenin concentrations | June 24, 2024 13:39 |
Increase, Renal pathology due to VTG deposition | June 24, 2024 13:40 |
Increased Mortality | July 08, 2022 07:32 |
Decrease, Population growth rate | January 03, 2023 09:09 |
Agonism, Estrogen receptor leads to Increase, Vitellogenin synthesis in liver | June 24, 2024 13:04 |
Increase, Vitellogenin synthesis in liver leads to Increase, Plasma vitellogenin concentrations | June 24, 2024 13:13 |
Increase, Plasma vitellogenin concentrations leads to Increase, Renal pathology due to VTG deposition | June 24, 2024 13:23 |
Increase, Renal pathology due to VTG deposition leads to Increased Mortality | June 24, 2024 13:34 |
Increased Mortality leads to Decrease, Population growth rate | July 08, 2022 08:29 |
Abstract
This adverse outcome pathway details the linkage between binding and activation of estrogen receptor as a nuclear transcription factor, primarily in oviparous male vertebrates, and a decrease in population growth. Estrogen receptors are ligand-dependent transcription factors that regulate gene transcription through estrogen response elements, allowing for the normal biological functions of estrogens (Klinge, 2001). However, various chemicals/classes of chemicals have been shown to act as ER agonists with the most potent being estradiol (E2) and ethinylestradiol (EE2) (Aarts et al., 2013). Numerous compounds including polycyclic aromatic hydrocarbons, chlorinated chemicals (e.g. PCBs), plasticizers (e.g. phthalates), and phenolic industrial chemicals (e.g., alkylphenols, parabens), and plant sterols also interact with ERα in vitro, with the potential to produce in vivo estrogenic effects (Ng et al., 2014; Pillon et al., 2005). A well characterized response to ER agonists involves hepatic production of vitellogenin (VTG; egg yolk precursor protein). Induction of vtg mRNA can result in elevated plasma VTG, particularly in oviparous male vertebrates, and can potentially cause downstream issues such as renal failure and morbidity. This AOP is relevant to both sexes, although more so to males as they do not produce VTG under normal conditions and have no mechanism for readily excreting the lipoprotein (Sumpter & Jobling, 1995). While many aspects of the biology underlying this AOP are largely conserved across oviparous vertebrates our, focus on KER between increased plasma VTG and increased renal pathology was on freshwater fish. Therefore, caution should be used in applying the whole of the AOP beyond freshwater fish species.
AOP Development Strategy
Context
The key events in this AOP are well defined in the literature, particularly the early events. While this AOP was initially entered into the wiki over ten years ago it was only entered as a set of place-holder pages for which a full weight of evidence assembly had not been conducted. Following studies conducted on estrogenic PFAS, described below, there was motivation to redevelop and update the AOP.
Houck et al. (2021) used an in vitro high throughput platform to screen and categorize more than 140 structurally diverse PFAS based on their pathway-specific bioactivities including estrogenic activity. Villeneuve et al. (2023) confirmed the estrogenic activity of four diols identified by Houck et al. (2021) in 4 day in vivo experiment that evaluated expression of ER responsive genes in male fathead minnows. This led to the motivation to further evaluate FC10-diol, which showed the strongest response, using both male and female fathead minnows in a 21-day study. This study design allowed for the measurement of nearly all the key events within this AOP and allowed for linking activation of the ER to impacts on survival and reproduction in fish.
Strategy
This AOP was developed based on data derived from literature searches conducted online in PubMed, Scopus, and Google Scholar. Specific literature searches were used to add evidence from other studies for each key event. The initial search terms for the key events included: “estrogen receptor agonism”, “vitellogenin expression”, “vitellogenin plasma”, and “renal pathology”. This AOP focuses on fish as most of the literature used was based on fish studies, however this AOP can probably be applied to other oviparous vertebrate species as well. No systematic review approach was applied.
Summary of the AOP
Events:
Molecular Initiating Events (MIE)
Key Events (KE)
Adverse Outcomes (AO)
Type | Event ID | Title | Short name |
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MIE | 111 | Agonism, Estrogen receptor | Agonism, Estrogen receptor |
KE | 307 | Increase, Vitellogenin synthesis in liver | Increase, Vitellogenin synthesis in liver |
KE | 220 | Increase, Plasma vitellogenin concentrations | Increase, Plasma vitellogenin concentrations |
KE | 252 | Increase, Renal pathology due to VTG deposition | Increase, Renal pathology due to VTG deposition |
KE | 351 | Increased Mortality | Increased Mortality |
KE | 360 | Decrease, Population growth rate | Decrease, Population growth rate |
Relationships Between Two Key Events (Including MIEs and AOs)
Title | Adjacency | Evidence | Quantitative Understanding |
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Agonism, Estrogen receptor leads to Increase, Vitellogenin synthesis in liver | adjacent | High | Low |
Increase, Vitellogenin synthesis in liver leads to Increase, Plasma vitellogenin concentrations | adjacent | High | Moderate |
Increase, Plasma vitellogenin concentrations leads to Increase, Renal pathology due to VTG deposition | adjacent | Moderate | Low |
Increase, Renal pathology due to VTG deposition leads to Increased Mortality | adjacent | Moderate | Low |
Increased Mortality leads to Decrease, Population growth rate | adjacent | Moderate | Moderate |
Network View
Prototypical Stressors
Life Stage Applicability
Taxonomic Applicability
Sex Applicability
Overall Assessment of the AOP
Domain of Applicability
Sex: Although this AOP is applicable to both sexes it is far more relevant for males. This is in part because females have an excretion pathway for vitellogenin - namely deposition into oocytes which are then released into the environment. Males lack that mechanism, and thus are more likely to accumulate protein that can cause kidney pathologies.
Life stages: This AOP is applicable to all life stages following the differentiation of the liver and kidney. Larvae prior to liver and kidney differentiation should not be included.
Taxonomic: The assumed taxonomic applicability domain of this AOP is oviparous vertebrates that synthesize yolk precursor proteins and have functional kidneys.
Essentiality of the Key Events
Overall, the confidence in the supporting data for essentiality of KEs within the AOP is moderate. There is direct evidence of ER agonism leading to an increase in vitellogenin mRNA expression that is supported in multiple review articles (e.g., Matozzo et al., 2008; Palmer & Selcer, 1996; Verderame & Scudiero, 2017). Similarly, there is direct evidence vtg mRNA synthesis precedes increases in plasma VTG. Korte et al. (2000) observed vtg mRNA increase in the liver of male fathead minnows within 4 hours followed by plasma VTG increase within 16 hours of treatment. There is indirect evidence that increased plasma VTG can lead to downstream KE, renal pathology, as well as resulting in downstream AOs, mortality and decrease in population growth rate. Studies have shown that when large quantities of VTG are circulating it can lead to hyalin material accumulation in the kidneys which can cause significant pathology (e.g., Folmar et al., 2001; Herman & Kincaid, 1988). Because the kidneys perform a suite of physiological roles that are critical for organismal homeostasis including waste excretion, osmoregulation, and fluid homeostasis (Preuss, 1993), damage to the renal system, including damage caused by circulating VTG, can lead to a loss of renal functions such as decreased glomerular filtration rate or impaired clearance of waste products which can lead to mortality (McKee & Wingert, 2015). As survival rate is an obvious determinant of population size there is indirect evidence linking increased mortality to decrease in population growth rate.
Evidence Assessment
The weight of evidence for each of the KERs comprising the AOP are ranked moderate to high. In particular the biological plausibility at the molecular and cellular level of the early key events is strong. The biological plausibility linking ER activation to increased vtg mRNA synthesis is high. Actions of endogenous and exogenous estrogens are mediated by the ER which is part of the nuclear receptor superfamily. Binding to the ligand-binding domain (LBD) of the ER initiates a series of molecular events culminating in the modulation of genes. Transcription of vtg is regulated by estrogens and their interaction on ERs and under high estrogen stimulation the fold increase of vtg transcripts increases by orders of magnitude (Brock & Shapiro, 1983). Additionally, there is high biological plausibility linking increased vtg mRNA synthesis to increased plasma VTG. The liver is the primary source of VTG synthesis and production and after it is synthesized it is secreted into the blood (Wallace, 1985). Vitellogenin transcription and translation results in protein production although there is a delay between expression of vtg and actual production/detection of VTG (e.g., Korte et al. 2000). Although a precise quantitative relationship describing all steps of vitellogenesis transcription/translation has not been described there are models and statistical relationships that define quantitative relationships between circulating E2 concentrations and circulating VTG concentrations have been developed (Ankley et al., 2008; Li et al., 2011; Murphy et al., 2009; Murphy et al., 2005).
Some uncertainties regarding the connection between increased VTG availability and the increase in renal pathology remain, resulting in our weight of evidence call as moderate. However, there is evidence that when large quantities of VTG are circulating, hyalin material can accumulate in the kidneys which can cause significant pathology (Folmar et al., 2001; Herman & Kincaid, 1988; Palace et al., 2002). Additionally, numerous studies have documented further renal pathology such as hemorrhages in kidney tubules, hypertrophy of tubular epithelia, accumulated eosinophilic material in renal tissue, and edema in the interstitium between kidney tubules (e.g., Folmar et al., 2001; Hahlbeck et al., 2004; Länge et al., 2001; Mihaich et al., 2012; Palace et al., 2002; Zha et al., 2007). In fish exposed to estrogenic compounds there can be excessive production of VTG, which leads to renal failure, and increases mortality in fish (Herman & Kincaid, 1988). Generally, the molecular mass of proteins in glomerular filtrate are lower than albumin but when proteins like VTG are deposited in the kidneys they cannot be resorbed and the excess protein can lead to glomerular rupturing or hemorrhaging (Tojo & Kinugasa, 2012). Ultimately these pathologies can cause acute renal failure resulting in mortality. As survival rate is an obvious determinant of population size and is included in population modeling to calculate long-term persistence of the population (e.g., Miller et al., 2020) there is a moderate weight of evidence linking increased mortality to decrease in population growth rate. Numerous factors have the potential to lead to declining populations (e.g., increased mortality in the reproductive population, excessive mortality in larval population) however there is considerable evidence to support the idea that ER agonism can ultimately lead to decrease in the population growth. A notable example exposed fathead minnows to low concentrations of 17α-ethynylestradiol (EE2) in the Experimental Lakes Area, Canada. Vitellogenin mRNA and plasma was significantly elevated and, after the second season of EE2 additions to the lake, the fathead minnow population collapsed due to loss of the young-of-the-year (Kidd et al., 2007; Palace et al., 2002). Overall, there is considerable evidence to support the idea that ER agonism can ultimately lead to decrease in the population growth rate. Overall weight of evidence is moderate.
Uncertainties, inconsistencies, and data gaps
- Uncertainties related to MIE: Some uncertainty remains regarding which ER subtype(s) regulates vitellogenin gene expression in the liver of fish. In general, the literature suggests a close interplay between several ER subtypes in the regulation of vitellogenesis. Consequently, at present, the AOP is generalized to impacts on all ER subtypes, even though it remains possible that impacts on a particular sub-type may drive the adverse response.
- Using selective agonists and antagonists for ERα and ERβ, it was concluded that ERβ was primarily responsible for inducing vitellogenin production in rainbow trout and that compounds exhibiting ERα selectivity would not be detected using a vitellogenin ELISA bioassay (Leaños-Castañeda & Van Der Kraak, 2007). However, a subsequent study conducted in tilapia concluded that agonistic and antagonistic characteristics of mammalian, isoform-specific ER agonists and antagonists, cannot be reliably extrapolated to piscine ERs (Davis et al., 2010).
- Based on RNA interference knock-down experiments Nelson and Habibi (Nelson & Habibi, 2010) proposed a model in which all ER subtypes are involved in E2-mediated vitellogenesis, with ERβ isoforms stimulating expression of both vitellogenin and ERα gene expression, and ERα helping to drive vitellogenesis, particularly as it becomes more abundant following sensitization.
- Uncertainties related to cause of renal pathology: Although the accumulation of hyalin material/lipoprotein within the kidneys has been confirmed to be partially caused by accumulated VTG, some of the accumulated proteins do not respond to VTG antibody (e.g., Folmar et al., 2001). Because male fish will also express other estrogen inducible proteins such as vitelline envelope and zona radiata some renal pathology could be caused by these related proteins rather than VTG (Johan Hyllner et al., 1994; Oppen‐Berntsen et al., 1994).
- Proliferative kidney disease (PKD) in fish caused by the parasite Tetracapsuloides bryosalmonae results in significant kidney pathology. However, when PKD infection took place under simultaneous exposure to EE2, kidney pathology was less pronounced even though hepatic vtg was elevated in fish exposed to the estrogen (Bailey et al., 2019; Rehberger et al., 2020).
Known Modulating Factors
Modulating Factor (MF) | Influence or Outcome | KER(s) involved |
---|---|---|
Quantitative Understanding
Overall, the quantitative understanding for this AOP is low. Presently there is insufficient data to develop a quantitative AOP linking ER activation to mortality and decreased population growth rate. However, a 21-day reproductive study to estrogenic PFAS, FC10-diol, which allowed for the measurement of nearly all the key events within this AOP and allowed for linking activation of the ER to impacts on survival and reproduction in fish (Ankley et al. in prep).
Increase in vtg synthesis leading to increase in plasma VTG was scored as having a moderate quantitative understanding due to the well-defined relationship between gene expression and protein synthesis. However, because the delay between expression of vtg and production/detection of VTG is not well defined our understanding is still limited.
Considerations for Potential Applications of the AOP (optional)
References
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Ankley, G. T., Miller, D. H., Jensen, K. M., Villeneuve, D. L., & Martinović, D. (2008). Relationship of plasma sex steroid concentrations in female fathead minnows to reproductive success and population status. Aquatic Toxicology, 88(1), 69-74. https://doi.org/https://doi.org/10.1016/j.aquatox.2008.03.005
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