Evidence map›Paper›PMID 29391068›Full record

ArticleEnvironmental health : a global access science source2018

Can profiles of poly- and Perfluoroalkyl substances (PFASs) in human serum provide information on major exposure sources?

Xindi C Hu, Clifton Dassuncao, Xianming Zhang, Philippe Grandjean, Pál Weihe, Glenys M Webster, Flemming Nielsen, Elsie M Sunderland

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 97 citations in OpenAlex.

  1. Article
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  4. The PFAS roadmap-Navigating a path together to improved management.Sustainability science and technology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 4 countries.

Xindi C HuHarvard T.H. Chan School of Public Health, Boston, MA, 02215, USA. xhu@mail.harvard.edu.
Clifton DassuncaoHarvard T.H. Chan School of Public Health, Boston, MA, 02215, USA.
Xianming ZhangHarvard John A. Paulson School of Engineering and Applied Sciences, Harvard University, 128 Pierce Hall, Cambridge, MA, 02138, USA.
Philippe GrandjeanHarvard T.H. Chan School of Public Health, Boston, MA, 02215, USA.
Pál WeiheThe Faroese Hospital System, FR-100, Tórshavn, Faroe Islands.
Glenys M WebsterSimon Fraser University, Burnaby, BC, V5A 1S6, Canada.
Flemming NielsenUniversity of Southern Denmark, DK-5000, Odense, Denmark.
Elsie M SunderlandHarvard T.H. Chan School of Public Health, Boston, MA, 02215, USA.
Harvard University · USSimon Fraser University · CAUniversity of Southern Denmark · DKUniversity of the Faroe Islands · FO

Funding

Sources, Transport, Exposure & Effects of PFAS (STEEP) Center - RENEWALP42ES027706 · NIEHS · UNIVERSITY OF RHODE ISLAND · PI Harrison Dekker · 2017 to 2026
$18.9M
Epidemiology of Immunotoxicant Exposure in ChildrenR01ES012199 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRANDJEAN, PHILIPPE ADAM · 2004 to 2015
$3.4M
Health Effects of Lifetime Exposure to Food ContaminantsR01ES013692 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM · 2006 to 2009
$1.1M
Immunotoxicity in Humans with Lifetime Exposure to Ocean PullutantsR01ES021993 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM · 2012 to 2016
$762k
Inflammation and metabolic abnormalities in pollutant-exposed childrenR01ES026596 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM · 2017 to 2018
$321k
NIEHS NIH HHS ES012199, ES013692 and ES021993NIEHS NIH HHS P42 ES027706NIEHS NIH HHS P42ES027706NIEHS NIH HHS R01 ES012199NIEHS NIH HHS R01 ES013692NIEHS NIH HHS R01 ES021993NIEHS NIH HHS R01 ES026596
6 · The paper itself

Abstract

backgroundHumans are exposed to poly- and perfluoroalkyl substances (PFASs) from diverse sources and this has been associated with negative health impacts. Advances in analytical methods have enabled routine detection of more than 15 PFASs in human sera, allowing better profiling of PFAS exposures. The composition of PFASs in human sera reflects the complexity of exposure sources but source identification can be confounded by differences in toxicokinetics affecting uptake, distribution, and elimination. Common PFASs, such as perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS) and their precursors are ubiquitous in multiple exposure sources. However, their composition varies among sources, which may impact associated adverse health effects.

methodsWe use available PFAS concentrations from several demographic groups in a North Atlantic seafood consuming population (Faroe Islands) to explore whether chemical fingerprints in human sera provide insights into predominant exposure sources. We compare serum PFAS profiles from Faroese individuals to other North American populations to investigate commonalities in potential exposure sources. We compare individuals with similar demographic and physiological characteristics and samples from the same years to reduce confounding by toxicokinetic differences and changing environmental releases.

resultsUsing principal components analysis (PCA) confirmed by hierarchical clustering, we assess variability in serum PFAS concentrations across three Faroese groups. The first principal component (PC)/cluster consists of C9-C12 perfluoroalkyl carboxylates (PFCAs) and is consistent with measured PFAS profiles in consumed seafood. The second PC/cluster includes perfluorohexanesulfonic acid (PFHxS) and the PFOS precursor N-ethyl perfluorooctane sulfonamidoacetate (N-EtFOSAA), which are directly used or metabolized from fluorochemicals in consumer products such as carpet and food packaging. We find that the same compounds are associated with the same exposure sources in two North American populations, suggesting generalizability of results from the Faroese population.

conclusionsWe conclude that PFAS homologue profiles in serum provide valuable information on major exposure sources. It is essential to compare samples collected at similar time periods and to correct for demographic groups that are highly affected by differences in physiological processes (e.g., pregnancy). Information on PFAS homologue profiles is crucial for attributing adverse health effects to the proper mixtures or individual PFASs.

Indexed as

Environmental ExposureAdolescentAdultAgedAlkanesulfonic AcidsChildDenmarkEnvironmental MonitoringEnvironmental PollutantsFemaleFluorocarbonsHumansMaleMiddle AgedNutrition SurveysProspective StudiesAlkanesulfonic AcidsEnvironmental PollutantsFluorocarbonsConsumer productsFish and shellfishHomologuesPerfluoroalkyl carboxylates (PFCAs)SerumSource attribution

Identifiers

PMID29391068
PMCPMC5796515
OpenAlexW2792549036

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.