Bisphenol A: emissions from point sources

Bisphenol A is widely used for the production of epoxy resins and polycarbonate plastics. Special in vitro test systems and animal experiments showed a weak estrogenic activity for Bisphenol A. Based on in vitro receptor interaction studies, the activity was estimated to be 2 x 10(-3) lower than that of estradiol. Especially aquatic wildlife could be endangered by waste water discharges. To manage possible risks arising from Bisphenol A contamination, the major fluxes need to be obtained and the contributors to the contamination of municipal treatment plants need to be determined. In this study, industrial emitters and communal waste waters were monitored simultaneously. Mixed samples were taken over periods of one week at nine sample sites. The results showed that the concentrations and fluxes were variable. The paper industry was the major Bisphenol A contributor to the influent of the waste water treatment plant. All the other fluxes measured, including two household areas, were considerably low. About 90% of the total load was removed during the waste water treatment.     

Multicenter clinical experience with non-invasive cell-free DNA screening for monosomy X and related X-chromosome variants

Objective

We aimed to investigate how the presence of fetal anomalies and different X chromosome variants influences Cell-free DNA (cfDNA) screening results for monosomy X.

Methods

From a multicenter retrospective survey on 673 pregnancies with prenatally suspected or confirmed Turner syndrome, we analyzed the subgroup for which prenatal cfDNA screening and karyotype results were available. A cfDNA screening result was defined as true positive (TP) when confirmatory testing showed 45,X or an X-chromosome variant.

Results

We had cfDNA results, karyotype, and phenotype data for 55 pregnancies. cfDNA results were high risk for monosomy X in 48/55, of which 23 were TP and 25 were false positive (FP). 32/48 high-risk cfDNA cases did not show fetal anomalies. Of these, 7 were TP. All were X-chromosome variants. All 16 fetuses with high-risk cfDNA result and ultrasound anomalies were TP. Of fetuses with abnormalities, those with 45,X more often had fetal hydrops/cystic hygroma, whereas those with “variant” karyotypes had different anomalies.

Conclusion

Both, 45,X or X-chromosome variants can be detected after a high-risk cfDNA result for monosomy X. When there are fetal anomalies, the result is more likely a TP. In the absence of fetal anomalies, it is most often an FP or X-chromosome variant.