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Exposure to bisphenols (BPA and BPS) during pregnancy can significantly affect fetal development and increase risk of adverse health consequences, however the underlying mechanisms are not fully elucidated. In human placenta, the efflux transporter P-glycoprotein (P-gp), encoded by the ABCB1 gene, extrudes its substrates from the trophoblasts back into the maternal circulation. Alterations in levels of placental P-gp could therefore significantly affect fetal exposure to xenobiotics that are P-gp substrates. The ABCB1 promoter contains many single nucleotide polymorphisms (SNPs). In the genome, SNPs are not arrayed as independent variants but as combinations forming defined haplotypes. Recently, we determined the haplotype sequences encompassing the ABCB1 promoter SNPs and found that promoter haplotypes differentially affect ABCB1 promoter activity. Here we investigate the effect of BPA and BPS on ABCB1 promoter activity by testing the hypothesis that BPA and BPS exposure affect ABCB1 promoter activity in a haplotype-dependent manner. Our data indicate that acute exposure to 50nM BPA induced a significant haplotype-dependent increase in ABCB1 promoter activity (P<.05). However, acute exposure to 0.5nM BPS induced a significant decrease (P<.05) in promoter activity that was haplotype-dependent. Chronic exposure to BPA and BPS individually (5nM and 0.3nM, respectively) or as a mixture (5nM BPA:1.5nM BPS) induced significant haplotype-dependent increases (P<.01) in ABCB1 promoter activity. Our data indicate that BPA and BPS significantly alter ABCB1 promoter activity in a haplotype- and exposure type- dependent manners. Such alteration could significantly impact placental P-gp levels and alter fetal exposure to many therapeutic and environmental xenobiotics.BPA and BPS alter ABCB1 promoter activity in a haplotype-dependent manner.Acute BPA exposure elicits haplotype-dependent increases in ABCB1 promoter activity.Acute BPS exposure elicits haplotype-dependent decreases in ABCB1 promoter activity.Chronic exposure to BPA/BPS elicits haplotype-dependent increases in ABCB1 activity.Alteration of ABCB1 promoter activity could significantly affect P-gp levels.