Skip to main content

Advertisement

Log in

Developmental Exposures to Perfluoroalkyl Substances (PFASs): An Update of Associated Health Outcomes

  • Susceptibility Factors in Environmental Health (B Ritz and Z Liew, Section Editors)
  • Published:
Current Environmental Health Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

We reviewed and summarized the epidemiological evidence for the influence that pre- and postnatal exposures to perfluoroalkyl substances (PFASs) may have on health outcomes in offspring, with a particular focus on birth outcomes and postnatal growth, immunomodulatory effects and neurodevelopment.

Recent Findings

PFASs are persistent organic pollutants that have been widely produced and used in a range of commercial products since the 1950s. Human exposures to PFASs are nearly ubiquitous globally, but studies that addressed potential health effects of PFASs have only begun to accumulate in recent years. Animal studies suggest adverse effects resulting from developmental encompasses prenatal exposures to PFASs. In humans, the developing fetus is exposed to PFASs via active or passive placenta transfer, while newborns might be exposed via breastfeeding or PFAS in the home environment.

Summary

Overall, epidemiological findings are consistent and suggest possible associations with fetal and postnatal growth and immune function, while the findings on neurodevelopmental endpoints to date are rather inconclusive. Methodological challenges and future directions for PFASs-focused research are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Houde M, et al. Biological monitoring of polyfluoroalkyl substances: a review. Environ Sci Technol. 2006;40(11):3463–73.

    Article  CAS  PubMed  Google Scholar 

  2. Lau C, et al. Perfluoroalkyl acids: a review of monitoring and toxicological findings. Toxicol Sci: Off J Soc Toxicol. 2007;99(2):366–94.

    Article  CAS  Google Scholar 

  3. D'eon JC, Mabury SA. Is indirect exposure a significant contributor to the burden of perfluorinated acids observed in humans? Environ Sci Technol. 2011;45(19):7974–84.

    Article  CAS  PubMed  Google Scholar 

  4. Frisbee SJ, et al. The C8 health project: design, methods, and participants. Environ Health Perspect. 2009;117(12):1873–82.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Hu XC, et al. Detection of poly- and Perfluoroalkyl substances (PFASs) in U.S. drinking water linked to industrial sites, military fire training areas, and wastewater treatment plants. Environ Sci Technol Lett. 2016;3(10):344–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Gutzkow KB, et al. Placental transfer of perfluorinated compounds is selective–a Norwegian mother and child sub-cohort study. Int J Hyg Environ Health. 2012;215(2):216–9.

    Article  CAS  PubMed  Google Scholar 

  7. Kim S, et al. Trans-placental transfer of thirteen perfluorinated compounds and relationswith fetal thyroid hormones. Environ Sci Technol. 2011;45(17):7465–72.

    Article  CAS  PubMed  Google Scholar 

  8. Winkens K, Vestergren R, Berger U. Cousins IT early life exposure to per- and polyfluoroalkyl substances (PFASs): a critical review. Emerg Contam. 2017;3(2):55–68.

    Article  Google Scholar 

  9. Brantsater AL, et al. Determinants of plasma concentrations of perfluoroalkyl substances in pregnant Norwegian women. Environ Int. 2013;54:74–84.

    Article  CAS  Google Scholar 

  10. CDC. Centers for Disease Control and Prevention: National Health and Nutrition Examination Survey. 2009–2010 Data Documentation, Codebook, and Frequencies. Polyfluoroalkyl Chemicals (PFC_F). 2013. Available: http://wwwn.cdc.gov/nchs/nhanes/2009-2010/PFC_F.htm. Accessed 17 Oct 2017.

  11. Kato K, et al. Trends in exposure to polyfluoroalkyl chemicals in the U.S. population: 1999-2008. Environ Sci Technol. 2011;45(19):8037–45.

    Article  CAS  PubMed  Google Scholar 

  12. Butenhoff JL, Olsen GW, Pfahles-Hutchens A. The applicability of biomonitoring data for perfluorooctanesulfonate to the environmental public health continuum. Environ Health Perspect. 2006;114(11):1776–82.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Glynn A, et al. Perfluorinated alkyl acids in blood serum from primiparous women in Sweden: serial sampling during pregnancy and nursing, and temporal trends 1996-2010. Environ Sci Technol. 2012;46(16):9071–9.

    Article  CAS  PubMed  Google Scholar 

  14. Wang Z, et al. Comparative assessment of the environmental hazards of and exposure to perfluoroalkyl phosphonic and phosphinic acids (PFPAs and PFPiAs): current knowledge, gaps, challenges and research needs. Environ Int. 2016;89-90:235–47.

    Article  CAS  PubMed  Google Scholar 

  15. Chu S, et al. A new fluorinated surfactant contaminant in biota: Perfluorobutane sulfonamide in several fish species. Environ Sci Technol. 2016;50(2):669–75.

    Article  CAS  PubMed  Google Scholar 

  16. Gebbink WA, van Asseldonk L, van Leeuwen SPJ. Presence of emerging per- and Polyfluoroalkyl substances (PFASs) in river and DrinkingWater near a Fluorochemical production Plant in the Netherlands. Environ Sci Technol. 2017;51(19):11057–65.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Lau C, Butenhoff JL, Rogers JM. The developmental toxicity of perfluoroalkyl acids and their derivatives. Toxicol Appl Pharmacol. 2004;198(2):231–41.

    Article  CAS  PubMed  Google Scholar 

  18. Monroy R, et al. Serum levels of perfluoroalkyl compounds in human maternal and umbilical cord blood samples. Environ Res. 2008;108(1):56–62.

    Article  CAS  PubMed  Google Scholar 

  19. Hamm MP, et al. Maternal exposure to perfluorinated acids and fetal growth. J Expo Sci Environ Epidemiol. 2010;20(7):589–97.

    Article  CAS  PubMed  Google Scholar 

  20. Apelberg BJ, et al. Cord serum concentrations of perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA) in relation to weight and size at birth. Environ Health Perspect. 2007;115(11):1670–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Stein CR, Savitz DA, Dougan M. Serum levels of perfluorooctanoic acid and perfluorooctane sulfonate and pregnancy outcome. Am J Epidemiol. 2009;170(7):837–46.

    Article  PubMed  Google Scholar 

  22. Starling AP, et al. Perfluoroalkyl substances during pregnancy and offspring weight and adiposity at birth: examining mediation by maternal fasting glucose in the healthy start study. Environ Health Perspect. 2017;125(6):067016.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Sagiv SK, Rifas-Shiman SL, Fleisch AF, Webster TF, Calafat AM, Ye X, et al. Early pregnancy perfluoroalkyl substance plasma concentrations and birth outcomes in project viva: confounded by pregnancy hemodynamics? Am J Epidemiol. 2017; https://doi.org/10.1093/aje/kwx332.

  24. Fei C, et al. Perfluorinated chemicals and fetal growth: a study within the Danish national birth cohort. Environ Health Perspect. 2007;115(11):1677–82.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Fei C, et al. Fetal growth indicators and perfluorinated chemicals: a study in the Danish National Birth Cohort. Am J Epidemiol. 2008;168(1):66–72.

    Article  PubMed  Google Scholar 

  26. Fei C, et al. Prenatal exposure to perfluorooctanoate (PFOA) and perfluorooctanesulfonate (PFOS) and maternally reported developmental milestones in infancy. Environ Health Perspect. 2008;116(10):1391–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Bach CC, et al. Perfluoroalkyl acids in maternal serum and indices of fetal growth: the Aarhus birth cohort. Environ Health Perspect. 2016;124(6):848–54.

    PubMed  Google Scholar 

  28. Whitworth KW, et al. Perfluorinated compounds in relation to birth weight in the Norwegian mother and child cohort study. Am J Epidemiol. 2012;175(12):1209–16.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Manzano-Salgado CB, et al. Prenatal exposure to perfluoroalkyl substances and birth outcomes in a Spanish birth cohort. Environ Int. 2017;108:278–84.

    Article  CAS  PubMed  Google Scholar 

  30. Wu KS, et al. Association between maternal exposure to perfluorooctanoic acid (PFOA) from electronic waste recycling and neonatal health outcomes. Environ Int. 2012;48:1–8.

    Article  CAS  PubMed  Google Scholar 

  31. Li M, et al. Isomers of perfluorooctanesulfonate (PFOS) in cord serum and birth outcomes in China: Guangzhou birth cohort study. Environ Int. 2017;102:1–8.

    Article  CAS  PubMed  Google Scholar 

  32. Washino N, et al. Correlations between prenatal exposure to Perfluorinated chemicals and reduced fetal growth. Environ Health Perspect. 2009;117(4):660–7.

    Article  CAS  PubMed  Google Scholar 

  33. Kishi R, et al. The Association of Prenatal Exposure to Perfluorinated chemicals with maternal essential and long-chain polyunsaturated fatty acids during pregnancy and the birth weight of their offspring: the Hokkaido study. Environ Health Perspect. 2015;123(10):1038–45.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Lee ES, Han S, Oh JE. Association between perfluorinated compound concentrations in cord serum and birth weight using multiple regression models. Reprod Toxicol. 2016;59:53–9.

  35. Chen MH, et al. Perfluorinated compounds in umbilical cord blood and adverse birth outcomes. PLoS One. 2012;7(8):e42474.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Braun JM, et al. Prenatal perfluoroalkyl substance exposure and child adiposity at 8 years of age: the HOME study. Obesity (Silver Spring). 2016;24(1):231–7.

    Article  CAS  Google Scholar 

  37. Mora AM, et al. Prenatal exposure to Perfluoroalkyl substances and adiposity in early and mid-childhood. Environ Health Perspect. 2017;125(3):467–73.

    PubMed  Google Scholar 

  38. Andersen CS, et al. Prenatal exposures to perfluorinated chemicals and anthropometric measures in infancy. Am J Epidemiol. 2010;172(11):1230–7.

    Article  PubMed  Google Scholar 

  39. Halldorsson TI, et al. Prenatal exposure to perfluorooctanoate and risk of overweight at 20 years of age: a prospective cohort study. Environ Health Perspect. 2012;120(5):668–73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Andersen CS, et al. Prenatal exposures to perfluorinated chemicals and anthropometry at 7 years of age. Am J Epidemiol. 2013;178(6):921–7.

    Article  PubMed  Google Scholar 

  41. Maisonet M, et al. Maternal concentrations of polyfluoroalkyl compounds during pregnancy and fetal and postnatal growth in British girls. Environ Health Perspect. 2012;120(10):1432–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Chen MH, et al. The impact of prenatal perfluoroalkyl substances exposure on neonatal and child growth. Sci Total Environ. 2017;607-608:669–75.

    Article  CAS  PubMed  Google Scholar 

  43. Savitz DA, et al. Perfluorooctanoic acid exposure and pregnancy outcome in a highly exposed community. Epidemiology. 2012;23(3):386–92.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Savitz DA, et al. Relationship of perfluorooctanoic acid exposure to pregnancy outcome based on birth records in the mid-Ohio Valley. Environ Health Perspect. 2012;120(8):1201–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Ashley-Martin J, et al. Prenatal exposure to phthalates, bisphenol a and perfluoroalkyl substances and cord blood levels of IgE, TSLP and IL-33. Environ Res. 2015;140:360–8.

    Article  CAS  PubMed  Google Scholar 

  46. Humblet O, et al. Perfluoroalkyl chemicals and asthma among children 12-19 years of age: NHANES (1999-2008). Environ Health Perspect. 2014;122(10):1129–33.

    CAS  PubMed  PubMed Central  Google Scholar 

  47. Buser MC, Scinicariello F. Perfluoroalkyl substances and food allergies in adolescents. Environ Int. 2016;88:74–9.

    Article  CAS  PubMed  Google Scholar 

  48. Stein CR, et al. Perfluoroalkyl and polyfluoroalkyl substances and indicators of immune function in children aged 12-19 y: National Health and nutrition examination survey. Pediatr Res. 2016;79(2):348–57.

    Article  CAS  PubMed  Google Scholar 

  49. Fei C, et al. Prenatal exposure to PFOA and PFOS and risk of hospitalization for infectious diseases in early childhood. Environ Res. 2010;110(8):773–7.

    Article  CAS  PubMed  Google Scholar 

  50. Dalsager L, et al. Association between prenatal exposure to perfluorinated compounds and symptoms of infections at age 1-4years among 359 children in the Odense child cohort. Environ Int. 2016;96:58–64.

    Article  CAS  PubMed  Google Scholar 

  51. Grandjean P, et al. Serum vaccine antibody concentrations in children exposed to perfluorinated compounds. JAMA. 2012;307(4):391–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Osuna CE, et al. Autoantibodies associated with prenatal and childhood exposure to environmental chemicals in Faroese children. Toxicol Sci. 2014;142(1):158–66.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Mogensen UB, et al. Structural equation modeling of immunotoxicity associated with exposure to perfluorinated alkylates. Environ Health. 2015;14:47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Grandjean P, et al. Serum vaccine antibody concentrations in adolescents exposed to Perfluorinated compounds. Environ Health Perspect. 2017;125(7):077018.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Grandjean P, et al. Estimated exposures to perfluorinated compounds in infancy predict attenuated vaccine antibody concentrations at age 5-years. J Immunotoxicol. 2017;14(1):188–95.

    Article  CAS  PubMed  Google Scholar 

  56. Oulhote Y, et al. Children's white blood cell counts in relation to developmental exposures to methylmercury and persistent organic pollutants. Reprod Toxicol. 2017;68:207–14.

    Article  CAS  PubMed  Google Scholar 

  57. Timmermann CA, et al. Association between perfluoroalkyl substance exposure and asthma and allergic disease in children as modified by MMR vaccination. J Immunotoxicol. 2017;14(1):39–49.

    Article  CAS  PubMed  Google Scholar 

  58. Granum B, et al. Pre-natal exposure to perfluoroalkyl substances may be associated with altered vaccine antibody levels and immune-related health outcomes in early childhood. J Immunotoxicol. 2013;10(4):373–9.

    Article  CAS  PubMed  Google Scholar 

  59. Pennings JL, et al. Cord blood gene expression supports that prenatal exposure to perfluoroalkyl substances causes depressed immune functionality in early childhood. J Immunotoxicol. 2016;13(2):173–80.

    Article  CAS  PubMed  Google Scholar 

  60. Smit LA, et al. Prenatal exposure to environmental chemical contaminants and asthma and eczema in school-age children. Allergy. 2015;70(6):653–60.

    Article  CAS  PubMed  Google Scholar 

  61. Okada E, et al. Prenatal exposure to perfluorinated chemicals and relationship with allergies and infectious diseases in infants. Environ Res. 2012;112:118–25.

    Article  CAS  PubMed  Google Scholar 

  62. Okada E, et al. Prenatal exposure to perfluoroalkyl acids and allergic diseases in early childhood. Environ Int. 2014;65(Supplement C):127–34.

    Article  CAS  PubMed  Google Scholar 

  63. Goudarzi H, et al. Effects of prenatal exposure to perfluoroalkyl acids on prevalence ofallergic diseases among 4-year-old children. Environ Int. 2016;94:124–32.

    Article  CAS  PubMed  Google Scholar 

  64. Goudarzi H, et al. Prenatal exposure to perfluoroalkyl acids and prevalence of infectious diseases up to 4years of age. Environ Int. 2017;104:132–8.

    Article  CAS  PubMed  Google Scholar 

  65. Wang IJ, et al. The effect of prenatal perfluorinated chemicals exposures on pediatric atopy. Environ Res. 2011;111(6):785–91.

    Article  CAS  PubMed  Google Scholar 

  66. Dong GH, et al. Serum polyfluoroalkyl concentrations, asthma outcomes, and immunological markers in a case-control study of Taiwanese children. Environ Health Perspect. 2013;121(4):507–13.

    PubMed  PubMed Central  Google Scholar 

  67. Zhu Y, et al. Associations of serum perfluoroalkyl acid levels with T-helper cell-specific cytokines in children: by gender and asthma status. Sci Total Environ. 2016;559:166–73.

    Article  CAS  PubMed  Google Scholar 

  68. Donauer S, et al. Prenatal exposure to polybrominated diphenyl ethers and polyfluoroalkyl chemicals and infant neurobehavior. J Pediatr. 2015;166(3):736–42.

    Article  CAS  PubMed  Google Scholar 

  69. Goudarzi H, et al. Prenatal exposure to perfluorinated chemicals and neurodevelopment in early infancy: the Hokkaido study. Sci Total Environ. 2016;541:1002–10.

    Article  CAS  PubMed  Google Scholar 

  70. Chen MH, et al. Perfluorinated compound levels in cord blood and neurodevelopment at 2 years of age. Epidemiology. 2013;24(6):800–8.

    Article  PubMed  Google Scholar 

  71. Stein CR, Savitz DA, Bellinger DC. Perfluorooctanoate exposure in a highly exposed community and parent and teacher reports of behaviour in 6-12-year-old children. Paediatr Perinat Epidemiol. 2014;28(2):146–56.

    Article  PubMed  Google Scholar 

  72. Fei C, Olsen J. Prenatal exposure to perfluorinated chemicals and behavioral or coordination problems at age 7 years. Environ Health Perspect. 2011;119(4):573–8.

    Article  CAS  PubMed  Google Scholar 

  73. Liew Z, et al. Attention deficit/hyperactivity disorder and childhood autism in association with prenatal exposure to Perfluoroalkyl substances: a nested case-control study in the Danish National Birth Cohort. Environ Health Perspect. 2015;123(4):367–73.

    CAS  PubMed  Google Scholar 

  74. • Oulhote Y, et al. Behavioral difficulties in 7-year old children in relation to developmental exposure to perfluorinated alkyl substances. Environ Int. 2016;97:237–45. This study with several PFASs exposure assessment showed inverse association of postnatal exposure to PFASs and childhood behavioral problems in childhood.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Høyer BB, et al. Pregnancy serum concentrations of perfluorinated alkyl substances and offspring behaviour and motor development at age 5-9 years - a prospective study. Environ Health. 2015;14:2. https://doi.org/10.1186/1476-069X-14-2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Ode A, et al. Fetal exposure to perfluorinated compounds and attention deficit hyperactivity disorder in childhood. PLoS One. 2014;9(4):e95891.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Lien GW, Huang CC, Shiu JS, Chen MH, Hsieh WS, Guo YL, et al. Perfluoroalkyl substances in cord blood and attention deficit/hyperactivity disorder symptoms in seven-year-old children. Chemosphere. 2016;156:118–27.

    Article  CAS  PubMed  Google Scholar 

  78. Stein CR, Savitz DA, Bellinger DC. Perfluorooctanoate and neuropsychological outcomes in children. Epidemiology. 2013;24(4):590–9.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Braun JM, et al. Gestational exposure to endocrine-disrupting chemicals and reciprocal social, repetitive, and stereotypic behaviors in 4- and 5-year-old children: the HOME study. Environ Health Perspect. 2014;122(5):513–20.

    CAS  PubMed  PubMed Central  Google Scholar 

  80. Vuong AM, et al. Prenatal polybrominated diphenyl ether and perfluoroalkyl substance exposures and executive function in school-age children. Environ Res. 2016;147:556–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  81. Strom M, et al. Persistent organic pollutants measured in maternal serum and offspring neurodevelopmental outcomes–a prospective study with long-term follow-up. Environ Int. 2014;68:41–8.

    Article  CAS  PubMed  Google Scholar 

  82. Wang Y, et al. Prenatal exposure to perfluroalkyl substances and children's IQ: the Taiwan maternal and infant cohort study. Int J Hyg Environ Health. 2015;218(7):639–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  83. Hoffman K, et al. Exposure to Polyfluoroalkyl chemicals and attention deficit/hyperactivity disorder in U.S. children 12-15 years of age. Environ Health Perspect. 2010;118(12):1762–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Stein CR, Savitz DA. Serum perfluorinated compound concentration and attention deficit/hyperactivity disorder in children 5-18 years of age. Environ Health Perspect. 2011;119(10):1466–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Gump BB, et al. Perfluorochemical (PFC) exposure in children: associations with impaired response inhibition. Environ Sci Technol. 2011;45(19):8151–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. Quaak I, de Cock M, de Boer M, Lamoree M, Leonards P, van de Bor M, et al. Prenatal exposure to perfluoroalkyl substances and behavioral development in children. Int J Environ Res Public Health. 2016;13(5):511. https://doi.org/10.3390/ijerph13050511.

    Article  CAS  PubMed Central  Google Scholar 

  87. Forns J, et al. Perfluoroalkyl substances measured in breast milk and child neuropsychological development in a Norwegian birth cohort study. Environ Int. 2015;83:176–82.

    Article  CAS  PubMed  Google Scholar 

  88. Sucharew H, et al. NICU network neurobehavioral scale profiles predict developmental outcomes in a low-risk sample. Paediatr Perinat Epidemiol. 2012;26(4):344–52.

    Article  PubMed  PubMed Central  Google Scholar 

  89. Liew Z, et al. Prenatal exposure to perfluoroalkyl substances and the risk of congenital cerebral palsy in children. Am J Epidemiol. 2014;180(6):574–81.

    Article  PubMed  Google Scholar 

  90. DeWitt JC, et al. Immunotoxicity of perfluorinated compounds: recent developments. Toxicol Pathol. 2012;40(2):300–11.

    Article  CAS  PubMed  Google Scholar 

  91. Corsini E, et al. Perfluorinated compounds: emerging POPs with potential immunotoxicity. Toxicol Lett. 2014;230(2):263–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  92. DeWitt JC, et al. Immunotoxicity of perfluorooctanoic acid and perfluorooctane sulfonate and the role of peroxisome proliferatoractivated receptor alpha. Crit Rev Toxicol. 2009;39(1):76–94.

    Article  CAS  PubMed  Google Scholar 

  93. DeWitt JC, et al. Suppression of antigen-specific antibody responses in mice exposed to perfluorooctanoic acid: role of PPARalpha and T- and B-cell targeting. J Immunotoxicol. 2016;13(1):38–45.

    Article  CAS  PubMed  Google Scholar 

  94. DeWitt JC, Copeland CB, Luebke RW. Suppression of humoral immunity by perfluorooctanoic acid is independent of elevated serum corticosterone concentration in mice. Toxicol Sci. 2009;109(1):106–12.

    Article  CAS  PubMed  Google Scholar 

  95. Yang Q, et al. Potent suppression of the adaptive immune response in mice upon dietary exposure to the potent peroxisome proliferator, perfluorooctanoic acid. Int Immunopharmacol. 2002;2(2-3):389–97.

    Article  CAS  PubMed  Google Scholar 

  96. Loveless SE, et al. Evaluation of the immune system in rats and mice administered linear ammonium perfluorooctanoate. Toxicol Sci. 2008;105(1):86–96.

    Article  CAS  PubMed  Google Scholar 

  97. • Goudarzi H, et al. The Association of Prenatal Exposure to Perfluorinated chemicals with glucocorticoid and androgenic hormones in cord blood samples: the Hokkaido study. Environ Health Perspect. 2017;125(1):111–8. For the first time, the authors showed evidence regarding the effects of prenatal exposure to PFAS on glucocorticoids and androgenic hormones in the fetuses

    PubMed  Google Scholar 

  98. Itoh S, et al. Association of perfluoroalkyl substances exposure in utero with reproductive hormone levels in cord blood in the Hokkaido study on environment and Children's health. Environ Int. 2016;94:51–9.

    Article  CAS  PubMed  Google Scholar 

  99. Mariussen E. Neurotoxic effects of perfluoroalkylated compounds: mechanisms of action and environmental relevance. Arch Toxicol. 2012;86(9):1349–67.

    Article  CAS  PubMed  Google Scholar 

  100. Johansson N, Eriksson P, Viberg H. Neonatal exposure to PFOS and PFOA in mice results in changes in proteins which are important for neuronal growth and synaptogenesis in the developing brain. Toxicol Sci. 2009;108(2):412–8.

    Article  CAS  PubMed  Google Scholar 

  101. Slotkin TA, et al. Developmental neurotoxicity of perfluorinated chemicals modeled in vitro. Environ Health Perspect. 2008;116(6):716–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  102. Weiss JM, et al. Competitive binding of poly- and perfluorinated compounds to the thyroid hormone transport protein transthyretin. Toxicol Sci: Off J Soc Toxicol. 2009;109(2):206–16.

    Article  CAS  Google Scholar 

  103. Webster GM, et al. Associations between Perfluoroalkyl acids (PFASs) and maternal thyroid hormones in early pregnancy: a population-based cohort study. Environ Res. 2014;133:338–47.

    Article  CAS  PubMed  Google Scholar 

  104. Wang Y, et al. Association between maternal serum Perfluoroalkyl substances during pregnancy and maternal and cord thyroid hormones: Taiwan maternal and infant cohort study. Environ Health Perspect. 2014;122(5):529–34.

    CAS  PubMed  PubMed Central  Google Scholar 

  105. Wang Y, Starling AP, Haug LS, Eggesbo M, Becher G, Thomsen C, et al. Association between Perfluoroalkyl substances and thyroid stimulating hormone among pregnant women: a crosssectional study. Environ Health. 2013;12:76. https://doi.org/10.1186/1476-069X-12-76.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  106. Lazarus JH. Thyroid hormone and intellectual development: a clinician's view. Thyroid: Off J Am Thyroid Assoc. 1999;9(7):659–60.

    Article  CAS  Google Scholar 

  107. Koibuchi N, Chin MW. Thyroid hormone action and brain development. Trends Endocrinol Metab. 2000;11(4):123–8.

    Article  CAS  PubMed  Google Scholar 

  108. Oppenheimer JH, Schwartz HL. Molecular basis of thyroid hormone-dependent brain development. Endocr Rev. 1997;18(4):462–75.

    CAS  PubMed  Google Scholar 

  109. Hong T, Paneth N. Maternal and infant thyroid disorders and cerebral palsy. Semin Perinatol. 2008;32(6):438–45.

    Article  PubMed  Google Scholar 

  110. Modesto T, et al. Maternal mild thyroid hormone insufficiency in early pregnancy and attention-deficit/hyperactivity disorder symptoms in children. JAMA Pediatr. 2015;169(9):838–45.

    Article  PubMed  Google Scholar 

  111. Andersen SL, et al. Attention deficit hyperactivity disorder and autism spectrum disorder in children born to mothers with thyroid dysfunction: a Danish nationwide cohort study. BJOG Int J Obstet Gynaecol. 2014;121(11):1365–74.

    Article  CAS  Google Scholar 

  112. Vandenberg LN, et al. Hormones and endocrine-disrupting chemicals: low-dose effects and nonmonotonic dose responses. Endocr Rev. 2012;33(3):378–455.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  113. Bellinger DC. Prenatal exposures to environmental chemicals and Children's neurodevelopment: an update. Saf Health Work. 2013;4(1):1–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  114. Braun JM. Early-life exposure to EDCs: role in childhood obesity and neurodevelopment. Nat Rev Endocrinol. 2017;13(3):161–73.

    Article  CAS  PubMed  Google Scholar 

  115. Braun JM, et al. What can epidemiological studies tell us about the impact of chemical mixtures on human health? Environ Health Perspect. 2016;124(1):A6–9.

    Article  PubMed  PubMed Central  Google Scholar 

  116. Bobb JF, et al. Bayesian kernel machine regression for estimating the health effects of multi-pollutant mixtures. Biostatistics. 2015;16(3):493–508.

    Article  PubMed  Google Scholar 

  117. Mondal D, et al. Relationships of perfluorooctanoate and perfluorooctane sulfonate serum concentrations between mother-child pairs in a population with perfluorooctanoate exposure from drinking water. Environ Health Perspect. 2012;120(5):752–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  118. Haug LS, et al. Diet and particularly seafood are major sources of perfluorinated compounds in humans. Environ Int. 2010;36(7):772–8.

    Article  CAS  PubMed  Google Scholar 

  119. Olsen GW, et al. Half-life of serum elimination of perfluorooctanesulfonate, perfluorohexanesulfonate, and perfluorooctanoate in retired fluorochemical production workers. Environ Health Perspect. 2007;115(9):1298–305.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  120. Papadopoulou E, et al. Exposure of Norwegian toddlers to perfluoroalkyl substances (PFAS): the association with breastfeeding and maternal PFAS concentrations. Environ Int. 2016;94:687–94.

    Article  CAS  PubMed  Google Scholar 

  121. Zhang Y, et al. Biomonitoring of perfluoroalkyl acids in human urine and estimates of biological half-life. Environ Sci Technol. 2013;47(18):10619–27.

    Article  CAS  PubMed  Google Scholar 

  122. Perez F, et al. Accumulation of perfluoroalkyl substances in human tissues. Environ Int. 2013;59:354–62.

    Article  CAS  PubMed  Google Scholar 

  123. Rappazzo K, Coffman E, Hines E. Exposure to Perfluorinated alkyl substances and health outcomes in children: a systematic review of the epidemiologic literature. Int J Environ Res Public Health. 2017;14(7):691.

    Article  PubMed Central  Google Scholar 

  124. Winkens K, et al. Early life exposure to per- and polyfluoroalkyl substances (PFASs): a critical review. Emerg Contam. 2017;3(2):55–68.

    Article  Google Scholar 

  125. Bach CC, et al. Perfluoroalkyl acid concentrations in blood samples subjected to transportation and processing delay. PLoS One. 2015;10(9):e0137768.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  126. Verner MA, et al. Associations of Perfluoroalkyl substances (PFAS) with lower birth weight: an evaluation of potential confounding by glomerular filtration rate using a physiologically based pharmacokinetic model (PBPK). Environ Health Perspect. 2015;123(12):1317–24.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  127. Sagiv SK, et al. Sociodemographic and perinatal predictors of early pregnancy per- and Polyfluoroalkyl substance (PFAS) concentrations. Environ Sci Technol. 2015;49(19):11849–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  128. Harris MH, et al. Predictors of per- and Polyfluoroalkyl substance (PFAS) plasma concentrations in 6-10 year old American children. Environ Sci Technol. 2017;51(9):5193–204.

  129. Bach CC, et al. Perfluoroalkyl and polyfluoroalkyl substances and measures of human fertility: a systematic review. Crit Rev Toxicol. 2016;46(9):735–55.

    Article  CAS  PubMed  Google Scholar 

  130. Joensen UN, et al. Do perfluoroalkyl compounds impair human semen quality? Environ Health Perspect. 2009;117(6):923–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  131. Fei C, et al. Maternal levels of perfluorinated chemicals and subfecundity. Hum Reprod. 2009;24(5):1200–5.

    Article  CAS  PubMed  Google Scholar 

  132. Velez MP, Arbuckle TE, Fraser WD. Maternal exposure to perfluorinated chemicals and reduced fecundity: the MIREC study. Hum Reprod. 2015;30(3):701–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  133. Darrow LA, et al. PFOA and PFOS serum levels and miscarriage risk. Epidemiology. 2014;25(4):505–12.

    Article  PubMed  Google Scholar 

  134. Jensen TK, et al. Association between perfluorinated compound exposure and miscarriage in Danish pregnant women. PLoSOne. 2015;10(4):e0123496.

    Article  CAS  Google Scholar 

  135. • Liew Z, et al. Bias from conditioning on live birth in pregnancy cohorts: an illustration based on neurodevelopment in children after prenatal exposure to organic pollutants. Int J Epidemiol. 2015;44(1):345–54. This study provides extensive and detailed information regarding a common bias structure (leading to 'live-birth bias') that could arise when studying prenatal exposure effects to environmental factors on outcomes in the offspring in pregnancy cohorts

    Article  PubMed  PubMed Central  Google Scholar 

  136. NTP. NTP Monograph. Immunotoxicity Associated with Exposure to Perfluorooctanoic Acid or Perfluorooctane Sulfonate. Research Triangle Park, NC: Office of Health Assessment and Translation, National Toxicology Program (NTP), National Institute of Environmental Health Sciences, National Institutes of Health, U.S. Department of Health and Human Services. 2016.

Download references

Acknowledgments

ZL was supported by the NIH/NIEHS Pathway to Independence Award (K99ES026729).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Houman Goudarzi.

Ethics declarations

Conflict of Interest

Zeyan Liew, Houman Goudarzi, and Youssef Oulhote declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Susceptibility Factors in Environmental Health

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liew, Z., Goudarzi, H. & Oulhote, Y. Developmental Exposures to Perfluoroalkyl Substances (PFASs): An Update of Associated Health Outcomes. Curr Envir Health Rpt 5, 1–19 (2018). https://doi.org/10.1007/s40572-018-0173-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40572-018-0173-4

Keywords

Navigation