RT Journal Article T1 Bisphenol A and its analogues: A comprehensive review to identify and prioritize effect biomarkers for human biomonitoring A1 Mustieles, Vicente A1 D'Cruz, Shereen Cynthia A1 Couderq, Stephan A1 Rodríguez-Carrillo, Andrea A1 Fini, Jean-Baptiste A1 Hofer, Tim A1 Steffensen, Inger-Lise A1 Dirven, Hubert A1 Barouki, Robert A1 Olea, Nicolás A1 Fernández, Mariana F. A1 David, Arthur K1 Bisphenol A K1 Bisphenol analogues K1 Human biomonitoring K1 Effect biomarker K1 Adverse outcome pathway K1 Fenoles K1 Monitoreo Biológico K1 Humanos K1 Biomarcadores K1 Rutas de resultados adversos AB Human biomonitoring (HBM) studies have demonstrated widespread and daily exposure to bisphenol A (BPA). Moreover, BPA structural analogues (e.g. BPS, BPF, BPAF), used as BPA replacements, are being increasingly detected in human biological matrices. BPA and some of its analogues are classified as endocrine disruptors suspected of contributing to adverse health outcomes such as altered reproduction and neurodevelopment, obesity, and metabolic disorders among other developmental and chronic impairments. One of the aims of the H2020 European Human Biomonitoring Initiative (HBM4EU) is the implementation of effect biomarkers at large scales in future HBM studies in a systematic and standardized way, in order to complement exposure data with mechanistically-based biomarkers of early adverse effects. This review aimed to identify and prioritize existing biomarkers of effect for BPA, as well as to provide relevant mechanistic and adverse outcome pathway (AOP) information in order to cover knowledge gaps and better interpret effect biomarker data. A comprehensive literature search was performed in PubMed to identify all the epidemiologic studies published in the last 10 years addressing the potential relationship between bisphenols exposure and alterations in biological parameters. A total of 5716 references were screened, out of which, 119 full-text articles were analyzed and tabulated in detail. This work provides first an overview of all epigenetics, gene transcription, oxidative stress, reproductive, glucocorticoid and thyroid hormones, metabolic and allergy/immune biomarkers previously studied. Then, promising effect biomarkers related to altered neurodevelopmental and reproductive outcomes including brain-derived neurotrophic factor (BDNF), kisspeptin (KiSS), and gene expression of nuclear receptors are prioritized, providing mechanistic insights based on in vitro, animal studies and AOP information. Finally, the potential of omics technologies for biomarker discovery and its implications for risk assessment are discussed. To the best of our knowledge, this is the first effort to comprehensively identify bisphenol-related biomarkers of effect for HBM purposes. PB Elsevier SN 0160-4120 YR 2020 FD 2020-08-28 LK http://hdl.handle.net/10668/3617 UL http://hdl.handle.net/10668/3617 LA en NO Mustieles V, D'Cruz SC, Couderq S, Rodríguez-Carrillo A, Fini JB, Hofer T, et al. Bisphenol A and its analogues: A comprehensive review to identify and prioritize effect biomarkers for human biomonitoring. Environ Int. 2020 Nov;144:105811 DS RISalud RD Apr 10, 2025