Thyroid Disrupting Activities in Wastewater and Surface Waters: A Review of Their in Vitro Analyses

The developmental and reproductive effects of endocrine disruption on humans and wildlife rank among the most threatening of all environmental health concerns. Particularly vulnerable to chemical assaults are the hypotha-lamic-pituitary-gonadal (HPG) axis and the hypothalamic-pituitary-thyroid (HPT) axis of the endocrine system. While the effects of endocrine disrupting chemicals (EDCs) on the HPG axis have been the subject of intense research efforts, with comprehensive elucidation, a lot remains to be clarified on the effects of EDCs on thyroid functions. For instance, there are no clear-cut biomarkers of exposure and effects of thyroid disrupting chemicals (TDCs) in intact organisms. Consequently, a number of in vitro assays have been devel-oped, and are particularly useful for the identification and mechanistic characterization of potential TDCs considering the increasing number of EDCs that are being released into the environment. However, with the in vitro assays, studies suggest that a plausible major mode of action of TDCs, thyroid hormone receptor (THR) agonist activity, is not environmentally relevant. Here, we reviewed in vitro detection of TDCs activities in wastewater and surface waters. Data strongly suggest that cell lines may be responsible for the less frequent detection of THR agonist activity in wastewater and surface water. It was concluded that the development of reporter gene assays with thyroid hormone function related cell lines, is required.


Introduction
The impact of endocrine disrupting chemicals (EDCs) on biological systems is foremost of all environmental health concerns [1]. EDCs are known to adversely disrupt hormonal regulations of many critical physiological processes. These critical biological process disruptions have been demonstrated to result in various adverse developmental and reproductive effects in humans and wildlife. Additionally, a number of EDCs have been shown to act through multiple pathways in the endocrine system [2].
The hypothalamic-pituitary-gonad axis, and the hypothalamic-pituitary-thyroid axis are two major axes of the endocrine system that are particularly vulnerable to exogenous chemical assault owing to their delicate intricate cascade of cellular and molecular regulation of physiological functions [3] [4]. However, while the effects of EDCs on the HPG axis have been considerably investigated and comprehensively described, a lot remains to be clarified on the effect of EDCs on the HPT axis, principally involving the thyroid hormone system [5] [6].
Particularly elusive, is the development of a clear-cut biomarker of exposure and effects of thyroid disruptions in intact organisms [7] [8]. Consequently, detection of thyroid active anthropogenic chemicals otherwise known as thyroid disrupting chemicals (TDCs) relies, for the most part, on the use of in vitro assay [9] [10]. However, with the in vitro detection approach, it appears that a possible major mode of actions of TDCs, thyroid receptor activation, is not environmentally relevant. Further, while the reason for this is not yet clear, and particularly challenging, performance limitation of in vitro assays is highly probable, given the inherent cell type-induced variations in the sensitivity of the widely used in vitro assays to potential TDCs [6] [11].
The numbers of toxic chemicals that are being released into the environment, especially surface waters, are disturbingly on the increase [12] [13]. Of these chemicals, a wide spectrum has been shown to possess various (anti)thyroid activities in wastewater and surface waters, posing serious developmental threats to wildlife and humans. Considering the leading role of the thyroid hormones in development in humans and wildlife [4], and the magnitude of developmental adverse outcome associated with thyroid disruption, we here reviewed studies on thyroid disrupting activities in wastewater and surface waters, and proposed the development of assays with thyroid functions related cell lines for improved in vitro detection of thyroid disruption involving thyroid receptor (TR) signaling pathways.

Thyroid Hormones
Thyroid hormones (TH) produced by the thyroid gland, are principally responsible for the permissive regulation of a number of key physiological processes such as development, reproduction, metabolism, cellular proliferation, differentiation and development of the central nervous system [14] [15]. The vertebrate thyroid gland produces two iodine-containing hormones derived from the ami- triiodothyronine (T3) [14].
T4 is synthesized in the thyroid gland and converted (bioactivation) to T3 outside the gland through the action of the enzyme, deiodinase, which catalyzes the removal of one iodine residue from T4 [16]. Thus, while T4 is the primary hormone, the short-lived T3 is the more active form (Figure 1), which influences development and metabolism related gene expression in almost all tissues of the body [14]. The hormones are transported bound to specific transport proteins to target tissues where their actions are mediated by thyroid hormone receptors (TRs) derived from two distinct genes widely distributed in the animal kingdom [17]. All vertebrates, and some invertebrates despite the obvious absence of the thyroid gland, produce thyroid hormones [18]. The ubiquitous presence of thyroid disruptors in the aquatic environment is therefore a major threat to humans and wildlife. Commonly reported thyroid system disruptions include thyroid hormone synthesis inhibition, TH displacement from transport protein, antagonistic and agonistic binding of TDCs to thyroid receptors, and in some cases, modulation of thyroid hormone-dependent gene expression [19].

In Vitro Assays for (Anti)Thyroid Activities Detection
In vitro assays provide cell models for practically all tissues or laboratory animals [9], and are particularly useful for mechanistic insight into toxicity [20]. Currently, very little is known about thyroid disruption especially in terms of the development of clear-cut biomarkers of exposure and effects in intact organism. Figure 1. A simplified schematic representation of the hypothalamus-pituitary-thyroid axis. The hypothalamus produces the thyrotropin-releasing hormone (TRH), which stimulates the pituitary gland to produce thyroid stimulating hormone (TSH). TSH in turn stimulates the thyroid to produce thyroid hormone (TH). In mammals, TH, produced directly from the thyroid gland is predominantly T4 (with some T3), whereas in some non-mammalian vertebrates, T4 is produced. Usually, T3 is the biologically active form, and it is produced through the deiodination of T4 by the action of deiodinase (DIO). To exert its physiological effects, T3 binds to thyroid hormone receptor (THR) in the target cells for thyroid hormone-dependent gene expression. Detection of thyroid disrupting activities has employed different aspects of thyroid system, including thyroid hormone biosynthesis, secretion and transport, metabolism and excretion, local cellular concentration, and cellular responses [21]. Of these however, thyroid hormone transport and cellular responses, are the ones that are widely considered within thyroid hormone system in environmental water samples, usually involving displacement assays, and ligand binding and reporter gene assays respectively [17].
The displacement assays measure the potency of a contaminant to displace T4 from thyroid hormone transport proteins such as transthyretin (TTR) and thyroxine-binding globulin (TBG). Three major displacement assays; raido-ligand binding assay, plasmon resonance-based biosensor assay and the fluorescence displacement assay, are commonly used [19]. Briefly, the radio-ligand binding assay (RBA) uses radioactive T4, which is usually in equilibrium with TTR, T4 and the chemical to be tested. The amount of free radio-labelled T4 is a measure of the contaminant (competitor) displacement or binding potency. The plasmon resonance-based biosensor is designed to use immobilized T4, which is able to interact with a mobile phase containing TTR or TBG and the chemicals to be tested (competitor). The proportion of the free TTR or TBG available for binding the immobilized T4 is a measure of the displacement or binding potency of the contaminants. The fluorescence displacement assay uses fluorescence emitted from a flourophore when displaced from a transport protein by the compet- to it or as agonists when they are able to activate the receptor upon binding the receptor [6]. However, while TR binding assays and reporter gene assays can both detect TDCs with potential to interfere with TR, only reporter gene assays can discriminate between agonist and antagonist activities. Currently, TR binding assays, and a variety of reporter gene assays usually with different cell line types [11], are majorly used in the detection of thyroid disrupting activities in wastewater and surface waters.

In Vitro Detection of Thyroid Disrupting Activities in Wastewater and Surface Waters
Evaluating the thyroid disrupting activity in effluents of two paper manufacturing plants (PMPs) in Songkhla province, and canal Khlong U-Tapahao, Thailand, Ishihara et al. [12] using TR binding assay, XL58-TRE-luc reporter gene assay and TTR displacement assay observed 30% to 40% inhibition of radio-labelled T3 binding to TTR in the PMPs wastewater samples, and 90% inhibition in TR binding assay of samples from one of the PMPs before treatment. In the canal water samples, thyroid disrupting activities were also detected with 65% (TTR binding assay), 96% (TR binding assay) and 54% (XL58-TRE-luc assay) inhibition at location 1; 44% (TR binding assay) and 50% (XL58-TRE-luc assay) inhibition at location 2; 55% (TR binding assay) and 44 (XL58-TRE-luc assay) inhibition at location 3; and 7% (TTR binding assay) and 87% (XL58-TRE-luc assay) inhibition at location 4. TR-agonist activity was not detected in any of the samples analyzed.
In samples from sewage treatment plants, Japan, Murata and Yamauchi [25] observed inhibition of radiolabelled T3 binding to TR and TTR, with higher sensitivity in TR binding assay. Further, some sample extracts elicited T3-like activity in XL58-TRE-Luc reporter gene assay, which however, was not detected when the extract was spiked with 2 nM of T3. In a parallel assessment of thyroid and estrogen disruptors in samples from wastewater treatment plants (WWTPs), river Seine and drinking water supplies in Paris area, France, Jugan et al. [26] observed weak thyroidal activity only in the influents of WWTPs using the DR-PC-Luc assay with 25 ng/L T3 Equivalent (ThEQ). Additionally, they reported that thyroid disrupting activity was either too weak or below detection limit in the effluent samples analyzed. In contrast, Li et al. [27] observed TR an- On thyroid disrupting activities in extracts of surface water samples, Shi et al. [29] detected antagonistic potency ranging from 3.2 to 8.2 μg DNPB EQs/L (calculated relative to dibutylphthalate) in a concentration dependent manner in 4 of 5 extracts analyzed in eastern China with green monkey kidney fibroblast (CV-1) cell based reporter gene assay. None of the samples analyzed showed TR agonistic potency. Shi et al. [30], also using the CV-1 cell based reporter gene assay, detected TR antagonistic potency ranging from 1.4 to 5.6 μg din-butyl phthalate/L in a concentration-dependent manner in all water source extracts from Yangtze River Delta, Shanghai. Agonistic potency was expectedly not detected in the extracts analyzed. Using CV-1 cell based reporter gene assay, Shi et al. [31]  Interestingly, Shi et al. [32] detected TR agonist activity, ranging from 286 to 293 ng T3/L only in 3 of 11 source water samples from Yangtze River, China, analyzed with a green monkey kidney fibroblast (CV-1) cell based TH reporter gene assay. Further, antagonistic activity calculated relative to dibutyl phthalate (DBP) (51.5 to 555.3 μg/L Ant-TR-EQs), was however also detected in all water source samples. Shi et al. [33] similarly observed weak agonist potency only in 1 of 15 surface water samples from Yangtze River Delta, China, analyzed with CV-1 cell-based TH reporter gene assay while investigating thyroid disrupting activity associated with phthalates. TR antagonistic potency (2.8 × 10 1 to 1.6 × 10 3 μg DBP/L) was also detected in most of the surface water samples analyzed.
In surface water adjacent to impoundment at West Virginia, US, Kassotis et al. [34] detected weak TR agonist activity with a mammalian reporter gene assay in addition to TR antagonist potency. The observed TR-agonist and antagonist potencies were 5 μg and 700 μg T3-equivalent per litre water respectively. Overall, these studies suggest that TR agonist activity in environmental water samples is not environmentally relevant, and this a major environmental health concern considering the number of different chemicals that have been implicated in thyroid disruption in laboratory studies.

Chemicals Implicated in Thyroid Disrupting Activities in Wastewater and Surface Waters
Thyroid disrupting chemicals (TDCs) have been defined as xenobiotics that alter the structure or functions of the thyroid gland, alter regulatory enzymes associated with thyroid hormone homeostasis, or change circulating or tissue concentration of thyroid hormone (Figure 2) [21]. It is not surprising that a wide range of chemicals have been implicated in thyroid hormone system disruption considering the ubiquity of anthropogenic chemicals in environmental matrix, and the vulnerability of the endocrine system to chemical assaults [3] [27]. Additionally, structural resemblance of many anthropogenic chemicals to TH has often resulted in enlisting them as model or suspected TDCs. Nonetheless, in dealing with classification and characterization of potential TDCs in the environment, environmental occurrence with (anti)thyroid activity is a major factor [3] [15]. In a parallel assessment of thyroid disrupting activities and the identification of its major contributors in surface waters, phthalates, including di-n-butyl phthalate (DNBP), diisobutyl phthalate (DNOP) and di-2-ehtylhexyl phthalate (DEHP) [30]; and organochlorine compounds including hexachlorocylohexane (HCH), dichlorodiphenyltrichloroethane(DDT) and chlordane [29] [33] were identified as the responsible thyroid active chemicals in the samples analysed.
Further, also demonstrated to have potential to interfere with the TH system in vitro, are several industrial chemicals including Polychlorinated biphenyls (PCBs) [35] [36], Bisphenol A (BPA) [37] [38], polybrominateddiphenylethers (PBDEs) [19], triclosan (TCs) [39] and perchlorate ( 4 ClO − ) [40] with reported occurrence in wastewater and surface waters [15] [39] [41] [42]. Figure 2. Major thyroid hormone system disruption by thyroid disrupting chemicals (TDCs). TDCs interfere with thyroid hormone synthesis through the inhibition of thyroperoxidase (TPO), an enzyme responsible for the production of thyroxine through the oxidation of iodide ion to form iodine for addition to tyrosine residues. Some TDCs have potency to compete with TH for TH transport protein, and also interfere with thyroid hormone receptor (THR) in the target cells to either activate or repress THR. TDCs action can result in reduced TH synthesis, reduction in Plasma and local tissue TH concentration, and disruption in thyroid hormone-dependent gene expression, to adversely affect growth, development and reproduction in humans and wildlife. Interestingly, these chemicals have been shown to interfere with the endocrine system through multiple pathways [15], and it is therefore less likely that TR agonist activity is not environmentally relevant as performance limitation of reporter gene assays based on cell line type is increasingly becoming more probable [6].
Similarly, the hydroxylated PCB metabolite (4-OH-PCB 106) previously reported to have only TR-antagonist potency with CV-1 cell based TH reporter gene assay [35], was not only revealed later to have TR-agonist activity with GH3. TRE-Luc assay, the response was also dose-dependent [17].

Future Perspective
Thyroid disrupting activities with potential to interfere with TR is clearly a major mode of action of TDCs. This TR-mediated thyroid disruption is currently detected with TR binding assays and reporter gene assays, and only reporter gene assays are able to distinguish between TR-agonist and TR-antagonist activities. Currently, the reporter gene assays that are widely used, with their constituent cell lines, for the detection of (anti)thyroid activities in environmental wa-

Conclusion
Thyroid hormones play a leading role in organismal development involving almost all tissues of the body, and its disruption is a major threat to wildlife and humans. The development of novel thyroid function related in vitro assay cell lines, particularly for improved detection of thyroid disrupting activities involving THR signaling, is therefore a major research need. This is of critical importance to environmental risk assessment in the aquatic environment which serves as a sink to most toxic chemicals of anthropogenic origin considering that no specific biomarkers of exposure and effects of TDCs in intact organism has been identified, and the challenging performance limitation of cell lines of currently used in vitro assays in detecting TR agonist activity of TDCs. Journal of Environmental Protection