Phthalates in albumin from human serum: implications for assisted reproductive technology

Abstract

Albumin, a vital protein in cell culture systems, is derived from whole blood or blood products. The culture of human gametes and developing embryos for assisted reproductive technology (ART) uses albumin of human origin. Human serum albumin (HSA) is derived from expired blood obtained from blood banks. This blood has been stored in polyvinyl chloride bags made clear and flexible with di-2ethylhexyl phthalate (DEHP). However, DEHP can leach from the bags into stored blood and cofractionate with HSA during albumin isolation. DEHP and its metabolite, mono-ethylhexyl phthalate, are known endocrine disruptors that are reported to have negative effects when directly supplemented in media for in vitro fertilization using gametes from a variety of animals. Therefore, the contamination of ART media with DEHP and mono-ethylhexyl phthalate through HSA supplementation may affect the outcomes of ART procedures. Although the embryology laboratory is strictly monitored to prevent a wide variety of contaminations, phthalate contamination of HSA has not been broadly examined. This review outlines the function of HSA in ART procedures and the production of HSA from whole blood. Finally, the review highlights the effects of acute phthalate exposures on gametes during in vitro procedures. Phthalates found in human serum albumin are present in media used for ART at levels that impair developmental endpoints in model species.

Cumulative Exposure to Phthalates and Their Alternatives and Associated Female Reproductive Health: Body Burdens, Adverse Outcomes, and Underlying Mechanisms

“…They make up a group of chemicals used as plasticizers and flavor enhancers and are widely used in food packaging, personal care, and industrial products. In addition, phthalates are used in medical devices and are often used to make blood bags and intravenous tubing that require ease of storage and flexibility . Because phthalates are not easily covalently bound to plastics, they easily leach into food or the environment during use and ultimately into the human body. , Due to their intensive use, phthalates are found in most human fluids, including saliva, blood, urine, and breast milk. − Phthalates are metabolized into monoesters and oxidized products after in vivo exposure, some of which are biologically active and exert antiestrogen, antiandrogenic, or antithyroid activity. , Animal experimental data suggest that exposure to phthalates may cause female reproductive abnormalities, such as altered folliculogenesis, steroidogenesis, oocyte maturation, and even impaired embryonic development. , Therefore, phthalates have been regulated in many applications worldwide in recent decades due to the increasing number of health problems associated with exposure.…”

“…In addition, phthalates are used in medical devices and are often used to make blood bags and intravenous tubing that require ease of storage and flexibility. 7 Because phthalates are not easily covalently bound to plastics, they easily leach into food or the environment during use and ultimately into the human body. 8,9 Due to their intensive use, phthalates are found in most human fluids, including saliva, blood, urine, and breast milk.…”