Oxybenzone – and endocrine disruption?
What is it?
Oxybenzone (also known as benzophenone-3) is a UV filter that’s used in some sunscreens.
UV filters are the active ingredients in sunscreens that protect your skin from UV radiation. Oxybenzone is a UV absorber, or ‘organic filter’, which absorbs UV light and converts it to a lower energy form. (See Sunscreens – More Harm Than Good? for more information on UV filters.)
What's the myth?
Oxybenzone has been the subject of ongoing internet rumours and negative sentiment. These appear to focus on two issues and are traceable to two studies.
First are claims that oxybenzone may be an endocrine disruptor. In other words, it may interfere with normal hormone function. This claim stems from a 2001 study,1 which claimed several UV actives were reported to show oestrogenic activity in vitro and in vivo.
Second is simply the fact that oxybenzone can be detected in our bodies. A 2008 US-based study2 found oxybenzone in almost all urine samples tested. The US's Environmental Working Group translated this as ‘Americans Carry Body Burden of Toxic Sunscreen Chemical’…‘97% of Americans are contaminated’, the regulator ‘has failed miserably in its duty to protect the public’.3 Emotive language, much?
Should you be worried? No.
What are the facts?
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The presence of a substance in body fluid doesn’t mean it harms the body
Let’s start with the urine thing.
Every day, we’re exposed to many chemical substances, natural and man-made. This has been the case for thousands of years.
Our bodies are equipped to eliminate many substances to which we are exposed. We primarily do this by metabolising substances in the liver or kidneys, then excreting them from the body—primarily via urine (wee) or faeces (poo).
So, just because a substance is found in your urine doesn’t mean that it has caused you any harm. The authors of the 2008 study didn’t link the widespread presence of oxybenzone in the population, or the levels of oxybenzone found, to any increased risk of adverse health effects.
A 2020 systematic review ‘did not find a strong support for a causal relationship between the systemic level of BP-3 [oxybenzone]…and adverse health outcomes’.4 In other words, the amount of oxybenzone in the body was not linked to any negative health effects.
What’s a systematic review?
A structured and comprehensive literature review that uses explicit, repeatable methods to identify, select and consolidate all available evidence to answer a specific research question. -
There is no evidence that oxybenzone in sunscreen is an endocrine disruptor
According to the Cancer Council, ‘there is no evidence of any chemicals approved for use in Australian sunscreens disrupting the endocrine system’.5 This includes oxybenzone.
Australia’s regulator of primary sunscreens, the TGA, reviewed the 2001 study and saw no cause for changing how oxybenzone (and the other UV actives) was used in sunscreen. Why?
Let’s start with the in vitro tests, which looked at the effect of oxybenzone on isolated human breast cancer cells. The TGA noted that ‘the UV screens tested were at least 106 times less active than the reference compound’6 (oestradiol). The Scientific Committee on Cosmetics and Non-Food Products (SCCNFP) also noted the 106 times lower potency of the UV-filters compared with the positive control, and that in vitro assays 'can only demonstrate whether UV-filters bind on the estrogen receptor or not...they do not provide evidence whether the compounds have estrogenic activity or not'7. In other words, they cannot predict effects in people.
OK, so if the in vitro results weren’t enlightening, what about the in vivo results?
This part of the study has also been criticised. The SCCNFP cited the use of inappropriate rat strains and developmental stage, and the much greater potency of the positive control (ethinylestradiol) than the UV filters.7
There was also inconsistency between the findings of the in vitro and in vivo studies in the ranking of the effect of the UV-filters tested.
The SCCNFP concluded that 'Based on the actual scientific knowledge, the SCCNFP is of the opinion that the organic UV-filters used in cosmetic sunscreen products, allowed in the EU market today, have no estrogenic effects that could potentially affect human health.'7
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Regulators around the world have evaluated oxybenzone for safety
Oxybenzone has been studied extensively and its low toxicity is well established. It has been is safe use around the world for decades. Regulators worldwide continually monitor the academic literature for new evidence on chemical ingredients.
Oxybenzone is approved for use in sunscreens by major international regulators, including Australia’s Therapeutic Goods Administration (TGA) and those in Europe, Canada, Japan, Australia, China, Korea, Mexico, Taiwan and Brazil.
For example, in its 2021 Opinion,8 the European Commission’s Scientific Committee on Consumer Safety (SCCS) concluded that, ‘the use of BP-3 [oxybenzone] as a UV filter in the following sunscreen products is safe for the consumer’, specifying maximum concentrations of 6% in face cream, hand cream and lipsticks, and 2.2% in body creams, propellant sprays and pump sprays.
Negative claims about oxybenzone are without foundation. Nevertheless, oxybenzone is ‘unjustly criticised by EWG every year’,9 continuing to fuel the myth.
The bottom line?
The weight of evidence supports the safety of oxybenzone as used in sunscreen products.
No need to…
avoid sunscreens containing oxybenzone—or in fact any product available on the Australian market.
But please do...
be sun-safe, which includes using sunscreen as part of your sun protection regimen. Choose one you can afford and love to use!
Sources
- Schlumpf, M. et al., 2001. ‘In-vitro and In-vivo Estrogenicity of UV Screens’, Environmental Health Perspectives; vol. 109[3]; 239-244
- Calafat AM, et al. 2008 ‘Concentrations of the sunscreen agent benzophenone-3 in residents of the United States: National Health and Nutrition Examination Survey 2003-2004’ Environ Health Perspect. 2008 J116(7):893-7
- Environmental Working Group, 2008, ‘CDC: Americans Carry Body Burden of Toxic Sunscreen Chemical’
- Suh S, Pham C, Smith J, Mesinkovska NA, 'The banned sunscreen ingredients and their impact on human health: a systematic review'. Int J Dermatol. 2020 Sep;59(9):1033-1042.
- Cancer Council, Do sunscreens contain endocrine disruptors?
- OTC Medicines Evaluation Section, Therapeutic Goods Administration, 2001, Sunscreens: Potential oestrogenicity of sunscreens
- Opinion on the Evaluation of Potentially Estrogenic Effects of UV-filters adopted by the SCCNFP during the 17th Plenary meeting of 12 June 2001
- Scientific Committee on Consumer Safety, 2021, SCCS OPINION on Benzophenone-3
- Personal Care Products Council, 2022, Statement by Alexandra Kowcz, Chief Scientist, in Response to the Environmental Working Group’s 2022 Sunscreens Guide