Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.

<h4>Background</h4>Bisphenol A is widely used in food and drinks packaging. There is evidence of associations between raised urinary bisphenol A (uBPA) and increased incidence of reported cardiovascular diagnoses.<h4>Methodology/principal findings</h4>To estimate associations...

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Main Authors: David Melzer, Phil Gates, Nicholas J Osborne, William E Henley, Ricardo Cipelli, Anita Young, Cathryn Money, Paul McCormack, Peter Schofield, David Mosedale, David Grainger, Tamara S Galloway
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0043378&type=printable
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author David Melzer
Phil Gates
Nicholas J Osborne
William E Henley
Ricardo Cipelli
Anita Young
Cathryn Money
Paul McCormack
Peter Schofield
David Mosedale
David Grainger
Tamara S Galloway
author_facet David Melzer
Phil Gates
Nicholas J Osborne
William E Henley
Ricardo Cipelli
Anita Young
Cathryn Money
Paul McCormack
Peter Schofield
David Mosedale
David Grainger
Tamara S Galloway
author_sort David Melzer
collection DOAJ
description <h4>Background</h4>Bisphenol A is widely used in food and drinks packaging. There is evidence of associations between raised urinary bisphenol A (uBPA) and increased incidence of reported cardiovascular diagnoses.<h4>Methodology/principal findings</h4>To estimate associations between BPA exposure and angiographically graded coronary atherosclerosis. 591 patients participating in The Metabonomics and Genomics in Coronary Artery Disease (MaGiCAD) study in Cambridgeshire UK, comparing urinary BPA (uBPA) with grades of severity of coronary artery disease (CAD) on angiography. Linear models were adjusted for BMI, occupational social class and diabetes status. Severe (one to three vessel) CAD was present in 385 patients, 86 had intermediate disease (n=86) and 120 had normal coronary arteries. The (unadjusted) median uBPA concentration was 1.28 ng/mL with normal coronary arteries, and 1.53 ng/mL with severe CAD. Compared to those with normal coronary arteries, uBPA concentration was significantly higher in those with severe CAD (OR per uBPA SD=5.96 ng/ml OR=1.43, CI 1.03 to 1.98, p=0.033), and near significant for intermediate disease (OR=1.69, CI 0.98 to 2.94, p=0.061). There was no significant uBPA difference between patients with severe CAD (needing surgery) and the remaining groups combined.<h4>Conclusions/significance</h4>BPA exposure was higher in those with severe coronary artery stenoses compared to those with no vessel disease. Larger studies are needed to estimate true dose response relationships. The mechanisms underlying the association remain to be established.
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spelling doaj-art-446f5bd586ce4bc18dc1db1e7242f6b52025-08-20T03:26:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0178e4337810.1371/journal.pone.0043378Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.David MelzerPhil GatesNicholas J OsborneWilliam E HenleyRicardo CipelliAnita YoungCathryn MoneyPaul McCormackPeter SchofieldDavid MosedaleDavid GraingerTamara S Galloway<h4>Background</h4>Bisphenol A is widely used in food and drinks packaging. There is evidence of associations between raised urinary bisphenol A (uBPA) and increased incidence of reported cardiovascular diagnoses.<h4>Methodology/principal findings</h4>To estimate associations between BPA exposure and angiographically graded coronary atherosclerosis. 591 patients participating in The Metabonomics and Genomics in Coronary Artery Disease (MaGiCAD) study in Cambridgeshire UK, comparing urinary BPA (uBPA) with grades of severity of coronary artery disease (CAD) on angiography. Linear models were adjusted for BMI, occupational social class and diabetes status. Severe (one to three vessel) CAD was present in 385 patients, 86 had intermediate disease (n=86) and 120 had normal coronary arteries. The (unadjusted) median uBPA concentration was 1.28 ng/mL with normal coronary arteries, and 1.53 ng/mL with severe CAD. Compared to those with normal coronary arteries, uBPA concentration was significantly higher in those with severe CAD (OR per uBPA SD=5.96 ng/ml OR=1.43, CI 1.03 to 1.98, p=0.033), and near significant for intermediate disease (OR=1.69, CI 0.98 to 2.94, p=0.061). There was no significant uBPA difference between patients with severe CAD (needing surgery) and the remaining groups combined.<h4>Conclusions/significance</h4>BPA exposure was higher in those with severe coronary artery stenoses compared to those with no vessel disease. Larger studies are needed to estimate true dose response relationships. The mechanisms underlying the association remain to be established.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0043378&type=printable
spellingShingle David Melzer
Phil Gates
Nicholas J Osborne
William E Henley
Ricardo Cipelli
Anita Young
Cathryn Money
Paul McCormack
Peter Schofield
David Mosedale
David Grainger
Tamara S Galloway
Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.
PLoS ONE
title Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.
title_full Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.
title_fullStr Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.
title_full_unstemmed Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.
title_short Urinary bisphenol a concentration and angiography-defined coronary artery stenosis.
title_sort urinary bisphenol a concentration and angiography defined coronary artery stenosis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0043378&type=printable
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