CLARITY-BPA : A Model for Integration of Guideline and Academic Studies. R. Thomas Zoeller University of Massachusetts Amherst

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CLARITY-BPA : A Model for Integration of Guideline and Academic Studies. R. Thomas Zoeller University of Massachusetts Amherst

Disclaimer The information conveyed in this presentation does not necessarily reflect the opinion of the FDA, the National Institute of Environmental Health Sciences (NIEHS), or the National Toxicology Program (NTP).

CLARITY-BPA Consortium Linking Academic and Regulatory Insights on the Toxicity of BPA Research consortium involving scientists from: FDA/NCTR and CFSAN NIEHS/NTP and DERT (Division of Extramural Research/Training) 13 NIEHS-funded university-based grantees Selected through a NIH competitive grant review process FDA/NCTR assessed applications for feasibility only Goal was to integrate data from university-based grantee studies with those of a guideline-compliant study to contribute to the safety assessment of BPA

CLARITY-BPA Why?

CLARITY-BPA Why?

CLARITY-BPA Why?

CLARITY-BPA Why?

CLARITY-BPA Why? Estrogen controls many different events during development and in adulthood Guideline endpoints do not fully capture all these endpoints Different endpoints will be differentially-sensitive to BPA Thus, hazard characterization may be inappropriate.

CLARITY-BPA Design? Core Study at NCTR Guideline-GLP Compliant Full battery of guideline assays Tissues sent to academic labs for specific analyses

NCTR 2-YEAR CHRONIC (CLARITY-BPA CORE ) STUDY Modified guideline, GLP-compliant study All CLARITY-BPA stakeholders contributed to the final design of the core study Face-to-face meeting at FDA/NCTR Animal model: NCTR Sprague-Dawley rat

Study Design (continued) 50 animals per dose group, per sex, per age in core study Additional animals provided for grantee studies ( ~10/dose gp) Potential sources of background BPA including diet, cages (polysulfone), bedding, drinking water, and water bottle stoppers were measured and monitored. Animals were fed a diet free in soy and alfalfa. It was certified to have <2 ppm genistein and daidzein, <0.5ppm coumestrol and zearalenone and <5 ppm BPA. Limited internal dosimetry measurements : all BPA and EE2 doses. In summary, all aspects of the CLARITY-BPA study followed a shared, robust protocol for animal housing and feeding, compound handling and dosing, measurements and evaluation, and sharing and storing of samples.

Dose groups: NCTR 2-YEAR CHRONIC (CLARITY-BPA CORE ) STUDY (cont.) BPA: 2.5, 25, 250, 2,500, and 25,000 µg/kg bw/day Ethinyl estradiol: 0.05 and 0.5 µg/kg bw/day (reference estrogen) Vehicle control (0.3% carboxymethylcellulose in water) Daily oral gavage, 7 days a week Direct dosing of the F 1 pups from the day after birth Two dosing arms: Continuous dose arm: from gestation day 6 through termination Stop dose arm: from gestation day 6 through weaning (PND21)

CLARITY-BPA Grantees and Areas of Study Principal Investigator Heather Patisaul/ Cheryl Rosenfeld Disease Focus Learning and behavior stop dosing only Endpoint Brain transcriptomics birth Behavioral PND 21 and 90 Aims Funded 1) brain gene expression 2) behavioral assess. pnd 21 3) behavioral assess. pnd 90 Ana Soto Gail Prins Breast cancer Breast development and cancer PND 21 and 90; 6 months (whole mounts) Prostate cancer Prostate gene expression, and cancer development PND 21; 6, 12 months 1)breast morphology at pnd 21 as precursor of cancer 2)gene expression and DNA methylation at pnd 21 3)assess pre-neoplastic lesions and neoplastic lesions pnd 90 and 6 mo. 1) prostate gene expression 2) prostate methylation 3) renewal of stem cells 4) assess PIN and cancer

Principal Investigator Disease Focus Endpoint Aims Funded Shuk Mei Ho Uterine cancer Continuous dosing only Uterus histology and gene expression 6, 12 months 1) histological ID of uterine hyperplasia/adenocarcinoma 2) laser capture to assess methylome and transcriptome to identify early cancer genes Fred vom Saal Male urogenital abnormalities Urogenital system analysis Birth; 12 months 1) 3-D reconstruction of urogenital system 2) examine animals for voiding and laser capture to assess gene expression in epithelium and stroma Nestor Gonzalez- Cadavid Penile function Penile erection mechanism 6 months 1) erection capability, transcriptomic profile and stem cell analysis

Principal Investigator Disease Focus Endpoint Aims Funded Kim Boekelheide Testis function/ sperm counts Testis and epididymis PND 90; 12 months 1) histological and morphological assessment of testis 2) caudal sperm transcriptome Continuous dosing only 3) caudal sperm methylome Jodi Flaws Ovarian function Ovary Birth; pnd 21, 90; and 12 months 1) follicle number 2) steroidogenic enzymes Andrew Greenberg Diabetes, blood glucose, pancreas, liver Blood glucose and pancreas assessment 12 months 1) assess blood glucose over time and beta cell mass and insulin content 2) liver histopathology

Principal Investigator Nira Ben Jonathan Norbert Kaminski Disease Focus Endpoint Aims Funded Obesity/adipose tissue Immune Function continuous dosing only adipose tissue disposition and weight gain PND 90; 6 and 12 months Spleens assessed PND 21, 90; 6 and 12 months 1) fat depots and selected adipokines, gene expression 2) serum hormones 3) adipose cell number & size 1) spleen T & B cell subpopulations 2) response to stimulation 3) ER characterization 4) gene expression Tom Zoeller Thyroid and brain anatomy Thyroid and brain development PND 15 1) changes in brain gene expression and histology due to BPA impact on thyroid hormones Scott Belcher Cardiovascular Heart PND 21, 6 mo 1)heart structure 2)ventricular wall thickness and fibrosis 3) cardiac hypertrophy

RESULTS 1. Arambula SE, Belcher SM, Planchart A, Turner SD, Patisaul HB. Impact of Low Dose Oral Exposure to Bisphenol A (BPA) on the Neonatal Rat Hypothalamic and Hippocampal Transcriptome: A CLARITY-BPA Consortium Study. Endocrinology. 2016;157(10):3856-3872. 2. SA, Javurek AB, Painter MS, Ellersieck MR, Welsh TH, Jr., Camacho L, Lewis SM, Vanlandingham MM, Ferguson SA, Rosenfeld CS. Effects of developmental exposure to bisphenol A on spatial navigational learning and memory in rats: A CLARITY-BPA study. Horm Behav. 2016;80:139-148. 3. Heindel JJ, Newbold RR, Bucher JR, Camacho L, Delclos KB, Lewis SM, Vanlandingham M, Churchwell MI, Twaddle NC, McLellen M, Chidambaram M, Bryant M, Woodling K, Gamboa da Costa G, Ferguson SA, Flaws J, Howard PC, Walker NJ, Zoeller RT, Fostel J, Favaro C, Schug TT. NIEHS/FDA CLARITY-BPA research program update. Reprod Toxicol. 2015;58:33-44. 4. Rebuli ME, Camacho L, Adonay ME, Reif DM, Aylor DL, Patisaul HB. Impact of Low-Dose Oral Exposure to Bisphenol A (BPA) on Juvenile and Adult Rat Exploratory and Anxiety Behavior: A CLARITY- BPA Consortium Study. Toxicol Sci. 2015;148(2):341-354. 5. Schug TT, Heindel JJ, Camacho L, Delclos KB, Howard P, Johnson AF, Aungst J, Keefe D, Newbold R, Walker NJ, Thomas Zoeller R, Bucher JR. A new approach to synergize academic and guideline-compliant research: the CLARITY-BPA research program. Reprod Toxicol. 2013;40:35-40.

THOUGHTS FOR POSSIBLE FUTURE PROJECTS Important to recognize that this is a first-ever collaboration and we need to learn from it. Greater development and organization of goals and strategies prior to RFA (call) could streamline the project and improve utility. Early, detailed description of the animal/sample collection requirements by the university researchers would provide a better assessment of the feasibility of the studies and help streamline the core study

THOUGHTS FOR POSSIBLE FUTURE PROJECTS The collaborative design could also be employed to identify new endpoints to be included into guideline studies For example, tissues derived from the core study could be sent to academic labs for analysis. Blinded samples sent to triplicate labs could simultaneously evaluate those endpoints, but validate their reliability.

THOUGHTS FOR POSSIBLE FUTURE PROJECTS Core Study Guideline-GLP Compliant Full battery of guideline assays Tissues sent to 3 different academic labs for the same specific analyses

THANK YOU FOR YOUR ATTENTION!!