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Preventing chronic diseases by 
reducing exposures to endocrine 
disrupting compounds. 
John Peterson Myers, Ph.D. 
Environmental Health Sciences 
and Carnegie Mellon University 
Environmental Health Sciences
Hormone-related cancers 
ADHD 
Environmental Health Sciences 
Infertility 
Asthma 
Learning disabilities 
Pre-term birth 
Diabetes 
Allergies 
Degenerative diseases 
Autism 
Fibroids 
Heart disease 
AutoimmunityEndometriosis 
Obesity polycystic ovaries
Endocrine disruption 
1. Related to today’s human 
epidemics. 
2. Ubiquitous exposure 
3. Powerful effects even at low doses 
4. We know enough now to start eliminating 
exposures and making people healthier 
Environmental Health Sciences
19 Feb 2013: WHO – UNEP report 
Environmental Health Sciences
2013 WHO-UNEP report 
Many endocrine related disorders are on the rise, 
far too rapidly to be a change in gene frequency. 
~800 chemicals in common use are known to disrupt 
endocrine function. 
Human and wildlife exposure is ubiquitous. 
Numerous laboratory, wildlife and epidemiological 
studies are consistent with endocrine disruption impacts 
on human health. 
Disease risk due to EDCs may be significantly 
underestimated. 
Significant opportunities for disease prevention by 
reducing exposures may be within reach. 
Environmental Health Sciences
Glucocorticoid hormone 
Tumor suppressing 
protein 
Cell nucleus 
Receptor 
Environmental Health Sciences Kaltreider et al. 2002
Glucocorticoid hormone 
Arsenic 
Cell nucleus 
Receptor 
Environmental Health Sciences Kaltreider et al. 2002
Revolution in science 
1. Low doses matter a lot 
2. Events in the womb don’t stay in the womb 
3. The tools we have used to assess safety are 
profoundly misguided 
Environmental Health Sciences
Same strain of mice 
Same caloric intake 
Same activity levels 
Environmental Health Sciences 
Newbold et al. 2005, 2007 
1 part per billion
2.5 parts per billion of atrazine 
Environmental Health Sciences
Environmental Health Sciences
1,000,000 
10,000 
100 
0.1 
Recommended application 
Run-off 
Streams 
Surface water 
Safe for drinking water 
Rain 
Environmental Health Sciences 
1 
PPB 
Safe short term 
Hayes et al. 2002 
ATRAZINE 
This result
Revolution in science 
1. Low doses matter a lot 
2. Events in the womb don’t stay in the womb 
3. The tools we have used to assess safety are 
profoundly misguided 
Environmental Health Sciences
Kidneys 
Control 
Bladder 
Testes 
Environmental Health Sciences 
Kidneys 
Bell Jones et al. 2007 
T&E2 Capsule T&E2 Capsule 
Bladder 
Testis 
BPA
Revolution in science 
1. Low doses matter a lot 
2. Events in the womb don’t stay in the womb 
3. The tools we have used to assess safety are 
profoundly misguided 
Environmental Health Sciences
1 part per billion What about 1000 ppb? 
Same strain of mice 
Same caloric intake 
Same activity levels 
Environmental Health Sciences 
Newbold et al. 2005, 2007
Non-monotonicity of tamoxifen 
Environmental Health Sciences 
Welshons, in Vandenberg et al. 2012
Environmental Health Sciences
Revolution in science 
Epigenetics 
and 
endocrine disruption 
Environmental Health Sciences
OLD: 
Toxic components work by 
overwhelming the body’s 
defenses by brute force. 
Environmental Health Sciences 
NEW: 
Some compounds work 
by hijacking control 
of gene expression.
OLD: 
Toxic components work by 
overwhelming the body’s 
defenses by brute force. 
Environmental Health Sciences 
NEW: 
Some compounds work 
by hijacking control 
of gene expression. 
Only high levels 
matter 
“Normal” levels 
which could not 
even be measured 
20 years ago 
matter
Hormone-related cancers 
ADHD 
Environmental Health Sciences 
Infertility 
Asthma 
Learning disabilities 
Pre-term birth 
Diabetes 
Allergies 
Degenerative diseases 
Autism 
Fibroids 
Heart disease 
AutoimmunityEndometriosis 
Obesity polycystic ovaries
A new way forward. the 4th R: 
Redesign 
Environmental Health Sciences
Designing against EDC hazard 
Tiered Endocrine Disruptor Protocol 
Voluntary… based on current science 
Not about current replacements 
Economically efficient 
Driven by endocrinological principles 
Designed to evolve with the science 
Environmental Health Sciences
Environmental Health Sciences

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2014-0826 Davos

  • 1. Preventing chronic diseases by reducing exposures to endocrine disrupting compounds. John Peterson Myers, Ph.D. Environmental Health Sciences and Carnegie Mellon University Environmental Health Sciences
  • 2. Hormone-related cancers ADHD Environmental Health Sciences Infertility Asthma Learning disabilities Pre-term birth Diabetes Allergies Degenerative diseases Autism Fibroids Heart disease AutoimmunityEndometriosis Obesity polycystic ovaries
  • 3. Endocrine disruption 1. Related to today’s human epidemics. 2. Ubiquitous exposure 3. Powerful effects even at low doses 4. We know enough now to start eliminating exposures and making people healthier Environmental Health Sciences
  • 4. 19 Feb 2013: WHO – UNEP report Environmental Health Sciences
  • 5. 2013 WHO-UNEP report Many endocrine related disorders are on the rise, far too rapidly to be a change in gene frequency. ~800 chemicals in common use are known to disrupt endocrine function. Human and wildlife exposure is ubiquitous. Numerous laboratory, wildlife and epidemiological studies are consistent with endocrine disruption impacts on human health. Disease risk due to EDCs may be significantly underestimated. Significant opportunities for disease prevention by reducing exposures may be within reach. Environmental Health Sciences
  • 6. Glucocorticoid hormone Tumor suppressing protein Cell nucleus Receptor Environmental Health Sciences Kaltreider et al. 2002
  • 7. Glucocorticoid hormone Arsenic Cell nucleus Receptor Environmental Health Sciences Kaltreider et al. 2002
  • 8. Revolution in science 1. Low doses matter a lot 2. Events in the womb don’t stay in the womb 3. The tools we have used to assess safety are profoundly misguided Environmental Health Sciences
  • 9. Same strain of mice Same caloric intake Same activity levels Environmental Health Sciences Newbold et al. 2005, 2007 1 part per billion
  • 10. 2.5 parts per billion of atrazine Environmental Health Sciences
  • 12. 1,000,000 10,000 100 0.1 Recommended application Run-off Streams Surface water Safe for drinking water Rain Environmental Health Sciences 1 PPB Safe short term Hayes et al. 2002 ATRAZINE This result
  • 13. Revolution in science 1. Low doses matter a lot 2. Events in the womb don’t stay in the womb 3. The tools we have used to assess safety are profoundly misguided Environmental Health Sciences
  • 14. Kidneys Control Bladder Testes Environmental Health Sciences Kidneys Bell Jones et al. 2007 T&E2 Capsule T&E2 Capsule Bladder Testis BPA
  • 15. Revolution in science 1. Low doses matter a lot 2. Events in the womb don’t stay in the womb 3. The tools we have used to assess safety are profoundly misguided Environmental Health Sciences
  • 16. 1 part per billion What about 1000 ppb? Same strain of mice Same caloric intake Same activity levels Environmental Health Sciences Newbold et al. 2005, 2007
  • 17. Non-monotonicity of tamoxifen Environmental Health Sciences Welshons, in Vandenberg et al. 2012
  • 19. Revolution in science Epigenetics and endocrine disruption Environmental Health Sciences
  • 20. OLD: Toxic components work by overwhelming the body’s defenses by brute force. Environmental Health Sciences NEW: Some compounds work by hijacking control of gene expression.
  • 21. OLD: Toxic components work by overwhelming the body’s defenses by brute force. Environmental Health Sciences NEW: Some compounds work by hijacking control of gene expression. Only high levels matter “Normal” levels which could not even be measured 20 years ago matter
  • 22. Hormone-related cancers ADHD Environmental Health Sciences Infertility Asthma Learning disabilities Pre-term birth Diabetes Allergies Degenerative diseases Autism Fibroids Heart disease AutoimmunityEndometriosis Obesity polycystic ovaries
  • 23. A new way forward. the 4th R: Redesign Environmental Health Sciences
  • 24. Designing against EDC hazard Tiered Endocrine Disruptor Protocol Voluntary… based on current science Not about current replacements Economically efficient Driven by endocrinological principles Designed to evolve with the science Environmental Health Sciences