DRAFT                                                 EPA/600/R-09/028A
DO NOT CITE OR QUOTE                                  May 2009
                                                       External Review Draft
          An Approach to Using Toxicogenomic Data
         in U.S. EPA Human Health Risk Assessments:
                 A Dibutyl Phthalate Case Study
                                 NOTICE
THIS DOCUMENT IS AN EXTERNAL REVIEW DRAFT. It has not been formally released
by the U.S. Environmental Protection Agency and should not at this stage be construed to
represent U.S. EPA policy. It is being circulated for comment on its technical policy
implications.

Please note gene and protein names in this document have been standardized using information
from the Rat Genome Project.
                   National Center for Environmental Assessment
                      Office of Research and Development
                      U.S. Environmental Protection Agency
                            Washington, DC 20460

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                                    DISCLAIMER
       This document is a draft for review purposes only and does not constitute U.S. EPA
policy. Mention of trade names or commercial products does not constitute endorsement or
recommendation for use.
       This document is a draft for review purposes only and does not constitute Agency policy.
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                                  CONTENTS
LIST OF TABLES	vii
LIST OF FIGURES	ix
LIST OF ABBREVIATIONS AND ACRONYMS	xi
PREFACE	xv
AUTHORS, CONTRIBUTORS, AND REVIEWERS	xvi

1.     EXECUTIVE SUMMARY	1-1
      1.1.   APPROACH	1-1
      1.2.   DBF CASE STUDY	1-2
      1.3   RECOMMENDATIONS	1-5
      1.4.   RESEARCH NEEDS	1-6
2.     INTRODUCTION	2-1
      2.1.   PURPOSE	2-1
      2.2.   REPORT OVERVIEW	2-1
      2.3.   USE OF TOXICOGENOMICS IN RISK ASSESSMENT	2-3
            2.3.1. Definitions	2-3
            2.3.2. Current Efforts to Utilize Toxicogenomic Data in Risk Assessment	2-6
                  2.3.2.1.  Toxicogenomics Informs Mode of Action (MOA)	2-6
                  2.3.2.2.  Toxicogenomics Informs Dose-Response	2-8
                  2.3.2.3.  Toxicogenomics Informs Interspecies Extrapolations	2-9
                  2.3.2.4.  Toxicogenomics Informs Intraspecies Variability	2-10
                  2.3.2.5.  Toxicokinetic/Toxicodynamic (TK/TD) Linkages
                          Informed by Toxicogenomic Data	2-10
                  2.3.2.6.  Toxicogenomic Activities at the U.S. Food and Drug
                          Administration (U.S. FDA)	2-11
                  2.3.2.7'.  Toxicogenomic Activities at the U.S. Environmental
                          Protection Agency (U.S. EPA)	2-13
                  2.3.2.8.  Toxicogenomic Activities at Other Agencies and
                          Institutions	2-15
            2.3.3. Current Challenges and Limitations of Toxicogenomic
                  Technologies	2-16
      2.4.   CASE STUDY	2-17
            2.4.1. Project Team	2-17
            2.4.2. Chemical Selection	2-18
                  2.4.2.1.  Six Candidate Chemicals	2-18
                  2.4.2.2.  DBF Selected as Case Study Chemical	2-22
            2.4.3. Case Study Scope	2-23

3.     DBF CASE STUDY APPROACH AND EXERCISE	3-1
      3.1.   EVALUATING DBF IRIS ASSESSMENT EXTERNAL REVIEW
            DRAFT	3-1
      3.2.   CONSIDERATION OF RISK ASSESSMENT ASPECTS THAT
            TOXICOGENOMIC DATA MAY ADDRESS	3-4
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                            CONTENTS (continued)
            3.2.1.  Informing Toxicokinetics	3-7
                  3.2.1.1.  Identification of Potential Metabolic and Clearance
                         Pathways	3-7
                  3.2.1.2.  Selection of Appropriate Dose Metrics	3-8
                  3.2.1.3.  Intra- and Interspecies Differences in Metabolism	3-8
                  3.2.1.4.  Toxicokinetic/toxicodynamic (TK/TD) Linkages and
                         Feedback	3-9
                  3.2.1.5.  Research Needs for Toxicogenomic Studies to Inform
                         Toxicokinetics	3-9
                  3.2.1.6.  DBF Case Study: Do the Available Toxicogenomic Data
                         Inform TK?	3-10
            3.2.2.  Informing Dose-Response	3-13
            3.2.3.  DBF Case Study:  Do the Toxicogenomic Data Inform Dose-
                  Response? 	3-13
            3.2.4.  Informing Toxicodynamics/Mechanism and Mode of Action	3-14
                  3.2.4.1.  General Considerations: Mechanism and Mode of Action.... 3-14
                  3.2.4.2. DBF Case Study: MO As for Male Reproductive
                         Developmental Effects	3-16
      3.3.   IDENTIFYING AND SELECTING QUESTIONS TO FOCUS THE DBF
            CASE STUDY	3-18

4.     EVALUATION OF THE REPRODUCTIVE DEVELOPMENTAL TOXICITY
      DATA SET FOR DBF	4-1
      4.1.   CRITERIA AND RATIONALE FOR INCLUSION OF TOXICOLOGY
            STUDIES IN THE EVALUATION	4-2
      4.2.   REVIEW OF THE TOXICOLOGY DATA SET	4-11
      4.3.   UNEXPLAINED MODES OF ACTION (MOAS) FOR DBF MALE
            REPRODUCTIVE TOXICITY OUTCOMES	4-23
      4.4.   CONCLUSIONS ABOUT THE TOXICITY DATA SET EVALUATION:
            DECISIONS AND RATIONALE	4-29

5.     EVALUATION OF THE DBF TOXICOGENOMIC
      DATA SET FROM THE PUBLISHED LITERATURE	5-1
      5.1.   METHODS FOR ANALYSIS OF GENE EXPRESSION:
            DESCRIPTION OF MICRO ARRAY TECHNIQUES AND
            SEMI-QUANTITATIVE REVERSE TRANSCRIPTION-POLYMERASE
            CHAIN REACTION (RT-PCR)	5-1
            5.1.1.  Microarray Technology	5-1
            5.1.2.  Reverse Transcript!on-Polymerase Chain Reaction (RT-PCR)	5-2
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                             CONTENTS (continued)
      5.2.   REVIEW OF THE PUBLISHED DBF TOXICOGENOMIC STUDIES	5-3
            5.2.1.  Overview of the Toxicogenomic Studies	5-3
            5.2.2.  Microarray Studies	5-3
                   5.2.2.1.   Shultzetal. (2001)	5-3
                   5.2.2.2.   Bowman et al. (2005)	5-7
                   5.2.2.3.   Liu et al. (2005)	5-8
                   5.2.2.4.   Thompson et al. (2005)	5-10
                   5.2.2.5.   Plummer et al. (2007)	5-12
            5.2.3.  Real-Time Reverse Transcription- Polymerase Chain Reaction
                   (RT-PCR) Studies	5-14
                   5.2.3.1.   Barlow et al. (2003)	5-14
                   5.2.3.2.   Lehmann et al. (2004)	5-15
                   5.2.3.3.   Thompson et al. (2004)	5-17
                   5.2.3.4.   Wilson et al.  (2004)	5-18
            5.2.4.  Study Comparisons	5-19
                   5.2.4.1.   Microarray Study Methods Comparison	5-19
                   5.2.4.2.   Reverse Transcript!on-Polymerase Chain Reaction
                           (RT-PCR) Study Methods Comparison	5-19
      5.3.   CONSISTENCY OF FINDINGS	5-23
            5.3.1.  Microarray Studies	5-23
            5.3.2.  Reverse Transcription Polymerase Chain Reaction (RT-PCR) Gene
                   Expression Findings	5-26
            5.3.3.  Protein Study Findings	5-26
            5.3.4.  DBF Toxicogenomic Data Set Evaluation:  Consistency of
                   Findings Summary	5-29
      5.4.   DAT A GAPS AND RESEARCH NEEDS	5-31

6.     NEW ANALYSES OF DBF GENOMIC STUDIES AND EXPLORATORY
      METHODS DEVELOPMENT FOR ANALYSIS OF GENOMIC DATA FOR
      RISK ASSESSMENT PURPOSES	6-1
      6.1.   OBJECTIVES AND INTRODUCTION	6-1
      6.2.   REANALYSIS OF GENE EXPRESSION DATA TO IDENTIFY NEW
            MOAS TO ELUCIDATE UNEXPLAINED TESTICULAR
            DEVELOPMENT ENDPOINTS AFTER IN UTERO DBF EXPOSURE	6-3
            6.2.1.  Objective of the Reanalysis of the Liu etal. (2005) Study	6-3
                   6.2.1.1.   Differentially Expressed Gene (DEG) Identification:
                           Linear Weighted Normalization	6-4
                   6.2.1.2.   Differentially Expressed Gene Identification:  Signal-to-
                           Noise Ratio (SNR)	6-7
            6.2.2.  Pathway Analysis of Liu et al. (2005) Comparing Two Methods	6-9
            6.2.3.  Transcription Factor (TF) Analysis	6-27
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                           CONTENTS (continued)
      6.3.    DEVELOPMENT OF A NEW METHOD FOR PATHWAY ANALYSIS
            AND GENE INTERACTIONS: PATHWAY ACTIVITY LEVEL (PAL)
            APPROACH	6-28
      6.4.    EXPLORING GENETIC REGULATORY NETWORK MODELING:
            METHODS AND THE DBF CASE STUDY 	6-37
      6.5.    EXPLORING METHODS TO MEASURE INTERSPECIES (RAT TO
            HUMAN) DIFFERENCES IN MOA	6-38
            CONCLUSIONS	6-42
7.     CONCLUSIONS	7-1
      7.1.    APPROACH FOR EVALUATING TOXICOGENOMIC DATA IN
            CHEMICAL ASSESSMENTS	7-1
      7.2.    DBF CASE STUDY FINDINGS	7-4
            7.2.1. Case Study Question 1: Do the DBF Genomic Data Inform
                 Mechanism of Action and MOA?	7-5
            7.2.2. Case Study Question 2: Do the DBF Genomic Data Inform
                 Interspecies Differences in the TD part of the MOA?	7-7
            7.2.3. Application of Genomic Data to Risk Assessment: New Methods	7-9
            7.2.4. Application of Genomic Data to Risk Assessment: Using Data
                 Quantitatively	 7-10
      7.3.    LESSONS LEARNED	7-13
            7.3.1. Research Needs	 7-13
                 7.3.1.1.  Data Gaps and Research Needs: DBF	7-13
                 7.3.1.2.  Research Needs for Toxicity and Toxicogenomic Studies
                         for Use in Risk Assessment: Future Chemical
                         Assessments	7-14
            7.3.2. Recommendations	7-16
            7.3.3. Application of Genomic Data to Risk Assessment: Future
                 Considerations	7-18

8.     REFERENCES	R-l

9.     GLOSSARY	G-l

APPENDIX A: SUPPORTING TABLES FOR CHAPTER 5	A-l

APPENDIX B: SUPPORTING TABLES AND FIGURES FOR CHAPTER 6	B-l

APPENDIX C: QUALITY CONTROL AND ASSURANCE	C-l
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                                  LIST OF TABLES
2-1.    Information available July 2005 on the selection criteria for the six candidate
       chemicals affecting the androgen-mediated male reproductive developmental
       toxicity pathway	2-21

4-1.    Studies with exposures during development that have male reproductive outcomes
       (limited to reproductive organs and/or reproductive function) and were considered
       adequate for reference value determination	4-5

4-2.    Reporting and study size characteristics of male reproductive studies following in
       utero exposure to DBF	4-14

4-3.    Life stage at observation for various male reproductive system outcomes assesses
       in studies of developmental exposure  to DBF	4-16

4-4.    Age of assessment for individual endpoints across studies of male reproductive
       system following developmental exposure to dibutyl phthalate	4-18

4-5.    Incidence of gross pathology in Fl male reproductive organs in one continuous
       breeding study with DBF	4-24

4-6.    Effects in the male reproductive system after in utero DBF exposure and modes of
       action (MOAs) that explain the affected endpoints	4-26

5-1.    Study comparisons for the toxicogenomic data set from male tissues after in utero
       DBF exposure	5-4

5-2.    Lehmann et al. (2004) dose-response  gene expression change data measured by
       RT-PCR showing statistically significant changes (p < 0.05)	5-16

5-3.    Method comparisons for DBF microarray studies	5-20

5-4.    Method comparisons among the reverse transcription-polymerase chain reaction
       (RT-PCR) DBF Studies	5-21

5-5.    Evaluation of the published protein studies after DBF in utero exposure (testes
       only)	5-27

6-1.    GeneGo pathway analysis  of significant genes affected by DBF	6-11

6-2.    Significant biological pathways corresponding to differentially expressed genes
       (DEGs) obtained  from SNR analysis input into GeneGo	6-14
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LIST OF TABLES (continued)
6-3.    Common pathways between the linear weighted normalization and SNR analyses
       of differentially expressed genes (DEGs) after in utero DBF exposure from the
       Liuetal. (2005) data	6-21

6-4.    Genes involved in cholesterol biosynthesis/metabolism as identified by the two
       analyses (i.e., linear weighted normalization and signal to noise ratio) of Liu et al.
       (2005)	6-24

6-5.    Enriched transcription factors (TFs) from Liu etal. (2005) data set	6-28

6-6.    Statistically significant pathways as derived by signal-to-noise ratio analysis	6-32

6-7.    The enzyme sequence similarity of the enzymes of steroidogenesis pathway
       between rat and human	6-40

7-1.    DBF dose-response progression of statistically significant events illustrated with a
       subset of precursor event data (steroidogenesis gene expression, T expression)
       and in vivo endpoints with the reduced T MO A	7-11

7-2.    Research needs for toxicogenomic studies to be used in risk assessment	7-15

7-3.    Research needs for toxicity studies for utilizing toxicogenomic and toxicity data
       together in risk assessment	7-17
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                                  LIST OF FIGURES


2-1.    Androgen-mediated male reproductive development toxicity pathway	2-20

3-1.    DBF case study approach for evaluating toxicogenomic data for use in health
       assessment	3-2

3-2.    Exposure response array for candidate endpoints for the point of departure (POD)
       in the IRIS DBF assessment external review draft	3-4

3-3.    Potential uses of toxicogenomic data in chemical screening and risk assessment	3-5

3-4.    Potential uses of toxicogenomic data in understanding mechanism of action	3-6

3-5.    The fetal Leydig cell in the fetal testis	3-12

3-6.    Approach to utilizing toxicity and toxicogenomic data for identifying  affected
       pathways and candidate modes and mechanism of action	3-15

3-7.    The proposed mechanism of action, defined as all steps between chemical
       exposure at the target tissue to expression of the outcome, for DBF	3-17

4-1.    Process for evaluating male reproductive developmental toxicity data  set for low
       dose and low incidence findings	4-4

4-2.    Process for evaluating mode of action (MOA) for male reproductive
       developmental outcomes	4-25

5-1.    Venn diagram illustrating similarities and differences in significant gene
       expression changes for three of the microarray studies in the testes for three recent
       microarray studies:  Thompson et al. (2005), Plummer et al. (2007), and Liu et al.
       (2005)	5-24

5-2.    Summary of DBF-induced changes in fetal gene and protein expression	5-30

6-1.    Principal component analysis (PCA) representation of Liu et al.  (2005) data set	6-5

6-2.    Selection of significant genes using Rosetta Resolver®  	6-6

6-3.    Heat map of 1,577 differentially expressed genes from SNR analysis method	6-8

6-4.    Schematic of the two analysis methods (linear weighted normalization and SNR)
       for identifying differentially expressed genes and subsequent pathway analysis
       using GeneGo	6-10

6-5.    Mapping the Liu et al. (2005) data set onto the canonical androstenedione and
       testosterone (T) biosynthesis and metabolism pathway in MetaCore™ (GeneGo)	6-25
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                            LIST OF FIGURES (continued)
6-6.    Mapping the Liu et al. (2005) data set onto the canonical androgen receptor (AR)
       nuclear signaling pathway in MetaCore™ (GeneGo)	6-26

6-7.    Statistically significant pathway interactions generated using the KEGG database
       following overall pathway activity (OPA) analysis	6-33

6-8.    Overall pathway activity (OPA) of the given pathways calculated by adding genes
       according to the decreasing signal-to-noise ratio (SNR)	6-35

6-9.    Gene network of created by Ingenuity® Pathway Analysis (IPA) from the
       informative gene list	6-36

7-1.    Approach for evaluating and incorporating genomic data for health assessments	7-2
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                LIST OF ABBREVIATIONS AND ACRONYMS
ADH        alcohol dehydrogenase
ADME       absorption, distribution, metabolism, and excretion
AGD        anogenital distance
AMH        anti-mullerian hormone
ANOVA     analysis of variance
AR          androgen receptor
BBDR       biologically based dose-response
BBP         butyl benzyl phthalate
BMD        benchmark dose
BMDL       benchmark dose lower confidence limit
BPA         bisphenol A
cDNA       complementary DNA
CNPs        copy-number polymorphisms
DBF         dibutyl phthalate
DEG        differentially expressed gene
DEHP       di-(2-ethylhexyl) phthalate
DEP         diethyl phthalate
DMP        dimethyl phthalate
DOTP       diocytyl tere-phthalate
DPP         dipentyl phthalate
EDC         endocrine disrupting chemical
ER          estrogen receptor
ESTs        expressed sequence tags
FDA         Food and Drug Administration
GAPDH     glyceraldehyde-3-phosphate dehydrogenase
GD          gestation day
GO          gene ontology
GSH         glutathione
FIESI        Health and Environmental Sciences Institute
ILSI         International Life Sciences Institute
IPA          Ingenuity® Pathway Analysis
IPCS        International Programme on Chemical Safety
IRIS         Integrated Risk Information System
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             LIST OF ABBREVIATIONS AND ACRONYMS (CONTINUED)
KEGG       Kyoto Encyclopedia of Genes and Genomes
LC          Leydig cell
LMW        low molecular weight
LOAEL      lowest-observed-adverse-effect level
LOEL        lowest-observed-effect level
MAPK/ERK  mitogen-activated protein kinase/extracellular signal-regulated kinase
MAQC       MicroArray Quality Control
MAS        Microarray Suite
MBP        monobutylphthalate
Mmp        matrix metalloproteinase
MO A        mode of action
mRNA       messenger RNA
NCCT        National Center for Computational Toxicology
NCEA       National Center for Environmental Assessment
NIEHS       National Institute for Environmental Health Sciences
NOAEL      no-observed-adverse-effect level
NOEL        no-observed-effect level
NRC        National Research Council
NTP         National Toxicology
OPA        overall pathway activity
PBPK        physiologically-based pharmacokinetic
PCA        principal component analysis
PCR         polymerase chain reaction
PFOA        perfluorooctanoic acid
PND        postnatal day
POD        point of departure
PPAR        peroxisome proliferator-activated receptor
PPS          preputial separation
RACE        reproductive assessment by continuous breeding
RfD          reference dose
RT-PCR      reverse-transcriptase polymerase chain reaction
SD          Sprague-Dawley
SLR         signal log ratio
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             LIST OF ABBREVIATIONS AND ACRONYMS (continued)

SNP         single nucleotide polymorphism
SNR         Signal-to-Noise Ratio
SPC         Science Policy Council
STAR       Science to Achieve Results
T            testosterone
TD          toxicodynamic
TF          transcription factor
TgX in RA   Toxicogenomics in Risk Assessment
TK          toxicokinetic
UFH         intraspecies uncertainty factor
UMDNJ     University of Medicine and Dentistry of New Jersey
U.S. EPA    United States Environmental Protection Agency
VLI         valine, leucine, isoleucine
WD         Wolffian duct
WOE        weight-of-the-evidence
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                                      PREFACE

       The United States Environmental Protection Agency (U.S. EPA) is interested in
developing methods to use genomic data most effectively in risk assessments performed at the
U.S. EPA.  The National Center for Environmental Assessment (NCEA) prepared this document
for the purpose of describing and illustrating an approach for using toxicogenomic data in risk
assessment.  The approach and dibutyl phthalate (DBF) case study described in this document
were developed by a team of scientists at U.S. EPA laboratories and centers, and outside
organizations including The Hamner Institute (formerly CUT), the National Institute for
Environmental Health Sciences (NIEHS), and the U.S. EPA Science to Achieve Results (STAR)
Bioinformatics Center at the University of Medicine and Dentistry of New Jersey (UMDNJ), and
Rutgers University. The intended audience for this document includes risk assessors as well as
scientists with expertise in genomics, bioinformatics, toxicology, and statistics. The approach
outlined in this document is expected to be useful to U.S. EPA risk assessors in the Integrated
Risk Information System (IRIS) Program and other Program Offices and Regions, as well as the
scientific community at large.  The review of the literature on the use of genomic data in risk
assessment as well as discussions of issues,  recommendations, and methods for evaluating and
analyzing toxicogenomic data could be useful to scientists and risk assessors within and outside
of U.S. EPA. The research needs identified in this document will be useful to scientists
performing toxicology and toxicogenomic research studies for application to risk assessment.  .
The DBF case study presented in this document is a separate activity from the IRIS DBF health
assessment.  The review of the literature included in this document was last updated in July
2008.
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                 AUTHORS, CONTRIBUTORS, AND REVIEWERS
AUTHORS
Susan Euling, NCEA-W, U.S. EPA, Washington, DC (Lead)
loannis Androulakis, NCER STAR Bioinformatics Center, ebCTC, Rutgers/UMDNJ,
Piscataway, NJ
Bob Benson, Region 8, U.S. EPA, Denver, CO
Weihsueh Chiu, NCEA-W, U.S. EPA, Washington, DC
Paul Foster, National Institutes of Environmental Health Sciences (NIEHS), Research Triangle
Park (RTF), NC
Kevin Gaido, The Hamner Institutes for Health Sciences, RTF, NC
L.Earl Gray Jr., NHEERL, U.S. EPA, RTF, NC
Susan Hester, NHEERL, U.S. EPA, RTF, NC
ChannaKeshava, IRIS, U.S. EPA, Washington, DC
Nagalakshmi Keshava, NCEA-W, U.S. EPA, Washington, DC
Andrea Kim, Allergen; formerly of NCEA-W
Susan Makris, NCEA-W, U.S. EPA, Washington, DC
Meric Ovacik, NCER STAR Bioinformatics Center, ebCTC, Rutgers/UMDNJ, Piscataway, NJ
Banalata Sen, NIEHS; formerly of NCEA-RTP, U.S. EPA, Research Triangle Park, NC
Chad Thompson, NCEA-W, U.S. EPA, Washington, DC
Lori White, NIEHS; formerly of NCEA-RTP, U.S. EPA, RTF, NC
Vickie Wilson, NHEERL, U.S. EPA, RTF, NC

CONTRIBUTORS

Stan Barone, NCEA-W, U.S. EPA, Washington, DC
Marianthi lerapetritou, NCER STAR Bioinformatics Center, ebCTC, Rutgers/UMDNJ,
Piscataway, NJ
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            AUTHORS, CONTRIBUTORS, AND REVIEWERS (continued)

REVIEWERS

Internal
Maureen R. Gwinn, NCEA-W, ORD
Michael Hemmer, NHEERL Gulf Breeze, ORD
Nancy McCarroll, OPP
Gregory Miller, OCHPEE
Marian Olsen, R2
Santhini Ramasamy, OW
Jennifer Seed, OPPTS
Imran Shah, NCCT, ORD
Jamie Strong, IRIS, ORD
Dan Villeneuve, NHEERL Duluth, ORD
ACKNOWLEDGMENTS

      This project was funded by U.S. EPA's National Center for Environmental Assessment
(NCEA) and U.S. EPA's National Center for Computational Toxicology's (NCCT) Research
Program under their new starts grants.  We thank the outside partners, NIEHS and The Hamner
Institute, for allowing team members at these institutions to work on this project.  Some of the
work described was performed at the STAR Bioinformatics Center at UMDNJ and Rutgers
University that is supported by the grant R832721 from the U.S. Environmental Protection
Agency's Science to Achieve Results (STAR) program. We gratefully acknowledge Dr. Kevin
Gaido for providing raw data from the Liu et al. (2005) study.
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 1                                1.   EXECUTIVE SUMMARY
 2
 O
 4          We developed a systematic approach for evaluating and utilizing toxicogenomic data in
 5    health assessment. This document describes this approach and describes a case study we
 6    conducted on dibutyl phthalate (DBF) to illustrate and refine the proposed approach.  DBF was
 7    selected for the case study because it has a relatively large genomic data set and phenotypic
 8    anchoring of certain gene expression data to some male reproductive developmental outcomes.
 9    A U.S. Environmental Protection Agency (U.S. EPA) Integrated Risk Information System (IRIS)
10    assessment of DBF is ongoing but the case study described here is a separate endeavor, with
11    distinct goals.
12          Toxicogenomics is the application of genomic technologies (e.g., transcriptomics,
13    genome sequence analysis) to study  effects of environmental chemicals on human health and the
14    environment. Currently, the U.S. EPA provides no guidance for incorporating genomic data into
15    risk assessments of environmental agents. However, the U.S. EPA's Science Policy Council
16    (SPC) has developed guidance regarding other aspects of using microarray data, entitled Interim
17    Guidance for Microarray-Based Assays: Data Submission, Quality, Analysis, Management,  and
18    Training Considerations. In this document, we review some of the recent and  ongoing activities
19    regarding the use of genomic data in risk assessment, inside and outside of the U.S. EPA.
20
21    1.1. APPROACH
22          Genomic data have the potential to inform mechanism of action, inter- and intra-species
23    toxicodynamic differences, exposure assessment, toxicokinetics, and dose-response assessment.
24    Our strategy for evaluating genomic data for risk assessment was to design a systematic
25    approach  to evaluating the genomic  data set for a particular chemical that is flexible enough to
26    accommodate different health and risk assessment practices.  The first step of the approach is to
27    evaluate the available genomic data  set for their application to a broad range of information  types
28    (e.g., mode of action [MOA], toxicokinetics [TK], interspecies variability) useful to risk
29    assessment as well as the steps of health assessment (e.g., hazard  characterization, dose-response
30    assessment). Through this iterative process, the potential use of the available genomic data is
31    determined. As part of this scoping  step, a review of all available data sets (e.g., epidemiology,
32    toxicology, genomics) further determines the potential applications of the genomic data.  The
             This document is a draft for review purposes only and does not constitute Agency policy.
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 1    toxicity, human, and toxicogenomic data sets are considered together to determine the
 2    relationship or phenotypic anchoring between gene and pathway changes and health or toxicity
 3    outcomes.  As a result of the scoping step, questions are posed to direct the genomic data set
 4    evaluation.
 5          The next steps include detailed evaluations, directed by the formulated questions, of the
 6    outcome (either toxicity or human health outcomes of interest) and the toxicogenomic data set.
 7    For example, when data are available to inform mechanism or mode of action, the toxicogenomic
 8    and toxicity data sets can be evaluated together, relating the affected endpoints (identified in the
 9    toxicity data set evaluation) to the pathways (identified in the toxicogenomic data set evaluation)
10    to establish or formulate hypotheses about the mechanism or MOA.  In addition to informing the
11    mechanism of action and the MOA, genomic data also have the potential to inform inter- and
12    intraspecies toxicodynamic differences, toxicokinetics,  and dose-response assessment depending
13    on the genomic study design (e.g., species,  organ, single dose vs. multiple doses, genomic
14    method) of the available data. The approach also includes new analyses of the genomic data for
15    the purpose of risk assessment when data are available and different analyses could address
16    questions relevant to the risk assessment.
17
18    1.2 DBF CASE STUDY
19          For the DBF case study example, consideration of risk assessment information and steps
20    was accomplished in two parallel processes. We took advantage of the DBF IRIS assessment
21    external review draft, which summarized data sets and identified data gaps. We asked whether
22    the genomic data set could inform any of these data gaps. In parallel, the DBF genomic data set
23    was considered in light of all risk assessment aspects that these data might inform. As a result of
24    following these two processes, we posed two specific case-study questions:
25
26       1) Do the toxicogenomic data inform the mechanism and/or MOA for DBF?; and
27       2) Do the toxicogenomic and other data better inform inter species toxicodynamic
28          differences?
29
30          Additional questions were excluded because appropriate data for addressing the questions
31    was lacking. For example, one question of great interest is Do the toxicogenomic data inform
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 1    dose-response?  However, this question could not be addressed in this case study because there
 2    were no dose-response genomic data for DBF. Few chemicals have available dose-response
 3    genomic data; DBF is not unusual in this respect.  The one DBF dose-response gene expression
 4    study, although not global, is discussed in the document. As a result of the DBF genomic data
 5    set limitations, the case study focuses on the qualitative application of genomic data to risk
 6    assessment. In addition, the exposure assessment step was not considered in this approach
 7    because the case study was performed using an IRIS chemical assessment model.
 8          For Case Study Question 1, we found that the DBF toxicogenomic data do inform the
 9    mechanism of action and possibly the MOA.  There is good evidence in the published literature
10    that a number of the gene expression changes observed in genomic studies are "phenotypically
11    anchored" (i.e., in the causal pathway) for a number of the male reproductive developmental
12    outcomes observed after in utero DBF exposure in the rat.  The available genomic and other gene
13    expression data, hormone measurement data, and toxicity data for DBF are instrumental in the
14    establishment of two of its MO As: (1) a decrease in fetal testicular testosterone (T), and (2) a
15    decrease in Insulin-like 3 (Insl3) expression. A decrease in fetal testicular testosterone is the
16    MOA for a number of the male reproductive developmental effects in the rat. The genomic and
17    single gene expression data after in utero DBF exposure identified changes in genes involved in
18    steroidogenesis and cholesterol transport, consistent with the observed decrease in fetal testicular
19    testosterone. Along with the decreased fetal testosterone, a decrease in Insl3 expression is a
20    second MOA responsible for undescended testis descent, and this MOA is well established by
21    reverse-transcription polymerase chain reaction (RT-PCR) and in vivo toxicology data.
22          Evaluating genomic and toxicity data together also provides information on putative
23    novel MO As. A number of the DBF toxicity and toxicogenomic studies were performed in the
24    same strain of rat, and exposed to similar doses and at similar exposure intervals, allowing for
25    comparions across studies.  In this case study,  rodent reproductive developmental toxicity studies
26    were evaluated for low incidence and low-dose findings and for the male reproductive
27    developmental effects that currently do not have a well-established MOA. In the case study we
28    focused on the testes outcomes because all but one of the DBF toxicogenomic studies were
29    performed on the testes. We identified five testes endpoints without a known MOA that were
30    pursued further in the evaluation of the toxicogenomic data set.  The nine published RT-PCR and
31    microarray studies in the rat were evaluated as part of the toxicogenomic and associated gene
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 1    expression data set to identify genes and pathways affected after in utero DBF exposure.  All of
 2    the gene expression data were evaluated for consistency of findings. At the gene level, the
 3    findings from the DBF genomic studies (i.e., microarray, RT-PCR, and protein expression) were
 4    relatively highly correlated with one another in both the identification of differentially expressed
 5    genes (DEGs) and their direction of effect. The evaluation of the published toxicity and
 6    toxicogenomic studies corroborates the two known MO As for DBF.
 7          New pathway identification analyses were performed for one of the published microarray
 8    studies of DBF because the published studies focused primarily on pathways related to the
 9    reduced fetal testicular testosterone MO A, such as the steroidogenesis pathway.  We  performed
10    new analyses of the data from a rat testes microarray study in order to identify all possible
11    pathways significantly affected by in utero DBF exposure. Using a variety of analytical
12    methods, pathways associated with the two known MO As (decreased Insl3 and fetal testicular
13    testosterone), as well as new processes (e.g., growth and differentiation, transcription, cell
14    adhesion) and pathways (e.g., Wnt signaling  and cytoskeleton remodeling) not associated with
15    either Iml3 or steroidogenesis pathways, were identified. The newly identified putative
16    pathways may play a role in the regulation of steroidogenesis (i.e., related to a known MOA for
17    DBF) or, alternatively, may inform another MOA for one or more unexplained outcomes in the
18    testes. This approach allowed us to develop  hypotheses about possible DBF MO As for some
19    male reproductive developmental outcomes.
20          For Case Study Question 2, genomic data were evaluated to inform interspecies
21    differences in the steroidogenesis pathway, relevant to the decreased fetal testicular testosterone
22    MOA. We explored the development of new methods to evaluate interspecies TD  differences.
23    The steroidogenesis gene and pathway information for rats and humans was compared via three
24    approaches, protein sequence similarity, pathway network similarities, and promoter  region
25    conservation, to evaluate cross-species similarity metrics. Preliminary results from all three
26    methods suggest that steroidogenesis genes are relatively highly conserved between rats and
27    humans.  For the DBF case, we do  not recommend utilizing these  data to inform interspecies
28    uncertainty because it is difficult to make unequivocal conclusions regarding a "high" vs. "low"
29    degree of conservation for the genes in this pathway based on these data alone.  With further
30    refinement and improved data sources, these methods could potentially  be applied  to other
31    chemical assessments.
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 1          New methods for evaluating microarray data for the purposes of risk assessment were

 2    explored and developed during the DBF case study. These methods include a new pathway

 3    analysis methods designed for risk assessment application that determine pathway level changes

 4    as opposed to mapping affected genes to pathways, and utilizing this method for evaluating time

 5    course microarray data.  In the DBF case study, we explored the use of methods to develop a

 6    genetic regulatory network model.  Preliminary results based on data from one time course study

 7    identified a  temporal sequence of gene expression and pathway interactions that occur over an

 8    18-hour interval within the critical window of exposure for DBF and testicular development

 9    effects.
10

11    1.3  RECOMMENDATIONS

12          In addition to following the principles of the approach (i.e., systematically consider all

13    types of information with respect to the steps of risk assessment and evaluate genomic data and

14    toxicity data together), several specific methodological recommendations arose from the DBF

15    case study.  Two of these recommendations are straightforward and could reasonably be

16    performed by a risk assessor with basic genomics training:

17

18        1) Evaluate the genomic and other gene expression data for consistency of findings across
19          studies to provide a weight-of-the-evidence (WOE) evaluation of the affected gene
20          expression and pathways.  Some simple methods, such as using Venn diagrams and gene-
21          expression compilation approaches can be applied to risk assessment. When evaluating
22          the consistency of toxicogenomic data findings, it was advantageous to include all of the
23          available gene expression data (single gene, global gene expression, protein, RNA)
24          because the  single gene expression techniques have been traditionally used to confirm the
25          results of global  gene expression studies.

26       2) Perform benchmark dose (BMD) modeling on high-quality RT-PCR dose-response
27          studies for genes known  to be  in the causal pathway of a MO A or outcome of interest.
28          Obtaining a BMD and BMDL (benchmark  dose lower confidence limit) is a useful
29          starting point for both linear low-dose extrapolation and reference value approaches. We
30          are not indicating which approach is appropriate to take for making predictions about the
31          potential risk below the BMD or BMDL. "High quality" is defined in this context as a
32          well conducted study that assessed enough  animals and litters for sufficient statistical
33          power for characterizing the mean responses and the variability (interlitter and intralitter
34          variability).
35


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 1          Two additional recommendations require expertise in genomic data analysis methods to

 2    implement:
 3       3) Perform new analysis of toxicogenomic raw data in order to identify all affected
 4          pathways or for other risk assessment applications.  Most often, microarray studies are
 5          conducted for different purposes (e.g., basic science, pharmaceutical development).  In
 6          these cases, new pathway analysis of microarray data can be potentially useful.

 7       4) Develop a genetic regulatory network model for the chemical of interest to define the
 8          system of interacting regulatory DNA sequences, expression of genes, and pathways for
 9          one or more outcomes of interest. Genetic regulatory network model methods,
10          developed as part of this case study,  could be used in a risk assessment. If time-course
11          genomic data are available, the temporal sequence of mechanistic events after chemical
12          exposure can be defined, and the earliest affected genes and pathways, that may be define
13          the initiating event, may be identified.
14

15    Based on these recommendations, we refined the approach that was used in the case study that

16    can be useful for evaluating genomic data in new chemical assessments.

17

18    1.4 RESEARCH NEEDS

19          We identified the following research needs to improve the utility of genomic data in risk

20    assessment:

21

22       •  Perform parallel toxicity and toxicogenomic study-design characteristics (i.e., dose,
23          timing of exposure, organ/tissue evaluated) to obtain comparable results to aid our
24          understanding of the linkage between gene expression changes and phenotypic outcomes;

25       •  Collect exposure time-course microarray data to develop a regulatory network model;

26       •  Generate TK data in a relevant study (time, dose, tissue), and obtain a relevant internal
27          dose measure to derive the best internal dose metric;

28       •  Test multiple doses in microarray studies in parallel with phenotypic anchoring in order
29          to relate dose, gene expression response, and in vivo response;

30       •  Continue further development of bioinformatic methods for analyzing genomic data for
31          use in health and risk assessments.
32

33          As  a result of considering how to best use genomic data in risk assessment, we identified

34    a number of issues for future consideration.  As more and various types of genomic studies are

35    performed, genomic data will likely inform  multiple steps of the risk assessment process beyond
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 1    its use to inform MOA. To facilitate the advancement of the use of genomics in risk assessment,
 2    first, we need approaches to utilize genomic data quantitatively in risk assessment, for
 3    application to dose-response, intraspecies variability, and TK.  Second, analytical methods
 4    tailored to use in risk assessment are needed. Methods development work, some initiated in this
 5    project, has made significant progress in adapting bioinformatic methods used for hypothesis
 6    generation to the express purpose of utilizing genomic data for risk assessment.  However,
 7    continued effort, with input from statistical modeling and biology experts, is required to validate
 8    and test these methods, and develop newer methods. Third, training risk assessors in analysis
 9    methods of genomic data would assist the U.S. EPA in being able to both analyze complex, high-
10    density data sets and to perform new analyses when necessary.
11           Finally, some of the current issues in utilizing genomic data in health and risk assessment
12    are not unique to genomic data but apply to precursor event information in general. Two of these
13    issues are (1) defining  adversity and (2) establishing biological significance, in the case of
14    genomics, of gene expression changes or a pattern of gene expression.  The design and
15    performance of appropriate studies, with both genomic and toxicity components, are needed to
16    address these two important issues.
17           As far as we know, this is the first systematic approach for using genomic data in health
18    assessment at U.S. EPA. We believe that this document can serve as a template that risk
19    assessors can use when considering a large range of potential applications, issues, and methods
20    to analyze genomic data that can be applied to future assessments. This approach advances
21    efforts in the regulatory and scientific communities to devise strategies for using genomic data in
22    risk assessment, and it is consistent with the pathway-based risk assessment vision for the future
23    outlined in the National Research Council  (NRC) Toxicity Testing in the 21st Century. We also
24    anticipate that the research needs and future considerations described herein will advance the
25    design of future toxicogenomic studies for application  to risk assessment, and thus, benefit the
26    bioinformatic, toxicogenomic, and risk-assessment communities.
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 1                                    2.   INTRODUCTION
 2
 O
 4    2.1.  PURPOSE
 5          Currently, the U.S. EPA provides no guidance for incorporating genomic data into risk
 6    assessments. The project addressed the question of how the available toxicogenomic data may
 7    be best used to improve U.S. Environmental Protection Agency (U.S. EPA) human health risk
 8    assessments. Specific questions motivating the project include
 9
10       •  Could toxicogenomic data inform one or more steps (e.g., dose-response) in the risk
11          assessment process?;
12
13       •  How could current issues (e.g., reproducibility, variability in response) with the use of
14          genomic technologies, particularly microarrays, be taken into account in the evaluation
15          of genomic data?; and
16
17       •  How could toxicogenomic data be used in conjunction with other types of information?
18
19          After considering the overarching questions listed above, we chose to focus on
20    developing an approach for using toxicogenomic data in U.S. EPA human health assessments
21    because a practical approach would have broad application to risk assessment methods. The
22    specific goals of this methods development project were to
23
24       •  Develop a systematic approach that allows the risk assessor to utilize the available
25          toxicogenomic data in chemical-specific health risk assessments performed at U.S. EPA;
26          and
27
28       •  Perform a case study to illustrate the approach.
29
30
31    2.2.  REPORT OVERVIEW
32          This report describes an approach to evaluating toxicogenomic data for use in risk
33    assessment and a case study for the chemical DBF. The approach principles includes
34    examination of genomic and toxicity datasets, defining a set of questions to direct the evaluation,
35    and performing new analyses of genomic data, when available.  The DBF case study example
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 1    focuses on male reproductive developmental effects and the qualitative use of genomic data in
 2    risk assessment.
 3          Currently, EPA provides no guidance for evaluating and incorporating genomic data into
 4    risk assessment. In the approach described in this document, the genomic data are evaluated for
 5    their application to a broad range of information types useful in risk assessment; and both the
 6    genomic and toxicity datasets are considered together to determine the relationship between
 7    genomic changes and health outcomes and inform the mechanism  of toxicity. The document
 8    includes the development of exploratory methods and preliminary  results from genomic data
 9    analysis.  In addition, recommendations, research needs, and potential future directions arre
10    identified.
11          This chapter (Chapter 2) includes a focused review of the history and current use of
12    genomic data in risk assessment and the rationale for selecting DBF as the case-study chemical.
13    Chapter 3 presents the approach that we developed for use of toxicogenomic data  in risk
14    assessment used for the DBF case study. This includes discussions of the various steps of the
15    approach that can be used in future assessments. Chapters 4-6 present the DBF case study data
16    evaluations and analyses. Chapter 4 presents the toxicology data set evaluation, Chapter 5
17    presents the toxicogenomic data set evaluation, and Chapter 6 presents the new analyses  of some
18    of the DBF genomic studies, and exploratory methods that were developed.  Supplemental
19    material for the work described in Chapters  5 and 6 are presented in Appendices A and B.
20    Chapter 7 presents the case study conclusions including a refined approach for evaluating
21    genomic data for risk assessment, research needs, and future considerations.
22          The audience for the various chapters varies because of the highly technical nature of
23    some of the work performed. Risk assessors will benefit from Chapters 2-5 and Chapter 7
24    because it describes the approach and case study evaluations based on the published literature
25    only. Bioinformaticians and risk assessors trained in analyzing microarray data will find the
26    descriptions of the pathway-analysis methods and the development of new methods in Chapter 6
27    useful.  Risk assessors and scientists performing toxicology and toxicogenomic research, inside
28    and outside of the U.S. EPA, will benefit from the refined approach to using genomic data in
29    U.S. EPA risk assessment and research needs presented in Chapter 7.
30
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 1    2.3.  USE OF TOXICOGENOMICS IN RISK ASSESSMENT
 2          Recent and ongoing activities regarding the use of genomic data in risk assessment,
 3    inside and outside of U.S. EPA, are reviewed below.
 4
 5    2.3.1. Definitions
 6          Toxicogenomics is a fairly new field that studies the global expression of genes, proteins,
 7    or the concentration or relative abundance of small molecular weight metabolites after exposure
 8    to a toxic agent in order to characterize responses.  Such responses are considered more sensitive
 9    and precursor in nature because the techniques measure molecular responses on a near-global
10    scale. The techniques to generate toxicogenomic data include DNA sequencing, transcriptomics,
11    proteomics, and metabolomics.  These techniques are near-global because of annotation
12    limitations or detection limitations.
13          Transcriptomics, through the use of microarrays, is a powerful tool for investigating the
14    expression levels of thousands of genes or sometimes a complete genome, following exposure to
15    toxicants. The use of microarrays to study gene expression profiles from tissues, organs, or cells
16    began in 1995 (Lobenhofer et al., 2001). Microarray information is different from other types of
17    data used in toxicology for a number of reasons, largely due to the global nature of the gene
18    expression data. Unlike single-gene-expression data that use specific methods, such as northern
19    blots and real-time reverse transcription-polymerase chain reaction (RT-PCR) to evaluate
20    individual genes, microarrays provide a nearly global (i.e., not all genes are currently annotated
21    and have expressed sequence tags [ESTs]) transcriptional profile of a cell or tissue.  Thus, each
22    experiment generates a large amount of data. Analyzing and interpreting the quantity and
23    complex patterns of data requires expertise in bioinformatics.
24          The term omics (referring to terms ending with the suffix 'omics) is a broad  discipline of
25    science and engineering for analyzing the total ("om") or global interactions within  a biological
26    system by utilizing the various genomic, proteomic, and metabolomic techniques. These include
27    genomics, proteomics,  metabolomics, etc.  The main focus is on (1) mapping information objects
28    such  as genes and proteins, (2) finding interaction relationships among the objects, and (3)
29    engineering the networks and objects to understand and manipulate the regulatory mechanisms
30    (For more background  information about 'omics see www.omics.org).

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 1          The scientific community has a range of definitions for the terms genomics and
 2    toxicogenomics. Toxicogenomics refers to a set of technologies for assessing the genome,
 3    transcriptome, proteome, and metabolome gene products after toxic agent exposure.  In this
 4    document, we use definitions of the toxicogenomic terms that are consistent with the National
 5    Research Council (NRC) report entitled, "Applications of Toxicogenomic Technologies to
 6    Predictive Toxicology and Risk Assessment" (NRC, 2007a). Genomics is the study of the
 7    genome and includes genome sequencing and genotype analysis techniques (e.g., polymorphism
 8    identification). U.S. EPA's Science Policy Council (SPC) (2002) defines genomics as "the study
 9    of all the genes of a cell, or tissue, at the DNA (genome), messenger RNA (mRNA;
10    transcriptome), or protein (proteome) levels."  One goal of toxicogenomic studies is to link
11    genomic changes with adverse  phenotypic effects/outcomes determined histopathologically or
12    clinically.
13          Genetic polymorphisms are included in the definition of genomic techniques. Some
14    microarrays have been designed to detect single nucleotide polymorphisms (SNPs) and
15    copy-number polymorphisms (CNPs; Buckley et al., 2005). Polymorphism analysis can be used
16    qualitatively and quantitatively to assess risks to various subpopulations as well as provide
17    insights to mechanistic pathways (Guerreiro et al., 2003; Shastry, 2006). Transcriptomics
18    measures global mRNA expression (NRC, 2007a). The transcriptomic technology with the
19    greatest history and success are microarrays. It is a tool used to understand specific genes and
20    pathways involved in biological processes.  Underlying the use and interpretation of these
21    technologies is the assumption  that genes exhibiting a similar expression pattern may be
22    functionally related and under the same genetic control. Genes that are annotated as well as
23    those that are not (i.e., ESTs) are included in microarray analysis. Global gene analysis provides
24    information about the effect of a chemical on toxicity pathways, defined as "A series of
25    biochemical and physiological  changes that occur after chemical interaction at the target site that
26    are linked to the adverse outcome" (U.S. EPA, 2004b). Common technologies for genome-wide
27    or high-throughput analysis of gene expression are complementary DNA (cDNA) microarrays
28    and oligo-microarrays, cDNA-amplified fragment length polymorphism, and serial analysis of
29    gene expression.
30          Proteomics is the study  of proteins in an organism (NRC, 2007a). It involves the study of
31    the proteins:  specifically, their expression,  their structural status (e.g.,
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 1    phosphorylated/dephosphorylated), their functional states (i.e., activity specificity and activity
 2    level), and their interactions with other cellular components—all as a function of time and
 3    response to intrinsic and extrinsic factors (Pandey and Mann, 2000).  Thus, proteomics offers the
 4    ability to study both changes in protein expression and protein modification in toxicity (Ekins et
 5    al., 2005; Anderson and Anderson, 1998), and, ultimately, changes in cellular function.  Broadly,
 6    proteomics may be defined as "expression" (or "differential") proteomics and "functional"
 7    proteomics (Wu et al., 2002); the former relates to a differential expression of proteins among
 8    treatments or disease states, and the latter relates to protein interactions and changes in function
 9    due to posttranslational modifications or other protein-protein interactions.
10          Metabolomics is the study of low molecular weight (LMW) metabolic products (NRC,
11    2007a). Since metabolites are the final functional products of genes, a metabolomic profile can
12    capture the most functional assessment of toxicity, among the omic technologies. Metabonomics
13    is also the study of LMW  protein. There is a subtle distinction between the two:  metabolomics
14    refers to the study of LMW molecules within cells, whereas metabonomics refers to a more
15    systemic and complex change in tissues and body fluids (Ekins et al., 2005). For example, the
16    toxicity of acetaminophen in rodents has been examined via metabonomics using nuclear
17    magnetic resonance (NMR) spectroscopy to characterize changes in intact and solubilized liver
18    tissue and blood plasma (Coen et al., 2003). Such approaches to examining toxicity can be used
19    qualitatively to help define or refine the mode of action (MOA) of an environmental toxicant,
20    potentially to serve as biomarkers for exposure, or,  in some cases, quantitatively to represent a
21    toxic response amenable to dose-response analysis. Due to the large size and complexity of
22    information generated by  omics technologies, bioinformatics methods for data analysis continue
23    to be developed and refined.
24          In the DBF case study, the toxicogenomic and all other gene expression data were
25    evaluated.  We decided to include all the microarray studies detecting global gene expression, as
26    well as single-gene and protein  expression such as RT-PCR, northern blotting, transgene
27    expression, and immunostaining in the evaluation of genomic data for risk assessment because
28    these techniques provide (1) a validation method for microarray studies; (2) a larger data set of
29    gene expression information, as there are typically a very small number of available microarray
30    studies for a  specific chemical;  and (3) additional semi quantitative information such as RT-PCR
31    and protein expression assays.
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 1          The mechanism of action is defined herein as the complete molecular sequence of events
 2    between the interaction of the chemical with the target site and observation of the outcome.
 3    Thus, the mechanism of action can include toxicokinetic (TK) and toxicodynamic (TD) steps.
 4    By contrast, "mode of action" is defined as a sequence of key events that the outcome is
 5    dependent upon. A "key event" is an empirically observable precursor step that is itself a
 6    necessary element of the MOA or is a biologically based marker for such an element (U.S. EPA,
 7    2005).
 8
 9    2.3.2.  Current Efforts to Utilize Toxicogenomic Data in Risk Assessment
10          Many of the advances in toxicogenomic technology are a result of their application
11    within the pharmaceutical industry (Boverhof and Zacharewski, 2006). In drug discovery,
12    genomic methods are used for assessing and predicting toxicity with the goal of selecting a drug
13    with relatively high efficacy and low toxicity. Research and regulatory agencies are also
14    interested in using omics-generated data and its implications. However, to date, their application
15    has been somewhat limited due, at least in part, to a lack of available data and expertise required
16    to analyze and interpret these data when available. Nevertheless, approaches and considerations
17    to using toxicogenomic data sets in a risk assessment or other regulatory scenario continue to be
18    explored (Boverhof and Zacharewski, 2006; Hackett and Lesko, 2003; Chan and Theilade, 2005;
19    Cunningham et al., 2003; Frueh et al., 2004; Leighton, 2005; Oberemm et al., 2005; Pennie et al.,
20    2004; Pettit et al., 2003; Reynolds, 2005; Robinson et al., 2003; Simmons and Portier, 2002;
21    Waters and Fostel, 2004). An effort has been made to apply toxicogenomic data to the area of
22    exposure assessment.  For example, a few studies have used gene expression analysis
23    successfully to determine occupational exposure levels (NRC, 2007a).
24
25    2.3.2.1. Toxicogenomics Informs Mode of Action (MOA)
26          Genomic data have been used in risk assessment to provide information about the mode's
27    and mechanism's action. For example, toxicogenomic data  can be used to complement other in
28    vitro and in vivo toxicology data. A number of studies have used microarrays to identify
29    patterns of gene expression following chemical exposures (Ellinger-Ziegelbauer et al., 2005;
30    Moggs et al., 2004; Lobenhofer et al., 2001). Further,  some studies have found common patterns
31    of gene expression for specific groups of chemicals (Naciff et al., 2005; Hamadeh et al., 2002a).
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 1    Hamadeh et al. (2002) performed microarray analysis of liver tissue from animals exposed to
 2    four different chemicals: the pharmaceutical peroxisome proliferators clofibrate, Wyeth 14,643,
 3    gemfibrozil, and the CYP2B inducer phenobarbital. The three peroxisome proliferators gave
 4    similar patterns of gene expression indicating a common MO A; whereas, the gene expression
 5    pattern for phenobarbital was distinct from the three peroxisome proliferators.  Naciff et al.
 6    (2005) studied the transcriptional profile in the testis following exposure to three estrogen
 7    agonists, 17a-ethynyl estradiol, genistein, or bisphenol A (BPA), which have been shown to bind
 8    to the estrogen  receptor (ER) with different affinities (e.g., BPA binds most weakly). A common
 9    group of 50 genes, whose expression was changed in the same direction, was identified among
10    the three estrogen agonists. Dose-response studies were performed, and the  gene expression
11    changes were also associated with dose (i.e., lower dose, lower gene expression) among these
12    50 genes for each of the three chemicals.  Both of these laboratory groups found differences in
13    gene expression patterns depending on the duration of exposure (Hamadeh et al., 2002), the
14    organ (Naciff et al., 2005, 2002), or the life stage of exposure (Naciff et al., 2003, 2002).
15    Recently, in addition to gene patterns and chemical signatures, Tilton et al. (2008) have
16    identified an  alternative mechanism for hepatic tumor promotion by perfluorooctanoic acid
17    (PFOA) in rainbow trout. Using gene expression profiles, those study authors have
18    demonstrated a novel mechanism involving estrogenic signaling for the tumor promotion activity
19    of PFOA.  In their study, tumor promotion was not related to the function of PFOA as a
20    peroxisome or peroxisome proliferator-activated receptor alpha (PPARa) agonist, but it is
21    phenotypically  linked to estrogenic gene signatures in trout liver.
22          The use of omics data, particularly "gene expression signatures" or "fingerprints," to
23    make predictions about the toxicity of a chemical based upon gene expression patterns for a
24    given MOA class is not always straightforward.  Although peroxisome proliferators may exhibit
25    a similar gene expression signature, some chemicals (e.g., PFOA)  may exert effects through
26    multiple mechanisms.  In this regard, it may be possible to be misled by the presence or absence
27    of certain signatures, or to focus on a subset of genes in the overall signature pattern. However,
28    the Tilton et al. (2008) study is a good example of the power of genomic signatures to identify
29    additional MOAs.
30
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 1    2.3.2.2.  Toxicogenomics Informs Dose-Response
 2          As noted previously, most examples of the use of toxicogenomic data have focused on
 3    informing hazard characterization, TD, and MOA. However, it is also important to consider
 4    whether and how toxicogenomic data can inform dose-response analysis and TK.  In regards to
 5    dose-response analysis, toxicity endpoints (e.g., hepatotoxicity) will likely have characteristic
 6    genomic profiles of associated gene expression changes that can serve as fingerprints for these
 7    toxicity mechanisms (Aardema and MacGregor, 2002). Importantly, gene changes related to a
 8    toxic response may be observable at doses lower than those required to elicit more overt toxic
 9    responses and, thus, serve as sensitive precursor effects. Alternatively, such changes may occur
10    at doses similar to those that exert more overt effects, but at much earlier time points, and,
11    ultimately, without the need to carry through expensive chronic bioassays. While establishing
12    such fingerprints and validating their utility for quantitative dose-response analysis is necessary
13    for risk and safety assessment, these gene changes could aid risk assessors in choosing the most
14    appropriate animal model for conducting toxicity studies (Aardema and MacGregor,  2002), with
15    the likely result of reducing uncertainties inherent in risk assessment.
16          Recent studies on formaldehyde lend support to the notion that gene changes  may be able
17    to serve as early indicators of longer-term in vivo outcomes (Thomas et al., 2007; Andersen et
18    al., 2008). These studies used gene ontology (GO) categorization of microarray data after
19    chemical  exposure to chemicals that cause rodent tumor formation.  The study authors observed
20    significant changes in gene expression after chemical exposure for chemicals (e.g.,
21    formaldehyde) that lead to cell proliferation and DNA repair occur at approximately the same
22    doses associated with long-term exposure leading to observable tumor formation in rodents.  The
23    authors conclude that relevant gene changes may serve to predict the long-term outcome of
24    bioassays. In an editorial by Daston (2008), he suggests that gene expression changes may not
25    occur below a threshold dose for these toxic agents.  Alternatively, it is possible that longer-term
26    exposure  to low doses could lead to genomic changes in the cell that are linked to toxicity; such
27    aspects may not be captured in the small treatment group sizes in this study or under  shorter
28    durations of exposure.
29          Approaches are needed to use these data  quantitatively for risk assessment. Studies
30    carried out by the Hamner Institute on formaldehyde carcinogen!city mark one of the first efforts
31    to apply toxicogenomics data quantitatively (Thomas et al., 2007). In examining the
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 1    dose-response for formaldehyde-induced gene changes in rat nasal tissue, a benchmark dose
 2    (BMD) analysis was used to identify sets of genes in GO categories often thought to be involved
 3    in the MOA of formaldehyde (Thomas et al., 2007).  GO categories for DNA damage response
 4    and repair, response to unfolded proteins, and regulation of cell proliferation all had BMD values
 5    (defined as 1.349 x standard deviation of control) ranging from 5.68 to 6.76 ppm formaldehyde.
 6    The authors noted the relatively close agreement between the BMD (5.68 ppm) for the cell
 7    proliferation GO category and a previously published BMD (4.91 ppm) for cell labeling index
 8    (Schlosser et al., 2003), as well as between the BMD (6.31 ppm) for the DNA damage response
 9    GO category and a lowest-observed-adverse-effect level (LOAEL; 6 ppm) reported for
10    DNA-protein crosslink formation (Casanova  et al., 1994).  Similar conclusions were drawn from
11    a longer-term, 3 week, study by Andersen et al. (2008).  Although the justification for comparing
12    these values (e.g., a 10% increase in cell labeling vs. 1.349 x SD for cell proliferation genes) may
13    be debated, dose-response modeling methodologies can be developed that, upon further
14    validation, might support the modeling of toxicogenomic data for chemicals with more limited
15    data—either for risk assessment or general screening and prioritization purposes.
16
17     2.3.2.3.  Toxicogenomics Informs Interspecies Extrapolations
18          Interspecies extrapolations are comprised of TK and TD aspects.  Changes in  genes,
19    proteins, or LMW molecules that are likely involved in chemical disposition (e.g., transporters,
20    enzymes, and cofactors) can potentially inform TK extrapolations for risk assessment. For
21    example, changes in expression of genes or proteins related to glutathione (GSH) synthesis
22    following exposure to an environmental toxicant suggest that further consideration of GSH
23    (including synthesis or resynthesis) may be necessary when considering dose adjustments or
24    building physiologically based pharmacokinetic (PBPK) models. In principle, this approach has
25    been  demonstrated for the depletion and resynthesis of GSH following exposure to
26    trichloroethylene and 1,1-dichloroethylene, albeit without toxicogenomic data per se  (El-Masri et
27    al., 1996). In this study, modeling suggests that it is important to consider GSH resynthesis
28    when assessing the toxicity of these chemicals. Similarly, toxicogenomic data suggesting the
29    presence of proteins in TK may inform dosimetry modeling.  Additionally, toxicogenomic and
30    proteomic data can also inform TD aspects of interspecies extrapolation.  Often chemical-
31    specific data to account for TD differences across species are not available. Toxicogenomics
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 1    data indicating distinctions in expression profiles between species may help qualitatively and
 2    quantitatively address these issues. Again, considering changes in GSH genes, differential
 3    changes across species may have implications for TD if redox status is thought to play a role in a
 4    chemical's MO A.
 5
 6    2.3.2.4.  Toxicogenomics Informs Intraspecies Variability
 1          Perhaps the most straightforward quantitative application of toxicogenomic data in risk
 8    assessment involves genetic polymorphisms.  This application is also the most amenable to
 9    current risk assessment practices—specifically in  handling interindividual variation in TK. Both
10    SNPs and chromosome CNPs in genes that are important for the disposition of environmental
11    toxicants have the  potential to inform the intraspecies uncertainty factor (UFH) applied in risk
12    assessments. When the impact of polymorphisms on enzyme  function is known, this information
13    can either be used  to characterize the difference in dose metric for a subpopulation relative to the
14    most common alleles, or, it can be used in probabilistic assessments using Monte Carlo analysis
15    to incorporate population variability in enzyme function and dose metric predictions. El-Masri et
16    al.  (1999) demonstrated this approach for polymorphisms in GSH transferase-1. Ultimately,
17    polymorphisms related to TD aspects of a chemical model of action might also be incorporated
18    into risk assessments as more sophisticated biologically based models are developed.

19    2.3.2.5.  Toxicokinetic/Toxicodynamic (TK/TD) Linkages Informed by Toxicogenomic
20            Data
21          Toxicogenomic data will likely play an increasing role in the modeling of systems
22    biology for use in risk assessment (Daston, 2007;  Andersen et al., 2005). To this end,
23    understanding the impact of xenobiotics in organisms will require greater focus and
24    understanding of the normal biological processes  and compensatory mechanisms in biological
25    systems. Ultimately, this information will improve our understanding of the shape of
26    dose-response curves at environmentally relevant  concentrations and for low-incidence adverse
27    effects (Andersen et al., 2005).
28          Although we often rely on in vivo data for informing TK, in vitro tools provide a
29    relatively abundant and useful source of information (Donate et al., 2008). While these methods
30    have long been used to assess expression of drug metabolizing enzymes in treated and untreated,
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 1    primary and immortalized cells in a more limited case-by-case basis (Geng and Strobel, 1995;
 2    Raunio et al., 1999; Swanson, 2004), omics technologies can be applied to broadly assess
 3    metabolic capacity between cell types of normal and abnormal phenotypes (Vondracek et al.,
 4    2001, 2002; Hedberg et al., 2001; Staab et al., 2008). Recently, an in vitro model of buccal
 5    epithelial tissue was used to examine the expression of carbonyl metabolizing enzymes in normal
 6    human basal and differentiated keratinocytes, as well as in immortalized malignant human
 7    keratinocytes (Cedar et al., 2007; Staab et al., 2008). Such approaches can inform the metabolic
 8    capacity of cells at a given stage of development (e.g., proliferation vs. differentiation) and,
 9    perhaps, the differential metabolic capacities of normal, pre-malignant, and malignant cells.
10
11    2.3.2.6.  Toxicogenomic Activities at the U.S. Food and Drug Administration (U.S. FDA)
12          The U.S. Food and Drug Administration (U.S. FDA) initiated incorporating genomic data
13    into their drug evaluation process, and thus, is a leader in this regard. It began to incorporate
14    toxicogenomics data into their assessment and regulatory decisions following the voluntary
15    submission of data by the industry for screening of drugs.  Furthermore, the U. S. FDA has
16    developed a draft guidance document to cover industry's submission of pharmacogenomic data
17    (U.S. FDA, 2003).  This guidance furthers scientific progress in the field of pharmacogenomics
18    and facilitates the use of pharmacogenomic data in informing regulatory decisions. The draft
19    guidance encourages, but again does not  require, voluntary submission of microarray data from
20    exploratory studies.  This guidance does not include use of genetic or genomic techniques for the
21    purposes of biological product characterization  or quality control (e.g., cell bank
22    characterization, bioassays).  It also does not refer to data resulting from proteomic or
23    metabolomic techniques.  In addition, minimum information standards for microarray
24    experiments for publications and submission to public repositories have been developed (Ball et
25    al., 2004; Brazma et al., 2001).
26          The MicroArray Quality Control  (MAQC) Consortium is a scientific community-wide
27    effort, spearheaded by U.S. FDA scientists.  The MAQC effort was developed to bring
28    researchers from government, industry, and academia together to tackle issues of variability and
29    contribute to the standardization of microarray procedures  (Anonymous, 2006; Casciano and
30    Woodcock, 2006; Frueh, 2006; Dix et al., 2006; Ji and Davis,  2006; Canales et al., 2006; Shippy
31    et al., 2006; Tong et al., 2006; Patterson et al., 2006; MAQC Consortium et al., 2006; Guo et al.,
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 1    2006).  The two main objectives of the 1st phase of the MAQC (MAQCI) project are (1) to
 2    compare cross-platform and interlaboratory performance of currently available microarray
 3    technologies and (2) to identify potential sources of variability. Seven different microarray
 4    platforms (six commercially available platforms [Applied Biosystems, Affymetrix®, Agilent
 5    Technologies, GE Healthcare, Ilumina, and Eppendorf] and one private platform [the National
 6    Cancer Institute]) were tested by three independent laboratories. Each laboratory used five
 7    sample replicates derived from four titration pools of two highly characterized unique RNA
 8    samples.  The working list of genes was refined to include 12,091 reference genes that were
 9    detected on each of the six high-density platforms.  The MAQCI study demonstrates that there is
10    good reproducibility within sites, between sites, and among the various platforms.  These
11    findings are promising for future incorporation of microarray data into risk assessment
12    procedures (MAQC Consortium, 2006).
13           The performance of the microarray platforms was further evaluated in comparison to
14    three distinct quantitative gene expression assays: Taqman, Standardized RT-PCR, and
15    Quantigene. There was excellent correlation between microarray results and quantitative gene
16    expression results.  Several sources of limited incongruence were identified: a decreased
17    sensitivity for low expression genes in the microarray platforms as compared to the gene
18    expression technologies and some differences in probe location.
19           A toxicogenomic study in rats was used to validate the observed congruence of
20    microarray platforms in a biologically relevant framework.  Rat RNA samples were collected
21    and processed following exposure to three chemicals (aristolochic acid, ridelline, or comfrey).
22    Results from four of the microarray platforms indicated a high degree of conformity, gone
23    findings was that gene lists generated using fold-induction criterion showed much greater
24    concordance across platforms as compared to those generated by t-test P values alone, with the
25    novel finding that comfrey exposure results in differential regulation of vitamin A, and copper in
26    the liver of rats was detected across all platforms.
27           The MAQCI project observed high reproducibility of findings between different
28    microarray platforms tested at multiple locations. Additionally, microarray results were well
29    correlated with other available gene expression technologies.  Consistent results were also
30    acquired in the toxicogenomic study after exposing rats. These studies provide the
31    stepping-stones for decreasing variability in microarray data and add standardized quality-control
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 1    measures. Taken together, the findings are an encouraging first step for the future incorporation
 2    of microarray data into risk assessments.  While it is noted that these results were a comparison
 3    of the same sample in different laboratories, a future step may consider a comparison of samples
 4    prepared in-house in independent laboratories/institutions.
 5
 6    2.3.2.7.  Toxicogenomic Activities at U.S. Environmental Protection Agency (U.S. EPA)
 1          The U.S. EPA has also initiated the development of methods, research, and guidancefor
 8    using toxicogenomic data for a number of purposes including risk assessment (see U.S. EPA,
 9    2002; U.S. EPA, 2003; U.S. EPA, 2004b; U.S. EPA, 2006b). This includes training U.S. EPA
10    risk assessors in genomics (e.g., Risk Assessment Forum Genomics Training Courses),
11    developing guidance and methodology documents (e.g., this project), and supporting numerous
12    research activities that are expected to support chemical-specific risk assessment activities in the
13    future.
14          As previously  described, the U.S. EPA's SPC developed the Interim Policy on Genomics.
15    This policy states "genomics may be used in U.S. EPA risk assessments on a case-by-case basis
16    in a WOE [weight-of-evidence] approach" (U.S. EPA, 2002). Currently there is no U.S. EPA
17    guidance for  how to incorporate toxicogenomic data into chemical assessments.  The Genomics
18    Task Force produced a white paper Potential Implications of Genomics for Regulatory and Risk
19    Assessment Applications at EPA that identified four areas of oversight likely to be influenced by
20    genomic data: the prioritization of contaminants and contaminated sites, environmental
21    monitoring, reporting provisions,  and risk assessment.  The paper  also identifies a critical  need
22    for (1) analysis and acceptance criteria for genomic information in scientific and regulatory
23    applications,  (2) methods for interpreting genomic information for risk assessment, and
24    (3) determining a relationship between genomic changes and adverse outcomes (U.S. EPA,
25    2004b). In response to these needs, the Genomics Technical Framework and Training
26    Workgroup of the SPC was established and has since developed an Interim Guidancefor
27    Microarray-Based Assays: Data Submission, Quality, Analysis, Management, and Training
28    Considerations (U.S. EPA, 2006b). This guidance addresses genomic data submission, quality
29    assurance, analysis, and management in the context of current possible applications by the U.S.
30    EPA and the  broader academic and industrial community. The guidance also identifies future
31    actions that are envisioned to incorporate genomic information more fully into the U.S. EPA's
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 1    risk assessments and regulatory decision making (Dix et al., 2006). Furthermore, U.S. EPA has
 2    institutionalized a national center, the National Center for Computational Toxicology (NCCT;
 3    www.epa.gov/NCCT) with one of its goals being to analyze and understand the omics data using
 4    a systems biology approach.  U.S. EPA has also initiated both internal and external discussion to
 5    strategize and recommend next steps in methods development for the use of genomic data in risk
 6    assessment. These activities include the Office of Research and Development's Computational
 7    Toxicology Workshop: Research Framework, Partnerships and Program Development
 8    (September, 2003; Kavlock et al., 2004) and the National Center for Environmental Assessment
 9    (NCEA) colloquium, entitled Current Use and Future Needs ofGenomics in Ecological and
10    Human Health Risk Assessment (U.S. EPA, 2003;
11    http://cfpub. epa.gov/ncea/cfm/recordisplay. cfm?deid= 149984), both of which identify the need
12    to perform a case study integrating toxicogenomic data in a chemical assessment. Further,
13    NCCT conducted a 3-day Science Forum in May 2007, where over 400 scientists from the
14    international community met to discuss issues relating to genomics and computational
15    toxicology.
16          Currently, U.S. EPA has attempted to incorporate toxicogenomic data (mostly
17    qualitatively) in hazard identification of a few environmental  chemicals. Two U.S. EPA
18    assessments, the cancer assessment for acetochlor and for dimethylarsinic acid, evaluated the
19    available genomic data (U.S. EPA, 2004c; 2006d).  In both cases, the toxicogenomic data
20    informed the MOA.
21          Although U.S. EPA has evaluated toxicogenomic data during the course of risk
22    assessments, it has not developed a formalized approach for the incorporation of these data into
23    risk assessment. Therefore, case studies, when performed in an iterative, collaborative fashion,
24    could reveal practical issues for developing approaches and needs in utilizing toxicogenomic
25    data in risk assessment. A case study to assess how to evaluate and utilize genomic data in risk
26    assessment can identify: risk assessment areas that genomic data can inform, criteria for
27    toxicogenomic data inclusion, and approaches and methods for incorporating toxicogenomic data
28    in risk assessments.  Nevertheless, as the technology continues to advance, U.S. EPA must
29    prepare for the future increase in genomic data availability and submission by identifying
30    (1) areas of risk assessment where such data may be particularly useful, (2) acceptance criteria
31    for inclusion of toxicogenomic data in risk assessment, (3) approaches for the use of
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 1    toxicogenomics in risk assessment, and (4) research needs for developing and designing future
 2    studies.
 3
 4    2.3.2.8.  Toxicogenomic A ctivities at Other Agencies and Institutions
 5          In addition to the U.S. FDA and U.S. EPA, a number of other federal agencies,
 6    nongovernmental organizations, nonprofit organizations, and industry have conducted several
 7    studies and are involved in various activities of toxicogenomics.  The following is a selective list
 8    of activities in other agencies and institutions. It should be noted that the toxicogenomic
 9    activities are not limited to the following organizations.
10          In November of 2000, the National Institute for Environmental Health Sciences (NIEHS)
11    Division of Extramural Research and Training (DERT) issued a request to participate in a
12    national  Toxicogenomics Research Consortium.  The  four goals were to
13          (1) enhance research in the broad area of environmental stress responses using microarray
14          gene expression profiling;
15          (2) develop standards and practices that will allow  analysis of gene-expression data
16          across platforms and provide an understanding of intra and interlaboratory variation;
17          (3) contribute to the development of a robust relational database,  combining toxicological
18          endpoints with changes in gene expression profiles; and
19          (4) improve public health through better risk detection and earlier intervention in disease
20          processes(http://www.niehs.nih.gov/research/supported/centers/trc/).
21    The outcome of this consortium initiated areas that could have a major impact on risk assessment
22    and public health.
23          In November of 2003, the International Programme on Chemical Safety (IPCS)
24    conducted a workshop on Toxicogenomics and the Risk Assessment of Chemicals for the
25    Protection of Human Health.  The specific objectives  of this workshop were to

26       •  Establish a scientific forum for dialogue among experts;
27
28       •  Share information about ongoing scientific activities using toxicogenomics at the
29          national, regional, and international levels;
30
31       •  Discuss the potential of toxicogenomics to improve the risk assessment process for the
32          protection of health from environmental exposure to chemicals, understanding the MOA
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 1          of environmental toxicants, and the relevance and scope of gene-environment
 2          interactions;
 O
 4       •  Identify the near-term needs and necessary steps for enhancing international cooperation
 5          in toxicogenomics research for improving chemical safety; and
 6
 7       •  Identify and discuss data gaps, issues, and challenges that may present obstacles to the
 8          use of toxicogenomics for the protection of human health from environmental exposures.
 9
10          The IPCS Workshop was successful in achieving its objectives as a number of areas of
11    common interest were identified. The Workshop also confirmed the widely held view that
12    toxicogenomics has the potential to improve the specificity and range of methods used to predict
13    chemical hazards and to inform and to help overcome a number of uncertainties involved in
14    chemical-related risk assessment.
15          The International Life Science Institute's (ILSI) Health Environmental Science Institute
16    (HESI) has several completed and ongoing activities on the use of toxicogenomics in risk
17    assessment. In 2004, Environmental Health Perspectives published a mini monograph, Pennie et
18    al. (2004),  with several articles relating to use and application  of toxicogenomic data and their
19    implications to risk assessment. In addition, ILSI/HESI has undertaken a major and ongoing
20    effort to develop a toxicogenomic database
21    (http://www.hesiglobal.org/Committees/TechnicalCommittees/Genomics/EBI+Toxicogenomics.
22    htm). Furthermore, ILSI has conducted workshops and training  courses on the use of
23    toxicogenomic data in risk assessment.  In addition,  there is a recent source of information and
24    training material that is published as an NRC report  (NRC, 2007a).
25
26    2.3.3.  Current Challenges and Limitations of Toxicogenomic Technologies
27          One of the major challenges in using microarray data is its interpretation in particular, the
28    functional interpretation of genomic data or linking alterations in gene expression to
29    conventional toxicological endpoints, sometimes referred to as "phenotypic anchoring" poses
30    several obstacles that must be overcome.  Another issue is reproducibility/variability
31    (Moggs, 2005; Hamadeh et al., 2002a, b) in risk assessment; however, the MAQCI project
32    results demonstrate good reproducibility when using the same biological sample and platform.
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 1          Although genomic data likely will impact multiple areas of science, medicine, law, and
 2    policy in the near future, there are a number of applications where genomic data have already
 3    been used in decision-making process (e.g., biomarkers of disease in medicine). Nevertheless,
 4    there are a number of technical and analytical methodological hurdles that must be addressed
 5    before genomic data can play a role in regulatory decision-making.  These limitations include the
 6    paucity of toxicogenomic data for chemicals due to the cost, technical difficulties of conducting
 7    the experiments,  and data analysis  (Shi et al., 2004; Smith, 2001). Evaluation of methodologies
 8    including both the technologies themselves as well as the data analysis methods also needs
 9    validation. Until gene expression changes can be definitely linked with adverse outcomes, it is
10    likely that gene expression data will continue to be used in conjunction with other traditional
11    toxicological endpoints.  To resolve these issues, an iterative  and collaborative research process
12    between risk assessors and research scientists would be very beneficial.
13          Despite these shortcomings, toxicogenomic technologies and data can facilitate risk
14    assessment in several ways: (1) evaluating biological pathways/MOA for a given chemical or
15    class of chemicals; (2) replacing standard toxicity  screening assays in regulatory batteries;
16    (3) assessing characteristics of the  dose-response relationship, especially extrapolating from high
17    experimental doses to environmentally relevant concentrations; (4) understanding the variability
18    of responses in different species, or in different organs or tissues;  and (5) evaluating individual
19    variability and individual susceptibility based on the different gene expression patterns,
20    especially polymorphic genes.
21
22    2.4.  CASE STUDY
23    2.4.1. Project Team
24          The methods development and case study project were performed collaboratively
25    between the U.S. EPA and outside partners. Team members include U.S. EPA scientists at
26    NCEA, the National Health and Environmental Effects Laboratory,  the Integrated Risk
27    Information System (IRIS), and regional offices, as well as outside partners at the NIEHS, the
28    Hamner Institute for Health Sciences, and the U.S. EPA Science to Achieve Results (STAR)
29    Bioinformatics Center at Rutgers and University of Medicine and Dentistry of New Jersey
30    (UMDNJ).  The team was multidisciplinary, including experts in developmental and
31    reproductive toxicology, human health risk assessment, toxicogenomic data study design, and
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 1    toxicogenomic data analysis.  The multidisciplinary team included expertise in male reproductive
 2    and developmental toxicology and toxicogenomics.

 3    2.4.2.  Chemical Selection
 4          We conducted a literature review to identify candidate chemicals for the case study.  The
 5    literature review focused on endocrine disrupting chemicals (EDCs) because of the expertise of
 6    the team members and the availability of microarray studies for a number of EDCs.  The
 7    androgen-mediated male reproductive development toxicity pathway was identified as the best
 8    choice for the case study (Figure 2-1) for four reasons:
 9          (1) Androgens are essential for a number of male developmental events and are required
10          during gestation for the normal development of the male genital tract and sexual
11          differentiation; thus, this toxicity pathway has relevance to in vivo outcomes;
12          (2) There are published studies for chemicals that affect androgen action (i.e., androgen
13          antagonists and agonists) that support a relatively strong linkage between the MO A and
14          the resulting toxicological  outcome after exposure;
15          (3) There are some published toxicogenomic data, as well as ongoing research, on some
16          of the EDCs that affect androgen action; and
17          (4) There are recent or ongoing U.S.  EPA assessments for some of chemicals that affect
18          androgen action.
19
20    2.4.2.1. Six Candidate Chemicals
21          Six candidate chemicals were identified and considered for the case study: linuron,
22    procymidone, vinclozolin, di-(2-ethylhexyl) phthalate (DEHP), DBF, and prochloraz.  The
23    criteria for selecting  a chemical for the case  study were
24
25       •  Relative abundance of available toxicogenomic data (preferably published data);
26       •  Consistency of the toxicogenomic data set findings, as one indicator of high quality
27          studies;
28       •  Recent or ongoing U.S. EPA assessment; and
29       •  Interest by U.S. EPA Program and/or Regional Offices in performing a case study on this
30          chemical.
31
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1   We developed criteria to evaluate these six chemicals (Table 2-1). We gathered information on
2   the criteria by reviewing the toxicogenomic literature and about the status of each chemical's
3   U.S. EPA human health risk assessment. The summary of the information presented in the table
4   and text is limited as it reflects the information available at the time of the decision about the
5   case study chemical (July 2005).
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Toxic
Agent
Exposure
Macro-Molecular
Interactions
Cellular
Responses
Organ
Responses
Individual
Responses
Androgen
production:
Steroid-
ogenesis
-
A/AR Binding,
A-AR complex
DNA binding
and activation
                                                      Androgen-specific
                                                      gene transcription,
                                                       translation, and
                                                      signaling changes
 Physiological,
 homeostatic,
      and
endocrinological
    changes
                                                                                  Effects after in utero
                                                                               androgen activity disruption:
                                                                                     -hypospadias
                                                                                     -crytorchidism
                                                                                    -decreased AGD
                                                                                    -nipple retention
                                                                                 -seminal vesicle defects
                                                                                 -ventral prostate defects
                                                                                   -epididymis defects
                                                                               -sex accessory gland defects
                                                                                 -altered sexual behavior
1
2    Figure 2-1.  Androgen-mediated male reproductive development toxicity pathway.
3
4
5
              This document is a draft for review purposes only and does not constitute Agency policy.
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1
2
3
             Table 2-1. Information available July 2005 on the selection criteria for the
             six candidate chemicals affecting the androgen-mediated male reproductive
             developmental toxicity pathway.1
Chemical


Linuron






Procymidone






Vinclozolin




DEHP


DBF


Prochloraz





MOA(s)


AR antagonist






AR antagonist






AR antagonist




Fetal testicular
steroidogenesis
inhibitor
Fetal testicular
steroidogenesis
inhibitor
Steroidogenesis
inhibitor and
AR antagonist



U.S. EPA
assessments
(dates)?
IRIS Oral RfD,
1990; IRIS
Cancer, 1993;
OPPRED, 1995;
OPP tolerance
reassessment,
1999
Discussed in
vinclozolin and
iprodione OPP
REDs; OPP
tolerance
reassessment,
1999
OPP RED, 2000;
2002 OPP Final
Risk Assessment;
IRIS Oral RfD,
1992
Ongoing (IRIS)


Ongoing; Internal
review complete
(IRIS)
IRIS Oral RfD,
1989; IRIS
Cancer, 1997



Published TgX
data
(amount)?
Yes (low)






Yes (low)






Yes (low)




Yes (high)


Yes (high)


Yes (medium),
but few studies
focused on
male repro
tissues and/or
endpoints
Ongoing TgX
studies?

Ongoing






Proposed (Gray,
LE Jr., personal
communication)




Yes




Yes


Yes


Proposed (Gray,
LE Jr., personal
communication)



 5
 6
 7
 8
 9
10
       AR, androgen receptor; OPP, Office of Pesticide Programs; RED, Reregistration Eligibility Decisions; RfD,
       reference dose; TgX, toxicogenomic.
       lrrhe information in this table reflects the available information at the time of the decision (July 2005).
             This document is a draft for review purposes only and does not constitute Agency policy.
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 1    2.4.2.2. DBF Selected as Case Study Chemical

 2          All the candidate chemicals—except prochloraz—meet three of the four criteria for

 3    chemical selection:  (1) a relative abundance of available toxicogenomic data, (2) a relatively

 4    consistent toxicogenomic data set,  and (3) a recent (<5 years) or ongoing U.S. EPA assessment.

 5    Assessment of the 4th criteria was more subjective in nature, as individuals' opinions were

 6    queried.  However, none of the five remaining chemicals were considered a poor choice.  After

 7    discussion of the relative merits of each  of the five chemicals, we selected DBF for the case

 8    study for the following reasons:
 9

10       1) Quantity and Quality of Toxicogenomic Data Set:
11          DBF and DEHP both have  a relatively large and high-quality (based on consistency of
12          findings) toxicogenomic data set. The DBF data set includes gene expression changes in
13          genes known to be involved in the androgen-mediated male reproductive toxicity
14          pathway, providing phenotypic anchoring to a number of the male  reproductive
15          developmental effects following  high dose DBF in utero exposure. Additionally, there is
16          one dose-response RT-PCR study using low-to-high in utero DBF  doses that observed
17          alterations in nine genes involved in steroidogenesis as well as other pathways (Lehmann
18          etal.,2004).
19
20       2) Application to Risk Assessment:
21          The DBF assessment may allow  the case study to address some interesting questions that
22          may have broad application to the use of toxicogenomics in risk assessment. These
23          questions include
24
25             •  Do the toxicogenomic data provide information about multiple and/or  additional
26                 MOA(s) for DBF?
27
28             •  Could toxicogenomic data be used to determine the adverse level for the reduction
29                 in fetal testosterone (T), the MOA for a large number of the male reproductive
30                 developmental endpoints after in utero DBF exposure?
31
32       3) Availability of Draft Assessment:
33          At the time of chemical selection for this case study, the external review draft of the IRIS
34          DBF assessment was being developed and, thus, available for use as a starting point for
35          the case study.  Risk assessment  documents for the other candidate chemicals  were either
36          >5 years old, running the risk of  needing more information incorporated for the case
37          study, or too early in the stage of the process to utilize a draft document.
38
             This document is a draft for review purposes only and does not constitute Agency policy.
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 1    2.4.3.  Case Study Scope
 2          After DBF was selected for the case study, the scope of the case study was further
 3    defined.  The DBF case study is limited to effects on male reproductive development because
 4    (1) these endpoints are the current focus in the IRIS assessment as they occur in the lower dose
 5    range; (2) the team members have expertise in reproductive and developmental biology and
 6    toxicology; and (3) some of these endpoints have been associated with a number of the gene and
 7    pathway alterations, thus providing a phenotypic anchor. After reviewing the data sets for DBF
 8    (see Chapter 3), the initial focus on androgen-mediated male reproductive developmental effects
 9    (see 2.3.2) was broadened to include all male reproductive  developmental effects, and not just
10    those affecting androgen  action, because DBF affects the other pathways (e.g., InsI3) as well as
11    the androgen pathway.
12          The approach design used a health assessment model, focusing on utilizing genomic data
13    to inform the hazard characterization and dose-response steps of risk assessment.  Thus,
14    exposure assessment step was not included in this approach. While there are many successes and
15    ongoing efforts utilizing genomics in exposure assessment, both in ecological and human health
16    risk assessment, but these will not be covered in this document.
17          The DBF case study, focuses on considering the various types  of information useful to
18    hazard characterization and dose-response that the genomic data may inform. The incorporation
19    of toxicogenomic data into risk assessment includes both a quantitative and qualitative use of
20    these data. However, the DBF case study is limited to the use of genomic data to inform the
21    qualitative aspects of risk assessment because of the lack of available dose-response
22    toxicogenomic data for DBF. The application of toxicogenomic data to quantitative aspects,
23    such as TK modeling and dose-response assessment, is discussed  in this  document (see Chapters
24    3 and 7). This general discussion includes considerations that may be useful to a risk assessor
25    evaluating genomic data.
26
             This document is a draft for review purposes only and does not constitute Agency policy.
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 1                    3.   DBF CASE STUDY APPROACH AND EXERCISE
 2
 O
 4          This chapter presents a description of the approach to evaluating toxicogenomic data in
 5    risk assessment, and it also describes the first three steps of the DBF case study. Our strategy for
 6    evaluating genomic data for risk assessment was to design a flexible and systematic approach
 7    that would provide a thorough evaluation of the genomic data set for a particular chemical, while
 8    still accommodating different risk assessment practices. The discussion includes both
 9    (1) generic considerations for evaluating the data set for any chemical; and (2) explanations of
10    how these issues were considered for the DBF case study.
11
12    3.1.  EVALUATING DBF IRIS ASSESSMENT EXTERNAL REVIEW DRAFT
13          The case study approach begins with an evaluation of the existing DBF external review
14    draft IRIS assessment document (see Figure 3-1). Use of the ongoing IRIS DBF assessment
15    external review draft as the starting point allowed us to take advantage of (1) the compilation of
16    the toxicity and human data sets, allowing us to focus on the toxicogenomic data set evaluation
17    (2) data gaps that were identified, thus, providing possible questions that the toxicogenomic data
18    may be able to address.
19          The IRIS Assessment for DBF was in progress when this toxicogenomic case study on
20    DBF was initiated (2005). The IRIS Agency Review had been completed, and the Toxicological
21    Review and IRIS Summary were in Interagency Review.  Upon completion of the Interagency
22    Review, the Toxicological Review and IRIS Summary were released for public comment in
23    mid-July 2006.  The Peer Review Panel meeting was held July 28, 2006
24    (http://cfpub.epa.gov/ncea/cfm/recordisplay.cfm?deid=l 55707).
25          There are extensive studies documenting developmental toxicity of dibutyl and the
26    metabolite, monobutyl phthalate, in rodents (Barlow et al., 2004; Barlow and Foster, 2003;
27    Mylchreest et al., 2002, 2000, 1999, 1998; Ema and Miyawaki, 2001a, b; Ema et al., 2000a, b
28    1998, 1997, 1996, 1995, 1994, 1993; See Chapter 4  for further details).  DBF  exposure during a
29    critical window of development in late gestation to the developing male rat fetus causes a variety
30    of malformations of the reproductive tract structures.  These include hypospadias; decrease in
31
           This document is a draft for review purposes only and does not constitute Agency policy.
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              Evaluate
              DBP IRIS
         Assessment ERD
              (Chapter 3)
                                           Consider RA Aspects
                                           that Genomic Dataset
                                               may Address
                                                 (Chapter 3)
                 Identify Case Study Questions
                            (Chapter 3)

                      Do the genomic data inform
       (1) Mode or mechanism of action for male repro dev effects?
                  (2) Interspecies differences in MO A?
  Toxicity Dataset
     Evaluation
     (Chapter 4)
                              Genomic Dataset
                                  Evaluation
                                  (Chapter 5)
Genomic Dataset
  New Analyses
    (Chapter 6)
                     Case Study Findings
                           (Chapter 7)

        1) Putative additional path\vays to further understand MOA
              2) Cross-species conservation information for
                       steroidogenesis pathway
1
2

4
5
6
                         Application to RA
                             (Chapter 7)
                          •Generic Approach
                           •Research Needs
                         •Recommendations
                         ^-.	_^«i
Figure 3-1. DBP case study approach for evaluating toxicogenomic data for use in
health assessment. Evaluation steps in the case study process are shown in rectangles.
Findings or products of the case study are shown in ovals.  ERD, external review draft.
Numbers in parentheses indicate report chapters where the case study step is described.
  777/5 document is a draft for review purposes only and does not constitute Agency policy.
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 1    anogenital distance (AGD); delayed preputial separation (PPS); agenesis of the prostate,
 2    epididymis, and vas deferens; degeneration of the seminiferous epithelium; interstitial cell
 3    hyperplasia of the testis; and retention of thoracic areolas and/or nipples (Bowman et al., 2005;
 4    Kleymenova et al.,  2005a; Barlow et al., 2004; Kim et al., 2004b; Barlow and Foster, 2003;
 5    Fisher et al., 2003; Higuchi et al., 2003; Mylchreest et al., 2002, 2000, 1999, 1998; Ema et al.,
 6    2000b, 1998, 1997, 1994; Saillenfait et al., 1998). For example, Mylchreest et al. (2000)
 7    observed retained areolas and/or nipples after exposure to 100 mg/kg-d DBF and observed a
 8    no-effect level at 50 mg/kg-d.
 9           Figure 3-2 shows the studies that were candidates for the development of the reference
10    dose (RfD) in the IRIS DBF external review draft assessment (U.S. EPA, 2006a). The point of
11    departure (POD) selected for derivation of the RfD for all exposure durations (acute, short-term,
12    subchronic, and chronic) is the no-observed-adverse-effect level (NOAEL) of 30 mg/kg-d for
13    reduced fetal testicular T (Lehmann et al., 2004). In this study, a statistically significant decrease
14    in T concentration in the fetal testis was detected at 50 mg/kg-d. The reduction in fetal testicular
15    T is a well characterized MOA that occurs after in utero DBF exposure during the critical
16    window and initiates the cascade of events for a number of malformations in the developing
17    male reproductive tract.  Studies using RT-PCR, immunochemical staining, and
18    radioimmunoassay  for T levels showed a decrease in protein and mRNA for several enzymes in
19    the biochemical pathways for cholesterol metabolism, cholesterol transport, and for
20    T biosynthesis (also called steroidogenesis more generally) in the fetus (Plummer et al., 2005;
21    Thompson et al., 2005, 2004; Lehmann et al., 2004; Barlow et al., 2003; Fisher et al., 2003;
22    Shultz et al., 2001). Collectively, these studies document that  exposure to DBF disrupts steroid
23    synthesis in the fetal testis. Thompson et al.  (2004) established that following in utero exposure
24    to 500 mg/kg-d, the T levels in the testes return to normal after the metabolites of DBF are
25    cleared from the circulation. The malformations induced by exposure to 500 mg/kg-d persist
26    into adulthood (Barlow et al., 2004; Barlow and Foster,  2003).  Thus, although the inhibition of
27    T synthesis is reversible, the biological effects resulting from the decrease in T during the critical
28    developmental window are irreversible.
29
30
           This document is a draft for review purposes only and does not constitute Agency policy.
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                                     Toxicological endpoint
         &
J4-UU
2900
2400
1900
1400
900
400
o-






I
Rat, GD
12-19
(6)




c
<




:
$
Rat, GD
0-21
(7) DM





I
Rat, GD
12-21
(8)





1
Rat,
PND 21
(28)




[
C




:
i
i
!>
Rat, GD
15 to
PND 21
(22)
Developmental




p
i
Rat, 15
days
(11)

:



c
p



5
Rat, GD
Oto21
weeks
(33)
:




c
p
:



5 (
Rat, 13
weeks
(36)
Testicular
p



i
Rat, GD
Oto21
weeks
(30)




:
(




p
;
Rat, GD
Oto4
weeks
(31)
:




i
p



0 n
i
A o
Rat, 13 Rat, GD Rat, 90
weeks 1 5 to days
(32) PND 21 (39)
(22)
Hepatic Neuro-
logical
0
A
•
n
Lowest dose tested
NOAEL
LOAEL
Highest dose tested
Numbers in parentheses
correspond to study codes in
Tables 5-1, 5-2, and 5-3.
DM = in utero mortality
 3       Figure 3-2.  Exposure response array for candidate endpoints for the point of
 4       departure (POD) in the IRIS DBF assessment external review draft. The studies are
 5       arrayed by toxicological endpoint.  Within each toxicological endpoint, the studies are
 6       arrayed by duration of exposure, shortest to longest. DM is in utero mortality. The open
 7       circle is the lowest dose tested, and the filled triangle is the NOAEL
 8       (no-observed-adverse-effect level, the filled diamond is the LOAEL
 9       (lowest-observed-adverse-effect level), and the open square is the highest dose tested.
10       The numbers in parentheses refer to study numbers in tables in the external review draft
11       of Toxicological Review of Dibutyl Phthalate (U.S.  EPA, 2006a) and are as follows:  6,
12       Lehmann et al. (2004); 7, 30, 31, 32, 33, and 36, National Toxicology Program (NTP,
13       1995); 8, Mylchreest et al. (2000); 11, Srivastava et  al. (1992); 22, Lee et al. (2004); 28,
14       Zhang et al. (2004); and 39, BASF (1992). GD, gestation day; PND, postnatal day.
15

16   3.2.   CONSIDERATION OF RISK ASSESSMENT ASPECTS THAT
17         TOXICOGENOMIC DATA MAY ADDRESS
18         While microarray and RT-PCR data have been used to inform the MOA of a chemical,

19   appropriate genomic data have the potential to inform TK, dose-response, interspecies and

           This document is a draft for review purposes only and does not constitute Agency policy.
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 1
 2
 3
 4
 5
 6
 7
intraspecies differences in TK or TD, and be utilized as biomarkers of exposure or effect (see

Figure 3-3). We considered the use of toxicogenomic data in health assessments and the many

types of information useful to hazard characterization, dose-response analysis, and risk

characterization.  Toxicogenomic data have been successful in providing information about the

molecular events  altered in the mechanism of action, and in some cases, information about TD or

TK MOA events, intra- and interspecies differences in molecular responses  (see Figure 3-4).
                                   Screening & Prioritization Programs
                                             Risk Assessment
                                                                           Exposure
                                                                           biomarker
                               Hazard Identification
                            (Screening & Characterization)
                                                       Exposure Assessment
                                   Intra &
                                   interspecies
                                   differences
                                           Risk Characterization
                            Intra & mterspecies
                            uncertainty attd variability
                                    Ri sk C o mimmic ation/ Ma nag ement
 9
10
11
12
13
14
        Figure 3-3.  Potential uses of toxicogenomic data in chemical screening and
        risk assessment.  Genomic data from appropriately designed studies have the
        ability to inform multiple types of information and in turn, steps in screening and
        risk assessment.  Arrows with "TgX data" (toxicogenomics data) indicate the
        types  of information these data can provide.  Shaded boxes indicate some of the
        types  of information that are useful in risk assessment.
      This document is a draft for review purposes only and does not constitute Agency policy.
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 1
 2
 3
 4
 5
 6
 7
       In this case study, chemical screening and exposure assessment were not considered. We

considered the use of toxicogenomic data in health assessments and the many types of

information useful to hazard characterization, dose-response, and risk characterization.

Toxicogenomic data have been successful in providing information about the molecular events
altered in the mechanism of action, and, at times, can provide information about the TD or TK

key events of the MOA (see Figure 3-4). Data from appropriately designed toxicogenomic

studies could be used to inform intraspecies and interspecies differences in molecular responses.
                            TK
                                                     TD
                                       I  I
a
cs
n
i

Exposure

—*•



^
^ TgX iota ^
~~T
Exposure
A
3
E

*



*




Intra & Interspecies
differences

Target
tissue
dose

-

Biol.
effective
dose

-fr-


Altered
molecular
events

-*•



Altered
cellular
events

-fr-



Altered
tissue





Altered
organ

-fr-

Observed
outcome/
endpoint

Observed
outcome/
endpoint

 9
10   Figure 3-4. Potential uses of toxicogenomic data in understanding mechanism of action.
11   The process from exposure to outcome encompasses all of the steps of the mechanism of action,
12   including both toxicokinetic (TK) and toxicodynamic (TD) steps. Available toxicogenomic
13   (TgX) data, such as microarray data and other gene expression data, can provide information
14   about altered molecular events, at the gene expression level.  In turn, TgX data can be used to
15   inform intraspecies and interspecies differences in molecular responses. Appropriate TgX data
16   could also inform internal dose and intra- and interspecies differences in internal dose. ADME,
17   absorption, distribution, metabolism, and excretion.

           This document is a draft for review purposes only and does not constitute Agency policy.
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 1
 2
 3    3.2.1.  Informing Toxicokinetics
 4          Characterizing the absorption, distribution, metabolism, and excretion (ADME) of
 5    environmental toxicants is important for both the understanding and application of MO A
 6    information in predicting toxicity in health risk assessments.  Differences in TK across species,
 7    individuals, and exposure patterns (routes, level, duration, and frequency) can lead to different
 8    biological effects for the same total amount of exposure to a chemical.  It is well established
 9    (U.S. EPA, 2006d) that a quantitative understanding of chemical TK (e.g., using PBPK models)
10    can be useful in analyzing dose-response data and extrapolating across  species, individuals, and
11    exposure patterns. The principles of these uses for TK are the same, regardless of whether the
12    endpoint(s) are in vivo toxicity endpoints (e.g., pup weight) or molecular precursor events (e.g.,
13    toxicogenomic changes), and will not be reviewed here.  However, the  inverse question—how
14    toxicogenomic data can inform TK—has not been fully explored. Here we consider whether
15    toxicogenomic data could be useful for understanding four aspects of a chemical's TK:
16    (1) identification of potential metabolic and clearance pathways; (2) selection of an appropriate
17    dose metric; (3) inter and intraspecies differences  in metabolism; and (4) TK/TD linkages and
18    feedback. Each of these applications is discussed  below.  Finally, the available toxicogenomic
19    data for DBF are evaluated for use in informing TK.

20    3.2.1.1.  Identification of Potential Metabolic and Clearance Pathways
21          While TK studies, themselves,  are designed to help understand the pathways for
22    metabolism and clearance of xenobiotics, toxicogenomic data may provide important
23    complementary information as to what enzymes and tissues may be involved in metabolism.  For
24    example, many xenobiotics induce the expression of the Phase I and II  enzymes that are
25    responsible for their clearance. Thus, toxicogenomic data showing  expression changes in genes
26    such as cytochrome P450s in a particular tissue may implicate their involvement in metabolizing
27    the compound. While such toxicogenomic data may confirm the major sources of metabolism or
28    clearance, they may also identify minor TK pathways relevant for inducing toxicity. However,
29    toxicogenomic changes  alone are insufficient to conclude that there is a corresponding increase
30    in a protein or activity, or is relevant to the ADME of the chemical of interest.  Ultimately,

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 1    toxicogenomic data may be most useful for generating hypotheses about metabolism and
 2    clearance pathways that can be tested with additional TK studies.
 3
 4    3.2.1.2.  Selection of Appropriate Dose Metrics
 5          Due to inherent differences in TK across species, individuals, and exposure patterns,
 6    dose-response relationships are best established based on an internal measure of a biologically
 7    effective dose as opposed to an external or applied dose. However, an understanding of TK
 8    alone may provide  a multitude of different options for this internal "dose metric," such as blood
 9    or tissue concentrations of the parent or metabolites, or rates of formation of reactive
10    compounds.  Thus, a key question in utilizing TK data for dose-response analyses and
11    extrapolation is dose metric selection, which depends on the determination of the active  chemical
12    species and the MOA of toxicity. There often may be more than one biologically plausible
13    choice of dose metric, which contributes to the uncertainty in the dose-response analysis. The
14    potential utility  of toxicogenomic data is that they are intended to represent earlier biological
15    effects, and, thus, are closer both spatially and temporally with the interaction between the active
16    chemical species and endogenous cellular molecules than more readily observable outcomes.
17    Thus, toxicogenomic data can, in principle, provide biological support for the choice dose
18    metric. Different predictions for internal dose can be statistically analyzed along with
19    toxicogenomic changes that inform TD to determine the dose metric that is best correlated.
20
21    3.2.1.3.  Intra- and Interspecies Differences in Metabolism
22              Perhaps the most straightforward application of toxicogenomic data in TK analysis is
23    to characterize intra- and interspecies differences in metabolism. Data from polymorphisms is
24    one type of genomic data that can be extremely useful to informing intraspecies differences.
25    Across species,  data on differential expression of different isozymes genes may be indicative of
26    differences in overall metabolizing capacity and affinity. In addition, toxicogenomic data may
27    be informative as to whether the tissue distribution of metabolizing enzymes may be different
28    across species. Within species, interindividual variability in metabolizing capacity and/or
29    affinity due to differences in expression or genetic polymorphism can greatly influence the
30    overall TK of a  chemical. For example, genetic polymorphisms in aldehyde dehydrogenase-2
31    (Aldh2) can result in an increase in blood acetaldehyde  levels following alcohol consumption,
           This document is a draft for review purposes only and does not constitute Agency policy.
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 1    thereby leading to overt health effects (see Ginsberg et al., 2002). Similarly, data on CNPs can
 2    provide information (Buckley et al., 2005) with direct impact on TK. For example, some
 3    individuals possess different copy numbers of Cyp2d6 that influence their response to
 4    pharmaceuticals (Bodin et al., 2005).  When the impacts of gene expression levels and
 5    polymorphisms on enzyme levels and function are known (i.e., preferably confirmed by
 6    measurement of enzyme level), this information can either be used to characterize the difference
 7    in a predicted dose metric for a subpopulation relative to the most common alleles, or it can be
 8    used in probabilistic (e.g., Monte Carlo) analyses to characterize the impact of population
 9    variability.
10
11    3.2.1.4.  Toxicokinetic/Toxicodynamic (TK/TD) Linkages and Feedback
12          Ultimately, toxicogenomic data may provide a crucial element for linking together TK
13    and TD models into more comprehensive biologically based dose-response (BBDR) models
14    (Daston, 2007).  With an  appropriate dose metric, one can link the TK predictions for a chemical
15    (e.g., tissue concentration of a metabolite) with toxicogenomic changes (e.g., change in mRNA
16    transcript level) that, in turn, are linked through a TD model to alterations in cellular constituents
17    and, ultimately, frank effects. Furthermore, toxicogenomic data may be useful in providing the
18    link by which the TD feedback of gene and protein expression changes on TK (e.g., such as
19    enzyme induction) can be modeled.
20
21    3.2.1.5. Research Needs for Toxicogenomic Studies to Inform Toxicokinetics
22          Changes in gene expression can be highly labile and vary as a function of dose and time.
23    Thus, identification of appropriate dose metrics involves detection of relevant gene changes as
24    well as the moiety that caused the changes.  Therefore, simultaneous data collection of
25    toxicogenomic data and tissue  concentrations of the relevant chemical species would be
26    beneficial. Concerning interspecies extrapolation, it is important to mine toxicogenomic data for
27    potential indicators of species differences in metabolism.  For intraspecies variability, it is
28    important to assess the potential impact of polymorphisms in Phase I and II enzymes.
29    Microarray data may also be useful for identifying life stage and gender differences in relative
30    expression of enzymes involved in the TK of the chemical of interest.
31
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 1    3.2.1.6. DBF Case Study: Do the A vailable Toxicogenomic Data Inform TK?
 2          We considered whether the available toxicogenomic data set informs TK. A greater level
 3    of detail is presented for TK here (Chapter 3) than for MOA because the latter subject is
 4    considered in greater detail in the subsequent chapters.  This section provides examples of
 5    considerations that may be helpful to risk assessors examining whether the available
 6    toxicogenomic data can inform TK for their chemical of interest.
 7          The TK of DBF is reviewed in U.S. EPA (2006a) and is summarized briefly here for
 8    context.  Following ingestion, DBF is primarily hydrolyzed to monobutylphthalate (MBP) in the
 9    gastrointestinal tract and enters systemic circulation through the portal blood.  MBP undergoes
10    glucuronidation in the liver, and both free and glucuronidated MBP circulate in serum and are
11    subsequently excreted in urine. While there are a number of TK studies in rats, little such data
12    are available in humans, particularly for known exposures to DBF. The available data suggest
13    that free MBP is responsible for the effects on T biosynthesis.  In terms of TK pathways, the data
14    set did not lead to the identification of alternative metabolic pathways for DBF.
15          Toxicogenomic data could inform dose metric selection in two broad ways: relating the
16    metabolite to the gene expression or using gene expression as the dose metric. In a more
17    traditional approach, expression changes in genes of interest can be related to a chemical moiety
18    in a target tissue of relevance (or convenience). For example, Lehmann et al. (2004) provides a
19    dose-response analysis of gene expression following DBF exposure.  However,  this study is of
20    limited value for extrapolation without TK data (e.g., tissue concentrations of MBP). Ideally,
21    TK data could be collected at various time points following various doses, but this would require
22    a large number of fetuses. In the absence of such empirical data, analyses could be performed
23    using physiologically based TK modeling, but none have yet been attempted.  Such an approach
24    might utilize TK studies for DBF and attempt to reconstruct the exposure scenarios in the
25    toxicogenomic studies with the intent to predict the MBP concentration in a target tissue (or
26    blood) at the time points where toxicogenomic samples were obtained.
27          A second and more complex approach might be to use a toxicogenomic change as a
28    dosimeter (or "biomarker"), which may obviate the need for TK data altogether. For example,
29    the microarray study of Wyde et al. (2005) reports changes in maternal liver Cyp2bl, Cyp3al,
30    and estrogen sulfotransferase mRNA levels following DBF exposure. Not only do these gene
31    expression changes  serve as potential biomarkers, but also suggest that there may be related
           This document is a draft for review purposes only and does not constitute Agency policy.
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 1    changes in metabolic biomarkers (i.e., metabonomics) because these enzymes have roles in lipid
 2    and hormone synthesis, in addition to xenobiotic metabolism. Although these changes may have
 3    no relationship to the toxic endpoint of interest, it may be possible to establish, for instance, that
 4    an increase in a specific maternal liver mRNA is correlated with a decrease in a specific mRNA
 5    in the fetal testis. Indeed, Wyde et al. (2005) show that maternal liver estrogen sulfotransferase
 6    gene expression increases in a dose-dependent manner from  10 to  500 mg/kg, while over nearly
 7    the same dose ranges, Lehmann et al. (2004) show a dose-dependent decrease in male fetal
 8    testicular Scarbl, Star, Cypllal, and Cypl7al mRNA levels.  Establishing such correlations in
 9    humans is not feasible; however, if similar correlations might be found in more accessible
10    tissues. For example, if there were strong correlations between changes in rat maternal blood
11    cell estrogen sulfotransferase mRNA and changes in a fetal testis mRNA of interest, then
12    elevations in human blood cell estrogen sulfotransferase mRNA might be indicative of
13    DBF-related changes in human male testis.
14           With respect to interspecies extrapolation and interindividual variability, the lack of
15    adequate human TK data precludes quantitative extrapolation, a situation that cannot be
16    remedied with toxicogenomic data (unless, as discussed  above, a toxicogenomic-based
17    dosimeter/biomarker is developed).  For instance, available blood measurements of MBP in
18    humans were taken from spot samples in the general population where the individual exposure
19    patterns were unknown. Although differences were observed in the ratio of free to conjugated
20    MBP in serum as compared to the rat, these data are insufficient for quantitative interspecies
21    extrapolation because in order to replace administered dose as a dose metric, it is necessary to
22    determine the absolute, not the relative, level of free MBP in serum as a function of exposure.
23    The rat data also suggest that enzyme induction occurs as Wyde et al. (2005)  provided
24    toxicogenomic evidence that exposure to 50 and 500 mg/kg DBF leads to an increase in rat liver
25    UDP glucuronsyltransferase 2B1 (Ugt2bl) mRNA levels.  More TK analysis would be required
26    to ascertain whether this induction in rats occurs at levels that are relevant to low-dose
27    exposures. Moreover, this may indicate that such induction occurs in humans and that this
28    response may increase interindividual sensitivity to DBF toxicity.  With regard to human TK,
29    none of the available toxicogenomic data on DBF provide any information  on DBF
30    interindividual TK variability such as polymorphisms in glucuronyltransferases responsible for
31    metabolizing MBP. Finally, we considered the potential  for TK/TD linkages with the available
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 1
 2
 3
 4
 5
data. It is also likely that in order for TK and toxicogenomic data to be integrated for
quantitative dose-response analysis, more sophisticated BBDR models will need to be
developed. Using such an approach, it may be feasible to relate changes in genes involved in T

production to quantify testicular T levels (see Figure 3-5).
                 HDL Cholesteryl Ester
 9
10
11
12
13
14

15
16
17
       Figure 3-5.  The fetal Leydig Cell in the fetal testis. The boxes represent genes
       involved in the biosynthesis of T; the percentages (%) represent % control gene
       expression in fetal testis of dams treated with 500 mg/kg-d DBF.

       Source:  Adapted from Barlow et al. (2003).
Briefly, the deleterious effects of DBF appear to be mediated by MBP, which causes a down

regulation of cholesterol transporters across the cell membrane (SCARE 1) and mitochondrial
      This document is a draft for review purposes only and does not constitute Agency policy.
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 1    inner membrane (StAR), as well as the down regulation of two enzymes involved in converting
 2    cholesterol to T, CYP1 lal, and CYP17al (Liu et al., 2005; Lehmann et al., 2004;
 3    Barlow et al., 2003; Shultz et al., 2001).  Thus, it may be possible to relate DBF and/or MBP
 4    levels to reductions in cholesterol transporter (e.g., SCARE 1 and StAR) and biosynthetic
 5    (CYP1 lal and CYP17al)  mRNA, protein, and/or activity levels. Changes in these parameters
 6    may then be modeled to predict changes in testicular T levels,  which may subsequently be
 7    correlated to  developmental toxicities.
 8
 9    3.2.2. Informing Dose-Response
10          Toxicogenomic data that informs TK can be useful for informing or improving dose-
11    response analysis because  it may improve the prediction of the dose metric of selection among
12    alternative dose metrics. However, use of toxicogenomic data as an endpoint in dose-response
13    analysis has not been extensively explored.  Some dose-response microarray  studies relating
14    gene ontology categorization of gene expression changes have utilizing BMD analysis to
15    determine PODs as a function of dose (Thomas et al., 2007; Andersen et al., 2008).
16
17    3.2.3. DBF  Case Study:  Do the Toxicogenomic Data Inform Dose-Response?
18          The available toxicogenomic data set for DBF can be useful for dose-response analysis.
19    Specifically,  Lehmann et al. (2004) showed that fetal testicular testosterone was significantly
20    reduced at 50 mg/kg-d or higher. A Western analysis of four proteins involved in testosterone
21    synthesis indicated that two proteins were significantly decreased at 50 mg/kg-d, a third protein
22    was also decreased at this dose, albeit insignificantly, while  a fourth protein was only reduced at
23    500 mg/kg-d. It would be  helpful to use proteomics analysis to assess protein expression on a
24    global level.  RT-PCR analysis findings confirmed that the mRNA of all four genes was
25    significantly  reduced starting at 50 mg/kg-d. Unfortunately, there are currently no dose response
26    microarray studies to assess the global expression over a dose  range.  However, this one dose
27    response gene expression study does support the role of steroidogenesis and cholesterol transport
28    genes in the decreased in testicular testosterone after in utero DBF exposure.
29
           This document is a draft for review purposes only and does not constitute Agency policy.
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 1    3.2.4. Informing Toxicodynamics/Mechanism and Mode of Action
 2          There are numerous examples where toxicogenomic data have been used to inform the
 3    mechanism or MOA for a chemical, and there are a small number of examples where such data
 4    have been used corroboratively for risk assessment decisions (see Chapter 2).
 5
 6    3.2.4.1.  General Considerations: Mechanism and Mode of Action
 1          One feature of the approach (Figure 3-1) is the evaluation of the toxicity and
 8    toxicogenomic data sets in conjunction.  The purpose of the evaluation was to consider the
 9    relevance of gene expression changes with respect to specific endpoints of interest identified in
10    the toxicity data set. In addition, using this approach could provide connections between
11    affected  pathways (toxicogenomic data set) and endpoints affected (toxicity data set), which
12    may, in turn, inform modes or the mechanism of action, as illustrated by Figure 3-6. Chapter 2
13    and the glossary describe the distinction between the definitions for mechanism of action and
14    MOA. By linking the pathway and MOAs identified in this approach, pathways may be matched
15    with and inform the mechanism of action for a chemical.
16              The decision logic of the MOA framework in the U.S. EPA Cancer Guidelines (U.S.
17    EPA, 2005) could be utilized in this step of the approach (i.e., the available data are considered
18    in light of a hypothesized MOA and follow a decision tree). However, the approach outlined
19    here is designed to specifically consider the genomic data for informing MOA which is different
20    from the goal of the MOA Framework.
21              This approach is best suited to instances where comparable study designs between the
22    toxicity/epidemiology and toxicogenomic data sets are available.  For example, toxicogenomic
23    and toxicity studies performed in the same species, using similar doses, similar exposure
24    intervals, and assessing the same organ or tissue would be ideal for utilizing this approach.  For
25    the DBF toxicity (see Chapter 4) and toxicogenomic data sets (see Chapter 5), there is some
26    comparability across some of the studies—i.e., some toxicity and toxicogenomic studies were
27    performed  at the same doses with similar exposure intervals, in the same species and strain, and
28    assessed some of the same organs (e.g., testis). However, no two studies are comparable for all
29    study-design aspects, such as precise timing of exposure and time of assessment.
30
31
           This document is a draft for review purposes only and does not constitute Agency policy.
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 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
13
14
Tox
Data Set


Comparable study design characteristics, e.g.,
"^npripc Ornsn
-Strain -T of exposure
TgX
Data Set

                            -Dose
       Figure 3-6. Approach to utilizing toxicity and toxicogenomic data for identifying
affected pathways and candidate modes and mechanism of action. Toxicogenomic data can
be analyzed for differentially expressed genes (DEGs) and, in turn, grouped into affected
pathways. Toxicity data can provide information about affected endpoints.  Toxicogenomic and
toxicity data can inform mechanism of action, including MO As, for a chemical by relating the
endpoints and the pathways. Such an approach requires similar study parameters (e.g., dose,
species, duration of exposure) for the toxicity and toxicogenomic studies. TgX, toxicogenomic.
           This document is a draft for review purposes only and does not constitute Agency policy.
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 1   3.2.4.2. DBF Case Study: MO As for Male Reproductive Developmental Effects
 2          Developmental toxicity studies (reviewed in Chapter 4) and toxicogenomic studies
 3   (reviewed in Chapter 5) have contributed to a good understanding of DBF as a chemical that has
 4   multiple MO As. Two well characterized MO As, a reduction in fetal testicular T, and a reduction
 5   in Insl3 signaling activity explain a number of the observed male reproductive developmental
 6   abnormalities. Some other observed abnormalities are not explained by these two MOAs,
 7   suggesting that there are additional MOAs for DBF.  Acknowledging that there are additional
 8   data not presented in Figure 3-7, this figure attempts to show where there is agreement in the
 9   scientific community (based on reproducibility of microarray and RT-PCR studies) about
10   affected pathways and the well characterized MOAs for DBF.  There are some endpoints and
11   pathways that need further characterization and, as a result, we were interested in determining
12   whether the toxicogenomic data could be used to associate the DBF MOAs and endpoints.
           This document is a draft for review purposes only and does not constitute Agency policy.
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                                                                                   Sertoli Cell
                                       Cholesterol
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 Disrupted
 Sertoli Cell
Development
                                                                      a inhibition
                          Fetal Leydig Cell


                       Male developmental
                                             Undescended testes
                                                              Altered repro tract dev   Multinucleated gonocyte
                       reproductive effects:
                     Figure 3-1. The proposed mechanism of action, defined as all steps between chemical exposure at
                     the target tissue to expression of the outcome, for DBF.  The steps shown are based on male
                     reproductive developmental toxicity and toxicogenomic studies.  Some of the affected pathways and
                     individual genes whose expression was significantly affected by DBF exposure in multiple studies are
                     included. By contrast, the proposed MO As are shown in purple letters.

                     Source:  Figure adapted from Liu et al. (2005), Thompson et al. (2004), Wilson et al. (2004), Barlow et
                     al. (2003), and Shultz et al. (2001).

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 2    3.3.  IDENTIFYING AND SELECTING QUESTIONS TO FOCUS THE DBF CASE
 3         STUDY
 4          In reviewing the draft IRIS assessment and the DBF toxicogenomic data set, data gaps in

 5    the assessment were noted.  We considered whether the DBF toxicogenomic data set could

 6    potentially address any of the gaps (see Figure 3-1). Four data gaps or questions of interest were

 7    identified.
 8

 9          Can the DBF toxicogenomic data set inform the

10

11       1) Modes and mechanism of action for male reproductive developmental outcomes?
12          Not all of the male reproductive developmental outcomes after in utero DBF exposure are
13          a consequence of reduced fetal testicular T (the critical effect selected in the current
14          external review draft of the IRIS DBF assessment).  For example, there is evidence that
15          in utero exposure also reduces expression oflnslS mRNA.  Additional MO As may be
16          identified by pathway analysis of the microarray data.
17
18       2) Interspecies (rat to human) differences in MOA that could, in turn, inform the TD
19          part of the UFH?  There is evidence from toxicogenomic studies that a reduction in gene
20          expression of some of the steroidogenesis genes underlies the observed reduction in fetal
21          testicular T observed after in utero DBF exposure.  Unfortunately, there are no genomic
22          studies in appropriate human in vitro cell systems to make comparisons to in vivo rat
23          MOA findings. Thus, the steroidogenesis pathway is one identified pathway affected by
24          DBF exposure. Using available DNA sequence data and other methods, we would like to
25          assess the rat-to-human conservation of the steroidogenesis pathway genes.
26
27       3) Biologically significant level of reduction in fetal T? The current external review draft
28          of the IRIS DBF assessment selected a reduction in fetal testicular T as the critical  effect.
29          We considered whether the toxicogenomic data set could aid in determining the
30          biologically meaningful level of T reduction.
31
32       4) Dose-response assessment in risk assessment? The microarray and RT-PCR studies
33          have identified genes and pathways associated with the reduced fetal  testicular T. Thus,
34          there is the potential for evaluating these genes and pathways in a dose-response
35          assessment.
36
37

38          Two questions (1 and 2 above) had the potential to be addressed utilizing the existing
39    DBF toxicogenomics and other molecular data (i.e., for Question 2, "other molecular data"

40    include DNA sequence data for comparison between rat and human steroidogenesis genes).
           This document is a draft for review purposes only and does not constitute Agency policy.
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1   While of great interest, the available toxicogenomic data were not appropriate to address
2   Questions 3 or 4 because of a lack of appropriate data. Questions 1 and 2 will be referred to in
3   subsequent chapters as Case Study Question 1 and Case Study Question 2.
4          Subsequent steps include the evaluations of the toxicity data set for the male reproductive
5   developmental effects after developmental exposure to DBF (Chapter 4) and the toxicogenomic
6   data set (Chapter 5).  Pathway analysis methods development was explored, and new analyses of
7   some of the DBF microarray data were performed (Chapter 6) because analytical methods used
8   for basic research studies may differ from analytical methods for application of these data to risk
9   assessment. Chapter 4 follows with an in-depth evaluation of the DBF toxicity data set.
          This document is a draft for review purposes only and does not constitute Agency policy.
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 1       4.   EVALUATION OF THE REPRODUCTIVE DEVELOPMENTAL TOXICITY
 2                                     DATA SET FOR DBF
 O
 4
 5          This chapter presents the evaluation of the available toxicity data for the development of
 6    the male reproductive system following DBF exposure and the MOA(s) that contribute to the
 7    observed developmental outcomes of the male reproductive system. We used the compilation of
 8    the male reproductive toxicology literature cited in the draft U.S. EPA IRIS assessment (U.S.
 9    EPA, 2006a) as a starting point for our toxicology literature review for this case study. Each
10    toxicology study was examined for the lowest dose and possible low-incidence effects in order to
11    determine the full spectrum of male reproductive developmental effects. In a second evaluation,
12    we used available information on MO A for each endpoint to identify "explained" and
13    "unexplained" endpoints. The unexplained endpoints are one focus of the toxicogenomic data
14    set evaluation, presented in Chapters 5 and 6.
15          An extensive toxicological data set exists for DBF that includes acute and subchronic
16    studies in multiple species, multigeneration reproduction studies in rodents, and studies that
17    assess developmental outcomes following in utero or perinatal/postnatal exposures.  Following
18    DBF exposure during the critical stages of development, the male reproductive system
19    development is perturbed in rodent studies (Gray et al., 1999b, 2001; Mylchreest et al., 1998,
20    1999, 2000), and the MOA (see Chapter 2 and glossary for definition) of DBF for a number of
21    these outcomes has been well established (David, 2006; Foster, 2005).  The draft U.S. EPA IRIS
22    assessment document (U.S. EPA, 2006a) utilized the alteration in fetal T levels, observed in
23    Lehmann et al. (2004), as an endpoint for the derivation of acute,  short-term, subchronic, and
24    chronic reference values for DBF. This premise and conclusion were reviewed in the case study
25    exercise, utilizing information from genomic  studies that targeted and further elucidated the
26    molecular events underlying these developmental outcomes (see Chapters 5 & 6).  The intent of
27    performing such an evaluation of the toxicology studies was to examine the possible usefulness
28    of the toxicogenomic data in characterization of the MOA(s) that contribute to the adverse
29    outcomes.  We also examined the data for low dose or low incidence findings because such data
30    may aid the interpretation of toxicological outcomes that can be misinterpreted as transient (e.g.,
31    AGD), or non-adverse due to low incidence or magnitude (e.g., statistically nonsignificant
             777/5 document is a draft for review purposes only and does not constitute Agency policy.
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 1    incidences of gross pathology findings in male offspring reproductive organs, or alteration of
 2    fetal T levels).

 3    4.1.  CRITERIA AND RATIONALE FOR INCLUSION OF TOXICOLOGY STUDIES
 4         IN THE EVALUATION
 5         Figure 4-1 illustrates the process of evaluating the toxicology data set for DBF, relevant to
 6    the goals of the case study.  The first step in the process was the identification of studies that
 7    would be included for consideration in the case study.  We identified a number of study selection
 8    criteria in Step 1. One criterion of prime importance was that the studies should include
 9    exposures to DBF during sensitive periods of male reproductive system development. Secondly,
10    a no-observed-effect level (NOEL), lowest-observed-effect level (LOEL), or benchmark dose
11    lower confidence limit (BMDL) would need to be identified for presumably adverse outcomes in
12    the reproductive organs and/or function  of male offspring. Additionally, the studies would need
13    to be of adequate quality in order to establish confidence in the study conduct, methods, and
14    results. These criteria, taken together, define a subset of the available toxicology studies that
15    were considered possible candidates for determining the POD for derivation of reference values
16    of various durations in the draft IRIS assessment  document for DBF (see Tables 4-1, 4-2, and 4-3
17    in U.S. EPA, 2006a).  These candidate study lists were considered during the External Peer
18    Review of the IRIS document, conducted in July  2006, thereby providing a measure of
19    confidence in their inclusiveness and veracity for the purpose of this case study.  Though there
20    are observable adverse effects on male reproductive  system development in multiple species, the
21    only available and relevant genomic studies with DBF (i.e., those that addressed effects on male
22    reproductive system development following prenatal exposures) were conducted in rats.  Table
23    4-1 lists the studies that were identified for inclusion as of July 2006. For each study, the
24    following information was summarized:  a description of the dose and exposure paradigm, the
25    treatment-related outcomes observed at each dose level, and the experimentally derived NOEL
26    and/or LOEL. The terms NOAEL and LOAEL are not used in this case study report, although
27    these terms are commonly used in risk assessment. Some  study reports do not specifically define
28    NOELs or LOELs, and others do not address the  issue of adversity of observed study outcomes.
29    For that reason, Table 4-1 presents those outcomes that could be considered biomarkers of
             This document is a draft for review purposes only and does not constitute Agency policy.
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1    effects on the male reproductive system that were reported by the study authors, without specific
2    consideration or judgment of adversity.
3
            This document is a draft for review purposes only and does not constitute Agency policy.
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STEP 1:  Evaluate toxicology studies cited in IRIS
        assessment, for inclusion in case study
STEP 2:  For each study, identify NOEL/LOEL
        and examine data for low incidence and
        low dose findings
   Problems with
     quality of
   reported data;
   individual data
    not available
                                 Individual data
                                   available
STEP 3:  Examine individual data for each male repro
        outcome/endpoint
                                                  Thorough
                                                assessment of
                                                    data
                                                                            Issues in
                                                                         evaluating data
                                                                      Study or
                                                                     reporting
                                                                   deficits prevent
                                                                   further analysis
                                                                      of data
1
2
3
4
5
                                    Data at NOEL
                                     appear to be
                                     biologically
                                       relevant
                                                                                               Interpret or
                                                                                               corroborate
                                                                                             study outcomes
                                                                                               & endpoints
       Figure 4-1. The process for evaluating the male reproductive developmental toxicity
       data set for low-dose and low-incidence findings.
       This document is a draft for review purposes only and does not constitute Agency policy.
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   1
§  3.
             Table 4-1. Studies with exposures during development that have male reproductive outcomes (limited to

             reproductive organs and/or reproductive function) and were considered adequate for reference value

             determination
Study3
Barlow and
Foster, 2003
Barlow et al.,
2003
Barlow et al.,
2004
Bowman et al.,
2005
Carruthers and
Foster, 2005
Emaetal., 1998
Ema et al., 2000b
Ferrara et al.,
2006
Species (strain), duration,
and exposure
Rat (SD);GD 12-21; 0 or
500 mg/kg-d
Rat (SD); GD 12-19;
500 mg/kg-d
Rat (SD); GD 12-21; 0, 100, or
500 mg/kg-d
Rat (SD); GD 12-19 or 21; 0 or
500 mg/kg-d
Rat (SD); GD 14-15, 15-16,
16-17, 17-18, 18-19, 19-20; 0
or 500 mg/kg-d
Rat (Wistar); GD 11-21; 0, 331,
555, or 661 mg/kg-d
Rat (Wistar); GD 15-17; 0, 500,
1,000, or 1,500 mg/kg-d
Rat (Wistar); GD 12-14, or
GD 20; 0, 1,000, or
1,500 mg/kg-d
Rat (Wistar); GD 13.5-21. 5;
0 or 500 mg/kg-d
Reproductive system effects
Large aggregates of Leydig cells, multinucleated gonocytes, & an
increased number of gonocytes in fetal testes; a decreased number
of spermatocytes on PND 16 & 21; epididymal lesions (decreased
coiling of the epididymal duct, progressing to mild [PND 45], &
then severe [PND 70] seminiferous epithelial degeneration).
Large aggregates of Leydig cells with lipid vacuoles.
Testicular dysgenesis (proliferating Leydig cells & aberrant
tubules); decreased AGO; areolae retention; small incidence of
Leydig cell adenomas.
Marked underdevelopment of the Wolffian ducts (characterized by
decreased coiling).
Decreased AGO; retained areolae & nipples; reduced epididymal
weights, increased testes weight due to edema; malformations of
the seminal vesicles, agenesis of various regions of the epididymis,
small or flaccid testes; malformation of the coagulating gland.
At 555 & 661 mg/kg-d, increased incidences of cryptorchidism &
decreased AGO.
At 1,500 mg/kg-d, cryptorchidism observed in 80% of litters; at
500, 1,000, & 1,500 mg/kg-d, decreased AGO.
At 1,500 mg/kg-d (GD 12-14), cryptorchidism observed in 50% of
litters; at 1,000 & 1,500 mg/kg-d, decreased AGO.
Delayed entry of gonocytes into quiescence, increase in gonocyte
apoptosis, & subsequent early postnatal decrease in gonocyte
numbers (exposures: GD 13.5-17.5); >10% increase in
multinucleated gonocytes (exposures: GD 19.5-21.5).
Repro NOEL
mg/kg-d


100


331



Repro LOEL
mg/kg-d
500
500
500
500
500
555
500
1,000
500

s

rS"

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              Table 4-1.  (continued)
Study3
Fisher et al.,
2003
Gray et al.,
1999b
Kim et al., 2004
Ab
Kleymenova et
al., 2004 Ab
Kleymenova et
al.,2005aAb
Kleymenova et
al., 2005b
Species (strain), duration,
and exposure
Rat (Wistar); GD 13-21; 0 or
500 mg/kg-d
Rat (Long-Evans) (PO); PND
21— adult; 0,250, 500, or
1,000 mg/kg-d
Rat (Long-Evans) (Fl);
GD 0-PND 21; 0, 250, 500, or
1,000 mg/kg-d
Rat (Long-Evans) (Fl); GD 14
to PND 3; 0 or 500 mg/kg-d
Rat (SD); GD 10-19; 0, 250,
500, or 700 mg/kg-d
Rat (strain not specified);
GD 12-17, 19, 20; 0 or
500 mg/kg-d
Rat (SD);GD 12-20; 0,0.1, 1,
10, 30, 100, or 500 mg/kg-d
Rat(SD);GD 12-21; 0 or
500 mg/kg-d
Reproductive system effects
Cryptorchidism, hypospadias, infertility, & testis abnormalities
similar to human testicular dysgenesis syndrome; abnormal Sertoli
cell-gonocyte interaction.
At 250, 500, & 1,000 mg/kg-d, delayed puberty; at 500 &
1,000 mg/kg-d, reduced fertility related to testicular atrophy
&reduced cauda epididymal sperm numbers.
At 250 & 500 mg/kg-d, reproductive malformations (low
incidences of hypospadias, testicular nondescent, & uterus
unicornous); reduced fecundity.
Reduced AGO, retained nipples, permanently reduced
androgen-dependent tissue weights.
Decreased testes & accessory sex organ weight; delayed testis
descent; increased expression of estrogen receptor in testes.
Altered proliferation of Sertoli & perirubular cells; multinucleated
gonocytes; changes in Sertoli cell-gonocyte interactions.
At 30 & 50 mg/kg-d, disruption of Sertoli-germ cell contact; at
50 mg/kg-d, Sertoli cell hypertrophy, decreased total cell number &
number of seminiferous tubules; at 100 mg/kg-d, increased
multinucleated gonocytes.
Cytoplasmic changes in Sertoli cells with abnormal cell-cell contact
with gonocytes, clustering of gonocytes in the middle of the
tubules, altered morphometry of seminiferous tubules, clusters of
interstitial cells, decreased number of tubular cross sections per
testicular section; increased number of multinucleated gonocytes.
Repro NOEL
mg/kg-d






10

Repro LOEL
mg/kg-d
500
250
250
500
250
(presumed)
500b
30
500
o



o
S


§
s

rS"

-------
                 Table 4-1. (continued)
o  <*>'
U
O  58
S  a
   1
§  3.
Study3
Species (strain), duration,
      and exposure
                                                                   Reproductive system effects
                                                                                                                 Repro NOEL
                                                                                                                   mg/kg-d
Repro LOEL
  mg/kg-d
Lee et al., 2004
             Rat (SD); GD 15 to PND 21; 0,
             1.5, 14.4, 148, or 712 mg/kg-d
             (converted from 0, 20, 200,
             2,000, and 10,000 ppmDBP in
             diet)
                             At 712 mg/kg-d, decreased percent males; decreased AGD &
                             retained nipples, decreased relative testis weight; at 1.5, 14.4, 148,
                             & 712 mg/kg-d, on PND 21, reduction in spermatocyte
                             development, increased foci of aggregated Leydig cells, &
                             decreased epididymal ductular cross section; at 148 &
                             712 mg/kg-d, at week 11, loss of germ cell development; at
                             1.5 mg/kg-d, degeneration & atrophy of mammary gland alveoli in
                             males at 8-11 weeks of age.
                                                                                                                                     1.5
Lehmann et al.,
2004
                            Rat (SD);GD 12-19; 0,0.1, 1,
                            10, 30, 50, 100, or 500 mg/kg-d
                                             At >50 mg/kg-d, decreased fetal T concentration; at 500 mg/kg-d, a
                                             reduction in oil red O staining of lipids in fetal testes.
                                                                                                 30
                                                                                                                                      50
TO
Liu et al., 2005
                            Rat (SD); GD 12-19; 0,
                            500 mg/kg-d
                                             Significant reduction in AGD at GD 19.
                                                                                                                500
Mahoodetal.,
2005
                            Rat (Wistar); GD 13.5-20.5; 0
                            or 500 mg/kg
                                             Aggregation of fetal Leydig cells; reduced Leydig cell size; reduced
                                             T levels at GD 19.5 & 21.5 (early event in testicular dysgenesis);
                                             cryptorchidism; partial absence of epididymis at PND 90.
                                                                                                                500
MylchreestetaL
1998
                            Rat (SD); GD 30 to PND 20;
                            0, 250, 500, or 750 mg/kg-d
                                             At 500 & 750 mg/kg-d, decreased AGD; at 250, 500, &
                                             750 mg/kg-d, absent or underdeveloped epididymis, associated with
                                             testicular atrophy & germ cell loss, hypospadias, ectopic or absent
                                             testes; at 500 & 750 mg/kg-d, absent prostate & seminal vesicles,
                                             small testes, & seminal vesicles.
                                                                                                                250
MylchreestetaL
1999
                            Rat (SD);GD 12-21; 0, 100,
                            250, or 500 mg/kg-d
                                             At 500 mg/kg-d, hypospadias; cryptorchidism; agenesis of the
                                             prostate, epididymis, & vas deferens; degeneration of the
                                             seminiferous epithelium; interstitial cell hyperplasia & adenoma;
                                             decreased weight of prostate, seminal vesicles, epididymis, &
                                             testes; at 250 & 500 mg/kg-d, retained areolae or thoracic nipples,
                                             decreased AGD; at 100 mg/kg-d, delayed preputial separation
                                             (attributed to highly affected litter, & not repeated in subsequent
                                             study).
                                                                                                 100
                                                                                                                                     250

-------
                 Table 4-1.  (continued)
o  <*>'
U
O  58
S  a
   1
§  3.
Study3
Species (strain), duration,
      and exposure
                                                                    Reproductive system effects
                                                                                                                  Repro NOEL
                                                                                                                     mg/kg-d
                                                                                                                                  Repro LOEL
                                                                                                                                    mg/kg-d
Mylchreestetal.,
2000
              Rat (SD);GD 12-21; 0,0.5, 5,
              50, 100, or 500 mg/kg-d
                             At 500 mg/kg-d, decreased AGD, hypospadias, cryptorchidism,
                             absent or partially developed epididymis, vas deferens, seminal
                             vesicles, & ventral prostate; decreased weights of testes,
                             epididymis, dorsolateral & ventral prostates, seminal vesicles, &
                             levator anibulbocavernosus muscle; seminiferous tubule
                             degeneration, focal Leydig cell hyperplasia, & Leydig cell
                             adenoma; at 100 & 500 mg/kg-d, retained thoracic areolae or
                             nipples in male pups.
                                                                                                                       50
                                                                                                                                       100
Mylchreestetal.,
2002
                            Rat (SD);GD 12-21; 0 or
                            500 mg/kg-d
TO
                                              In GD 18 & 21 fetuses, testicular atrophy, Leydig cell hyperplasia,
                                              enlarged seminiferous cords with multinucleated gonocytes;
                                              decreased testicular T; fewer epididymal ducts.
                                                                                                                  500
NTP, 1991
                            Rat (SD); continuous breeding
                            (16 weeks) (gestation and
                            lactation); 0, 80, 385, or
                            794 mg/kg-d in dams (converted
                            from 0.1, 0.5, and 1.0 % DBF in
                            feed)
                                             Fl adults:
                                             At 80, 385, & 794 mg/kg-d:  Increased incidence of absent, poorly
                                             developed, or atrophic testis & underdeveloped or absent
                                             epididymis.
                                             At 385 & 794 mg/kg-d:  Increased incidence of seminiferous tubule
                                             degeneration.
                                             At 794 mg/k-d: Decreased mating, pregnancy, & fertility indices;
                                             decreased epididymal, prostate, seminal vesicle & testis weights;
                                             decreased cauda epididymal sperm concentration; decreased
                                             average spermatid count, total spermatid heads/testis or total
                                             spermatid heads /g testis; increased incidence of absent,
                                             small/underdeveloped/poorly developed, or atrophic penis, seminal
                                             vesicles, epididymis, & prostate; interstitial/Leydig cell
                                             hyperplasia; delayed testicular descent or cryptorchidism.
                                                                                                                  80
NTP, 1995 (some
of this is also
reported in Wine
et al., 1997)
                            Rat (SD); continuous breeding
                            (16 weeks) (gestation and
                            lactation); 0, 80, 385, or
                            794 mg/kg-d in dams (converted
                            from 0.1, 0.5, and 1.0% DBF in
                            feed)
                                              At 794 mg/k-d: Decreased mating, pregnancy, & fertility indices;
                                              decreased epididymal, prostate, seminal vesicle, & testis weights.
                                                                                                  385
                                                                                                                                       794
   oo

-------
              Table 4-1.  (continued)
Study3
NTP, 1995

NTP, 1995
Plummer et al.,
2005 Ab
Shultz et al,
2001
Thompson etal.,
2004a
Thompson etal.,
2005
Wilson et al.,
2004
Species (strain), duration,
and exposure
Rat (Fischer 344); perinatal and
lactation plus 17 weeks; 0, 138,
279, 571, 1,262, or
2,495 mg/kg-d in dam?
(converted from 0 or
10,000 ppm during gestation
and lactation; 0, 1,250, 2,500,
5,000, 7500, 10,000,
20,000 ppm for 4 weeks PN;
0, 2,500, 5,000,10,000, 20,000,
and 40,000 for last 13 weeks
PN)
Rat (Fischer 344); perinatal and
lactation plus 4 weeks; 0, 143,
284, 579, 879, or 1,115 mg/kg-d
in dam (converted from 0,
1,250, 2,500, 5,000, 7,500,
10,000, and 20,000 ppm)
Rat (strain not specified);
gestation; 0 or 500 mg/kg-d
Rat (SD), GD 12-21; 0 or
500 mg/kg-d
Rat (SD); GD 12-17, 12-18, or
12-19; 0 or 500 mg/kg-d
Rat (SD); GD 19; 0 or
500 mg/kg-d
Rat (SD); GD 14-18; 0 or
1,000 mg/kg-d
Reproductive system effects
At 571, 1,262, & 2,495 mg/kg-d: Degeneration of germinal
epithelium.
At 1,262 & 2,495 mg/kg-d: Decreased testes & epididymal
weights, fewer sperm heads per testis, & decreased epididymal
sperm concentration.

At 879 & 1,115 mg/kg-d: Moderate epididymal hypospermia in all
males; at 579 mg/kg-d, mild epididymal hypospermia in 2 of 10
males.
Decreased fetal T levels.
Decreased fetal testicular T & androstenedione; increased
progesterone.
Decreased fetal T.
Decreased fetal T.
Decreased fetal T, expression oflnslS.
Repro NOEL
mg/kg-d
279

284





Repro LOEL
mg/kg-d
571C

579d
500
500
500
500
750
o



o
S


§
s

rS"

-------
                Table 4-1.  (continued)
o  <*>'
U
O  58
S  a
   1
§  3.
              Study3
  Species (strain), duration,
        and exposure
                 Reproductive system effects
Repro NOEL
  mg/kg-d
Repro LOEL
  mg/kg-d
         Zhang et al..
         2004
Rat(SD);GDltoPND21;0,
50, 250, or 500 mg/kg-d
At 250 & 500 mg/kg-d, decreased AGD; underdeveloped
epididymides; decreased epididymis or prostate weight at PND 70;
decreased percent motile sperm & total sperm heads; degeneration
of the seminiferous epithelium. At 500 mg/kg-d, cryptorchidism,
absent epididymides, decreased total number of sperm.
     50
     250
s
rS"
        Ab, Abstract only; AGD, anogenital distance; GD, gestation day; PND, postnatal day; Repro LOEL, lowest-observed-effect level for male reproductive system
        outcomes found in the study; Repro NOEL, no-observed-effect level for male reproductive system outcomes; T, testosterone. Note:  These terms are used solely
        in a descriptive manner in this table, they may not reflect the terminology of the source study, and they are not intended to convey any regulatory implication.
        "All studies used an oral route of exposure. Lee et al. (2004) and NTP (1995,  1991) exposed to DBF in the diet. All other studies used oral gavage.
        bThe abstract states that the effects were "dose dependent" but does not specifically indicate the LOEL.
        0Overall, the study NOEL and LOEL are lower based on liver peroxisome activity.
        dOverall, the study NOEL and LOEL are lower based on increased liver weight.

-------
 1    It is also noted that although BMDL values were calculated for specific developmental endpoints
 2    identified in Lehmann et al. (2004), Mylchreest et al. (2000), and the National Toxicology
 3    Program (NTP, 1995) (see draft IRIS document, Table 4-4), these values were not utilized as a
 4    POD for reference value derivation.
 5
 6    4.2.  REVIEW OF THE TOXICOLOGY DATA SET
 7         Figure 4-1 illustrates the stepwise approach taken in the evaluation of the toxicity studies,
 8    focusing on low-dose and low-incidence outcomes. First, for each toxicology study, we
 9    examined the data at the lowest dose levels (as defined by the study NOELs and LOELs) (Step
10    2). If there was any indication of insurmountable problems with the quality of the reported data
11    (e.g., excessive variability, critical methodological concerns, lack of peer review as with
12    abstracts, etc.), or if there were no individual animal data reported (as is often the case for poster
13    abstracts as well as for many published studies, which only contain extracted summary data), the
14    review of that study would be terminated.  However, if individual data were available, the review
15    could proceed (Step 3).  The individual animal data were examined for evidence of reproductive
16    system outcomes in the males. Although for most studies the exposures were only administered
17    during the perinatal developmental period, we recognized that an adverse treatment-related
18    outcome might be identified at any life stage that was assessed in the study. There were three
19    possible courses that the data review could take from this point forward. In cases where
20    problems were identified in the data, we attempted to analyze the extent of the issues and
21    determine the ability to  move forward with the study analysis.  In some cases the analysis
22    stopped at this point, due to deficits in the  study data or to inadequate reporting of individual
23    animal data. However,  if the data in the report appeared to be thoroughly assessed, then the
24    study outcomes and endpoints were examined. Alternatively, in some cases where adequate
25    individual study data were available for analysis, further examination of the study  could identify
26    effects at the lowest dose levels that had been considered biologically irrelevant in the original
27    review, but it might require further consideration.  At any point in this stepwise process that data
28    were deemed insufficient to proceed further, we identified research needs (discussed in Chapter
29    7).
30          To begin the characterization and evaluation of the published studies according to this
31    stepwise model, important aspects of each study protocol, conduct, and reporting were first
             777/5 document is a draft for review purposes only and does not constitute Agency policy.
                                                  4-11     DRAFT—DO NOT CITE OR QUOTE

-------
 1    summarized (Table 4-2). Examination of this table demonstrates that approximately half the
 2    studies that were selected for analysis (i.e., 14 of 29) were limited to a single-dose group, which
 3    eliminated them from further examination for lower-dose level effects. It is also important to
 4    note that individual animal data were reported in only 2 of the 29 studies, thereby severely
 5    limiting, and in some cases even preventing, more rigorous evaluation of the study findings.
 6    These two characteristics alone tend to overshadow any of the other listed study attributes that
 7    might contribute to confidence in study findings (i.e., evidence that the study was conducted
 8    according to quality laboratory standards, description of statistical  analysis of the data, and/or
 9    specific information regarding the number of litters and offspring assessed, which would provide
10    an indicator of statistical power).  Of the studies listed, only the study conducted by the NTP
11    (1995, 1991) was considered suitable for extended examination.
12          In order to create a profile of outcomes to the male reproductive system following
13    developmental exposures, which might then serve as a baseline for further comparison and
14    analysis of toxicological findings across the studies, a list of observed effects was compiled
15    (Table 4-3). The content of this list is very clearly defined by the study protocols, both in terms
16    of what endpoints were examined in each study and when (i.e., at what life stage) they were
17    examined.  For some endpoints, the precise GD or postnatal day  (PND) of evaluation may even
18    be critical.  For example, fetal T should peak at approximately gestation day (GD) 18, so
19    assessments made at earlier or later time points may be less  sensitive in detecting adverse
20    outcomes, and the effects will not be directly comparable across  fetal ages.  Decreases in T levels
21    may not be observed postnatally unless treatment is continued or if testicular malformations
22    disrupt T level (which is a different mechanism of perturbation than alterations to the
23    steroidogenic pathway).  In neonates, examination for nipple retention is generally conducted at
24    around PND 13, when the structure is readily visible but before it is obscured by hair growth.
25          Cryptorchidism, even though present at birth, may not be readily observable in neonates
26    until they reach the age of PND 16-21 (and of course, it should be detectable at postweaning
27    ages and in adults). Preputial separation (PPS) delays can only be  observed at the time of sexual
28    maturation, which, in the male Sprague-Dawley rat, occurs at approximately PND 42; therefore,
29    this effect cannot be detected at an earlier life stage, nor will it be observed in sexually mature
30    adults. On the other hand, sperm alterations (count, morphology, or motility) and perturbations

             This document is a draft for review purposes only and does not constitute Agency policy.
                                                  4-12    DRAFT—DO NOT CITE OR QUOTE

-------
1    in male fertility can only be assessed in adult males, not in immature individuals at earlier life
2    stages.
            This document is a draft for review purposes only and does not constitute Agency policy.
                                                  4-13     DRAFT—DO NOT CITE OR QUOTE

-------
o  <*'
>;  ^
O  58
                 Table 4-2.  Reporting and study size characteristics of male reproductive studies following in utero
                 exposure to DBF
Study
Barlow and Foster, 2003
Barlow et al., 2003
Barlow et al., 2004
Bowman etal., 2005
Carruthers and Foster, 2005
Emaetal., 1998
Ema et al., 2000b
Ferrara etal., 2006
Fisher etal., 2003
Gray etal., 1999b
Kim et al., 2004 Ab
Kleymenova et al., 2004 Ab
Kleymenova et al., 2005a
Ab
Kleymenova et al., 2005b
Lee etal., 2004
Lehmannetal., 2004
Liu et al., 2005
>One
high
dose


^


^
^


^
PPS
only
^
S
s

V
s

Individual
data
publicly
available

S subsetb















Stat
analysis
method
reported
^
^
^
^
^
^
^
^
S
S



S
V
S
V
Study
conduct
level
reported
^
^
•/
S
•/


S
•/




S

S
S
Number evaluated/group
Litters
l-9a
NR
8-1 la
18
l-14d'e
11 DBF treated
73 DBF treated
"in most instances" —3-6
NR
4 (LE); 8 (SD)
NR
NR
NR
o
5
6-8
1-4
3
Offspring
7-60a
3
35-74a'c
All male fetuses
l-91e
AGO: NR; crypt: 144
~770f
l-3/litterg
Testis wt: 5-10 animals/age group (4);
hyp. & crypt.: 10 adults
LE: 30 male pups; 13 adult males
SD: 48 male pups; 17 adult males'1
NR
NR
NR
14-21 pups/evaluation
11-20 adults
3-4 fetuses/group
3 fetuses/litter
§1
ll
   Co
  I
   rj
   1
   i
   TO'

-------
            Table 4-2. (continued)
Study
Mahood et al., 2005
Mylchreest et al., 1998
Mylchreest et al., 1999
Mylchreest et al., 2000
Mylchreest et al., 2002
NTP, 1995, 1991
Plummer et al., 2005 Ab
Shultzetal, 2001
Thompson etal, 2004a
Thompson et al., 2005
Wilson etal., 2004
Zhang etal., 2004
>One
high
dose

V
S
S

s





s
Individual
data
publicly
available





V






Stat
analysis
method
reported
S
S
S
S
S
S

S
S
S
S
S
Study
conduct
level
reported
S
s
•/
s
•/
s

s
•/
s
•/

Number evaluated/group
Litters
2-7
7-10
10
11-20
5-6
20
NR
o
5
4
4
3
14-16
Offspring
NR
All males/litter
All males/litter
All males/litter
23-49 fetuses
All pups/litter in-life thru necropsy;
histopath: 10/selected groups
NR
1 male/litter
1 male/litter
3 fetuses/litter
All males/litter
20 pups/group
   5  58
§
I
I
Co
      I
   rj
   1
            Ab, Abstract only; LE, Long Evans; NR, Not reported; PPS, preputial separation; Y, present.
            "Litters and pup numbers not reported for AGD and areolae retention.
            bData for three individual animals were reported for LC and Sertoli cell staining.  The other results are not reported in this table because they were from
             toxicogenomic studies (see Chapter 5).
            °57-100% of these pups survived to necropsy so for malformations that required necropsy, the number of pups is less than shown.
            dReported mean litter size for Table 1.
            eLitters for AGD were the statistical unit; neither litter nor pup numbers for AGD were reported.
            fNumber derived from the mean number of live fetuses/litter.
            8In some cases, data from two experiments were combined.

-------
1
2
            Table 4-3. Life stage at observation for various male reproductive system outcomes
            assessed in studies of developmental exposure to DBF
Findings
Decreased T
Malformations
Decreased AGO
Hypospadias
Retained nipples/areolae
Cryptorchidism
Delayed PPS
Organ weights
Histopathology of male
reproductive organs
Abnormal sperm
Decreased fertility
Life stage of animals (rats) at observation
Fetus
•/

-------
Table 4-4. Age of assessment for individual endpoints across studies of male reproductive system following
developmental exposure to DBF

Barlow and Foster, 2003
Barlow et al., 2003
Barlow et al., 2004
Bowman et al., 2005
Carruthers and Foster, 2005
Emaetal., 1998
Emaetal.,2000b
Fisher et al., 2003
Gray et al., 1999b
Kim et al., 2004 Ab
Kleymenova et al., 2004 Ab
Kleymenova et al., 2005a
Ab
Kleymenova et al., 2005b
Lee etal., 2004
Lehmann et al., 2004
Liu et al., 2005
Mahood etal., 2005
Mylchreestetal., 1998
Mylchreestetal., 1999
Mylchreestetal., 2000
Mylchreestetal., 2002
Fetus
I
T"







/






/

/



S
Histo-
path"
V
V

•/°

S
7
V


V
s
V



s



s
Neonate through puberty
I
AGDC
S

•/

v">
/'
/'

V




/

Sz

V
/
/
NRZ
Hyp"
S








s


—
-y



V
/
/

Ret.
nip/
areolae6
V

S

S«



s




s




•/
s

Cryptf
/




/'
^'


/


—
	 y


/aa
s
/
y

Del.
PPSg
•/ —







/v




—



—
•/
—

I
Org
wth







S

S



—


NR




Histo-
path"
S








—


S
S


s




I
T"







SI— u

— x











Adult
Mali4
V

S

V
?

V
S
—



-y


V
s
•/
V

4
Org
wth
/'

•/m

S


S
V
—



s


NR
V
•/
S

Histo-
path"
/

/

/


/
S
—



/


/

/
y

Ab.
Sperm'
V






V
/»








bb



4
Fertk







V
PO
males












Hyp"
S

sn

—


s
V







NR
V
•/
S

Ret.
nip/
areolae6


S

S*



S












Cryptf
/

/

—


/
V







/
V
/
NR

A
AGD


^4

se
















I
T"







U
PO
males
/"*












-------
                 Table 4-4. (continued)

NTP, 1991
Hummer et al., 2005
Shultzetal., 2001
Thompson et al., 2004a
Thompson et al., 2005
Wilson et al., 2004
Zhang et al., 2004
Fetus
I
T"

V
S
S
S
V

Histo-
path"







Neonate through puberty
I
AGDC


NRZ



S
Hyp"
/





—
Ret.
nip/
areolae6







Crypt'

/cc




v'
Del.
PPSg







4
Org
wth






—
Histo-
path"







|Ta







Adult
Malf
•/





S
{
Org
wth
	 ?





v'
Histo-
path"
/





v'
Ab.
Sperm'
•/





/bb
I
Fertk
•/






Hyp"
•/





—
Ret.
nip/
areolae6







Crypt'
/





V
A
AGD







I
T"







2
i
   oo
         Y, Observed; —, Not observed; white box, Not evaluated; shaded box, Evaluated; NR, Not reported, although the study indicates that the endpoint was
         evaluated.  Ab, Abstract only; PPS, preputial separation.
         "Decreased testicular testosterone (T) should peak at PND 18; Fisher et al. (2003) also assessed plasma T levels postnatally and in adults, but the relevance of
          their findings is unclear.
         bHistological changes—Leydig cell hyperplasia (aggregation); multinucleated gonocytes; Wolffian duct increased coiling (can be measured in fetus, neonate
          through puberty, or adult).
         ^Decreased AGD; or A for change in AGD.
         dHypospadias.
         Detention of nipples.
         fCryptorchidism (can observe between PND 16-21 and older).
         8Delayed preputial separation (normally observed ~PND 42).
         hOrgan weight decreases (see list below); a decrease in organ weight in at least one reproductive organ was observed.
         'Malformations—ventral/dorsal/lateral prostate, seminal vesicles, androgen dependent muscles, (accessory sex organs) epididymis, vas deferens external
          genitalia,  cryptorchidism, small or flaccid testes.
         JSperm changes—count, motility, morphology.
         "Decreased fertility.
         'Enlargement of the seminiferous cords was observed at PND 19-21.
         mln addition to the observed decreases and absences of male reproductive organs, "occasional enlargement" of the testes was observed only in the 500 mg/kg-d
          group.
         "Assessed in adult animals at PND 180,  370, and 540. Hypospadias only observed in the 500-mg/kg-d group.
         "Wolffian ducts smaller, more fragile, adipose tissue surrounding duct was more gelatinous, and decreased coiling.
         pAssessed at PND 1 and 13.  Reduction in AGD observed in animals exposed to DBF on CDs 16 & 17, CDs 17 & 18, or GD 19s & 20; no change in AGD in
          animals exposed GD 14 and 15.

-------
   ^  KO            Table 4-4. (continued).
   •3  S
   o  ^
   ^  S^    qAssessed on PND13; assessed on an individual animal basis, significant increase in nipple retention was observed after dosing on GD 15-16; 16-17; 17-18; or
   £  R      19-20.
K  g^ g     'Assessed at PND 90; significant increase in nipple retention only for males dosed GD 16-17 (individual animal basis).
x?  ^  §     "Increased AGD seen in animals exposed GD 16 and 17; no observable change in animals exposed GDs 17 & 18, GDs 19 & 20, or exposed GDs 14 & 15.
s  s  ^.    'AGD and cryptorchidism were assessed in fetuses on GD21. Exposed pregnant dams were sacrificed on day 21, and live fetuses were removed.
<  g" ^     "Assessed blood plasma T levels significantly reduced on PND 25 but not on PND 4, 10, or in adult.
o  TO  ^    vDelayedPPS only reported for parental generation (PO) males exposed from weaning through to puberty.
^ ^  
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 1    individual study findings, information was often combined by category (e.g., "histopathology"

 2    includes a broad variety of outcomes in various reproductive organs), and for the sake of brevity,

 3    the minute details and nuances of the  study design and observations, although quite interesting,

 4    are not typically presented.  In a few cases, negative outcomes presented in the table are

 5    extrapolations based upon the presumption that specific findings would have been observed if

 6    they were present.  For example, with methods that include detailed external and internal

 7    (macropathology) examination of pups and/or adults, the absence of reported malformations at

 8    either of these life stages was presumed to indicate that no gross malformations were observed

 9    because they should have been readily detectable (e.g., Lee et al., 2004).

10           Tables 4-1, 4-3, and 4-4 clearly illustrate that the study protocols varied quite extensively.

11    In general, with the exception of the NTP studies, the protocols  were not designed to conform to

12    a particular regulatory guideline. Rather, the majority of the studies were focused research

13    efforts that were verifying and/or expanding upon previously observed outcomes; therefore, the

14    differences across study methods are understandable.  As a result, the apparent lack of

15    consistency in male reproductive system  observations across studies is generally  attributable to

16    differences in protocol design and implementation.  Some examples are discussed in detail as

17    follows:
18

19       •   Although these studies all utilized exposures during late gestation (i.e.,  a critical period of
20           male reproductive system development in the rat), the specific  endpoints that were
21           assessed and/or the life stages at which endpoints were examined varied extensively
22           across the studies. Obviously, treatment-related alterations of life-stage-specific events
23           require examination during the most appropriate or optimal life stage (for example,
24           increased multinucleated gonocytes can only be observed in fetal testes, delays in PPS
25           can only be observed in juvenile animals at the time of sexual maturation, and
26           disturbances in reproductive function can only be observed in sexually mature adults).
27           Other permanent structural abnormalities may be detected across multiple life stages
28           (e.g., hypospadias or cryptorchidism could theoretically  be  observed in late gestation
29           fetuses, in adolescents, and in  adults).  For some outcomes, it is difficult to predict the
30           optimal time point for evaluation. For example, DBF-related decreases in the ER were
31           observed  at 31 days but not  at 42  days (Kim et al., 2004).
32
33       •   It is important to realize that not all available offspring are evaluated in every study;
34           therefore, identification of adverse outcomes may rely in part on sampling protocols and
35           the statistical power of the sample size for detection of rare or low-incidence events.
36           Calculations of statistical power are rarely provided in study reports.
37
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 1       •  In some cases, apparent differences in studies may result because the report contains an
 2          insufficient level of detail on a particular endpoint or life stage—often because the
 3          emphasis of the scientific review lies in a slightly different direction.  For example, if
 4          high doses of DBF are administered during sensitive periods of male reproductive system
 5          development, and the males are maintained on study and terminated as adults, at which
 6          time histopathological evaluation is performed, it might be assumed that various male
 7          reproductive system malformations and/or cryptorchidism would have been present in
 8          some of the males at necropsy. Yet, these findings may not be reported because the
 9          histopathological findings are the primary focus of the investigation and/or the
10          publication (e.g., Lee et al., 2004).
11
12       •  In other situations, the description of the findings at various life stages may vary.  For
13          example, evidence of cryptorchidism may be described as "testis located high in the
14          abdomen" in a fetus, as "undescended testis(es)" in an adolescent rat,  or as "unilateral
15          testis" upon noninvasive clinical  examination of an adult. To some extent, this lack of
16          consistency in terminology may result from laboratory Standard Operating Procedures
17          that direct technical staff to avoid the use of diagnostic terminology.
18
19          Overall, in spite of numerous differences in the study designs, the toxicological profile
20    for DBF clearly demonstrates that exposure to DBF during critical stages of male reproductive
21    system development can result in adverse structural and functional reproductive outcomes.
22    When specific critical aspects of study design and implementation were similar, consistent
23    outcomes were almost universally observed. The WOE embodied by the data described above is
24    further supported by studies in rats that demonstrated similar incidences of cryptorchidism and
25    decreased AGD in male pups of dams treated with either DBF or MBP, the metabolite of DBF
26    (Ema and Miyawaki, 2001).  The ability of MBP to cross the placenta and reach the fetus has
27    also been conclusively demonstrated (Fennell, 2004; Saillenfait et al.,  1998),  and these two TK
28    events (metabolism and placental transport) are key to the MOA of reduced fetal testicular T
29    (David, 2006). Available toxicogenomic data, described  elsewhere in this case study document,
30    further elucidate the MOA(s) of DBF in  producing adverse effects on male reproductive system
31    development and are an important consideration in the WOE analysis of the toxicological profile.
32         In the selected DBF toxicology study  data set, the presentation of extensive individual
33    offspring data was limited to the NTP (1991) study conducted as a reproductive assessment by
34    continuous breeding (RACE) in SD rats. The individual  data from this study were carefully
35    examined in order to confirm the NOEL and LOEL described in the study report. This analysis
36    was conducted under the presumption that statistical and/or biological significance noted in the
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 1    summary compilations of male reproductive system outcomes might not identify low incidence
 2    effects in individual offspring at lower dose levels. To further aid the identification of
 3    treatment-related outcomes, the male reproductive system outcomes were grouped by  organ
 4    instead of individual animal. This analysis revealed apparently treatment-related findings in the
 5    testis and epididymis of Fl male offspring, as summarized in Table 4-5.  At the highest dose
 6    tested (794 mg/kg-d, equivalent to 1.0% DBF in the diet), additional findings in the male
 7    reproductive organs of Fl offspring included single incidences of (1) underdeveloped  prepuce;
 8    (2) mild  secretion and severe vesiculitis of the prostate; (3) a mass on the testis; and (4) a focal
 9    granuloma with fluid and cellular degeneration in the epididymis; these findings were not
10    observed at the lower dose levels.  Understandably, the findings at the low- and mid-dose groups
11    were not originally interpreted as being treatment related (Wine et al., 1997; NTP, 1991).
12    However, consideration of MO A information for DBF, including toxicogenomic data, has
13    resulted  in a more conservative interpretation of the data both by NTP researchers (Paul Foster,
14    personal communication, 2008) and by the U.S. EPA IRIS program (U.S. EPA, 2006a).
15    Consequently, further analysis of individual  offspring data in the current case study did not
16    identify any additional sensitive toxicological outcomes; the study LOEL was confirmed to be
17    the lowest treatment level tested in the NTP RACE study (80 mg/kg-d).
18
19    4.3.  UNEXPLAINED MODES OF ACTION (MOAS) FOR DBF MALE
20         REPRODUCTIVE TOXICITY OUTCOMES
21          Figure 3-6 illustrates the broad conceptual approach for consideration and interpretation
22    of toxicogenomic and toxicology data to inform MO A.  The toxicogenomic data can be
23    evaluated to identify altered genes, gene products, and pathways; this information can lead to a
24    more complete understanding of the mechanism of action or MOA(s) for the chemical toxicity.
25    From the opposite perspective, the toxicity data can provide information
26
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 1
 2
 3
       Table 4-5. Incidence of gross pathology in Fl male reproductive organs in one
       continuous breeding study with DBPa
Gross finding"1
Testis: absent, poorly developed, atrophic,
undescended
Penis: small/underdeveloped
Epididymis: underdeveloped/absent
Dose (% in Diet)
0
0/20
0/20
0/20
0.1
1/20
0/20
1/20
0.5
1/20
0/20
1/20
1.0
6/20
4/20
12/20
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Incidences were compiled from reported individual animal macroscopic pathology data;
 statistical analysis was not performed.
bSome animals have more than one type of malformation, and these animals were counted
 separately for each of the three outcome categories.
Source:  (NTP, 1991).
critical to identifying the relevant MOA(s) involved in the toxicological outcomes, and thereby
inform the interpretation of gene alterations and relevant pathways.
       Consideration of the MO A for each outcome, in conjunction with pathways identified in
the toxicogenomic data set, may either help to corroborate known or hypothesized MO As or
suggest the existence of other potential MO As (see Figure 4-2).  For the DBF case study, Table
4-6 presents a compendium of the specific findings noted in the male reproductive system
following exposures at critical windows of development.  Each outcome is associated with
specific known MOAs.  While reduced fetal testicular T and reduced Insl3 signaling can be
linked to some of the observed outcomes on the basis of available data, potential key events
cannot be specifically identified for other outcomes.
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                 Identify MOAs that explain each male
                 reproductive system outcome following
                       developmental exposures
         Explained Endpoints;
      Consider pathways identified in
          TG dataset evaluation
           (Chapters 5&6) and
            whether new info
            corroborates MOA
1
2
3
4
                                                    Unexplained Endpoints;
                                                  Consider pathways identified in
                                                      TG dataset evaluation
                                                       (Chapters 5&6) for
                                                         potential MOAs
     Figure 4-2.  The process for evaluating the MOA for
     individual male reproductive developmental outcomes.
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1
2
Table 4-6. Effects in the male reproductive system after in utero DBF
exposure, and MOAsa that explain the affected endpoints
Organ/
Function
Testes
Gubernacular
ligament
Epididymis
Effect
Multinucleated gonocytes; increased number of
gonocytes in fetal testes
Altered proliferation of Sertoli and peritubular
cells; fewer Sertoli cells
Gonocyte apoptosis increase; early postnatal
decrease in gonocyte number
Abnormal Sertoli cell-gonocyte interaction
Small incidence of Ley dig cell adenomas,
aggregates, and hyperplasia
Decreased number of spermatocytes or cauda
epididymal sperm concentration.
Small or flaccid; other abnormalities; decreased
weight
Increased weight due to edema
Decreased number or degeneration of
seminiferous cords/tubules; altered
morphology; degeneration of the epithelium;
enlarged cords/tubules
Testes descent: none (cryptorchid) or delayed
Gubernacular ligament development effects:
agenesis or elongation
Lesions and agenesis; partial to complete
absence; decreased epididymal ductular cross
section
Reduced weights
MOA
Reduced
fetal
testicular
T
?b
?b
?b
?b
^
^
^
9e
•
?b
s*
X
^
^
Reduced
InslS
signaling
?c
9c
•
?c
9c
•
?c
^d
^
9
9c
•
s<
s
X
^
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 1
 2
       Table 4-6.  (continued)
Organ/
Function
Mammary gland
Wolffian ducts
Seminal vesicles
Coagulating gland
Penis
Accessory sex
organ
Prostate
Vas deferens
Levator
anibulbocavernosus
muscle
Male/female ratio
Perineum
Repro function
Effect
Nipple and/or areolae retention in males
Degeneration and atrophy of alveoli in males
Underdeveloped
Malformations or absent; decreased weight
Malformations
Small, underdeveloped
Hypospadias
Delayed preputial separation
Decreased weight
Decreased wt or absent
Agenesis
Decreased weight
Decreased % male offspring as determined by
AGO at birth
Decreased AGO
Infertility
MOA
Reduced
fetal
testicular
T
^
?b
^
^
^
^
S
^
^
^
^
S
^
S
^
Reduced
InslS
signaling
X
X
X
X
X
X
X
X
X
X
X
?c
X
X
Y"
 3
 4
 5
 6
 7
 8
 9
10
11
12
AGO, anogenital distance; ?, Current data indicate that it is unlikely the MOA; Y, Current
   weight of evidence of the data support this MOA leading to the effect; X, Current weight of
   evidence of the data indicate that this MOA is not the MOA for this outcome.
aMOA is defined as one or a sequence of key events that the outcome is dependent upon (see
 glossary).
bReduced fetal testicular T may play a role, but current data indicate that reduced T is not solely
 responsible for this outcome.
cThe Insl3 knockout mouse phenotype suggests that Insl3 is specifically required for
 gubernacular ligament development and, therefore, testis descent in mice since these mice do
 not have other defects.
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 1          Table 4-6. (continued)
 2
 3    dDecreased fertility in males is a result of reduced Insl3 signaling since reduced Insl3 signaling
 4     leads to undescended testes, which, in turn, reduces sperm count (presumably by increasing the
 5     temperature) and can cause infertility.
 6    eln some animals, increased weight, due to edema, can result in animals that have epididymal
 7     agenesis, which is a consequence of reduced testosterone (T).
 8    flns!3 signaling is required for development of the gubernacular ligament and through this
 9     mechanism—the 1st stage of testis descent from the kidney region to the inguinal region.
10     Testosterone is required for the 2nd stage of testis descent, from the inguinal region to the
11     scrotum (reviewed in Klonisch et al., 2004). After in utero DBF exposure, the cryptorchid
12     phenotype resembles the Insl3 knockout.  A delay in testis descent can result from reduced Insl3
13     andT.
14

15    4.4.  CONCLUSIONS ABOUT  THE TOXICITY DATA SET EVALUATION:
16         DECISIONS AND RATIONALE
17    The review of the toxicology data set identified a number of issues and limitations that are
18    evident in the study descriptions and endpoint summaries presented in this chapter. These
19    include the following:
20
21       •  Lack of dose-response information: A number of studies conducted with DBF used a
22          single high-dose treatment level (often at 500 mg/kg-d) in order to produce readily
23          observable adverse outcomes to male reproductive system development that could be
24          examined.  In such studies, the absence of lower-dose levels prevents the evaluation of
25          dose-dependent responses  and does not allow the identification of study-specific NOELs
26          or LOELs. While this approach is useful for hazard characterization, it does not facilitate
27          other aspects of risk assessment (e.g., dose-response assessment or risk characterization).
28          Thus, studies utilizing a single high-dose level may provide important information for a
29          WOE assessment of the toxicology profile, but they have diminished usefulness in
30          identifying outcomes for use in risk calculations at environmentally relevant doses.
31
32       •  Insufficient information on study methods: Even though every study report includes a
33          section on study methods,  there can be a great deal of unevenness in the amount of
34          detailed information provided. Consequently, important questions may  arise during study
35          review that cannot be readily resolved. In some cases, this can have an impact on
36          individual study interpretation or on conclusions that rely upon a thorough WOE
37          evaluation of the data set.
38
39       •  Unavailable individual outcome data. A full range of individual animal data is seldom
40          included in studies published in the open literature and is almost never available when the
41          only available publication  is a presentation abstract. Conversely, individual animal data
42          are generally included in toxicology reports generated in response to a regulatory
43          mandate or conducted by a federal agency (e.g., NTP).  The availability of individual
44          animal data can be quite important in interpreting the study findings, because it can
45          reveal problems  or inadequacies in the data, but it can also help identify low incidence
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 1          adverse outcomes. In the case of DBF, the individual offspring data presented in the
 2          NTP study report (1991) include alterations in the reproductive system of Fl males that
 3          had been exposed during development.  These findings are similar to outcomes identified
 4          at higher-dose levels, are consistent with the proposed MO A, and, consequently, are used
 5          to establish a LOEL for the study.
 6
 7       •  Protocol limitations: Unless studies are designed to meet the recommendations of a
 8          standardized testing protocol (e.g., NTP or U.S. EPA/Office of Prevention, Pesticides and
 9          Toxic Substances reproductive toxicity study guidelines), there may be a high degree of
10          variability among the protocols used for testing any one chemical. Between two studies,
11          there can be differences in the treatment regimen or in the assessment of outcomes that
12          render them incomparable. DBF provides a good example of a chemical that targets a
13          very specific critical prenatal window of reproductive system development in males, and
14          results in adverse outcomes that could go unidentified if the appropriate endpoint(s) are
15          not assessed at the optimal life stage or time  point.
16

17       •  Specific study's limitations: Even when a study design optimizes the detection of adverse
18          outcomes from chemical treatment, there may be challenges in study analysis and
19          interpretation. Such is the case with the NTP study (1995, 1991) on DBF, which was
20          conducted in several phases and reported both in the open literature (Wine et al., 1997)
21          and by the Institute that conducted the experiments.
22

23          The analysis of the toxicology data in this chapter has provided a firm basis for expanded

24    consideration of the toxicogenomic data for DBF as depicted in Figure 3-6.  The extensive
25    analysis of the toxicology data set and consideration of MOA(s) provide a source of information
26    for use in phenotypic linking of known and potential MO As. The available toxicogenomic
27    studies for DBF are evaluated in Chapter 5.  The genes and pathways underlying the endpoints

28    with well established or unexplained MO As are utilized in Chapter 5,  where consistency of
29    findings for altered genes and pathways are  evaluated, and, in Chapter 6, where the new pathway
30    analyses are presented.
31
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 1                     5. EVALUATION OF THE DBF TOXICOGENOMIC
 2                     DATA SET FROM THE PUBLISHED LITERATURE
 O
 4
 5          This chapter presents an evaluation of the DBF toxicogenomic data set from the
 6   published literature. The toxicogenomic studies include nine published RT-PCR and microarray
 7   studies in the rat after in utero DBF exposure. We evaluated the toxicogenomic data set for (1)
 8   the consistency of findings from the published studies, and (2) whether additional pathways
 9   affected by DBF in utero exposure could possibly explain the testis endpoints for which there is
10   not an established MOA (these "unexplained" endpoints were identified in Chapter 4).  The DBF
11   genomics data set includes nine papers published through July 2008. The microarray studies all
12   reported DBF doses of 500 to 1000 mg/kg-d during the critical window for male reproductive
13   development, which is during late gestation and correlates with the time period of maximal T
14   production.  The chapter first discusses the methodologies utilized in the nine studies and
15   provides a brief overview of each study. The chapter then presents an evaluation of the
16   consistency of the findings or WOE for the microarray, RT-PCR, and protein studies performed
17   in the rat testes.  The findings of one DBF dose-response RT-PCR study of Lehmann et al.
18   (2004) are discussed. The chapter closes with a brief discussion of data gaps and research needs.
19
20   5.1. METHODS FOR ANALYSIS OF GENE EXPRESSION: DESCRIPTION OF
21        MICROARRAY TECHNIQUES AND  SEMI-QUANTITATIVE REVERSE
22        TRANSCRIPTION-POLYMERASE CHAIN REACTION (RT-PCR)
23   5.1.1.  Microarray Technology
24          Microarray is a technology that allows for simultaneous analysis of expression of
25   thousands of genes from the organ or tissue of interest. In principle, there are two main types of
26   microarrays: the cDNA microarray and the oligonucleotide array. The cDNA microarray
27   contains DNA from each open reading frame spotted on to glass microscope slides or nylon
28   membranes. These probes are used to detect cDNA, which is DNA synthesized from a mature,
29   fully spliced mRNA transcript.  For example, Clontech's Atlas Arrays contain DNA sequences
30   from thousands of genes immobilized on nylon membrane or glass slides. Each gene found on
31   these arrays is well characterized.  These arrays, which use a radiolabelled detection system for
32   analyzing the changes in gene expression, have been optimized for high-quality expression
33   profiling using a limited set of genes.  Moreover, they allow for the use of 32P, and, therefore,
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 1    offer a sensitive measure of gene expression available.  The second type of microarray is the
 2    oligonucleotide array. Here, short DNA sequences or oligonucleotides (oligos) are synthesized
 3    directly onto the glass slide via a number of different methods. For example, Affymetrix® uses a
 4    technique called 'Photolithographic' technology, wherein probes are directly synthesized on to
 5    the arrays. Briefly, the slide is coated with a light-sensitive chemical compound that prevents the
 6    formation of a bond between the slide and the first nucleotide of the DNA probe being created.
 7    Chromium masks are then used to either block or transmit light onto specific locations on the
 8    surface of the slide. A solution containing thymine, adenine, cytosine, or guanine is poured over
 9    the slide, and a chemical bond is formed in areas of the array that are not protected by the mask
10    (exposed to light). This process is repeated 100 times in order to synthesize probes that are  25
11    nucleotides long. This method allows for high probe density on a slide.
12          Affymetrix® uses an antibody detection system with horseradish peroxidase and
13    streptavidin conjugates,  and a 2-dye system (Cy3- and Cy5- labeled fluorescein dyes), which is
14    unique to this platform.  The Agilent scanner detects the relative intensities of the red and green
15    labels and gives a relative measure of the gene expression changes between the control and
16    treated samples. In the case of Affymetrix® and Clontech, the detection system measures the
17    absolute intensity of the individual probes of the treated and control samples. These values  are
18    then used to calculate the relative gene expression change between the treated and control
19    samples.
20
21    5.1.2. Reverse Transcription-Polymerase Chain Reaction  (RT-PCR)
22          Polymerase Chain Reaction (PCR) is a method that allows exponential  amplification of
23    short DNA sequences within a longer double stranded DNA molecule using a thermo-stable
24    DNA polymerase called Taq polymerase.  RT-PCR is a semi quantitative technique for detection
25    of expressed gene transcripts or mRNA.  Over the last several years, the development of novel
26    chemistries and instrumentation platforms enabling detection  of PCR products on a real-time
27    basis has led to widespread adoption of real-time RT-PCR as the method of choice for
28    quantitating changes in gene expression. Real-time PCR is a kinetic approach  in which the
29    reaction is observed in the early, linear stages. Furthermore, real-time RT-PCR has become the
30    preferred method for confirming results obtained from microarray analyses and other techniques
31    that evaluate gene expression changes on a global scale.
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 1
 2    5.2. REVIEW OF THE PUBLISHED DBF TOXICOGENOMIC STUDIES
 3    5.2.1.  Overview of the Toxicogenomic Studies
 4          We evaluated nine studies published prior to July 2008 that characterized altered gene
 5    expression in rats following prenatal DBF exposure.  Among these nine studies, four are based
 6    on the analysis of preselected genes by real-time RT-PCR, while the other five are based on the
 7    analysis of global gene expression by microarray technology.  Table 5-1 summarizes general
 8    information (e.g., DBF dose, exposure route, exposure window, and tissue type) for these nine
 9    studies, and brief descriptions of each study are provided.  Section 5.2.3.2 presents information
10    about the similarities and differences among these studies.
11
12    5.2.2 Microarray studies
13    5.2.2.1. Shultzetal (2001)
14          Six SD rats per group were treated by gavage with corn oil, DBF (500 mg/kg), or
15    flutamide (reference antiandrogen, 50 mg/kg-d) from GD 12 - 16, GD 12 - 19, or GD 12-21.
16    Testes were then isolated on GD 16, 19, or 21. Global changes in gene expression were
17    determined by Clontech cDNA expression array (588 genes).  Shultz et al. (2001) isolated total
18    RNA from testis of control and treated animals.  Reverse transcription reactions were performed
19    using total RNA, [32P]-dATP, and superscript IIMMLV-RT.  Following purification, the probes
20    were counted, and equal  numbers of counts per minute were added to each rat gene cDNA
21    expression array. The arrays were hybridized with cDNA using 1 fetus per dam. Hybridization
22    and washing were performed according to manufacturer's instructions. Digital images were
23    collected on a BioRad phosphorimager and analyzed using Clontech's Atlas Image software.
24    Eight genes were further examined by real-time RT-PCR.  Total RNA was isolated from both
25    testes using RNA STAT60, and then treated the RNA with DNase I with RNasin.  cDNA was
26    then synthesized using random  primers and TaqMan reverse transcription reagents. Quality of
27    RT reactions was confirmed by comparison of RT versus no enzyme control for each RNA
28    sample using the glyceraldehyde-3-phosphate dehydrogenase  (GAPDH) primer set. Fourteen
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                Table 5-1. Study comparisons for the toxicogenomic data set from male tissues after in utero DBF exposure
  o  <*>'
  U
  O  58
S §   .
  g.S3-

  TO
Study3
Barlow et
al., 2003
Bowman et
al., 2005
Lehmann et
al., 2004
Liu et al.,
2005C
Plummer et
al., 2007d
Shultz et al.,
2001
Strain and
species
SDrat
SDrat
SDrat
SDrat
Wistar rat
SDrat
DBF doses
500 mg/kg-d
500 mg/kg-d
0.1, 1.0, 10,50,
100, or
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Treatment intervalb
GD 12-19
GD 12-19 or \9~2l
GD 12-19
GD 12-19
GD 12.5-15.5;
12.5-17.5, or 12.5-19.5
GD 12-16, 12-19, or
12-21
Toxicogenomic method
Microarray
(Platform)
No
Yes (Clontech
cDNA arrays)
No
Yes
(Affymetrix®
GeneChip®
oligo arrays)
Yes (Agilent
22K and 44K
oligo arrays)
Yes (Clontech
cDNA arrays)
RT-PCR
Yes
Yes
Yes
Yes
Yes
Yes
Tissues
collected
Testis
Wolffian
ducts
Testis
Testis
Testis:
whole,
seminiferous
cord, and
interstitial
regions
Testis

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              Table 5.  (continued)
o

o
S
§
s
rS"


Study3
Thompson
et al., 2004


Thompson
et al., 2005


Wilson et
al., 2004e

Strain and
species
SDrat



SDrat



Rat, SD



DBF doses
500 mg/kg-d



500 mg/kg-d



1,000 mg/kg-d



Treatment interval11
GD 12-17, 18, or 19;
13-19, 14-19, 15-19,
16-19, 17-19, 18-19, or
19
0.5-24 hr on GD 18-19
or GD 19


GD 13-17

Toxicogenomic method
Microarray
(Platform)
No



Yes
(Affymetrix®
GeneChip®
oligo arrays)
No


RT-PCR
Yes



Yes



Yes


Tissues
collected
Testis



Testis



Testis

          aln all studies, oral gavage was the route of exposure.
          bGD 0 = sperm positive.
          cStudy assessed 7 different phthalates.
          dPlummer et al. (2007) reported dosing intervals spanning GD 12.5-19.5, which is comparable to GD 12-19 in the other studies due to
           differences in reporting of GD and sperm positive at GD 0.5.
          eWilson et al. (2004) reported a dosing interval of GD 14-18, which is comparable to GD 13-17 in the other studies due to
           differences in reporting of GD and sperm positive at GD 1.

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 1   rat-specific primer sets were used for analyses. The ABI PRISM 7700 and the ABI PRISM
 2   7900HT Sequence Detection System was used for RT-PCR, with the SYBR Green PCR and
 3   TaqMan Universal PCR Master Mix reagents. GAPDH was used as an on-plate internal
 4   calibrator for all RT-PCR reactions.
 5          Genes analyzed by real-time RT-PCR include clusterin (Clu), cytochrome P450,
 6   family 11, subfamily a, polypeptide 1 (Cypllal), myristoylated alanine-rich C-kinase substrate
 7   (Marcks), proliferating cell nuclear antigen (Pcna), cytochrome P450, family 17, subfamily a,
 8   polypeptide 1 (Cypl7al}, steroidogenic acute regulatory protein (Star), scavenger receptor class
 9   B, member 1 (Scarbl), and v-kit Hardy Zuckerman 4 feline sarcoma viral oncogene homolog
10   (Kit). Radioimmunoassay of steroid hormones and immunocytochemical analysis of certain
11   proteins (i.e., CLU and b-cell leukemia/lymphoma 2 [BCL2]) in the fetal testes were also
12   performed.
13          Of the 588 genes examined, -45 genes had at least a 2-fold change in the average
14   expression values in DBF-treated rats relative to the average values in control  rats.  DBF
15   exposure led to a reduced expression of steroidogenic enzymes at GD 19, such as Cypllal,
16   Cypl7al, ScarbJ, and Star.  These genes were upregulated at GD 19 following flutamide
17   exposure, suggesting that DBF does not act as an androgen antagonist at this time point.
18   Flutamide and DBF demonstrate patterns of gene expression that overlap, though both have
19   distinctly expressed genes. This suggests to Shultz et al. (2001) that there are both common and
20   distinct molecular pathways within the developing fetal testes.
21          Other genes affected after DBF exposure were Clu (upregulated) and Kit
22   (downregulated).  Using immunocytochemical staining of CLU and BCL2 protein in the fetal
23   testes, increased amounts of both proteins were observed in the Ley dig and Sertoli cells of
24   GD 21 testes. Decreases in testicular T and androstenedione in testes isolated on GD 19 and 21
25   were observed, while increases in progesterone in testes isolated on GD  19 in DBF-exposed
26   testis were observed.
27          Shultz et al. (2001) suggest that the antiandrogenic effects of DBF are due to decreased
28   T synthesis. Furthermore, enhanced expression of cell survival proteins, such as CLU and
29   BCL2, may be involved in DBF-induced LC hyperplasia, while downregulation of c-KIT may
30   play a role in gonocyte degeneration.
31
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 1    5.2.2.2. Bowman et al (2005)
 2          Four to seven SD rats per group were treated by gavage with corn oil or DBF at
 3    500 mg/kg-d from GD 12 to 19 or GD 12 to 21.  The animals were sacrificed on GD 19 or 21,
 4    and Wolffian ducts (WD) were pooled from three to four fetuses (to obtain enough RNA for
 5    analysis) within the same litter for gene expression analysis.  Global changes in gene expression
 6    were determined by Clontech Atlas Rat Toxicology 1.2 cDNA expression array (1,185 genes).
 7    Images were collected using a Phorpshorlmager and then imported into Atlaslmage 2.01 and
 8    GeneSpring 4.2 for analysis.  Selected genes were further examined by real-time quantitative
 9    RT-PCR using the GeneAmp 5700 Sequence Detection System. Total RNA was isolated,
10    DNAse-treated, and reverse-transcribed using TaqMan reagents. Twenty-three primer sets were
11    used for RT-PCR analysis. Reactions were standardized using GAPDH-specific primers.  The
12    genes analyzed by RT-PCR include those in the insulin-like growth factor (Igf) pathway, the
13    matrix metalloproteinase (Mmp) family, the extracellular matrix, and in other developmentally
14    conserved signaling pathways: bone morphogenetic protein 4 (Bmp4), collagen, delta like
15    (Map3kl2), epidermal growth factor receptor (Egfr), fibroblast growth factor 10 (FgflO), FGF
16    receptor 2 (Fgfr2\ fibronectin, insulin-like growth factor 1 (Igfl\ insulin-like growth factor 2
17    (/g/2), insulin-like growth factor 1 receptor (Igflr\ insulin-like growth factor binding protein
18    5(/g/&p5), integrinAS, integrinBl, matrix Gla protein (Mgp\ matrix metalopeptidase 2 (Mmp2),
19    matrix metalopeptidase 14 (Mmpl4), matrix metalopeptidase 16 (Mmpl6), Notch2 receptor
20    (Notch2), and tissue inhibitors of MMPs (Timpl, Timp2, and Timp3).  Immunohistochemistry
21    was also performed to evaluate changes in localization and/or intensity of IGFLRp and androgen
22    receptor (AR)  protein expression.
23          Microarray data were not presented due to considerable variability in gene expression
24    levels within the treatment group at each age.  Based on real-time PCR analysis, compared with
25    controls, prenatal exposure to DBF from GD 12 to 19  or GD 12 to 21 increased mRNA
26    expression of different members of the IGF family including Igfl (on GD  19 and 21), Igf2(on
27    GD 19), Igfrlr (on GD 19), and IgfbpS (on GD 21) in the developing WD, while Egfr was
28    unchanged on  GD 19 and GD 21. Additionally, mRNA expression of^4r, Bmp4, integrinAS,
29    Mmp2, andMap3k!2 was increased on GD 19; mRNA expression ofFgflO, Fgfr2, Notch2,
30    Mmp2, Timpl, andMgp was increased on GD 21. IGFLRP immunostaining was higher in the
31    cytoplasm of the ductal epithelial cells and increased in the cytoplasm of mesenchymal cells in
            This document is a draft for review purposes only and does not constitute Agency policy.
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 1    DBF-exposed fetuses compared with that in controls. In general, reduction of AR
 2    immunostaining in the nuclei of ductal epithelial cells of DBF-exposed WD was observed on
 3    GD 19. Compared with controls, WDs dissected from GD 19 DBF-exposed fetuses were slightly
 4    smaller in size (underdeveloped) and appeared to be more fragile. By GD 21, control fetus WDs
 5    were markedly coiled, while those from the exposed fetuses exhibited less coiling.
 6          Prenatal DBF exposure appears to alter the mesenchyme-epithelial signaling of growth
 7    factors (e.g., IGFs) and other developmentally conserved pathways (e.g., BMP4) in WDs.
 8    Bowman et al. (2005) contend  that the effect of DBF on WD differentiation is likely a
 9    consequence of decreased fetal testicular T, although direct effects of DBF on the developing
10    WD independent of T are also possible.
11
12    5.2.2.3. Liu et al (2005)
13          Five to ten SD rats per group were treated by gavage with corn oil, DBF (500 mg/kg-d),
14    or one of six other phthalate esters (500 mg/kg-d) daily from GD 12 to 19.  The six other
15    phthalate esters include diethyl phthalate (DEP), dimethyl phthalate (DMP), diocytyl
16    tere-phthalate (DOTP), diethylhexyl phthalate (DEHP), dipentyl phthalate (DPP), and butyl
17    benzyl phthalate (BBP). Testes were collected on GD 19, homogenized, and then, total RNA
18    was isolated. RNA integrity was assessed using an Agilent 2100 Bioanalyzer. cDNAwas
19    synthesized from 2.5 ug total RNA, and purified using RiboAmp OA. The BioArray High-Yield
20    RNA Transcript Labeling Kit was used for cRNA amplification and biotin labeling. Affymetrix®
21    GeneChip Sample Cleanup  Module was used for purifying and fragmenting the cRNA.  The
22    Complete GeneChip® Instrument System was then used to hybridize, wash, stain, and scan the
23    GeneChip® arrays (RAE230A and RAE230B; -30,000 genes). The data were analyzed using
24    analysis of variance (ANOVA [one-way, two-way,  nested one-way]), Dunnett test (post hoc),
25    Tukey test, and Bonferroni adjustment.
26          Image files obtained from the scanner were  analyzed with the Affymetrix® Microarray
27    Suite (MAS) 5.0 software and normalized by global scaling. Absolute analysis was performed
28    for each array prior to comparative analysis. To identify differentially expressed transcripts,
29    pair-wise comparison analyses were carried out with MAS 5.0 (Affymetrix®). P-values were
30    determined by the Wilcoxon's signed rank test and  denoted as "increase", "decrease", or "no
31    change". A transcript is considered significantly altered in relative abundance when p < 0.05.
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 1    Analysis using MAS 5.0 provides a signal log ratio (SLR), which estimates the magnitude and
 2    direction of change of a transcript when two arrays are compared (experimental versus control).
 3    The SLR output was converted into "fold-change" as recommended by Affymetrix®.
 4    Furthermore, stringent criteria were used to identify robust signals as follows:  (1) software call
 5    of "present", (2) >2.0-fold change or SLR 1.0, in both replicates. Average and standard
 6    deviations were calculated for all the fold-change values. In general, only transcripts induced or
 7    suppressed by >2-fold were considered as differentially expressed.
 8           Selected genes were further examined by real-time quantitative RT-PCR using 18 primer
 9    sets.  The genes analyzed by RT-PCR include epididymal secretory protein 1 (re7), low-density
10    lipoprotein receptor (Ldlr), l?p-hydroxysteroid dehydrogenase 3 (Hsdl7b3}, l?p-hydroxysteroid
11    dehydrogenase 7 (HsdJ7b7), luteinizing hormone/choriogonadotropin receptor (Lhcgr\
12    CCAAT/enhancer-binding protein (C/EBP), beta (Cebpb), early growth response 1 (Egrl),
13    nuclear receptor subfamily 4, group A, member  1 (Nr4al), nuclear factor, interleukin 3,
14    regulated (NfilS), nuclear receptor subfamily 0, group B, member 1 (NrObl), transcription factor
15    1  (Tcfl\ insulin-induced gene 1 (Insigl), protein kinase C-binding protein (Prkcbpl), decay-
16    accelerating factor (Daf), dopa decarboxylase (Ddc\ seminal vesicle secretion 5 (SVs5), and
17    testis-derived transcript (Testiri). AGD was measured and immunohistochemistry was performed
18    forNROBl, TESTIN, GEB14, DDC, and CEBPB proteins.
19           Of-30,000  genes examined, 391 were statistically significantly altered following
20    exposure to the four developmentally toxic phthalates (DBF, BBP, DPP, and DEHP) relative to
21    the controls.  While the  four developmentally toxic phthalates were indistinguishable in their
22    effects on global gene expression, no significant changes in gene expression were detected in the
23    phthalates that do not lead to developmental effects (DMP, DEP, and DOTP).  Of the 391 genes
24    altered by the developmentally toxic phthalates,  225 were unknown and uncharacterized
25    transcribed sequences. Of the remaining 166 genes, the largest GO classification (31 genes) was
26    of genes related to lipid, sterol, and cholesterol homeostasis. Additional  GO classification
27    groups include genes  involved in lipid, sterol, and cholesterol transport (10 genes);
28    steroidogenesis (12 genes); transcription factors  (9 genes); signal transduction (22 genes);
29    oxidative stress (11  genes); and cytoskeleton-related (13 genes). RT-PCR results indicated that
30    the developmentally toxic phthalates reduced the mRNA levels ofHsd!7b7, Lhcgr, Ldlr,  rel,
31    Svs5, Insigl, and Ddc. Additionally, the RT-PCR results indicated that the developmentally
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 1   toxic phthalates induced the mRNA levels ofGrb!4, Prkcbpl, and Testin. RT-PCR results also
 2   indicated that gene expression of several transcription factors including Dax-1, Cebpb, Nfil3,
 3   Nr4al, and Tcfl were significantly changed by at least one of the toxic phthalates.  Based on
 4   immunohistochemical analysis, DAX-1 expression was reduced in the gonocyte population of
 5   DBF-treated testis compared with that of controls. Additionally, the expression of nuclear
 6   CEBPB, GRB14, and DDC proteins was reduced in interstitial cells of DBF treated testis, while
 7   TESTIN and GRB14 expression levels were increased in Sertoli cells of DBF treated testis. An
 8   AGO reduction was observed in male fetuses exposed to any of the developmentally toxic
 9   phthalates.
10          This study showed that the four phthalates (DBF, DEHP, BBP, and DPP) that have
11   similar effects on the developing male rat reproductive tract are indistinguishable in their
12   genomic signature for the developing fetal testis. These phthalates targeted pathways in Leydig
13   cell production of T and other pathways that are important for normal interaction and
14   development between Sertoli cells and gonocytes. By contrast, in animals exposed to any of the
15   four phthalates that have not exhibited developmental toxicity (the "nondevelopment"
16   phthalates) did not have the same genomic signature.
17
18   5.2.2.4.  Thompson et al (2005)
19          Four SD rats per group were gavaged with corn oil or DBF at 500 mg/kg-d daily.  In the
20   first study, the treatment was performed on GD 18 or GD 19, followed by animal sacrifice
21   30 min, 1 hr, 2 hr, 3 hr, 6 hr, 12 hr, 18 hr, or 24 hr after the treatment on GD 19.  Global changes
22   in gene expression were determined by Affymetrix® GeneChips® (GeneChips® used in the study
23   were not reported).  The methods were similar to Liu et al. (2005)—with the exception of the
24   statistical analysis. Thompson et al. (2005) used JMP statistical software to perform Student
25   t-tests or one-way ANOVAs with Tukey post hoc analysis. Selected genes were further
26   examined by real-time quantitative RT-PCR. An ABI Prism 7900HT Detection System, the
27   SYBR Green PCR Master Mix, and 30 primer pairs were used for analysis of DBF-induced
28   changes in gene expression. The genes analyzed by RT-PCR included Cypllal, Scarbl, Star,
29   Cypl7al, Egrl, Egr2, Nr4al, Nfil3, Tcfl, serum/glucocorticoid regulated kinase (Sgk), tumor
30   necrosis factor receptor superfamily, member 12a (Tnfrsfl2a), sclerostin domain containing 1
31   (Sostdcl), Wnt oncogene homolog 4 (Wnt4), B-cell translocation gene 2, antiproliferative (Btg2),
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 1    C/EBP, delta (Cebpd), FBI murine osteosarcoma viral oncogene homolog (Fos\ dual specificity
 2    phosphatase 6 (Dusp6\ Hes6_predicted, interferon-regulated developmental regulator (Ifrdl\
 3    Ldlr, nuclear receptor subfamily 4, group A, member 3 (Nr4a3\ Pawr, NrObl, Jun-B oncogene
 4    (Junb), endothelial differentiation sphingolipid G-protein-coupled receptor 3 (EdgS),
 5    thrombospondin 1 (Tspl), and stanniocalcin 1 (Stcl). Immunoblotting by SDS-PAGE was
 6    performed for SCARE 1, CYPHal, STAR, and CYP17al.  Fetal testicular T concentration was
 7    determined by radioimmunoassay.
 8          Based on microarray analysis, there were 106 genes in the DBF-treated groups that were
 9    significantly different from time-matched controls. Six genes were significantly elevated within
10    1 hour of DBF exposure.  An  additional 43 genes were upregulated, and 5 genes were
11    downregulated 3 hours after DBF exposure. The rapid induction of these genes was a transient
12    effect; none of the genes upregulated  1 hour after DBF treatment were still significantly different
13    than the control group 6 hours after treatment.  Only nine genes showed  significant changes from
14    the control group between the 3-  and 6-hour time points.  Prior to 6 hours after DBF exposure,
15    the majority of the changes in expression had reflected increased transcription. At 6 hours,
16    19 genes were significantly decreased, and 17 were increased in expression. Based on RT-PCR
17    analysis, the immediate early gene Fos and the putative mRNA destabilizing gene zinc finger
18    protein 36 (Zfp36) were at peak expression level 1 hour after DBF exposure. Other immediate
19    early genes were at peak expression at 2 hours after DBF exposure.  At 3 hours after exposure,
20    the expression of Cebpd, Cxcll, and Nr4a3 increased rapidly, while other genes showed a more
21    gradual increase.  Tspl expression was increased 25-fold at 3 hours and returned to baseline at
22    6 hours. Genes involved in testicular steroidogenesis were first noticeably affected 2 hours after
23    DBF exposure: Inhibition of Star transcription was detected ~2  hours after DBF exposure.
24    Scarbl, Cypllal, and Cypl7al showed a significant decrease in expression at about 6 hours
25    after DBF exposure.  Also, after 6 hours, the T concentration dropped to approximately the level
26    observed after long term DBF treatment. After  12 hours of exposure, steroidogenesis-associated
27    genes NrObl  and Nr4al were  elevated.  Tcfl and Sgk were downregulated soon after DBF
28    exposure, but values returned  to control levels by 3 hours after DBF exposure. Sostdcl and
29    Hes6_predicted returned to control levels at 6 hours  after exposure.  Based on
30    radioimmunoassay, a decrease in fetal testicular T to 50% was observed within an hour after
31    DBF exposure. In a second experiment to compare the effect of DBF on steroidogenesis in the
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 1    fetal adrenal gland, DBF treatment at GD 12-19 was followed by analysis of gene expression in
 2    this tissue. A decrease (but not statistically significant) of corticosterone after GD 12-19 DBF
 3    exposure was observed in the fetal adrenal. The expression of genes involved in steroidogenesis
 4    was less affected in the adrenal (males and females) than in the testes. This study indicates that
 5    the effect of DBF exposure on steroidogenesis gene expression is specific to the fetal testis and
 6    not in other steroidogenic organs.
 7          Rapid transcript!onal changes after DBF exposure in a number of genes could be
 8    responsible for the reduction in steroidogenesis. Peroxisome proliferator-activated receptors
 9    (PPAR) activation is ruled out since changes in expression of genes targeted by PPAR a and y
10    are not observed until 3 hours after DBF treatment. Many of the genes whose upregulation was
11    detected within the first hour after treatment were "immediate early genes," meaning genes
12    involved in cell growth and differentiation. One possible mechanism for DBF's repression of
13    steroidogenesis is that DBF may initially stimulate the mitogen-activated protein
14    kinase/extracellular signal-regulated kinase (MAPK/ERK) pathway in the fetal testis.  Increased
15    expression ofEgrl and Zfp36 could, in turn, lead to degradation of the transcripts involved in
16    testicular steroidogenesis. Consistent with this possibility, the Star mRNA contains the AU-rich
17    element, which are regions with many A and U bases that target the RNA for degradation, in
18    target transcripts of ZJp36.
19
20    5.2.2.5. Plummer et al (2007)
21          Five Wistar rats per group were gavaged with corn oil or DBF at 500 mg/kg-d from
22    GD 12 until the day prior to sacrifice.  Animals were sacrificed on GD 15, 17, or 19 and used for
23    immunolocalization, Western analysis, or RNA quantification (of whole testes, seminiferous
24    cord, or interstitial regions using laser capture microdetection). Samples for laser capture
25    microdetection were collected from sections of single testes from GD 19 animals.  RNA samples
26    from three treated litters were compared to a pool of RNA samples from control animals to
27    lessen errors due to biological variation.  The Agilent 22K rat and 44K whole-rat oligonucleotide
28    arrays were used for analysis of the whole-fetal testes and microdissected tissue, respectively.
29    RNA was isolated from the homogenized whole-fetal testes using the RNeasy mini kit (Qiagen)
30    and from laser capture microdissected samples using RNeasy micro kit (Qiagen). Isolated RNA
31    was labeled using the Agilent Low Input Linear Amplification Labelling kit according to the
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 1    manufacturer's instructions. Specific activity of the labeled cRNA was measured using the
 2    microarray analysis program on a NanoDrop ND1000 spectrophotometer (Montchanin, USA).
 3    Microarray analysis with whole-fetal testis RNA was performed using Agilent 22K rat
 4    oligonucleotide arrays (Agilent #G4110A).  Regional microarray analysis on RNA isolated from
 5    laser capture microdissected fetal testis tissue was performed using Agilent 44K whole-rat
 6    genome oligonucleotide microarrays (Agilent #G4131 A). Microarray data analysis was
 7    conducted using Agilent feature extraction (v7.1) and Rosetta Luminator software (Rosetta
 8    Biosoftware, Kirkland, USA) to generate "signature"  lists, defined as significantly (p < 0.01)
 9    different. The compare biosets function in Luminator was used to compare signature lists from
10    different fetal testis regions. Pathway analysis used Ingenuity Pathways Analysis software.
11           DBF induced statistically significant changes in gene expression at all three time points.
12    At GD 15 in whole testes, expression of genes regulating lipid metabolism, redox homeostasis,
13    cell proliferation, and apoptosis were altered.  At GD 17  and 19, these four main  gene clusters
14    were altered: steroidogenesis (e.g., Cypl7al, Cypllal), lipid metabolism, cholesterol (e.g., Star,
15    Scarbl), and redox homeostasis. In laser- capture microdissection studies of GD 19 tissue, both
16    regions demonstrated altered expression of genes associated with steroidogenesis (e.g.,
17    CypJ7aJ\ cholesterol transport (e.g., ScarbJ), cell/tissue assembly, and cellular metabolism. In
18    the interstitial regions only, genes involved in fatty acid oxidation, testes morphogenesis, and
19    descent (e.g., InsI3) were altered.  In the cord samples, gene associated with stress responses,
20    chromatin bending, and phagocytosis were altered.
21           RT-PCR analysis was performed on RNA from GD 19 testes from five rats/group using
22    sequence specific primers for the orphan nuclear receptor, steroidogenic factor 1  (Sf-1), Star,
23    Cyplla, and Insl3. The data were analyzed using a one-way ANOVA followed by the
24    Bonferroni post-test, using GraphPad Prism. These studies showed a statistically significant
25    reduction in the expression of Star, Cypllal,  and Insl3 but not Sf-L
26           Analysis of protein expression at GD 19 showed DBF-induced reduction in levels of
27    CYP11 A, inhibin-a, cellular retinoic acid binding protein 2 (CRABP2), and
28    phosphatidylethanolamine binding protein (PEBP) in Leydig cells, and no change in Sertoli
29    cells/seminiferous cords.  These data correlated with microarray data for the genes coding for
30    these proteins. Immunoreactivity for antimullerian hormone (AMH) was slightly increased in
31    Sertoli cells following DBF treatment.  Western blot analysis and immunolocalization of SF1
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 1    demonstrated no effects of DBF on protein expression in Sertoli or LCs. Using time plots to
 2    assess time-dependent changes in gene expression, a coordinate down-regulation of inhibin-a,
 3    Scarbl, Star, and Cypl lalAl was observed between GD 15 and 19.
 4          This study confirms other study results, showing down-regulation of Scarbl,  Star,
 5    Cypl lal, and Cypl7al. The authors suggest that DBF induces LC dysfunction indirectly
 6    through sequestration of cofactors used in key signaling pathway and not through decreases in
 7    SF1 protein expression.  They further state that the use of Wistar rats could be important, as
 8    Wistar rats may be more susceptible than SD rats to testicular effects of DBF.
 9
10    5.2.3.  Real-Time Reverse Transcription-Polymerase Chain Reaction (RT-PCR) Studies
11    5.2.3.1. Barlow et al (2003)
12          Six to seven SD rats per group were gavaged with corn  oil or DBF at 500 mg/kg-d from
13    GD 12 to 19. Testicular RNA was then isolated from three randomly selected male fetuses per
14    litter.  RT-PCR studies were performed as described in Shultz et al. (2001).
15          mRNA of 13 preselected genes in the steroid biosynthetic pathway was analyzed by
16    real-time RT-PCR; immunohistochemical and oil red O histochemical analyses were performed
17    to further confirm mRNA changes. The 13 genes analyzed were Scarbl, Star, Cypl lal,
18    hydroxyl-delta-5-steroid dehydrogenase, 3 beta- and steroid delta-isomerase 1 (Hsd3b),
19    Cypl7al, hydroxysteroid (17-beta) dehydrogenase 3 (Hsdl7b3), Ar, luteinizing hormone
20    receptor (Lhr), follicle-stimulating hormone receptor (Fshr), Kit, stem cell factor (Scj), Pcna, and
21    Clu.
22          Compared with controls, mRNA expression was downregulated for Scarbl, Star,  Cypl lal,
23    Hsd3b, Cypl7al, and Kit in DBF-treated testes; mRNA expression was upregulated  for Clu following
24    DBF exposure. These changes in mRNA expression were supported by immunohistochemical
25    localization of selected proteins and by staining for lipids.
26          The results in the study of Barlow et al. (2003) confirm  the gene expression changes
27    observed in a previous study (Shultz et al., 2001). Furthermore, the data support alterations in
28    cholesterol synthesis, transport, and storage that likely play a role in decreased T production by
29    fetal LCs.  The decreased level of mRNA expression for P450scc indicates another possible
30    contributor, as P450scc conversion of cholesterol to pregnenolone is the limiting enzymatic step
31    in T biosynthesis.
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 1    5.2.3.2. Lehmann et al (2004)
 2          To date, Lehmann et al. (2004) is the only dose-response gene expression study on the
 3    testis performed with DBF. The other studies used a single high dose shown to affect male
 4    reproductive system development.
 5          Five to seven SD rats per group were treated by gavage with corn oil or DBF at 0.1, 1.0,
 6    10, 50, 100, or 500 mg/kg-d from GD 12-19. Testes were then isolated on GD 19, and changes
 7    in gene and protein expression were measured by real-time RT-PCR (as described in Shultz et
 8    al., 2001) and Western analysis. Ten preselected genes in the steroid biosynthetic pathway were
 9    analyzed by RT-PCR: Scarb, Star, Cypllal, Hsd3bl, Cypl7al, Kit, benzodiazepine receptor,
10    peripheral (Bzrp), insulin-like 3 (Insl3), Clu, and sterol regulatory element binding factor 1
11    (Srebfl).  Fetal testicular T concentration was determined by radioimmunoassay in a separate
12    group of animals using doses of 0.1, 1.0, 10, 30,  50, 100, or 500 mg/kg-d.
13          The aim of this study was to determine the DBF doses at which statistically significant
14    alterations in the expression of a subset of genes and a reduction in fetal testicular T occur. As
15    summarized in Table 5-2, Lehmann et al. (2004) established 50 mg DBP/kg-d as a LOEL and
16    10 mg DBP/kg-d as a NOEL for reductions in genes and proteins associated with T production as
17    well as genes associated with other MO As (e.g., Kit, Insl3) together with reductions in
18    intratesticular T. The Lehmann et al. (2004) study demonstrated thatffsdSb (also  called
19    3J3-HSD) gene expression involved in T synthesis was detected at levels as low as  0.1 mg/kg-d.
20          DBF exposure resulted in a dose-dependent decline in expression of the genes involved
21    in cholesterol transport and steroidogenesis: Scarb 1, Star,  Cypllal, HsdSb, Cypl7al, andlnslS.
22    Expression of Bzrp and Clu were increased in response to DBF.  Furthermore, fetal testicular T
23    was significantly reduced at DBF doses >50 mg/kg-d and reduced by 26% at 30 mg/kg-d.  This
24    study reported a LOEL of 50 mg DBP/kg-d and a NOEL of 10 mg DBP/kg-d for reductions in
25    genes and proteins associated with T production together with reductions in intratesticular T.  It
26    demonstrates the coordinate reduction in genes and corresponding proteins involved in
27    steroidogenesis and cholesterol transport, concurrent with a decrease in intratesticular T.
28    Importantly, it shows effects on the male reproductive system at lower doses than  are used in the
29    other DBF studies in this review.
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1
2
            Table 5-2.  Lehmann et al. (2004) dose-response gene expression change data1
            measured by RT-PCR showing statistically significant changes (p < 0.05).
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
19
Gene Symbol
(reported gene name)
Scarbl (Sr-Bl)
Star
Cypllal (P450ssc)
Cypl7al
Hsd3b (3p-HSD)
Bzrp (PER)
Trpm2
Kit (c-Kit)
Iml3
Dose (mg/kg-d)
0.1
2
	
	
	
|0.3
—
—
|0.3
—
1
40.6
—
—
—
40.4
—
—
40.5
—
10
—
—
—
—
—
—
—
—
—
50
40.5
40.4
40.6
—
40.5
—
—
40.3
—
100
40.3
40.3
40.7
—
40.3
—
—
40.5
—
500
40.2
40.1
40.2
40.3
40.5
T2.0
tl.6
40.1
40.3
                expression values are from DBF-exposed testes expressed relative to control values.
          They are the statistically significant averages from five separate rat fetuses from different
          dams per treatment group.
          2 — = no statistically significant change.
           Estimates for human exposure to DBF range from 0.84 to 113 |ig/kg-d (0.00084 to
    0.113 mg/kg-d). For Scarbl, Hsd3b, and Kit, significant reductions in mRNA levels were
    observed at DBF doses that approach maximal human exposure levels, 0.1 mg/kg-d. Alterations
    in the expression of Scarbl, Hsd3b, and Kit may be sensitive indicators of DBF exposure, but
    they are not necessarily of adverse consequences to DBF.
           In another dose response study, Mylchreest et al. (2000) exposed pregnant SD rats to 0-,
    0.5-, 5.0-, 50-, 100-, or 500-mg/kg-d DBF from GD 12-21. They found hypospadias and absent
    or partially developed ventral prostate, seminal vesicles, vas deferens, and epididymis at the
    500 mg/kg-d dose. They reported aNOAEL and LOAEL of 50 and 100 mg/kg-d, respectively.
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 1    5.2.3.3.  Thompson et al (2004)
 2          Four to five SD rats per group were gavaged with corn oil or DBF at 500 mg/kg-d from
 3    GD 12-19. Testes were isolated on GD 17, 18, or 19.  Testes mRNA was isolated and four
 4    preselected genes (Scarbl, Star, Cypllal, and Cypl7al) in cholesterol and steroidogenesis
 5    pathways was analyzed by real-time RT-PCR as described in Shultz et al. (2001).
 6    Immunoblotting was performed using total protein extracted from paired testis, and
 7    quantification of the expressed protein levels was done using FluorChem. Fetal testicular
 8    T concentration was determined by radioimmunoassay, and whole-cell cholesterol uptake
 9    assessment was performed on overnight cultures.
10          A significant decrease in fetal testicular T concentration was observed as early as GD 17
11    after in utero exposure of fetuses to DBF. The  percent difference in testicular T between control
12    and treated testes was much higher on GD 18 (17.8% of that seen in the control samples) than on
13    GD 17 (46.6%). Furthermore, significant decreases in mRNA expression of Scarbl, Star,
14    Cypllal, and Cypl7al were observed as early as GD 17.  In agreement with T levels, the
15    percentage difference of gene expression between control and treated testes was higher on GD 18
16    than on GD 17. The suppression of the transcription by DBF was a reversible effect, as the
17    mRNA levels for all the genes returned to control levels 48 hr after DBF withdrawal. When
18    protein expression was analyzed, results similar to the gene expression data were obtained (i.e.,
19    strong expression in controls, decreased expression in treated animals with 24-hr DBF
20    withdrawal, and rising expression after the 48-hr DBF withdrawal).  Additionally, there was a
21    significant decrease in the amount of cholesterol transported across the mitochondrial membrane
22    in the testes from DBF treated fetuses as assayed in overnight cultures of testis explants.  This
23    observation indicates that the decrease in Star mRNA correlated with diminished protein
24    function (transport of cholesterol from the outer to the inner mitochondrial membrane by the
25    StAR protein is one of the rate-limiting steps of steroidogenesis).
26          The results of this study demonstrate that DBF-induced suppression of T production in
27    the fetal  testis correlate with diminished transcription of several genes in the cholesterol transport
28    and steroidogenesis pathways as early as GD 17.  This diminished effect was reversible,
29    suggesting that DBF directly  interferes with the signaling processes necessary for maintenance of
30    steroidogenesis or with the transcriptional regulators required to maintain coordinate expression
31    of the genes involved in cholesterol transport and T biosynthesis.
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 1    5.2.3.4.  Wilson et al (2004)
 2          In the studies of Wilson et al. (2004) three to five SD rats per group were treated by
 3    gavage with corn oil or a developmental toxicant daily from GD 14-18 for two separate
 4    experiments. In the first experiment, the rats were treated with DEHP at 750 mg/kg-d. In the
 5    second experiment, the rats were treated with one of six chemicals, each known to induce male
 6    reproductive malformations.  The chemicals used for the second study were three AR antagonists
 7    (vinclozolin [200 mg/kg-d], linuron [100 mg/kg-d], and prochloraz [250 mg/kg-d]) and three
 8    phthalate esters (DEHP [1  g/kg-d], DBF [1 g/kg-d], and BBP [1 g/kg-d]). Dams were killed on
 9    GD 18, and testes were removed and pooled by litter. In the first study, RNA was prepared to
10    quantify expression of one preselected gene, Insl3, by real-time RT-PCR.  In the second study,
11    both steroid hormone production (ex vivo  incubation) and Insl3 expression were assessed. Total
12    RNA was isolated using Trizol,  digested using Dnase I, and quantitated with RiboGreen.
13    ImProm-II Reverse Transcriptase was used for RT, followed by amplification using Taql. They
14    completed RT-PCR for Insl3 using a Bio-Rad iCycler.
15          In the first study, the mRNA expression oflnslS was reduced by -80% in DEHP litters
16    compared with that in control litters. In the second study, among the six chemicals tested, only
17    phthalate esters (DEHP, DBF, or BBP) reduced mRNA levels in the fetal testis, with DBF and
18    BBP being more effective than DEHP. In contrast, prochloraz or linuron as well as any of the
19    three phthalate esters significantly reduced ex vivo T production.
20          In a previous study with  antiandrogenic chemicals that alter male sexual differentiation
21    (Gray, et al. 2000), phthalate esters were the only class that produced agenesis of the
22    gubernacular ligaments; some of the phthalate ester-exposed rats had a phenotype similar to that
23    seen in the Insl3 knock-out mouse.  The study of Wilson et al. (2004) confirms this hypothesis
24    since only the three phthalates reduced Insl3 gene expression.  The authors proposed that the
25    effects of DEHP, DBF, or BBP on Insl3 mRNA and T production result from a delay in
26    maturation of fetal LCs, resulting in hyperplasia as they continue to proliferate rather than to
27    differentiate.
28
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 1    5.2.4.  Study Comparisons
 2    5.2.4.1. Microarray Study Methods Comparison
 3          Table 5-3 compares the study design and method of determining statistical significance
 4    across the five microarray studies used in the case study. Because the Bowman et al. (2005)
 5    paper assessed changes in gene expression in WD rather than testis, and because the microarray
 6    data were not presented in the paper, the discussions will focus on the three other microarray
 7    studies. The Plummer et al. (2007) study pooled control tissue and used the Agilent platform,
 8    which differed from the platforms used in the other studies. Liu et al. (2005), Schutz et al.
 9    (2001), and Thompson et al. (2005) all assessed mRNA levels in rat testis—but with somewhat
10    differing significance  criteria. All studies included vehicle-treated controls.
11
12    5.2.4.2.  Reverse Transcription-Polymerase Chain Reaction (RT-PCR) Study Methods
13            Comparison
14          Table 5-4 compares the RT-PCR methods used in the nine toxicogenomic articles. There
15    were many similarities among the studies. All the groups—except Bowman et al. (2005)—
16    extracted RNA from testis. All studies used a vehicle-treated control. Most of the studies used
17    the same significance  criteria (p < 0.05). There were some differences in the number of fetuses
18    used per experiment while some studies pooled tissues.
19          More important, however, were the significant similarities among the nine toxicogenomic
20    studies. Eight of the studies used the same strain of rat (SD), all purchased from the same vendor
21    (Charles River, Raleigh, NC). All of the studies described dissolving the DBF in corn oil, using
22    a corn oil vehicle control, and using oral gavage as the route of exposure.  Six of the studies
23    (Barlow et al., 2003; Bowman et al., 2005; Liu et al.,  2005; Shultz et al., 2001; Plummer et al.,
24    2007; Thompson et al., 2004) treated the animals by gavage to 500 mg/kg-d from GD 12-19.
25    This dose has been shown to adversely affect male reproductive  development without causing
26    maternal toxicity or fetal death.  Lehmann et al. (2004) completed a dose response during the
27    GD 12-19 period, using 0.1, 1.0, 10, 50, 100, or 500 mg/kg-d. Bowman et al. (2005) and Shultz
28    et al. (2001) included an additional exposure duration of GD 12-21.  Wilson et al. (2004)
29    exposed for a slightly  shorter duration (GD 13-17) and at a higher dose (1000 mg/kg-d).  This
30    paper reports exposures on GD 14-18; however, these authors consider GD 1 as the day a
31    sperm-positive smear was identified in dams, whereas the other studies consider the
32
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1
2
       Table 5-3. Method comparisons for DBF microarray studies
Study
Bowman et
al., 2005
Liu et al.,
2005
Plummer et
al., 2007
Shultz et al.,
2001
Thompson et
al., 2005
Tissue
collected
Wolffian
ducts
Testis
Testis (whole,
laser captured
interstitial
tissue, or laser
captured
seminiferous
cord tissue)
Testis
Testis
Significance criteria
ND (microarray data not
presented)
p < 0.05 compared to
control by either 1-way
ANOVA, post hoc
Dunnett test, or Tukey
test
p < 0.01 using Agilent
feature extraction
software and then
Rosetta Luminator
software by performing
one-way ANOVA on log
fold change in the
replicates
2-fold change in average
expression value
compared to control
p < 0.05 multiple
comparison using
Bonferroni correction
Individual animals («) used?
No, pooled (3-4 fetuses/litter;
67 dams/treatment group)
Yes, (6 fetuses/litter;
6 dams/treatment group)
Yes for DBF-treated (3 pups
from 3 different dams); Control
RNAs were pooled
GD 19 and GD 21 time points:
Yes, 1 fetus/litter;
3 dams/treatment group.
GD 16 timepoint: pooled RNA
from 5 fetuses/1 litter; 3 arrays
hybridized/treatment group.
Yes (ND)
4
5
ANOVA, analysis of variance; ND, not detected.
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1
2
           Table 5-4.  Method comparisons among the reverse transcription-polymerase
           chain reaction (RT-PCR) DBF studies
Study
Barlow et al.,
2003
Bowman et
al., 2005
Lehmann et
al., 2004
Liu et al.,
2005
Plummer et
al., 2007
Shultz et al.,
2001
Thompson et
al., 2004
Thompson et
al., 2005
Wilson et al.,
2004
Tissue
collected
Testis
Wolffian ducts
Testis
Testis
Testis (whole,
laser-captured
interstitial
tissue, or
laser-captured
seminiferous
cord tissue)
Testis
Testis
Testis
Testis
Significance criteria
(p values)
p < 0.05 compared to
control
p < 0.05 compared to
control
p < 0.05 compared to
control
p < 0.05 compared to
control by either 2-way
nested ANOVA or
Dunnett
p < 0.05 compared to
control, normalized to
1.0. Expressed as mean +
/ - SEM; one-way
ANOVA followed by
Bonferroni post test using
GraphPad Prism software
p < 0.05 compared to
control
p < 0.05 compared to
control (Student's t-test
or 1-way ANOVA)
p < 0.05 normalized mean
of 3-5 fetuses/treatment
group relative to control
p < 0.01 compared to
control (means on a litter
basis)
Individual animals («) used?
Yes (3 fetuses/litter;
5 dams/treatment group)
No, pooled (3-4 fetuses/litter;
6-7 dams/treatment group)
Yes (5 fetuses/litter;
4-5 litters/treatment group)
Yes (control: 6 fetuses/dam;
6 dams for control. Treated:
3 fetuses/dam; 3 dams)
NDa; assessed GD 19.5 fetal
testes
GD 19 and GD 21 timepoints:
Yes, 1 fetus/litter;
3 dams/treatment group.
GD 16 timepoint: pooled
RNA from 5 fetuses/ 1 litter;
3 arrays hybridized/treatment
group.
ND
Yes, 3-5 fetuses/litter
No, pooled for each litter
(3 dams/treatment group)
4
5
6
7
    aNot clear from the Materials and Methods.

    ANOVA, analysis of variance; ND, not detected


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 1    sperm-positive day as GD 0. Therefore, to be consistent with the other groups, we are reporting
 2    the exposure period as GD 13-17.  Similarly, Plummer et al. (2007) reports exposures ranging
 3    from GD 12.5 to GD 19.5, which are equivalent to GD 12-19 as the authors consider GD 0.5 to
 4    be the sperm positive day, have been adapted, too.
 5          All of the other selected studies collected testes for RNA extraction, with the exception of
 6    Bowman et al. (2005), which collected WDs. Bowman et al. (2005) focused on the WD because
 7    they were interested in characterizing the mechanisms responsible for prenatal DBF-induced
 8    epididymal malformations. WD tissue from 3-4 fetuses was obtained to ensure enough RNA for
 9    analyses (Table 5-3).  Since WDs are the precursor of the vas deferens, epididymis, and seminal
10    vesicles, the tissue assayed by Bowman et al. (2005) is different from the tissue evaluated in the
11    other seven studies (RNA from the testes of 1-3 fetuses). The studies used a variety of
12    toxicogenomic methodologies to assess changes in gene expression. General descriptions of
13    these methods utilized by the studies were presented in Section 5.1.
14          An important consideration is the reliability of the data being generated and compared in
15    these nine DBF studies. As discussed, the MAQC project (MAQC Consortium et al., 2006) has
16    recently completed a large study evaluating inter- and intraplatform reproducibility of gene
17    expression measurements (see Chapter 2).  Six commercially available microarray platforms and
18    three alternative gene expression platforms were tested.  Both Affymetrix® microarrays and
19    RT-PCR assays were included in the MAQC testing. Affymetrix® and the other one color
20    platforms showed similar coefficients of variation of quantitative signal values (5-15%) when
21    used to detect 8,000 to 12,000 genes. When comparing variation within and between test sites,
22    the one-color assays demonstrated 80-95% agreement.
23          Although it is difficult to compare expression values generated on different platforms
24    because of differences in labeling methods and probe sequences, MAQC was able to show good
25    agreement between the Affymetrix® platform and the other platforms. This was particularly true
26    when using the same biological sample (and, thus, removing variability introduced by the sample
27    or sample preparation method). It is worth noting that Affymetrix® displayed high correlation
28    values with RT-PCR based on comparisons of-500 genes.  The results of the MAQC report
29    suggest that the comparisons made in this case study are valid due to the reliability of the data.
30    Additionally, since seven out of the nine experiments in the case study were performed in the
31    same laboratory, interlaboratory variability is not  an issue with these studies. In the assessment
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 1    of consistency of findings described next, a potential source of incongruence is the decreased
 2    sensitivity for low-expression genes in the microarray platforms as compared to the
 3    gene-expression technologies and differences in probe location.
 4
 5    5.3. CONSISTENCY OF FINDINGS
 6    5.3.1.  Microarray Studies
 7          An evaluation of the consistency across the four microarray studies of the testis was
 8    performed.  Bowman et al.  (2005) is not included because the microarray study results were not
 9    reported.  In order to enhance comparability, the data from the whole testis microarray study of
10    Plummer et al. (2007) are included  in the evaluation, but the data from the microdissected
11    regions of the testis are excluded because the lack comparison to any other study.
12          Eight of the nine toxicogenomic studies used the same strain, SD, and all nine used the
13    same species (rat).  Plummer et al. (2007) was the only study to use the Wistar rat strain because
14    it is considered more susceptible to effects on the testis than SD.  Table A-l in the Appendix A
15    includes those genes whose expression was reported to be significantly altered, as reported by
16    Shultz et al. (2001), Thompson et al. (2005), Plummer et al. (2007) (for the whole testis only), or
17    Liu et al. (2005) studies.  Also presented in Table A-l are the official gene names, exposure
18    times, and directional response changes.  It should be noted that some differences are to be
19    expected in  these comparisons because no two studies had identical study  designs or platform, or
20    applied the same statistical  cut-offs. For example, Thompson et al. (2005) used a very short
21    duration of exposure, whereas the other three studies had longer exposure  durations. In addition,
22    the Affymetrix®microarray platform was used only by Thompson et al. (2005) and Liu et al.
23    (2005).
24          The  three testis microarray studies (Thompson et al. [2005], Plummer et al. [2007], and
25    Liu et al. [2005]) that used the "second generation chips" containing a much larger number of
26    probes (therefore, covering many more genes) than the Clontech platform  were compared.  The
27    Venn diagram, developed for these three studies, shows some unique gene expression changes
28    for each study as well as a number of common gene expression changes (Figure 5-1).
29    Nevertheless, significant corroboration in the direction of effect among the common genes were
30    observed in three studies (but not with the Shultz et al. [2001, Appendix A]). Additionally, most
31    of the genes in common were downregulated after in utero DBF exposure. Further, two genes in
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Thompson et al. (2005)
                                                                            Plummer et al. (2007)
                                          4 CypSl
               36

/
/
/
/
f
[Idhl
I Lhgcr
t Nr4al
ISqle
}Stcl
\Tpml
X^ /
X /
4 Cdknlc I
| Cmbp2 \
I Ddit4
{ Dhcr? \
t Dusp6 \
| Fabp3 \
[Fragl \
| Fthfd \
t Grbl4 \
| Gstm2 N
J, Hsd3bl_predicted
{ Fabp3
{ Cypllal
{ CyplJal
{ Scarbl
[Ddc
[Fdxl
[Myh6
[Prdx3
{ Star
[Svs5


\.
XV
^
                                                   f\Por
                                                    | Sc4mol
                                                    [Scp2
                                                    [Stc2
                                                               { Alasl
                                                               [ Aldh2
                                                               [Dbi
                                                               [Fadsl
                                                               [Fdftl
                                                               [Fdps
                                                               [Fdxr
                                                               { Gsta3
                                                               [ Hmgcr
                                                               J, Hmgcsl
                                                               [Mil
                                                               [Inha
                                                               { NrObl
                                                               { Pebpl
                                                                       65
                                            93
                                                                Liu et al. (2005)
 1

 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15

16
    Figure 5-1. Venn diagram illustrating similarities and differences in significant gene
    expression changes for three of the microarray studies in the testes for three recent
    microarray studies: Thompson et al. (2005), Plummer et al. (2007), and Liu et al.
    (2005).  Numbers within each circle indicate genes whose expression wasstatistically
    significantly altered and that are unique to the study (i.e., not replicated by either of the
    other two studies). Gene numbers do not include expressed sequence tags (ESTs).  The
    red circle indicates the Thompson et al. (2005) study; the green circle indicates the
    Plummer et al. (2007) study; and the blue circle indicates the Liu et al. (2005) study;
    Black arrows indicate the direction of effect, which was the same for all three of these
    studies.
 the steroidogenesis pathway, Cypllal, and Scarbl, are in common between all four microarray
 studies.  These findings indicate that the microarray data set for DBF is relatively consistent and

 findings are reproducible.
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 1          A number of genes involved in steroidogenesis were found to be downregulated by DBF
 2    in all three studies (Figure 5-1). These include Cyp Hal, Scarbl, Star, and Cyp 17al. Other
 3    genes significantly altered include a downregulation of the serotonin and catecholamine pathway
 4    enzyme Ddc, the myosin, heavy polypeptide 6, cardiac muscle, alpha (Myh6), the
 5    androgen-regulated structural protein Svs5, and the cellular retinoic acid-binding protein 2
 6    (Crabp2).
 1          Other genes were significantly altered in two of the three studies. For example, in
 8    comparing the results of the two studies that utilized the same platform (Affymetrix®), the Liu et
 9    al. (2005) and Thompson et al. (2005) studies observed a downregulation of the steroidogenesis
10    genes Sqle and Hsd3bl_predicted, cyclin-dependent protein kinase inhibitor (Cdknlc), the
11    cellular retinoic acid binding protein 2 (Crabp2\ the FGF receptor activating protein 1 (Fragl),
12    and fatty  acid binding protein (Fabp3).  These same two studies found upregulation of the
13    steroi dogene si s gene Nr4a3.
14          There are a number of genes for which the different studies found a similar significant
15    alteration but the direction of effect varied.  For example, GSH S-transferase, mu 2 (Gstm2), a
16    gene involved in xenobiotic metabolism, was found to be significantly downregulated by Liu et
17    al. (2005) and Thompson et al. (2005) and significantly upregulated by Shultz et al. (2001).  The
18    microsomal GSH S-transferase 1 gene (MgstJ) was downregulated in Liu et al.  (2005) and
19    upregulated in Shultz  et al. (2001). Appendix A presents a table of the significantly significant
20    gene expression changes in the Thompson et al. (2005), Shultz et al. (2001), Liu et al. (2005),
21    and Plummer et al. 2007 studies. These differences in microarray results can be explained by a
22    number of factors including study differences (e.g., duration of exposure, platform, rat strain)
23    and/or variability of microarray study results.
24          Overall, the data indicate that there are some unique gene expression changes for each
25    study as well as a number of common gene expression changes.  Significant corroboration in the
26    direction  of effect among the  common genes was observed in at least three studies.  In addition,
27    most of the genes in common among these three studies were downregulated after in utero DBF
28    exposure.  These findings indicate that the microarray data set for DBF is very consistent and
29    reliable although certain uncertainties remain when comparing data from different platforms with
30    different study design.
31
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 1    5.3.2.  Reverse Transcription-Polymerase Chain Reaction (RT-PCR) Gene Expression Findings
 2          Comparisons were also made of RT-PCR data (Table A-2; Appendix A).  All nine studies
 3    performed RT-PCR, and in the case of the Liu et al. (2005), Shultz et al. (2001), Plummer et al.
 4    (2007), and Thompson et al. (2005), the RT-PCR was performed following identification of the
 5    genes of interest in microarray studies. A number of genes were found to be similarly up- or
 6    downregulated by in utero DBF exposure. In the steroidogenesis pathway, 5 genes (Cypllal,
 1    Cypl7al,  Hsdl7b3, Scarbl, and Star} were found to be downregulated by more than one
 8    laboratory. Some commonalities were also observed in altered gene regulation of transcription
 9    factors. Egrl, Nfil3, and Nr4al were shown  in two different studies to be upregulated. Two
10    studies reported similar downregulation ofNrObJ and Tcfl.
11          Three studies (Wilson  et al. [2004], Plummer et al. [2007], and Lehmann et al. [2004])
12    observed reduced Insl3 gene expression.  As  discussed, Insl3 has a role in sexual differentiation
13    and testis  descent.  Reduced fetal InslS has been shown to produce agenesis of the gubernacular
14    ligaments. Two other genes have been shown to have DBF-induced altered expressions as
15    assessed by RT-PCR in two laboratories:  Clu (upregulated) and Kit (downregulated).
16
17    5.3.3.  Protein Study Findings
18          All nine studies completed either Western analysis (immunoblotting) or
19    immunohistochemistry to characterize fetal DBF-induced changes in protein expression.
20    Usually, protein analysis was conducted for proteins that  had demonstrated changes in mRNA
21    expression. However, up- or downregulation of genes and proteins does not always occur
22    simultaneously, so a disparity  between these  two experimental results is quite common.
23    Table 5-5  presents the protein  expression data.
24          Four proteins in the steroidogenesis pathway were shown to be downregulated by DBF
25    exposure.  These findings align well with the gene  expression data presented earlier.  STAR was
26    shown to be downregulated by Western blotting in three separate experiments, and by
27    immunolocalization in another experiment.  STAR expression was found only in LCs in both the
28    control and DBF-treated testes, with the DBF-treated testes having decreased staining intensity
29    (Barlow et al., 2003).  Quantitatively, three experiments demonstrated reduced SCARE 1 protein
30    levels in DBF-treated in fetal testes; however, immunolocalization showed

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              Table 5-5.  Evaluation of the published protein studies after DBF in utero exposure (testes only)
Official
Gene
Symbol
Amh
Bcl2
Bzrp
Cebpb
Crabp2
Clu
Clu
Cypllal
Cypllal
Cypllal
Cypl7al
Cypl7al
Cypl7al
Ddc
Grbl4
Inha
Insl3
Kit
KM
Protein Name
Reported in
Paper
AMH
bcl-2
PER
CEBPB
CRABP2
PEBP
TRPM-2
TRPM-2
CYPllal
P450ssc
P450ssc
CYP17al
CYP17
cypl?
Dopa
decarboxylase
GRB14
INHA
InslS
c-kit
SCF
Exposure
Interval
GD 12-19
GD 12-21
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-21
GD 12-19
GD 18 for 18 hrs
GD 12-19
GD 12-17 or 18
GD 18 for 18 hrs
GD 12-17 or 18
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
Dose
(mg/kg-d)
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
Method Used
Immunolocalization
Immunolocalization
Immunolocalization
Immunolocalization
Immunolocalization
Immunolocalization
Immunolocalization
Western analysis
Western analysis
Western analysis
Western analysis
Western analysis
Western analysis
Immunolocalization
Immunolocalization
Immunolocalization
Immunolocalization
Immunolocalization
Immunolocalization
Change in Protein Expression Compared
to Controls
t slightly in Sertoli cells
t in Sertoli and Leydig cells
I in interstitial cells
J, in interstitial cells
J, in Leydig cells
t in Sertoli and Leydig cells
t in Sertoli cells
I (0.6 of control)
|(0.5 of control)
I (0.15at24hr;0.5at48hr)
\, (0.6 of control)
\, (ND at 24 hr; 0.4 of control at 48 hr)
|(0.2 of control)
J, in interstitial cells
J, in interstitial cells and t in Sertoli cells
J, in Leydig cells
J, in interstitial cells
I in gonocytes
t in Sertoli cells
Reference
Plummeretal., 2007
Shultzetal.,2001
Lehmann et al., 2004
Liu etal., 2005
Plummeretal., 2007
Shultzetal.,2001
Barlow etal., 2003
Thompson et al., 2005
Lehmann et al., 2004
Thompson et al., 2004
Thompson etal., 2005
Thompson etal., 2004
Lehmann et al., 2004
Liu etal., 2005
Liu etal., 2005
Plummer et al., 2007
Lehmann et al., 2004
Barlow etal., 2003
Barlow etal., 2003
o  <*>'


U
O  58
S  a

   1
§  3.

s

rS"
   to

-------
               Table 5-5. (continued)
Official
Gene
Symbol
NrObl
Pebp
Scarbl
Scarbl
Scarbl
Scarbl
Star
Star
Star
Star
Testin
Protein Name
Reported in
Paper
DAX-1
PEBP
SCARE 1
SR-B1
SR-B1
SRB1
STAR
StAR
StAR
StAR
testin
Exposure
Interval
GD 12-19
GD 12-19
GD 19 for 6 hrs or
GD 18 for 18 hrs
GD 12-17 or 18
GD 12-19
GD 12-19
GD 18 for 18 hrs
GD 12-17 or 18
GD 12-19
GD 12-19
GD 12-19
Dose
(mg/kg-d)
500
500
500
500
50, 100, 500
500
500
500
50, 100, 500
500
500
Method Used
Immunolocalization
Immunolocalization
Western analysis
Western analysis
Western analysis
Immunolocalization
Western analysis
Western analysis
Western analysis
Immunolocalization
Immunolocalization
Change in Protein Expression Compared
to Controls
4 in gonocytes
I in Leydig cells
4 (0.3 of control)
1(0.15 at 24 hr; (0.7 of control at 48 hr)
I (0.6, 0.5, and 0.1 of control)
1 in Leydig; t in Sertoli cells
I (0.4 of control)
1 (ND at 24 hr; 0.4 of control at 48 hr)
4 (0.1,0.2, 0.1 of control)
J, in Leydig cells
t in Sertoli cells and gonocytes
Reference
Liu et al., 2005
Plummeretal., 2007
Thompson et al., 2005
Thompson et al., 2004
Lehmann et al., 2004
Barlow et al., 2003
Thompson et al., 2005
Thompson et al., 2004
Lehmann et al., 2004
Barlow et al., 2003
Liu et al., 2005
o



o
S


§
s

rS"
        ND, not detected
   to
   oo

-------
 1   DBF-induced increased staining of Sertoli cells and decreased staining of Ley dig cells. Both
 2   CYP1 lal and CYP17al  protein levels were shown in several separate experiments to be reduced
 3   following DBF exposure, which correlated with microarray and PCR findings.
 4   Immunolocalization was completed for CYP1 lal and found to be downregulated in Leydig cells
 5   (Plummer et al., 2007). Using immunolocalization, CLU was found to be increased in Sertoli
 6   cells and Leydig cells. One study has shown that DBF lowers INSL3 protein immunoexpression
 7   levels in the fetal testis (McKinnell et al., 2005).  The expression of SF1 was unchanged in
 8   Wistar rats, however, four proteins (CYP1 lal, INHA, CRABPS, and PEBP) regulated by  SF1
 9   and AMH, were reduced in LCs following DBF exposure (Plummer et al., 2007).
10
11   5.3.4. DBF Toxicogenomic Data Set Evaluation: Consistency of Findings Summary
12          A comprehensive summary of the DBF toxicogenomic data set assessed in this case
13   study, including all microarray, RT-PCR, and protein data from the nine studies, is presented in
14   Figure 5-2. The genes and protein included in the figure are limited to those for which two or
15   more studies detected statistically significant results. In many cases, when comparing across
16   RT-PCR and microarray studies, a differentially expressed gene (DEG) is found in one or  even
17   several studies that is not identified in another study. For example, Kit was found to be
18   downregulated in the Barlow et al. (2002), Lehmann et al. (2004), and Schultz et al. (2001)
19   studies; by contrast, it was not altered significantly in the Liu et al. (2005) study even though it is
20   represented on the Affymetrix® array.
21          Data from the Bowman et al. (2005) paper were not included because it evaluated
22   changes in DBF-induced gene expression in the WD rather than testes. There are no other WD
23   studies for comparisons.  If an increase or decrease was reported at any time point, it was
24   included.  Multiple time points from one paper were not included, i.e., for the Thompson et al.,
25   2005  paper studying duration of exposure, if several time points showed a change, only one was
26   recorded as a study showing a change.  For protein data, descriptions of immunohistochemical
27   studies suggesting an increase, though without real quantitation, were still counted. For the
28   dose-response study (Lehmann et al., 2004), data from only the 500 mg/kg-d dosing were used to
29   allow better comparisons with the other studies.
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           Gene
   I-
  I
   ~P
   i

   1
   O
OS
os

o
g
= RT-PCR
= microarray
           Pathway/Function
                                                                                                                   = protein
                                                                                                                   = upregulation
                                                                                                                   = downregulation
          Figure 5-2. Summary of DBF-induced changes in fetal gene and protein expression. M = microarray; R = RT-PCR; P = protein.
          Red indicates upregulation; green indicates downregulation. Genes and protein included in the figure are limited to genes that were
          statistically significantly altered in two or more studies. Gene symbols are indicated at the top of the figure. The pathway or function
          of each gene is listed on the bottom of the figure. This information has been taken from the case study articles or from the DAVID
          (Database for Annotation, Visualization and Integrated Discovery http://david.abcc.ncifcrf.gov/list.jsp) entry for that gene.

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 1          Figure 5-2 presents a summary of the changes in gene and protein expression following
 2    in utero DBF exposure across the studies. What is most striking is the consistency of evidence
 3    for the DBF-induced downregulation of the steroidogenesis pathway. Both microarray and
 4    RT-PCR analysis show consistent downregulation ofCypllal, Cypl7al, Star, and Scarbl
 5    mRNA expression.  Protein expression of Cypllal, Cypl7al, Star, and Scarbl is concurrently
 6    downregulated. Downregulation ofHsdSb and Lhcgr mRNA are also consistently demonstrated.
 7    Significantly, two genes involved in lipid/sterol/cholesterol transport also show downregulation:
 8    Npc2 and Ldlr. Three transcription factors (NJI13, Egrl, and Nr4al} demonstrate DBF-induced
 9    upregulation, while two genes (NrObl and Tcfl) show downregulation in a number of
10    experiments. Three immediate early genes (Fos, Egr2,  and Zjp36) are upregulated by DBF
11    exposure. Interestingly, C7w, also known as T repressed prostate message-2, is upregulated, as
12    shown by two microarray, two RT-PCR, and two protein assays.
13
14    5.4. DATA GAPS AND RESEARCH NEEDS
15          Based on the evaluation of nine toxicogenomic studies, a number of research needs
16    became apparent. There are genomic data gaps for many environmental chemicals. For DBF,
17    confirmatory RT-PCR  studies for all of the genes identified from microarray studies, would give
18    additional credence to the microarray results. Similarly, additional protein analysis, with
19    quantitation by Western blotting and with immunolocalization, could further characterize
20    DBF-induced effects on the male reproductive system.  Looking at DBF-induced changes in
21    gene expression in additional reproductive and nonreproductive (Thompson et al., 2005) tissues
22    could also add information about mechanism(s) of action and tissue specificity.  As testes are
23    comprised of a number of cell types, evaluating additional  homogeneous cell populations within
24    the testes, as Plummer  et al. (2007) reported, will be useful.
25          In order to fully consider the Case Study Question 2 (see Chapters 1 and 3), using the
26    toxicogenomic data to determine whether there are other MO As responsible for some of the male
27    reproductive developmental effects, we decided that it would be helpful to analyze the raw data
28    to assess all affected pathways. The published studies, while all  excellent quality, focused their
29    pathway analyses and descriptions on particular pathways of interest to basic science. The
30    following chapter (Chapter 6) describes efforts to reanalyze some of the DBF microarray studies
31    with this goal in mind.
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 1           6. NEW ANALYSES OF DBF GENOMIC STUDIES AND EXPLORATORY
 2          METHODS DEVELOPMENT FOR ANALYSIS OF GENOMIC DATA FOR RISK
 3                                    ASSESSMENT PURPOSES
 4
 5
 6    6.1. OBJECTIVES AND INTRODUCTION

 7         The overall goal of this chapter is to describe the new analyses of genomic and other

 8    molecular data that were performed to answer the two case study questions. The motivation for

 9    performing these new analyses is that the published DBF microarray studies were not performed

10    for risk-assessment purposes, as is the case for the majority  of the current toxicogenomic

11    literature for all chemicals. And, some of the published analyses, such as the time course data of

12    Thompson et al. (2005) and Plummer et al. (2007), have not yet been applied to risk assessment.

13    This work to address the two case study questions inevitably led to the development of some new

14    methods for analyzing genomic data for use in risk assessment. The four subobjectives of the

15    new analyses and methods development proj ects were to

16

17       •  Reanalyze DBF microarray data to address the Case Study Question 1: Do the genomic
18          data inform DBF additional MOAs and the mechanism of action for the male
19          reproductive developmental effects?
20
21          We determined that it would be advantageous to reanalyze the raw data utilizing different
22          analytical approaches (see Figure 3-1) because in most of the DBF microarray studies
23          were analyzed to focused on further delineation of the mechanism of action relevant to
24          one MO A, the reduction in fetal testicular T. In fact, it was the microarray and RT-PCR
25          study results that identified the modulation of the steroidogenesis pathway as leading to
26          reduced fetal testicular T, one of the DBF MOAs, and then, leading to a number of the
27          male reproductive developmental effects.  Not all pathways for the identified DEGs were
28          discussed (or presented) in detail because the focus was on specific pathways of interest.
29          A second DBF MOA of reduced Insl3 gene expression has also been identified (Wilson
30          et al., 2004; see Chapter 3) leading to testis descent defects.  Therefore, a reanalysis that
31          looks more broadly to define all pathways affected by DBF may inform whether there are
32          additional pathways related to MOAs that could be linked to the unexplained male
33          reproductive developmental outcomes caused by DBF identified in Chapter 4. Thus, the
34          purpose of this reanalysis of the existing data set was to identify and characterize
35          additional molecular pathways affected by DBF, beyond a reduction in fetal T and Insl3
36          gene expression.
37
38
39

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 1       •  Explore the development of new methods for pathway analysis ofmicroarray data for
 2          application to risk assessment.
 3
 4          The motivation was to develop methods for performing gene expression analysis of
 5          microarray data for use in risk assessment. Microarray studies for basic research
 6          purposes do not require as high a level of stringency as for risk-assessment purposes
 7          because the results are usually used for hypothesis testing (e.g., for developing an MOA
 8          hypothesis) and further studies in basic research.
 9
10
11       •  Utilize existing DBF genomic data to develop a genetic regulatory network model, and
12          methods for modeling, for use in risk assessment.
13
14          We asked whether there are data to develop a genetic regulatory network model to
15          represent the biological interactions that are functional at different times following
16          exposure to DBF.  Regulatory network models encompass identified cellular signaling
17          pathways from input data and, in addition, bring in gene elements that are inferred from
18          the input data but not necessarily presented in the data. This exercise provides a more
19          biologically enriched view of the cellular interactions inherent in the data.
20

21       •  Utilize genomic and other molecular data to address the Case Study Question 2: Do the
22          genomic and other molecular data inform interspecies differences in MOA ?
23
24          We utilized the available DNA, sequence, and protein similarity data to assess the
25          rat-to-human conservation of the predicted amino acid sequences  of genes involved in the
26          steroidogenesis pathway.
27

28          The work to address the objectives of this chapter is the result of a collaborative effort

29    between scientists at the National Center for Environmental Research STAR Center at Rutgers

30    University and the Robert Wood Johnson Medical School UMDNJ Informatics Institute and the

31    U.S. EPA. The analyses were performed either at Rutgers University or NHEERL-U.S. EPA.

32          The work presented in this chapter is highly technical and thus, is intended to be

33    beneficial to scientists with expertise in genomic and genetic data analysis. The technical details

34    of the analyses are provided in order that scientists could apply these methods to their work.

35    Such an approach will allow the risk assessor proficient in microarray analysis methodology an

36    opportunity to apply these methods. The last section of this chapter (section 6.6.) summarizes

37    the findings for a scientific audience without a strong understanding ofmicroarray analysis

38    methods..
39

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 1    6.2. REANALYSIS OF GENE EXPRESSION DATA TO IDENTIFY NEW MOAs TO
 2        ELUCIDATE UNEXPLAINED TESTICULAR DEVELOPMENT ENDPOINTS
 3        AFTER IN UTERO DBF EXPOSURE
 4
 5    6.2.1.  Objective of the Reanalysis of the Liu et al. (2005) Study
 6          The goal was to reanalyze DBF microarray data to address the Case Study Question 1:
 7    Do the genomic data inform DBF additional MOAs and the mechanism of action for the male
 8    reproductive developmental effects? Modulation of the steroidogenesis pathway, leading to
 9    reduced fetal testicular T, has been identified from the microarray and RT-PCR studies as one
10    MOA for DBF's male reproductive developmental effects. The Liu et al. (2005) study focused
11    on the  steroidogenesis and related pathway.  Not all pathways for the identified DEGs were
12    discussed (or presented) in detail because the focus of the study was on  steroidogenesis.
13    Therefore, a reanalysis that looks more broadly to define all pathways affected by DBF may
14    inform whether there are additional modes and mechanisms of action that could be linked to the
15    unexplained male reproductive developmental outcomes caused by DBF identified in Chapter 4.
16    The purpose for the reanalysis of the existing data sets is to identify and characterize additional
17    molecular pathways affected by DBF, beyond the effects on the androgen-mediated male
18    reproductive developmental toxicity pathways.
19          The Liu et al. (2005) study was selected for reanalysis because the data set had a
20    comprehensive exposure scenario that covered the critical window for developmental exposure
21    to DBF (GD 12-19), the Affymetrix® chip was used (compatible with the proprietary and free
22    software programs  used for pathway level analysis), and the data were provided by Dr. Kevin
23    Gaido, a collaborator on this project.  Some limitations of the Liu et al.  (2005) data set are the
24    small number of samples (i.e., 3 controls and 3 DBF-treated) and the within sample variance.
25    This study was a comparative analysis of six phthalate esters. However, only the DBF treatment
26    and vehicle control data were used  for this analysis.
27          The Liu et al. (2005) study investigated global gene expression in the fetal testis
28    following in utero exposure to a series of phthalate esters, including both developmentally toxic
29    phthalates (DBF, BBP, DPP, and DEHP) and non-developmentally toxic phthalates (DMP, DBF,
30    and DOTP) (Liu et al., 2005). The original analysis was based on a two-way nested ANOVA
31    model  using Bonferroni correction  that identified 391 significantly expressed genes from the

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 1    control out of the approximately 30,000 genes queried. In their analysis, two classes of phthalate
 2    esters were distinguished based on the gene expression profiles. The authors also showed that
 3    developmentally toxic phthalates targeted gene pathways associated with steroidogenesis, lipid
 4    and cholesterol homeostasis, insulin signaling, transcriptional regulation, and oxidative stress.
 5           The common approach of interrogating a handful of genes that pass user-defined
 6    statistical filtering criterion to understand the biology of a system has some limitations
 7    (Tomfohr et al., 2005). These include the following:
 8
 9       •   Often times after correcting for multiple hypothesis testing, few or no genes pass the
10           threshold of statistical significance because the biological variances are modest relative to
11           the noise inherent in a microarray experiment.
12
13       •   Alternatively, one is left with a long list of statistically significant genes that have no
14           unifying biological theme. Interpretation of such a list can be daunting.
15
16       •   Additionally, since cellular processes are not affected by changes in single genes, but a
17           set of genes acting in concert, single gene analysis can miss out on relevant biological
18           information.
19
20       •   Often times, there is little concordance between lists of statistically significant genes
21           from similar studies conducted by two groups.
22
23    6.2.1.1. Differentially Expressed Gene (DEC) Identification: Linear Weighted
24            Normalization
25           The data set for the vehicle treated and DBF treated samples were input into the
26    proprietary software Rosetta Resolver®.  A principal component analysis (PC A) of the entire data
27    set shows a distinct treatment response (i.e., the control and treated samples separate out clearly
28    into two distinct groups [see Figure 6-1]). Additionally, it demonstrates certain limitations of
29    this data set—namely the variance in the data set between similarly treated samples. This is
30    apparent from the fact that even though the two groups show separation along two different axes,
31    they are not tightly grouped together in space.
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 1
 2
 3
 4
 5
 6
 7
 9
10
11
12
13
14
                       0.5094
                        0.2547
                         0
                          0

                                                                 Principal Component 2
                                                                               Legend
                                                                                cont
                                                                                 (3/3)
                                                                                DBF
                                                                                 (3/3)
                                                                                Selection
                                                                                 (0/0)
                                    0.462& 0.2314 0.0-0.2314
                        -0.2547   0.4519
                                                            Principal Component 3
                                                      4-0.4628
                                                                •
0.2259
0.0
-0.5094
-0 2259
•
U











\
        Principal Component
         Figure 6-1. Principal component analysis (PCA) representation of Liu et al. (2005)
         data set. PCA is a standard technique for visualization of complex data, showing the
         distribution of each sample and the degree of similarity to one another. PCA shows
         relationship of all six samples, DBF-treated (red) and concurrent vehicle control (blue).
         Generated by Rosetta Resolver Software v 7.0.
            Next, the gene expression data were normalized using a linear weighted model in Rosetta
      Resolver®.  The Rosetta Resolver® system is a comprehensive gene expression analysis solution
      that incorporates powerful analysis tools with a robust, scalable database.  The annotated genes
      of the rat genome on the Affymetrix® gene chip, -30,000 genes, were input into the significance
      analysis with a Benjamini Hochberg Multiple FDR correction for multiple testing applied at
15    p< 0.01, a more stringent statistical cut-off.  Of the -30,000 genes, the analysis passed
16    118 genes as being significantly altered following DBF exposure.  Of these, 17,496 genes did not
17    pass the statistical filter, and 13,428 genes were not affected by the treatment.  One possible
18    reason that only 118 genes passed the multiple-testing correction filter is that there is a high
19    variance between individual samples as demonstrated by the PCA.
20          Using the linear-weighted normalization analysis, we relaxed the filtering criterion to
21    include more genes because the objective of this exercise was to identify additional pathways
22    affected by DBF, and starting out with  118 genes would be limiting in that regard.  Additionally,
23    often times, researchers have to make a judgment call on when to put emphasis on statistical
24    significance and when to focus on the biological significance. Since the objective was to use the
            This document is a draft for review purposes only and does not constitute Agency policy.
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 1   gene expression data to gain new information about DBF toxicity, we deemed it suitable to relax

 2   the statistical filtering criteria to obtain maximum numbers of genes to upload to pathway

 3   mapping software.

 4          The next filtering strategy involved applying a statistical t-test ofp < 0.05 (see

 5   Figure 6-2) and did no multiple testing correction (MTC) was applied because when MTC was

 6   applied, no genes were identified as significant.  Of the 31,000 gene probes present on the RAE
 7   A and B Affymetrix® GeneChips®, 1,977 passed this filter.
 9
10
11
12
13
14
15
16
         13
          00
          o
          H-l
            -12 -
            -16 -
                             8000     16000     24000
                                     Sequences
                                                   32000
                                                                            Legend
                                                             +  Signature
                                                                (1,977/1,977)
                                                             +  Invariant
                                                                (999/999)
                                                             +  Unchanged
                                                                (28,066/28,066)
                                                             ^  Selection
                                                                (1,977/1,977)
                                                              "
Figure 6-2.  Selection of significant genes using Rosetta Resolver".  30,000 genes
were input into the significance analysis with ap-va\ue cutoff of 0.05.  No
multiple-testing correction was applied. The analysis passed 1,977 genes as being
significantly altered following DBF exposure. Of the remaining genes, 999 genes were
differentially expressed but did not pass the statistical filter, and 28,066 genes were not
affected by the treatment.
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 1          The set of 1,977 genes was deemed suitable to perform a comprehensive pathway-level
 2    analysis because about one third of the DEGs (999) did not meet the statistical cut-off criteria (a
 3    p value cutoff < or = 0.05). To do this, the list of 1,977 genes was inputted into a second
 4    software program called GeneGo. GeneGo is a leading provider of data analysis solutions in
 5    systems biology.  Its proprietary database MetaCore™'s sophisticated analytical tools enable the
 6    identification and prioritization of the most relevant pathways, networks, and cellular processes
 7    affected by a given condition.
 8
 9    6.2.1.2. Differentially Expressed Gene (DEC) Identification: Signal-to-Noise Ratio (SNR)
10          We also identified DEGs two independent methods, Signal-to-Noise Ratio (SNR) (Golub
1 1    et al., 1999) and a two sample t-test from the Liu et al. (2005 DBF data. SNR reflects the
12    difference between the classes relative to the standard deviation within the classes.
13          Equation 6-1 evaluates the means and standard deviations of the expression levels of
14    gene g for the samples in group 1  (vehicle control) and group 2 (DBF treated), respectively.
15          For a given gene (g) we evaluate the SNR using Equation 6- 1 :
16
17
                                                                                         (6-1)
18    The means and standard deviations of the expression levels of gene g are denoted with // and
19    a, respectively, for the samples in group 1 (vehicle control) and group 2 (DBF treated).
20          A high value of SNR is indicative of a strong distinction between the groups—i.e.,
21    vehicle and DBF treated. In order to identify the DEGs whose expression was altered by DBF,
22    1,000 random gene expressions were permutated from the whole data set, and their SNR was
23    computed. The ratio of the randomly generated SNR value that is higher than the actual SNR
24    value determined whether the expression of the probe set is differentially expressed or not.
25    Appendix B lists the algorithm for selecting DEGs (see Figure B-l). A list of 1,559 probe sets
26    was identified as being differentially expressed following a statistical cut-off of p < 0.05. The
27    heat map (see Figure 6-3) illustrates the distinction between the vehicle and treated samples. On
28    the other hand, Student's t-test (p < 0.05) revealed 1,876 probe sets being statistically significant.
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 1
 2
                                       VVVTTT
                                                    High
                                                    Low
 3
 4          Figure 6-3. Heat map of 1,577 differentially expressed genes (DEGs) from
 5          SNR analysis method.  V = Vehicle, T = Treated samples. Data used for
 6          analysis from Liu et al. (2005). Columns represent the six treatment conditions
 7          (3 DBF treatments,  3 vehicle controls).  Rows represent the different 1,577 DEGs.
 8          Red represents up regulation of gene expression, and green represents down
 9          regulation of gene expression.
10
11          Array Track was used to calculate the pathway enrichment for the two DEGs lists, SNR
12   list, and t-test list. To investigate interactions of genes at the pathway level, the Kyoto
13   Encyclopedia of Genes and Genomes (KEGG; http://www.genome.jp/kegg) database was
14   utilized as a pathway mapping tool, and a Fisher's exact test was used to compute the
15   significance.  The top five enriched pathways as derived from both gene lists are common:
16   biosynthesis of steroids, terpenoid biosynthesis, GSH biosynthesis, and carbon fixation.  The
17   SNR gene list maps to more pathways than the  t-test gene list, even though the number of DEGs
18   was greater in the t-test generated gene list than in the SNR gene list.
19
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 1    6.2.2. Pathway Analysis of Liu et al. (2005) Comparing Two Methods
 2          Pathway-analysis methods and software have been previously developed for analysis of
 3    microarray data for basic and applied research. Pathway-level analysis mainly depends on the
 4    definition of the pathways (database) and significance level uses to measure the differential
 5    expressions.  Using these validated methods, a pathway analysis was performed. Further, a
 6    comparison of methods between the results from using different analytical approaches, SNR and
 7    linear weighted normalization, was performed.
 8          Analysis of DBF toxicogenomic studies was carried out using many proprietary
 9    databases and software packages that are available to the microarray community with enhanced
10    bioinformatic capabilities for pathway and functional level analysis (Rosetta Resolver®,
11    MetaCore™ GeneGo, Ingenuity® Pathway Knowledgebase.  These software tools accept lists of
12    genes of interest and then using their database of knowledge about these gene elements, map
13    them to cellular pathways known to exist from experimental literature. The advantage of trying
14    to understand groups of genes acting in a similar cellular process such as cell cycle provides
15    more meaningful results as opposed to trying to understand one gene at a time, which may have
16    no relationship to other genes on a statistically filtered list.  The rationale behind the exercise
17    was that interrogation of multiple databases would result in a more complete mining of the
18    microarray data sets, which may provide an understanding of all of the potential DBF MO As
19    underlying the testes reproductive developmental  effects. Analysis using different statistical
20    tools provides information about the similarities and differences in results.
21          Figure 6-4 shows the schematic of the comparative analysis protocol.  The GeneGo
22    analysis normalized data set revealed that 131 biological processes (p <  0.05) were associated
23    with the 1,977 DEGs. Table 6-1 lists the pathways with ap < 0.05 (Fisher exact t-test).
24    Comparisons made on the level of gene lists obtained by different statistical methods often do
25    not converge (Stocco et al., 2005). We decided to perform a comparison of methods based on
26    the assumption that biologically related groups of genes, such as metabolic or signaling
27    pathways, may be more valid if identified using different microarray analysis methods. Towards
28    this effort, we treated the gene list (1,559 genes) using SNR to a pathway level analysis using
29    GeneGo, similar to the analysis performed on the  linear weighted normalization results.  Table
30    6-2 lists the result of this analysis.

           This document is a draft for review purposes only and does not constitute Agency policy.
                                               6_9         DRAFT—DO NOT CITE OR QUOTE

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 1
 2
                                         Liu etal. (2005) DBF data
• 	
Linear Weighted
Normalization

— •
Signal to
Noise Ratio
                                   Differentially  ,/   ^x    Differentially
                           unique   Expressed  (common)   Expressed    unique
                                     Genes    \__^-^     Genes
                                      I
                                   Input filtered
                                   gene list into
                                    GeneGo
                                                       I
                                                    Input filtered
                                                    gene list into
                                                     GeneGo
                                   Significant
                           unique   Patnways
                                                    Significant
                                                    Pathways
unique
 3
 4
 5
 6
 1
 8
 9
10
11
Figure 6-4. Schematic of the two analysis methods (linear weighted normalization and
SNR) for identifying differentially expressed genes and subsequent pathway analysis using
GeneGo. Two separate analyses, linear weighted normalization and SNR statistical filters, were
performed to identify common and unique genes from the Liu et al. (2005) data.  The two
separate filtered gene lists were input into GeneGo to identify statistically significantly affected
pathways.  Common and unique pathway lists were generated.
           This document is a draft for review purposes only and does not constitute Agency policy.
                                               6-1 o       DRAFT—DO NOT CITE OR QUOTE

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1
2
Table 6-1. GeneGo pathway analysis of significant genes affected by DBF
Pathway
NF-AT signaling in cardiac hypertrophy
MIF — the neuroendocrine-macrophage
connector
Lysine metabolism
Cholesterol metabolism
Glycolysis and gluconeogenesis (short
map)
Integrin-mediated cell adhesion
Tryptophan metabolism
Cholesterol biosynthesis
ECM remodeling
Regulation of lipid metabolism via
PPAR, RXR, and VDR
Propionate metabolism p. 2
PPAR regulation of lipid metabolism
Mitochondrial long chain fatty acid
beta-oxidation
Role of VDR in regulation of genes
involved in osteoporosis
ChREBP regulation pathway
Androstenedione and testosterone
biosynthesis and metabolism p. 1
Arginine metabolism
Regulation of fatty acid synthesis:
NLTP and EHHADH
Angiotensin signaling via STATs
Cytoskeleton remodeling
dGTP metabolism
TCA
Glycolysis and gluconeogenesis p. 1
Peroxisomal branched chain fatty acid
oxidation
Biological process
Disease
Immune response
Amino acid metabolism
Steroid metabolism
Carbohydrates metabolism
Cell adhesion
Amino acid metabolism
Steroid metabolism
Cell adhesion
Transcription
Carbohydrates metabolism
Regulation of lipid metabolism
Lipid metabolism
Transcription
G-protein coupled receptor
signaling
Steroid metabolism
Amino acid metabolism
Regulation of lipid metabolism
Growth and differentiation
Cell adhesion
Nucleotide metabolism
Amino acid metabolism
Carbohydrates metabolism
Lipid metabolism
p-Valuea
2.23E-04
3.00E-04
3.05E-04
6.95E-04
7.40E-04
8.44E-04
9.56E-04
1.44E-03
1.64E-03
1.96E-03
1.96E-03
2.04E-03
2.28E-03
3.16E-03
3.82E-03
4.30E-03
4.45E-03
5.02E-03
5.18E-03
5.19E-03
5.34E-03
5.70E-03
5.70E-03
5.70E-03
No. of
genesb'c
19/90
19/92
9/27
6/14
10/36
18/92
9/31
7/21
13/60
7/22
7/22
8/28
6/17
12/57
10/44
6/19
9/38
4/9
11/53
26/176
9/39
6/20
6/20
6/20
          This document is a draft for review purposes only and does not constitute Agency policy.
                                            6_ 11       DRAFT—DO NOT CITE OR QUOTE

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 Table 6-1. (continued)
Pathway
Gamma-aminobutyrate (GABA)
biosynthesis and metabolism
Ligand-dependent activation of the
ESR1/SP pathway
Integrin inside-out signaling
Reverse signaling by ephrin B
G-protein beta/gamma signaling
cascades
Activation of PKC via G-Protein
coupled receptor
Gap junctions
WNT signaling pathway
Angiotensin activation of ERK
Role of Akt in hypoxia induced HIF1
activation
Regulation of actin cytoskeleton by Rho
GTPases
CCR3 signaling in eosinophils
MAG-dependent inhibition of neurite
outgrowth
Endothelial cell contacts by junctional
mechanisms
Fructose metabolism
Regulation of lipid metabolism via LXR,
NF-Y and SREBP
CXCR4 signaling pathway
Serotonin-melatonin biosynthesis and
metabolism
Glycolysis and gluconeogenesis p. 2
Oxidative phosphorylation
Urea cycle
Biological process
Metabolism of mediators
Response to hormone stimulus
Cell adhesion
Cell adhesion
G-protein coupled receptor
protein signaling pathway
G-protein coupled receptor
protein signaling pathway
Cell adhesion
Proteolysis
G-protein coupled receptor
protein signaling pathway
Proteolysis
Small GTPase mediated signal
transduction
Immune response
Response to extracellular
stimulus
Cell adhesion
Carbohydrates metabolism
Transcription
Cytokine and chemokine
mediated signaling pathway
Metabolism of mediators
Carbohydrates metabolism
Energy metabolism
Amino acid metabolism
p-valuea
5.70E-03
6.38E-03
6.85E-03
6.86E-03
6.94E-03
7.65E-03
8.51E-03
8.59E-03
9.12E-03
9.83E-03
1.18E-02
1.22E-02
1.47E-02
1.80E-02
1.80E-02
1.80E-02
1.89E-02
2.04E-02
2.15E-02
2.37E-02
2.58E-02
No. of
genesbc
6/20
9/40
14/78
15/86
11/55
15/87
10/49
7/28
11/57
10/50
11/59
18/117
10/53
7/32
7/32
7/32
10/55
5/19
4/13
15/99
6/27
This document is a draft for review purposes only and does not constitute Agency policy.
                                    6-12       DRAFT—DO NOT CITE OR QUOTE

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           Table 6-1. (continued)
Pathway
G-proteins mediated regulation p. 3 8 and
JNK signaling
Transcription factor tubby signaling
pathways
Role PKA in cytoskeleton reorganization
Ephrins signaling
Propionate metabolism p. 1
Estrone metabolism
Regulation of acetyl-CoA carboxylase 2
activity in muscle
Chemokines and adhesion
Arachidonic acid production
dCTP/dUTP metabolism
Regulation of lipid metabolism by niacin
and isoprenaline
Ubiquinone metabolism
Phenylalanine metabolism
Leptin signaling via JAK/STAT and
MAPK cascades
IMP biosynthesis
EPO-induced Jak-STAT pathway
Integrin outside-in signaling
Brcal as transcription regulator
P53 signaling pathway
Bile acid biosynthesis
Histidine-glutamate-glutamine and
proline metabolism
NTS activation of IL-8 in colonocytes
Biological process
G-protein coupled receptor
protein signaling pathway
Transcription
Protein kinase cascade
Cell adhesion
Carbohydrates metabolism
Steroid metabolism
Response to extracellular
stimulus
Cytokine and chemokine
mediated signaling pathway
Lipid metabolism
Nucleotide metabolism
Regulation of lipid metabolism
Vitamin and cofactor
metabolism
Amino acid metabolism
Response to hormone stimulus
Nucleotide metabolism
Response to extracellular
stimulus
Cell adhesion
Cell cycle
Transcription regulation
Steroid metabolism
Amino acid metabolism
Immune response
p-valuea
2.60E-02
2.63E-02
2.64E-02
2.66E-02
2.81E-02
2.81E-02
2.81E-02
2.82E-02
2.87E-02
2.99E-02
3.01E-02
3.01E-02
3.05E-02
3.57E-02
3.70E-02
3.78E-02
3.95E-02
4.15E-02
4.28E-02
4.43E-02
4.79E-02
4.85E-02
No. of
genesbc
11/66
8/42
13/83
10/58
4/14
4/14
4/14
23/174
7/35
8/43
9/51
9/51
6/28
6/29
3/9
7/37
12/79
6/30
8/46
5/23
8/47
10/64
1    aOrdered from most significant (lowestp-valuo) to less significant.
2    bNumber of genes from the DBF-exposed gene list mapping to the GeneGo pathway.
3    °Total number of genes in the GeneGo pathway.
          This document is a draft for review purposes only and does not constitute Agency policy.
                                            6_ 13       DRAFT—DO NOT CITE OR QUOTE

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             Table 6-2.  Significant biological pathways corresponding to differentially expressed genes (DEGs) obtained

             from SNR analysis input into GeneGo
o



o
S


§
Pathway
Cholesterol Biosynthesis
Propionate metabolism p.2
MIF — the neuroendocrine-macrophage connector
Tryptophan metabolism
Lysine metabolism
Cholesterol metabolism
NF-AT signaling in cardiac hypertrophy
Glycolysis and gluconeogenesis (short map)
G-alpha(q) regulation of lipid metabolism
Activation of PKC via G-protein coupled receptor
Fructose metabolism
Regulation of lipid metabolism by niacin and isoprenaline
ATP metabolism
Angiotensin activation of ERK
NTS activation of IL-8 in colonocytes
Leucine, isoleucine, and valine metabolism.p.2
Biological Process
Steroid metabolism
Carbohydrates metabolism
Immune response
Amino acid metabolism
Amino acid metabolism
Steroid metabolism
Disease
Carbohydrates metabolism
Regulation of lipid metabolism
G-proteins/GPCR
Carbohydrates metabolism
Regulation of lipid metabolism
Nucleotide metabolism
Growth and differentiation
Immune response
Amino acid metabolism
p-Valuea
1.81E-09
5.54E-06
3.22E-04
3.78E-04
3.93E-04
1.09E-03
1.38E-03
1.77E-03
1.93E-03
2.00E-03
2.06E-03
2.08E-03
2.09E-03
2.55E-03
3.60E-03
3.64E-03
No. ofgenesbc
15/21
12/22
25/92
12/31
11/27
7/14
23/90
12/36
13/41
22/87
11/32
15/51
16/56
16/57
17/64
9/25


-------
              Table 6-2. (continued)
o



o
S


§
Pathway
Reverse signaling by ephrin B
Cortisone biosynthesis and metabolism
CXCR4 signaling pathway
G-Protein beta/gamma signaling cascades
Glutathione metabolism
Mitochondria! ketone bodies biosynthesis and metabolism
Integrin inside-out signaling
Propionate metabolism p. 1
Role of VDR in regulation of genes involved in osteoporosis
Endothelial cell contacts by junctional mechanisms
EPO-induced Jak-STAT pathway
A3 receptor signaling
Angiotensin signaling via STATs
MAG-dependent inhibition of neurite outgrowth
Phenylalanine metabolism
Androstenedione and testosterone biosynthesis and metabolism p. 1
Cytoskeleton remodeling
Biological Process
Cell adhesion
Steroid metabolism
Immune response
G-proteins/GPCR
Vitamin and cofactor metabolism
Lipid metabolism
Cell adhesion
Carbohydrates metabolism
Transcription factors
Cell adhesion
Cell survival
G-proteins/GPCR
Growth and differentiation
Growth and differentiation
Amino acid metabolism
Steroid metabolism
Cell adhesion
p-Valuea
3.92E-03
4.31E-03
4.63E-03
4.63E-03
5.77E-03
5.96E-03
6.07E-03
6.51E-03
6.63E-03
7.02E-03
7.24E-03
8.08E-03
8.28E-03
8.28E-03
8.48E-03
8.76E-03
9.69E-03
No. of genesbc
21/86
7/17
15/55
15/55
11/36
5/10
19/78
6/14
15/57
10/32
11/37
19/80
14/53
14/53
9/28
7/19
35/176


-------
              Table 6-2. (continued)
o



o
S


§
Pathway
ChREBP regulation pathway
Leptin signaling via JAK/STAT and MAPK cascades
dGTP metabolism
TCA
Glycolysis and gluconeogenesis p. 1
Gamma-aminobutyrate (GABA) biosynthesis and metabolism
BAD phosphorylation
Ligand-dependent activation of the ESR1/SP pathway
RAB5A regulation pathway
Integrin outside-in signaling
Hedgehog and PTH signaling pathways participation in bone and
cartilage development
G-Proteins mediated regulation MARK-ERK signaling
Integrin-mediated cell adhesion
Mitochondria! long chain fatty acid beta-oxidation
CCR3 signaling in eosinophils
Regulation of lipid metabolism via PPAR, RXR, and VDR
Biological Process
Regulation of transcription
Growth and differentiation
Nucleotide metabolism
Amino acid metabolism
Carbohydrates metabolism
Metabolism of mediators
Apoptosis
Hormones
G-proteins/RAS-group
Cell adhesion
Growth and differentiation
G-proteins/GPCR
Cell adhesion
Lipid metabolism
Immune response
Transcription factors
p-Valuea
1.08E-02
1.09E-02
1.10E-02
1.20E-02
1.20E-02
1.20E-02
1.21E-02
1.34E-02
1.49E-02
1.50E-02
1.62E-02
1.64E-02
1.78E-02
1.88E-02
2.02E-02
2.07E-02
No. of genesbc
12/44
9/29
11/39
7/20
7/20
7/20
19/83
11/40
5/12
18/79
11/41
17/74
20/92
6/17
24/117
7/22


-------
              Table 6-2. (continued)
o



o
S


§
Pathway
Glycolysis and gluconeogenesis p. 2
Regulation of fatty acid synthesis: NLTP and EHHADH
Role PKA in cytoskeleton reorganization
Arginine metabolism
ECM remodeling
Ca (2+)-dependent NF-AT signaling in cardiac hypertrophy
WNT signaling pathway
PPAR regulation of lipid metabolism
Insulin regulation of the protein synthesis
CXCR4 signaling via second messenger
Angiotensin signaling via beta-Arrestin
Estrone metabolism
Regulation of acetyl-CoA carboxylase 2 activity in muscle
Prolactin receptor signaling
Triacylglycerol metabolism p. 1
Serotonin-melatonin biosynthesis and metabolism
Angiotensin signaling via PYK.2
Biological Process
Carbohydrates metabolism
Regulation of lipid metabolism
Kinases
Amino acid metabolism
Cell adhesion
Disease
Growth and differentiation
Regulation of lipid metabolism
Translation regulation
Immune response
Growth and differentiation
Steroid metabolism
Growth and differentiation
Growth factors
Lipid metabolism
Metabolism of mediators
Growth and differentiation
p-Valuea
2.16E-02
2.30E-02
2.43E-02
2.44E-02
2.45E-02
2.55E-02
2.64E-02
2.64E-02
2.67E-02
2.67E-02
2.71E-02
2.99E-02
2.99E-02
3.19E-02
3.23E-02
3.27E-02
3.32E-02
No. of genesbc
5/13
4/9
18/83
10/38
14/60
15/66
8/28
8/28
13/55
13/55
11/44
5/14
5/14
14/62
8/29
6/19
16/74


-------
               Table 6-2. (continued)
o



o
S


§
Pathway
G-Protein alpha-i signaling cascades
dATP/dlTP metabolism
Brcal as transcription regulator
Ephrins signaling
Mitochondria! unsaturated fatty acid beta-oxidation
GDNF signaling
Aspartate and asparagine metabolism
Peroxisomal branched chain fatty acid oxidation
Histidine-glutamate-glutamine and proline metabolism
TGF-beta receptor signaling
Regulation of actin cytoskeleton by Rho GTPases
G-Protein alpha-s signaling cascades
Al receptor signaling
Membrane-bound ESR1 : interaction with growth factors signaling
Transcription factor Tubby signaling pathways
Histamine metabolism
PPAR pathway
Biological Process
G-proteins/GPCR
Nucleotide metabolism
Cell-cycle control
Cell adhesion
Lipid metabolism
Growth and differentiation
Amino acid metabolism
Lipid metabolism
Amino acid metabolism
Growth and differentiation
G-proteins/RAS -group
G-proteins/GPCR
G-proteins/GPCR
Growth and differentiation
Regulation of transcription
Metabolism of mediators
Transcription factors
p-Valuea
3.36E-02
3.86E-02
3.90E-02
3.99E-02
4.01E-02
4.08E-02
4.15E-02
4.15E-02
4.24E-02
4.51E-02
4.51E-02
4.51E-02
4.61E-02
4.64E-02
4.64E-02
4.83E-02
4.86E-02
No. of genesbc
12/51
12/52
8/30
13/58
5/15
7/25
6/20
6/20
11/47
13/59
13/59
13/59
16/77
10/42
10/42
4/11
11/48

   oo

-------
                    Table 6-2. (continued)
   O  «>'
i  *
I, 5-
Si, S>
i  §.
^ 
o  ^
^  a
s  ^
*""*••  5.
^  
-------
 1          Table 6-3 lists the pathways that are in common between conducting the two different
 2    analyses by using the GeneGo analysis (i.e., the union of the two separate pathway lists; see
 3    Tables 6-1 and 6-2). This analysis highlights biological processes and pathways that are affected
 4    by DBF exposure to fetal testis besides the already established changes in the steroidogenesis
 5    pathway.  An attempt to link these unique pathways and processes to the DBF-induced male
 6    reproductive toxicity outcomes will be made based on the published literature.
 7          Cholesterol biosynthesis/metabolism and associated pathways underlie one of the MO As
 8    of DBF.  To determine a metric for statistical analysis protocols of toxicogenomic data, we chose
 9    to compare the genes that are involved in the cholesterol biosynthesis/metabolism as identified
10    by the three independent analysis methods (described herein) as well as the published data set
11    from Liu et al. (2005) (see Table 6-4). These results show that there is a high degree of overlap
12    in the most biologically relevant pathway/process involved in DBF toxicity, even when different
13    statistical procedures are used for analysis of the same data set.  These are in agreement with the
14    published literature,  giving the approaches used in this exercise biological confidence.
15          By utilizing databases such as GeneGo, additional canonical pathways and biological
16    processes were identified that may play an important role in its toxicity.  Regulation of
17    steroidogenesis requires multiple signaling pathways and growth factors  (Stocco et al.,  2005).
18    Signaling pathways, like the protein kinase C pathway, arachidonic acid  metabolism, growth
19    factors, chloride ion, and the calcium messenger system are capable of regulating/modulating
20    steroid hormone biosynthesis. It is possible that some of the pathways and processes identified
21    by the two methods may play a role in the regulation of steroidogenesis,  known to be affected by
22    DBF.  Another scenario could be that these pathways and processes have yet to be associated
23    with DBF-induced toxicity.
24          Previous transcriptional studies have been shown that DBF does not bind to the AR
25    unlike flutamide (Parks et al., 2000), rather, it interrupts T synthesis (Shultz et al., 2001). The
26    androstenedione and T biosynthesis and metabolism pathway was one of the common pathways
27    in the GeneGo analysis of the two different methods gene lists (see Figures 6-5 and 6-6).  We
28    investigated the potential role of AR in DBF-induced toxicity by querying the GeneGo database
29    based on the transcriptional profiling data.
30
             777/5 document is a draft for review purposes only and does not constitute Agency policy.
                                                6-20      DRAFT—DO NOT CITE OR QUOTE

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1
2
3
4
Table 6-3. Common pathways between the linear weighted normalization
and SNR analyses of differentially expressed genes (DEGs) after in utero
DBF exposure from the Liu et al. (2005) dataa'b'c
Biological Process
Cell adhesion
Cell signaling
Disease
Growth and differentiation
Hormones
Immune response
Pathways
Cytoskeleton remodeling
ECM remodeling
Endothelial cell contacts by junctional mechanisms
Ephrins signaling
Integrin inside-out signaling
Integrin outside-in signaling
Integrin-mediated cell adhesion
Reverse signaling by ephrin B
Activation of PKC via G-Protein coupled receptor
CCR3 signaling in eosinophils
ChREBP regulation pathway
G-Protein beta/gamma signaling cascades
G-Proteins mediated regulation p. 38 and JNK signaling
Leptin signaling via JAK/STA T and MAPK cascades2
Regulation of actin cytoskeleton by Rho GTPases
Role PKA in cytoskeleton reorganization
NF-AT signaling in cardiac hypertrophy
NTS activation of IL-8 in colonocytes
Angiotensin activation of ERK
Angiotensin signaling via STATs
EPO-induced Jak-STAT pathway
MAG-dependent inhibition of neurite outgrowth
Regulation of acetyl-CoA carboxylase 2 activity in muscle
WNT signaling pathway
Ligand-dependent activation of the ESR1/SP pathway
MIF - the neuroendocrine-macrophage connector
CXCR4 signaling pathway
 777/5 document is a draft for review purposes only and does not constitute Agency policy.
                                  6-21       DRAFT—DO NOT CITE OR QUOTE

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      Table 6-3. (continued)
Biological Process
Metabolism
Metabolism
Pathways
Androstenedione and testosterone biosynthesis and metabolism p. I2
Cholesterol biosynthesis2
Cholesterol metabolism2
dATP/dlTP metabolism
dGTP metabolism
Estrone metabolism
Fructose metabolism
G-alpha(q) regulation of lipid metabolism
Gamma-aminoburyrate (GABA) biosynthesis and metabolism
Glutathione metabolism
Glycolysis and gluconeogenesis (short map)
Glycolysis and gluconeogenesis p. 1
Glycolysis and gluconeogenesis p. 2
Histamine metabolism
Histidine-glutamate-glutamine and proline metabolism
Leucine, isoleucine and valine metabolism p. 2
Lysine metabolism
Mitochondrial ketone bodies biosynthesis and metabolism
Mitochondrial long chain fatty acid beta-oxidation
Mitochondrial unsaturated fatty acid beta-oxidation
Peroxisomal branched chain fatty acid oxidation
Phenylalanine metabolism
PPAR regulation of lipid metabolism2
Propionate metabolism p. I2
Propionate metabolism p.22
Regulation of fatty acid synthesis: NLTP and EHHADH
Regulation of lipid metabolism by niacin and isoprenaline
Regulation of lipid metabolism via LXR, NF-Y, and SREBP2
Regulation of lipid metabolism via PPAR, RXR, and VDR2
Serotonin — melatonin biosynthesis and metabolism
TCA
Triacylglycerol metabolism p. 1
Tryptophan metabolism
This document is a draft for review purposes only and does not constitute Agency policy.
                                  6-22       DRAFT—DO NOT CITE OR QUOTE

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                      Table 6-3. (continued)
 1
 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
Biological Process
Transcription
Pathways
Brcal as transcription regulator
Role of VDR in regulation of genes involved in osteoporosis
Transcription factor Tubby signaling pathways
"Significant gene list from SNR and linear weighted average methods were input into GeneGo pathway analysis
 program (www.genego.com). The Gene ontology process/pathway list was generated using a cut-off of p < 0.05
 for each analysis. From those lists, the common pathway list was generated.
bPathways that are part of—or overlap with—the testosterone synthesis pathways are indicated by bold italics.
 These pathways were identified by performing a PubMed literature search
 (http://www.ncbi.nlm.nih.gov/sites/entrez?db=PubMed) for "testosterone" and the name of each pathway (listed in
 the table).
°Entrez Gene indicates that Insl3 is the ligand for the LGR8 receptor, but the Insl3 pathway is not fully defined
 (http://www.ncbi.nlm. nih.gov/sites/entrez?Db=gene&Cmd=ShowDetailView&TermToSearch=114215&ordinalpo
 s=3&itool=EntrezSystem2.PEntrez.Gene.Gene_ResultsPanel.Gene_RVDocSum).  Functions that have been shown
 to be related to the Insl3 pathway are G-protein-coupled receptor binding and hormone activity.  Processes
 identified are G-protein signaling, adenylate cyclase inhibiting pathway, gonad development, in utero embryonic
 development,  male gonad development, negative regulation of apoptosis, negative regulation of cell proliferation,
 oocyte maturation, positive regulation of cAMP biosynthetic process, and positive regulation of cell proliferation.
 While a number of G-protein pathways were identified in this analysis, none are considered exclusive to InslS and
 are, therefore, not listed in bold italics.
               This document is a draft for review purposes only and does not constitute Agency policy.
                                                       6-23        DRAFT—DO NOT CITE OR QUOTE

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1
2
3
4
Table 6-4.  Genes involved in cholesterol biosynthesis/metabolism as identified by
the two analyses (i.e., linear weighted normalization and signal to noise ratio) of Liu
et al. (2005)
Linear weighted
normalization (GeneGo)

Cyp27al
CypSlal
Cyp7bl
Dhcr?




Hmgcr
Hmgcsl
Hsdllbl
Hsd3bl
Mil


Sqle
Sc4mol
Soatl

SNR (GeneGo)
Acatl

CypSlal

Dhcr?
Dhcr24
Ebp
Fdftl
Fdps
Hmgcr
Hmgcsl


Mil
Mvd
Nsdhl
Sqle
Sc4mol

Tm7sf2
SNR (KEGG)
Acatl



Dhcr?

Ebp
Fdftl
Fdps
Hmgcr
Hmgcsl


Mil
Mvd

Sqle



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                                                                                       .8.2.2
                                                                       16 alpha-hydroxy-
                                                                       dehydro-
                                                                       epiandrosterone 1.14 4.1
                                                                       3-sultete
                                                                                        16 alpha-hydro^-
                                                                                           dehydro-
                                                                                         epiandrosterone
                                                                   biosynthesis
                                                                                                         ST2A1
                                                                                                       Homodimer
                                                                                ctehydroepi andro       1.14.99.9
                                                                                   sterone
                                                     __^            '  *^^^     Ut
                                                    ,,2*     .






                                                         CYP3A7   1.1.1.1^515.3.3.1     1 1 1 1 «JS
                                                                                                             17-alpha-hydroxy-
                                                                                                              pregnenolone
                                                                                       331     1.1.1.1 IS 6.3.3.1
                                                                                      16 alpha-hydroxy-
                                                                                      andnostenect one     C YP17
                                                                                                           1
                                                                      Conversion of pregnenolone and progesterone to
                                                                      their 17- alpha-hydroxylated products and
                                                                      subsequently to dehydroepiandrosterone (DHEA)
                                                                      and androstenedione. Catalyzes both the 17-
                                                                      alpha-hydroxylation and the 17j20-!yase reaction.
                                                                      Involved in sexual development during fetal life
                                                                      and at puberty.
                                                                                              Pregnenoloneand
                                                                                                progesterone
                                                                                               biosynthesis and
                                                                                                metabolism
                                                                                                               17^lpha-
                                                                                                           hydroxy progesterone
                                                                                                               1.14.99.9
2
3
4
5
6
Figure 6-5.  Mapping the Liu et al. (2005) data set onto the canonical
androstenedione and testosterone (T) biosynthesis and metabolism pathway
in MetaCore™ (GeneGo).  Key enzymes activated by DBF are identified by red
thermometers.
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  Androgen Receptor nuclear signaling
                                                    Export to image
                                                                     Experiments order
                  IL-6 receptor  Galpha(q)-specific frizzled GPCRs  Tap-beta receptor  TGF-beta receptor type II    IGF-1 jjeceptor ^   EGFR
                                                type I
 1
 2
 3
 4
 5
 6
 1
 8
 9
10
11
       Figure 6-6. Mapping the Liu et al. (2005) data set onto the canonical
       Androgen receptor (AR) nuclear signaling pathway in MetaCore™
       (GeneGo).  The thermometers denote input intensities of genes from our
       statistical list mapped to this GeneGo pathway.  Blue thermometers represent
       downregulated genes present in the data and red thermometer represents
       upregulated genes present in the data set that map to this pathway.
       The GeneGo network connections reveal that CYP17 and AR are involved in the

androgen biosynthetic process. Based on the transcriptional profiling data, the AR is down

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 1    regulated by DBF in the fetal testes.  This was a novel finding from this analysis and needs
 2    further corroboration.
 3          It has been reported in the literature (MAQCI, see Chapter 2) that the results of a
 4    microarray experiment are heavily dependent on the data analysis protocol and the biological
 5    pathway analysis tools available to interpret the list of statistically significant genes.  Dissimilar
 6    sets of gene expression  signatures with distinct biological contexts can be generated from the
 7    same raw data by  different data analysis protocols. Distinct biological contexts can also be
 8    generated from the same gene expression signatures by different biological pathway protocols.
 9    Therefore, it becomes important to determine and understand the relationship between the gene
10    expression and pathway changes and a biological  outcome of interest.
11          To do a thorough investigation it is necessary to use many sources of gene and pathway
12    annotation. The intent of using multiple sources is to gain an enriched analysis.  In practice,
13    analysis is carried out with the suite of tools available to the analyst. In this case, the Star Center
14    primarily used KEGG (a resource rich in enzymatic and metabolic reactions but weak in
15    signaling pathways); whereas the U.S. EPA used Rosetta Resolver,  GeneGo, and Ingenuity
16    Pathway Analysis, resources that are populated with signaling as well as metabolic pathways.
17          This exercise demonstrates that multiple approaches to microarray data analysis can yield
18    similar biologically relevant outcomes. The differences observed in the results could be due to a
19    number of factors including (1) the different data normalization procedures used in the two
20    separate analyses; (2) different data interpretation tools such as the software for pathway
21    analyses, for examples.  However, it cannot be ruled out that the differences may reflect
22    differences in biological significance (i.e., one approach is better than the  other).
23
24    6.2.3. Transcription Factor (TF) Analysis
25          Inspection of the regulatory elements of the informative genes would reveal important
26    information about DBF exposure on gene expression.  All the informative genes demonstrated a
27    down regulation in expression, and their co-regulated genes are likely to have a similar response
28    (Turner et al., 2007).  EXPANDER is used  for TF enrichment analysis (Shamir, 2005).
29    TF enrichment analysis revealed six transcription factors in informative genes with a statistical
30    significance level  of 0.05 (see Table 6-5). Liu et al. (2005) study states that the regulatory
31    regions of several steroidogenic genes contain Globin transcription factor 1 binding protein
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 1    (GATA) elements, and propose that GATA factors, particularly GATA-4 and GATA-6, might
 2    represent novel downstream effectors of hormonal signaling in steroidogenic tissues.
 3    Interestingly, GATA-4 appears in the DEG list as up regulated, and GATA-1 is one of the
 4    enriched transcription factors. Another study claims that estrogen receptor (ER) a-deficient mice
 5    (ERa-/-) display higher levels oftesticular T secretion than wild-type mice from fetal day 13.5
 6    onwards (Delbes et al., 2005) and that ER is expressed in the rat testis (van Pelt et al., 1999).
 7    Sex determining region Y (SRY) is one of the enriched transcription factors. Although SRY is
 8    known to be the major determinant for testis formation, a recent study showed that SRY is
 9    expressed also in rat testis tissues (Turner et al., 2007).  Nuclear factor Y (NF-Y) is another
10    putative transcription factor,  and it is known as taking action in sterol regulation (Shea-Eaton et
11    al., 2001; Xiong et al., 2000).
12
13          Table 6-5. Enriched transcription factors (TFs) from Liu et al. (2005) data set
14
Transcription factor"
ER
GATA-1
AREB6
SRY
NF-Y
Nrf2
/>-Valueb
0.00297
0.00966
0.0197
0.0385
0.0407
0.0462
15
16    aPRIMA (Promoter Integration in Microarray Analysis) is used to identify transcription factors whose binding sites
17     are enriched in a given set of genes promoter regions.
18    bThe enrichment score of the transcription factors: p < 0.05 cutoff.
19
20
21    6.3.  DEVELOPMENT OF A NEW METHOD FOR PATHWAY ANALYSIS AND GENE
22         INTERACTIONS: PATHWAY ACTIVITY LEVEL (PAL) APPROACH
23
24           An alternative approach to infer important biological pathways is based on the use of the
25    available knowledge of functional annotations prior to statistical analysis.  Based on the
26    assumption that the expression levels of sets of genes that are functionally related follow similar
27    trajectories, due to activation or deactivation of a pathway under different environmental
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 1    conditions or at different time points, average correlation between genes in a given pathway
 2    leads to significant findings (Kurhekar et al., 2002; Pavlidis et al., 2002; Zien et al., 2000).  It is
 3    not required that all the genes follow the same pattern. In these pathway scoring methods, a
 4    pre-defined cut-off value is applied to determine the number of genes to be included. However,
 5    focusing only on genes with a pre-determined significance analysis in gene expression may
 6    result in a loss of information.
 7           An alternative method to define the systematic behavior of the pathway is to evaluate the
 8    pathway activity level (PAL), the method suggested by (Tomfohr et al., 2005).  The strength of
 9    the PAL method over other pathway analyses is that the expressions of all genes within a
10    pathway are considered.
11           The procedure begins with mapping genes to the KEGG pathway database.  The entire
12    gene set represented by the Liu et al. (2005) data  set (i.e., using the Affymetrix® RAE230 A and
13    B chips) maps to 168 pathways in the KEGG database with 2,483 associated genes. Gene
14    expressions are z-scored before the analysis.  Using Equation 6-2, let Ep(^k f) be the gene
15    expression matrix  of a given pathway p of size k genes and t arrays (i.e., t-different time
16    points). Tabulate the normalized (i.e., to zero mean and a unity standard deviation) gene
17    expression data. Each element of Ep(k f) is the relative expression level of the kth gene in the tth
18    time point. The vector in the kth row of the matrix Ep(k^ iists the relative expression of the kth
19    gene across the different time points.
20
21                                E ,, ., =U (k,k)xS (k,t)xV (t.t)1                       (6-2)
                                    p{K,t)    p\7/p\J/p\JS                        \   /
22
23           Equation 6-2 states that the matrix Ep(^k f)  can be decomposed to a rotation matrix,
24    U (k, k), a stretch matrix, Sp (k, t), and a second rotation matrix, Vp (t, t).  Up (k, k} is an
25    orthonormal basis  that spans the  gene expression  space of Ep , whereas Vp(t,t) is an
26    orthonormal basis  spanning the sample (array) space of Ep(k f), that forms a set of new basis
27    vectors for the columns of Ep(k t}. Sp (k, t) is a diagonal matrix (i.e., eigenvalue matrix), whose
28    elements are sorted from highest to the lowest based on the magnitude of the singular values.  In
29    Equation 6-3,  the PAL of a given pathway is defined as the projection onto the first eigenvector
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 1    that spans the sample (array) space Ep(k f) .  Thus, gene expression levels are reduced to pathway
 2    activity levels.
 3                                         PALp(ri) = Vp(n,Vf                             (6-3)
 4
 5          PALp(n) is a Ixn vector, and each entry represents the pathway activity level of
 6    corresponding sample. If ni samples are denoted as  control experiments and n2 have undergone
 7    some type of treatment then the activity levels are given in Equations 6-4 and 6-5.
                                                    ',V"1>V                              (6_4)

10
11                                       PAL2 (p) = Vp (n2,1)1                             (6-5)

12
13          Activity levels represent the cumulative effect of gene expressions in a given pathway
14    and therefore the relative activity. The next step is to quantify the differentiation between
15    pathway activities of the treatment groups, control and treated. Overall pathway activity (OPA)
16    denotes the change of pathway activity levels between different groups (Equation 6-6). For a
17    given pathway p:

18
1Q                                       OPA  = ±
                                             p    a(PALl) + a(PAL2)                     (6-6)

20
21
22           ju and a denote the mean and standard deviation of the activity levels, as evaluated
23    using Equation 6-6 for pathway/*. A higher OPA indicates a better discrimination between
24    pathway activity levels of vehicle and treated samples. To compute the statistical  significance of
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 1    the OPA of a given pathway, we randomly permute the gene expression data on the chip for each
 2    pathway and calculate the pathway activity levels and OPA 1000 times via Equations 6-4, 6-5,
 3    and 6-6. If the fraction of the artificial OPA that are higher than the actual OPA exceeds 0.05, or
 4    any other appropriately defined statistical significance level, the actual OPA is attributed to
 5    random variations. The pathways that exhibit statistically significant high OPA are defined as
 6    "active pathways." Appendix B shows the algorithm for selecting statistically significant
 7    pathways (see Figure B-2).  This calculation allows us to rank, and compare, active pathways
 8    based on their OPA.  The term "active pathway" does not indicate any up-regulation or
 9    down-regulation, but rather indicates an overall change of the pathway compared to control
10    samples.  Thus, an "active" pathway can still be one that is reduced and nonfunctional following
11    chemical treatment, and an "inactive pathway" can still be functional but not exhibit significant
12    difference from the control. Of the 168 KEGG pathways that mapped to the Liu et al. (2005)
13    data set, only 32 were found to be active pathways with an OPA level of less than/? = 0.05 (see
14    Table 6-6).
15          This analysis identified valine, leucine, isoleucine (VLI) degradation, sterol biosynthesis,
16    citrate cycle, and fatty acid metabolism as the most active pathways due to DBF exposure.
17    Figure 6-7 depicts the active pathways and their connections via metabolites, from the most
18    active pathways towards the least active pathways based on OPA.  The connections of the active
19    pathways are retrieved from KEGG. The statistical outcome of the pathway activity analysis and
20    the relationship between active pathways are integrated. The active pathways have connections
21    to non-active pathways; but only active pathways are included in the metabolic network. It is
22    shown that the active pathways identified in this study are linked together at the metabolite level
23    indicating biological significance.
24
25
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1
2
             Table 6-6. Statistically significant pathways as derived by signal-to-noise
             ratio analysis3
 4
 5
 6
 7
 8
 9
10
Pathwayb
Inositol metabolism
Reductive carboxylate cycle CO2 fixation
Galactose metabolism
Pentose phosphate pathway
Pyruvate metabolism
Glycolysis/gluconeogenesis
Fructose and mannose metabolism
Pentose and glucuronate interconversions
Carbon fixation
Synthesis and degradation of ketone bodies
Alanine and aspartate metabolism
Phenylalanine metabolism
Propanoate metabolism
Citrate cycle TCA cycle
Benzoate degradation via CoA ligation
C21 -Steroid hormone metabolism
Metabolism of xenobiotics by cytochrome P450
Tryptophan metabolism
Ascorbate and aldarate metabolism
Glutathione metabolism
Terpenoid biosynthesis
Lysine degradation
Fatty acid metabolism
Limonene and pinene degradation
Arginine and proline metabolism
Histidine metabolism
Glycine, serine and threonine metabolism
beta-alanine metabolism
Butanoate metabolism
Biosynthesis of steroids
Valine, leucine and isoleucine degradation
Alkaloid biosynthesis
Activity
1.6338
1.65
1.7422
1.8216
1.8747
2.0128
2.1187
2.1545
2.2202
2.2333
2.4667
2.4877
2.5783
2.6658
2.6678
2.911
3.0373
3.0424
3.1052
3.1356
3.3621
3.4557
3.4732
3.4945
3.7056
3.71
3.9578
4.1212
5.1243
5.3459
5.6232
5.6922
/7-valuec
0.0328
0.0444
0.0475
0.0467
0.0435
0.0456
0.0405
0.0315
0.0337
0.0224
0.0235
0.0212
0.0224
0.0218
0.0145
0.0136
0.0245
0.0205
0.0095
0.0182
0.0044
0.0121
0.0154
0.0072
0.011
0.0084
0.0092
0.0063
0.0023
0.0011
0.003
0.001
     ""Pathways: that are defined in KEGG.
     bActivity: quantifies the difference between different experimental conditions (i.e., corn oil control and DBF-treated
     samples).
     Significance analysis of activities: p < 0.05 cutoff for significant pathways perturbed by DBF exposure.
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 2
 3
 4
 5
 6
 7
 8
 9
10

1 1
12
                                                         Non-Active Pathways
      Host AtMve Pathway
                                                         Active Pathways
                     Valini, Uucine and Isoteucim Digredation
                                              Biosynthesis of Steroids
      Least Active Pathway
       Figure 6-7.  Statistically significant pathway interactions generated using the
       KEGG database following overall pathway activity (OPA) analysis.  The Liu
       et al. (2005) data set used for analysis. CD = pathway,  CZI = metabolite.  Larger
       oval sizes indicate relative impact on a pathway, where the larger ovals indicate a
       greater effect on a pathway after DBF exposure.
       The value of this approach depends on the content of the employed pathway database.
For example, some of the pathways may not be present in testes tissue. For example, even
though bile acid biosynthesis does not occur in the testis, the collection of genes related to bile
acid biosynthesis showed statistically significant change.
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 1          OPA is a linear projection of gene expressions that constitute a given pathway. The
 2   singular value decomposition analysis quantifies the variance between two experimental groups
 3   in the context of the pathway.  To examine the effect of statistical significance of gene
 4   expression on a given pathway, the OPA of a pathway is calculated by adding genes one at a
 5   time starting with the gene with the highest SNR. Subsequently, the next gene with the second
 6   highest SNR in this pathway is identified and added, etc., until all genes in the pathway have
 7   been used to determine the OPA.  Then, the Equations 6-4, 6-5,  and 6-6 (section 6.3.) are
 8   reevaluated with two genes and so forth until all of the genes in  the given pathway have been
 9   included.  Figure 6-8 illustrates an example of this process for determining active and inactive
10   pathways, evaluating the Liu et al. (2005) DBF data. The inactive mTOR pathway has only a
11   single gene with a high SNR.  As additional genes within the pathway with much lower SNR are
12   considered, the OPA is reduced. In contrast, the active VLI degradation pathway has numerous
13   genes with high SNR, and as all genes within the pathway are considered, the OPA remains  high.
14   From this analysis, we determined that there is a subset of genes with high SNR that maintain the
15   OPA score for active pathways. We define DEGs that are in active pathways as informative
16   genes (see Table B-l). The interactions between informative genes were retrieved via IP A® and
17   the resulting preliminary gene network is shown in Figure 6-9.
18
19
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                   30

                   25
                ^>
                3  20
                2
                   15
                   10
                    0
                     0
             SNR
                I
         7

         6

         5

         4
                &
                $   3
                6
                    2
                    0.
0
                                   mTOR Signaling Pathway
                      10    15    20    25    30    35    40
                            Ranked List of Genes
                          Valine, Leucine, and Isoleucine Degradation
                            5       10      15     20      25
                                      Ranked List of Genes
                                                        30
2
3
Figure 6-8. Overall pathway activity (OPA) of the affected pathways
calculated by adding genes according to the decreasing signal-to-noise ratio
(SNR). The Liu et al. (2005) DBF only data were evaluated using the OP A
method.
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                     Va\ine, Leucine, and Isoleucine Degradation
o  <*>'
%  §•
*  8
i  §
ij
   -
a
o C
~* ^
§  ^
2  >
TO
                                                              Glycolysis/Gmconegenesis
                                    C2l-Stemid Hormone Metabolism
                                                                                              Xenobiotic Metabolism Signaling
              Figure 6-9. Gene network after DBF exposure created by Ingenuity" Pathway Analysis (IPA) from the
              informative gene list.  This model is based on data from Liu et al. (2005). This model illustrates the interactions
              among genes after DBF in utero exposure in the rat testis. Genes (noted in Table E-3) are added in from the Ingenuity®
              knowledgebase. . Active pathways, which do not share any common metabolites with other active pathways, may
              interact via added nodes and informative genes.  Genes or gene products are represented as nodes.  Diamonds,
              enzymes; Horizontal ovals, transcription regulators; Squares, cytokines; Rectangles, nuclear receptors; Solid lines,
              direct relationship between edges (i.e., 2 nodes; 2 molecules that make physical contact with each other such as binding
              or phosphorylation); Dashed lines, indirect interactions (i.e., do not require physical contact between the two
              molecules, such as signaling events) between edges.

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 1
 2    6.4. EXPLORING GENETIC REGULATORY NETWORK MODELING: METHODS
 3    AND THE DBF CASE STUDY
 4          The goal was to utilize existing DBF genomic data to develop a regulatory network
 5    model useful to risk assessment. Genetic regulatory network models illustrate interactions
 6    between genes and their products (e.g., mRNA, proteins).  Network models encompass identified
 7    pathways from input data and in addition incorporate gene elements that are inferred from the
 8    input data.  The availability of one time course study data enabled us to model the series of
 9    events that occurred between exposure to DBF and the onset of adverse reproductive outcomes
10    by the generation of a regulatory network model. We used Ingenuity® Pathway Analysis (IPA)
11    software to identify the relationships among the informative genes.  IPA adds nodes (i.e., genes)
12    to the input gene list (i.e., informative genes) and then, builds edges (i.e., relations) based on the
13    literature to develop a regulatory network (Sladek et al., 1997).
14          Time-course studies are ideal for developing regulatory network models of biological
15    processes to model the dynamic networks for formulating mechanistic explanations of dynamic
16    developmental mechanisms. The Thompson et al. (2005) study was selected because it was the
17    only study that had time-course data.  Additionally the  study had the advantage of using the
18    Affymetrix® chip, which has -30,000 rat genes represented, and the data were provided by Dr.
19    Kevin Gaido, one of our collaborators. Thompson et al. (2005) conducted a study where animals
20    were exposed to DBF for 30 minutes and 1, 2, 3, 6,  12, 18, and 24 hours on GD 18 and 19. The
21    limitations of the Thompson et al. (2005) study include: 1) the dosing was initiated on GD 18,
22    quite late in the critical window, and 2) the shortest duration exposure began at the latest
23    developmental time (i.e., duration and developmental stage do not coincide; see Chapter 5).
24    Given this caveat, the data were utilized because it was the only study available to test
25    algorithms to build a prototype of a regulatory network model.
26          We used the PAL method, described earlier, to identify biologically active pathways at
27    each time point.  We evaluated the informative genes at each time point and the resulting
28    preliminary gene network, based on the Thompson et al. (2005) data,  is shown in Figure B-3.
29    The analysis showed a preponderance of signaling pathways such as JAK/STAT, PPAR,  and
30    MAPK perturbed at the earlier exposure durations with the metabolic pathways being affected
31    following longest exposures to DBF (18 hours). The majority of the active pathways at this
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 1    dose-exposure time (18 Hour) are metabolic pathways such as amino acid metabolism, lipid
 2    metabolism, and carbohydrate metabolism. Thompson et al. (2005) hypothesized that the
 3    decrease in T level after a short duration of DBF exposure might be because of the cholesterol
 4    unavailability. Their study findings support this hypothesis. To have a complete understanding
 5    of the temporality of the DBF effect, data from an exposure-duration series across the entire
 6    critical window of exposure are needed.
 7
 8    6.5. EXPLORING METHODS TO MEASURE INTERSPECIES (RAT TO HUMAN)
 9    DIFFERENCES IN MOA
10          The goal was to address Case Study Question 2, whether genomic and mechanistic data
11    could inform the interspecies (rat to human) differences in MOA, was explored. Although
12    progress has been made over the past four decades in understanding the MOA of chemical
13    toxicants, it is increasingly important to determine mechanistically the relevance of these MO As
14    in humans. With the sequencing of the human, mouse, and  rat genomes and knowledge of cross
15    species gene and protein homologies, the studies of differential gene expression in animal
16    models have the potential to greatly enhance our understanding of human disease. Genes
17    co-expressed across multiple species are most likely to have conserved function. The rat genome
18    project reported that almost all human genes known to be associated with disease have
19    orthologous genes in the rat genome, and that the human, mouse, and rat genomes are
20    approximately 90% homologous (Gibbs et al., 2004). Because the function of a specific gene
21    and its involvement in disease might not be conserved across species, along with structural and
22    functional homology, the conservation of function of blocks of genes—i.e., pathways—are likely
23    to be more important in cross species comparison (Fang  et al., 2005).
24          In the absence of DBF genomic data in human cell lines, we considered genetic sequence
25    data as a source of genomic data for making species comparisons. Even if such data were
26    available, in vivo (rat genomic data) to in vitro (human genomic data) extrapolations may
27    confound the ability to generate an accurate interspecies comparison. Use of bioinformatic
28    approaches to examine microarray expression profiles from exposure to  a chemical in an animal
29    model to elucidating genes and pathways that might be associated with exposure in humans
30    holds great promise.  Similarity analysis between single gene and protein sequence analysis
31    cannot represent the complex relationships species therefore species comparison studies emerged
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1   to compare pathways to analyze a higher level organization. Attempts include reaction content
2   (Hong et al., 2004), enzyme presence (Heymans, 2003), and enzyme sequence information of the
3   enzymes in a given pathway (Forst et al., 1999, 2001). The pathways for the biosynthesis of
4   steroids have a lot of similarity between humans and rats.  Protein sequence similarity,
5   cross-species pathway network similarities, and promoter region conservation cross-species
6   comparisons to evaluate cross-species similarity metrics were performed.  The results from
7   comparing the predicted amino acid sequence similarities between rat and human for the
8   steroidogenesis pathway proteins are shown in Table 6-7.
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             Table 6-7.  The enzyme sequence similarity of the enzymes of steroidogenesis pathway between rat and human
o



o
S


§

Gene
symbol
Dhcr?
Mil
Fdps
Fdfil
Hmgcr
Mvd
Sqle
Ebp
Lss
ScSd
Mvk
Cyp27bl
Nqol
Vkorcl
Entrez gene
ID
64191
89784
83791
29580
25675
81726
29230
117278
81681
114100
81727
114700
24314
309004
mRNA and protein IDs
NM_022389.2^NP_071784. 1
NM_053539.1->NP_445991.1
NM_03 1840. 1^NP_1 14028. 1
NM_0 19238.2^NP_062 1 1 1 . 1
NM_013 134.2^NP_037266.2
NM_03 1062. 1^NP_1 12324. 1
NM_017136. 1^NP_058832. 1
NM_057137. 1^NP_476478. 1
NM_03 1049. 1->NP_1 123 11.1
NM_053642.2^NP_446094. 1
NM_03 1063. 1^NP_1 12325. 1
NM_053763. 1^NP_446215. 1
NM_017000.2^NP_058696.2
NM_203335.2^NP_976080. 1
Human
homolog IDs
Q9UBM7
AF003835
M34477
AAP36671
AAH33692
AAP36301
NP_003120
NP_002331
NP_002331
NP_008849
BAD92959
NP_000776
NP_000894
AAQ 13668
Average similarity scores
Identities"
412/475 (86%)
196/227 (86%)
301/353 (85%)
356/413 (86%)
738/890 (82%)
338/398 (84%)
481/574 (83%)
618/732 (84%)
618/732 (84%)
246/299 (82%)
323/393 (82%)
413/508 (81%)
234/274 (85%)
83/94 (88%)
84%
Positives'"
443/475 (93%)
215/227 (94%)
326/353 (92%)
393/413 (95%)
768/890 (86%)
357/398 (89%)
528/574 (91%)
673/732 (91%)
673/732 (91%)
275/299 (91%)
355/393 (90%)
453/508 (89%)
250/274 (91%)
88/94 (93%)
94.14%
Gapsc
4/475 (0%)
0/227 (0%)
0/353 (0%)
0/413 (0%)
58/890 (6%)
1/398 (0%)
1/574 (0%)
1/732 (0%)
1/732 (0%)
0/299 (0%)
0/393 (0%)
7/508 (1%)
0/274 (0%)
0/94 (0%)

  a\

  -k
  o

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         Table 6-7. (continued)
   ^
   ^    Identities: The number and fraction of total residues in the HSP which are identical.
   ^    bPositive: The number and fraction of residues for which the alignment scores have positive values.
   s    °Gap:  a space introduced into an alignment to compensate for insertions and deletions in one sequence relative to another. To prevent the accumulation of too
   s.     many gaps in an alignment, introduction of a gap causes the deduction of a fixed amount (the gap score) from the alignment score. Extension of the gap to
   ff     encompass additional nucleotides or amino acid is also penalized in the scoring of an alignment.
   3.
   ^
   <*>'    The HSP (high-scoring segment pair) is the fundamental unit of BLAST algorithm output.  Alignment: The process of lining up two or more sequences to
   a    achieve maximal levels of identity (and conservation, in the case of amino acid sequences) for the purpose of assessing the degree of similarity and the possibility
   §"    ofhomology.

   i
   o*    Source: http://searchlauncher.bcm.tmc.edu/help/BLASToutput.html#anchorl4684156.
TO

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 1          Our analysis suggests that the biosynthesis of steroids is highly conserved across humans
 2    and rats, with the average sequence similarity of enzymes between human and rat being -87%
 3    and the average promoter region conservation of genes at 52% (see Table 6-7). However, it is
 4    difficult to unequivocally determine a "high" versus "low" degree of conservation for the genes
 5    in this pathway—especially in light of the fact that the more important gene products (such as a
 6    rate-limiting step) have not been identified for DBF on steroidogenesis.  Additionally, there are
 7    likely differences between a statistically meaningful "high" degree of conservation vs. an
 8    understanding of whether the biologically meaningful regions of the predicted protein sequence
 9    are conserved.
10          Cross-species pathway network comparison is a creative approach using network data
11    from publicly available databases to assess species similarities.  However, uncertainties and gaps
12    in the database information at this time make conclusions difficult. Therefore, these data are not
13    described herein.
14          Development of new bioinformatic and statistical resources using data generated in
15    human cell lines, together with the information obtained from rat in vivo studies may provide
16    new, useful data to further investigate interspecies differences in response to a chemical agent.
17    To determine the viability of using such metrics to inform the interspecies concordance of
18    mechanism issue in risk assessment, homology-based analysis of genes and proteins need to be
19    conducted in systems where the concordance in mechanism across species is well established by
20    prior studies to serve as a base line for "high homology."
21
22    6.6. CONCLUSIONS
23          The projects to address the four objectives presented in this chapter serve as a broad
24    range of examples of genomic data analyses available to the risk assessor with expertise (or
25    collaborators with expertise) in bioinformatics, and in some cases, represent exploratory efforts
26    to develop methods for analyzing genomic data for use in risk assessment. These methods
27    include DEG identification, pathway level analysis (including the newly described OPA
28    method), regulatory network analysis, and tools to assess cross-species similarities in pathways.
29    A summary for a less technical audience than the remainder of this chapter is presented next,
30    grouped by the four subobjectives for the work.

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 2       •  Reanalyze DBF microarray data to address the Case Study Question 1:  Do the genomic
 3          data inform DBF additional MOAs and the mechanism of action for the male
 4          reproductive developmental effects?
 5
 6          We performed a number of reanalyses of the Liu et al. (2005) data because the pathway
 7          analysis presented in the article was not performed for risk assessment purposes. While
 8          the authors of this and other microarray studies support two MOAs for DBF, a reduction
 9          of fetal testicular testosterone via affects on steroidogenesis and cholesterol transport
10          genes, not all pathways associated with the differentially expressed genes were discussed
11          in detail.
12
13          Two different bioinformatics tools to analyze the same data were compared. Each
14          analysis used multiple statistical filters to parse the noise from the signal in the
15          microarray data set and to assess the quality of the data set. Ideally, for a high quality
16          study data set, there would be a minimum of variance between similarly treated samples
17          and the variance would lie between the control and treated sample data. PC A  shows the
18          quality of the Liu et al. (2005) data set to be of moderate quality based on the observed
19          variance among similarly treated data sets (control and treated groups).  One analysis
20          utilized multiple proprietary software packages (GeneGo, Rosetta Resolver). The
21          rationale for looking at the effect of DBF on the pathway level as opposed to a cluster of
22          genes is that DBF is most likely affecting multiple pathways within a cellular
23          environment. The methods comparison exercise allowed us to generate a list of affected
24          pathways in common between the two methods, and in this way, provided more
25          confidence focusing on these pathways.
26
27          The results of the new pathway analyses both corroborate the previously identified two
28          MOAs for DBF male reproductive development toxicity, and provide putative novel
29          pathways affected by in utero DBF exposure that may play a role in DBF-mediated
30          toxicity. The results of the new pathway analyses provide hypotheses for MOA that
31          could be tested in new experimental studies.  Future research could investigate the role of
32          these pathways in DBF-induced toxicity. In addition, a gene network was developed for
33          DBF based on the Liu et al. (2005) data. The GeneGo analysis and the validating the role
34          of the steroidogenesis pathway also revealed the modulation in CYP17 and AR that are
35          involved in the androgen biosynthetic process.  This is a new hypothesis that requires
36          followup with new studies to confirm this observation. Performing new analyses was
37          useful for the purposes to further our understanding of the DBF mechanism of action.
38
39
40       •  Explore the development of new methods for pathway analysis of microarray data for
41          application to risk assessment.
42
43          Quality control requirements for microarray study analysis for use in risk assessment are
44          distinct from their use in basic research. In traditional pathway level analysis, significant
45          genes are mapped to their respective pathways. Depending on whether the number of

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 1          genes that map to any given pathway, the role of the pathway can be over of
 2          underestimated.  To overcome this problem, we developed the overall pathway activity
 3          (OPA) method that employs one as opposed to two steps (i.e., first, identifying DEGs and
 4          second, identifying significantly affected pathways by grouping the DEGs using pathway
 5          analysis programs).  This method scores pathways based on the expression level of all
 6          genes in a given pathway.
 7
 8          The OPA analysis identified valine, leucine, isoleucine (VL1) degradation, sterol
 9          biosynthesis, citrate cycle, and fatty acid metabolism as the most active pathways
10          following DBF exposure. These findings support the hypothesis of Thompson et al.
11          (2005), that an early decrease in testosterone levels may be a result of cholesterol
12          unavailability. However, for this approach to be useful, knowledge of tissue-specific
13          pathways is required. For example, even though bile acid biosynthesis does not take
14          place in the testis, a pathway related to bile acid biosynthesis was identified as
15          statistically significant in this analysis.  Further developed on the OPA method needs to
16          incorporate tissue-specific relevant. This method shows promise for use in risk
17          assessment.
18
19
20       •  Utilize existing DBF genomic data to develop a genetic regulatory network model, and
21          methods for modeling, for use in risk assessment.
22
23          Genetic regulatory network models can be very useful for understanding the temporal
24          sequence of critical biological events perturbed after chemical exposure, and thus, useful
25          to a risk assessment. We developed a method for developing a genetic regulatory network
26          model  for DBF based on the available data.  The availability of a time-course data
27          (Thompson et al. [2005]) enabled our group to model the series of events that occurred
28          between exposure to DBF and the onset of toxic reproductive outcomes by the generation
29          of a regulatory network model.  However, given the limitations of the Thompson et al.
30          (2005) study design, we did not draw conclusions about affected genes and pathways
31          over time for DBF from this study. Instead, the Thompson et al. (2005) data was used to
32          build a prototype of a regulatory network model and thus, the exercise allowed us to
33          develop methods for analyzing time course data for use in building a regulatory network
34          model.
35

36       •  Utilize genomic and other molecular data to address the Case Study Question 2: Do the
3 7          genomic and other molecular data inform inter species differences in MO A ?
38
39          Extrapolation from animal to human data is critical for establishing human relevance of
40          an MOA in risk assessment. Genes co-expressed across multiple species could have a
41          conserved function.  The human, mouse, and rat genomes have been reported to be 90%
42          homologous (Gibbs et a., 2004). However, because it is not certain whether the function
43          of a specific gene is conserved across species, conservation of pathways across species
44          can be one important factor in establishing cross species concordance of MOA.  In


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 1          addition, a common critical role of androgens in both rodent and human male
 2          development of reproductive organs has been well established.
 O
 4          Using the available DNA, sequence, and protein similarity data for the steroidogenesis
 5          pathway, we used three different methods to assess rat-to-human conservation as metrics
 6          that may inform the interspecies differences for one MO A, the reduced fetal testicular T.
 7          The pathways for the biosynthesis of steroids have similarity between humans and rats.
 8          Comparing the predicted amino acid sequences for the steroidogenesis pathway genes,
 9          we found that the average sequence similarity between rat and human is -87% and the
10          average promoter region  similarity of genes is 52%.  Some of the challenges in using
11          similarity scores to estimate the cross species relevance of a MOA are  described (section
12          6.5.).
13
14
15          In summary, the preliminary analytical efforts described in this chapter address and raise
16    a number of issues about the analysis of microarray data for risk assessment purposes.  First,
17    analyzing any given data set multiple ways and arriving at the same conclusion provides
18    confidence in the analytical approach—however, there is no "gold standard" analytical method.
19    Second, applying stringent statistical filters in pathway analysis (e.g., p < 0.05, Benjamini
20    Hochberg multiple testing correction) can limit the number of genes that are identified.
21    Interpretation of the biology of the system using only a limited gene set is restrictive.  It is
22    important to remember that the genes that do not pass the statistical  stringency cut-off may be
23    crucial for understanding the biology of the system, as statistical significance and biological
24    significance are not necessarily the same. Therefore, it becomes incumbent upon the researcher,
25    to analyze the data in multiple ways in order to maximize the benefits of this technology. Third,
26    a pathway level analysis restricts the incorporation of all genes for determining relevant
27    pathways that are affected by DBF.  There is a substantial amount of background noise generated
28    in a typical microarray experiment (i.e., gene expression variability even among the controls; see
29    Smith, 2000). For use in risk assessment, it is important to be able to identify  and separate the
30    signal from the noise.  Innovative approaches such as the OPA method described in this chapter
31    may provide more confidence when evaluating microarray data for use in risk assessment. These
32    efforts reveal some of the promises and challenges of use of toxicogenomic data in risk
33    assessment.
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 1                                     7. CONCLUSIONS
 2
 O
 4          This chapter describes the approach that was refined based on performing the DBF case
 5    study, summary conclusions of the DBF case study, recommendations, future considerations, and
 6    research needs for applying genomic data to risk assessment.
 7
 8    7.1.  APPROACH FOR EVALUATING TOXICOGENOMIC DATA IN CHEMICAL
 9         ASSESSMENTS
10
11    To review, there were two goals of this project (see Chapter 2):
12       •  Develop a systematic approach that allows the risk assessor to utilize the available
13          toxicogenomic data in chemical-specific health risk assessments performed at U.S. EPA;
14          and
15
16       •  Perform a case study to illustrate the approach.
17
18          The first goal was to develop an approach for evaluating toxicogenomic data in future
19    chemical assessments. The DBF case study was unlike the process for a new risk assessment in
20    a number of ways. In the case study, we had the benefit of utilizing toxicity and human study
21    data set evaluations summarized in the IRIS DBF assessment external review draft.
22    Additionally, the information about DBF from the published literature and the IRIS assessment
23    draft allowed us to focus on one set of endpoints, the male reproductive developmental
24    endpoints. Thus, the case study approach (see  Figure 3-1) needed to be refined to develop a
25    systematic approach for incorporating toxicogenomic data in a future chemical assessment
26    (Figure 7-1).
27
28
29
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                    STEP 1: Compile Datasets for Assessment
                   STEP 2: Consider Quantitative & Qualitative
                   Aspects that Genomic Dataset may Address
                            STEP 3: Identify Questions
                           Do the Genomic Data Inform:
                         1)  MOA or Mechanism of Action?
                       2) Other Data-Dependent Questions
            STEP 4:
             Toxic ity
             Data Set
            Evaluation
                         phenotypic
                 anchoring
                   study
 STEP 5:
 Genomic
 Data Set
Evaluation
targeted
analyses
                        comparability
                           STEP 7: Results of Evaluation

                           1) New pathways identified?
                          2)  Other Questions Answered?
  STEP 6:
  Genomic
  Data Set
New Analyses
i
2
3
4
5
                             STEP 8:
                  Conclusions Summarized in RA
                         •MOA & Other Sections
                             •Data Gaps
                           •Research Needs
                           ^•^^H
 Figure 7-1. Approach for evaluating and incorporating genomic data for health
 assessments. "Toxicity Data Set Evaluation" may include evaluation of animal toxicity
 data and/or human outcome data, depending on the available data for the chemical.

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 1    The steps of the approach are:

 2       •  STEP 1: Compile the epidemiologic, animal toxicology, and toxicogenomic study data
 3          sets.

 4       •  STEP 2: Consider the quantitative and qualitative aspects of the risk assessment that
 5          these data may address.

 6          The genomic data set is considered for whether these data could inform risk assessment
 7          components (e.g., dose response) and information (e.g., MOA information, interspecies
 8          TK differences) useful to risk assessment.  The type of information that these data will
 9          provide to a risk assessment depends in part on the type of genomic studies (e.g., species,
10          organ, design, method) that are available. A thorough and systematic consideration of the
11          types of information in light of the available genomic data will identify the potential
12          utility of the genomic data and whether these data can be used quantitatively or
13          qualitatively.  See Section  3.2 for more details.

14       •  STEP 3: Formulate questions to direct the  toxicogenomic data set evaluation.

15          Questions are formulated that can direct the genomic data evaluation.  Some examples of
16          questions considered in the DBF case study are: Do the data inform the MO As for the
17          female reproductive outcomes?; Do the data inform dose-response? For example, if
18          microarray data are available, then one of the questions will  likely include whether the
19          genomic data can inform the mechanism and/or MOA for the chemical as microarray
20          data typically inform the mechanism of action of a chemical. The DBF case study
21          describes some examples and considerations for determining the risk assessment
22          components that may be informed by a particular genomic data set (See Section  3.3 for
23          more details of the considerations).
24
25       •  STEPS 4 and 5: Evaluate  the toxicity and/or human study and genomic data sets

26          The approach includes an integrated assessment of the toxicogenomic  and toxicity data
27          set to relate the affected endpoints (identified in the toxicity  data set evaluation)  to the
28          pathways (identified in the toxicogenomic data set evaluation) as a method for:

29          (1) Determining the level  of support for phenotypic anchoring of genomic changes to in
30          vivo outcomes.

31          (2)  Informing the mechanism of action/MOA.

32          Risk assessors may want to utilize aspects of the approach defined herein  along with the
33          Mode of Action Framework in the U.S. EPA Cancer Guidelines (U.S.  EPA, 2005) and/or
34          other risk assessment decision-logic frameworks for establishing MO As.

35          Another principle of the approach is identifying comparable toxicity and toxicogenomic
36          data.  For example, in the DBF case study, all of the toxicogenomic studies were
37          performed in the rat, and, in most cases, the testis. Therefore, the genomic data set was
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 1          compared with the rat toxicity data, and focused on effects in the testis.  Broadening
 2          beyond the DBF example, the available toxicogenomic data are best considered in light
 3          of the toxicity or epidemiologic study data with the similarities to the toxicogenomic
 4          study design. For example, if toxicogenomic data from human tissue or cells are
 5          available, these data are best considered with the human epidemiologic outcome data for
 6          the chemical. However, even in the absence of comparable data in the same species, the
 7          genomic data may still be utilized, but with less confidence.  See Chapters 4 and 5 for
 8          further details of the DBF case study toxicity and toxicogenomic data set evaluations.

 9          Chapter 5 includes a number of simple methods for assessing the consistency of the
10          toxicogenomic data.  Venn diagrams have been utilized for illustrating the similarities
11          and differences of DEG findings across genomic studies. Figure 5-2 is an example of
12          another method for assessing the consistency of findings across all types of gene
13          expression data.

14       •  STEP 6:  Perform new analyses of the genomic data.

15          New analyses of raw toxicogenomic data may be valuable for the assessment depending
16          on the questions asked and the nature of the analyses presented in the published studies.
17          Depending on the pathway-analysis methods used in the published genomic studies,
18          reanalysis with  different pathway analysis methods may be warranted. New analyses of
19          the raw data may not be needed—for instance, in the case that the available published
20          data have been analyzed appropriately for application to the specific risk assessment
21          questions.  See Chapter 6 for more details of the DBF case study new analyses.

22       •  STEP 7 and 8:  Describe results of evaluations and analyses.  Then, summarize these
23          conclusions in the assessment.

24

25    7.2. DBF CASE STUDY FINDINGS

26       The second goal of the project was to develop a case study. The case study  findings are

27    summarized here.  The details of the case study evaluation  and analyses are presented in

28    Chapters 4-6 (with supplemental material in Appendices A and B).  Two advantages to using

29    DBF as the case study chemical are as follows:
30

31       •  The temporal aspects (e.g., time of dosing and time of evaluation) could be considered
32          because a number of well designed studies exist;
33       •  The expression  of a number of the steroidogenesis pathway genes have a strong
34          phenotypic anchoring/association with a number of the male reproductive developmental
35          effects;
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 1       •  Two well established MO As for DBF have been defined at the molecular level. DBF is
 2          known to affect multiple MO As allowing for a query of the genomic data for possible
 3          MO As for the unexplained endpoints.
 4
 5    7.2.1.  Case Study Question 1: Do the DBF Genomic Data Inform Mechanism of Action
 6    and MOA?
 7          In our case study, we found that toxicogenomic data did inform the mechanism of
 8    action and MOA. The available genomic and other gene expression data, hormone
 9    measurement data, and toxicity data for DBF were instrumental in establishing two of its
10    MO As: (1) a decrease in fetal testicular T, and (2) a decrease in Insl3 expression. A
11    decrease in fetal testicular T is  the MOA responsible for a number of the male
12    reproductive developmental effects in the rat, and the genomic and other gene expression
13    data identified changes in genes involved in steroidogenesis and cholesterol transport,
14    which is consistent with and provides the underlying basis for the observed decrease in
15    fetal testicular T. A decrease in Insl3 expression is one of the two MO As responsible for
16    undescended testis descent, and this MOA is well established by RT-PCR and in vivo
17    toxicology data. RT-PCR studies identified reduced Insl3 expression (Wilson et al.,
18    2004)  after in utero DBF exposure that was associated gubernacular agenesis or
19    abnormalities observed in toxicology studies, effects that are not seen after exposure to
20    chemicals that affect T synthesis or activity (e.g., AR binding).  These results provided
21    support for the Insl3 MOA for  DBF.
22          Rodent reproductive developmental toxicity studies were evaluated for low incidence and
23    low-dose findings as well as for male reproductive development effects that currently do not
24    have a known MOA (see Chapter 4).  The testes outcomes were the focus of the case study
25    because the DBF toxicogenomic studies were all performed on testicular tissue. Five testes
26    effects associated with DBF exposure that do not have well described MO As were identified in
27    this evaluation.
28          The toxicogenomic and other gene expression studies, including nine published RT-PCR
29    and microarray studies in the rat after in utero DBF exposure (Shultz et al., 2001; Barlow et al.,
30    2003;  Lehmann et al., 2004; Wilson et al., 2004; Bowman et al., 2005;  Thompson et al., 2004;
31    Thompson et al., 2005; Liu et al., 2005; Plummer et al., 2007), were evaluated.  The  review of
32    the toxicogenomic data set focused on an evaluation of the consistency of findings from the
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 1    published studies, and on whether additional pathways may illuminate the unexplained
 2    endpoints. This evaluation found that the gene-level findings from the DBF genomic studies
 3    (i.e., microarray, RT-PCR, and protein expression) were highly consistent in both the
 4    identification of DEGs and their direction of effect.
 5          New analyses of the Liu et al. (2005) microarray study were performed. These
 6    evaluations (see Chapter 5) indicate that there are a number of pathways affected after in utero
 7    DBF exposure; some of these pathways are related to new MO As because they are not related to
 8    either the reduced fetal testicular T or the Insl3 signaling MOAs. The Liu et al. (2005) DBF raw
 9    data set was re-analyzed using two different methods, the SNR and the weighted-linear model,
10    both using a statistical cutoff of p < 0.05.  Each method identified the steroidogenesis and
11    cholesterol transport pathways, thus, corroborating prior study conclusions.  Each analysis also
12    identified putative new pathways and processes that are not associated with either Insl3 or
13    steroidogenesis pathways; some were similar across analytical methods and some were different.
14    The pathways identified that were in common between the two methods (Table 6-3) fall into
15    eight processes (characterized by Ingenuity®): cell signaling, growth and differentiation,
16    metabolism, transcription, immune response, cell adhesion, hormones, and disease.  There were
17    54 pathways, not related to reduced T or Insl3 expression, including a subset (e.g., WNT
18    signaling and cytoskeleton remodeling) that were not previously identified in the published
19    literature for DBF.  One or more of these additional pathways may provide information about the
20    MOAs for the unexplained toxicity endpoints in the rat testes, but this remains to be determined.
21    Evaluating the genomic and toxicity data sets together provided information on potential,
22    heretofore unexplored, MOAs.
23          There are many possible reasons for the differences in findings between the reanalysis
24    and the published analysis of the Liu et al.  (2005) data. These include but are not limited to
25          (1) The analyses had different purposes.  Liu et al. (2005) was interested in determining
26          whether there is a developmental phthalate genomic signature. This work was interested
27          in identifying all affected pathways;
28          (2) In the 3 years since the study was published, gene and pathway annotation has
29          increased. Further, repeated identification of DEGs and pathways provides an additional
30          level of confidence regarding the importance of "in common" DEGs and pathways but by

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 1          no means indicate a lack of importance for the genes and pathways that were not
 2          repeatedly identified.
 3
 4          We also asked whether there are appropriate data to develop a regulatory network model
 5    for DBF.  Using the raw data from Thompson et al. (2005), the only time-course study available
 6    at the time of the project, changes in gene expression and pathways were modeled (Figure B-3).
 7    Two limitations  of these data are that (1) the exposure interval was at the tail end of the critical
 8    window of exposure, GD 18, a time that most consider too late to induce the full spectrum of
 9    male reproductive developmental effects; and (2) the duration of exposure and developmental
10    time were not aligned because all animals were sacrificed on GD 19 (i.e., the 1 hour time point
11    was the latest in development; see Chapter 6 for more discussion). The more recent study of
12    Plummer et al. (2007) may be more appropriate data to use to build a regulatory network model
13    as both time-course of exposure over the critical window of development and microdissection of
14    the testis cell types were employed in their study.  Use of these data would allow for a regulatory
15    network model to incorporate both temporal and spatial aspects of DBF's effects on pathways
16    and endpoints.
17
18    7.2.2.  Case Study Question 2:  Do the DBF Genomic Data Inform Interspecies Differences
19          in the TD part of the MOA?
20          Human gene expression data are not available for DBF. Therefore, the case study used
21    information on interspecies similarities of the affected pathways from other data and methods.
22    We explored the interspecies (rat to human) differences in the TD part of the MOA, focusing on
23    the steroidogenesis pathway underlying the decrease in fetal testicular testosterone MOA.  The
24    similarities between genes and protein sequences of genes in the biosynthesis of steroid pathway
25    suggest similarities in the pathway across humans and rats. Comparisons  of the steroidogenesis
26    genes and pathway were performed to evaluate cross-species similarity metrics (see Chapter 6)
27    using three approaches: (1) protein sequence similarity; (2) pathway network similarities; and
28    (3) promoter-region conservation. Results from all three approaches indicate that
29    steroidogenesis pathways are relatively highly conserved across rats and humans and,  thus,
30    qualitatively, the rat and human mechanisms for steroidogenesis share many similarities.
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 1          These results further corroborate what is known about the similar roles for androgens
 2    during normal male development in both rat and human.  However, the data sources used for all
 3    three approaches have gaps in the knowledge bases.  For the pathway network diagramming,
 4    there is a data quality concern. Due to data quality caveats, it is difficult to use these new lines
 5    of evidence to quantitatively inform the relative sensitivity to DBF across species.  It is possible
 6    that the small differences across species have a strong penetrance, leading to significant
 7    differences in what proteins may be more sensitive to DBF for T production. Because there are
 8    some questions as to the reliability  of the data used to generate the pathway comparisons used for
 9    each species, there is no basis on which to transform a measure of conservation to a quantitative
10    measure of sensitivity. Thus, we do not recommend utilizing these data to inform interspecies
11    uncertainty in the case of DBF because it is difficult to make unequivocal conclusions regarding
12    a "high" versus "low" degree of conservation for the genes in this pathway based on these data
13    alone. These methods, however, when based on high quality data, could be applied
14    quantitatively to future chemical  assessments.
15          We further considered whether some steroidogenesis genes are of higher relative
16    importance and, thus, should be weighted higher in a cross-species assessment of the
17    steroidogenesis pathway. The initiating event for DBF action in the male reproductive
18    developmental outcomes has not been established. Some knowledge of the rate-limiting steps
19    for steroidogenesis, in the unperturbed scenario, is available. P450scc has been identified in
20    some studies as a limiting enzymatic step  for T production (Miller, 1988; Omura and Morohashi,
21    1995). However, the information on kinetics reflects the unperturbed state because the
22    rate-limiting step was defined in assays without DBF exposure. Additionally, the rate-limiting
23    step information is limited in scope to steroidogenic enzymes and not all upstream activities
24    leading to T production, such as STAR, a protein that impacts the availability of cholesterol (by
25    transporting cholesterol to the inner mitochondrial membrane for cleavage by P450scc) for T
26    production. Thus, there is no a priori knowledge to argue for placing more weight on a particular
27    gene leading to T production.
28          While the confidence in the cross species comparisons of the steroidogenesis pathway
29    were not high enough to utilize the findings quantitatively, the findings do add to the weight-of-
30    evidence suggesting that the role of T in male fetal development in rats and humans is well
31    conserved.  Further, the exploratory methods for developing metrics for cross-species pathway
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 1    similarities described in this document (see Chapter 6) may be developed and validated in the
 2    future for quantitative use in risk assessment.
 3
 4
 5    7.2.3. Application of Genomic Data to Risk Assessment: New Methods
 6          None of the DBF genomic studies were designed with the application to risk assessment
 7    in mind.  Microarray and  other 'omic data analytical  methods were originally developed for
 8    screening purposes (i.e., designed to err on the side of false positives over false negatives). For
 9    risk-assessment application, different genomic analytical tools are needed that do not err on the
10    side of false positives (i.e.,  do not detecting a change in gene expression by chance) and reliably
11    separate signal from noise.  In traditional pathway level analysis, significant genes are mapped to
12    their respective pathways.  Depending on whether the number of genes that map to any given
13    pathway, the role of the pathway can be over of underestimated. To overcome this problem, we
14    developed the overall pathway activity (OPA) method that employs one as opposed to two steps
15    (i.e., first, identifying DEGs and second, identifying significantly affected pathways by grouping
16    the DEGs using pathway analysis programs).  This method,  that ranks pathways based on the
17    expression level of all genes  in a given pathway, shows promise for use in risk assessment but
18    needs to be further validated.
19          Chapter 6 describes  exploratory methods for developing a genetic regulatory network
20    model and measuring cross-species differences for a given pathway. Genetic regulatory network
21    models  can be very useful for understanding the temporal sequence of critical biological events
22    perturbed after chemical exposure, and thus, useful to a risk assessment. We developed a method
23    for developing a genetic regulatory network model for DBF based on the available data.  The
24    availability of a time-course data (Thompson et al. [2005]) enabled our group to model the series
25    of events that occurred between exposure to DBF and the onset of toxic reproductive outcomes
26    by the generation of a regulatory network model. However, given the limitations of the
27    Thompson et al. (2005) study  design, we did not draw conclusions about affected genes and
28    pathways over time for DBF from this study. Given the limitations of the Thompson et al.
29    (2005) data (see Chapter 6), the exercise allowed us to develop methods for analyzing time
30    course data for use in building a regulatory network model. We used three different methods to
31    assess rat-to-human conservation as metrics that may inform the interspecies differences for one
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 1   MO A, the reduced fetal testicular T. However, there are a number of challenges in using
 2   similarity scores to quantitatively estimate the human relevance of a MOA (section 6.5.).
 3
 4   7.2.4.  Application of Genomic Data to Risk Assessment: Using Data Quantitatively
 5          This case study was limited to qualitative uses of genomics in risk assessment.
 6   U.S. EPA and the larger scientific community working with genomics are interested in
 7   methods to use genomic data quantitatively in risk assessment. Genomic data were not
 8   assessed quantitatively in this case study due to the absence of dose-response global gene
 9   expression  studies (i.e., microarray studies) for DBF. There is one dose-response
10   RT-PCR study that, although not a genomic (i.e., not global) study, was considered for
11   use quantitatively in risk assessment (Lehmann et al., 2004; Table 7-1).  Strengths of the
12   Lehmann et al. (2004) study include the following:
13
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               Table 7-1. DBF dose-response progression of statistically significant events illustrated with a subset of precursor

               event data (steroidogenesis gene expression, T expression) and in vivo endpoints with the reduced T MOA
o  <*>'


U
O  58
S  a

   1
§  3.

Precursor event3
in vivo endpoint

0.1 mg/kg-d
| HsdSb


1 mg/kg-d
| HsdSb
I Scarbl


10 mg/kg-d
NC in gene exp.
NC in [T]


30 mg/kg-d
ND for gene
exp.
NC in [T]


50 mg/kg-d
[Scarbl
IHsdSb
IStAR
[Cypllal


80 mg/kg-d
ND for gene
exp.
t incidence of
absent, poorly
developed, or
atrophic testis
and
underdeveloped
or absent
epididymisb
100 mg/kg-d
[Scarbl
[3/3-HSD
[StAR
\P450scc
Retained nipples
and areolae0


TO
               NC, no statistically significant change; ND = not determined (Lehmann et al. (2004) did not test 80 mg/kg-d).



               Sources:  "Lehmann et al. (2004); bNTP, 1991; TVIylchreest et al., 2000.

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 1       •   The study includes low to high doses.
 2
 3       •   Some of the genes assessed in this study were first identified in microarray studies,
 4           providing a level of connection between the gene and particular outcomes as well as
 5           demonstrating reproducibility across studies. For example, findings for Star gene
 6           expression are reproduced across protein expression, RT-PCR, and microarray studies.
 7

 8           However, there are a number of issues in utilizing these dose-response RT-PCR data.

 9    These limitations include the following:
10

11       •   Some of the gene expression changes are not reproducible. For example, Kit was
12           observed to be significantly altered in the Lehmann et al. (2004) study but was not
13           observed to be significantly reduced after in utero DBF exposure in a microarray study
14           (Liu et al., 2005) utilizing the Affymetrix® gene chip, yet Kit is on the Affymetrix® rat
15           chip.
16
17       •   The relationship between statistical significance and biological significance is not known
18           for genomic data. For example, the expression ofHsdSb mRNA is statistically
19           significantly altered at lower doses than a statistically significant [T] decrease was
20           observed.  Thus, Lehmann et al. (2004) argued that the changes in Hsd3b at 0.1 and
21           1.0 mg/kg-d were not biologically significant. It is also not known whether changes in
22           the expression of a single or multiple steroidogenesis genes would lead to a significant
23           alteration in [T] and the phenotype.
24

25       •   Inter-litter variability could not be characterized from the Lehmann et al. (2004) data
26           because the RT-PCR data were collected on five individual pups representing four to
27           five litters per treatment group (i.e., ~1 pup/litter). In order to have appropriate data for
28           BMD modeling, litter mean values calculated from a study with a greater sample size and
29           multiple litters are needed to allow characterization of inter-litter variability.
30
31

32           Regarding quantitative measures of intraspecies and interspecies differences, it should be

33    noted that the same information which is necessary for quantitative assessment of interspecies

34    differences (Section 7.2.2) may be useful for characterizing intraspecies variability, and vice

35    versa. In particular, factors that explain or predict interstrain differences in rodent sensitivity to

36    DBF, such as those noted between Wistar and SD rats, may be hypothesized to contribute to

37    human variability. Further, lexicologically important interstrain differences identified from the

38    toxicogenomic data could be an  excellent data source for  investigating whether they are also

39    important for modulating interspecies sensitivity.
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 1

 2    7.3. LESSONS LEARNED

 3          The lessons learned from the case study are grouped by research needs and

 4    recommendations that are useful to research scientists and those who work on risk assessments.


 5    7.3.1.  Research Needs

 6    7.3.1.1. Data Gaps and Research Needs: DBF

 1          There are some research needs that would be very useful to a DBF risk assessment.

 8    Research needs for DBF include the following:

 9

10       (1) Developing a genetic regulatory network model using the Plummer et al. (2007) data.
11          This data set would be an excellent source of temporal and spatial gene expression
12          information because one of its studies includes three time intervals, thus covering the
13          entire critical window for male reproductive outcomes; and a second study used
14          microdissection of the cord and interstitial cells of the testis. This study was not modeled
15          because it was not published until after the modeling work was performed. By
16          comparing  gene expression, they hypothesized the MO A underlying the gonocyte and LC
17          effects. These data  could be used to develop a regulatory network for DBF in utero
18          exposure and effects on the rat testis;

19       2) Performing microarray studies in male reproductive tissues, other than the testis,
20          affected by DBF in order to understand the similarities and differences in DBF-affected
21          pathways in across reproductive organs and tissues in the male rat. Bowman et al.
22          (2005) performed such a study in the WDs, but studies in other male tissues are needed;

23       3) Performing microarray studies in human tissues (either cell lines or from aborted male
24          fetal tissue), along with parallel in vitro and in vivo studies in rats for validation and
25          comparison.  Such data would provide critical information for the IRIS DBF assessment
26          on qualitative, and possibly quantitative, interspecies differences in TDs sensitivity.
27          Some human studies found an association between in utero phthalate exposure and
28          newborn male reproductive developmental measures (Swan  et al., 2005; Main et al.,
29          2006) that indicate human relevance for some of the DBF  effects observed in male rat
30          studies;

31       4) Performing well designedproteomic and metabolomic studies to understand the affect of
32          in utero DBF exposure on the function of expressed proteins, and on cellular metabolites.
33          These data  may provide complementary data to the available transcriptomic data, which
34          could yield some new insights;

35       5) Performing genomic studies to identify early,  critical, upstream events as a means to
36          identify the initiating event for DBF's action in the testis.  This would require performing
37          studies much earlier in gestation, at the beginning of sexual differentiation.  In addition,
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 1          such studies may require greater sensitivity regarding gene expression change
 2          identification because a statistically significant change may be greater than a biologically
 3          significant change.  If identified, the initiating event could be utilized in the risk
 4          assessment, thereby reducing uncertainty;
 5       6) Performing genomic studies to under stand whether the female reproductive tract
 6          malformations after DBF exposure share a common MO A with the male development
 1          reproductive effects. This line of research would identify pathways affected in the
 8          developing female reproductive tracts after early gestational DBF exposure.
 9       7) Comparing the affectedDEGs and pathways between the phthalates with and without
10          developmental effects could be useful for a cumulative risk assessment of the
11          developmental phthalates. All of the data from the Liu et al. (2005) data set could be
12          utilized to evaluate this issue. Further, evaluating consistency of findings across
13          chemicals in the same MOA class that do and do not produce the same set of effects
14          could be useful for improving specificity of the MOA findings.
15
16    7.3.1.2. Research Needs for Toxicity and Toxicogenomic Studies for Use in Risk Assessment:
17           Future Chemical Assessments
18          The U.S. EPA and the larger scientific community are interested in methods to use
19    genomic data quantitatively in risk assessment.  This case study was limited to qualitative uses of
20    genomics in risk assessment due to the absence of dose-response global gene expression studies
21    (i.e., microarray studies) for DBF.  Thus, multiple dose microarray studies are needed
22    (Table 7-2).  Such studies are very costly and without proper design and power can be difficult to
23    interpret because the lower doses may not affect gene expression in every organ assessed,
24    leading to the need for increased sample size.  For example,  500 mg/kg-d DBF was used as the
25    single dose in the published microarray studies because exposure during the critical window at
26    this dose leads to the maximum reproductive developmental effects (i.e., almost all animals are
27    affected in every male pup) without effects on maternal toxicity.  In a dose-response study
28    including low to high doses, the sample size per dose group would need to be high enough to
29    increase statistical power (i.e., the detection of gene expression changes when only a few animals
30    are affected). For example, if an endpoint is affected in 20% of the animals at lower doses, then
31    the sample size for microarray studies must be large enough to identify the affected animals
32    (with affected gene expression). Perhaps the highest priority study is one  that assesses global
33    gene expression and toxicity endpoints of interest; the testis would be collected at GD 19 in one
34    group of animals but a second group would be followed through to evaluation of the
35    developmental  endpoint of interest.
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1
2
3
4
5
6
7
       Table 7-2 describes some of the priority research needs for toxicogenomic studies for
developmental toxic chemicals, including DBF.  First, appropriate time-course gene-expression
data over the critical window, using a small subset of genes whose altered expression is linked to
the outcome of interest, would be very relevant for developing a regulatory network model.
       Table 7-2. Research needs for toxicogenomic studies to be used in risk
       assessment
Purpose
1) Develop a regulatory network model
2) Improve pathway analysis statistical
power
3) Use of toxicogenomic data to inform
toxicokinetics in dose-response
analysis
4) Use of toxicogenomic data in
dose-response analysis
5) Phenotypic anchoring; informing MOA
(Figure 3-4)
6) Assess intraspecies differences
7) Assess interspecies differences
8) Appropriate statistical pathway
analysis methods for use in risk
assessment
9) Screening and categorizing chemicals
by MOA in risk assessment (e.g.,
cumulative risk assessment)
Study Needed
Exposure time-course microarray data.
Number of replicates increased.
Genomic and toxicity studies with same study
design: Generate TK data in relevant study (time,
dose, tissue), and obtain relevant internal dose
measure to derive best internal dose metric.
Multiple doses in microarray studies in parallel
with phenotypic anchoring.
Similar study design characteristics for genomic
and toxicity studies (i.e., dose, timing of
exposure, organ/tissue evaluated).
A study assessing multiple doses across rat
strains (e.g., Wistar vs. SD); endpoint and
microarray component of the study.
A study to assess whether different species with
similar pathways (genes and sequence of steps)
have a similar sensitivity to a given chemical.
The findings could potentially enhance the utility
of TgX data to aid species extrapolation in risk
assessments.
Further comparisons and evaluations of different
methods.
Genomic (transcriptomic, proteomic, and/or
metabolomic) signatures can be particularly
useful for screening and categorizing chemicals
by MOA in risk assessment.
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 1    These studies need to be carefully designed based on the information on the critical window of
 2    exposure and the relationship to the particular outcome of concern.  Second, the statistical power
 3    of pathway-analysis methods for global expression techniques, including microarrays,
 4    proteomics and metabolomics, could be improved by designing and performing studies with
 5    more replicates. Thus, variability would be better characterized.  Third, it would be helpful to
 6    design genomic studies that could inform both TKs and dose response (#3 and #4, Table 7-2).
 7          Performing genomic  and toxicity studies with similar designs would provide useful
 8    information.  These studies would be designed at the most relevant time of exposure, include low
 9    to high doses, and assess the relevant tissues. Relevant internal dose measurements could be
10    obtained on which to base the internal dose metric. These studies, employing genomic and
11    toxicity studies of comparable designs, would allow for phenotypic anchoring of dose, gene
12    expression, and outcome, and thus, could potentially be used in dose-response analysis. Studies
13    with both a toxicity and toxicogenomic component would obviously require assessment of a
14    large sample size to be informative. These same studies could be used to inform MO A (#5) and
15    could be adapted to comparing species (#6). Finally, further development and comparison
16    studies to identify appropriate statistical pathway analysis methods for use in risk assessment are
17    needed (#8).  It is important to note that such studies require research funding and laboratories
18    with expertise in both genomics and toxicology.
19          Research needs for toxicity studies that would improve the utility in risk assessment are
20    described in Table 7-3. As was noted for the DBF case (Chapter 4), complete reporting is
21    necessary for studies that are intended for use in risk assessment.
22
23    7.3.2. Recommendations
24          Based on the lessons  learned from performing the DBF case study exercise, we
25    developed some recommendations or best practices for performing assessments for
26    chemicals having available genomic data. We recommend following the principles of the
27    approach described herein, to thoroughly consider the available genomic data for whether
28    it can inform every information type useful to risk assessment, and to evaluate genomic
29
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         Table 7-3. Research needs for toxicity studies for utilizing toxicogenomic and
            toxicity data together in risk assessment
 4
 5

 6
 7
 8

 9
10

11
12
13
14
15
16
17
18
Study Aspect
Study design
Reporting
Research Need
Exposing animals during optimal
developmental stage/time (i.e., for the
critical window).
Assessing outcome at optimum
developmental stage/time for that outcome.
Parallel study design characteristics with
toxicogenomic studies (i.e., dose, timing of
exposure, organ/tissue evaluated) to obtain
comparable toxicity and toxicogenomic
studies to aid connections between gene
expression changes and outcomes.
Individual animal data to aid identification
of low incidence effects, correlate gene
expression changes and outcomes, and
characterize intraspecies variability.
All endpoints that were evaluated
(independent of whether the outcome was
positive or negative).
data and toxicity data together to assess phenotypic anchoring. In addition, we recommend four
specific methods for evaluating genomic data that arose from the DBF case study.  Two of these
recommendations are straightforward and could reasonably be performed by a risk assessor with

basic genomics training:
    1)  Evaluate the genomic and other gene expression data for consistency of findings across
       studies to provide aweight-of-the-evidence (WOE) evaluation of the affected gene
       expression and pathways. Some simple methods, such as using Venn diagrams and gene-
       expression compilation approaches can be applied to risk assessment. When evaluating
       the consistency of toxicogenomic data findings, it was advantageous to include all of the
       available gene expression data (single gene, global gene expression, protein, RNA)
       because the single gene expression techniques have been traditionally used to confirm the
       results of global gene expression studies.
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 1       2) Perform benchmark dose (BMD) modeling on high-quality RT-PCR dose-response
 2          studies for genes known to be in the causal pathway of a MO A or outcome of interest.
 3          Obtaining a BMD and BMDL (benchmark dose lower confidence limit) is a useful
 4          starting point for both linear low-dose extrapolation and reference value approaches.  We
 5          are not indicating which approach is appropriate to take for making predictions about the
 6          potential risk below the BMD or BMDL.  "High quality" is defined in this context as a
 7          well conducted study that assessed enough animals and litters for sufficient statistical
 8          power for characterizing the mean responses and the variability (interlitter and intralitter
 9          variability).
10

11          Two additional recommendations require expertise in genomic data analysis methods to

12    implement:
13       3) Perform new analysis of toxicogenomic raw data in order to identify all affected
14          pathways or for other risk assessment applications.  Most often, microarray studies are
15          conducted for different purposes (e.g., basic science, pharmaceutical development).  In
16          these cases, new pathway analysis of microarray data can be potentially useful.

17       4) Develop a genetic regulatory network model for the chemical of interest to define the
18          system of interacting regulatory DNA sequences, expression of genes, and pathways for
19          one or more outcomes of interest.   Genetic regulatory network model methods,
20          developed as part of this case study, could be used in a risk assessment. If time-course
21          genomic data are available, the temporal sequence of mechanistic events after chemical
22          exposure can be defined, and the earliest affected genes and pathways, that may be define
23          the initiating event, may be identified.
24
25

26    7.3.3. Application of Genomic Data to Risk Assessment:  Future Considerations
27          A number of the issues that emerged in evaluating the DBF genomic data  set are relevant

28    to using genomic data in risk assessment in general.  Some issues regarding the use of genomic

29    data are to the same as for the use of precursor information in risk assessment, regardless of the

30    technique used to gather the information.  Two outstanding questions are
31

32       •  How is the biologically significant level of change in a precursor marker determined?
33          And,  specifically for toxicogenomic data, what are the key genes (i.e., a key gene, a
34          handful of genes associated with the outcome of interest, a genomic signature) whose
35          altered expression leads to an adverse outcome? Currently, decisions about the degree of
36          change of a precursor event tend to be based on statistical significance because data to
37          address biological significance are typically lacking (as is the  case for T levels and male
38          development of the testis).  Genes are identified as DEGs in microarray studies based on
39          statistical-significance criteria that may not reflect biological significant changes (i.e.,
40          identified genes may not be biologically meaningful while unidentified genes may be
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 1          meaningful). This point is also relevant to the question: What pathway analysis methods
 2          are most appropriate for risk assessment? As noted in Chapter 6, it is difficult to know
 3          whether one has identified the biologically relevant DEGs and pathways.  Statistically
 4          significant changes and repeated findings of the same genes and pathways across studies
 5          and using different analytical methods does not necessarily provide a greater confidence
 6          regarding biological significance of these genes and pathways over other genes and
 7          pathways.  Further, there is a bias towards the well annotated genes as biologically
 8          significant when, in fact, the unannotated genes could be of greater importance.
 9
10       •  What are the requirements for linkage of precursor events to in vivo endpoints?  Studies
11          to assess the relationship between the gene expression and outcomes are needed to
12          establish a causal connection.
13
14          There are also a number of technical issues in utilizing  microarray data in U.S. EPA risk
15    assessments that have not fully been surmounted. The primary technical issue is the validation
16    of the reproducibility of microarray study results. Reproducibility depends on biological sample
17    preparation, interlaboratory (presumably related to operator and protocol differences),
18    intralaboratory (presumably related to operator differences), and platform variability.  The results
19    of the MAQC project (see Chapters 2 and 5) revealed that reproducibility was achieved when
20    using the same biological sample. This is very encouraging for using microarray data in risk
21    assessment. However, biological sample variability still needs to be addressed in order that
22    protocols and details of the underlying reasons for the variability can be understood.
23          A number of the issues stem from the complexity of the data output from the global
24    expression techniques (e.g., microarrays, proteomics, metabolomics).  This is in part a training
25    issue. To address the training needs, the U.S.  EPA Risk Assessment Forum held introductory
26    and intermediate level training in genomics in 2007.  The FDA has also held genomics training
27    (http://www.fda.gov/cder/genomics/Default.htm). However, it would be advantageous for U.S.
28    EPA to embark on further training of risk assessors to enable them to perform analyses of
29    microarray and other genomic data analysis techniques,and to understand the issues in applying
30    traditional analytical methods to risk assessment.
31
32
33          If additional case studies are performed using the approach outlined in Figure 7-1, we
34    recommend a chemical whose exposure leads to both cancer and noncancer outcomes to explore
35    use of these data for multiple  outcomes as well as the impacts on the different risk assessment
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1    paradigms and processes (e.g., cancer versus noncancer). In fact, one of the phthalates might be
2    a good candidate chemical for such a case study.  Further, performing case studies on data-rich
3    and data-poor chemicals would aid in further evaluating the approach described herein.
4          The approach for utilizing toxicogenomic data in risk assessment outlined in this
5    document may be applied to other chemical assessments. This document advances the effort to
6    devise strategies for using genomic data in risk assessment  by defining an approach, performing
7    a case study, and defining critical issues that need to be addressed to better utilize these data in
8    risk assessment.  This case study serves as an example of the considerations and methods for
9    using genomic data in future risk assessments for environmental agents.
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Simmons, PT; Portier,  CJ. (2002) Toxicogenomics: the new frontier in risk analysis. Carcinogenesis 23(6):903-905.

Smith, LL. (2001) Key challenges for toxicologists in the 21st century. Trends Pharmacol Sci 22(6):281-285.

Staab, CA; Ceder, R; Roberg, K; et al. (2008) Serum-responsive expression of carbonyl-metabolizing enzymes in
normal and transformed human buccal keratinocytes. Cell Mol Life Sci 65(22):3,653-3,663.

Stocco, DM. (2002) Clinical disorders associated with abnormal cholesterol transport: mutations in the steroidogenic
acute regulatory protein Mol Cell Endocrinol 191(l):19-25.

Swan, SH; Main, KM; Liu, F; et al. (2005) Decrease in anogenital distance among male infants with prenatal
phthalate exposure. Environ Health Perspect  113(8):1,056-1,061. Erratum in: Environ Health Perspect 2005 Sep
113(9):A583.

Swanson, HI. (2004) Cytochrome P450 expression in human keratinocytes:  an aryl hydrocarbon receptor
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Thomas, RS; Allen, BC; Nong, A; et al. (2007) A method to integrate benchmark dose estimates with genomic data
to assess the functional effects of chemical exposure. Toxicol Sci 98(l):240-248.

Thompson, CJ; Ross, SM; Gaido, KW. (2004) Di(n-butyl) phthalate impairs cholesterol transport and
steroidogenesis in the fetal rat testis through a rapid and reversible mechanism. Endocrinology 145(3): 1,227-1,237.

Thompson, CJ; Ross, SM; Hensley, J; et al. (2005) Differential steroidogenic gene expression in the fetal adrenal
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73(5):908-917.

Tilton, SC; Orner, GA; Benninghoff, AD; et al. (2008) Genomic profiling reveals an alternate mechanism for
hepatic tumor promotion by perfluorooctanoic acid in rainbow trout. Environ Health Perspect 116(8): 1,047-1,055.
Available online at http://www.ehponline.org/docs/2008/! 1190/abstract.html

Tomfohr, J; Lu, J; Kepler, TB. (2005) Pathway level analysis of gene expression using singular value
decomposition BMC Bioinformatics 6:225.

Tong, W; Lucas, AB; Shippy, R; et al. (2006) Evaluation of external RNA controls for the assessment of microarray
performance. Nat Biotechnol 24(9): 1132-1139.  Available online at
http://www.nature.com/nbt/journal/v24/n9/pdf/nbtl237.pdf.

Tuma, DJ; Casey, CA. (2003) Dangerous byproducts of alcohol breakdown-focus on adducts. Alcohol Res Health.
27(4):285-290.

Turner, KJ; Mclntyre, BS; Phillips, SL; et al. (2003) Altered gene expression during rat Wolffian duct development
in response to in utero  exposure to the antiandrogen linuron. Toxicol Sci 74(1): 114-128.

Turner, ME; Martin, C; Martins, AL; et al. (2007) Genomic and expression analysis of multiple  Sry loci from a
single Rattus norvegicus Y chromosome. BMC Genet 8:11.


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U.S. EPA (Environmental Protection Agency). (2002) Interim genomics policy. Prepared by the Science Policy
Council, Washington, DC. Available online at http://www.epa.gov/osa/spc/genomics.htm.

U.S. EPA (Environmental Protection Agency). (2004a) A framework for a computational toxicology research
program. Office of Research and Development, National Center for Computational Toxicology, Washington, DC.
Available online at http://www.epa.gov/comptox/comptox framework.html.

U.S. EPA (Environmental Protection Agency). (2004b) Potential implications of genomics for regulatory and risk
assessment applications at EPA. Genomics Task Force Workgroup, Science Policy Council, Washington, DC; EPA
100/B-04/002. Available online at http://www.epa.gov/OSA/pdfs/EPA-Genomics-White-Paper.pdf.

U.S. EPA (Environmental Protection Agency). (2004c) Acetochlor report of the Cancer Assessment Review
Committee (CARC). Fourth Evaluation. Office of Pesticide Programs, Washington, DC.

U.S. EPA (Environmental Protection Agency). (2005) Supplemental guidance for assessing susceptibility from
early-life exposure to carcinogens. Risk Assessment Forum, Washington, DC, EPA/630/R-03/003F.  Available
online at http://cfpub.epa.gov/ncea/cfm/recordisplav.cfm?deid=160003.

U.S. EPA (Environmental Protection Agency). (2006a) Toxicological review of dibutyl phthalate (di-n-butyl
phthalate). External peer review draft. Integrated Risk Information System, Washington, DC; NCEA-S-1755.

U.S. EPA (Environmental Protection Agency). (2006b) Interim guidance for microarray-based assays: data
submission, quality, analysis, management and training considerations. External review draft. Genomics Tasks
Force Workgroup, Science Policy Council, Washington, DC. Available online at
http://www.epa.gov/osa/spc/genomicsguidance.htm.

U.S. EPA (Environmental Protection Agency). (2006c) Summary of the NCEA colloquium on current use and
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U.S. EPA (Environmental Protection Agency). (2006e) Approaches for the application of physiologically based
pharmacokinetic (PBPK) models and supporting data in risk assessment. National Center for Environmental
Assessment, Washington, DC; EPA/600/R-05/043F. Available online at
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van Pelt, AM; de Rooij, DG; van der Burg, B; et al. (1999) Ontogeny of estrogen receptor-beta expression in rat
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Vinggaard, AM; Nellemann, C; Dalgaard, M; et al. (2002) Antiandrogenic effects in vitro and in vivo of the
fungicide prochloraz. Toxicol Sci 69(2):344-353.

Vondracek, M; Weaver, DA; Sarang, Z; et al. (2002) Transcript profiling of enzymes involved in detoxification of
xenobiotics and reactive oxygen in human normal and simian virus 40 T antigen-immortalized oral keratinocytes.
Int J Cancer 99(6):776-782.

Vondracek, M; Xi, Z; Larsson, P; et  al. (2001) Cytochrome P450 expression and related metabolism in human
buccal mucosa. Carcinogenesis 22(3):481-488.


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Waters, MD; Fostel, JM. (2004) Toxicogenomics and systems toxicology: aims and prospects. Nat Rev Genet
5(12):936-948. Available online at
http://www.cmbi.ru.nl/edv^ioinf4/articles/pdf/tox ReviewToxicogenomicsNaturedec2004.pdf.

Wilson, VS; Wood, CR; Held, GA; et al. (2003) Comparison of the effects of two AR antagonists on androgen
dependent tissue weight and hormone levels in male rats and on expression of three androgen dependent genes in the
ventral prostate. Toxicologist 72:131.

Wilson, VS; Lambright, C; Furr, J; et al. (2004) Phthalate ester-induced gubernacular lesions are associated with reduced
ins!3 gene expression in the fetal rat testis. Toxicol Lett 146(3):207-215.

Wine, RN; Li, L-H; Barnes, LH; et al. (1997). Reproductive toxicity of di-w-butylphthalate in a continuous
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Wong, C; Kelce, WR; Sar, M; et al.  (1995) Androgen receptor antagonist versus agonist activities of the fungicide
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Wu, W; Hu, W; Kavanagh, JJ. (2002) Proteomics in cancer research. Int J Gynecol Cancer 12(5):409-423.

Wyde, ME; Kirwan, SE; Zhang, F; et al. (2005) Di-n-butyl phthalate activates constitutive androstane receptor and
pregnane X receptor and enhances the expression of steroid-metabolizing enzymes in the liver of rat fetuses. Toxicol
Sci86(2):281-290.

Xiong, S; Chirala, SS; Wakil, SJ. (2000) Sterol regulation of human fatty acid synthase promoter I requires nuclear
factor-Y- and Sp-1-binding sites. Proc Natl Acad Sci USA 97(8):3948-3953.

Yu, X; Griffith, WC; Hanspers, K; et al. (2006) A system-based approach to interpret dose- and time-dependent
microarray data: quantitative integration of gene ontology analysis for risk assessment. Toxicol Sci 92(2):560-577.

Zhang, Y; Jiang, X; Chen, B. (2004) Reproductive and developmental toxicity in Fl Sprague-Dawley male rats
exposed to di-n-butyl phthalate in utero and during lactation and determination of its NOAEL. Reprod Toxicol
18(5):669-676.

Zien, A; Kuffner, R; Zimmer, R; et al. (2000) Analysis of gene expression data with pathway scores. Proc Int Conf
Intell Syst Mol Biol 8:407-417.
URLS AND WEBSITES:

http://cfpub.epa. gov/ncea/cfm/recordisplav.cfm?deid=149984

http://cerhr.niehs.nih.gov/news/phthalates/DEHP-final.pdf

http://cerhr.niehs.nih.gov/news/phthalates/report.html

http://david.abcc.ncifcrf.gov/list.jsp

http://intranet.epa.gov/ncea/pdfs/qmp/ncea qmp.pdf

http://searchlauncher.bcm. tmc.edu/help/BLASToutput. html#anchorl4684156.

http://www.ehponline.org/txg/docs/admin/txg-n-press.html?section=toxicogenomics


         777/5 document is a draft for review purposes only and does not constitute Agency policy.
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http://www.genome.jp/kegg

http://www.hesiglobal.org/Committees/ TechnicalCommittees/Genomics/EBI+Toxicogenomics.htm

http://www.ncbi.nlm.nih.gov/sites/entrez?Db=gene&Cmd=ShowDetailView&TermToSearch=114215&ordinalpos=
3&itool=EntrezSvstem2.PEntrez.Gene.Gene ResultsPanel.Gene RVDocSum

http://www.ncbi.nlm. nih.gov/sites/entrez?db=PubMed

www.epa.gov/iris/whatsnewarchive.htm

www.genego.com

www.omics.org
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 1                                       9. GLOSSARY
 2
 O
 4   Amplified Fragment Length Polymorphism PCR (AFLP-PCR or AFLP): A PCR-based tool
 5   used in genetics research, DNA fingerprinting, and in the practice of genetic engineering.
 6
 7   Benchmark Dose (BMD) or Concentration (BMC): A dose or concentration that produces a
 8   predetermined change in response rate of an adverse effect (called the benchmark response or
 9   BMR) compared to background.
10
11   Copy Number Polymorphism (CNP):  Normal variation in the number of copies of a sequence
12   within the DNA.
13
14   Complementary DNA (cDNA):  A double stranded DNA version of an mRNA molecule.

15   Exposure: Contact made between a chemical, physical, or biological agent and the outer
16   boundary of an organism. Exposure is quantified as the amount of an agent available at the
17   exchange boundaries of the organism (e.g., skin, lungs, gut).

18   Exposure Assessment: An identification and evaluation of the human population exposed to a
19   toxic agent, describing its composition and size, as well as the type, magnitude, frequency, route
20   and duration of exposure.

21   Expressed Sequence Tag (EST):  A short subsequence of a transcribed cDNA sequence.

22   Gene Ontology (GO):  A collaborative project of the Gene Ontology Consortium that has
23   developed three structured controlled vocabularies (ontologies) that describe gene products in
24   terms of their associated biological processes, cellular components and molecular functions in a
25   species-independent manner. There are three separate aspects to this effort: first, the
26   development and maintenance of the ontologies themselves; second, the annotation of gene
27   products, which entails  making associations between the ontologies and the genes and gene
28   products in the collaborating databases; and third, development of tools that facilitate the
29   creation, maintenance and use of ontologies.
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 1
 2    Gene Regulatory Network (GRN) Model: A representation of the regulation (e.g., positive or
 3    negative regulation) of genes and their expression (e.g., RNAs, proteins, metabolites) of a system
 4    (e.g., cell, tissue), and their relations.  A GRN model can be expressed at the genomic and
 5    metabolic level. Genes can be viewed as nodes in the network, with input being proteins (e.g.,
 6    transcription factors), and outputs being the level of gene expression.  Further, GRNs can
 7    describe changes over time or space if based on time course or spatial compartment data.
 8
 9    Genomics: The study of the genome and include genome sequencing and genotype analysis
10    techniques (e.g., polymorphism identification).
11
12    Hazard Assessment: The process of determining whether exposure to an agent can cause an
13    increase in the incidence  of a particular adverse health effect (e.g., cancer,  birth defect) and
14    whether the adverse health effect is likely to occur in humans.
15
16    Hazard Characterization: A description of the potential adverse health effects attributable to a
17    specific environmental agent, the mechanisms by which agents exert their toxic effects, and the
18    associated dose, route, duration, and timing of exposure.
19
20    Key Event: An empirically observable precursor step that is, itself, a necessary element of the
21    mode of action or is a biologically based marker for such an element (U.S. EPA, 2005).
22
23    Lowest Observed Adverse Effect Level  (LOAEL): The lowest exposure level at which there
24    are biologically significant increases in frequency or severity of adverse effects between the
25    exposed population and its appropriate control group.
26
27    Lowest Observed Effect Level (LOEL):  In a study, the lowest dose or exposure level at which
28    a statistically or biologically significant effect is observed in the exposed population compared
29    with an appropriate unexposed control group.
30
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 1    Microarray Quality Control (MAQC):  A project that was developed to provide quality-
 2    control tools to the microarray community in order to avoid procedural failures and to develop
 3    guidelines for microarray data analysis by providing the public with large reference data sets
 4    along with readily accessible reference RNA samples.
 5
 6    Metabolomics: Metabolomics is the study of low-molecular-weight metabolic products.
 7
 8    Microarray:  A microarray is a tool for analyzing gene expression that consists of a small
 9    membrane or glass slide containing samples of many genes arranged in a regular pattern.
10
11    Mechanism of Action: The complete molecular sequence of events between the interaction of
12    the chemical with the target site and observation of the outcome.  Thus, the mechanism of action
13    can include  toxicokinetic and/or toxicodynamic steps.
14
15    Mode of Action (MOA):  One event, or a sequence of key events, that the outcome is  dependent
16    upon (i.e., part of the causal pathway and not a coincident event).
17
18    No Observed Adverse Effect Level (NOAEL): The highest exposure level at which there are
19    no biologically significant increases in the frequency or severity of adverse effect between the
20    exposed population and its appropriate control; some effects may be produced at this level, but
21    they are not considered adverse or precursors of adverse effects.
22
23    No Observed Effect Level (NOEL): An exposure level at which there are no statistically or
24    biologically significant increases in the frequency or severity of any effect between the exposed
25    population and its appropriate control.
26
27    Omics:  Omics is a general term  for a broad discipline of science and engineering for analyzing
28    the interactions of biological information objects in various 'omes' such as toxicogenome,
29    proteome, and metabolome.
30
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 1   Physiologically Based Pharmacokinetic (PBPK) Model: A model that estimates the dose to a
 2   target tissue or organ by taking into account the rate of absorption into the body, distribution
 3   among target organs and tissues, metabolism, and excretion.
 4
 5   Principal Component Analysis (PCA):  A technique for analysis of multivariate data that is
 6   similar to SVD (see below). There is a direct relation between PCA and SVD in the case where
 7   principal components are calculated from the covariance matrix. Compared to PCA, SVD is
 8   more fundamental because SVD simultaneously provides the PC As in both row and column
 9   spaces.
10
11   Proteomics: The study of proteins in an organism.
12
13   Reverse Transcription Polymerase Chain Reaction (RT-PCR): A two-step process for
14   converting RNA to DNA and the subsequent PCR amplification of the reversely transcribed
15   DNA.
16
17   Human Health Risk Assessment: The evaluation of scientific information on the hazardous
18   properties of environmental agents (hazard characterization), the dose-response relationship
19   (dose-response assessment), and the extent of human exposure to those agents (exposure
20   assessment). The product of the risk assessment is a statement regarding the probability that
21   populations  or individuals so exposed will be harmed and to what degree (risk characterization).
22
23   Serial Analysis of Gene Expression (SAGE): A powerful tool that allows the analysis of
24   overall gene expression patterns with digital analysis.
25
26   Single-Nucleotide Polymorphism (SNP): A DNA sequence variation occurring when a single
27   nucleotide — A, T, C, or G — in the genome (or other shared sequence) differs between
28   members of a species (or between paired chromosomes in an individual).
29
30   Singular value decomposition (SVD): A technique for analysis of multivariate data. This
31   method describes a system of high number of correlated variables by uncorrelated reduced
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 1   number of variables. For analysis of microarray data, SVD provides a linear projection of the
 2   gene expression data from the genes * samples space to a noise reduced space and thus,
 3   differentiates underlying signals from the noise. Noise reduced space approximates the data with
 4   a fraction of the overall expression.
 5
 6   Toxicogenomics:  A set of technologies for assessing the genome, transcriptome, proteome, and
 7   metabolome gene products after toxic agent exposure.
 8
 9   Transcriptomics: A set of techniques to measure global mRNA expression; it is a tool used to
10   understand specific the expression of genes and pathways involved in biological processes.
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1                                     APPENDIX A
2
3                        SUPPORTING TABLES FOR CHAPTER 5
4
5
6         Appendix A contains additional tables that support the work shown in Chapter 5.
           This document is a draft for review purposes only and does not constitute Agency policy.
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This document is a draft for review A-2
purposes only and does not constitute
Asencv volicv
Table A-l. Weight of evidence (WOE) for statistically significant gene expression changes after in utero
exposure to dibutyl phthalate (DBF) from the whole rat testis microarray studies3 as reported in Thompson et
al. (2005)b, Shultz et al. (2001)b, Liu et al. (2005)c'd, and Plummer et al. (2007)e
Official
gene
symbol
Aacs
Aadat
Abcgl
Acaal
Acaca
Acadl
Acads
AcsU
AdamlS
Adamtsl
Admr
Adralb
Akt2
Alasl
Alasl
Official gene namef
Acetoacetyl-CoA synthetase
Aminoadipate aminotransferase
ATP-binding cassette, sub-family G (WHITE),
member 1
Acetyl-Coenzyme A acyltransferase 1
Acetyl-Coenzyme A carboxylase alpha
Acetyl-Coenzyme A dehydrogenase, long-chain
Acyl-Coenzyme A dehydrogenase, short chain
Acyl-CoA synthetase long-chain family member 4
A disintegrin and metallopeptidase domain 15
(metargidin)
A disintegrin-like and metallopeptidase (reprolysin
type) with thrombospondin type 1 motif, 1
Adrenomedullin receptor
Adrenergic receptor, alpha Ib
Thymoma viral proto-oncogene 2
Aminolevulinic acid synthase 1
Aminolevulinic acid synthase 1
Exposure
window
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12.5-15.5
GD 12-19
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-21
GD 12-19
GD 12.5-17.5
Up or
down
Down
Down
Up
Down
Down at
GD 19
Down at
GD 19
Up
Down
Up
Down
Down
Down
Down at
GD21
Down
Down
Fold
change
-0.37 Iog2
-0.38 Iog2
0.38 Iog2
-0.37 Iog2
>2
>2
1.50
-0.60 Iog2
1.20
-1.35
-0.90 Iog2
-0.30 Iog2
>2
-1.01 Iog2
-1.33
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
2-fold
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.01 (ANOVA)
Reference
Liu etal., 2005
Liu etal., 2005
Liu etal., 2005
Liu etal., 2005
Shultz etal., 2001
Shultz etal., 2001
Plummer etal.,
2007
Liu etal., 2005
Plummer etal.,
2007
Plummer etal.,
2007
Liu etal., 2005
Liu etal., 2005
Shultz etal., 2001
Liu etal., 2005
Plummer etal.,
2007

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purp
Table A-l (continued)
" document is a draft for review A- 3
?ses only and does not constitute
Asencv volicv
Official
gene
symbol
Alasl
Aldhla3
Aldh2
Aldh2
Aldh2
Aldoa
Aldoc
AnxaS
Aoxl
Aqpl
Arfl
Arrb2
Asns
Ass
At/2
Official gene namef
Aminolevulinic acid synthase 1
Aldehyde dehydrogenase family 1, subfamily A3
Aldehyde dehydrogenase 2
Aldehyde dehydrogenase 2
Aldehyde dehydrogenase 2
Aldolase A, fructose-bisphosphate
Aldolase C
Annexin A5
Aldehyde oxidase 1
Aquaporin 1
ADP-ribosylation factor 3
Arrestin, beta 2
Asparagine synthetase
Argininosuccinate synthetase
Activating transcription factor 2
Exposure
window
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12.5-17.5
GD 12.5-19.5
GD 12.5-19.5
GD 12-19
GD 12.5-19.5
GD 12-19
GD 12.5-15.5
GD 12.5-17.5
GD 12-21
GD 12-19
GD 12-19
GD 12-21
Up or
down
Down
Down
Down
Down
Down
Down
Down
Down
Down
Down
Down
Down at
GD21
Down
Down
Up at
GD21
Fold change
-1.44
-0.43 Iog2
-0.82 Iog2
-1.50
-1.91
-1.24
-0.44 Iog2
-1.20
-0.50 Iog2
-1.29
-1.23
>2
-0.24 Iog2
-0.82 Iog2
>2
Cutoff used (method)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
Reference
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Shultzetal.,2001
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001

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^3
S K
iis document is a d
voses only and dot
Asencv vo
raft for review A-4
>,s not constitute
Hcv

Official
gene
symbol
Atf4
Atplbl
Atp4b
AtpSfl
Baiap2
Bhlhb2
Bhmt
BircS
Btg2
Btg2
C4a
Cadps
Calb2
Cd63
Cdknlc
Official gene namef
Activating transcription factor 4
ATPase, Na+/K+ transporting, beta 1 polypeptide
ATPase, R+/K+ exchanging, beta polypeptide
ATP synthase, H+ transporting, mitochondrial FO
complex, subunit B 1
Brain-specific angiogenesis inhibitor 1 -associated
protein 2
Bhlhb2 basic helix-loop-helix domain containing,
class B2
Betaine-homocysteine methyltransferase
Baculoviral IAP repeat-containing 5
B-cell translocation gene 2, anti-proliferative
B-cell translocation gene 2, anti-proliferative
Complement component 4a
Ca2+-dependent secretion activator
Calbindin 2
CD63 antigen
Cyclin-dependent kinase inhibitor 1C (P57)
Exposure
window
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 12.5-15.5
GD 12-19
GD 19 for 3 hr
GD 12-19
GD 12.5-15.5
GD 19 for 1 hr
GD 19 for 3 hr
GD 19 for 6 hr
GD 12-19
GD 12-19
GD 12.5-19.5
GD 12-19
Up or
down
Up after
3hr
Down
Down
Up
Down
Up after
3hr
Down
Up
Up
afterl hr
Up after
3hr
Down after
6 hr
Up
Down
Down
Down
Fold change
0.67
-0.24 Iog2
-0.60 Iog2
1.22
-0.22 Iog2
0.88
-0.24 Iog2
1.68
1.30
1.88
-0.77
0.311og2
-0.77 Iog2
-1.36
-0.81 Iog2
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
Reference
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Plummer et al.,
2007
Thompson et al.,
2005
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005


-------
Table A-l (continued)
S K
lis document is a draft for review A- 5
V oses only and does not constitute
Asencv volicv

Official
gene
symbol
Cdknlc
Cdknlc
Cebpb
Cebpd
Clu
Clu
Cmklrl
Cnrl
Cnbp
Cpal
Cpal
Cpd
Cpe
Cptla
Official gene namef
Cyclin-dependent kinase inhibitor 1C (P57)
Cyclin-dependent kinase inhibitor 1C (P57)
CCAAT/enhancer binding protein (C/EBP), beta
CCAAT/enhancer binding protein (C/EBP), delta
Clusterin
Clusterin
Chemokine-like receptor 1
Cannabinoid receptor 1 (brain)
Cellular nucleic acid binding protein
Carboxypeptidase Al
Carboxypeptidase Al
Carboxypeptidase D
Carboxypeptidase E
Carnitine palmitoyltransferase la, liver
Exposure
window
GD 19 for 6 hr
GD 18-19 for
18 hr
GD 12-19
GD 19 for 3 hr
GD 12-21
GD 18 for 18 hr
GD 12.5-19.5
GD 19 for 3 hr
GD 12.5-19.5
GD 12.5-17.5
GD 12.5-19.5
GD 12-21
GD 12-19
GD 12-19
Up or
down
Down after
6hr
Down after
18 hr
Down
Up after
3hr
Up at
GD21
Up after
18 hr
Down
Up after
3hr
Down
Down
Down
Up at
GD21
Up
Down at
GD 19
Fold change
-1.08
1.63
-0.6 Iog2
1.62
>2
1.03
-1.17
0.99
-1.29
-1.73
-2.33
>2
0.59 Iog2
->2
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
2-fold
p < 0.05 (ANOVA)
2-fold
Reference
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Thompson et al.,
2005
Shultzetal., 2001
Thompson et al.,
2005
Plummer et al.,
2007
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Shultzetal., 2001
Liu et al., 2005
Shultzetal., 2001

-------
^3
S K
iis document is a d
voses only and dot
Asencv vo
raft for review A-6
>,s not constitute
Hcv

Official
gene
symbol
Cptla
Cptlb
Cpz
Crabp2
Cmbp2
Crem
Crispld2
Cryab
Ctgf
Ctgf
Ctsb
Ctsd
CxcllO
Cyb5
Cypllal
Official gene namef
Carnitine palmitoyltransferase la, liver
Cptlb carnitine palmitoyltrans-feraselb, muscle
Carboxypeptidase Z
Cellular retinoic acid binding protein 2
Cellular retinoic acid binding protein 2
cAMP responsive element modulator
Cysteine-rich secretory protein LCCL domain
containing 2
Crystallin, alpha B
Connective tissue growth factor
Connective tissue growth factor
Cathepsin B
Cathepsin D
Chemokine (C-X-C motif) ligand 10
Cytochrome b-5
Cytochrome P450, family 11, subfamily a,
polypeptide 1
Exposure
window
GD 12-21
GD 12-19
GD 12-19
GD 12-19
GD 19 for 6 hr
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 19 for 3 hr
GD 19 for 6 hr
GD 12.5-15.5
GD 12.5-19.5
GD 19 for 3 hr
GD 12-19
GD 12-19
Up or
down
Down at
GD21
Up
Up
Down
Down after
6hr
Up after
3hr
Down
Up
Up after
3hr
Up after
6hr
Up
Down
Up after
3hr
Down
Down
Fold change
->2
0.23 Iog2
0.21 Iog2
-0.31 Iog2
-1.24
0.58
-0.27 Iog2
0.22 Iog2
2.10
2.37
1.53
-1.22
2.07
-0.30 Iog2
-1.07 Iog2
Cutoff used (method)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Shultzetal, 2001
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005

-------
Table A-l (continued)
S K
lis document is a draft for review A-7
V oses only and does not constitute
Asencv volicv

Official
gene
symbol
Cypllal
Cypllal
Cypllal
Cypllal
Cypllbl
Cypl7al
Cypl7al
Cypl7al
Cypl7al
CypSl
CypSl
CypSl
Dab2
Dafl
Official gene namef
Cytochrome P450, family 11, subfamily a,
polypeptide 1
Cytochrome P450, family 11, subfamily a,
polypeptide 1
Cytochrome P450, family 11, subfamily a,
polypeptide 1
Cytochrome P450, family 11, subfamily a,
polypeptide 1
Cytochrome P450, subfamily 1 IB, polypeptide 1
Cytochrome P450, family 17, subfamily a,
polypeptide 1
Cytochrome P450, family 17, subfamily a,
polypeptide 1
Cytochrome P450, family 17, subfamily a,
polypeptide 1
Cytochrome P450, family 17, subfamily a,
polypeptide 1
Cytochrome P450, subfamily 5 1
Cytochrome P450, subfamily 5 1
Cytochrome P450, subfamily 5 1
Disabled homolog 2 (Drosophila)
Decay accelerating factor 1
Exposure
window
GD 12-19
GD 18 for 18 hr
GD 12.5-17.5
GD 12.5-19.5
GD 18 for 18 hr
GD 12-19
GD 18 for 18 hr
GD 12.5-17.5
GD 12.5-19.5
GD 18 for 18 hr
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12-19
Up or
down
Down at
GD19
Down after
18 hr
Down
Down
Down after
18 hr
Down
Down after
18 hr
Down
Down
Down after
18 hr
Down
Down
Up
Up
Fold change
->2
-1.93
-1.71
-2.85
-1.63
-1.76 Iog2
-2.1
-2.15
-3.08
-1.06
-1.59
-1.81
0.27 Iog2
0.191og2
Cutoff used (method)
2-fold
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Shultzetal, 2001
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Thompson et al.,
2005
Liu et al., 2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005

-------
^3
S K
iis document is a d
voses only and dot
Asencv vo
raft for review A-8
>,s not constitute
Hcv

Official
gene
symbol
Dbi
Dbi
Dec
Ddc
Ddc
Ddc
Ddit4
Ddit4
Ddt
Decrl
Dhcr?
Dhcr?
Dhcr?
Dnm3
Duspl
Dusp6
Official gene namef
Diazepam binding inhibitor
Diazepam binding inhibitor
Deleted in colorectal carcinoma
Dopa decarboxylase
Dopa decarboxylase
Dopa decarboxylase
DNA-damage-inducible transcript 4
DNA-damage-inducible transcript 4
D-dopachrome tautomerase
2,4-dienoyl Co A reductase 1, mitochondria!
7-dehydrocholesterol reductase
7-dehydrocholesterol reductase
7-dehydrocholesterol reductase
Dynamin 3
Dual specificity phosphatase 1
Dual specificity phosphatase 6
Exposure
window
GD 12-19
GD 12.5-19.5
GD 12-19
GD 12-19
GD 18 for 18 hr
GD 12.5-19.5
GD 12-19
GD 18 for 18 hr
GD 12.5-19.5
GD 12-19
GD 12-19
GD 19 for 6 hr
GD 18-19 for
18 hr
GD 12-19
GD 19 for 3 hr
GD 12-19
Up or
down
Down
Down
Down at
GD 19
Down
Down after
18 hr
Down
Down
Down after
18 hr
Down
Down
Down
Down after
6hr
Down after
18 hr
Down
Up after
3hr
Up
Fold change
-0.38 Iog2
-1.28
->2
-1.141og2
-1.38
-1.44
-1.02 Iog2
-1.57
-1.22
-0.21 Iog2
-0.73 Iog2
-1.34
-1.18
-0.27 Iog2
0.91
0.39 Iog2
Cutoff used (method)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Liu et al., 2005
Plummer et al.,
2007
Shultzetal, 2001
Liu et al., 2005
Thompson etal.,
2005
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005

-------
Table A-l (continued)
S H
J*s >4
its document is a draft for review A-9
f oses only and does not constitute
Asencv volicv

Official
gene
symbol
Dusp6
Ebp
Echsl
Egrl
Egr2
Egr2
ElovlS
Elovl6
Emp3
Enol
Enpep
EntpdS
Epasl
Ephxl
Erbb2
Official gene namef
Dual specificity phosphatase 6
Phenylalkylamine Ca2+ antagonist (emopamil)
binding protein
Enoyl Coenzyme A hydratase, short chain 1,
mitochondria!
Early growth response 1
Early growth response 2
Early growth response 2
ELOVL family member 5, elongation of long chain
fatty acids (yeast)
ELOVL family member 6, elongation of long chain
fatty acids (yeast)
Epithelial membrane protein 3
Enolase 1, alpha non-neuron
Glutamyl aminopeptidase
Ectonucleoside triphosphate diphosphohydrolase 5
Endothelial PAS domain protein 1
Epoxide hydrolase 1, microsomal
v-erb-b2 erythroblastic leukemia viral oncogene
homolog 2, neuro/glioblastoma derived oncogene
homolog (avian)
Exposure
window
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 12-19
GD 19 for 1 hr
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 12.5-19.5
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12.5-17.5
Up or
down
Up after
3hr
Down
Down
Up
Up after
Ihr
Up after
3hr
Down
Down
Down
Down
Up
Down
Down
Down
Up
Fold change
1.28
-0.64 Iog2
-0.181og2
0.77 Iog2
1.93
1.53
-0.171og2
-0.40 Iog2
-1.24
-1.63
0.48 Iog2
-0.52 Iog2
-0.21 Iog2
-0.57 Iog2
1.26
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
Reference
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007

-------
Table A-l (continued)
S H
J*s >4
its document is a draft for review A-10
f oses only and does not constitute
Asencv volicv

Official
gene
symbol
Etfdh
Ezr
Ezr
F10
FabpS
Fabp3
FabpS
Fabp3
FabpS
FabpS
Fabp6
Fadsl
Fadsl
Fadsl
Fads2
Fall
Official gene namef
Electron-transferring-flavoproteindehydrogenase
Ezrin
Ezrin
Coagulation factor X
Fatty acid binding protein 3
Fatty acid binding protein 3
Fatty acid binding protein 3
Fatty acid binding protein 3
Fatty acid binding protein 3
Fatty acid binding protein 5, epidermal
Fatty acid binding protein 6, ileal (gastrotropin)
Fatty acid desaturase 1
Fatty acid desaturase 1
Fatty acid desaturase 1
Fatty acid desaturase 2
FAT tumor suppressor homolog 1 (Drosophila)
Exposure
window
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 19 for 3 hr
GD 19 for 6 hr
GD 18-19 for
18 hr
GD 12-19
GD 12-19
GD 12-19
GD 12.5-15.5
GD 12.5-19.5
GD 12-19
GD 12.5-15.5
Up or
down
Down
Up
Down at
GD 19
Down
Down
Down at
GD 19
Down after
3hr
Down after
6hr
Down after
18 hr
Down at
GD 19
Down
Down
Up
Down
Down
Down
Fold change
-0.39 Iog2
0.20 Iog2
~>2
-0.51 Iog2
-0.49 Iog2
->2
-0.78
-1.68
-1.09
->2
-0.23 Iog2
-0.80 Iog2
1.42
1.47
-0.42 Iog2
-1.32
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
Reference
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001
Thompson et al.,
2005
Thompson et al.,
2005
Thompson et al.,
2005
Shultzetal.,2001
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007

-------
Table A-l (continued)
S K
lis document is a draft for review A-11
V oses only and does not constitute
Asencv volicv

Official
gene
symbol
Fbp2
Fdftl
Fdftl
Fdps
Fdps
Fdps
Fdxl
Fdxl
Fdxl
Fdxl
Fdxr
Fdxr
Fgfr4
Folrl
Fos
Fos
Official gene namef
Fructose-l,6-bisphosphatase 2
Farnesyl diphosphate farnesyl transferase 1
Farnesyl diphosphate farnesyl transferase 1
Farensyl diphosphate synthase
Farensyl diphosphate synthase
Farensyl diphosphate synthase
Ferredoxin 1
Ferredoxin 1
Ferredoxin 1
Ferredoxin 1
Ferredoxin reductase
Ferredoxin reductase
Fibroblast growth factor receptor 4
Folate receptor 1 (adult)
FB J murine osteosarcoma viral oncogene homolog
FB J murine osteosarcoma viral oncogene homolog
Exposure
window
GD 12-19
GD 12-19
GD 12.5-19.5
GD 12-19
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 18 for 18 hr
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12.5-17.5
GD 12-19
GD 12-19
GD 19 for 1 hr
GD 19 for 3 hr
Up or
down
Up
Down
Down
Down
Down
Down
Down
Down after
18 hr
Down
Down
Down
Down
Down
Down
Up after
Ihr
Up after
3hr
Fold change
0.28 Iog2
-0.58 Iog2
-1.40
-0.73 Iog2
-1.49
-1.41
-1.65 Iog2
-2.53
-2.06
-2.97
-0.37 Iog2
-1.41
-0.191og2
-0.48 Iog2
3.28
2.70
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005

-------
^3
S K
iis document is a d
voses only and dot
Asencv vo
raft for review A-1
>,s not constitute
Hcv

Official
gene
symbol
Fragl
Fragl
Fthfd
Fthfd
Fthfd
Fzd2
Gaa
Ggtl3
Gjal
Glrxl
Gnrhr
Gnrhr
Gpsn2
Grbl4
Grbl4
Grbl4
Official gene namef
FGF receptor activating protein 1
FGF receptor activating protein 1
Formyltetrahydro-folate dehydrogenase
Formyltetrahydro-folate dehydrogenase
Formyltetrahydro-folate dehydrogenase
Frizzled homolog 2 (Drosophila)
Glucosidase, alpha, acid
Gamma-glutamyltransferase-like 3
Gap junction membrane channel protein alpha 1
Glutaredoxin 1 (thioltransferase)
Gonadotropin releasing hormone receptor
Gonadotropin releasing hormone receptor
Glycoprotein, synaptic 2
Growth factor receptor bound protein 14
Growth factor receptor bound protein 14
Growth factor receptor bound protein 14
Exposure
window
GD 12-19
GD 18 for 18 hr
GD 12-19
GD 19 for 6 hr
GD 18-19 for
18 hr
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 19 for 3 hr
GD 19 for 6 hr
GD 12-19
GD 12-19
GD 19 for 6 hr
GD 18-19 for
18 hr
Up or
down
Down
Down after
18 hr
Down
Down after
6hr
Down after
18 hr
Down after
3hr
Down
Down
Down
Down
Up after
3hr
Up after
6hr
Down
Up
Up after
6hr
Up after
18 hr
Fold change
-0.48 Iog2
-0.65
-1.03 Iog2
-0.98
-0.83
-0.7
-0.30 Iog2
-0.32 Iog2
-0.36 Iog2
-0.20 Iog2
1.38
2.03
-0.42 Iog2
0.68 Iog2
1.78
0.93
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005

-------
Table A-l (continued)
S K
lis document is a draft j
voses only and does no
Asencv volicv
or review /
t constitute
^

Official
gene
symbol
Grina
Gsta2
Gsta2
Gsta3
GstaS
Gsta3
Gstm2
Gstm2
Gstm2
Gstol
Gstpl
Hao2
Hmgcr
Hmgcr
Hmgcsl
Official gene namef
Glutamate receptor, ionotropic, N-methyl
D-aspartate-associated protein 1 (glutamate
binding)
Glutathione-S-transferase, alpha type2
Glutathione-S-transferase, alpha type2
Glutathione S-transferase A3
Glutathione S-transferase A3
Glutathione S-transferase A3
Glutathione S-transferase, mu 2
Glutathione S-transferase, mu 2
Glutathione S-transferase, mu 2
Glutathione S-transferase omega 1
Glutathione-S-transferase, pi 1
Hydroxyacid oxidase 2 (long chain)
3-hydroxy-3-methylglutaryl-Coenzyme A reductase
3-hydroxy-3-methylglutaryl-Coenzyme A reductase
3-hydroxy-3-methylglutaryl-Coenzyme A
synthase 1
Exposure
window
GD 12.5-15.5
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12-21
GD 18-19 for
18 hr
GD 12-19
GD 12.5-15.5
GD 12-19
GD 12-19
GD 12.5-19.5
GD 12-19
Up or
down
Up
Down
Down
Down
Down
Down
Down
Up at
GD21
Down after
18 hr
Down
Up
Down
Down
Down
Down
Fold change
1.59
-1.48
-2.23
-0.96 Iog2
-1.75
-2.63
-0.42 Iog2
>2
-0.47
-0.42 Iog2
1.34
-0.58 Iog2
-0.47 Iog2
-1.83
-1.03 Iog2
Cutoff used (method)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
Reference
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Shultzetal, 2001
Thompson et al.,
2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005

-------
Table A-l (continued)
S H
J*s >4
its document is a draft for review A-14
f oses only and does not constitute
Asencv volicv

Official
gene
symbol
Hmgcsl
Hmgcsl
Hmoxl
Hpgd
Hprt
Hrasls3
Hsdllb2
Hsdl7b3
Hsdl7b7
Hsd3bl_
predicted
Hsd3bl_
predicted
Hspb?
Idhl
Idhl
Mil
Idil
Official gene namef
3-hydroxy-3-methylglutaryl-Coenzyme A
synthase 1
3-hydroxy-3-methylglutaryl-Coenzyme A
synthase 1
Heme oxygenase (decycling) 1
Hydroxyprostaglandin dehydrogenase 15 (NAD)
Hypoxanthine guanine phosphoribosyl transferase
HRAS like suppressor 3
Hydroxy steroid (11-beta) dehydrogenase 2
Hydroxysteroid (17-beta) dehydrogenase 3
Hydroxysteroid (17-beta) dehydrogenase 7
Hydroxysteroid dehydrogenase- 1, delta< 5 >-3-beta
(predicted)
Hsd3bl_predicted hydroxy steroid dehydrogenase- 1,
delta< 5 >-3-beta (predicted)
Heat shock 27kD protein family, member 7
(cardiovascular)
Isocitrate dehydrogenase 1 (NADP+), soluble
Isocitrate dehydrogenase 1 (NADP+), soluble
Isopentenyl-diphosphate delta isomerase
Isopentenyl-diphosphate delta isomerase
Exposure
window
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 19 for 6 hr
GD 12-19
GD 12-19
GD 12-19
GD 18 for 18 hr
GD 12-19
GD 12-19
GD 18 for 18 hr
GD 12-19
GD 12.5-17.5
Up or
down
Down
Down
Down
Down
Down at
GD 19
Down
Down after
6hr
Up
Down
Down
Down after
18 hr
Up
Down
Down after
18 hr
Down
Down
Fold change
-1.72
-1.87
-0.27 Iog2
-0.46 Iog2
->2
-0.45 Iog2
-1.16
0.28 Iog2
-0.32 Iog2
-0.50 Iog2
-0.7
0.41 Iog2
-0.52 Iog2
-0.67
-0.85 Iog2
-1.57
Cutoff used (method)
;?< 0.01 (ANOVA)
;?< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
Reference
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Plummer et al.,
2007

-------
Table A-l (continued)
S K
lis document is a d
voses only and dot
Asencv vo
raft for review A-15
>,s not constitute
Hcv

Official
gene
symbol
Igfbp2
Igfbp3
Il6st
Ifitm2
Inha
Inha
Insigl
Insl3
interim
symbol:
Loc31432
3
interim
symbol:
Ratsg2
Kcnj'8
Khk
Kit
Krt2-8
Official gene namef
Insulin-like growth factor binding protein 2
Insulin-like growth factor binding protein 3
Interleukin 6 signal transducer
Interferon induced transmembrane protein 2
Inhibin alpha
Inhibin alpha
Insulin induced gene 1
Insulin-like 3
Interim full name: transporter
Interim name: Ratsg2
Potassium inwardly -rectifying channel, subfamily J,
member 8
Ketohexokinase
V-kit Hardy -Zuckerman 4 feline sarcoma viral
oncogene homolog
Keratin complex 2, basic, gene 8
Exposure
window
GD 12-19
GD 12-21
GD 12-21
GD 12.5-17.5
GD 12-19
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-21
GD 12.5-17.5
GD 12-21
GD 12-19
Up or
down
Down
Up at
GD21
Down at
GD21
Down
Down
Down
Down
Down
Down
Down
Down at
GD21
Up
Down at
GD21
Up
Fold change
-0.39 Iog2
>2
->2
-1.11
-1.00 Iog2
-1.64
-0.77 Iog2
-1.56 Iog2
-0.35 Iog2
-0.131og2
->2
1.30
->2
0.28 Iog2
Cutoff used (method)
p < 0.05 (ANOVA)
2-fold
2-fold
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p< 0.01 (ANOVA)
2-fold
p < 0.05 (ANOVA)
Reference
Liu et al., 2005
Shultzetal.,2001
Shultzetal.,2001
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001
Plummer et al.,
2007
Shultzetal.,2001
Liu et al., 2005

-------
^3
S K
iis document is a d
voses only and dot
Asencv vo
raft for review A-
>,s not constitute
Hcv

Official
gene
symbol
Ldha
Ldlr
Ldlr
Lhcgr
Lhcgr
Lhcgr
Lhcgr
Limkl
Lnk
Lr8
Lss
Mapkl
Marcks
Mdk
Mel
Official gene namef
Lactate dehydro-genase A
Low density lipoprotein receptor
Low density lipoprotein receptor
Luteinizing hormone/choriogonadotropin receptor
Luteinizing hormone/choriogonadotropin receptor
Luteinizing hormone/choriogonadotropin receptor
Luteinizing hormone/choriogonadotropin receptor
LIM motif -containing protein kinase 1
Linker of T-cell receptor pathways
LR8 protein
Lanosterol synthase
Mitogen activated protein kinase 1
Myristoylated alanine rich protein kinase C
substrate
Midkine
Malic enzyme 1, NADP(+)-dependent, cytosolic
Exposure
window
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-21
GD 19 for 6 hr
GD 18-19 for
18 hr
GD 12-19
GD 12-21
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 12-21
GD 12-19
GD 12-19
GD 12-19
Up or
down
Down
Down
Down at
GD 19
Down at
GD21
Down after
6hr
Down after
18 hr
Down
Down at
GD21
Up after
3hr
Down
Down
Up at
GD21
Up at
GD19
Up
Down
Fold change
-1.30
-0.79 Iog2
->2
->2
-1.00
-1.51
-1.39 Iog2
->2
1.17
-0.45 Iog2
-0.48 Iog2
>2
>2
0.20 Iog2
-0.67 Iog2
Cutoff used (method)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
2-fold
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Plummer et al.,
2007
Liu et al., 2005
Shultzetal., 2001
Shultzetal., 2001
Thompson etal.,
2005
Thompson et al.,
2005
Liu et al., 2005
Shultzetal., 2001
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Shultzetal., 2001
Shultzetal., 2001
Liu et al., 2005
Liu et al., 2005

-------
^3
S K
iis document is a draft for review A-
V oses only and does not constitute
Asencv volicv

Official
gene
symbol
Mel
Menl
Mgatl
Mgp
Mgstl
Mgstl
Mirl6
Mlxipl
Mmp2
Mtusl
Mtusl
Mvd
Mydll6
Myh6
Myh6
Official gene namef
Malic enzyme 1, NADP(+)-dependent, cytosolic
Multiple endocrine neoplasia 1
Mannoside acetylglucosaminyltransferase 1
Matrix Gla protein
Microsomal glutathione S-transferase 1
Microsomal glutathione S-transferase 1
Membrane interacting protein of RGS16
MLX interacting protein-like
Matrix metallopeptidase 2
Mitochondria! tumor suppressor 1
Mitochondria! tumor suppressor 1
Mevalonate (diphospho) decarboxylase
Myeloid differentiation primary response gene 116
Myosin, heavy polypeptide 6, cardiac muscle, alpha
Myosin, heavy polypeptide 6, cardiac muscle, alpha
Exposure
window
GD 12.5-17.5
GD 12.5-15.5
GD 12-19
GD 19 for 6 hr
GD 12-19
GD 12-21
GD 12-19
GD 12-19
GD 12-21
GD 19 for 3 hr
GD 19 for 6 hr
GD 12-19
GD 19 for 3 hr
GD 12-19
GD 18-19 for
18 hr
Up or
down
Down
Down
Up
Up after
6hr
Down
Up at
GD21
Down
Down
Up at
GD21
Up after
3hr
Up after
6hr
Down
Up after
3hr
Down
Down after
18 hr
Fold change
-1.36
-1.17
0.28 Iog2
1.66
-0.36 Iog2
>2
-0.56 Iog2
-0.31 Iog2
>2
0.67
0.55
-0.41 Iog2
0.58
-0.72 Iog2
-1.52
Cutoff used (method)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Shultzetal.,2001
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Thompson etal.,
2005
Liu et al., 2005
Thompson et al.,
2005

-------
^3
S K
iis document is a d
voses only and dot
Asencv vo
raft for review A
>,s not constitute
Hcv

Official
gene
symbol
Myh6
Myom2
Myrip
Nalp6
Nexn
Nfl
Nfil3
Nfkbia
Npc2
Nppc
NrObl
NrObl
Nr4al
Nr4al
Nr4a3
NrSal
Official gene namef
Myosin, heavy polypeptide 6, cardiac muscle, alpha
Myomesin 2
Myosin VIIA and Rab interacting protein
NACHT, leucine rich repeat and PYD containing 6
Nexilin
Neurofibromatosis 1
Nuclear factor, interleukin 3 regulated
Nuclear factor of kappa light chain gene enhancer
in B -cells inhibitor, alpha
Niemann pick type C2
Natriuretic peptide precursor type C
Nuclear receptor subfamily 0, group B, member 1
Nuclear receptor subfamily 0, group B, member 1
Nuclear receptor subfamily 4, group A, member 1
Nuclear receptor subfamily 4, group A, member 1
Nuclear receptor subfamily 4, group A, member 3
Nr5al nuclear receptor subfamily 5, group A,
member 1
Exposure
window
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-21
GD 12-19
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 12-19
GD 12.5-19.5
GD 12-19
GD 19 for 3 hr
GD 19 for 3 hr
GD 12.5-19.5
Up or
down
Down
Up
Down
Up
Up
Down at
GD21
Up
Up after
3hr
Down
Down
Down
Down
Up
Up after
3hr
Up after
3hr
Down
Fold change
-1.64
0.64 Iog2
-0.27 Iog2
0.45 Iog2
0.26 Iog2
->2
0.311og2
0.79
-0.26 Iog2
-0.56 Iog2
-0.37 Iog2
-1.15
0.3 Iog2
1.83
2.25
-1.18
Cutoff used (method)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
Reference
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Shultzetal, 2001
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Thompson et al.,
2005
Plummer et al.,
2007
oo

-------
^3
S K
iis document is a d
voses only and dot
Asencv vo
raft for review A-
>,s not constitute
Hcv

Official
gene
symbol
Nt/3
Okl38
Olfml
P2ryl4
Park?
Pawr
Pcna
Pcyt2
Pdapl
Pdyn
Pebpl
Pebpl
Penkl
Penkl
Pjkp
Official gene namef
Neurotrophin 3
Pregnancy -induced growth inhibitor
Olfactomedin 1
Purinergic receptor P2Y, G-protein coupled, 14
Parkinson disease (autosomal recessive, early
onset) 7
PRKC, apoptosis, WT1, regulator
Proliferating cell nuclear antigen
Phosphate cytidylyltransferase 2, ethanolamine
PDGFA associated protein 1
Prodynorphin
Phosphatidylethanolamine binding protein 1
Phosphatidylethanolamine binding protein 1
Proenkephalin 1
Proenkephalin 1
Phosphofructokinase, platelet
Exposure
window
GD 12.5-17.5
GD 12-19
GD 12-19
GD 12-19
GD 12.5-17.5
GD 19 for 3 hr
GD 12-21
GD 12-19
GD 12-21
GD 12-19
GD 12-19
GD 12.5-19.5
GD 12.5-17.5
GD 12.5-19.5
GD 12.5-19.5
Up or
down
Up
Down
Down
Down
Down
Up after
3hr
Up at
GD21
Down
Up at
GD21
Down
Down
Down
Down
Down
Down
Fold change
1.34
-0.33 Iog2
-0.141og2
-0.37 Iog2
-1.32
1.02
>2
-0.20 Iog2
>2
-1.06 Iog2
-0.36 Iog2
-1.67
-1.41
-1.86
-1.41
Cutoff used (method)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
Reference
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Thompson et al.,
2005
Shultzetal.,2001
Liu et al., 2005
Shultzetal.,2001
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007

-------
Table A-l (continued)
S K
lis document is a draft for review A-20
V oses only and does not constitute
Asencv volicv

Official
gene
symbol
Pgaml
Pgkl
Phb
Phb
Phyh
Plat
Plaur
Pmp22
Pmp22
Pmp22
Pnliprp2
For
For
Ppib
Official gene namef
Phosphoglycerate mutase 1
Phosphoglycerate kinase 1
Prohibitin
Prohibitin
Phytanoyl-CoA hydroxylase
Plasminogen activator, tissue
Plasminogen activator, urokinase receptor
Peripheral myelin protein 22
Peripheral myelin protein 22
Peripheral myelin protein 22
Pancreatic lipase-related protein 2
P450 (cytochrome) oxidoreductase
P450 (cytochrome) oxidoreductase
Peptidylprolyl isomerase B
Exposure
window
GD 12.5-19.5
GD 12.5-19.5
GD 12-21
GD 12-19
GD 19 for 6 hr
GD 12-19
GD 19 for 3 hr
GD 12-19
GD 19 for 3 hr
GD 19 for 6 hr
GD 12-19
GD 12-19
GD 12.5-19.5
GD 12.5-17.5
Up or
down
Down
Down
Down at
GD21
Down at
GD 19
Down after
6hr
Up at
GD 19
Up after
3hr
Up at
GD 19
Down after
3hr
Down after
6hr
Down
Down
Down
Down
Fold change
-1.26
-1.25
->2
->2
-1.02
>2
0.86
>2
-0.75
-0.59
-0.28 Iog2
-0.64 Iog2
-1.39
-1.21
Cutoff used (method)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
2-fold
2-fold
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
Reference
Plummer et al.,
2007
Plummer et al.,
2007
Shultzetal., 2001
Shultzetal., 2001
Thompson et al.,
2005
Shultzetal., 2001
Thompson et al.,
2005
Shultzetal., 2001
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007

-------
Table A-l (continued)
S K
lis document is a d
voses only and dot
Asencv vo
raft for review A-2
>,s not constitute
Hcv

Official
gene
symbol
Ppplcb
Prdx3
Prdx3
Prdx3
Prgl
Prkar2b
Prkcbpl
Prlr
Ptma
Ptp4al
PVR
PVR
Rabep2
Rasdl
Rlnl
Official gene namef
Protein phosphatase 1, catalytic subunit,
beta isoform
Peroxiredoxin 3
Peroxiredoxin 3
Peroxiredoxin 3
Plasticity related gene 1
Protein kinase, cAMP dependent regulatory,
type II beta
Protein kinase C binding protein 1
Prolactin receptor
Prothymosin alpha
Protein tyrosine phosphatase 4al
Poliovirus receptor
Poliovirus receptor
Rabaptin, RAB GTPase binding effector protein 2
RAS, dexamethasone-induced 1
Relaxin 1
Exposure
window
GD 12.5-17.5
GD 12-19
GD 18-19 for
18 hr
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-21
GD 19 for 3 hr
GD 19 for 6 hr
GD 19 for 3 hr
GD 12-19
GD 12-19
Up or
down
Down
Down
Down after
18 hr
Down
Down
Down
Up
Down
Down at
GD 19
Up at
GD21
Up after
3hr
Up after
6hr
Down after
3hr
Down
Down
Fold change
-1.37
-0.53 Iog2
-0.86
-1.63
-0.97 Iog2
-0.33 Iog2
0.32 Iog2
-1.02 Iog2
->2
>2
1.26
0.92
-0.48
-0.52 Iog2
-0.36 Iog2
Cutoff used (method)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Shultzetal., 2001
Shultzetal., 2001
Thompson et al.,
2005
Thompson et al.,
2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005


-------
          Table A-l (continued)
S K
lis document is a draft for review A
V oses only and does not constitute
Asencv volicv

Official
gene
symbol
Rnhl
Rpa2
Rpll3
Rpl32
Rpl37
Rpl36a
Rpl36a
Rpn2
Rpsl3
Rpsl7
Rpsl9
Rps29
Sc4mol
Official gene namef
Ribonuclease/angiogenin inhibitor 1
Replication protein A2
Ribosomal protein L 13
Ribosomal protein L32
Ribosomal protein L37
Large subunit ribosomal protein L36a
Large subunit ribosomal protein L36a
Ribophorin II
Ribosomal protein S13
Ribosomal protein S17
Ribosomal protein S19
Ribosomal protein S29
Sterol-C4-methyl oxidase-like
Exposure
window
GD 12.5-17.5
GD 12-21
GD 12.5-15.5
GD 12.5-19.5
GD 12.5-19.5
GD 12-19
GD 12.5-15.5
GD 12.5-19.5
GD 12.5-15.5
GD 12.5-19.5
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
Up or
down
Down
Down at
GD21
Up
Up
Up
Down at
GD 19
Up
Down
Up
Up
Up
Down
Down
Fold change
-1.20
->2
1.17
1.13
1.13
->2
1.22
-1.19
1.30
1.25
1.25
-1.13
-1.02 Iog2
Cutoff used (method)
^<0.01(ANOVA)
2-fold
^<0.01(ANOVA)
^<0.01(ANOVA)
^<0.01(ANOVA)
2-fold
^<0.01(ANOVA)
^<0.01(ANOVA)
^<0.01(ANOVA)
^<0.01(ANOVA)
^<0.01(ANOVA)
^<0.01(ANOVA)
p < 0.05 (ANOVA)
Reference
Plummer et al.,
2007
Shultzetal., 2001
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Shultzetal., 2001
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
to
to

-------
Table A-l (continued)
S K
lis document is a draft for review /
V oses only and does not constitute
Asencv volicv
^
to

Official
gene
symbol
Sc4mol
Sc4mol
ScSd
Scarbl
Scarbl
Scarbl
Scarbl
Scarbl
Scarbl
Scdl
Scn3b
Scp2
Scp2
Sdf4
Seppl
Official gene namef
Sterol-C4-methyl oxidase-like
Sterol-C4-methyl oxidase-like
Sterol-C5-desaturase (fungal ERGS,
delta-5-desaturase) homolog (S. cerevisae)
Scavenger receptor class B, member 1
Scavenger receptor class B, member 1
Scavenger receptor class B, member 1
Scavenger receptor class B, member 1
Scavenger receptor class B, member 1
Scavenger receptor class B, member 1
Stearoyl-Coenzyme A desaturase 1
Sodium channel, voltage-gated, type III, beta
Sterol carrier protein 2
Sterol carrier protein 2
Stromal cell derived factor 4
Selenoprotein P, plasma, 1
Exposure
window
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-19
GD 19 for 6 hr
GD 18-19 for
18 hr
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 19 for 6 hr
GD 12-19
GD 12.5-19.5
GD 12-19
GD 12-19
Up or
down
Down
Down
Down
Down
Down at
GD 19
Down after
6hr
Down after
18 hr
Down
Down
Down
Up after
6hr
Down
Down
Down
Down
Fold change
-1.82
-2.36
-0.32 Iog2
-1.91 Iog2
->2
-1.60
-2.72
-2.23
-2.85
-0.58 Iog2
1.49
-0.171og2
-1.24
-0.27 Iog2
-0.45 Iog2
Cutoff used (method)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001
Thompson et al.,
2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005

-------
^3
S K
iis document is a draft for review A-24
voses only and does not constitute
Asencv volicv

Official
gene
symbol
Serpinel
Serpinhl
Sgk
Slc3a2
Slcl2a2
Slcl6a6
Slc25al
Slc25a20
Slc7a8
Slc7a8
Smpx
Sod2
Sod3
Sqle
Sqle
Ssr4
Official gene namef
Serine (or cysteine) peptidase inhibitor, clade E,
member 1
Serine (or cysteine) peptidase inhibitor, clade H,
member 1
Serum/glucocorticoid regulated kinase
Solute carrier family 3 (activators of dibasic and
neutral amino acid transport), member 2
Solute carrier family 12 (sodium/potassium/chloride
transporters), member 2
Solute carrier family 16 (monocarboxylic acid
transporters), member 6
Solute carrier family 25, member 1
Solute carrier family 25 (mitochondrial
carnitine/acylcarnitine translocase), member 20
Solute carrier family 7 (cationic amino acid
transporter, y+ system), member 8
Solute carrier family 7 (cationic amino acid
transporter, y+ system), member 8
Small muscle protein, X-linked
Superoxide dismutase 2, mitochondrial
Superoxide dismutase 3, extracellular
Squalene epoxidase
Squalene epoxidase
Signal sequence receptor 4
Exposure
window
GD19for3hr
GD 12.5-15.5
GD 12-19
GD 12-19
GD 12.5-17.5
GD 12-19
GD 12-19
GD 12-19
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 18 for 18 hr
GD 12-19
Up or
down
Up after
3hr
Down
Down
Down
Down
Down
Down
Down
Down
Down
Up
Down
Down
Down
Down after
18 hr
Down
Fold change
1.56
-1.32
-0.45 Iog2
-0.48 Iog2
-1.39
-0.38 Iog2
-0.27 Iog2
-0.23 Iog2
-1.82
-2.18
0.21 Iog2
-0.51 Iog2
-0.33 Iog2
-0.59 Iog2
-1.26
-0.23 Iog2
Cutoff used (method)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Thompson et al.,
2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005

-------
Table A-l (continued)
S K
lis document is a d
voses only and dot
Asencv vo
raft for review /
>,s not constitute
Hcv
^
to

Official
gene
symbol
Ssrpl
Star
Star
Star
Star
Stcl
Stcl
Stc2
Stc2
Sts
Suclgl
Svs5
Svs5
Svs5
Svs5
Official gene namef
Structure specific recognition protein 1
Steroidogenic acute regulatory protein
Steroidogenic acute regulatory protein
Steroidogenic acute regulatory protein
Steroidogenic acute regulatory protein
Stanniocalcin 1
Stanniocalcin 1
Stanniocalcin 2
Stanniocalcin 2
Steroid sulfatase
Succinate-CoA ligase, GDP-forming, alpha subunit
Seminal vesicle secretion 5
Seminal vesicle secretion 5
Seminal vesicle secretion 5
Seminal vesicle secretion 5
Exposure
window
GD 12-19
GD 12-19
GD 18-19 for
18 hr
GD 12.5-17.5
GD 12.5-19.5
GD 12-19
GD 19 for 6 hr
GD 12-19
GD 12.5-19.5
GD 12-19
GD 12.5-19.5
GD 12-19
GD 18-19 for
18 hr
GD 12.5-17.5
GD 12.5-19.5
Up or
down
Down at
GD19
Down
Down after
18 hr
Down
Down
Up
Up after
6hr
Down
Down
Down at
GD 19
Down
Down
Down after
18 hr
Down
Down
Fold change
->2
-2.45 Iog2
-2.33
-2.19
-2.53
0.98 Iog2
1.61
-1.181og2
-1.59
->2
-1.21
-3.75 Iog2
-3.36
-5.89
-3.75
Cutoff used (method)
2-fold
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
2-fold
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
Reference
Shultzetal.,2001
Liu et al., 2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Plummer et al.,
2007
Shultzetal.,2001
Plummer et al.,
2007
Liu et al., 2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007

-------
Table A-l (continued)
S H
J*s >4
its document is a draft for review A-2
f oses only and does not constitute
Asencv volicv

Official
gene
symbol
Syngrl
Tcfl
Tc/21
Tec
Testin
Tfrc
TgfbS
Timpl
Timp3
Tkt
Tkt
TmedlO
Tnfrsfl2a
Tnnil
TnniS
Tnnt2
Official gene namef
Synaptogyrin 1
Transcription factor 1
Transcription factor 2 1
Tec protein tyrosine kinase
Testin gene
Transferrin receptor
Transforming growth factor, beta 3
Tissue inhibitor of metallopeptidase 1
Tissue inhibitor of metalloproteinase 3 (Sorsby
fundus dystrophy, pseudoinflammatory)
Transketolase
Transketolase
Transmembrane emp24-like trafficking
protein 10 (yeast)
Tumor necrosis factor receptor superfamily,
member 12a
Troponin I, skeletal, slow 1
Troponin I type 3 (cardiac)
Troponin T2, cardiac
Exposure
window
GD 12-19
GD 12-19
GD 12-19
GD 19 for 3 hr
GD 12-19
GD 12-19
GD 12-19
GD 19 for 6 hr
GD 12-21
GD 12.5-17.5
GD 12.5-19.5
GD 12.5-19.5
GD 19 for 6 hr
GD 12-19
GD 12-19
GD 12-19
Up or
down
Down
Down
Up
Up after
3hr
Up
Down
Down at
GD 19
Up after
6hr
Down at
GD21
Down
Down
Down
Up after
6hr
Up
Up
Up
Fold change
-0.161og2
-0.141og2
0.171og2
0.69
0.59 Iog2
-0.23 Iog2
->2
1.04
->2
-1.19
-1.28
-1.20
1.34
0.33 Iog2
0.26 Iog2
0.77 Iog2
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p < 0.05 (ANOVA)
2-fold
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Shultzetal.,2001
Thompson et al.,
2005
Shultzetal.,2001
Plummer et al.,
2007
Plummer et al.,
2007
Plummer et al.,
2007
Thompson et al.,
2005
Liu et al., 2005
Liu et al., 2005
Liu et al., 2005

-------
Table A-l (continued)
S K
lis document is a draft for review /
V oses only and does not constitute
Asencv volicv
^
to

Official
gene
symbol
Tpil
Tpml
Tpml
Tsc22dl
Tsn
Tst
Tubal
Tubal
Txnl
Txnll
Uba52
UncSb
Vapa
Vcaml
Vdacl
Official gene namef
Triosephosphate isomerase 1
Tropomyosin 1, alpha
Tropomyosin 1, alpha
TSC22 domain family, member 1
Translin
Thiosulfate sulfurtransferase
Tubulin, alpha 1
Tubulin, alpha 1
Thioredoxin 1
Thioredoxin-like 1
Ubiquitin A-52 residue ribosomal protein fusion
product 1
Unc-5 homolog B (C. elegans)
VAMP (vesicle-associated membrane protein)-
associated protein A
Vascular cell adhesion molecule 1
Voltage-dependent anion channel 1
Exposure
window
GD 12-19
GD 12-19
GD 19 for 6 hr
GD 12.5-19.5
GD 12.5-17.5
GD 12-19
GD 12-21
GD 12.5-19.5
GD 18 for 18 hr
GD 12.5-15.5
GD 12.5-19.5
GD 12-21
GD 12.5-19.5
GD 12-19
GD 12.5-19.5
Up or
down
Down
Up
Up after
6hr
Down
Up
Down
Down at
GD21
Down
Down after
18 hr
Up
Up
Down at
GD21
Down
Down
Down
Fold change
-0.24 Iog2
0.36 Iog2
1.04
-1.34
1.54
-0.33 Iog2
->2
-1.26
-0.62
1.20
1.10
->2
-1.37
-0.63 Iog2
-1.13
Cutoff used (method)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
2-fold
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
2-fold
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
Reference
Liu et al., 2005
Liu et al., 2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Shultzetal., 2001
Plummer et al.,
2007
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Shultzetal., 2001
Plummer et al.,
2007
Liu et al., 2005
Plummer et al.,
2007

-------
           Table A-l (continued)
S K
lis document is a d
voses only and dot
Asencv vo
raft for review
>,s not constitute
Hcv

Official
gene
symbol
Vim
Vnnll
Vsnll
Ywhae
Zfp36
Zyx
Not found
Not found
Not found
Not found
Official gene namef
Vimentin
Vanin 1
visinin-like 1
Tyrosine 3-monooxygenase/tryptophan
5-monooxygenase activation protein, epsilon
polypeptide
Zinc finger protein 36
Zyxin
Listed as "Tppc" and 289920_Rn in article, and
Genbank #BF400584 (Plummer, personal
communication) does not match a gene name.
Listed as "Similar to mouse IAP -binding protein"
and 2055 10 Rn in article, and Genbank
#:BG378907 (Plummer, personal communication)
does not match a gene name.
LOC499942 similar to WAP four-disulfide core
domain protein 8 precursor (Putative protease
inhibitor WAP8) (Rattus norvegicus).
LOC497726 hypothetical gene supported by
NM 138518 (Rattus norvegicus). This record was
discontinued.
Exposure
window
GD 12.5-19.5
GD 12-19
GD 12-19
GD 12.5-19.5
GD 19 for 1 hr
GD 19 for 3 hr
GD 12.5-17.5
GD 12.5-15.5
GD 12-19
GD 12-19
Up or
down
Down
Down
Down
Down
Up after
Ihr
Up after
3hr
Down
Up
Down
Down
Fold change
-1.60
-0.32 Iog2
-0.62 Iog2
-1.37
1.79
1.03
-1.39
1.26
-0.25 Iog2
-0.27 Iog2
Cutoff used (method)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
p< 0.01 (ANOVA)
p< 0.01 (ANOVA)
p < 0.05 (ANOVA)
p < 0.05 (ANOVA)
Reference
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
Plummer et al.,
2007
Thompson et al.,
2005
Thompson et al.,
2005
Plummer et al.,
2007
Plummer et al.,
2007
Liu et al., 2005
Liu et al., 2005
     aThe four studies dosed at 500 mg/kg-d DBF in the Sprague-Dawley (SD) rat.

7    bThompson et al. (2005) and Shultz et al. (2001) dosed with DBF alone; gene expression changes for DBF were relative to vehicle control expression.
to
oo

-------
            °Liu et al. (2005) presented microarray data for all five developmental phthalates, including DBF, since they did not find any differences in statistical significance among
             the five phthalates. Thus, we present the data for all five phthalates, which should be the same as for DBF.
            dThe Affy ID 1387057_at was found to be significantly down-regulated by Liu et al. (2005). This Affy ID was listed as the gene Slc7a8 (solute carrier family 7 [cationic
   o  <•"'     amino acid transporter, y+ system], member 8) at the time of their publication. As of January 2007, Affy now lists both Slc7a8 and Syngapl.  This probeset is apparently
      §"     capable of hybridizing with two different genes. Thus, this Affy ID was not incorporated in the case study evaluation since it is not clear which gene was altered after

   o  58     DBF in utero exposure.
   "*^  "^
^ <> jf    eThe Plummer et al. (2007) data from the whole testis are included in this table.  The data from microdissection of testicular regions are not presented since no other
TO  a  js     studies were comparable. Plummer et al. (2007) performed their study in the Wistar rat whereas the other three microarray studies were performed in the SD rat.
<"i  IsL £3'    fGene function and pathway information was gathered from GeneGo (www.genego.com).

g^ TO  ^-    ANOVA, analysis of variance; GD, gestation day; hr, hour.



   o  ^

   ^ c^
   rS"
      K)
      VO

-------
              Table A-2. WOE for statistically significant gene expression changes after in utero exposure to DBF from

              whole-rat testis reverse transcription-polymerase chain reaction (RT-PCR) studies
o  <*>'


U
O  58
S  a

   1
§  3.
Official
gene
symbol
Ar
Bmp4
Btg2
Bzrp
Cebpb
Cebpd
Clu
Clu
Clu
Cxcll
Official gene name*
Androgen receptor
Bone morphogenetic protein 4
B-cell translocation gene 2,
anti-proliferative
Benzodiazepine receptor,
peripheral
CCAAT/enhancer binding
protein (C/EBP), beta
CCAAT/enhancer binding
protein (C/EBP), delta
Clusterin
Clusterin
Clusterin
Chemokine (C-X-C motif)
ligand 1
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 12-19
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 12-19
GD 12-16, 12-19, or
12-21
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
Up or down
Up
Up
Up after
-1-6 hr
(peak ~2 hr)
Up
Down
Up after
-1-6 hr
(peak ~3 hr)
Up
Up
Up
Up after
-1-12 hr
(peak at
~3hr)
Statistical analysis method
t-test,/?<0.05
t-test,/?<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Dunnett's test, ANOVA (one
way), p< 0.05
One way and two-way nested
ANOVA;^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
ANOVA, nested design,
^<0.05
Dunnett's test, ANOVA (one
way), p< 0.05
^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Reference
Bowman et
al., 2005
Bowman et
al., 2005
Thompson
et al., 2005
Lehmann et
al., 2004
Liu et al.,
2005
Thompson
et al., 2005
Barlow et
al., 2003
Lehmann et
al., 2004
Shultz et
al., 2001
Thompson
et al., 2005

s

rS"

-------
               Table \-2.  (continued)
o



o
S


§
Official
gene symbol
Cypllal
Cypllal
Cypllal
Cypllal
Cypllal
Cypllal
Cypllal
Cypl7al
Cypl7al
Official gene name*
Cytochrome P450,
family 11, subfamily a,
polypeptide 1
Cytochrome P450,
family 11, subfamily a,
polypeptide 1
Cytochrome P450,
family 11, subfamily a,
polypeptide 1
Cytochrome P450,
family 11, subfamily a,
polypeptide 1
Cytochrome P450,
family 11, subfamily a,
polypeptide 1
Cytochrome P450,
family 11, subfamily a,
polypeptide 1
Cytochrome P450,
family 11, subfamily a,
polypeptide 1
Cytochrome P450,
family 17, subfamily a,
polypeptide 1
Cytochrome P450,
family 17, subfamily a,
polypeptide 1
Dose
500 mg/kg-d
50 mg/kg-d
100 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-16, 12-19, or
12-21
GD 12-11 and 12-18
GD 12.5-19.5
GD 12-19
GD 12-19
Up or down
Down
Down
Down
Down
Down
Down at
GD 18
Down
Down
Down
Statistical analysis method
ANOVA, nested design,
^<0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
^<0.05
t-test, ANOVA (one-way) with
Tukey post hoc analysis;
^<0.05
One-way ANOVA followed by
Bonferroni post test using
GraphPad Prism; p < 0.05
Repeated measure ANOVA,
nested design, p < 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Reference
Barlow et
al, 2003
Lehmann et
al., 2004
Lehmann et
al., 2004
Lehmann et
al., 2004
Shultz et
al., 2001
Thompson
et al., 2004
Plummer et
al., 2007
Barlow et
al., 2003
Lehmann et
al., 2004

s

rS"
   >

-------
                   Table A-2.  (continued)
Official
gene symbol
Cypl7al
Cypl7al
Dafl
Ddc
Dusp6
Edg3
Egfr
Egrl
Egrl
Official gene name*
Cytochrome P450,
family 17, subfamily a,
polypeptide 1
Cytochrome P450,
family 17, subfamily a,
polypeptide 1
Decay accelerating factor 1
Dopa decarboxylase
Dual specificity
phosphatase 6
Endothelial differentiation
sphingolipid
G-protein-coupled
receptor 3
Epidermal growth factor
receptor
Early growth response 1
Early growth response 1
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 12-16, 12-19, or
12-21
GD 12-17 and 12-18
GD 12-19
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19 and 12-21
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
Up or down
Down at
GD 19
Down at
GD 17 and
18
Up
Down
Up after
-1-12 hr
(peak at ~3
hr)
Up after
-1-6 and
18 hr (peak
~3hr)
Un-changed
Up after
-1-7 hr
(peak -2 hr)
Up
Statistical analysis method
^<0.05
t-test, ANOVA (one-way) with
Tukey post hoc analysis;
^<0.05
One way and two-way nested
ANOVA,^<0.05
One way and two-way nested
ANOVA,^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
t-test, p< 0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
One way and two-way nested
ANOVA;^<0.05
Reference
Shultz et
al., 2001
Thompson
et al., 2004
Liu et al.,
2005
Liu et al.,
2005
Thompson
et al., 2005
Thompson
et al., 2005
Bowman et
al., 2005
Thompson
et al., 2005
Liu et al.,
2005
   o  <*>'

   U
   O  58
S  §   .
   g.S3-

   s
   rS"
      to

-------
                   Table A-2. (continued)
Official
gene symbol
Egr2
FgflO
Fgfr2
Fos
Grbl4
Hes6
Hsdl7b3
Hsdl7b7
Hsd3bl_
predicted
Official gene name*
Early growth response 1
Fibroblast growth factor 10
Fibroblast growth factor
receptor 1
FBJ murine osteosarcoma
viral oncogene homolog
Growth factor receptor
bound protein 14
Hairy and enhancer of
split 6 (Drosophila)
Hydroxy steroid (17-beta)
dehydrogenase 3
Hydroxy steroid (17-beta)
dehydrogenase 7
Hydroxy steroid
dehydrogenase-1,
delta< 5 >-3-beta
(predicted)
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-21
GD 12-19 and 12-21
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 12-19
GD 12-19
Up or down
Up after
-1-12 hr
(peak ~2 hr)
Up
No stat.
change
Up after
30 min and
6 hr (peak at
Ihr)
Up
Down after
1-3 hr (peak
at3hr)
Up
Down
Down
Statistical analysis method
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
t-test,/?<0.05
t-test,/?<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
One way and two-way nested
ANOVA,^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
One way and two-way nested
ANOVA,^<0.05
One way and two-way nested
ANOVA,^<0.05
ANOVA, nested design,
^<0.05
Reference
Thompson
et al., 2005
Bowman et
al., 2005
Bowman et
al., 2005
Thompson
et al., 2005
Liu et al.,
2005
Thompson
et al., 2005
Liu et al.,
2005
Liu et al.,
2005
Barlow et
al., 2003
   o  <*>'

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                   Table A-2. (continued)
Official
gene symbol
Hsd3bl_
predicted


Hsd3bl_
predicted

Hsd3bl_
predicted

Hsd3bl_
predicted



Official gene name*
Hsd3b l_predicted
hydroxy steroid
dehydrogenase-1,
delta< 5 >-3-beta
(predicted) orHsdSbl
hy droxy-delta-5 -steroid
dehydrogenase, 3 beta- and
steroid delta-isomerase 1
Hsd3b l_predicted
hydroxy steroid
dehydrogenase-1,
delta< 5 >-3-beta
(predicted) orHsdSbl
hy droxy-delta-5 -steroid
dehydrogenase, 3 beta- and
steroid delta-isomerase 1
Hsd3b l_predicted
hydroxy steroid
dehydrogenase-1,
delta< 5 >-3-beta
(predicted) orHsdSbl
hy droxy-delta-5 -steroid
dehydrogenase, 3 beta- and
steroid delta-isomerase 1
Hsd3b l_predicted
hydroxy steroid
dehydrogenase-1,
delta< 5 >-3-beta
(predicted) orHsdSbl
hy droxy-delta-5 -steroid
dehydrogenase, 3 beta- and
steroid delta-isomerase 1

Dose
0.1 mg/kg-d


1 mg/kg-d

10 mg/kg-d

50 mg/kg-d



Exposure window
GD 12-19


GD 12-19

GD 12-19

GD 12-19



Up or down
Down


Down

Down

Down



Statistical analysis method
Dunnett's test, ANOVA (one
way), p< 0.05


Dunnett's test, ANOVA (one
way), p< 0.05

Dunnett's test, ANOVA (one
way), p< 0.05

Dunnett's test, ANOVA (one
way), p< 0.05



Reference
Lehmann et
al., 2004


Lehmann et
al., 2004

Lehmann et
al., 2004

Lehmann et
al., 2004


   o  <*>'

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                   Table A-2. (continued)
Official
gene symbol
Hsd3bl_
predicted
Hsd3bl_
predicted
Ier3
Ifrdl
Igfl
Igfl
Igflr
Official gene name*
Hsd3b l_predicted
hydroxy steroid
dehydrogenase-1,
delta< 5 >-3-beta
(predicted) orHsdSbl
hy droxy-delta-5 -steroid
dehydrogenase, 3 beta- and
steroid delta-isomerase 1
Hsd3b l_predicted
hydroxy steroid
dehydrogenase-1,
delta< 5 >-3-beta
(predicted) orHsdSbl
hy droxy-delta-5 -steroid
dehydrogenase, 3 beta- and
steroid delta-isomerase 1
Immediate early response 3
Interferon-related
developmental regulator 1
Insulin-like growth factor 1
Insulin-like growth factor 1
Insulin-like growth factor 1
receptor
Dose
100 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 12-19
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-21
GD 12-19
GD 12-19
Up or down
Down
Down
Up after
1-12 hr
(peak ~2 hr)
Up after
~l-6 and
18hr(peak
~3hr)
Up
Up
Up
Statistical analysis method
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
t-test,/?<0.05
t-test,/?<0.05
t-test,/?<0.05
Reference
Lehmann et
al., 2004
Lehmann et
al., 2004
Thompson
et al., 2005
Thompson
et al., 2005
Bowman et
al., 2005
Bowman et
al., 2005
Bowman et
al., 2005
   o  <*>'

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-------
                   Table A-2. (continued)
Official
gene symbol
IgP
Ig/bpS
Insigl
Insl3
Insl3
Insl3
Itgav
Junb
Kit
Kit
Official gene name*
Insulin-like growth factor 1
Insulin-like growth factor
binding protein 5
Insulin induced gene 1
Insulin-like 3
Insulin-like 3
Insulin-like 3
Integrin alpha V
Jun-B oncogene
v-kit Hardy -Zuckerman
4 feline sarcoma viral
oncogene homolog
v-kit Hardy -Zuckerman
4 feline sarcoma viral
oncogene homolog
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
1000
mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
0.1 mg/kg-d
Exposure window
GD 12-19
GD 12-21
GD 12-19
GD 12-19
GD 13-17 (GD 14-18 in
Wilson et al., 2004 was
changed to GD 13-17 to
make the GD comparable to
the other 7 studies)
GD 12.5-19.5
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 12-19
Up or down
Up
Up
Down
Down
Down
Down
Up
UP after
-1-12 hr
(peak
-2-3 hr)
Down
Down
Statistical analysis method
t-test,/?<0.05
t-test,/?<0.05
One way; and two-way nested
ANOVA,^<0.05
Dunnett's test, ANOVA (one
way), p< 0.05
ANOVA followed by
LSMEANS, p < 0.01 or less
One-way ANOVA followed by
Bonferroni post test using
GraphPad Prism; p < 0.05
t-test,/?<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
ANOVA, nested design,
^<0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Reference
Bowman et
al., 2005
Bowman et
al., 2005
Liu et al.,
2005
Lehmann et
al., 2004
Wilson et
al., 2004
Plummer et
al., 2007
Bowman et
al., 2005
Thompson
et al., 2005
Barlow et
al., 2003
Lehmann et
al., 2004
   o  <*>'

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-------
                   Table A-2. (continued)
Official
gene symbol
Kit
Kit
Kit
Kit
Kit
KM
Ldlr
Lhcgr
Map3kl2
Marcks
Mgp
Official gene name*
v-kit Hardy -Zuckerman
4 feline sarcoma viral
oncogene homolog
v-kit Hardy -Zuckerman 4
feline sarcoma viral
oncogene homolog
v-kit Hardy -Zuckerman
4 feline sarcoma viral
oncogene homolog
v-kit Hardy -Zuckerman
4 feline sarcoma viral
oncogene homolog
v-kit Hardy -Zuckerman
4 feline sarcoma viral
oncogene homolog
Kit ligand
Low density lipoprotein
receptor
Luteinizing
hormone/choriogonadotropi
n receptor
Mitogen activated protein
kinase kinase kinase 12
Myristoylated alanine rich
protein kinase C substrate
Matrix Gla protein
Dose
1 mg/kg-d
50 mg/kg-d
100 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-16, 12-19, or
12-21
GD 12-21
Up or down
Down
Down
Down
Down
Down at
GD 19
Down
Down
Down
Up
No stat.
Change
Up
Statistical analysis method
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
p<0.05
ANOVA, nested design,
p<0.05
One way and two-way nested
ANOVA,^<0.05
One way and two-way nested
ANOVA,^<0.05
t-test,/?<0.05
^<0.05
t-test,/?<0.05
Reference
Lehmann et
al., 2004
Lehmann et
al., 2004
Lehmann et
al., 2004
Lehmann et
al., 2004
Shultz et
al., 2001
Barlow et
al., 2003
Liu et al.,
2005
Liu et al.,
2005
Bowman et
al., 2005
Shultz et
al., 2001
Bowman et
al., 2005
   o  <*>'

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-------
                   Table A-2.  (continued)
Official
gene symbol
Mmp2
Mmp2
Nfil3
Nfil3
Notch2
Npc2
NrObl
NrObl
Nr4al
Nr4al
Official gene name*
Matrix metallopeptidase 1
Matrix metallopeptidase 1
Nuclear factor, interleukin 3
regulated
Nuclear factor, interleukin 3
regulated
Notch gene homolog 1
(Drosophila)
Niemann Pick type C2
Nuclear receptor
subfamily 0, group B,
member 1
Nuclear receptor
subfamily 0, group B,
member 1
Nuclear receptor
subfamily 4, group A,
member 1
Nuclear receptor
subfamily 4, group A,
member 1
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 12-19
GD 12-21
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-21
GD 12-19
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
Up or down
Up
Up
Up
Up after
-2-24 hr
(peak ~6 hr)
Up
Down
Down
Down at
2hr,Up
12 hr (peak
at 12 hr)
Up
Up after
~6 and 18 hr
(peak at
12 hr)
Statistical analysis method
t-test,/?<0.05
t-test,/?<0.05
One way and two-way nested
ANOVA,^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
t-test,/?<0.05
One way and two-way nested
ANOVA,^<0.05
One way and two-way nested
ANOVA,^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
One way and two-way nested
ANOVA,^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Reference
Bowman et
al., 2005
Bowman et
al., 2005
Liu et al.,
2005
Thompson
et al., 2005
Bowman et
al., 2005
Liu et al.,
2005
Liu et al.,
2005
Thompson
et al., 2005
Liu et al.,
2005
Thompson
et al., 2005
   o  <*>'

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      oo

-------
                   Table A-2.  (continued)
Official
gene symbol
Nr4a3
Pawr
Pcna
Prkcbpl
Scarbl
Scarbl
Scarbl
Scarbl
Scarbl
Scarbl
Scarbl
Official gene name*
Nuclear receptor
subfamily 4, group A,
member 3
PRKC, apoptosis, WT1,
regulator
Proliferating cell nuclear
antigen
Protein kinase C binding
protein 1
Scavenger receptor class B,
member 1
Scavenger receptor class B,
member 1
Scavenger receptor class B,
member 1
Scavenger receptor class B,
member 1
Scavenger receptor class B,
member 1
Scavenger receptor class B,
member 1
Scavenger receptor class B,
member 1
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
1 mg/kg-d
50 mg/kg-d
100 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-16, 12-19, or
12-21
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-16, 12-19, or
12-21
GD 12-17 and 12-18
Up or down
Up after
-1-12 hr
(peak at
-3-6 hr)
Up after
-2-24 hr
(peak -6 hr)
No stat.
change
Up
Down
Down
Down
Down
Down
Down
Down at
GD 17 and
18
Statistical analysis method
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
p<0.05
One way and two-way nested
ANOVA,^<0.05
ANOVA, nested design,
p<0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
^<0.05
t-test, ANOVA (one-way) with
Tukey post hoc analysis,
^<0.05
Reference
Thompson
et al., 2005
Thompson
et al., 2005
Shultz et
al., 2001
Liu et al.,
2005
Barlow et
al., 2003
Lehmann et
al., 2004
Lehmann et
al., 2004
Lehmann et
al., 2004
Lehmann et
al., 2004
Shultz et
al., 2001
Thompson
et al., 2004
   o  <*>'

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      VO

-------
                   Table A-2. (continued)
Official
gene symbol
Sgk
Sostdcl
Star
Star
Star
Star
Star
Star
Star
Official gene name*
Serum/glucocorticoid
regulated kinase
Sclerostin domain
containing 1
Steroidogenic acute
regulatory protein
Steroidogenic acute
regulatory protein
Steroidogenic acute
regulatory protein
Steroidogenic acute
regulatory protein
Steroidogenic acute
regulatory protein
Steroidogenic acute
regulatory protein
Steroidogenic acute
regulatory protein
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
50 mg/kg-d
100 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 12-19
GD 12-19
GD 12-19
GD 12-16, 12-19, or
12-21
GD 12-17 and 12-18
GD 12.5-19.5
Up or down
Down and
Up; Down
after 2 hr;
Up after 4
andlOhr
(peak at
6hr)
Down after
2-6 hr; Up
atlShr
(peak)
Down
Down
Down
Down
Down at
GD 16, 19,
and 21
Down at
GD 17 and
18
Down
Statistical analysis method
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Repeated measure ANOVA,
nested design, p < 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
Dunnett's test, ANOVA (one
way), p< 0.05
p<0.05
t-test, ANOVA (one-way) with
Tukey post hoc analysis;
p<0.05
One-way ANOVA followed by
Bonferroni post test using
GraphPad Prism; p < 0.05
Reference
Thompson
et al., 2005
Thompson
et al., 2005
Barlow et
al., 2003
Lehmann et
al., 2004
Lehmann et
al., 2004
Lehmann et
al., 2004
Shultz et
al., 2001
Thompson
et al., 2004
Plummer et
al., 2007
   o  <*>'

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   rS"

-------
                   Table A-2. (continued)
Official
gene symbol
Stcl
Svs5
Tcfl
Tcfl
Testin
Thbsl
Timpl
Tnfrsfl2a
Wnt4
Official gene name*
Stanniocalcin I
Seminal vesicle secretion 5
Transcription factor 1
Transcription factor 1
Testin gene
Thrombospondin 1
Tissue inhibitor of
metalloproteinase 1
Tumor necrosis factor
receptor superfamily,
member 12a
Wingless-related MMTV
integration site 4
Dose
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
500 mg/kg-d
Exposure window
GD 19 for 30 min to 6 hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 12-19
GD 19 for 30 min to 6 hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-19
GD 19 for 30 min to 6 hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 12-21
GD 19 for 30 min to 6 hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
GD 19 for 30 min to 6 hr
timepoints and GD 18 for
12, 18, and 24 hr time
points
Up or down
Up after
-3-24 hr
(peak ~6 hr)
Down
Down
Down after
1-3 hr (peak
atlhr)
Up
Up after
2-4 hr (peak
~3hr)
Up
Up after
-1-12 hr
(peak at
~3hr)
Up after
-12 and
18 hr(peak
12 hr)
Statistical analysis method
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
One way and two-way nested
ANOVA,^<0.05
One way and two-way nested
ANOVA,^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
One way and two-way nested
ANOVA,^<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
t-test,/?<0.05
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
but/) value not calculated
Reference
Thompson
et al., 2005
Liu et al.,
2005
Liu et al.,
2005
Thompson
et al., 2005
Liu et al.,
2005
Thompson
et al., 2005
Bowman et
al., 2005
Thompson
et al., 2005
Thompson
et al., 2005
   o  <*>'

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      >

-------
   TO
                   Table A-2. (continued)
Official
gene symbol
Zfp36





Official gene name*
Zinc finger protein 36





Dose
500 mg/kg-d





Exposure window
GD 19for30minto6hr
timepoints and GD 18 for
12, 18, and 24 hr time
points


Up or down
Up after
30 min and
6 brand
15 and 20 hr
(peak at
Ihr)
Statistical analysis method
Relative expression determined
using mean Ct; triplicate
samples; GADPH control; SE;
butp value not calculated


Reference
Thompson
et al, 2005




   o  <*>'
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           *Gene function and pathway information was gathered from GeneGo (www.genego.comX
      to

-------
1                                      APPENDIX B
2
3                 SUPPORTING TABLES AND FIGURES FOR CHAPTER 6
4
5
6         Appendix B contains additional tables and figures supportive of the work described in
7   Chapter 6.
         This document is a draft for review purposes only and does not constitute Agency policy.
                                                     DRAFT—DO NOT CITE OR QUOTE

                                          B-l

-------
1
2
 Table B-l. Differentially expressed genes that mapped to statistically significant
 pathways identified using the Signal to Noise Ratio (SNR) statistical filter
Gene
symbol
Aadat
Acadm
Acads
Acatl
Aco2
Acsl4
Akrlb4
Alasl
Aldhla4
Aldh2
Aldh6al
Aldoa
Aldoc
Ass
Bhmt
Chkb
Cypllal
CyplJal
Dcxr
Ddc
Dhcr?
Ebp
Ephxl
Fbp2
Fdftl
Fdps
Fhl
Entrez
gene ID
29416
24158
64304
25014
79250
113976
24192
65155
29651
29539
81708
24189
24191
25698
81508
29367
29680
25146
171408
24311
64191
117278
25315
114508
29580
83791
24368
Gene name
Aminoadipate aminotransferase
Acetyl-Coenzyme A dehydrogenase, medium chain
Acyl-Coenzyme A dehydrogenase, short chain
Acetyl-Coenzyme A acetyltransferase 1
Aconitase 2, mitochondrial
Acyl-CoA synthetase long-chain family member 4
Aldo-keto reductase family 1, member B4 (aldose reductase)
Aminolevulinic acid synthase 1
Aldehyde dehydrogenase family 1, subfamily A4
Aldehyde dehydrogenase 2
Aldehyde dehydrogenase family 6, subfamily Al
Aldolase A
Aldolase C, fructose-biphosphate
Arginosuccinate synthetase
Betaine-homocysteine methyltransferase
Choline kinase beta
Cytochrome P450, family 11, subfamily a, polypeptide 1
Cytochrome P450, family 17, subfamily a, polypeptide 1
Dicarbonyl L-xylulose reductase
Dopa decarboxylase
7-dehydrocholesterol reductase
Phenylalkylamine Ca2+ antagonist (emopamil) binding protein
Epoxide hydrolase 1
Fructose- 1,6-bisphosphatase 2
Farnesyl diphosphate farnesyl transferase 1
Farnesyl diphosphate synthase
Fumarate hydratase 1
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  Table B-l.  (continued)
Gene
symbol
G6pdx
Gad2
Gapdh
Gatm
Ggtl3
Gsta2
Gsta3
Gstm2
Gstm3
Hmgcr
Hmgcsl
Idhl
Mel
Mgstl
Mif
Mvd
Nosl
Pycr2
Sqle
Suclgl
Tpil
Entrez
gene ID
24377
24380
24383
81660
156275
24422
24421
24424
81869
25675
29637
24479
24552
171341
81683
81726
24598
364064
29230
114597
24849
Gene name
Glucose-6-phosphate dehydrogenase
Glutamate decarboxylase 2
Glyceraldehyde-3 -phosphate dehydrogenase
Glycine amidinotransferase (L-arginine:glycine amidinotransferase)
Gamma-glutamyltransferase-like 3
Glutathione-S-transferase, alpha type2
Glutathione S-transferase A5
Glutathione S-transferase, mu 2
Glutathione S-transferase, mu type 3
3-hydroxy-3-methylglutaryl-Coenzyme A reductase
3-hydroxy-3-methylglutaryl-Coenzyme A synthase 1
Isocitrate dehydrogenase 1 (NADP+), soluble
Malic enzyme 1
Microsomal glutathione S-transferase 1
Macrophage migration inhibitory factor
Mevalonate (diphospho) decarboxylase
Nitric oxide synthase 1, neuronal
Pyrroline-5-carboxylate reductase family, member 2 (predicted)
Squalene epoxidase
Succinate-CoA ligase, GDP -forming, alpha subunit
Tpil protein
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1
2
3
4
 Table B-2. Genes identified using the Linear-Weighted Normalization
 statistical filter and mapping to the five most significant biochemical
 functions and /or pathways using Ingenuity
Gene symbol
Gene name
Genes mapped to integrin pathway
F2r
Src
GngS
Gnai3
Gng7
Mapk3
Gnaol
Actcl
Camk2d
Gnaq
CxclJ2
Prkce
Coagulation factor II (thrombin) receptor
Rous sarcoma oncogene
Guanine nucleotide binding protein (G protein), gamma 5 subunit
Guanine nucleotide binding protein, alpha inhibiting 3
Guanine nucleotide binding protein, gamma 7
Mitogen activated protein kinase 3
Guanine nucleotide binding protein, alpha o
Actin alpha cardiac 1
Calcium/calmodulin-dependent protein kinase II, delta
Guanine nucleotide binding protein
Chemokine (C-X-C motif) ligand 12
Protein kinase C, epsilon
Genes mapped to cholesterol biosynthesis/metabolism
Hmgcsl
HsdSbl
Dhcr?
Sqle
Soatl
CypSlal
Cyp27aJ
Hsdllbl
Hmgcr
Idil
Sc4mol
Cyp7bl
3-Hydroxy-3-methylglutaryl-Coenzyme A synthase 1
Hydroxyl-delta-5-steroid dehydrogenase
7-Dehydrocholesterol reductase
Squalene epoxidase
Sterol O-acyltransferase 1
Cytochrome P450, family 51, subfamily a, polypeptide 1
Cytochrome P450, family 27, subfamily a, polypeptide 1
Hydroxy steroid 11 -beta dehydrogenase 1
3-Hydroxy-3-methylglutaryl-Coenzyme A reductase
Osopentenyl-diphosphate delta isomerase
Sterol-C4-methyl oxidase-like
Cytochrome P450, family 7, subfamily b, polypeptide 1
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    Table B-2.  (continued)
Gene symbol
Gene name
Genes mapped to chemokine mediated signaling
Src
Gng5
Hmgcsl
Serpine2
ItgbS
Dhcr?
Gnai3
Gng7
Sqle
Mapk3
Gnaol
Actnl
Actcl
Cav2
CypSlal
Rous sarcoma oncogene
Guanine nucleotide binding protein (G protein), gamma 5 subunit
3-Hydroxy-3-methylglutaryl-Coenzyme A synthase 1
Serine (or cysteine) proteinase inhibitor, clade E, member 2
Integrin, beta 5
7-Dehydrocholesterol reductase
Guanine nucleotide binding protein, alpha inhibiting 3
Guanine nucleotide binding protein, gamma 7
Squalene epoxidase
Mitogen activated protein kinase 3
Guanine nucleotide binding protein, alpha o
Actinin, alpha 1
Actin alpha cardiac 1
Caveolin 2
Cytochrome P450, family 51, subfamily a, polypeptide 1
Genes mapped to chemokine mediated signaling
Colla2
Cfll
Cavl
Hmgcr
Mmp2
Msn
Gsk3b
Mil
Plat
Sdc2
Sc4mol
Procollagen, type I, alpha 2
Cofilin 1, non-muscle
Caveolin 2
3-Hydroxy-3-methylglutaryl-Coenzyme A reductase
Matrix metallopeptidase 2
Moesin
Glycogen synthase kinase 3 beta
Isopentenyl-diphosphate delta isomerase
Plasminogen activator, tissue
Syndecan 2
Sterol-C4-methyl oxidase-like
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    Table B-2.  (continued)
Gene symbol
Lefl
Vegf
Gene name
Lymphoid enhancer binding factor 1
Vascular endothelial growth factor
Genes mapped to glycolysis/gluconeogenesis
Pgkl
Hmgcsl
Tpil
Fbp2
Dhcr?
P/km
Pfkp
Mdhl
Sqle
Pgaml
Aldoa
CypSlal
Hmgcr
Hkl
Gpi
Gapdh
Mil
Sc4mol
Pfkl
Phosphoglycerate kinase 1
3-Hydroxy-3-methylglutaryl-Coenzyme A synthase 1
Triosephosphate isomerase 1
Fructose- 1,6-bisphosphatase 2
7-Dehydrocholesterol reductase
Phosphofructokinase, muscle
Phosphofructokinase, platelet
Malate dehydrogenase 1, NAD (soluble)
Squalene epoxidase
Phosphoglycerate mutase 1
Aldolase A
Cytochrome P450, family 51, subfamily a, polypeptide 1
3-Hydroxy-3-methylglutaryl-Coenzyme A reductase
Hexokinase 1
Glucose phosphate isomerase
Glyceraldehyde-3 -phosphate dehydrogenase
Isopentenyl-diphosphate delta isomerase
Sterol-C4-methyl oxidase-like
Phosphofructokinase, liver
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1
2
 Table B-3.  Nodes added by using Ingenuity® Pathway Analysis (IPA)
 software in developing the gene regulatory network for DBP
Gene
symbol
Acol
Esrra
Fgf4
Insigl
Kcnjll
Lep
Lnpep
Nfic
Nmel
Nr2fl
NrSal
Pld2
Ppargclb
Srebfl
Srebf2
Zdhhc23
Gene name
Aconitase 1, soluble
Estrogen-related receptor alpha
Fibroblast growth factor 4
Insulin induced gene 1
Potassium inwardly-rectifying channel, subfamily J, member 1 1
Leptin
Leucyl/cystinyl aminopeptidase
Nuclear factor I/C (CCAAT -binding transcription factor)
Non-metastatic cells 1, protein (NM23A) expressed in
Nuclear receptor subfamily 2, group F, member 1
Nuclear receptor subfamily 5, group A, member 1
Phospholipase D2
Peroxisome proliferative activated receptor, gamma, coactivator 1, beta
Sterol regulatory element binding transcription factor 1
Sterol regulatory element binding transcription factor 2
Zinc finger, DHHC-type containing 23
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                                  For a given gene
                                    expression
                                Evaluate SNR between
                                 control and treated
                                     samples
                                       v
                                      /Select      ~7
                                   random gene   K.—
                              	expression   /
                            Evaluate SNR for randomly selected
                                  gene expression
                                                          No
                         Random Expression = random Expression +1
                          No
                    Statistical Significance = (Random Expression/1000)* 100
                                                            No    /
                                                                    Given gene expression
                                                                        is random
1
2
3
4
5
6
7
                                Given gene expression is
                                statistically significant
Figure B-l. Algorithm for selecting differentially expressed genes (DEGs).
1,000 random gene expressions were generated for each probe set, and then,
Signal to Noise ratios (SNRs) were calculated.  The ratio of the randomly
generated SNR that was higher than the actual SNR determined whether
individual probe set's expression was discriminating or not.
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                                  For a given pathway
                                       A.
                                    Evaluate OPA
                                   Select a random
                                     set of gene
                                     expression
                             Evaluate OPA for randomly selected
                                     set of genes
                                                          No
                     Random Pathway Activity = Random Pathway Activity +1
                   Statistical Significance = (Random Pathway Activity/1000)* 100
                                                                       Given pathway
                                                                      activity is random
                                                                      7
1
2
3
4
5
6
                                 Given pathway activity is
                                  statistically significant
Figure B-2. Algorithm for selecting active pathways.  1,000 random sets of
gene expressions were generated for each pathway, then its overall pathway
activity (OPA) was calculated.  The ratio of the randomly generated OPA that was
higher than the actual OPA determined whether pathway activity was statistically
significant.
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1
2
3
4
5
                                      Steroid Hormone Metabolism
                  Glutathione Metabolism
                 .  Added nodes by Ingenuity
                        Exposure Time
                                                   -18 hour
                                                        - 6 Hour
-3 Hour
-IHour
Figure B-3.  Genetic regulatory network after DBF exposure created by Ingenuity" Pathway Analysis (IPA)
from the informative gene list based on data from Thompson et al. (2005) The informative genes of Thompson et
al. (2005) were evaluated at each time point and mapped onto a global molecular network developed from information
contained in the Ingenuity® Pathways Knowledge Base.
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 1                                        APPENDIX C
 2
 3                          QUALITY CONTROL AND ASSURANCE
 4
 5
 6         Appendix C contains quality assurance/quality control (QA/QC) information for the work
 7    described in Chapters 5 and 6.  The work described in this Appendix (C) is secondary data
 8    analysis.  The studies include exploratory studies using new methods for analyzing genomic data
 9    for risk assessment purposes as well as some preliminary analyses using well-established of the
10    raw data from two published studies.
11
12    Three projects were performed:
13       (1) A qualitative analysis and presentation of the 9 toxicogenomic DBF studies. No
14          statistical analyses were performed by members  of our team.
15       (2) In-house analysis of the raw data from Liu et al.  (2005) study performed at both
16          NHEERL, US EPA by Drs.  Susan Hester and Banalata Sen, and by by collaborators, Dr.
17          loannis  Androulakis and Meric Ovacik, STAR Grantees at the STAR Bioinformatics
18          Center at Rutgers/UMDNJ.
19       (3) New analyses of Thompson et al. (2005) data performed by collaborators, Dr. loannis
20          Androulakis and Meric Ovacik, STAR Grantees at the STAR Bioinformatics Center at
21          Rutgers/UMDNJ.
22
23    PROJECT 1
24          The data presented in 9 published toxicogenomic studies for DBF were compared. No
25    additional analyses were performed. Data were entered directly into an excel spreadsheet from
26    the published literature.  Study descriptions in tables and figures were developed. The data entry
27    process included team members entering in the data from the published articles into tables for
28    differentially expressed genes and pathways affected. One person entered the data for a subset of
29    genes. A second person checked the results in the table against the articles.
30
31    PROJECT!
32          The data source was the DBF treatment only data from the Liu et al. (2005) study. The
33    Liu et al. (2005) data were kindly provided by Dr. Kevin Gaido, a collaborator on this project.
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 1    The study was performed in his laboratory at The Hamner Institutes for Health Sciences
 2    (formerly CUT). His QA statement for the collection and analysis of the data is provided below.
 3
 4    PROJECT 3
 5          The data source was the Thompson et al. (2005) study.  The Thompson et al. (2005) data
 6    were kindly provided by Dr. Kevin Gaido, a collaborator on this project. The study was
 7    performed in his laboratory at The Hamner Institutes for Health Sciences (formerly CUT). His
 8    QA statement for the collection and analysis of the data is provided below.
 9
10    PROJECTS 2 and 3: DATA SOURCES
11          The sources of the data used in the secondary analyses were the Liu et al. (2005) and
12    Thompson et al. (2005) studies. Both of these studies were performed in the laboratory of Dr.
13    Kevin Gaido. The QA details for the two studies are presented below. The Hamner Institute's
14    Quality Assurance Director is Patricia O. Pomerleau, M.S., RQAP (pomerleau@thehamner.org).
15
16    A. Sample Handling Procedures
17          Virgin  female SD outbred CD rats, 8 weeks old, were time mated.  Dams were assigned
18    to a treatment group by randomization using Provantis NT 2000 and  subsequently be identified
19    by an ear tag and cage card. Dams were kept in the Association for Assessment and
20    Accreditation of Laboratory Animal Care International accredited animal facility at The Hamner
21    Institute (at the time of the two studies, The Hmaner was named CUT) in a humidity- and
22    temperature-controlled, high-efficiency particulate-air-filtered, mass  air-displacement room.
23          Dams were treated by gavage daily from gestation day (GD)  12-19 with corn oil (vehicle
24    control) and dibutyl phthalate. Body weights were recorded daily before dosing (GD 12-19).
25    The oral treatments were administered on a mg/kg-body weight basis and adjusted daily for
26    weight changes. Animal doses were calculated through Provantis NT 2000.  All calculations
27    were checked by a second individual and recorded in the investigators'  The Hamner Institute
28    notebooks. Analytical support staff confirmed appropriate dose solutions at the beginning of the
29    dosing period.  Body weights and doses administered were recorded  each day in Provantis NT
30    2000.  Pups and dams were euthanized by carbon dioxide asphyxiation.

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 1          Fetal tissues for RIA's and RNA isolation were snap frozen in liquid nitrogen and stored
 2    at -80°C. The remaining tissues were either be embedded in optical coherence tomography and
 3    frozen or fixed in formalin for 6 to 24 hours followed by 70% ethanol and then processed and
 4    embedded in paraffin for histological examination within 48 hours. The embedded tissues were
 5    sectioned at approximately 5 microns and stained with hematoxylin and eosin. The study
 6    pathologist in consultation with the histology staff determined the gross trim, orientation, and
 7    embedding procedure for each tissue. RNA were isolated from the frozen male reproductive
 8    tract, and changes in gene expression were identified by real-time reverse
 9    transcript!on-polymerase chain reaction (RT-PCR) analysis (following manufacturer's protocols
10    P/N 402876 and P/N 4304965,  Applied Biosystems, Foster City, CA) and in some cases, by
11    complementary DNA (cDNA) microarray (following manufacturers protocol PT3140, Clontech,
12    Palo Alto, CA).
13          Total RNA were treated with DNase I at 37°C for 30 minutes in the presence of RNasin
14    to remove DNA contamination before cDNA synthesis,  followed by heat inactivation at 75°C for
15    5 minutes.  Primer pairs were selected using the program Primer Express and optimized for use
16    prior to quantification.  cDNA were synthesized using random hexamers and TaqMan Reverse
17    Transcription Reagents according to the manufacturer's suggested protocol. Real-time PCR
18    (TaqMan) were performed on a Perkin-Elmer/Applied Biosystems 7500 Prism using TaqMan
19    probe chemistry according to the manufacturer's instructions for quantification of relative gene
20    expression.  Relative differences among treatment groups were determined using the CT method
21    as outlined in the Applied Biosystems protocol for reverse transcriptase(RT)-PCR.  A CT value
22    was calculated for each sample using the CT value for glyceraldehyde-3-phosphate
23    dehydrogenase (or an appropriate housekeeping gene) to account for loading differences in the
24    RT-PCRs.
25
26    B. Microarray Hybridization
27          Testes from individual fetuses were homogenized in RNA Stat 60 reagent (Tel-Test, Inc.,
28    Friendswood, TX) and RNA was isolated using the RNeasy Mini Kit (Qiagen, Valencia, CA)
29    following manufacturer's protocol. RNA integrity was assessed using the Agilent 2100
30    Bioanalyzer (Agilent Technologies, Palo Alto, CA), and optical density was measured on a
31    NanoDrop ND 1000 (NanoDrop Technologies, Wilmington, DE). cDNA was synthesized from
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 1    2.5 or 3 jig total RNA and purified using the Affymetrix® One-Cycle Target Labeling and
 2    control reagents kit (Affymetrix, Santa Clara, CA) according to manufacturer's protocol. Equal
 3    amounts of purified cDNA per sample were used as the template for subsequent in vitro
 4    transcription reactions for complementary RNA (cRNA) amplification and biotin labeling using
 5    the Affymetrix GeneChip® IVT labeling kit (Affymetrix) included in the One-Cycle Target
 6    Labeling kit (Affymetrix). cRNA was purified and fragmented according to the protocol
 7    provided with the GeneChip® Sample Cleanup module (Affymetrix). All GeneChip® arrays
 8    were hybridized, washed, stained, and scanned using the Complete GeneChip® Instrument
 9    System according to the Affymetrix Technical Manual.
10          For immunocytochemistry, tissues were rapidly removed, immersed in 10% (v/v)
11    neutral-buffered formalin for 24-48 hours, and then stored in ethanol 70% (v/v) until processed.
12    The reproductive tissues were embedded in paraffin, sectioned at 5 \i, and processed for
13    immunohistochemistry or stained with hematoxylin and eosin.
14          Experimental notes and data were entered into uniquely numbered Hamner Institute
15    laboratory notebooks and three-ring binders along with descriptions  of procedures used,
16    according to SOP# QUA-007. Specimens (RNA and frozen tissue) were retained until analysis
17    or discarded after a maximum of 1 year after collection.  Formalin-fixed tissues, blocks, and
18    slides were archived at the end of the  study.  Retention of these materials will be reassessed after
19    5 years.
20
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 1    C. Quality Assurance
 2          Both QA and QC procedures are integral parts of our research program.  The research
 3    was conducted under the The Hamner Institute Research Quality Standards program.  These
 4    standards include (1) scientifically reviewed protocols that are administratively approved for
 5    meeting requirements in data quality, animal care, and safety regulations; (2) standardized
 6    laboratory notebooks and data recording procedures; (3) documented methods or standard
 7    operating procedures for all experimental procedures—including calibration of instruments; (4) a
 8    central managed archive for specimens and documentation; and (5) internal peer review for
 9    scientific quality of abstracts and manuscripts. The Hamner Institute QA and QC processes
10    assessing overall study performance and records ensure that conduct of the proposed research
11    satisfies the intended project objectives.
12
13    D. Statistical Analysis
14          RT-PCR data were analyzed using JMP statistical analysis  software (SAS Institute, Gary,
15    NC). RNA were isolated from at least 3 pups from 3 different dams  for each treatment group.
16    PCR reactions, radioimmunoassays, and protein analysis were repeated 3-5 times for each
17    sample.  Based on our experience, the number of animal replicates has the statistical power to
18    detect a significant change in gene expression >20% at/? < 0.05. The effect of treatment was
19    analyzed using a general-linear model regression analysis. Posthoc tests were conducted when
20    the overall analysis of variance is significant at the/? < 0.05 level using the LS-means procedure
21    and adjusted for multiple comparisons by Dunnett's method.
22          Microarray data were analyzed by a linear mixed model with SAS Microarray Solution
23    software. Perfect-match  only data were normalized to a common mean on a Iog2 scale, and a
24    linear mixed model was then applied for each probe set.  Restricted maximum likelihood was
25    used for estimating the parameters for both the fixed and random effects. Significance was
26    determined using mixed-model based F-tests (p < 0.05).
27
28    E. Procedures used to Evaluate Success
29          Uniquely numbered written protocols were prepared and reviewed internally prior to the
30    start of this  study.  The content of a protocol includes study design, materials, laboratory
31    methods, sample collection, handling and custody, record keeping, data analysis and statistical
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 1   procedures, animal care requirements, and safety measures. Numbered standardized laboratory
 2   notebooks and guidelines for date recording ensures completeness of data and the ability to
 3   reconstruct the study. An independent QA department manages the overall research data quality.
 4   Manuscripts describing the results of our study were prepared at the completion of each stage of
 5   this study. All manuscripts undergo a rigorous internal peer review that includes review by all
 6   authors, at least two additional PhD- level  scientists, the  science editor, the division manager,
 7   and the vice  president for research.
 8
 9   PROJECT 2:  DATA REVIEW, VERIFICATION, AND VALIDATION
10          Banalata Sen received the Liu et al. (2005) raw data files from Dr. Kevin Gaido. Two
11   team members, Dr. Banalata Sen (National Center for Environmental Assessment, Research
12   Triangle Park [NCEA-RTP]) and Dr. Susan Hester (National Health and Environmental Effects
13   Research Laboratory [NHEERL]) performed the data analysis at NHEERL, RTF. Barbara
14   Collins (collins.barbara@epa.gov) at NHEERL-RTP has agreed to serve as the Quality
15   Assurance Manager (QAM) for the project. Dr.  Hester and Sen performed analyses of the "DBF
16   only" data that is a subset of the data presented in Liu  et  al. (2005).  The analyses at NHEERL
17   included statistical filtering to identify of differentially expressed genes and pathway analysis.
18
19   A. VERIFICATION OF DATA UPON RECEIPT
20          Upon receiving data from Kevin Gaido at the Hamner Institute, EPA NHEERL scientisits
21   conducted a  QA review of the data by gross inspection of the eel files to confirm that the data
22   had been transmitted successfully. The scientists at the STAR Bioinformatics Center/Rutgers
23   received the  data files from Susan Euling at EPA NCEA who had received the data from Kevin
24   Gaido at the  Hamner Institute. Kevin Gaido gave permission to Susan Euling to provide the data
25   for these analyses. A review of the data was performed by inspection of the txt files and the
26   published data to confirm that the data had been transmitted successfully.
27
28
29   B. VERIFICATION OF DATA ANALYSIS CALCULATIONS
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 1          EPA NHEERL used a principal component analysis (PCA) to evaluate the within-group
 2   and across-group variance of the six samples. PCA elucidates the separation of different
 3   treatment groups and provides information about whether the data contain significant
 4   information. This was conducted using the raw data eel files in Rosetta Resolver Software.  The
 5   analyses were in silico without functional validation (RT-PCR of individual genes).
 6          The Star Bioinformatics Center also performed a principal component analysis (PCA)
 7   and displayed a 3-D plot to evaluate the within-group and across-group variance of the samples.
 8   This was conducted using the txt files in MATLAB® Software. This was an in silico analysis.
 9   The data were normalized to a zero mean and a unity standard deviation over samples. They
10   assessed the degree of separation for Liu et al. (2005) data. A regular regular t-test and ANOVA
11   analyses of the data were performed. The filtered data were visualized in a heatmap to determine
12   the statistically  significant subset of genes to provide a differentially expressed gene (DEG) list.
13          Drs.  Susan Hester and Banalata Sen also performed some comparative analyses between
14   the two outpus (above). The two independent analyses of the same dataset were contrasted with
15   one another.  Correlation plots comparing the LoglO average intensities of control samples vs.
16   DBF treated samples was performed in order to determine the noise in both groups. Average
17   background signal and scaling factors will be applied based on the vendor recommendations.
18   QC plots will be made to determine the relationship between light intensity and each genechip.
19
20   PROJECT 3: DATA REVIEW, VERIFICATION, AND VALIDATION
21   This project analyzed the time-course data from Thompson et al. (2005) dataset to then build a
22   regulatory network model.  The STAR Center's internal QA/QC procedures are implemented
23   and monitored by a QA official, Clifford Weisel (weisel@eohsi.rutgers.edu), at Rutgers
24   University that reports to the National Center for Environmental Research (NCER), the granting
25   organization for the STAR program.
26
27   A. VERIFICATION OF DATA UPON RECEIPT
28          Data were received from Susan Euling at EPA who had received the data from Kevin
29   Gaido at the Hamner Institute. Kevin Gaido gave permission to Susan Euling to provide the data
30   for these analyses.  A review of the data was performed by inspection of the txt files and the
31   published data to confirm that the data had been transmitted successfully.
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 1
 2   B. VERIFICATION OF DATA ANALYSIS CALCULATIONS
 3          A principal component analysis (PCA) was performed and a 3-D plot was displayed to
 4   evaluate the within-group and across-group variance of the samples. This was conducted using
 5   the txt files in MATLAB® Software. This was an in silico analysis. The data were normalized to
 6   a zero mean and a unity standard deviation over samples. They assessed the degree of separation
 7   for the Thompson et al. (2005) data. A regular regular t-test and ANOVA analyses of the data
 8   were performed. The filtered data will be visualized in a heatmap to determine the statistically
 9   significant subset of genes to provide a differentially expressed gene (DEG) list.
10
11
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