Evidence map›Paper›PMID 33017053›Full record

ReviewEnvironmental toxicology and chemistry2021

Per- and Polyfluoroalkyl Substance Toxicity and Human Health Review: Current State of Knowledge and Strategies for Informing Future Research.

Suzanne E Fenton, Alan Ducatman, Alan Boobis, Jamie C DeWitt, Christopher Lau, Carla Ng, James S Smith, Stephen M Roberts

Registry-linked trialAbstract readReview
In one paragraph

Review in Environmental toxicology and chemistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07391397 (Reducing Rural Health Disparities by Empowering People to Minimize PFAS Exposure and Improve Cardiovascular Health), which is not on this map. Cited by 741 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
741citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT07391397 nacompletednot on this mapstarted 2025, after this paper: background citation

Reducing Rural Health Disparities by Empowering People to Minimize PFAS Exposure and Improve Cardiovascular Health

TypeinterventionalSponsorMillion Marker Wellness, Inc.Ran2025 to 2026Enrolled183ConditionsEnvironmental Health EffectsArmsBlood Test and Report Back
3 · Its place in the literature

Who cites it

741 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Dietary and social predictors of PFAS exposure in Hispanic children from Northern Virginia.Journal of exposure science & environmental epidemiology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
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  16. Article
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  18. Article
  19. Article
  20. Deciphering the Chemical Footprint of Renewables.Environmental science & technology · 2026
    Article

681 more citing papers are in PubMed but not listed here.

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.

Suzanne E FentonNational Toxicology Program Laboratory, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA.
Alan DucatmanWest Virginia University School of Public Health, Morgantown, West Virginia, USA.ORCID 0000-0002-9446-0459
Alan BoobisImperial College London, London, United Kingdom.
Jamie C DeWittDepartment of Pharmacology and Toxicology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Christopher LauPublic Health and Integrated Toxicology Division, Center for Public Health and Environmental Assessment, Office of Research and Development, US Environmental Protection Agency, Research Triangle Park, North Carolina, USA.
Carla NgDepartments of Civil and Environmental Engineering and Environmental and Occupational Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-5521-7862
James S SmithNavy and Marine Corps Public Health Center, Portsmouth, Virginia, USA.
Stephen M RobertsCenter for Environmental & Human Toxicology, University of Florida, Gainesville, Florida, USA.

Funding

Mammary Gland as a Sensitive End Point to Effects of Endocrine DisruptorsZIAES102785 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI FENTON, SUZANNE · 2010 to 2021
$38.1M
Intramural NIH HHS ZIA ES102785
6 · The paper itself

Abstract

Reports of environmental and human health impacts of per- and polyfluoroalkyl substances (PFAS) have greatly increased in the peer-reviewed literature. The goals of the present review are to assess the state of the science regarding toxicological effects of PFAS and to develop strategies for advancing knowledge on the health effects of this large family of chemicals. Currently, much of the toxicity data available for PFAS are for a handful of chemicals, primarily legacy PFAS such as perfluorooctanoic acid and perfluorooctane sulfonate. Epidemiological studies have revealed associations between exposure to specific PFAS and a variety of health effects, including altered immune and thyroid function, liver disease, lipid and insulin dysregulation, kidney disease, adverse reproductive and developmental outcomes, and cancer. Concordance with experimental animal data exists for many of these effects. However, information on modes of action and adverse outcome pathways must be expanded, and profound differences in PFAS toxicokinetic properties must be considered in understanding differences in responses between the sexes and among species and life stages. With many health effects noted for a relatively few example compounds and hundreds of other PFAS in commerce lacking toxicity data, more contemporary and high-throughput approaches such as read-across, molecular dynamics, and protein modeling are proposed to accelerate the development of toxicity information on emerging and legacy PFAS, individually and as mixtures. In addition, an appropriate degree of precaution, given what is already known from the PFAS examples noted, may be needed to protect human health. Environ Toxicol Chem 2021;40:606-630. © 2020 SETAC.

Indexed as

Adverse Outcome PathwaysAlkanesulfonic AcidsFluorocarbonsAnimalsHumansReproductionAlkanesulfonic AcidsFluorocarbonsContaminants of emerging concernPer- and polyfluoroalkyl substancesPerfluorooctane sulfonatePerfluorooctanoic acidPersistent compounds

Identifiers

PMID33017053
PMCPMC7906952

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.