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Direct and transgenerational effects of low doses of perinatal di-(2-ethylhexyl) phthalate (DEHP) on social behaviors in mice

  • Kayla M. Quinnies ,

    Contributed equally to this work with: Kayla M. Quinnies, Erin P. Harris

    Affiliation Department of Biochemistry and Molecular Genetics and Neuroscience Graduate Program, University of Virginia School of Medicine, Charlottesville, VA, United States of America

  • Erin P. Harris ,

    Contributed equally to this work with: Kayla M. Quinnies, Erin P. Harris

    Affiliation Department of Biochemistry and Molecular Genetics and Neuroscience Graduate Program, University of Virginia School of Medicine, Charlottesville, VA, United States of America

  • Rodney W. Snyder,

    Affiliation Discovery Science Technology, RTI International, Research Triangle Park, NC, United States of America

  • Susan S. Sumner,

    Affiliations Discovery Science Technology, RTI International, Research Triangle Park, NC, United States of America, Center for Human Health and the Environment, North Carolina State University, Raleigh, NC, United States of America

  • Emilie F. Rissman

    Affiliations Department of Biochemistry and Molecular Genetics and Neuroscience Graduate Program, University of Virginia School of Medicine, Charlottesville, VA, United States of America, Center for Human Health and the Environment, North Carolina State University, Raleigh, NC, United States of America

Direct and transgenerational effects of low doses of perinatal di-(2-ethylhexyl) phthalate (DEHP) on social behaviors in mice

  • Kayla M. Quinnies, 
  • Erin P. Harris, 
  • Rodney W. Snyder, 
  • Susan S. Sumner, 
  • Emilie F. Rissman


Di-(2-ethylhexyl) phthalate (DEHP) is an endocrine disrupting chemical commonly used as a plasticizer in medical equipment, food packaging, flooring, and children’s toys. DEHP exposure during early development has been associated with adverse neurobehavioral outcomes in children. In animal models, early exposure to DEHP results in abnormal development of the reproductive system as well as altered behavior and neurodevelopment. Based on these data, we hypothesized that developmental exposure to DEHP would decrease social interactions and increase anxiety-like behaviors in mice in a dose-dependent manner, and that the effects would persist over generations. C57BL/6J mice consumed one of three DEHP doses (0, 5, 40, and 400 μg/kg body weight) throughout pregnancy and during the first ten days of lactation. The two higher doses yielded detectable levels of DEHP metabolites in serum. Pairs of mice from control, low, and high DEHP doses were bred to create three dose lineages in the third generation (F3). Average anogenital index (AGI: anogenital distance/body weight) was decreased in F1 males exposed to the low dose of DEHP and in F1 females exposed to the highest dose. In F1 mice, juvenile pairs from the two highest DEHP dose groups displayed fewer socially investigative behaviors and more exploratory behaviors as compared with control mice. The effect of DEHP on these behaviors was reversed in F3 mice as compared with F1 mice. F1 mice exposed to low and medium DEHP doses spent more time in the closed arms of the elevated plus maze than controls, indicating increased anxiety-like behavior. The generation-dependent effects on behavior and AGI suggest complex mechanisms by which DEHP directly impacts reproductive and neurobehavioral development and influences germline-inherited traits.


Di-(2-ethylhexyl) phthalate (DEHP) is a synthesized component of flexible plastics used to make polyvinyl chloride (PVC), some types of packaging, medical tubing, synthetic flooring and other products [13]. Concentrations of DEHP in manufactured materials may reach 40% by weight and over 98% of the US population has detectable levels of its metabolites in urine [4]. This endocrine disrupting chemical (EDC) crosses the placenta [5], is absorbed through the skin [6], and its metabolites are found in human breast milk [7]. Daily intake in humans has been estimated between 6–21 μg/kg, with children at the higher end of this range [8]. Over 85% of the studies included in a recent review reported levels of phthalate exposure in children above the maximum reference dose set by the United States Environmental Protection Agency [9].

DEHP disrupts endocrine function in various glands and tissues throughout the body, but is most commonly considered to be anti-androgenic [10]. Maternal levels of the major DEHP metabolite, mono-(2-ethylhexyl) phthalate (MEHP), are correlated with decreased levels of steroid hormones in human male infants [11], and decreased function of Sertoli and Leydig cells in adult rodents [12, 13]. DEHP has non-monotonic dose-response effects. For example, in mice, high doses cause a drop in maternal and fetal serum testosterone, whereas lower levels of DEHP increase testosterone [14]. Anogenital distance (AGD; distance from anus to genitalia) is determined by androgen action during early development: males have longer AGD than females, and this can be perturbed by manipulations of androgen levels. Increased gestational DEHP levels correlate with decreased AGD in male rodents [1416] and humans [1719], which further indicates its anti-androgenic actions.

Human epidemiological studies have also revealed associations between prenatal phthalate exposure and adverse neurodevelopmental outcomes in children [2026]. DEHP metabolite levels in utero are associated with decreased masculine play in boys [27]. Boys with attention deficit hyperactivity disorder (ADHD) have higher urinary concentrations of DEHP metabolites, which are negatively correlated with cortical thickness [28]. Phthalates have also been implicated in the pathogenesis of autism spectrum disorder (ASD) [29]. Children with autism spectrum disorder (ASD) have higher urinary levels of DEHP metabolites [30, 31] and show impaired glucuronidation of DEHP metabolites as compared with typically developing children [32]. It is worth noting that DEHP levels are positively correlated with fast food consumption [4]. Thus studies that show correlations between behaviors and current levels of DEHP in children may reflect food choices.

In animals, DEHP exposure during several developmental periods (gestation and/or suckling, puberty, or adulthood) increases anxiety and depression-like behavior [12, 33, 34]. DEHP exposure during puberty decreases adult social interactions in female mice, but enhances interactions in males [33, 35]. We recently reported sex-specific effects of DEHP three generations removed from the initial gestational exposure (F3); juvenile male F3 mice from a DEHP lineage displayed more digging and less grooming than controls in social interaction tests [36]. While the doses used in this study were relatively high (150 and 200 mg/kg body weight), these results were the first evidence of a transgenerational effect of DEHP exposure on behavior.

In the present report, we evaluated three low doses of DEHP: 5, 40, and 400 μg/kg, all of which are below the no observed effect level (NOAEL, 4.8 mg/kg/day) for DEHP and comparable to normal human intake [37]. We detected significant and complex transgenerational effects of DEHP exposure on AGI, social interactions, as well as a generation-specific effect on anxiety-like behavior. This is first report of social behavior changes in response to perinatal low dose DEHP exposure, and the first time that transgenerational effects have been reported in a low dose exposure lineage.

Materials and methods


Male and female C57BL/6J mice originally purchased from Jackson Laboratory (Bar Harbor, ME) were used in our colony at the University of Virginia. All procedures followed were approved by the University of Virginia Animal Care and Use Committee guidelines. All animals were maintained on a 12:12 light/dark cycle (lights on at 1300h), provided with a diet low in phytoestrogens (Harlan Laboratories, Indianapolis, IN #2918), and water ad libitum. Females were paired with males shortly before lights off each day and were checked for mating plugs the next day. Dams were assigned to a dose group at random as they became pregnant, with the goal of keeping groups as equal in size as possible. Males were assigned at random from a large group of breeding males. These pairs were the original generation (F0). Pairs were separated and females were individually housed on the day the mating plug was observed. On each day of gestation and continuing until the litter was 10 days of age, dams consumed a Cocoa Puff coated in 50 μL of stripped corn oil containing doses of DEHP equivalent to 0, 5 (“Low dose”), 40 (“Medium dose”), or 400 (“High dose”) μg/kg body weight per day. Doses were presented before lights off and females were observed to ensure they consumed the entire treat. On postnatal day 1 (P1), we recorded sex, body weight, and AGD for each pup in all litters. Following these measurements, all litters were culled to 6 pups with a sex ratio as close as possible to equal; no single sex litters were used. Pups selected for culling were randomly chosen within each sex and not based on bodyweight or AGD measurements. Culled pups were sacrificed by first reducing their body temperatures and then using cervical dislocation. Mice were weaned on P21, housed in same-sex, same-litter groups and randomly assigned to behavioral testing or breeding. The mice remained housed in groups during behavioral testing. Mice were only tested on one task using no more than two mice from the same litter, one of each sex. F1 pairs were made with dose-matched non-siblings to create F2 offspring. The same breeding protocol was followed with the F2 mice to create F3 mice. Due to space and cost considerations we conducted the transgenerational work with lineages produced from the control (0 dose), low (5 μg/kg), and highest dose (400 μg/kg) of DEHP. Observers blind to the treatments of the mice scored all behaviors.

MEHP analysis

A cohort of females was paired, checked daily for plugs, and given a daily dose of DEHP or vehicle as previously described. The day we noted the plug was embryonic day 0.5 (E0.5). These dams were sacrificed at E18.5, no more than three hours after consumption of the daily DEHP dose. After anesthesia with isoflurane, animals were euthanized by decapitation and trunk blood was collected from the dams and embryos (pooled by litter). We collected serum from 4 control dams, 2 control embryo pools, 6 low dose dams, 1 low dose embryo pool, 3 medium dose dams, 1 medium dose embryo pool, 6 high dose dams, and 3 high dose embryo pools. Serum was frozen on dry ice, stored at -80°C, and later assayed for DEHP metabolites using a method modified from [38] as described below.

Standards were purchased from Toronto Research Chemicals (Toronto, Ontario, Canada) and standard curve spiking solutions were prepared in methanol. The standard curve for LC/MS/MS analysis consisted of concentrations ranging from 1 to 1000 ng/mL. Internal standard (MEHP-d4) was added at 5 μL per sample from a solution in methanol at a concentration of 1 μg/mL. Serum (50 μL) was aliquoted into a polypropylene microfuge tube, and 150 μL methanol was added as well as internal standard. Samples were vortexed, centrifuged (13000 rpm for 10 minutes) and 50 μL of the supernatant was transferred to a glass Agilent LCMS low volume insert and mixed with 50 μL of 5 mM ammonium acetate. For standards, 50 μL of blank mouse serum was mixed with 5 μL of spiking solution containing each compound and extracted as per standards. Standard curves were run prior to mouse serum samples and after mouse serum samples. Quality control samples were included in the middle of the analysis. Standards were within 15% of nominal or 20% of LOQ. Samples were analyzed using a Waters Acquity UPLC (Milford, MA, USA) coupled to an Applied Biosystems/Sciex API 5000 Mass Spectrometer (Concord, Ontario, Canada) with an electrospray ion source.

Body weight and AGD

Prior to culling litters on P1, we recorded sex, body weight, and AGD for each pup in all litters. For the F1 litters, we recorded measurements from 6 control litters (N = 18 males, N = 17 females), 11 low dose litters (N = 34 males, N = 28 females), 10 medium dose litters (N = 28 males, N = 37 females), and 7 high dose litters (N = 17 males, N = 15 females). For the F3 generation we took measurements from 9 control litters (N = 19 males, N = 23 females), 7 low dose lineage litters (N = 28 males, N = 15 females), and 7 high dose lineage litters, (N = 16 males, N = 22 females).

Maternal behaviors

We observed a total of 34 F0 dams: Control N = 10, Low dose N = 7, Medium dose N = 9, High dose N = 8. We also observed 16 F2 dams with their F3 litters: Control N = 5, Low dose N = 5, High dose N = 6. Both F0 and F2 dams were observed in their home cages with their litters for 30 minutes during the dark (under red lights) portion of the light:dark cycle. Observations were made on postnatal days 2, 4, and 6. Scan-sampling methods were used to record maternal behaviors: every 15 seconds we noted if the dam was on or off the nest and recorded her behaviors. Behaviors on the nest were: licking and grooming pups, self-grooming, nursing, nest building and hovering. Behaviors off the nest were: eating/drinking, self-grooming, and digging/climbing [39].

Social interaction test

Age-, dose- and sex-matched pairs of non-sibling juvenile mice (between P28-32) were individually habituated to novel cages containing only clean bedding for 10 minutes, and recorded together in another clean cage for 30 minutes. Tests were conducted during the dark portion of the light cycle under red lights. Behaviors were scored from videos. Scan-sampling was used: the behavior of each mouse was observed and recorded every 15 seconds. Individuals in the pair were identified by a Sharpie black stripe on the tail of one of the mice. Each video was scored twice and the total number of observations was based on individuals in the pair. Interactive behaviors recorded included: side-by-side sitting, social grooming, investigation (sniffing), following, crawling, approaching, and circling the partner. Independent behaviors were: exploring the cage, self-grooming alone, sitting alone, and jumping. In addition, we calculated total interactive and total independent behaviors by summing the frequencies of each event.

Elevated plus maze

Juvenile (P30-35) F1 and F3 mice were habituated to the behavioral testing room for at least 30 minutes during the dark cycle under red lights, then placed in the center of the elevated plus maze (Columbus Instruments; wall height: 6“, arm length: 11.75”, arm width: 2”) and recorded for 5 minutes. The total time spent in the closed and open arms and the numbers of crosses through the center were scored from the video recordings using Noldus Observer.

Statistical analysis

All analyses were done using NCSS 2007. Interactions between juvenile pairs and dams with pups were expressed as a proportion of total activity; we used an arcsine transformation to normalize these data. We did not continue to breed the mice produced from the medium dose (40 μg/kg) to the third generation, therefore we had 4 dose groups in F0 dams and F1 offspring, and 3 doses in F2 dams and their F3 offspring. The generations were analyzed separately with two-way ANOVAs (sex and dose). To compare the generations, we used three-way ANOVAs (sex, dose and generation), only including the 3 doses common to both F1 and F3 (Control, low dose, and high dose groups). Maternal behaviors were analyzed with repeated measures ANOVAs with pup age as the within subjects factor. All ANOVAs were followed by Bonferroni-tests corrected multiple comparisons to evaluate pairwise interactions. F statistics and degrees of freedom for all analyses can be found in S1 and S2 Tables.


Low concentrations of DEHP metabolites in serum

The highest dose, 400 μg/kg, yielded detectable MEHP and 5-OH-MEHP levels in all serum samples measured. Serum concentrations of MEHP for 400 μg/kg dosed dams averaged 160 ± 17.2 ng/ml and 1.6 ± 0.4 ng/mL for 5-OH-MEHP. Metabolite concentrations of pooled embryo serum from 400 μg/kg dosed dams averaged 96.7 ± 36.9 ng/ml for MEHP and 1 ± 0.20 ng/ml for 5-OH-MEHP. These values are within the range of levels measured in human blood [40]. Two of the three serum samples from dams dosed at 40 μg/kg had detectable MEHP levels (mean ± SEM: 14.2 ± 12.4 ng/ml) and one had detectable 5-OH-MEHP levels (0.54 ng/ml). Metabolite levels in pooled serum from embryos of 40 μg/kg-dosed dams were undetectable. DEHP and metabolite levels in control and low dose pregnant females and their E18.5 embryos were below the detection limit (LOD) of the assay (LOD for MEHP and 5-OH-MEHP were estimated at 0.1 ng/mL).

Effects of DEHP on AGI and body weights

DEHP exposure decreased AGI in males and females in the F1 generation and in F3 female mice from the lowest dose lineage had larger AGI than the controls. We evaluated males and females separately because of the substantial sex difference in AGI measurements. In F1 males, there was a significant dose effect; AGIs of low dose males were smaller than controls (p<0.05, Table 1). In F1 females, the high dose (400 μg/kg) group had smaller AGIs than both the control and low dose groups (p<0.01). Body weights on P1 were not affected by DEHP in either sex (p>0.05).

In the F3 generation, no differences in AGI were observed in males (p<0.05) and there were no effects of DEHP lineage on body weights in F3 males (p>0.05). Females in the low dose lineage had larger AGIs than both controls and high dose lineage females (p<0.01). In addition, we found an effect of DEHP dose on body weight in females (p<0.001, Table 1) such that low dose lineage females weighed less than both other groups. It is likely that these body weight differences produced the effects on AGI. Comparison of F1 and F3 generations revealed transgenerational effects in females. Dose produced an effect on AGI (p<0.001); high dose females had smaller AGIs compared with the control and low dose females. We also found a dose by generation interaction (p<0.05, S1 Table). Additionally, we found effects of generation (p<0.01), dose, and an interaction for female body weights (p<0.05, S1 Table). F1 females were heavier than F3 females, and the controls and highest dose groups were heavier than the low dose group. The interactions reveal that the low dose F3 mice were lighter than all other groups, except the F1 controls. In males, body weights and AGI were not affected by DEHP dose or generation (p>0.05, S1 Table).

Pup age and generation affects maternal behaviors

The original (F0) dams did not display any DEHP-related differences in maternal care. However, as expected, the age of the litter significantly affected two measures: time in nest and eating (p<0.05). The direction of the differences was consistent with dams spending more time in the nest with younger (P2) versus older (P6) pups. The F2 dams did not show any effects of DEHP dose lineage, but dams spent more time licking and grooming their litters on P2 than on P4 (p<0.05). Comparing maternal behaviors from dams in the three doses represented in both F0 and F2 we noted effects of generation in several measurements of maternal behavior. The effects of generation suggest a more active phenotype in the F0 dams. In sum, F0 dams spent less time in the nest (p<0.01), licking and grooming pups (p<0.01), and nursing (p<0.01) as compared with the F2 dams. F0 dams spent more time digging in the cage (p<0.01) than did the F2 dams. There were effects of the age of the litter for several measures. Dams spent more time on their nests (p<0.01), licking and grooming pups (p<0.01), and less time eating (p<0.001) when the pups were P2 as compared with P6 (Table 2, S1 Table).

Social interactions during pair-tests

F1 generation.

In general, F1 juvenile mice exposed in utero to the higher doses of DEHP (400 and 40 μg/kg) were less interactive than low dose (5 μg/kg) and control mice. We noted an effect of DEHP dose (p<0.001) on frequency of side-by-side sitting. Mice exposed to the medium and high doses exhibited less sitting side-by-side than mice in the low dose and control groups (Fig 1A). The effect of DEHP was limited to males of each dose group, creating a significant interaction between sex and dose (p<0.01). DEHP dose also affected the frequency of partner sniffing (p<0.001). F1 mice exposed to the medium dose sniffed their test partner more frequently than mice in the low dose and control groups (Fig 1B). Medium dose females had a higher sniffing frequency than low dose females and controls of both sexes, resulting in an interaction between sex and dose (p<0.05). Increased sniffing by low dose males led to a sex difference (males sniffing more than females) in mice exposed to the lowest dose. Finally, when we summed the frequencies of all interactive behaviors we noted an effect of sex; males were more interactive than females (p<0.01, S1 Table). However, there were no effects of dose, nor an interaction of dose and sex (p>0.05). The same statistical effects apply to the inverse measurement, summed independent behaviors.

Fig 1. Effects of DEHP on juvenile pairs social behaviors tests in F1 mice.

Mean ± SEM proportion of time spent A) sitting side-by-side, B) sniffing partner, C) sitting alone, and D) exploring the cage alone during a 30-min. test. White bars represent data from control mice, light grey bars show data from the lowest dose (5 μg/kg), dark grey bars show data from the medium dose (40 μg/kg), and black bars represent data from the highest dose (400 μg/kg). * Dose(s) significantly different from control and 5 μg/kg groups, p<0.05. && Significantly different from same-sex control and 5 μg/kg groups, p<0.05. #Significantly different from males, p<0.05. ##Significantly different from females of the same dose group, p<0.05. Numbers of F1 mice per group: Control male N = 18, Control female N = 14, 5 μg/kg Male N = 14, 5 μg/kg Female N = 14, 40 μg/kg Male N = 6, 40 μg/kg Female N = 12, 400 μg/kg Male N = 8, 400 μg/kg Female N = 6.

In F1 mice, two independent behaviors were affected by DEHP dose. Control and low dose mice sat alone more frequently than either of the two higher DEHP dose groups (p<0.001, Fig 1C). For exploring the cage alone, we found effects of sex (p<0.05) and dose (p<0.05). Females explored more than males, and mice exposed to the highest dose of DEHP explored more frequently than both the control and low dose groups (Fig 1D).

F3 generation.

Several behavioral differences were related to DEHP lineage in the F3 animals. In general, F1 and F3 effects of DEHP were reversed. In contrast to high dose (400 ug/kg) F1 groups, F3 males from the highest DEHP lineage in particular, were highly interactive. We found effects of sex (p<0.05), dose lineage (p<0.05), and an interaction (p<0.01) on frequencies of sitting together where males exhibited more side-by-side sitting than females and high dose lineage animals sat side-by-side with their partners more often than controls. The frequency of side-by-side sitting for the high dose male group was greater than all groups except low dose females (Fig 2A). There was no effect of ancestral DEHP exposure or sex on total sniffing frequencies (Fig 2B). However, the total frequency of all interactive behaviors was affected by sex (p<0.05), DEHP dose (p<0.001), and there was an interaction (p<0.05, S1 Table). Males interacted more frequently with their test partners than females, high dose animals displayed more interactive behaviors, and the high dose males drove both effects. The inverse was true for total independent behaviors: we observed fewer independent behaviors overall in high dose F3 males. For exploration, the most frequently displayed independent behavior; a dose lineage effect was revealed (p<0.001). F3 mice in the high dose lineage mice explored the cage alone less than control and low dose lineage groups (Fig 2D). For sitting alone, a less frequently displayed independent behavior, there was an effect of DEHP dose lineage (p<0.05). Mice in the high dose lineage sat alone more frequently than controls (Fig 2C).

Fig 2. Effects of DEHP on juvenile pairs social behaviors tests in F3 mice.

Mean ± SEM proportion of time spent A) sitting side-by-side, B) sniffing partner, C) sitting alone, and D) exploring the cage alone during a 30-min. test. White bars represent data from control mice; light grey bars show data from the lowest dose (5 μg/kg), and black bars represent data from the highest dose (400 μg/kg). *Significantly different from other groups, p<0.05. **Significantly different from same-sex controls, p<0.05. & Significantly different from all other groups except low DEHP dose females, p<0.05. Numbers of F3 mice per group: Control lineage male N = 10, Control lineage female N = 6, 5 μg/kg Lineage Male N = 8, 5 μg/kg Lineage Female N = 12, 400 μg/kg Lineage Male N = 4, 400 μg/kg Lineage Female N = 6.

Comparison of F1 and F3 behaviors.

To assess generational differences directly we compared F1 versus F3 mice in the three doses studied in both generations. Comparing F1 and F3 mice we found an effect of sex (p<0.01) and generation (p<0.001) for side-by-side sitting. Males were sat side-by-side more than females and F3 mice displayed this behavior more frequently than F1 mice. We also found interaction effects between dose and generation (p<0.001), sex and generation (p<0.05), and all three variables (p<0.001, S1 Table). Control and low dose mice in the F1 generation displayed more sitting side-by-side than F3 control and low dose mice. Additionally, F3 females displayed significantly less side-by-side sitting than F3 males and F1 mice of both sexes. For partner sniffing, there was a dose by sex interaction (p<0.01, S1 Table). Regardless of generation, control females sniffed their partners less often than low dose females and high dose males. For the total frequency of interactive behaviors, we found an effect of dose (p<0.001), a two-way interaction of dose and generation (p<0.001), and a three-way interaction of dose, sex, and generation (p<0.01, Fig 3A). Mice in the highest dose group were more interactive, particularly the F3 high dose males. Additionally, there were effects of sex (p<0.001) and generation (p<0.05) whereby males were more interactive than females, and F1 mice were less interactive than F3 mice. The statistical significance for total interactive behaviors is the same for the inverse measure, total independent behaviors (Fig 3B).

Fig 3. Comparison of total interactive and independent behaviors between generations.

Mean ± SEM proportion of time spent engaging in A) all interactive behaviors (side-by-side sitting, social grooming, sniffing, following, approaching, crawling, and circling the partner). B) All independent behaviors (exploring the cage, self-grooming alone, sitting alone, and jumping). White bars represent data from control groups, light grey bars show data from the low dose lineage (5 μg/kg), and black bars represent data from the highest dose lineage (400 μg/kg). ^Significantly different from other generation, same group(s), p<0.05. ***Significantly different from all other groups (sexes and generations), p<0.05. M = Male, F = Female

For independent behaviors, sitting alone was affected by generation (p<0.001): F1 mice sat alone significantly more often than F3 mice. Specifically, an interaction between generation and dose showed that control and low dose F1 mice sat alone more than mice in any other group (p<0.001, S1 Table). The data also revealed an effect of dose for exploring where high dose mice explored the cage less than control and low dose groups (p<0.01). An interaction between dose and generation (p<0.001, S1 Table) for exploring was caused by the high dose F3 mice, which explored less than any other groups. Additional statistics for social grooming, crawling, approach, circling, self-grooming alone, and jumping are listed in S2 Table.

Sex differences in elevated plus maze behavior.

We found a sex difference on the EPM in juvenile mice. F1 juvenile males spent more time in the closed arms than females, resulting in an effect of sex (p<0.05). DEHP dose affected the amount of time spent in the closed arms (p<0.05) where low and medium dose groups spent more time in the closed arms than controls (Fig 4A). There was a trend for an effect of sex in the number of crosses through the center of the maze, an indirect measure of activity (p = 0.06), where females tended to be more active than males on the maze. There were no effects of DEHP dose, nor was there an interaction of sex and dose on crosses through the center (p>0.05, Fig 4B). There were no significant effects of DEHP on time spent in the open arms or in the center portion of the maze (p>0.05, S1 Table). In F3 mice, we also observed that males spent more time in the closed arms than females (p<0.05, Fig 4C). There was no significant dose effect, nor was there an interaction between dose and sex (p>0.05). Center crosses in F3 mice were not affected by sex, dose, nor was an interaction present (p>0.05; Fig 4D). DEHP lineage did not affect time spent in the open arms or center of the maze in the F3 generation (p>0.05, S1 Table).

Fig 4. Elevated Plus Maze Behavior.

Mean ± SEM for each group A) Time (sec) spent in the closed arm of the elevated plus maze (EPM) in F1 mice. B) Total number of crosses through the center of the EPM in F1 mice. C) Time (in seconds) spent in the closed arm of the EPM in F3 mice. D) Total number of crosses into the center of the EPM in F3 mice. White bars represent data from control mice, light grey bars show data from the lowest dose (5 μg/kg), dark grey bars show data from the medium dose (40 μg/kg), and black bars represent data from the highest dose (400 μg/kg). **Doses significantly different from controls, p<0.05. #Significantly different from other sex, p<0.05. Numbers of F1 mice per group: Control male N = 8, Control female N = 9, 5 μg/kg Male N = 8, 5 μg/kg Female N = 11, 40 μg/kg Male N = 5, 40 μg/kg Female N = 9, 400 μg/kg Male N = 5, 400 μg/kg Female N = 4. Numbers of F3 mice per group: Control male N = 7, Control female N = 7, 5 μg/kg Lineage Male N = 13, 5 μg/kg Lineage Female N = 9, 400 μg/kg Lineage Male N = 8, 400 μg/kg Lineage Female N = 12.

A between-generation comparison of the doses common to all groups yielded similar statistical results. Males spent more time in the closed arms than females (p<0.01; Fig 4A and 4C). There was no effect of generation or dose (p>0.05) for closed time. Sex and generation both affected the number of crosses through the center of the maze (p<0.05, S1 Table). Overall, females crossed through the center of the maze more than males (p<0.05) and F3 mice made more crosses through the center than F1 mice (p<0.05, Fig 4B and 4D). Across F1 and F3 generations, females spent more time in the center of the maze than males (p<0.01), but there was no significant sex difference in time spent in the open arms (p>0.05). Likewise, there were no effects of dose or generation for either measure (p>0.05, S1 Table).


Here we report that neonatal exposure to DEHP has dose-, sex-, and generation-dependent effects on social behavior, anxiety-like behavior, and AGI in mice. While some of the measures we examined have been reported on previously, here, we used very low doses, on the order of 500-fold lower than used in other animal studies [12, 34, 35]. Daily oral DEHP exposure to pregnant females resulted in serum metabolite levels within the range of human exposure. Serum MEHP levels in embryos from the highest dose averaged 96.7 ± 36.9 ng/mL, much lower than levels in human cord blood serum which at birth average 0.52 ± 0.61 μg/mL [41]. We found no significant effect of DEHP exposure on maternal behavior in the F1 or F3 generations, indicating that the transgenerational effects of DEHP are likely not socially transmitted via differences in maternal care of offspring. However, we recognize that maternal behavior was only measured during the first week, and that future studies could evaluate this effect throughout the entire lactation period.

Our social behavior results are consistent with epidemiological studies in human populations indicating significant impacts of early life exposure to phthalates on neurobehavioral outcomes [2026]. Several of the individual behavioral measures we observed were modified by gestational and lactational exposure to DEHP, and some behavioral differences persisted to the F3 generation. F1 generation mice exposed to the two highest doses (40 and 400 μg/kg) displayed less frequent side-by-side sitting and sitting alone than control animals. High dose animals also explored the cage more than controls, which could indicate a difference in overall activity. However, our indirect activity data from the EPM do not support this interpretation. Additionally, we noted an inverted “U”-shaped response for males in the frequency of sniffing their partners, which is suggestive of a non-monotonic dose response.

The only existing data comparable to ours are from research conducted in ICR mice that received doses of DEHP given by gavage during puberty (P28-P42). In this study, males exposed to 50 mg/kg DEHP engaged in more “social play” and spent more time in social investigation time than controls [35]. Females in the same study exposed to several doses of DEHP (1, 10, 50 or 200 mg/kg) displayed less investigation than controls [33, 35]. In contrast, in this study social sniffing frequency was increased by the medium dose (40 ug/kg, a greater than 1000-fold lower dose) in both sexes. It is difficult to directly compare the results of these studies as the age of subjects, time of exposure, doses, route of administration, and mouse strain are different. Exposure to DEHP during puberty cannot affect early neurodevelopmental processes occurring during the critical period of gestation, but it may affect the maturation of reproductive system and levels of circulating sex steroids, which could alter social behaviors [42]. Additionally, there are documented strain-dependent differences in social interaction behaviors as well as sensitivity to EDCs, including DEHP [4345]. Despite these differences, both studies demonstrate significant effects of DEHP exposure during critical periods on social behaviors in mice.

We found transgenerational effects of DEHP on several specific behaviors; side-by-side sitting, sitting alone, and exploring. The mice in the high dose lineage group were primarily responsible for these effects. High dose lineage mice of both sexes sat alone more frequently and explored less during the test compared to controls, whereas side-by-side sitting was increased in high dose lineage males only. When all measurements for interactive and independent behaviors were combined, we found a transgenerational enhancement in social interactions and a reduction in independent behaviors in the high dose lineage males. The only other study on transgenerational behaviors in DEHP lineages is from our group [36]. In that study, a higher (150 mg/kg) dose was given by gavage to F0 dams and the exposure was restricted to gestational days 7–14. Juvenile F3 DEHP lineage males displayed more digging and less self-grooming than controls in a similar social interaction test.

Perhaps the most interesting aspect of our data is the shift in behavioral patterns between F1 and F3 offspring. In general, in the highest dose group, F1 mice were less interactive and more independent while F3 mice had the reversed pattern. It is not unusual for transgenerational effects of EDCs to be enhanced or even reversed over the generations [4648]. For example, in our studies on the transgenerational actions of bisphenol A (BPA) we noted a behavioral shift between generations exposed to BPA versus control diets in social interactions, using a similar behavioral testing paradigm [48]. Like F1 DEHP mice, in F1 juveniles exposed to BPA during gestation we note fewer interactive and more independent behaviors than controls. However, over the generations we found a shift. In the F2 and F4 generations, the BPA lineage mice were more interactive and less independent than controls. We have since reported a transgenerational effect of BPA on social recognition. Juvenile mice exposed during gestation to BPA exhibit delayed habituation to the familiar stimulus animal in a social recognition task. F3 offspring show this same delay, but in addition, they failed to recognize the novel stimulus animal in the last trial. Additionally, F3 BPA lineage mice were more active in the open field test than controls, but there were no significant effects on activity in the F1 generation [49]. Unlike the BPA data set, transgenerational actions of DEHP were largely restricted to males. These data illustrate that EDC actions on the developing brain (in F1) versus long-term effects on germ cells (F3 and beyond) can result in different behavioral phenotypes.

Transgenerational effects of low doses of EDCs are mainly attributed to epigenetic changes, presumably at the level of the germ cell. Exposure to DEHP in utero produced increased global DNA methylation and increased expression of DNA methyltransferases (DNMTs) in fetal testes [50]. In a different study DEHP exposure during gestation increased DNMT expression in adult testes of F1 and F2 rat offspring [51]. Additionally, gestational exposure to 40 μg/kg DEHP (our medium dose) in mice resulted in heritable changes in DNA methylation of imprinted genes in primordial germ cells [52]. Prenatal phthalate exposure is also associated with altered DNA methylation patterns in human placenta [5355] and cord blood samples [56]. Studies of other EDCs have characterized multigenerational and transgenerational mechanisms [5761], but in general more research on different aspects of epigenetic regulation (i.e. miRNA, histone modifications, long non-coding RNAs, etc.) is necessary to determine how changes in behavior are inherited over generations.

DEHP has documented anti-androgenic actions. In humans, maternal phthalate metabolites in the first trimester of pregnancy are negatively correlated with AGD in infant boys [17, 19] and with human chorionic gonadotropins, which in turn correlated with shorter AGD in boys and longer AGD in girls [62]. In this study, we observed effects on AGI in both sexes. Based on dose-response studies conducted in rats and mice [14, 16], we hypothesized that we would observe a non-monotonic dose-response for AGI: the higher doses (40 and 400 μg/kg) would exert anti-androgenic actions whereas the lower dose (5 μg/kg) would have an androgenic effect. However, both low and high doses of DEHP had an anti-androgenic effect in F1 generation males and females. The AGIs in low dose males and high dose females were significantly shorter than in the same-sex controls. These findings suggest sex differences in the sensitivity of the developing anogenital region to DEHP in utero. In a similar study in CD-1 mice, AGI was increased in male fetuses exposed to 5 μg/kg DEHP from gestational days 9–18, while a larger dose had no effect [14]. Several differences in experimental design may explain the discrepancy between this result and ours. In addition to using a different strain of mouse and a shorter exposure window, only male fetuses adjacent to one other male fetus (1M) in the uterus were measured, whereas we could not account for variability due to intrauterine position. For females of the F3 generation, ancestral exposure to low doses of DEHP was associated with increased AGI and decreased body weight compared with control females. It is unclear whether the dose effect on AGI in low dose F3 females is a secondary effect of decreased body weight or a genuine effect of dose lineage on reproductive development. In a previous study, higher doses of DEHP (150 or 200 mg/kg) were given during a more limited exposure period (gestational days 7–14). Transgenerationally, F3 males from the 150 mg/kg lineage had significantly larger AGI and F3 200 mg/kg lineage males had increased body weights, whereas neither measure was significantly affected by DEHP lineage in F3 females [36].

Lastly, we recorded an increase in anxiety-like behavior in both sexes of the low and medium doses specifically in the F1 generation. This is the first example of DEHP affecting anxiety-like behavior at doses this low. To date, there are several reports of increased anxiety-like behavior in mice directly exposed to higher doses of DEHP (10–540 mg/kg) [12, 34, 63, 64]. The mechanism underlying the enhanced anxiety-like behavior is not clear. One way DEHP may influence anxiety-like behavior is by disturbing the hypothalamic-pituitary-adrenal (HPA) axis. MEHP regulates glucocorticoid metabolism by inhibiting 11 beta-hydroxysteroid dehydrogenase type 2 (11β-HSD2), the enzyme responsible for inactivating the stress hormone corticosterone [65, 66]. 11β-HSD2 is highly expressed in the placenta and embryonic brain and serves as a barrier to protect developing tissues from excess maternal corticosterone [67]. Rats exposed to high levels of corticosterone during gestation and early life spend more time in the closed arms of the elevated plus maze as adults [68]. Dexamethasone, a synthetic glucocorticoid, amplifies the effect of prenatal phthalate exposure on reproductive outcomes (decreased testosterone production, shortened AGD, etc.) in mice [69]. Similarly, maternal stress levels and DEHP exposure during pregnancy can interact in complex ways to affect AGD in human male infants [70, 71]. These data support the hypothesis that excess gestational corticosterone may potentiate the effects of DEHP on anxiety-like behavior in the elevated plus maze. We have previously reported that ancestral exposure to a high dose of DEHP (150 mg/kg/day) is associated with decreased serum corticosterone at baseline and following restraint stress in DEHP lineage females as compared with controls, despite observing no significant anxiety-like phenotype on the elevated plus maze [36].

Some of these changes in behavior may be explained by the impact of DEHP and its metabolites on neurodevelopment, of which there are several examples. Dopaminergic neuron numbers and tyrosine hydroxylase (TH) immunoreactivity in the midbrain is decreased in 6-week-old mice following 1 mg/kg daily gestational and neonatal administration of DEHP [72]. Furthermore, pubertal exposure to DEHP at doses ranging from 1–200 mg/kg decreased dopamine receptor D2 protein in the striatum of adult female mice, accompanied by significant alterations of social and anxiety-like behavior [33]. Additionally, mouse neurons co-cultured with astrocytes have increased oxidative stress markers and increased gliosis following exposure to biologically relevant DEHP levels [73]. DEHP affects the brain in widespread ways that may have extensive effects on neurodevelopment and behavior, but the mechanisms for effects must be more thoroughly explored.


This dose-response response study identified transgenerational effects of perinatal DEHP exposure on social behaviors in juvenile mice. We also showed increased anxiety-like behavior and decreased AGI in mice directly exposed to DEHP. This is the first study to report effects of DEHP exposure on social behavior in F1 and F3 generations at doses this low. Now that behavioral changes in each dose, sex, and generation have been identified, future studies will focus more directly on mRNA and protein changes in the brain in response to specific doses within this exposure model. This will provide insight into the impact of DEHP on humans, especially during critical periods of development.

Supporting information

S1 Table. Supplemental F Statistics.

F statistics, degrees of freedom, and symbolic representations of p values for each factor analyzed in the results section. * p<0.05; ** p<0.01; *** p<0.001; ^ p = 0.06


S2 Table. Statistical values for additional social behavior measures.

F statistics, degrees of freedom, and p values for each effect for the analyses of F1, F3, and F1 vs. F3 for social grooming, crawl, approach, circling, self-grooming alone, and jumping.



We thank Aileen Ryalls for her technical assistance.

Author Contributions

  1. Conceptualization: EFR EPH KMQ.
  2. Formal analysis: EFR EPH KMQ.
  3. Funding acquisition: SSS EFR.
  4. Investigation: EPH KMQ RWS.
  5. Methodology: EFR EPH KMQ.
  6. Project administration: EFR.
  7. Resources: SSS EFR.
  8. Supervision: EFR.
  9. Visualization: EPH KMQ.
  10. Writing – original draft: EPH KMQ.
  11. Writing – review & editing: EFR EPH KMQ SSS RWS.


  1. 1. Latini G, Verrotti A, De Felice C. DI-2-ethylhexyl phthalate and endocrine disruption: a review. Curr Drug Targets Immune Endocr Metabol Disord. 2004;4(1):37–40. Epub 2004/03/23. pmid:15032624
  2. 2. Halden RU. Plastics and health risks. Annu Rev Public Health. 2010;31:179–94. Epub 2010/01/15. pmid:20070188
  3. 3. McKee RH, Butala JH, David RM, Gans G. NTP center for the evaluation of risks to human reproduction reports on phthalates: addressing the data gaps. Reprod Toxicol. 2004;18(1):1–22. Epub 2004/03/12. pmid:15013060
  4. 4. Zota AR, Calafat AM, Woodruff TJ. Temporal trends in phthalate exposures: findings from the National Health and Nutrition Examination Survey, 2001–2010. Environ Health Perspect. 2014;122(3):235–41. PubMed Central PMCID: PMCPMC3948032. pmid:24425099
  5. 5. Singh AR, Lawrence WH, Autian J. Maternal-fetal transfer of 14C-di-2-ethylhexyl phthalate and 14C-diethyl phthalate in rats. J Pharm Sci. 1975;64(8):1347–50. Epub 1975/08/01. pmid:1151708
  6. 6. Hopf NB, Berthet A, Vernez D, Langard E, Spring P, Gaudin R. Skin permeation and metabolism of di(2-ethylhexyl) phthalate (DEHP). Toxicol Lett. 2014;224(1):47–53. Epub 2013/10/22. pmid:24140552
  7. 7. Kim S, Lee J, Park J, Kim HJ, Cho G, Kim GH, et al. Concentrations of phthalate metabolites in breast milk in Korea: Estimating exposure to phthalates and potential risks among breast-fed infants. The Science of the total environment. 2015;508:13–9. pmid:25437948
  8. 8. Crinnion WJ. The CDC fourth national report on human exposure to environmental chemicals: what it tells us about our toxic burden and how it assist environmental medicine physicians. Altern Med Rev. 2010;15(2):101–9. Epub 2010/09/03. pmid:20806995
  9. 9. Katsikantami I, Sifakis S, Tzatzarakis MN, Vakonaki E, Kalantzi OI, Tsatsakis AM, et al. A global assessment of phthalates burden and related links to health effects. Environ Int. 2016;97:212–36. pmid:27669632
  10. 10. Martinez-Arguelles DB, Campioli E, Culty M, Zirkin BR, Papadopoulos V. Fetal origin of endocrine dysfunction in the adult: the phthalate model. J Steroid Biochem Mol Biol. 2013;137:5–17. pmid:23333934
  11. 11. Araki A, Mitsui T, Miyashita C, Nakajima T, Naito H, Ito S, et al. Association between maternal exposure to di(2-ethylhexyl) phthalate and reproductive hormone levels in fetal blood: the Hokkaido study on environment and children's health. PloS one. 2014;9(10):e109039. PubMed Central PMCID: PMC4189794. pmid:25296284
  12. 12. Carbone S, Ponzo OJ, Gobetto N, Samaniego YA, Reynoso R, Scacchi P, et al. Antiandrogenic effect of perinatal exposure to the endocrine disruptor di-(2-ethylhexyl) phthalate increases anxiety-like behavior in male rats during sexual maturation. Horm Behav. 2013;63(5):692–9. Epub 2013/02/13. pmid:23399322
  13. 13. Martinez-Arguelles DB, Papadopoulos V. Prenatal phthalate exposure: epigenetic changes leading to lifelong impact on steroid formation. Andrology. 2016.
  14. 14. Do RP, Stahlhut RW, Ponzi D, Vom Saal FS, Taylor JA. Non-monotonic dose effects of in utero exposure to di(2-ethylhexyl) phthalate (DEHP) on testicular and serum testosterone and anogenital distance in male mouse fetuses. Reprod Toxicol. 2012;34(4):614–21. Epub 2012/10/09. PubMed Central PMCID: PMC3543148. pmid:23041310
  15. 15. Moore RW, Rudy TA, Lin TM, Ko K, Peterson RE. Abnormalities of sexual development in male rats with in utero and lactational exposure to the antiandrogenic plasticizer Di(2-ethylhexyl) phthalate. Environ Health Perspect. 2001;109(3):229–37. Epub 2001/05/03. PubMed Central PMCID: PMC1240240. pmid:11333183
  16. 16. Andrade AJ, Grande SW, Talsness CE, Grote K, Chahoud I. A dose-response study following in utero and lactational exposure to di-(2-ethylhexyl)-phthalate (DEHP): non-monotonic dose-response and low dose effects on rat brain aromatase activity. Toxicology. 2006;227(3):185–92. Epub 2006/09/05. pmid:16949715
  17. 17. Bornehag CG, Carlstedt F, Jonsson BA, Lindh CH, Jensen TK, Bodin A, et al. Prenatal phthalate exposures and anogenital distance in Swedish boys. Environ Health Perspect. 2015;123(1):101–7. PubMed Central PMCID: PMC4286276. pmid:25353625
  18. 18. Swan SH, Main KM, Liu F, Stewart SL, Kruse RL, Calafat AM, et al. Decrease in anogenital distance among male infants with prenatal phthalate exposure. Environ Health Perspect. 2005;113(8):1056–61. Epub 2005/08/05. PubMed Central PMCID: PMC1280349. pmid:16079079
  19. 19. Swan SH, Sathyanarayana S, Barrett ES, Janssen S, Liu F, Nguyen RH, et al. First trimester phthalate exposure and anogenital distance in newborns. Hum Reprod. 2015;30(4):963–72. PubMed Central PMCID: PMCPMC4359397. pmid:25697839
  20. 20. Ejaredar M, Nyanza EC, Ten Eycke K, Dewey D. Phthalate exposure and childrens neurodevelopment: A systematic review. Environ Res. 2015;142:51–60. pmid:26101203
  21. 21. Kobrosly RW, Evans S, Miodovnik A, Barrett ES, Thurston SW, Calafat AM, et al. Prenatal phthalate exposures and neurobehavioral development scores in boys and girls at 6–10 years of age. Environ Health Perspect. 2014;122(5):521–8. PubMed Central PMCID: PMCPMC4014764. pmid:24577876
  22. 22. Lien YJ, Ku HY, Su PH, Chen SJ, Chen HY, Liao PC, et al. Prenatal exposure to phthalate esters and behavioral syndromes in children at 8 years of age: Taiwan Maternal and Infant Cohort Study. Environ Health Perspect. 2015;123(1):95–100. PubMed Central PMCID: PMC4286269. pmid:25280125
  23. 23. Miodovnik A, Edwards A, Bellinger DC, Hauser R. Developmental neurotoxicity of ortho-phthalate diesters: review of human and experimental evidence. Neurotoxicology. 2014;41:112–22. pmid:24486776
  24. 24. Tellez-Rojo MM, Cantoral A, Cantonwine DE, Schnaas L, Peterson K, Hu H, et al. Prenatal urinary phthalate metabolites levels and neurodevelopment in children at two and three years of age. The Science of the total environment. 2013;461–462:386–90. PubMed Central PMCID: PMC3735862. pmid:23747553
  25. 25. Yolton K, Xu Y, Strauss D, Altaye M, Calafat AM, Khoury J. Prenatal exposure to bisphenol A and phthalates and infant neurobehavior. Neurotoxicol Teratol. 2011;33(5):558–66. PubMed Central PMCID: PMCPMC3183357. pmid:21854843
  26. 26. Engel SM, Miodovnik A, Canfield RL, Zhu C, Silva MJ, Calafat AM, et al. Prenatal phthalate exposure is associated with childhood behavior and executive functioning. Environ Health Perspect. 2010;118(4):565–71. PubMed Central PMCID: PMCPMC2854736. pmid:20106747
  27. 27. Swan SH, Liu F, Hines M, Kruse RL, Wang C, Redmon JB, et al. Prenatal phthalate exposure and reduced masculine play in boys. Int J Androl. 2010;33(2):259–69. Epub 2009/11/19. PubMed Central PMCID: PMC2874619. pmid:19919614
  28. 28. Park S, Lee JM, Kim JW, Cheong JH, Yun HJ, Hong YC, et al. Association between phthalates and externalizing behaviors and cortical thickness in children with attention deficit hyperactivity disorder. Psychological medicine. 2015;45(8):1601–12. pmid:25388623
  29. 29. Jeddi MZ, Janani L, Memari AH, Akhondzadeh S, Yunesian M. The role of phthalate esters in autism development: A systematic review. Environ Res. 2016;151:493–504. pmid:27567353
  30. 30. Testa C, Nuti F, Hayek J, De Felice C, Chelli M, Rovero P, et al. Di-(2-ethylhexyl) phthalate and autism spectrum disorders. ASN Neuro. 2012;4(4):223–9. Epub 2012/04/28. PubMed Central PMCID: PMC3363982. pmid:22537663
  31. 31. Kardas F, Bayram AK, Demirci E, Akin L, Ozmen S, Kendirci M, et al. Increased Serum Phthalates (MEHP, DEHP) and Bisphenol A Concentrations in Children With Autism Spectrum Disorder: The Role of Endocrine Disruptors in Autism Etiopathogenesis. Journal of child neurology. 2016;31(5):629–35. pmid:26450281
  32. 32. Stein TP, Schluter MD, Steer RA, Ming X. Autism and phthalate metabolite glucuronidation. J Autism Dev Disord. 2013;43(11):2677–85. PubMed Central PMCID: PMCPMC3797149. pmid:23575644
  33. 33. Wang R, Xu X, Zhu Q. Pubertal exposure to di-(2-ethylhexyl) phthalate influences social behavior and dopamine receptor D2 of adult female mice. Chemosphere. 2016;144:1771–9. pmid:26524146
  34. 34. Xu X, Yang Y, Wang R, Wang Y, Ruan Q, Lu Y. Perinatal exposure to di-(2-ethylhexyl) phthalate affects anxiety- and depression-like behaviors in mice. Chemosphere. 2015;124:22–31. pmid:25441928
  35. 35. Wang R, Xu X, Weng H, Yan S, Sun Y. Effects of early pubertal exposure to di-(2-ethylhexyl) phthalate on social behavior of mice. Horm Behav. 2016;80:117–24. pmid:26844866
  36. 36. Quinnies KM, Doyle TJ, Kim KH, Rissman EF. Transgenerational Effects of Di-(2-Ethylhexyl) Phthalate (DEHP) on Stress Hormones and Behavior. Endocrinology. 2015;156(9):3077–83. PubMed Central PMCID: PMC4541619. pmid:26168342
  37. 37. Koch HM, Preuss R, Angerer J. Di(2-ethylhexyl)phthalate (DEHP): human metabolism and internal exposure—an update and latest results. Int J Androl. 2006;29(1):155–65; discussion 81–5. pmid:16466535
  38. 38. Chang YJ, Lin KL, Chang YZ. Determination of Di-(2-ethylhexyl)phthalate (DEHP) metabolites in human hair using liquid chromatography-tandem mass spectrometry. Clin Chim Acta. 2013;420:155–9. pmid:23078849
  39. 39. Chourbaji S, Hoyer C, Richter SH, Brandwein C, Pfeiffer N, Vogt MA, et al. Differences in mouse maternal care behavior—is there a genetic impact of the glucocorticoid receptor? PloS one. 2011;6(4):e19218. Epub 2011/05/10. PubMed Central PMCID: PMC3084270. pmid:21552522
  40. 40. Dobrzynska MM. Phthalates—widespread occurrence and the effect on male gametes. Part 1. General characteristics, sources and human exposure. Rocz Panstw Zakl Hig. 2016;67(2):97–103. pmid:27289504
  41. 41. Latini G, De Felice C, Presta G, Del Vecchio A, Paris I, Ruggieri F, et al. In utero exposure to di-(2-ethylhexyl)phthalate and duration of human pregnancy. Environ Health Perspect. 2003;111(14):1783–5. PubMed Central PMCID: PMCPMC1241724. pmid:14594632
  42. 42. Liu PY, Erkkila K, Lue Y, Jentsch JD, Schwarcz MD, Abuyounes D, et al. Genetic, hormonal, and metabolomic influences on social behavior and sex preference of XXY mice. Am J Physiol Endocrinol Metab. 2010;299(3):E446–55. PubMed Central PMCID: PMCPMC2944286. pmid:20570823
  43. 43. Bolivar VJ, Walters SR, Phoenix JL. Assessing autism-like behavior in mice: variations in social interactions among inbred strains. Behav Brain Res. 2007;176(1):21–6. PubMed Central PMCID: PMCPMC1831820. pmid:17097158
  44. 44. Stokes WS. Selecting appropriate animal models and experimental designs for endocrine disruptor research and testing studies. ILAR J. 2004;45(4):387–93. pmid:15454677
  45. 45. Prados J, Stenz L, Somm E, Stouder C, Dayer A, Paoloni-Giacobino A. Prenatal Exposure to DEHP Affects Spermatogenesis and Sperm DNA Methylation in a Strain-Dependent Manner. PloS one. 2015;10(7):e0132136. PubMed Central PMCID: PMCPMC4526524. pmid:26244509
  46. 46. Kubo K, Arai O, Omura M, Watanabe R, Ogata R, Aou S. Low dose effects of bisphenol A on sexual differentiation of the brain and behavior in rats. Neuroscience research. 2003;45(3):345–56. pmid:12631470
  47. 47. Gioiosa L, Fissore E, Ghirardelli G, Parmigiani S, Palanza P. Developmental exposure to low-dose estrogenic endocrine disruptors alters sex differences in exploration and emotional responses in mice. Horm Behav. 2007;52(3):307–16. Epub 2007/06/15. pmid:17568585
  48. 48. Wolstenholme JT, Edwards M, Shetty SR, Gatewood JD, Taylor JA, Rissman EF, et al. Gestational exposure to bisphenol a produces transgenerational changes in behaviors and gene expression. Endocrinology. 2012;153(8):3828–38. Epub 2012/06/19. PubMed Central PMCID: PMC3404345. pmid:22707478
  49. 49. Wolstenholme JT, Goldsby JA, Rissman EF. Transgenerational effects of prenatal bisphenol A on social recognition. Horm Behav. 2013;64(5):833–9. PubMed Central PMCID: PMC3955720. pmid:24100195
  50. 50. Wu S, Zhu J, Li Y, Lin T, Gan L, Yuan X, et al. Dynamic epigenetic changes involved in testicular toxicity induced by di-2-(ethylhexyl) phthalate in mice. Basic Clin Pharmacol Toxicol. 2010;106(2):118–23. Epub 2009/11/17. pmid:19912166
  51. 51. Chen J, Wu S, Wen S, Shen L, Peng J, Yan C, et al. The Mechanism of Environmental Endocrine Disruptors (DEHP) Induces Epigenetic Transgenerational Inheritance of Cryptorchidism. PloS one. 2015;10(6):e0126403. PubMed Central PMCID: PMCPMC4452760. pmid:26035430
  52. 52. Li L, Zhang T, Qin XS, Ge W, Ma HG, Sun LL, et al. Exposure to diethylhexyl phthalate (DEHP) results in a heritable modification of imprint genes DNA methylation in mouse oocytes. Mol Biol Rep. 2014;41(3):1227–35. pmid:24390239
  53. 53. Zhao Y, Chen J, Wang X, Song Q, Xu HH, Zhang YH. Third trimester phthalate exposure is associated with DNA methylation of growth-related genes in human placenta. Sci Rep. 2016;6:33449. PubMed Central PMCID: PMCPMC5031987. pmid:27653773
  54. 54. LaRocca J, Binder AM, McElrath TF, Michels KB. The impact of first trimester phthalate and phenol exposure on IGF2/H19 genomic imprinting and birth outcomes. Environ Res. 2014;133:396–406. PubMed Central PMCID: PMCPMC4155603. pmid:24972507
  55. 55. Zhao Y, Shi HJ, Xie CM, Chen J, Laue H, Zhang YH. Prenatal phthalate exposure, infant growth, and global DNA methylation of human placenta. Environ Mol Mutagen. 2015;56(3):286–92. pmid:25327576
  56. 56. Huen K, Calafat AM, Bradman A, Yousefi P, Eskenazi B, Holland N. Maternal phthalate exposure during pregnancy is associated with DNA methylation of LINE-1 and Alu repetitive elements in Mexican-American children. Environ Res. 2016;148:55–62. PubMed Central PMCID: PMCPMC4874877. pmid:27019040
  57. 57. Anway MD, Skinner MK. Epigenetic transgenerational actions of endocrine disruptors. Endocrinology. 2006;147(6 Suppl):S43–9. Epub 2006/05/13. pmid:16690803
  58. 58. Skinner MK, Manikkam M, Guerrero-Bosagna C. Epigenetic transgenerational actions of endocrine disruptors. Reprod Toxicol. 2011;31(3):337–43. Epub 2010/11/09. PubMed Central PMCID: PMC3068236. pmid:21055462
  59. 59. Singh S, Li SS. Epigenetic effects of environmental chemicals bisphenol a and phthalates. Int J Mol Sci. 2012;13(8):10143–53. Epub 2012/09/06. PubMed Central PMCID: PMC3431850. pmid:22949852
  60. 60. Wolstenholme JT, Rissman EF, Connelly JJ. The role of Bisphenol A in shaping the brain, epigenome and behavior. Horm Behav. 2011;59(3):296–305. PubMed Central PMCID: PMC3725332. pmid:21029734
  61. 61. Manikkam M, Tracey R, Guerrero-Bosagna C, Skinner MK. Plastics derived endocrine disruptors (BPA, DEHP and DBP) induce epigenetic transgenerational inheritance of obesity, reproductive disease and sperm epimutations. PloS one. 2013;8(1):e55387. PubMed Central PMCID: PMCPMC3554682. pmid:23359474
  62. 62. Adibi JJ, Lee MK, Naimi AI, Barrett E, Nguyen RH, Sathyanarayana S, et al. Human Chorionic Gonadotropin Partially Mediates Phthalate Association With Male and Female Anogenital Distance. The Journal of clinical endocrinology and metabolism. 2015;100(9):E1216–24. PubMed Central PMCID: PMC4570159. pmid:26200238
  63. 63. Park S, Cheong JH, Cho SC, Kim JW, Shin MS, Yoo HJ, et al. Di-(2-ethylhexyl) phthalate exposure is negatively correlated with trait anxiety in girls but not with trait anxiety in boys or anxiety-like behavior in male mice. Journal of child neurology. 2015;30(1):48–52. pmid:24762863
  64. 64. Wang DC, Chen TJ, Lin ML, Jhong YC, Chen SC. Exercise prevents the increased anxiety-like behavior in lactational di-(2-ethylhexyl) phthalate-exposed female rats in late adolescence by improving the regulation of hypothalamus-pituitary-adrenal axis. Horm Behav. 2014;66(4):674–84. pmid:25251977
  65. 65. Hong D, Li XW, Lian QQ, Lamba P, Bernard DJ, Hardy DO, et al. Mono-(2-ethylhexyl) phthalate (MEHP) regulates glucocorticoid metabolism through 11beta-hydroxysteroid dehydrogenase 2 in murine gonadotrope cells. Biochem Biophys Res Commun. 2009;389(2):305–9. Epub 2009/09/02. pmid:19720048
  66. 66. Zhao B, Chu Y, Huang Y, Hardy DO, Lin S, Ge RS. Structure-dependent inhibition of human and rat 11beta-hydroxysteroid dehydrogenase 2 activities by phthalates. Chemico-biological interactions. 2010;183(1):79–84. pmid:19786001
  67. 67. Cottrell EC, Seckl JR, Holmes MC, Wyrwoll CS. Foetal and placental 11beta-HSD2: a hub for developmental programming. Acta Physiol (Oxf). 2014;210(2):288–95.
  68. 68. Brummelte S, Lieblich SE, Galea LA. Gestational and postpartum corticosterone exposure to the dam affects behavioral and endocrine outcome of the offspring in a sexually-dimorphic manner. Neuropharmacology. 2012;62(1):406–18. pmid:21867716
  69. 69. Drake AJ, van den Driesche S, Scott HM, Hutchison GR, Seckl JR, Sharpe RM. Glucocorticoids amplify dibutyl phthalate-induced disruption of testosterone production and male reproductive development. Endocrinology. 2009;150(11):5055–64. pmid:19819957
  70. 70. Barrett ES, Swan SH. Stress and Androgen Activity During Fetal Development. Endocrinology. 2015;156(10):3435–41. PubMed Central PMCID: PMCPMC4588834. pmid:26241065
  71. 71. Barrett ES, Parlett LE, Sathyanarayana S, Redmon JB, Nguyen RH, Swan SH. Prenatal Stress as a Modifier of Associations between Phthalate Exposure and Reproductive Development: results from a Multicentre Pregnancy Cohort Study. Paediatr Perinat Epidemiol. 2016;30(2):105–14. PubMed Central PMCID: PMCPMC4749428. pmid:26576028
  72. 72. Tanida T, Warita K, Ishihara K, Fukui S, Mitsuhashi T, Sugawara T, et al. Fetal and neonatal exposure to three typical environmental chemicals with different mechanisms of action: mixed exposure to phenol, phthalate, and dioxin cancels the effects of sole exposure on mouse midbrain dopaminergic nuclei. Toxicol Lett. 2009;189(1):40–7. Epub 2009/06/02. pmid:19481886
  73. 73. Wu Y, Li K, Zuo H, Yuan Y, Sun Y, Yang X. Primary neuronal-astrocytic co-culture platform for neurotoxicity assessment of di-(2-ethylhexyl) phthalate. Journal of environmental sciences. 2014;26(5):1145–53.