Double-edged implications of triclosan for the neuroendocrine system: evidence from the national health and nutrition examination survey (2011–2014 NHANES).

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Title: Double-edged implications of triclosan for the neuroendocrine system: evidence from the national health and nutrition examination survey (2011–2014 NHANES).
Authors: Li, Zhiming1 (AUTHOR), Ma, Lichun1 (AUTHOR), Zhong, Yizhou1 (AUTHOR), Liang, Boxuan1 (AUTHOR), Huang, Yuji1 (AUTHOR), Huang, Zhenlie1 (AUTHOR) huangzhenlie858252@smu.edu.cn
Source: Environmental Science: Processes & Impacts. Oct2025, Vol. 27 Issue 10, p3095-3106. 12p.
Subject Terms: *Endocrine disruptors, Triclosan, Neuroendocrine system, Mental health, Statistical correlation, National Health & Nutrition Examination Survey, Cognitive ability
Geographic Terms: United States
Abstract: Triclosan (TCS) has raised concerns due to its widespread use and potential neuroendocrine toxicity. However, its neurological effects and the interplay between TCS-induced sex hormone disruption and neurological outcomes in adults remain largely unexplored. Herein, we analyzed data from 2717 adults in the 2011–2014 National Health and Nutrition Examination Survey, employing logistic regression, restricted cubic spline, and mediation analyses to investigate the association between TCS exposure and neurological outcomes. The results showed that higher TCS exposure (above the median) was associated with lower odds of poor cognitive performance on the digit symbol substitution test (odds ratio (OR) = 0.65, 95% confidence interval (CI) = 0.42–0.99, P = 0.046), depression (OR = 0.68, 95% CI = 0.49–0.93, P = 0.015), and serious difficulty in concentrating (OR = 0.47, 95% CI = 0.30–0.74, P = 0.001). Mediation analyses revealed that testosterone and white blood cell counts partially mediated the relationship between TCS exposure and neurological outcomes. Additionally, gender-specific and U-shaped associations were observed between TCS exposure and cognitive function, depression, and difficulty concentrating. Collectively, our findings provide the first evidence linking TCS exposure to neurological health outcomes and potential neurotoxicity via sex hormone disruption in U.S. adults. Further research is needed to elucidate the underlying mechanisms and clinical significance of these associations. [ABSTRACT FROM AUTHOR]
Copyright of Environmental Science: Processes & Impacts is the property of Royal Society of Chemistry and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Double-edged implications of triclosan for the neuroendocrine system: evidence from the national health and nutrition examination survey (2011–2014 NHANES).
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  Data: <searchLink fieldCode="AR" term="%22Li%2C+Zhiming%22">Li, Zhiming</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ma%2C+Lichun%22">Ma, Lichun</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhong%2C+Yizhou%22">Zhong, Yizhou</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liang%2C+Boxuan%22">Liang, Boxuan</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huang%2C+Yuji%22">Huang, Yuji</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huang%2C+Zhenlie%22">Huang, Zhenlie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> huangzhenlie858252@smu.edu.cn</i>
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  Data: <searchLink fieldCode="JN" term="%22Environmental+Science%3A+Processes+%26+Impacts%22">Environmental Science: Processes & Impacts</searchLink>. Oct2025, Vol. 27 Issue 10, p3095-3106. 12p.
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  Data: *<searchLink fieldCode="DE" term="%22Endocrine+disruptors%22">Endocrine disruptors</searchLink><br /><searchLink fieldCode="DE" term="%22Triclosan%22">Triclosan</searchLink><br /><searchLink fieldCode="DE" term="%22Neuroendocrine+system%22">Neuroendocrine system</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br /><searchLink fieldCode="DE" term="%22National+Health+%26+Nutrition+Examination+Survey%22">National Health & Nutrition Examination Survey</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Triclosan (TCS) has raised concerns due to its widespread use and potential neuroendocrine toxicity. However, its neurological effects and the interplay between TCS-induced sex hormone disruption and neurological outcomes in adults remain largely unexplored. Herein, we analyzed data from 2717 adults in the 2011–2014 National Health and Nutrition Examination Survey, employing logistic regression, restricted cubic spline, and mediation analyses to investigate the association between TCS exposure and neurological outcomes. The results showed that higher TCS exposure (above the median) was associated with lower odds of poor cognitive performance on the digit symbol substitution test (odds ratio (OR) = 0.65, 95% confidence interval (CI) = 0.42–0.99, P = 0.046), depression (OR = 0.68, 95% CI = 0.49–0.93, P = 0.015), and serious difficulty in concentrating (OR = 0.47, 95% CI = 0.30–0.74, P = 0.001). Mediation analyses revealed that testosterone and white blood cell counts partially mediated the relationship between TCS exposure and neurological outcomes. Additionally, gender-specific and U-shaped associations were observed between TCS exposure and cognitive function, depression, and difficulty concentrating. Collectively, our findings provide the first evidence linking TCS exposure to neurological health outcomes and potential neurotoxicity via sex hormone disruption in U.S. adults. Further research is needed to elucidate the underlying mechanisms and clinical significance of these associations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Environmental Science: Processes & Impacts is the property of Royal Society of Chemistry and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1039/d5em00332f
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 3095
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      – SubjectFull: Endocrine disruptors
        Type: general
      – SubjectFull: Triclosan
        Type: general
      – SubjectFull: Neuroendocrine system
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: National Health & Nutrition Examination Survey
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      – SubjectFull: Cognitive ability
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      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Double-edged implications of triclosan for the neuroendocrine system: evidence from the national health and nutrition examination survey (2011–2014 NHANES).
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            NameFull: Li, Zhiming
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            NameFull: Ma, Lichun
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            NameFull: Liang, Boxuan
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            – D: 01
              M: 10
              Text: Oct2025
              Type: published
              Y: 2025
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              Value: 27
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