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expert reaction to calls by Breast Cancer UK for bisphenol A to be banned

The charity Breast Cancer UK has called for the chemical bisphenol-A to be banned from use in plastics used to make products including baby bottles and food and drink containers, on the grounds that is linked to health problems.

Prof Richard Sharpe, Medical Research Council Human Reproductive Sciences Unit based at University of Edinburgh, said:

“There is no direct evidence that links bisphenol A exposure in women, or in animal studies, to the development of breast cancer. Bisphenol A is an extremely weak oestrogen and is therefore unlikely to contribute significantly to a woman’s lifetime oestrogen exposure (and thus to her risk of breast cancer). Much of the data on low dose effects of bisphenol A have proved to be unrepeatable in more detailed, follow-up studies that have used the route of exposure (oral) relevant to humans, meaning that they do not satisfy one of the fundamental criteria for good science. In my opinion, any call for action on bisphenol A first requires direct evidence that, at human oral exposure levels, it can be shown capable of inducing breast cancer in animal models.”

Dr Warren Foster, Director and Professor of CIHR/Ontario Women’s Health Council and Director of the Reproductive Biology Division in the Department of Obstetrics & Gynecology at McMaster University, Ontario, said:

“BPA is a very weak estrogen relative to the body’s own estrogen called estradiol. Indeed some standard tests for estrogenicity fail to detect any estrogenic action of this chemical. It is estimated to be approximately 1/10,000th the potency of estradiol or in simple terms if one person makes 10,000 dollars/year someone else making 1/10,000th as much would receive 10.00 dollars/year.

“BPA, although ubiquitous in our environment, is poorly absorbed by the body. It is estimated that between 95 and 99% of BPA is metabolized by the body or the gut microflora and excreted from the body in either the feces or urine.

“The concentration of BPA measured in tissues is usually in the ppt (parts per trillion) range which is roughly equivalent to being able to measure one specific second in 31.7 thousand years. Our ability to measure BPA in tissues represents great improvements in analytical chemistry rather than evidence of increased exposure to chemicals or increased risk.

“Breast cancer is a complex disease with many different types of cancer. While estrogens are known to be cancer promoters there is no evidence that BPA is a cancer inducer and there is sparse evidence that BPA can act as a cancer promoter especially at the concentrations present in humans.

“People are exposed daily to a vast number of chemicals with mixed actions including estrogenic, anti-estrogenic and anti-androgenic as well as no known hormone like activity. At present there is no credible evidence to suggest that contemporary exposures are linked with increased risk of breast cancer.

“The greatest potential for environmental chemicals to impact on disease is in the area of disease progression. In this regard there is weak evidence that BPA could enhance breast cancer aggressiveness and promote progression of this disease.

“Relative to other chemicals to which people are exposed such as the phthalates, BPA presents minimal health concern.”

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