Evidence map›Paper›PMID 38526771›Full record

ReviewCurrent environmental health reports2024

Public Health Risks of PFAS-Related Immunotoxicity Are Real.

Abigail P Bline, Jamie C DeWitt, Carol F Kwiatkowski, Katherine E Pelch, Anna Reade, Julia R Varshavsky

Abstract readReview
In one paragraph

Review in Current environmental health reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Review
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  8. Review
  9. 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
  10. Review
  11. Review
  12. Article
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  16. Will Chemical Exposomics Be Ready for a Human Exposome Project?Environmental science & technology · 2026
    Article
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  18. Review
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  20. Review
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

6 authors.

Abigail P BlineSocial Science Environmental Health Research Institute, Northeastern University, Boston, MA, 02115, USA. a.bline@northeastern.edu.
Jamie C DeWittDepartment of Environmental & Molecular Toxicology, Oregon State University, Corvallis, OR, 97331, USA.
Carol F KwiatkowskiDepartment of Biological Sciences, North Carolina State University, Raleigh, NC, 27695, USA.
Katherine E PelchNatural Resources Defense Council, San Francisco, CA, 94104, USA.
Anna ReadeNatural Resources Defense Council, San Francisco, CA, 94104, USA.
Julia R VarshavskyDepartments of Health Sciences and Civil and Environmental Engineering, Northeastern University, Boston, MA, 02115, USA.

Funding

Uncovering the Mechanisms of PFAS-induced ImmunotoxicityP42ES031009 · NIEHS · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI PLANCHART, ANTONIO J. · 2020 to 2024
$9.3M
Transdisciplinary Training at the Intersection of Environmental Health Science and Social Science (EH+SS)T32ES023769 · NIEHS · NORTHEASTERN UNIVERSITY · PI BRODY, JULIA GREEN, BROWN, PHILIP M. · 2015 to 2025
$3.0M
NIEHS NIH HHS P42 ES031009NIEHS NIH HHS T32 ES023769NIH HHS T32ES23769
6 · The paper itself

Abstract

purpose of reviewThe discovery of per- and polyfluoroalkyl substances (PFAS) in the environment and humans worldwide has ignited scientific research, government inquiry, and public concern over numerous adverse health effects associated with PFAS exposure. In this review, we discuss the use of PFAS immunotoxicity data in regulatory and clinical decision-making contexts and question whether recent efforts adequately account for PFAS immunotoxicity in public health decision-making. RECENT

findingsGovernment and academic reviews confirm the strongest human evidence for PFAS immunotoxicity is reduced antibody production in response to vaccinations, particularly for tetanus and diphtheria. However, recent events, such as the economic analysis supporting the proposed national primary drinking water regulations and clinical monitoring recommendations, indicate a failure to adequately incorporate these data into regulatory and clinical decisions. To be more protective of public health, we recommend using all relevant immunotoxicity data to inform current and future PFAS-related chemical risk assessment and regulation. Biological measures of immune system effects, such as reduced antibody levels in response to vaccination, should be used as valid and informative markers of health outcomes and risks associated with PFAS exposure. Routine toxicity testing should be expanded to include immunotoxicity evaluations in adult and developing organisms. In addition, clinical recommendations for PFAS-exposed individuals and communities should be revisited and strengthened to provide guidance on incorporating immune system monitoring and other actions that can be taken to protect against adverse health outcomes.

Indexed as

Environmental ExposureFluorocarbonsPublic HealthAnimalsEnvironmental PollutantsHumansImmune SystemRisk AssessmentEnvironmental PollutantsFluorocarbonsClinical guidanceImmunosuppressionPer- and polyfluoroalkyl substancesPopulation healthRisk assessmentVaccine

Identifiers

PMID38526771
PMCPMC11081924

What OpenQuestion holds

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Registered trials

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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.