Abstract
To study the association between environmental phenols exposure, including benzophenone-3 (BP3) and triclosan, and all-cause mortality and cancer mortality in adults. A total of 8035 participants were included from the National Health and Nutrition Examination Survey (2003–2012). Urinary BP3 and triclosan were measured with liquid chromatography-tandem mass spectrometry. The associations between urinary BP3 and triclosan with cancer and all-cause mortality were explored by multivariable logistic regressions and restricted cubic splines. During an average of 7.25-year follow-up, 696 cases (8.7%) of all-cause mortality and 137 cases (1.71%) of cancer mortality occurred. The average levels of BP3 and triclosan were 12.2 and 10.3 ng/mL, respectively. Compared with the lowest quartile, the multivariable-adjusted hazard ratio of the highest quartile was 0.64 (95% confidence interval: 0.50 to 0.81; P < 0.001) for BP3 and 0.76 (0.61 to 0.94; P = 0.011) for triclosan. However, no significant associations between urinary BP3 and triclosan and cancer mortality were observed. BP3 and triclosan exposure decreased the risk of all-cause mortality while they were not associated with cancer mortality.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-24415-5/MediaObjects/11356_2022_24415_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-24415-5/MediaObjects/11356_2022_24415_Fig2_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-24415-5/MediaObjects/11356_2022_24415_Fig3_HTML.png)
Similar content being viewed by others
Data availability
All the data could be available upon request from the corresponding author.
References
Aker AM, Watkins DJ, Johns LE, Ferguson KK, Soldin OP, Anzalota Del Toro LV, Alshawabkeh AN, Cordero JF, Meeker JD (2016) Phenols and parabens in relation to reproductive and thyroid hormones in pregnant women. Environ Res 151:30–37
Bao W, Liu B, Rong S, Dai SY, Trasande L, Lehmler HJ (2020) Association between bisphenol A exposure and risk of all-cause and cause-specific mortality in US adults. JAMA Netw Open 3:e2011620
DiNardo JC, Downs CA (2018) Dermatological and environmental toxicological impact of the sunscreen ingredient oxybenzone/benzophenone-3. J Cosmet Dermatol 17:15–19
Farasani A, Darbre PD (2021) Long-term exposure to triclosan increases migration and invasion of human breast epithelial cells in vitro. J Appl Toxicol 41:1115–1126
Huo W, Cai P, Chen M, Li H, Tang J, Xu C, Zhu D, Tang W, **a Y (2016) The relationship between prenatal exposure to BP-3 and Hirschsprung’s disease. Chemosphere 144:1091–1097
Jamal A, Rastkari N, Dehghaniathar R, Nodehi RN, Nasseri S, Kashani H, Shamsipour M, Yunesian M (2020) Prenatal urinary concentrations of environmental phenols and birth outcomes in the mother-infant pairs of Tehran Environment and Neurodevelopmental Disorders (TEND) cohort study. Environ Res 184:109331
Liang Y, Wang X, Dong S, Liu Z, Mu J, Lu C, Zhang J, Li M, Xue L, Wang W (2020) Size distributions of nitrated phenols in winter at a coastal site in north China and the impacts from primary sources and secondary formation. Chemosphere 250:126256
Poiger T, Buser HR, Balmer ME, Bergqvist PA, Muller MD (2004) Occurrence of UV filter compounds from sunscreens in surface waters: regional mass balance in two Swiss lakes. Chemosphere 55:951–963
Shane HL, Othumpangat S, Marshall NB, Blachere F, Lukomska E, Weatherly LM, Baur R, Noti JD, Anderson SE (2020) Topical exposure to triclosan inhibits Th1 immune responses and reduces T cells responding to influenza infection in mice. PLoS ONE 15:e0244436
Tang N, Fan P, Chen L, Yu X, Wang W, Wang W, Ouyang F (2022) The effect of early life exposure to triclosan on thyroid follicles and hormone levels in zebrafish. Front Endocrinol (lausanne) 13:850231
Tao J, Bai C, Chen Y, Zhou H, Liu Y, Shi Q, Pan W, Dong H, Li L, Xu H, Tanguay R, Huang C, Dong Q (2020) Environmental relevant concentrations of benzophenone-3 induced developmental neurotoxicity in zebrafish. Sci Total Environ 721:137686
Utsunomiya H, Hiraishi R, Kishimoto K, Hamada S, Abe S, Bekki Y, Kamemura N (2019) Cytotoxicity of benzophenone-3, an organic ultraviolet filter, caused by increased intracellular Zn(2+) levels in rat thymocytes. Chem Biol Interact 298:52–56
Weatherly LM, Gosse JA (2017) Triclosan exposure, transformation, and human health effects. J Toxicol Environ Health B Crit Rev 20:447–469
Yueh MF, He F, Chen C, Vu C, Tripathi A, Knight R, Karin M, Chen S, Tukey RH (2020) Triclosan leads to dysregulation of the metabolic regulator FGF21 exacerbating high fat diet-induced nonalcoholic fatty liver disease. Proc Natl Acad Sci U S A 117:31259–31266
Ziarrusta H, Mijangos L, Picart-Armada S, Irazola M, Perera-Lluna A, Usobiaga A, Prieto A, Etxebarria N, Olivares M, Zuloaga O (2018) Non-targeted metabolomics reveals alterations in liver and plasma of gilt-head bream exposed to oxybenzone. Chemosphere 211:624–631
Funding
This study was supported by the National Natural Science Foundation of China Grants (No. 81570184).
Author information
Authors and Affiliations
Contributions
WY S designed the study; J H, QF X, and X H made the statistical analysis; QQ L and ZW C wrote the manuscript; C Z prepared the tables and figures. All the authors approved the final edition of the manuscript.
Corresponding author
Ethics declarations
Ethics approval
The study was approved by the institutional review board of National Center for Health Statistics.
Consent to participate
NA.
Consent for publication
NA.
Competing interests
The authors declare no competing interests.
Additional information
Responsible Editor: Lotfi Aleya
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
He, J., Xue, Q., Hua, X. et al. Association between environmental phenols and all-cause and cancer mortality. Environ Sci Pollut Res 30, 33432–33437 (2023). https://doi.org/10.1007/s11356-022-24415-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-022-24415-5