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Abstract
"Persistent organic pollutants (POPs)" have a plethora of deleterious effects on humans and the environment due to their bioaccumulative, persistent, and mimicking properties. Individually, each of these chemicals has been tested and its effects measured, however they are rather found as parts of complex mixtures of which we do not fully grasp the extent of their potential consequences. Here we studied the effects of realistic, environmentally relevant mixtures of 29 POPs on cartilage and bone development using zebrafish as a model species. We observed developmental issues in cartilage, in the form of diverse malformations such as micrognathia, reduced size of the Meckel’s and other structures. Also, mineralized bone formation was disrupted, hence impacting the overall development of the larvae at later life stages. Assessment of the transcriptome revealed disruption of nuclear receptor pathways, such as androgen, vitamin D, and retinoic acid, that may explain the mechanisms of action of the compounds within the tested mixtures. In addition, clustering of the compounds using their chemical signatures revealed structural similarities with the model chemicals vitamin D and retinoic acid that can explain the effects and/or enhancing the phenotypes we witnessed. Further mechanistic studies will be required to fully understand this kind of molecular interactions and their repercussions in organisms. Our results contribute to the already existing catalogue of deleterious effects caused by exposure to POPs and help to understand the potential consequences in at risk populations.
Citation: Guerrero-Limón G, Zappia J, Muller M (2024) A realistic mixture of ubiquitous persistent organic pollutants affects bone and cartilage development in zebrafish by interaction with nuclear receptor signaling. PLoS ONE 19(3): e0298956. https://doi.org/10.1371/journal.pone.0298956
Editor: Hans-Joachim Lehmler, University of Iowa, UNITED STATES
Received: November 7, 2023; Accepted: February 1, 2024; Published: March 28, 2024
Copyright: © 2024 Guerrero-Limón et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: RNA-Seq data are accessible through GEO Series accession number GSE208019 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE208019).
Funding: This research was funded by the European Union’s Horizon 2020 research and innovation program under the Marie Skłodowska-Curie Innovative Training Network (ITN) program PROTECTED [Grant agreement No. 722634]. G.G-L. was a PROTECTED fellow, M.M. is a "Maître de Recherche" at "Fonds National de Recherche Scientifique (FNRS).
Competing interests: The authors have declared that no competing interests exist.
Abbreviations: ACT, Angle between ceratohyals; Br, Brominated compounds; Br+Cl, Dual mixture of brominated and chlorinated compounds; Cl, Chlorinated compounds; DCH, Distance between the frontal end of the ceratohyals and the line connecting the posterior ends of the hyosymplectics; LC, Length of ceratohyals; MPH, Distance covering the entire Meckel’s cartilage, palatoquadrate, and the hyosymplectics; MPQ, Distance between the left and right Meckel’s cartilage/Palatoquadrates; PFAA, Perfluorinated compounds; PFAA+Br, Dual mixture of perfluorinated and brominated compounds; PFAA+Cl, Dual mixture of perfluorinated and chlorinated compounds; POP125×, Total mixture of 29 perfluorinated, brominated, and chlorinated compounds at 125 times the average concentration found in blood
Introduction
Persistent Organic Pollutants (POPs) are toxic chemicals that possess characteristics of special concern, they do not degrade easily, hence persisting in the environment for long periods of time. In addition, they bioaccumulate and are transferred through the food chain, exerting their effects at many different levels within the environment and potentially also in humans. POPs are particularly concerning for countries within the European Union where the ageing population is high and there is a high degree of industrial activity that still relies on the use of POPs for daily life products such as plasticizers, flame retardants in electronic devices, furniture and fire-resistant clothing, and even in our kitchens with the non-stick cookware [1, 2]. Hence, regulations, survey and especially epidemiological studies must be paramount in places where ageing populations are large and increasing [3].
Several studies have found links between exposure to POPs and a plethora of adverse effects [4–10]. Moreover, being widely spread in the environment and some of our food sources (e.g., seafood) [11, 12], POPs are under constant surveillance, however monitoring programs mostly consider each compound individually. A more holistic approach is needed as POPs are rarely found completely alone [13–16]. Investigations of POPs as mixtures present their own set of challenges and their biological and epidemiological implications are complex to understand. Increasingly, researchers in the past couple of years have addressed the problem of POPs as mixtures by investigating their effects using in vitro, in vivo and in silico approaches. Several studies have used constructed mixtures based on levels actually found in the blood of a Scandinavian human population [17]. This particular mixture is made of 29 compounds found at high levels in food, blood, and breast milk. Polychlorinated dibenzodioxins/polychlorinated dibenzofurans (PCDD/PCDF) and dioxin-like polychlorinated biphenyls (PCBs) were thus deliberately excluded. Relative concentrations of the compounds were based on estimated daily intake levels from Scandinavian studies. In addition, several sub-mixtures were designed, containing either chlorinated (Cl), brominated (Br), or perfluorinated compounds (PFAA) to be able to assign specific effects to one of these classes [17]. The total POP mixture was shown to antagonize the androgen receptor transactivation and nuclear translocation [18], inhibit the transactivation activity of the aryl hydrocarbon receptor [19], and to enhance the nerve-growth-factor-induced neurite outgrowth in PC12 cells at high concentration [18–21]. It also induces cytotoxicity and some of the sub-mixtures affect the number of cells, nuclear area and mitochondrial membrane potential in human A-498 kidney cells [21]. Recently, zebrafish larvae exposed to this POP mix at realistic concentrations, or sub-mixtures thereof, presented growth retardation, edemas, retarded swim bladder inflation, and hyperactive swimming behavior [22]. Microphthalmia was also observed as a striking malformation, probably due to impaired function of the condensin I complex involved in chromosome segregation during mitosis.
One of the lesser studied issues in environmental risk assessment is whether POPs can cause deleterious effects on bone and cartilage development. Indeed, their diverse effects on general metabolism (e.g. as endocrine disruptors) carry the risk of affecting skeletal development (scoliosis, craniofacial) as well as pathologies such as osteoporosis or osteoarthritis [23]. Some POPs, such as polychlorinated biphenyls (PCBs), pesticides and dioxins, have been found in connective tissue such as cartilage and bone in several species where its uptake can be traced [23–25]. Some studies suggest a direct deleterious effect on the function of chondrocytes after exposure to POPs [26]. It has been hypothesized that these POPs could cause damage to such tissues by disrupting the balance between cartilage formation and degradation, which could lead to its breakdown and consequently to the development of osteoarthritis [27]. Chondrocyte and osteoblast malfunctions may result from several factors such as gene mutations [28, 29], environmental stress causing shifts of the glycolytic pathway [30], age-related effects, and even sex hormone deficiencies [31].
For our study we have chosen the zebrafish larvae as our testing model. This model organism has received extra attention as attempts have been made to reduce the use of animals for experiments. The zebrafish’s popularity has increased in the past years due to its many advantages, such as a high degree of similarity in the genome relative to humans, the lower operational costs compared to other models, their capacity to produce often and numerous offspring [32]. This species has been used to model diseases, genetic conditions, effects of pollutants, and many more across different disciplines. Furthermore, it is a promising model to test environmental chemicals and craniofacial skeletal development [33–35].
Here we looked at the morphological defects, specifically those observed in bone and cartilage of zebrafish larvae after exposure to an environmentally relevant POP mixture. Furthermore, we analyzed the transcriptome to obtain clues about the mechanisms involved, and through cluster analysis, in an attempt to elucidate the potential binding mechanisms, we also compared the compounds using their structural properties with model (ant)agonists.
Results
POP exposure led to craniofacial alterations and severe disruption of the chondrocranium morphology
Previous experiments have tested the total mixture of 29 POPs on zebrafish larvae [17], where a lethal concentration of LC50 = 386-fold the mean human blood concentration (POP386×) was found [22], while exposure to POP75× or POP125× resulted in more than 95% survival at 4 dpf. On the other hand, POP125× did affect behavior, heart rate, and eye development [22] and can be considered as a realistic scenario in highly exposed populations (e.g. sea food, environmental/natural disaster). Thus, the POP125× mix (S1 Table) was chosen to expose WT zebrafish larvae during the first 4 days for studying the effects on skeletal development.
At 5dpf, the larvae were stained with alcian blue (AB) to reveal the cranial cartilage elements. Morphometric measures were performed on these treated larvae, revealing a significant decrease in the angle between ceratohyals (ACT) and in the distance between the left and right Meckel’s cartilage/palatoquadrates (MPQ) (Fig 1A and 1B). In contrast, longitudinal measures such as the length of the ceratohyals (LC) or the distance between the frontal end of the ceratohyals and the line connecting the posterior ends of the hyosymplectics (DCH) were unchanged (Fig 1C and 1D), while the combined distance covering the entire Meckel’s cartilage, palatoquadrate, and the hyosymplectics (MPH) was significantly decreased (Fig 1E). Thus, globally the length of the head cartilage seems unaffected by POP125× treatment, while the medial region of the skeleton appears to be narrower. This is also illustrated by the inward curving of the palatoquadrate, leading to an extremely narrow angle in its connection to the hyosymplectics (arrow in Fig 1F). This deformity was observed in around 50–60% of the treated animals.
A) Aperture of the angle between ceratohyals (ACT), B) Distance between the left and right Meckel’s cartilages/palatoquadrates (MPQ), C) Length of the Ceratohyal (LC), D) Distance between the frontal end of the ceratohyals and the line connecting the posterior ends of the hyosymplectics (DCH); E) Combined distance covering the entire Meckel’s cartilage, palatoquadrate, and the hyosymplectics (MPH); F) Alcian blue staining of controls (upper pictures) and larvae exposed to POP125× (Bottom pictures), bar represents 1 mm. Kruskal-Wallis with Dunn’s multiple comparison test. p < 0.05 (*), ≤ 0.01 (**), ≤ 0.001 (***), < 0.0001 (****). Asterisks (*) when differences were found compared to Control, pound sign (#) when differences were found compared to PFAA.
To assess which one of the components of the POP mix was responsible for the observed defects, different sub-mixes (PFAA, Br, Cl) at equivalent 125× concentrations were tested, as well as their dual combinations (PFAA+Br, PFAA+Cl, Br+Cl) in independent experiments (Fig 1). A significant decrease in the angle between ceratohyals (ACT) was observed only for PFAA+Br and PFAA+Cl, similar to the distance between Meckel’s cartilage and palatoquadrate (MPQ), with PFAA+Cl being the most effective (p < 0.001). The length from the frontal part of the ceratohyals to the back of the hyosymplectic (DCH) was unaffected by any of the treatments. The length of the ceratohyal (LC) was altered in groups such as PFAA and PFAA+Cl, but not PFAA+Br, while the distance covering hyosymplectic, palatoquadrate and Meckel’s cartilage (MPH) was decreased by all treatments containing PFAA within their formulation. We also evaluated the differences between PFAA alone and the other treatments. Only three observed parameters had significant differences: the width of the angle (ACT) where POP125×, PFAA+Br and PFAA+Cl had smaller values than PFAA, and in both MPH and MPQ where the measured length was larger in Br than PFAA.
To further assess the occurrence of craniofacial deformities, each fish was observed, then assessed, and catalogued. Three categories were established based on the severity of the skull defects. For this analysis, the shape of the different structures composing the head was qualitatively assessed, then assigned to one of the three categories, namely "Unaffected", "Mild", and "Severe" (Fig 2 and S2 Table). In the "Unaffected" category, only Br and Br+Cl revealed no significant differences, while all other treatments resulted in significant decreases compared to control. This translated in a slight, but significant increase in "Mild" phenotypes for the Cl treatment, in contrast to the very significant increases by those formulations where PFAA was present, that is POP125×, PFAA, PFAA+Br, PFAA+Cl. "Severe" phenotypes were only found in the PFAA-containing groups, but only POP125× reached significance due to a high variability. Finally, comparing all exposure groups containing PFAA vs PFAA alone, the POP125× and the PFAA+Cl treatments showed a significantly lower incidence of the "normal" category, while PFAA+Br caused a significant increase in the ‘mild’ category.
(A) Percentage of fish presenting craniofacial defects, (B-D) Examples of phenotypes used to catalogue fish in each category: (B) normal, (C) mild, (D) severe phenotype. The scale bar represents 200 μm.
Mineralized bone formation is compromised following 4-day continuous exposure
To assess the effect of POPs on bone mineralization, we performed alizarin red staining on 10 dpf fixed larvae after treatments, as at this stage most cranial bone elements are already mineralizing [36, 37]. After the different treatments from day 0 to day 4, the larvae were grown until 10dpf before staining them using a traditional staining protocol (euthanize then stain). Unfortunately, no survivors were obtained at this stage from the larvae treated with POP125×, PFAA and PFAA+Cl. The area of the opercle was measured, as it is the most prominent structure at this stage (Fig 3). In surviving individuals treated with PFAA+Br, the area of the opercle was significantly smaller compared to controls and those subjected to other treatments. The mixtures Br+Cl and Br alone did not have any remarkable effect. On the contrary, Cl treated fish had slightly smaller area sizes, but not enough to be considered as significantly different from controls.
(A, B) Live alizarin red stained fluorescent image of a control larva (A) and a larva treated with PFAA+Br (B) (lateral view, anterior to the left). Arrows point at the area of the opercle outlined in the images. The scale bar represents 500 μm. (C) Opercle area measured in control larvae and larvae upon treatment with the indicated mixture (n ≥ 11). Ordinary one-way ANOVA and Dunnett’s multiple comparison test were performed. Significant difference relative to control is indicated: p-value<0.05 (*), p value ≤ 0.005 (**).
Following the assessment of bone mineralization, in a second experiment, the transgenic line Tg(col10a1a:col10a1a-GFP) was used, which contains the coding sequence for the fluorescent protein GFP inserted into the coding region of the endogenous col10a1a gene, thereby causing a fusion protein col10a1a-GFP mRNA to be expressed under the control of the endogenous col10a1a promoter [38]. The expressed fusion protein is secreted from the cells and then binds to mineralized or un-mineralized (total) bone matrix in the living larvae. To detect specifically mineralized bone structures in the same individuals, the larvae were stained live with alizarin red for red fluorescence detection. The green fluorescence revealed a significant decrease in the total bone matrix only upon treatment with Br and PFAA+Br (Fig 4A). Surprisingly, no significant difference was observed in the live staining of mineralized bone between all the treatments, possibly due to the longer manipulation time compared to the direct fixation used above (Fig 4B). The obtained ratio between total and mineralized bone matrix, only PFAA+Br revealed a significant decrease in the opercle area (Fig 4C). Further, this analysis indicates that mainly the PFAA+Br mixture causes a significant decrease in mineralized bone formation, with a major effect on deposition of the unmineralized bone matrix.
(A) Example of an individual control larva illustrating the green fluorescence of the col10a1a-GFP fusion protein (left), the red fluorescence of the live alizarin red staining (middle) and an overlay of both (right). The outline of the fluorescent areas is shown (red, green, and yellow arrows). Lateral view, anterior to the left, the scale bar represents 500 μm; (B) Plot of the opercle area revealed by the green fluorescent col10a1a-GFP fusion protein; (C) Plot of the opercle area stained with alizarin red D) Plot of the ratio between the green fluorescent and red fluorescent opercle area measured in control larvae and larvae upon treatment with the indicated mixture (n ≥ 7). Ordinary one-way ANOVA and Dunnett’s multiple comparison test were performed. Significant difference relative to control is indicated: p value < 0.05 (*).
Modulation of expression of genes related to skeletal development
Differentially expressed genes (DEGs) upon POP75× and POP125× treatment were previously analyzed by whole larvae, whole transcriptome RNA-Seq [22](the data are accessible through GEO Series accession number GSE208019 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE208019)). In light of the defects in skeletal development reported here, the list of DEGs was reanalyzed according to their known expression pattern, as available from zfin-org. Interestingly, this analysis revealed a significant enrichment in down-regulated genes that are expressed in the pharyngeal arch 3–7 skeleton and the splanchnocranium (visceral head skeleton), while only GSEA identified the pectoral fin bud (S3 Table). In addition, the functional enrichment analysis of DEGs previously carried out was reconsidered (S3 Table). In molecular functions, many membrane receptors appeared to be affected in their expression and signaling, while one class of nuclear, ligand-regulated receptors was striking. Perturbations of the vitamin D and retinoic acid pathways were shown to affect skeletal development and may lead to malformations of the cranium [39–47]. Indeed, the genes coding for vitamin D3 receptor (vdra), retinoic acid receptor (rargb), and peroxisome proliferator-activated receptor (pparda) were all significantly upregulated ((log2(fold-change) of 1.90, 1.95, and 1.82, respectively) as well as that for their common heterodimerization partner Rxr (rxrab: log2(fold-change) = 1.79). Using Cytoscape, a network of these zebrafish genes (S3 Table) was constructed, based mainly on their shared protein domains (Fig 5), while a similar analysis based on their human homologs revealed a dense network of genes linked by known physical, genetic and signaling pathway interactions of the encoded proteins. It was observed that the rxrab, vdra, vdrb, rargb and pparda genes are upregulated in a dose-dependent manner upon exposure to POP75× and POP125×. In that context, it is also interesting to mention that the gene cyp26c1, coding for an enzyme involved in retinoic acid degradation and regulating bone mineralization [39–47] is upregulated upon POP treatment (log2(fold-change) = 0.8; p-value = 0.006) (S4 Table). The cyp2r1 gene, involved in vitamin D biosynthesis, is downregulated, while the gene for vitamin D degrading enzymes cyp24a1 is significantly upregulated [48].
Networks were generated on Cytomine using GENEMANIA annotations. The nodes represent genes, the fill colors indicate the log2(fold-change) upon POP125× exposure, while the rim circle color gives the log2(fold-induction) due to POP75× exposure. All genes are upregulated in a dose-dependent way. The edges (connecting lines) represent links between nodes, based on “Shared protein domains” in the zebrafish network (left), or on specific interactions and pathways as indicated for the human network (right).
Another interesting molecular function and Reactome pathway was that for collagen biosynthesis and modifying enzymes, which appeared to be preferentially downregulated, pointing to defects in the extracellular matrix affecting cartilage and bone formation. These genes aggregate into two connected networks linked by shared protein domains and coexpression in zebrafish, while their human homologs form a dense network of downregulated genes whose encoded proteins are linked through physical, co-expression, co-localization, and genetic interactions (Fig 6). Interestingly, all these genes are downregulated in a dose-dependent manner upon exposure to POP75× and POP125× treatment. The different collagen genes form a specific cluster of related genes, while another cluster is formed by genes coding for enzymes involved in collagen maturation. The plod3 gene codes for a procollagen-lysine, 2-oxoglutarate 5-dioxygenase 3 enzyme whose human homolog causes craniofacial deformities and bone fragility when mutated [49]. Similarly, the p3h1, whose human ortholog is involved in osteogenesis imperfecta [50] and p3h3 genes code for prolyl-3-hydroxylases, while the p4ha1a and the p4ha2 genes code for prolyl-4-hydroxylases whose mutation in mouse causes impaired ECM, chondrodysplasia, and kyphosis [51].
Networks were generated on Cytomine using GENEMANIA annotations. The nodes represent genes, the fill colors indicate the log2(fold-change) upon POP125× exposure, while the rim circle color gives the log2(fold-induction) due to POP75× exposure. All genes are down-regulated in a dose-dependent way. The edges (connecting lines) represent links between nodes, based on “Shared protein domains” and “Co-expression” in the zebrafish network (left), or on specific interactions and pathways as indicated for the human network (right).
Chemical similarities between POPs and retinoids or vitamin D
In an attempt to connect chemical structures of pollutants to specific pathways they may affect, the structural similarity of the molecules within the POP mix with some ‘model’ compounds known to act on specific pathways was evaluated. We decided to focus on the signaling that we found to be affected by the POPs and who are known to affect skeletal development, the vitamin D and the retinoic acid pathways. Agonists for the Vdr (calcitriol) or Rar (retinoic acid) were used as reference compounds and their chemical similarities were computed to all compounds in the POP mix. In addition, 4 triazole fungicides with a potential to be endocrine disruptors and posing serious concerns were chosen to complete the analysis: flusilazole, triadimenol, diniconazole and hexaconazole [52–59]. Hierarchical agglomerative nesting clustering was performed using the chemical fingerprints (toxprints) of all these compounds (Fig 7).
Dendrogram revealing the chemical fingerprint similarity relations between reference compounds and the components of the POP mixture (29 compounds).
As expected, closely related compounds such as polychlorinated biphenyls (PCBs), brominated flame retardants (PBDEs), and perfluoroalkyl acids (PFAAs) clustered together, indicating that the applied method is successful in grouping chemicals (Fig 7). Interestingly, the compounds arranged in two main clusters, with an agglomerative coefficient of 0.9568738. The first cluster (orange box) is headed by calcitriol, with the nearest relatives dieldrin and diniconazole, followed by HBCD, HCB, p,p′-DDE, flusilazole hexaconazole, and oxy-chlordane, while the remaining PCBs and PBDEs sub-clusters were connected more distantly.
The second clearly distinct cluster (red box) grouped chemicals more similar to all-trans-retinoic acid (ATRA), with trans-nonachlor and triadimenol as the closest relatives followed by the organochlorinated pesticides α-chlordane and HCH, and finally the PFAA cluster.
Taken together, this clustering experiment shows that it is possible to classify compounds based on their chemical fingerprints, while also giving an indication on their possible target pathway through which they may exert their effects. In the pollutant list considered here, some compounds are more likely to act through binding to the Vdr, while others would preferentially act on the retinoic acid pathway.
Discussion
A lot of research effort during the last decades has backed up the affirmation that environmental pollutants, and specifically POPs are a real threat to both humans and the environment. Most of the studies on environmental toxicity use standardized protocols to evaluate lethal, morphological, or reproductive effects, while human health studies focus on carcinogenicity, genotoxicity, or adverse effects on specific organs such as liver, brain, or reproductive organs as also investigated by the pharmacological industry during the drug discovery process [60].
This work focused on the potential of POPs to induce defects in the skeleton of developing vertebrates, using the zebrafish larva as a convenient and sensitive model system. Moreover, the fact that POPs are nearly exclusively found as mixtures [13–16] was considered, thus limiting the interpretation of the biological relevance for health and environment of studies, though insightful, focusing on single compounds. Therefore, a mixture of POPs was tested based on the concentrations found in the blood of a Scandinavian population [17] and sub-mixtures thereof. Skeletal deformities in the chondrocranium were observed as well as decreased bone mineralization in 5dpf larvae exposed to the POP. The observed malformations complement the effects on growth, heartbeat, behavior, and eye development that were previously reported [22].
This is the first time such an extensive evaluation of skeletal effects has been conducted using a realistic mixture of POPs that we are aware of. On the one hand, the effects on morphology of the head cartilage elements, potentially leading to craniofacial deformities in the adult, were investigated, and bone mineralization was assessed using the growing opercle as one of the most prominent bones to be observable. To some extent, altering the normal function and viability of chondrocytes could lead to alteration of the osteoblast activity and the subsequent formation of bone [26], however the opercle is an intramembranous bone which does not depend on a preformed cartilage matrix to develop. Nevertheless, many regulators and signaling pathways are common to both processes, thus some of the mechanisms involved in deficiencies may be shared.
Some of the compounds within the mixture have been tested previously as single compounds. PCBs such as PCB 28, PCB153, and the flame retardant metabolite (6-OH-BDE-47) were found to cause incomplete fusion of the ethmoid plate and reduced size of the jaw and branchial cartilages in zebrafish [61, 62]. In vitro experiments using the murine chondrogenic ATDC-5 cell line and human T/C-28a2 immortalized chondrocytes that were exposed to non-dioxin-like PCBs such as PCB 101, PCB 153 and PCB 180 showed that these compounds induce chondrocyte apoptosis after exposure [27]. In humans, PCB exposure might be linked to rheumatoid arthritis and osteroarthritis [63], while a recent overview [26] reported possible associations of PCB and PFAA contaminations with increased incidence of osteoarthritis in human cohorts.
Osteotoxicity has been witnessed across species following exposure to one or several of the chemicals within the mixtures used here. For instance, bone density in polar bears has been negatively correlated to the presence of POPs such as p,p′-DDE, HCH and PBDE-153 [64]. In humans, exposure to organochlorine compounds has also produced changes in bone mineral density [65, 66]. Some of these effects can even be witnessed across generations and through maternal exposure. The offspring of female goats orally exposed to PCB 153 had alterations in the bone composition following exposure [67]. Perfluoroalkyl substances such as Perfluorooctanoic acid (PFOA), Perfluorooctane sulfonate (PFOS), Perfluorononanoic acid (PFNA) and Perfluorohexane sulfonate (PFHxS) have been found in human bones and, since they tend to accumulate, they have the potential to affect bone turnover, hence altering bone geometry and mineral density. Uptake of PFAS by osteoclasts was seen in in vitro experiments, and PFNA was present within human bones [68–70]. The presence of PFOA [71] or other PFAAs [68, 72–74] in human blood serum has been associated with lower bone density, changes in cell differentiation, and bone weakness through several stages in life. Some PFAAs, such as PFOA, have been shown to bind peroxisome proliferator-activated receptors (PPAR) receptors, whose deregulation can lead to metabolic disorders and contribute to bone defects [3, 68, 73, 74].
Mild to severe effects on cartilage development were observed in 5dpf larvae caused by the different treatments, with the total mix POP125× being the most deleterious. Sub-mixes Br, Cl, and Br+Cl, were in general not causing very significant defects, only PFAAs alone caused a significant increase in the “mild” phenotype. The dual mixtures PFAA+Br and PFAA+Cl caused significantly higher percentages of malformations, close to or even exceeding those observed with the total mix. Thus, it appears that the significant malformations caused by the total POP125× mix results from largely cumulative actions of each of the sub-mixes, with a stronger effect caused by PFAAs.
A similar picture emerges concerning bone mineralization of the opercle in 10dpf larvae, although here the POP125× mix, PFAA, and PFAA+Cl could not be assessed due to their lethality at this stage. However, a decrease in mineralization upon PFAA+Br treatment was observed. Moreover, a decrease in the total bone matrix (as assessed by staining by the transgenic fusion protein Col10a1a:GFP) was observed, caused by the Br and the PFAA+Br mixtures, as well as a decrease in the ratio between total bone matrix/mineralized bone matrix caused by PFAA+Br (Fig 4D). The discrepancy between the two alizarin red staining experiments, one performed directly on fixed WT larvae (Fig 3), the other by live staining of living larvae, is probably due to the different timing and protocol of the observation and/or slight differences in the development of the WT and the transgenic line. Taken together, these observations indicate that bone formation is primarily decreased by interfering with the capacity of osteoblasts to deposit the bone extracellular matrix. This conclusion is supported by the transcriptomic analysis of 5dpf larvae treated with POP75× or POP125× mixtures which clearly identify a dose-dependent decrease of collagens and collagen maturation enzyme genes upon exposure (Fig 5).
Many hormones, such as parathyroid hormone (PTH) [39], 17-α-ethinylestradiol (EE2) and 17-β-estradiol (E2) [75, 76], as well as environmental pollutants such as 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD, dioxin) [77] have been shown to induce malformations such as bent palatoquadrate cartilages, shorter ceratohyal cartilages, changes in the angle of the Meckel’s cartilage and even some missing structures, while benzo (a) pyrene (BaP) was shown to affect the expression of several skeletal genes (sox9a, spp1, col1a1) [78]. However, the POP125× mixture used here does not contain, on purpose, any dioxin-like compound (PCBs), nor BaP [17]. Previous studies showed by RNA-Seq analysis that this mixture does not present estrogen agonistic or antagonistic properties as none of the classical target genes for the estrogenic pathway were found to be affected [22]. Similarly, PTH-like compounds would affect calcium homeostasis for which no relevant gene was detected. In contrast, down-regulation of target genes for the androgen receptor was observed, while anti-androgenic properties of the POP-mix were previously shown in a cell-based assay [18]. Androgens are known to be required for osteoblast differentiation and bone growth [79], it is thus possible that interference with androgen signaling is causing some of the observed effects. However, this transcriptomic analysis revealed in addition a dose-dependent increase in the expression of the vdra, vdrb, the rarga, rargb, the rxrab, and the ppard genes. Ppar receptors are mainly involved in lipid metabolism, however effects of Pparb/d on skeletal health have been shown [80], and PFOA was revealed as an agonist of the PPARa receptor, hence possibly directly affecting bone homeostasis [71]. Transcriptomic analysis further revealed that regulation of genes coding for enzymes involved in vitamin D and retinoic acid metabolism support an increase of these signaling pathways, which are well known for their involvement in skeletal formation. Vitamin D is well known for its role in preserving bone integrity in humans [81], a vdra deficient zebrafish presented delayed vertebral ossification, while treatment with exogenous vitamin D was shown to cause cranial skeleton deformities in developing zebrafish larvae [39]. Retinoic acid similarly has well described effects on bone formation and homeostasis in humans [82], while its effects in zebrafish have been well studied in individuals deficient in the RA degrading enzyme Cyp26b1, causing increased RA levels and severe developmental and craniofacial deformities [40, 42, 44]. Interestingly, comparison of the chemical fingerprints with the bona fide ligands revealed a clear separation into compounds more related to vitamin D and those more similar to retinoic acid. Taken together, these considerations support a hypothesis that disruption of one, or several of these pathways may, at least in part, be involved in the skeletal defects caused by the POP mix.
This study also illustrates the extent to which using specific transgenic lines, coupled to live staining techniques that are available for performing studies in zebrafish larvae can help to identify developmental toxicity rapidly and easily, as well as mechanisms of action and potential molecular targets of individual compounds and mixtures. A decrease in mineralized bone formation, as observed here, may be due to inhibition of osteoblast proliferation, differentiation, inhibition of ECM deposition, or the final step of mineralization (Fig 8) [36, 83, 84]. Here, the transgenic line Tg(col10a1a:col10a1a-GFP) was used to reveal total (i. e. unmineralized and mineralized) bone ECM, combined with live staining of the mineralized ECM [38]. This experiment revealed that the POP125× more strongly affected deposition of the unmineralized ECM than the subsequent mineralization. This is consistent with the observed decrease in expression of the collagen and collagen maturation enzyme genes. Furthermore, manually checking the RNA-Seq results from treated larvae [22] did not reveal any changes in expression of genes involved in osteoblast differentiation, such as sox9a, runx2b, sp7, or spp1 [85]. Similarly, genes involved in inflammation or oxidative stress (sod, gsh) were not significantly affected. In conclusion, our results strongly suggest that mainly the deposition of collagenous bone ECM is affected by the POP125× mixture tested here in 5 dpf zebrafish larvae (Fig 8).
Represented is the bone-forming osteoblast cell, originating from pre-osteoblastic, mesenchymal cells through expression of regulatory genes such as runx2b or sp7. They secrete the collagenous (Coln) bone ECM, which itself is subsequently mineralized through deposition of CaPO4 cristals. POP125× inhibits mineralized bone formation primarily by interfering with collagen secretion, acting on the vitamin D (vit D3), the retinoic acid (RA), and/or the androgen receptor (AR) pathways.
Molecular fingerprints of a compound are based on substructure keys that are used to search for structure similarity, representing different aspects of a molecule [86]. This similarity is then used to propose toxicity alerts based on these chemical features, common scaffolds, and varied ring, bond, and atom types. This kind of approaches have been used for drug discovery and virtual screening. Here, structural similarity was applied to identify the chemicals most likely to bind to and exert effects on receptors such as retinoic acid, vitamin D, and pparda, as suggested from our transcriptomic analysis. The chemical fingerprints approach used here, and other similar ones also based on structural similarity of the compounds [87], may be useful to suggest potential mechanisms of action of a compound, and it could aid in focusing on specific components of a mixture to reduce the experimental testing load. Thus, using chemoinformatic data has major potential implications in reducing specifically animal testing, while dealing with the tremendous task of evaluating risks caused by mixtures. Further work is needed to confirm and improve such a strategy, also including other kinds of properties (e.g., toxicity, environmental levels, bioavailability), however it does have potential implications for regulatory agencies, both dealing both with environmental and human health regulations, that are moving towards non-testing studies, as laid out for example in the New Approach Methodologies [88] for human risk assessment.
Taken together, we propose that a realistic mixture of POPs, as derived from the blood of a Scandinavian population, causes skeletal malformations and decreased bone formation, most likely through affecting the vitamin D and retinoic acid signaling pathways. Our study helps to understand the potential effects caused by exposure to a realistic mixture of POPs, an exposure scenario that could be reached in particular populations (or subgroups within a population) of humans or wildlife, especially those living by the ocean and relying heavily on fish as a food source [89–92].
Materials and methods
Zebrafish husbandry and ethical considerations
Adult wild-type zebrafish (WT) of the AB strain and Tg(col10a1a:col10a1a-GFP) [38] were obtained from breeding facilities at the GIGA-Institute, Liege, Belgium. Fish maintenance, breeding conditions, and egg production were described [93, 94] and are in accordance with internationally accepted standards. Animal care and all experimentation were conducted in compliance with Belgian and European laws (Authorization: LA1610002 Ethical commission protocol ULg19-2134 and ULg19-2135).
Chemicals, persistent organic pollutant mixtures and exposure tests
Dimethyl sulfoxide (DMSO, >99.9%, CAS number 67-68-5) was purchased from Sigma-Aldrich (Merck KGaA, Darmstadt, Germany). The stock solutions for total POP mixture and six sub-mixtures were designed and prepared by the Norwegian University of Life Sciences, Oslo, Norway [17] as indicated in S1 Table. Briefly, the stock solution of the total POP mixture was designed to represent a mixture of 29 compounds at 1,000,000-fold the mean concentrations found in the blood of a Scandinavian population, while the sub-mixtures consisted of the same concentrations of either one single class of these compounds (PFAA, Br, Cl) or of two combined (PFAA+Br, PFAA+Cl, Br+Cl) classes. The stock solutions were diluted in DMSO to obtain a final concentration of 125-fold the mean concentrations found in the blood of a Scandinavian population (125×) [22]. Exposure tests were performed in 6 well-plates, with 25 fertilized eggs per well in 4 mL of E3 medium supplemented or not with the test compounds. DMSO concentrations were 0.1%. For each experiment, 150 fertilized eggs were selected, 50 as controls and 100 for the specific treatment, to ensure a sufficient number of treated individuals for the tests. Each treatment was repeated at least three times in independent experiments. To keep stable chemical concentrations, we used a static-renewal approach where at least 90% of the media was refreshed every 24 h. Exposure started between 0 to 6 h post fertilization (hpf), the larvae were treated for 96 h before being transferred to fresh E3 medium without compounds for further growth for one or 6 days.
Craniofacial morphometrics
Cartilage integrity was assessed in 10 wildtype zebrafish larvae per treatment that were staged, euthanized with an overdose of tricaine (400 mg/L) (MS-222, Ethyl 3-aminobenzoate methane sulfonate; Merck, Overijse), fixed in PFA 4% overnight (ON) at 4°C and stained with alcian blue (Sigma-Aldrich/Merck, Overijse, Belgium) solution (EtOH 80%/Mg 20mM, 0.02% Alcian blue) at 5 days post fertilization (dpf) (120hpf) [95]. Pictures were taken using an Olympus (Antwerp, Belgium) stereomicroscope and camera SZX10 (4x magnification) and Cell B software. Head cartilage and bone skeletons were analyzed using methods previously described [39].
Regarding bone integrity, for the first type of exposure tests we used AB (wildtype) zebrafish. At 10 dpf, 10 zebrafish larvae per treatment were staged, euthanized with an overdose of tricaine (MS-222) and stained ON with 0.05% alizarin red (A5533, CAS 130-22-3, Merck, Overijse, Belgium). On the next morning, fish were rinsed three times with E3 media and observed with an Olympus stereomicroscope and camera SZX10 (4x magnification) and Cell B software. For the second type of experiments, heterozygote parents of the transgenic Tg(col10a1a:col10a1a-GFP) line were outcrossed with AB wildtype zebrafish. At 10 dpf, 10 heterozygote transgenic zebrafish larvae per treatment were staged and live stained with alizarin red (dissolved in E3 media at a concentration of 0.1% alizarin plus 500 μL 1M HEPES). Fish was incubated for at least 2 hours, then euthanized with an overdose of tricaine, and mounted in methylcellulose and observed with an epifluorescence stereomicroscope Leica M165 FC (Leica Microsystems, Diegem, Belgium). Pictures were taken, then transferred and analyzed with FIJI (ImageJ2, v. 2.3.0/1.53f).
RNA extraction and RNAseq
RNA was extracted from pools of 65 larvae at 5 dpf using the RNA mini extraction kit (Qiagen, Hilden, Germany). Details of RNA extraction protocol are described in [22]. Then, the integrity of total RNA extracts was assessed with BioAnalyzer analysis and provided RIN (RNA integrity number) scores for each sample (Agilent, Santa Clara, CA, USA). cDNA libraries were generated from 100 to 500 ng of extracted total RNA using the Illumina Truseq mRNA stranded kit (Illumina, San Diego, CA, USA) according to the manufacturer’s instructions. cDNA libraries were then sequenced on a NovaSeq sequencing system, in 1 ×100 bp (single end). Approximatively 20–25 M reads were sequenced per sample. The sequencing reads were processed using Nf-core rnaseq pipeline 3.0 with default parameters and using the zebrafish reference genome (GRCz11) and the annotation set from Ensembl release 103 (www.ensembl.org; accessed 1 May 2020). The analysis for differential gene expression was performed using the DESeq2 pipeline. Pathway and biological function enrichment analysis was performed using the WEB-based “Gene SeT AnaLysis Toolkit” (http://www.webgestalt.org; accessed on 10 November 2022) based on the integrated GO (Gene Ontology), KEGG (Kyoto Encyclopedia of Genes and Genomes), Panther, and WikiPathways databases (all accessed on 10 November 2022 via http://www.webgestalt.org). An additional database was constructed using the Gene-mutant/Phenotype database from zfin (zfin.org; accessed on 6 March 2023). The cut-off values were set for the false discovery rate (FDR) to “adjusted p-value < 0.05 and the fold change > 1.5.
Chemoinformatics–Cluster analysis of toxprints
We obtained canonical SMILES for each of the 29 compounds within the POP mixture, as well as for Vdr and Rar agonists calcitriol or retinoic acid, respectively, and additional fungicides [96]. Chemical fingerprints (Toxprints) were obtained using Chemotyper [97] (S1 Table), then applying unsupervised classification, to perform a Hierarchical Agglomerative Nesting Clustering with the “Ward’s method” [98] using R version 4.2.1 (2022-06-23) — "Funny-Looking Kid" [99], the library “cluster” and the function “agnes” within that library [100]. The positive controls and list of the analyzed compounds and their fingerprints are in the S1 Table.
Data and statistical analysis
Generated data were transferred to Prism 9.0.0 (v86), then every data set was tested for normality (e.g., D’Agostino & Pearson test) and equal variances (Bartlett’s test). Thus, parametric, or non-parametric tests were performed, each case is indicated in their respective figure. Confidence was assigned at alpha = 95% and a p-value of ≤ 0.05 was considered as significant.
Supporting information
S1 Table. List of compounds, SMILES, IUPAC name, concentration and chemical fingerprints within the POP mix and chemicals used for the cluster analysis.
https://doi.org/10.1371/journal.pone.0298956.s001
(XLSX)
S2 Table. Prevalence of craniofacial defects in 5 dpf zebrafish larvae.
Average in percentage and standard deviation values in percentage of the prevalence of micrognathia in zebrafish larvae at 5dpf. Mixed-Effect model (Treatment and Treatment*Phenotype), uncorrected Fisher’s LSD test. p values: * <0.05; ** < 0.01; *** <0.001, **** < 0.0001. Asterisk (*) when differences were found against Control, pound sign (#) when differences were found against PFAA alone.
https://doi.org/10.1371/journal.pone.0298956.s002
(DOCX)
S3 Table. List of genes differentially expressed upon exposure to POP75× or 125×.
The list is focused on genes for nuclear receptors (Fig 5), genes involved in collagen synthesis (Fig 6), genes for transcription factors, and genes whose expression was found in zebrafish pharyngeal arches at any stage of zebrafish development. The columns give the zebrafish gene name, log(fold-change) at POP75×, adjusted p-value, log(fold-change) at POP125×, adjusted p-value, and corresponding human gene name.
https://doi.org/10.1371/journal.pone.0298956.s003
(XLSX)
S4 Table. Gene ontology analysis of differentially expressed genes upon POP125× exposure, focused on processes linked to skeletal development.
The table first lists the GSEA analysis using the expression database in zebrafish (highlighted are the genes with decreased expression in the indicated organs = negative enrichment scores), followed by a separate over-representation analysis (ORA) of up (UP)- or down (DOWN)-regulated genes, and finally ORA analysis against the Reactome and GO-molecular fuction (MF) databases.
https://doi.org/10.1371/journal.pone.0298956.s004
(XLSX)
Acknowledgments
The authors would like to thank the GIGA zebrafish platform (H. Pendeville-Samain) for taking care of and delivering the zebrafish larvae, the GIGA imaging platform for their help and support with microscopy, the GIGA genomic platform for sequencing, and the GIGA bioinformatics platform for data analysis.
References
- 1. UNEP, United Nations Environment Programme. An Assessment Report on Issues of Concern: Chemicals and Waste Issues Posing Risks to Human Health and the Environment. https://wedocsuneporg/bitstream/handle/2050011822/33807/ARICpdf?sequence=1&isAllowed=y. 2020;ISBN No: 978-92-807-3808-7.
- 2. Chaine C, Hursthouse AS, McLean B, McLellan I, McMahon B, McNulty J, et al. Recycling Plastics from WEEE: A Review of the Environmental and Human Health Challenges Associated with Brominated Flame Retardants. International Journal of Environmental Research and Public Health. 2022;19(2):766. pmid:35055588
- 3. Kirk AB, Michelsen-Correa S, Rosen C, Martin CF, Blumberg B. PFAS and Potential Adverse Effects on Bone and Adipose Tissue Through Interactions With PPARγ. Endocrinology. 2021;162(12). Epub 2021/09/05. pmid:34480479; PubMed Central PMCID: PMC9034324.
- 4. United Nations. Stockholm Convention on Persistent Organic Pollutants. Treaty Series. 2006;2256:119. https://treaties.un.org/doc/Publication/UNTS/Volume%202256/v2256.pdf.
- 5. European Parliament and Council. REGULATION (EC) No 850/2004 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 29 April 2004 on persistent organic pollutants and amending Directive 79/117/EEC. Official Journal of the European Union. 2004:L158/7–49.
- 6. Guo W, Pan B, Sakkiah S, Yavas G, Ge W, Zou W, et al. Persistent Organic Pollutants in Food: Contamination Sources, Health Effects and Detection Methods. Int J Environ Res Public Health. 2019;16(22). Epub 2019/11/14. pmid:31717330; PubMed Central PMCID: PMC6888492.
- 7. Gregoraszczuk EL, Ptak A. Endocrine-Disrupting Chemicals: Some Actions of POPs on Female Reproduction. Int J Endocrinol. 2013;2013:828532. Epub 2013/06/14. pmid:23762054; PubMed Central PMCID: PMC3674739.
- 8. Brody JG, Moysich KB, Humblet O, Attfield KR, Beehler GP, Rudel RA. Environmental pollutants and breast cancer: epidemiologic studies. Cancer. 2007;109(12 Suppl):2667–711. Epub 2007/05/16. pmid:17503436.
- 9. Sanderson JT. The steroid hormone biosynthesis pathway as a target for endocrine-disrupting chemicals. Toxicol Sci. 2006;94(1):3–21. Epub 2006/06/30. pmid:16807284.
- 10. Ljunggren SA, Helmfrid I, Salihovic S, van Bavel B, Wingren G, Lindahl M, et al. Persistent organic pollutants distribution in lipoprotein fractions in relation to cardiovascular disease and cancer. Environ Int. 2014;65:93–9. Epub 2014/01/30. pmid:24472825.
- 11. Panseri S, Chiesa L, Ghisleni G, Marano G, Boracchi P, Ranghieri V, et al. Persistent organic pollutants in fish: biomonitoring and cocktail effect with implications for food safety. Food Additives & Contaminants: Part A. 2019;36(4):601–11. pmid:30862267
- 12. Esposito M, Canzanella S, Lambiase S, Scaramuzzo A, La Nucara R, Bruno T, et al. Organic pollutants (PCBs, PCDD/Fs, PAHs) and toxic metals in farmed mussels from the Gulf of Naples (Italy): Monitoring and human exposure. Regional Studies in Marine Science. 2020;40:101497. https://doi.org/10.1016/j.rsma.2020.101497.
- 13. Van Oostdam JC, Dewailly E, Gilman A, Hansen JC, Odland JO, Chashchin V, et al. Circumpolar maternal blood contaminant survey, 1994–1997 organochlorine compounds. Sci Total Environ. 2004;330(1–3):55–70. Epub 2004/08/25. pmid:15325158.
- 14. Knutsen HK, Kvalem HE, Thomsen C, Froshaug M, Haugen M, Becher G, et al. Dietary exposure to brominated flame retardants correlates with male blood levels in a selected group of Norwegians with a wide range of seafood consumption. Mol Nutr Food Res. 2008;52(2):217–27. Epub 2008/02/05. pmid:18246586.
- 15. Polder A, Skaare JU, Skjerve E, Loken KB, Eggesbo M. Levels of chlorinated pesticides and polychlorinated biphenyls in Norwegian breast milk (2002–2006), and factors that may predict the level of contamination. Sci Total Environ. 2009;407(16):4584–90. Epub 2009/05/22. pmid:19457543.
- 16. Haug LS, Salihovic S, Jogsten IE, Thomsen C, van Bavel B, Lindstrom G, et al. Levels in food and beverages and daily intake of perfluorinated compounds in Norway. Chemosphere. 2010;80(10):1137–43. Epub 2010/07/06. pmid:20599247.
- 17. Berntsen HF, Berg V, Thomsen C, Ropstad E, Zimmer KE. The design of an environmentally relevant mixture of persistent organic pollutants for use in in vivo and in vitro studies. Journal of toxicology and environmental health Part A. 2017;80(16–18):1002–16. Epub 2017/08/31. pmid:28854125.
- 18. McComb J, Mills IG, Muller M, Berntsen HF, Zimmer KE, Ropstad E, et al. Human blood-based exposure levels of persistent organic pollutant (POP) mixtures antagonise androgen receptor transactivation and translocation. Environ Int. 2019;132:105083. Epub 2019/08/31. pmid:31470217.
- 19. Doan TQ, Berntsen HF, Verhaegen S, Ropstad E, Connolly L, Igout A, et al. A mixture of persistent organic pollutants relevant for human exposure inhibits the transactivation activity of the aryl hydrocarbon receptor in vitro. Environ Pollut. 2019;254(Pt B):113098. Epub 2019/09/04. pmid:31479813.
- 20. Yadav A, Amber M, Zosen D, Labba NA, Huiberts EHW, Samulin Erdem J, et al. A human relevant mixture of persistent organic pollutants (POPs) and perfluorooctane sulfonic acid (PFOS) enhance nerve growth factor (NGF)-induced neurite outgrowth in PC12 cells. Toxicol Lett. 2021;338:85–96. Epub 2020/12/15. pmid:33309997.
- 21. Amber M, Xie Y, Berntsen HF, Zimmer KE, Ropstad E, Verhaegen S, et al. Effects of Defined Mixtures of Persistent Organic Pollutants (POPs) on Pre-lethal Cytotoxicity in the Human A-498 Kidney Cell Line In Vitro. Exposure and Health. 2021;13:465–75.
- 22. Guerrero-Limón G, Nivelle R, Bich-Ngoc N, Duy-Thanh D, Muller M. A Realistic Mixture of Persistent Organic Pollutants Affects Zebrafish Development, Behavior, and Specifically Eye Formation by Inhibiting the Condensin I Complex. Toxics. 2023;11(4):357. pmid:37112584
- 23. Khalil N, Koskela A. Bone as a Target for Endocrine Disruptors. In: Issues in Toxicology No 42 Challenges in Endocrine Disruptor Toxicology and Risk Assessment Eds Mantovani, A; Fucic, A; The Royal Society of Chemistry. 2020:218–34.
- 24. Brandt I, Högman P-G. Selective binding of aldrin and dieldrin in cartilage. Archives of toxicology. 1980;45(3):223–6. pmid:7458671
- 25. Inomata ONK, Montone RC, Lara WH, Weber RR, Toledo HHB. Tissue distribution of organochlorine residues–PCBs and pesticides–in Antarctic penguins. Antarctic Science. 1996;8(3):253–5. Epub 2004/05/12.
- 26. Deprouw C, Courties A, Fini JB, Clerget-Froidevaux MS, Demeneix B, Berenbaum F, et al. Pollutants: a candidate as a new risk factor for osteoarthritis-results from a systematic literature review. RMD Open. 2022;8(2). Epub 2022/06/15. pmid:35701010; PubMed Central PMCID: PMC9198696.
- 27. Abella V, Santoro A, Scotece M, Conde J, Lopez-Lopez V, Lazzaro V, et al. Non-dioxin-like polychlorinated biphenyls (PCB 101, PCB 153 and PCB 180) induce chondrocyte cell death through multiple pathways. Toxicol Lett. 2015;234(1):13–9. Epub 2015/02/11. pmid:25659934.
- 28. Nakashima K, de Crombrugghe B. Transcriptional mechanisms in osteoblast differentiation and bone formation. Trends Genet. 2003;19(8):458–66. pmid:12902164.
- 29. Li Q, Fan X, Lu W, Sun C, Pei Z, Zhang M, et al. Novel NPR2 Gene Mutations Affect Chondrocytes Function via ER Stress in Short Stature. Cells [Internet]. 2022; 11(8). Available from: https://mdpi-res.com/d_attachment/cells/cells-11-01265/article_deploy/cells-11-01265-v2.pdf?version=1649836665.
- 30. Mobasheri A, Rayman MP, Gualillo O, Sellam J, van der Kraan P, Fearon U. The role of metabolism in the pathogenesis of osteoarthritis. Nature Reviews Rheumatology. 2017;13(5):302–11. pmid:28381830
- 31. Marie PJ. Osteoblast dysfunctions in bone diseases: from cellular and molecular mechanisms to therapeutic strategies. Cellular and Molecular Life Sciences. 2015;72(7):1347–61. pmid:25487608
- 32. Segner H. Zebrafish (Danio rerio) as a model organism for investigating endocrine disruption. Comp Biochem Physiol C Toxicol Pharmacol. 2009;149(2):187–95. Epub 2008/10/29. pmid:18955160.
- 33. Huang W, Wu T, Au WW, Wu K. Impact of environmental chemicals on craniofacial skeletal development: Insights from investigations using zebrafish embryos. Environmental Pollution. 2021;286:117541. pmid:34118758
- 34. Sojan JM, Gundappa MK, Carletti A, Gaspar V, Gavaia P, Maradonna F, et al. Zebrafish as a Model to Unveil the Pro-Osteogenic Effects of Boron-Vitamin D3 Synergism. Front Nutr. 2022;9:868805. Epub 2022/05/17. pmid:35571926; PubMed Central PMCID: PMC9105455.
- 35. Carletti A, Gavaia PJ, Cancela ML, Laize V. Metabolic bone disorders and the promise of marine osteoactive compounds. Cell Mol Life Sci. 2023;81(1):11. Epub 2023/12/20. pmid:38117357; PubMed Central PMCID: PMC10733242.
- 36. Kimmel CB, DeLaurier A, Ullmann B, Dowd J, McFadden M. Modes of developmental outgrowth and shaping of a craniofacial bone in zebrafish. PLoS One. 2010;5(3):e9475. Epub 2010/03/12. pmid:20221441; PubMed Central PMCID: PMC2832765.
- 37. Kimmel CB, Miller CT, Moens CB. Specification and morphogenesis of the zebrafish larval head skeleton. Dev Biol. 2001;233(2):239–57. Epub 2001/05/05. pmid:11336493.
- 38. Sojan JM, Raman R, Muller M, Carnevali O, Renn J. Probiotics Enhance Bone Growth and Rescue BMP Inhibition: New Transgenic Zebrafish Lines to Study Bone Health. International journal of molecular sciences. 2022;23(9). Epub 2022/05/15. pmid:35563140; PubMed Central PMCID: PMC9102566.
- 39. Aceto J, Nourizadeh-Lillabadi R, Maree R, Dardenne N, Jeanray N, Wehenkel L, et al. Zebrafish bone and general physiology are differently affected by hormones or changes in gravity. PLoS One. 2015;10(6):e0126928. pmid:26061167.
- 40. Spoorendonk KM, Peterson-Maduro J, Renn J, Trowe T, Kranenbarg S, Winkler C, et al. Retinoic acid and Cyp26b1 are critical regulators of osteogenesis in the axial skeleton. Development. 2008;135(22):3765–74. Epub 2008/10/18. pmid:18927155.
- 41. Jeradi S, Hammerschmidt M. Retinoic acid-induced premature osteoblast-to-preosteocyte transitioning has multiple effects on calvarial development. Development. 2016;143(7):1205–16. pmid:26903503; PubMed Central PMCID: PMC4852491.
- 42. Laue K, Pogoda HM, Daniel PB, van Haeringen A, Alanay Y, von Ameln S, et al. Craniosynostosis and multiple skeletal anomalies in humans and zebrafish result from a defect in the localized degradation of retinoic acid. Am J Hum Genet. 2011;89(5):595–606. pmid:22019272; PubMed Central PMCID: PMC3213388.
- 43. Linville A, Radtke K, Waxman JS, Yelon D, Schilling TF. Combinatorial roles for zebrafish retinoic acid receptors in the hindbrain, limbs and pharyngeal arches. Dev Biol. 2009;325(1):60–70. Epub 2008/10/22. pmid:18929555.
- 44. Reijntjes S, Rodaway A, Maden M. The retinoic acid metabolising gene, CYP26B1, patterns the cartilaginous cranial neural crest in zebrafish. Int J Dev Biol. 2007;51(5):351–60. Epub 2007/07/10. pmid:17616924.
- 45. Laue K, Janicke M, Plaster N, Sonntag C, Hammerschmidt M. Restriction of retinoic acid activity by Cyp26b1 is required for proper timing and patterning of osteogenesis during zebrafish development. Development. 2008;135(22):3775–87. pmid:18927157; PubMed Central PMCID: PMC3608526.
- 46. Bohnsack BL, Kahana A. Thyroid hormone and retinoic acid interact to regulate zebrafish craniofacial neural crest development. Dev Biol. 2013;373(2):300–9. Epub 2012/11/21. pmid:23165295; PubMed Central PMCID: PMC3534885.
- 47. Fleming A, Sato M, Goldsmith P. High-throughput in vivo screening for bone anabolic compounds with zebrafish. J Biomol Screen. 2005;10(8):823–31. ISI:000234407000007. pmid:16234346
- 48. Christakos S, Dhawan P, Verstuyf A, Verlinden L, Carmeliet G. Vitamin D: Metabolism, Molecular Mechanism of Action, and Pleiotropic Effects. Physiological Reviews. 2016;96(1):365–408. pmid:26681795.
- 49. Salo AM, Cox H, Farndon P, Moss C, Grindulis H, Risteli M, et al. A connective tissue disorder caused by mutations of the lysyl hydroxylase 3 gene. Am J Hum Genet. 2008;83(4):495–503. Epub 2008/10/07. pmid:18834968; PubMed Central PMCID: PMC2561927.
- 50. Bala MM, Bala KA. Severe cases of osteogenesis imperfecta type VIII due to a homozygous mutation in P3H1 (LEPRE1) and review of the literature. Adv Clin Exp Med. 2021;30(12):1233–8. Epub 2021/10/13. pmid:34637196.
- 51. Aro E, Salo AM, Khatri R, Finnilä M, Miinalainen I, Sormunen R, et al. Severe Extracellular Matrix Abnormalities and Chondrodysplasia in Mice Lacking Collagen Prolyl 4-Hydroxylase Isoenzyme II in Combination with a Reduced Amount of Isoenzyme I. J Biol Chem. 2015;290(27):16964–78. Epub 2015/05/24. pmid:26001784; PubMed Central PMCID: PMC4505441.
- 52. Abdi SAH, Alzahrani A, Alghamdi S, Alquraini A, Alghamdi A. Hexaconazole exposure ravages biosynthesis pathway of steroid hormones: revealed by molecular dynamics and interaction. Toxicology Research. 2021;11(1):60–76. pmid:35237412
- 53. Huang T, Zhao Y, He J, Cheng H, Martyniuk CJ. Endocrine disruption by azole fungicides in fish: A review of the evidence. Sci Total Environ. 2022;822:153412. pmid:35090921
- 54. Hermsen SAB, Pronk TE, van den Brandhof E-J, van der Ven LTM, Piersma AH. Concentration-Response Analysis of Differential Gene Expression in the Zebrafish Embryotoxicity Test Following Flusilazole Exposure. Toxicol Sci. 2012;127(1):303–12. pmid:22382673
- 55. Souders CL II, Perez-Rodriguez V, El Ahmadie N, Zhang X, Tischuk C, Martyniuk CJ. Investigation into the sub-lethal effects of the triazole fungicide triticonazole in zebrafish (Danio rerio) embryos/larvae. Environmental toxicology. 2020;35(2):254–67. pmid:31670470
- 56. Park J, Hong T, An G, Park H, Song G, Lim W. Triadimenol promotes the production of reactive oxygen species and apoptosis with cardiotoxicity and developmental abnormalities in zebrafish. Sci Total Environ. 2023;862:160761. pmid:36502969
- 57. Thrikawala S, Mesmar F, Bhattacharya B, Muhsen M, Mukhopadhyay S, Flores S, et al. Triazole fungicides induce adipogenesis and repress osteoblastogenesis in zebrafish. Toxicol Sci. 2023;193(2):119–30. pmid:36951524
- 58. Tian S, Teng M, Meng Z, Yan S, Jia M, Li R, et al. Toxicity effects in zebrafish embryos (Danio rerio) induced by prothioconazole. Environmental Pollution. 2019;255:113269. pmid:31574395
- 59. Kandeel AA, Abdel-karim MA, Tawfik WS. Malformations observed in ALBINO mouse fetuses maternally treated with the antifungal drug "diniconazole". Egyptian Journal of Zoology. 2015;64(64):33–62.
- 60.
Gupta R, Polaka S, Rajpoot K, Tekade M, Sharma MC, Tekade RK. Chapter 6—Importance of toxicity testing in drug discovery and research. In: Tekade RK, editor. Pharmacokinetics and Toxicokinetic Considerations. 2: Academic Press; 2022. p. 117–44.
- 61. Şişman T, Geyikoğlu F, Atamanalp M. Early life-stage toxicity in zebrafish (Danio rerio) following embryonal exposure to selected polychlorinated biphenyls. Toxicology and Industrial Health. 2007;23(9):529–36. pmid:18681238.
- 62. Macaulay LJ, Chen A, Rock KD, Dishaw LV, Dong W, Hinton DE, et al. Developmental toxicity of the PBDE metabolite 6-OH-BDE-47 in zebrafish and the potential role of thyroid receptor β. Aquat Toxicol. 2015;168:38–47. https://doi.org/10.1016/j.aquatox.2015.09.007.
- 63. Lee D-H, Steffes M, Jacobs DR. Positive Associations of Serum Concentration of Polychlorinated Biphenyls or Organochlorine Pesticides with Self-Reported Arthritis, Especially Rheumatoid Type, in Women. Environ Health Persp. 2007;115(6):883–8. pmid:17589595
- 64. Daugaard-Petersen T, Langebæk R, Rigét FF, Dyck M, Letcher RJ, Hyldstrup L, et al. Persistent organic pollutants and penile bone mineral density in East Greenland and Canadian polar bears (Ursus maritimus) during 1996–2015. Environment International. 2018;114:212–8. pmid:29522985
- 65. Rignell-Hydbom A, Skerfving S, Lundh T, Lindh CH, Elmståhl S, Bjellerup P, et al. Exposure to cadmium and persistent organochlorine pollutants and its association with bone mineral density and markers of bone metabolism on postmenopausal women. Environmental Research. 2009;109(8):991–6. pmid:19733845
- 66. Hodgson S, Thomas L, Fattore E, Lind PM, Alfven T, Hellström L, et al. Bone Mineral Density Changes in Relation to Environmental PCB Exposure. Environ Health Persp. 2008;116(9):1162–6. pmid:18795157
- 67. Lundberg R, Lyche JL, Ropstad E, Aleksandersen M, Rönn M, Skaare JU, et al. Perinatal exposure to PCB 153, but not PCB 126, alters bone tissue composition in female goat offspring. Toxicology. 2006;228(1):33–40. pmid:17007988
- 68. Koskela A, Koponen J, Lehenkari P, Viluksela M, Korkalainen M, Tuukkanen J. Perfluoroalkyl substances in human bone: concentrations in bones and effects on bone cell differentiation. Scientific reports. 2017;7(1):6841. pmid:28754927
- 69. Khalil N, Ebert JR, Honda M, Lee M, Nahhas RW, Koskela A, et al. Perfluoroalkyl substances, bone density, and cardio-metabolic risk factors in obese 8–12 year old children: A pilot study. Environmental Research. 2018;160:314–21. pmid:29040951
- 70. Jeddy Z, Tobias JH, Taylor EV, Northstone K, Flanders WD, Hartman TJ. Prenatal concentrations of perfluoroalkyl substances and bone health in British girls at age 17. Archives of Osteoporosis. 2018;13(1):84. pmid:30076472
- 71. Koskela A, Finnilä MA, Korkalainen M, Spulber S, Koponen J, Håkansson H, et al. Effects of developmental exposure to perfluorooctanoic acid (PFOA) on long bone morphology and bone cell differentiation. Toxicology and Applied Pharmacology. 2016;301:14–21. pmid:27068293
- 72. Khalil N, Chen A, Lee M, Czerwinski SA, Ebert JR, DeWitt JC, et al. Association of Perfluoroalkyl Substances, Bone Mineral Density, and Osteoporosis in the U.S. Population in NHANES 2009–2010. Environ Health Perspect. 2016;124(1):81–7. pmid:26058082; PubMed Central PMCID: PMC4710590.
- 73. Buckley JP, Kuiper JR, Lanphear BP, Calafat AM, Cecil KM, Chen A, et al. Associations of Maternal Serum Perfluoroalkyl Substances Concentrations with Early Adolescent Bone Mineral Content and Density: The Health Outcomes and Measures of the Environment (HOME) Study. Environ Health Persp. 2021;129(9):097011. pmid:34585601
- 74. Højsager FD, Andersen M, Juul A, Nielsen F, Möller S, Christensen HT, et al. Prenatal and early postnatal exposure to perfluoroalkyl substances and bone mineral content and density in the Odense child cohort. Environment International. 2022;167:107417. pmid:35914335
- 75. Fushimi S, Wada N, Nohno T, Tomita M, Saijoh K, Sunami S, et al. 17β-Estradiol inhibits chondrogenesis in the skull development of zebrafish embryos. Aquat Toxicol. 2009;95(4):292–8. https://doi.org/10.1016/j.aquatox.2009.03.004.
- 76. Cohen SP, LaChappelle AR, Walker BS, Lassiter CS. Modulation of estrogen causes disruption of craniofacial chondrogenesis in Danio rerio. Aquat Toxicol. 2014;152:113–20. pmid:24747083
- 77. Burns FR, Peterson RE, Heideman W. Dioxin disrupts cranial cartilage and dermal bone development in zebrafish larvae. Aquat Toxicol. 2015;164:52–60. Epub 2015/04/29. pmid:25914093; PubMed Central PMCID: PMC4470709.
- 78. Elfawy HA, Anupriya S, Mohanty S, Patel P, Ghosal S, Panda PK, et al. Molecular toxicity of Benzo(a)pyrene mediated by elicited oxidative stress infer skeletal deformities and apoptosis in embryonic zebrafish. Sci Total Environ. 2021;789:147989. Epub 2021/07/30. pmid:34323819.
- 79. Chen J-F, Lin P-W, Tsai Y-R, Yang Y-C, Kang H-Y. Androgens and Androgen Receptor Actions on Bone Health and Disease: From Androgen Deficiency to Androgen Therapy. Cells. 2019;8(11):1318. pmid:31731497
- 80. Syversen U, Stunes AK, Gustafsson BI, Obrant KJ, Nordsletten L, Berge R, et al. Different skeletal effects of the peroxisome proliferator activated receptor (PPAR)α agonist fenofibrate and the PPARγ agonist pioglitazone. BMC Endocrine Disorders. 2009;9(1):10. pmid:19331671
- 81. Amrein K, Scherkl M, Hoffmann M, Neuwersch-Sommeregger S, Köstenberger M, Tmava Berisha A, et al. Vitamin D deficiency 2.0: an update on the current status worldwide. European Journal of Clinical Nutrition. 2020;74(11):1498–513. pmid:31959942
- 82. Pacifici M. Retinoid roles and action in skeletal development and growth provide the rationale for an ongoing heterotopic ossification prevention trial. Bone. 2018;109:267–75. Epub 2017/08/23. pmid:28826842; PubMed Central PMCID: PMC8011837.
- 83. Huitema LF, Apschner A, Logister I, Spoorendonk KM, Bussmann J, Hammond CL, et al. Entpd5 is essential for skeletal mineralization and regulates phosphate homeostasis in zebrafish. Proc Natl Acad Sci U S A. 2012;109(52):21372–7. Epub 2012/12/14. pmid:23236130; PubMed Central PMCID: PMC3535636.
- 84. Cotti S, Huysseune A, Koppe W, Rücklin M, Marone F, Wölfel EM, et al. More Bone with Less Minerals: The Effects of Dietary Phosphorus on the Zebrafish Skeleton. Bone Reports. 2022;16:101446.
- 85. Tonelli F, Bek JW, Besio R, De Clercq A, Leoni L, Salmon P, et al. Zebrafish: A Resourceful Vertebrate Model to Investigate Skeletal Disorders. Front Endocrinol (Lausanne). 2020;11:489. Epub 2020/08/28. pmid:32849280; PubMed Central PMCID: PMC7416647.
- 86. Cereto-Massagué A, Ojeda MJ, Valls C, Mulero M, Garcia-Vallvé S, Pujadas G. Molecular fingerprint similarity search in virtual screening. Methods. 2015;71:58–63. pmid:25132639
- 87. Lizarraga LE, Suter GW, Lambert JC, Patlewicz G, Zhao JQ, Dean JL, et al. Advancing the science of a read-across framework for evaluation of data-poor chemicals incorporating systematic and new approach methods. Regulatory Toxicology and Pharmacology. 2023;137:105293. pmid:36414101
- 88. Stucki AO, Barton-Maclaren TS, Bhuller Y, Henriquez JE, Henry TR, Hirn C, et al. Use of new approach methodologies (NAMs) to meet regulatory requirements for the assessment of industrial chemicals and pesticides for effects on human health. Frontiers in Toxicology. 2022;4. pmid:36119357
- 89. Barbo N, Stoiber T, Naidenko OV, Andrews DQ. Locally caught freshwater fish across the United States are likely a significant source of exposure to PFOS and other perfluorinated compounds. Environmental Research. 2023;220:115165. pmid:36584847
- 90. Valsecchi S, Babut M, Mazzoni M, Pascariello S, Ferrario C, De Felice B, et al. Per- and Polyfluoroalkyl Substances (PFAS) in Fish from European Lakes: Current Contamination Status, Sources, and Perspectives for Monitoring. Environmental Toxicology and Chemistry. 2021;40(3):658–76. pmid:32644251
- 91. Letcher RJ, Bustnes JO, Dietz R, Jenssen BM, Jørgensen EH, Sonne C, et al. Exposure and effects assessment of persistent organohalogen contaminants in arctic wildlife and fish. Sci Total Environ. 2010;408(15):2995–3043. pmid:19910021
- 92. Piskorska-Pliszczynska J, Maszewski S, Warenik-Bany M, Mikolajczyk S, Goraj L. Survey of Persistent Organochlorine Contaminants (PCDD, PCDF, and PCB) in Fish Collected from the Polish Baltic Fishing Areas. The Scientific World Journal. 2012;2012:973292. pmid:22593715
- 93. Lammer E, Carr GJ, Wendler K, Rawlings JM, Belanger SE, Braunbeck T. Is the fish embryo toxicity test (FET) with the zebrafish (Danio rerio) a potential alternative for the fish acute toxicity test? Comp Biochem Physiol C Toxicol Pharmacol. 2009;149(2):196–209. Epub 2008/12/20. pmid:19095081.
- 94.
Westerfield M. THE ZEBRAFISH BOOK, 5th Edition; A guide for the laboratory use of zebrafish (Danio rerio), Eugene, University of Oregon Press. 2007.
- 95. Aceto J, Nourizadeh-Lillabadi R, Bradamante S, Maier J, Alestrom P, Van Loon J, et al. Effects of microgravity simulation on zebrafish transcriptomes and bone physiology; exposure starting at 5 days post-fertilization. npj Microgravity. 2016;2:16010. Epub 7 April 2016. pmid:28725727
- 96. Kim S, Chen J, Cheng T, Gindulyte A, He J, He S, et al. PubChem 2023 update. Nucleic Acids Research. 2022;51(D1):D1373–D80. pmid:36305812
- 97. Yang C, Tarkhov A, Marusczyk J, Bienfait B, Gasteiger J, Kleinoeder T, et al. New Publicly Available Chemical Query Language, CSRML, To Support Chemotype Representations for Application to Data Mining and Modeling. Journal of Chemical Information and Modeling. 2015;55(3):510–28. pmid:25647539
- 98. Kaufman L, Rousseeuw PJ. Agglomerative Nesting (Program AGNES). In: Finding Groups in Data: An Introduction to Cluster Analysis Finding Groups in Data Wiley Series in Probability and Statistics Wiley & Sons, Inc. 1990:199–252. https://doi.org/10.1002/9780470316801.ch5.
- 99. R Core Team. R: A language and environment for statistical computing (4.0.2). R Foundation for Statistical Computing, Vienna, Austria. http://wwwr-projectorg/indexhtml (accessed 9 March 2023). 2020.
- 100. Maechler M, Rousseeuw P, Struyf A, M H, K H. cluster: Cluster Analysis Basics and Extensions. R package version 214; https://CRANR-projectorg/package=cluster. 2022.