Evidence map›Paper›PMID 33201517›Full record

ReviewEnvironmental toxicology and chemistry2021

PFAS Exposure Pathways for Humans and Wildlife: A Synthesis of Current Knowledge and Key Gaps in Understanding.

Amila O De Silva, James M Armitage, Thomas A Bruton, Clifton Dassuncao, Wendy Heiger-Bernays, Xindi C Hu, Anna Kärrman, Barry Kelly, Carla Ng, Anna Robuck and 3 more

Abstract 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. Cited by 248 papers.

0numbers the graph read from it
0cells of the map it votes in
248citing papers in PubMed
–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.

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

248 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Dietary and social predictors of PFAS exposure in Hispanic children from Northern Virginia.Journal of exposure science & environmental epidemiology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Developmental exposure to a PFAS mixture impairs the anamnestic response to influenza A virus infection in mice.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

188 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

13 authors.

Amila O De SilvaEnvironment and Climate Change Canada, Burlington, Ontario, Canada.ORCID 0000-0002-5126-8854
James M ArmitageAES Armitage Environmental Sciences, Ottawa, Ontario, Canada.
Thomas A BrutonGreen Science Policy Institute, Berkeley, California, USA.
Clifton DassuncaoEastern Research Group, Washington, DC.ORCID 0000-0001-7140-1344
Wendy Heiger-BernaysBoston University School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-0091-9629
Xindi C HuMathematica, Oakland, California, USA.
Anna KärrmanÖrebro University, Örebro, Sweden.
Barry KellySimon Fraser University, Burnaby, British Columbia, Canada.ORCID 0000-0002-3449-6310
Carla NgUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-5521-7862
Anna RobuckUniversity of Rhode Island, Graduate School of Oceanography, Narragansett, Rhode Island, USA.
Mei SunUniversity of North Carolina at Charlotte, Charlotte, North Carolina, USA.
Thomas F WebsterBoston University School of Public Health, Boston, Massachusetts, USA.
Elsie M SunderlandHarvard University, Cambridge, Massachusetts, USA.ORCID 0000-0003-0386-9548

Funding

Training CoreP42ES007381 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HAHN, MARK E · 1995 to 2019
$46.1M
Sources, Transport, Exposure & Effects of PFAS (STEEP) Center - RENEWALP42ES027706 · NIEHS · UNIVERSITY OF RHODE ISLAND · PI Harrison Dekker · 2017 to 2026
$18.9M
Novel Analytical and Experimental Approaches for Predicting the Biological Effects of MixturesR01ES027813 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WEBSTER, THOMAS F · 2017 to 2021
$2.2M
Development and Testing of Response Surface Methods for Investigating the Epidemiology of Exposure to MixturesR01ES028800 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WEBSTER, THOMAS F · 2018 to 2021
$1.7M
NIEHS NIH HHS P42 ES007381NIEHS NIH HHS P42 ES027706NIEHS NIH HHS R01 ES027813NIEHS NIH HHS R01 ES028800
6 · The paper itself

Abstract

We synthesize current understanding of the magnitudes and methods for assessing human and wildlife exposures to poly- and perfluoroalkyl substances (PFAS). Most human exposure assessments have focused on 2 to 5 legacy PFAS, and wildlife assessments are typically limited to targeted PFAS (up to ~30 substances). However, shifts in chemical production are occurring rapidly, and targeted methods for detecting PFAS have not kept pace with these changes. Total fluorine measurements complemented by suspect screening using high-resolution mass spectrometry are thus emerging as essential tools for PFAS exposure assessment. Such methods enable researchers to better understand contributions from precursor compounds that degrade into terminal perfluoroalkyl acids. Available data suggest that diet is the major human exposure pathway for some PFAS, but there is large variability across populations and PFAS compounds. Additional data on total fluorine in exposure media and the fraction of unidentified organofluorine are needed. Drinking water has been established as the major exposure source in contaminated communities. As water supplies are remediated, for the general population, exposures from dust, personal care products, indoor environments, and other sources may be more important. A major challenge for exposure assessments is the lack of statistically representative population surveys. For wildlife, bioaccumulation processes differ substantially between PFAS and neutral lipophilic organic compounds, prompting a reevaluation of traditional bioaccumulation metrics. There is evidence that both phospholipids and proteins are important for the tissue partitioning and accumulation of PFAS. New mechanistic models for PFAS bioaccumulation are being developed that will assist in wildlife risk evaluations. Environ Toxicol Chem 2021;40:631-657. © 2020 SETAC.

Indexed as

Alkanesulfonic AcidsFluorocarbonsAnimalsAnimals, WildBioaccumulationDustHumansAlkanesulfonic AcidsDustFluorocarbonsBioaccumulationDrinking waterExposure assessmentOrganofluorineToxicantsWildlife

Identifiers

PMID33201517
PMCPMC7906948

What OpenQuestion holds

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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.