The ATHENA project advanced scientific understanding of how thyroid hormone system–disrupting chemicals (THSDCs) contribute to developmental neurotoxicity. It developed new methods to identify and characterise THSDCs and clarified how thyroid hormone (TH) imbalance affects brain development.
ATHENA analysed two major birth cohorts—SELMA (Sweden) and Generation R (The Netherlands)—to study how maternal exposure to endocrine-disrupting chemicals (EDCs) affects thyroid function and child neurodevelopment. Co-occurring exposure to phenols, phthalates, PFAS, PCBs, and hexachlorobenzene was linked to altered thyroid metabolism, with increased T4/T3 ratios for persistent chemicals and decreased ratios for non-persistent EDCs. Data from over 700 SELMA mother–child pairs showed that higher maternal total T3 and lower T4/T3 ratios were associated with lower child IQ and behavioural problems. EDC exposure also reduced placental hCG, a key marker of maternal thyroid activation. These findings indicate that maternal thyroid disruption, especially altered T4/T3 balance from persistent pollutants, is a plausible pathway leading to adverse neurodevelopmental outcomes in children.
ATHENA’s in vivo work showed that disruption of thyroid hormone homeostasis causes structural and functional brain effects mediated by TH deficiency. TH disruption altered cortical development, hippocampal gene expression, and neuronal differentiation, confirming that developmental TH deficiency drives neurodevelopmental adversity.
ATHENA developed advanced 3D in vitro models replicating TH-dependent brain development, including human cerebral and neural organoids and mouse neurospheres. These systems reproduce key developmental processes, with the mouse neurosphere model enhanced by machine learning–based image analysis for improved throughput and reproducibility.
High-throughput assays for iodothyronine deiodinases (DIO1–3) and iodotyrosine dehalogenase (DEHAL1) were developed based on a unified, semi-automated and non-radioactive platform employing the Sandell–Kolthoff reaction. Over 70,000 compounds were screened, identifying selective inhibitors for mechanistic and computational modelling. Additional assays were developed for thyroid hormone transporters across physiological barriers by using hOATP1C1- and hOAT4-overexpressing cell lines.
ATHENA also improved the Xenopus Eleutheroembryonic Thyroid Assay (XETA, OECD TG 248) through automation of embryo handling and fluorescence endpoints, enhancing reproducibility and throughput while reducing animal use under the 3Rs principles (Replacement, Reduction, Refinement).
ATHENA developed AI-based QSAR models predicting THSDC activity toward DIO1–3 and TSHR. Available through the DTU/Danish (Q)SAR Models website, these models cover over 650,000 chemicals—including 13,600 REACH-registered substances—and enable rapid identification of potential thyroid disruptors.
ATHENA established a testing and assessment framework for THSDCs based on Adverse Outcome Pathway (AOP) networks. The approach links molecular disturbances to neurodevelopmental outcomes and supports regulatory decision-making, particularly when in vivo data are limited, through data integration, read-across, and targeted testing of thyroid-mediated endpoints.
ATHENA also contributed to international harmonisation of thyroid disruptor assessment by compiling an inventory of test methods, identifying regulatory gaps, and proposing mechanisms for improved global coordination and integration of thyroid-specific testing strategies.