PMID- 29322544 OWN - NLM STAT- MEDLINE DCOM- 20190612 LR - 20220321 IS - 1365-2036 (Electronic) IS - 0269-2813 (Linking) VI - 47 IP - 6 DP - 2018 Mar TI - Role of bisphenol A as environmental factor in the promotion of non-alcoholic fatty liver disease: in vitro and clinical study. PG - 826-837 LID - 10.1111/apt.14499 [doi] AB - BACKGROUND: Bisphenol A is an endocrine disrupting chemical associated with type 2 diabetes mellitus (T2DM), cardiovascular disease and liver enzyme abnormalities. AIM: To evaluate bisphenol A plasma and urine levels in non-alcoholic fatty liver disease (NAFLD) patients compared to healthy subjects. Furthermore, we evaluated, in human HepG2 cells, the effects of exposure to different concentrations of bisphenol A on both oxidative stress induction and cell proliferation. METHODS: We enrolled 60 patients with histological diagnosis of NAFLD with or without T2DM and sixty healthy subjects. In vitro, the proliferation of bisphenol A-exposed HepG2 cells at two different concentrations (0.025 and 0.05 muM) was evaluated, both at high (H-HepG2) and at low (L-HepG2) glucose concentrations for 48 h. Lipoperoxidation was assessed by thiobarbituric acid reactive substances (TBARS) assay. RESULTS: Bisphenol A levels were significantly higher in 60 NAFLD subjects, both in urine and in plasma (P < 0.0001) when compared to controls and, in this group, it appeared to be higher in 30 non-alcoholic steatohepatitis patients compared to 30 simple steatosis subjects (P < 0.05), independently from the presence of T2DM. After a bisphenol A-free diet for 1 month, NAFLD patients showed a significant reduction in bisphenol A circulating levels (P < 0.05), without a significant reduction in urine levels. H-HepG2 cells treated with bisphenol A (0.05 muM) increased proliferation compared to controls at 48 h (P < 0.0001). Bisphenol A increased TBARS levels at 48 h versus controls. CONCLUSIONS: Our study reveals a possible role of bisphenol A as an environmental factor involved in the promotion of NAFLD, particularly in T2DM patients. CI - (c) 2018 John Wiley & Sons Ltd. FAU - Dallio, M AU - Dallio M AD - Department of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Masarone, M AU - Masarone M AD - Department of Medicine and Surgery, University of Salerno, Baronissi, Salerno, Italy. FAU - Errico, S AU - Errico S AD - Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Gravina, A G AU - Gravina AG AD - Department of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Nicolucci, C AU - Nicolucci C AD - Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Di Sarno, R AU - Di Sarno R AD - Department of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Gionti, L AU - Gionti L AD - Department of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Tuccillo, C AU - Tuccillo C AD - Department of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Persico, M AU - Persico M AUID- ORCID: 0000-0002-1399-6498 AD - Department of Medicine and Surgery, University of Salerno, Baronissi, Salerno, Italy. FAU - Stiuso, P AU - Stiuso P AD - Department of Biochemistry, Biophysics and General Pathology, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Diano, N AU - Diano N AD - Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Loguercio, C AU - Loguercio C AD - Department of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Federico, A AU - Federico A AUID- ORCID: 0000-0002-0885-0793 AD - Department of Clinical and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. LA - eng PT - Clinical Study PT - Journal Article DEP - 20180111 PL - England TA - Aliment Pharmacol Ther JT - Alimentary pharmacology & therapeutics JID - 8707234 RN - 0 (Benzhydryl Compounds) RN - 0 (Environmental Pollutants) RN - 0 (Fatty Acids) RN - 0 (Phenols) RN - MLT3645I99 (bisphenol A) SB - IM MH - Adult MH - Aged MH - Benzhydryl Compounds/*toxicity MH - Case-Control Studies MH - Cell Proliferation/drug effects MH - Diabetes Mellitus, Type 2/complications/epidemiology MH - Environmental Pollutants/toxicity MH - Fatty Acids/pharmacology MH - Female MH - Hep G2 Cells MH - Humans MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/*chemically induced/complications/*epidemiology/pathology MH - Phenols/*toxicity EDAT- 2018/01/13 06:00 MHDA- 2019/06/14 06:00 CRDT- 2018/01/12 06:00 PHST- 2017/05/17 00:00 [received] PHST- 2017/06/24 00:00 [revised] PHST- 2017/12/10 00:00 [accepted] PHST- 2018/01/13 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2018/01/12 06:00 [entrez] AID - 10.1111/apt.14499 [doi] PST - ppublish SO - Aliment Pharmacol Ther. 2018 Mar;47(6):826-837. doi: 10.1111/apt.14499. Epub 2018 Jan 11.