Silva · Archives of toxicology 2003 · cross-sectional biomonitoring study · n=?

Glucuronidation patterns of common urinary and serum monoester phthalate metabolites.

Cited 250 times in the scientific literature.

Level 4 - case-series / case-control

Cross-sectional biomonitoring study evaluating metabolite concentrations in human biospecimens.

PubMed 14574443 · doi:10.1007/s00204-003-0486-3 · record verified 2026-08-27

What was done

Researchers measured the proportion of free versus glucuronide-conjugated forms of four phthalate monoesters—monoethyl phthalate (mEP), monobutyl phthalate (mBP), monobenzyl phthalate (mBzP), and mono-2-ethylhexyl phthalate (mEHP)—in human urine (mEP n=262, mBP n=283, mBzP n=328, mEHP n=119) and serum (mEP n=93, mBP n=149, mEHP n=141) samples collected from the general US population.

What was found

For lipophilic monoesters (mBP, mBzP, and mEHP), the geometric mean of free monoester excretion in urine ranged from 6% to 16% (84% to 94% conjugated). Conversely, about 71% of the hydrophilic monoester mEP was excreted in urine as free monoester. Free-to-conjugated proportions were consistent between serum and urine for mEP, mBP, and mEHP. Serum mBzP was mostly below the limit of detection. Serum mEP and mBP concentrations were less than 3% and 47% of their urinary concentrations, respectively, while mEHP concentrations were similar in urine and serum.

Why it matters

Understanding phthalate glucuronidation patterns is critical for interpreting exposure biomonitoring data and quantifying circulating levels of the bioactive, unconjugated monoesters.

Limits

The abstract does not state the total number of unique participants or demographic characteristics. The study relied on cross-sectional biofluid samples without controlled exposure dosing or longitudinal clearance measurements, and serum mBzP was mostly undetectable.

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