Evidence map›Paper›PMID 35143854›Full record

ArticleChemosphere2022

Concentrations of per- and polyfluoroalkyl substances (PFAS) in human placental tissues and associations with birth outcomes.

Samantha M Hall, Sharon Zhang, Kate Hoffman, Marie Lynn Miranda, Heather M Stapleton

Open access · greenAbstract read
In one paragraph

Article in Chemosphere, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
23.4field-weighted citation impact, top 1% 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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
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  8. Stress-activated pathways mediate PFAS effects on human placental syncytiotrophoblast cells.Toxicological sciences : an official journal of the Society of Toxicology · 2026
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  20. Identifying environmental chemicals impacting neurodevelopment using a random mixture-based screening approach.Toxicological sciences : an official journal of the Society of Toxicology · 2025
    Article
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

5 authors at 2 institutions in 1 country.

Samantha M HallNicholas School of the Environment, Duke University, 9 Circuit Drive, Box 90328, Durham, NC, 27710, United States.
Sharon ZhangNicholas School of the Environment, Duke University, 9 Circuit Drive, Box 90328, Durham, NC, 27710, United States.
Kate HoffmanNicholas School of the Environment, Duke University, 9 Circuit Drive, Box 90328, Durham, NC, 27710, United States.
Marie Lynn MirandaUniversity of Notre Dame, Department of Applied and Computational Mathematics and Statistics, Notre Dame, IN, 46556, United States.
Heather M StapletonNicholas School of the Environment, Duke University, 9 Circuit Drive, Box 90328, Durham, NC, 27710, United States. Electronic address: heather.stapleton@duke.edu.
Duke University · USUniversity of Notre Dame · US

Funding

Duke University Program in Environmental HealthT32ES021432 · NIEHS · DUKE UNIVERSITY · PI Akhenaton-Andrew Dhafir Jones, Joel Newman Meyer · 2013 to 2026
$4.0M
Flame retardant effects on thyroid hormone regulation at the fetal-maternal interface of the placentaR01ES031419 · NIEHS · DUKE UNIVERSITY · PI PATISAUL, HEATHER B, STAPLETON, HEATHER M · 2020 to 2022
$1.8M
Flame retardant effects on thyroid hormone regulation at the fetal-maternal interface of the placentaU01ES031419 · NIEHS · DUKE UNIVERSITY · PI STAPLETON, HEATHER M · 2023 to 2025
$1.2M
Deiodinase Activity as a Biomarker of Response to Brominated Flame RetardantsR01ES020430 · NIEHS · DUKE UNIVERSITY · PI STAPLETON, HEATHER M · 2011 to 2012
$733k
NIEHS NIH HHS R01 ES020430NIEHS NIH HHS R01 ES031419NIEHS NIH HHS T32 ES021432NIEHS NIH HHS U01 ES031419
6 · The paper itself

Abstract

Per- and polyfluoroalkyl substances (PFAS) are ubiquitous environmental contaminants commonly detected in human serum. Previous studies have observed associations between maternal serum PFAS and adverse pregnancy and birth outcomes such as lower birth weight or pre-eclampsia; however, few studies have explored these associations with birth outcomes and placental tissue PFAS concentration. The placenta is a vital contributor to a healthy pregnancy and may be involved in the mechanism of PFAS reproductive toxicity. Our goal was to measure placental PFAS concentrations and examine associations with birth outcomes (e.g., birth weight, gestational duration). Placenta samples (n = 120) were collected during delivery from women enrolled in the Healthy Pregnancy, Healthy Baby cohort (HPHB) in Durham, North Carolina. All placenta samples contained detectable PFAS, with perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), and perfluorodecanoic acid (PFDA) being the most abundant and most frequently detected (all >96% detection frequency). While placental PFAS concentrations did not differ by infant sex, higher PFAS levels were observed in placenta from nulliparous women, suggesting that parity influences the accumulation of PFAS in the placenta. We used linear regression models to examine associations between placental PFAS and birth outcomes. After adjustment for parity, tobacco use, maternal age, and maternal race, we found that placental PFOS was associated with lower birth weight for gestational age in male infants and higher birth weight for gestational age in female infants. Similar findings were seen for PFNA for birth weight for gestational age. These differences in birth outcomes based on infant sex highlight a need to explore mechanistic differences in PFAS toxicity during gestation for male and female infants.

Indexed as

Alkanesulfonic AcidsEnvironmental PollutantsFluorocarbonsBirth WeightFemaleHumansMaleParityPlacentaPregnancyAlkanesulfonic AcidsEnvironmental PollutantsFluorocarbonsBirth outcomesBirth weightPerfluoroalkylPFASPlacentaPolyfluoroalkyl

Identifiers

PMID35143854
PMCPMC8923299
OpenAlexW4210864530

What OpenQuestion holds

Textmetadata
LicenceTDM
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.