Abstract
Endocrine-disrupting chemicals (EDCs) are exogenous substances known to interfere
with endocrine homeostasis and promote adverse health outcomes. Their impact on
the adrenal cortex, corticosteroids and their physiological role in the organism
has not yet been sufficiently elucidated. In this review, we collect
experimental and epidemiological evidence on adrenal disruption by relevant
endocrine disruptors. In vitro data suggest significant alterations of gene
expression, cell signalling, steroid production, steroid distribution, and
action. Additionally, morphological studies revealed disturbances in tissue
organization and development, local inflammation, and zone-specific hyperplasia.
Finally, endocrine circuits, such as the hypothalamic-pituitary-adrenal axis,
might be affected by EDCs. Many questions regarding the detection of
steroidogenesis disruption and the effects of combined toxicity remain
unanswered. Not only due to the diverse mode of action of adrenal steroids and
their implication in many common diseases, there is no doubt that further
research on endocrine disruption of the adrenocortical system is needed.
Key words
endocrine disrupting chemicals - adrenal gland - corticosteroids - HPA axis - bisphenol A