Environmental co-exposure to multiple chemicals is increasingly recognized as a critical determinant of toxicological outcomes, yet most studies continue to evaluate compounds in isolation. Bisphenol A (BPA), a ubiquitous endocrine-disrupting chemical...
Environmental co-exposure to multiple chemicals is increasingly recognized as a critical determinant of toxicological outcomes, yet most studies continue to evaluate compounds in isolation. Bisphenol A (BPA), a ubiquitous endocrine-disrupting chemical, and aniline, an industrial aromatic amine with environmental and dietary exposure relevance, represent a realistic co-exposure scenario whose combined hepatotoxic effects remain poorly characterized. This study investigated mixture- specific toxicity in mouse-derived liver organoids chronically exposed to BPA (0.3 μM) combined with aniline at three concentrations (2.56, 6.4, and 16 μg/L) for 15 days. LDH assays indicated no overt cytotoxicity, while DCFDA revealed concentration-dependent intracellular ROS accumulation. Transcriptomic profiling identified a substantial number of co-exposure-specific differentially expressed genes, the majority of which were not observed under single-compound conditions, indicating emergent mixture-specific transcriptomic responses. ClueGO pathway analysis implicated lipid storage, hypoxia response, prostanoid metabolism, and ATP metabolic processes. qPCR and Western blot validated downregulation of Gbe1 and Hilpda, and reduced expression of Hmox1/HO-1 and NQO1, indicating an attenuated Nrf2-mediated antioxidant response despite elevated ROS. COX-2 exhibited a directional reversal under co-exposure, consistent with NF-κB pathway activation, and HNF4α downregulation suggested hepatocellular functional decline. Collectively, these findings demonstrate emergent, mixture-specific sublethal hepatotoxicity converging on three interconnected pathological axes, namely hepatic metabolic dysregulation, oxidative stress defense insufficiency, and inflammatory signaling activation, each corresponding to the core components of MASH pathology including steatosis, hepatocellular injury, and lobular inflammation. These co-exposure-specific alterations are consistent with an early MASH-like pathology signature that is not predictable from single-compound exposure data alone, underscoring the necessity of mixture-based approaches in environmental hepatotoxicity research.