Evidence map›Paper›PMID 40050414›Full record

ArticleJournal of exposure science & environmental epidemiology2025

Transplacental transfer efficiency of perfluoroalkyl substances (PFAS) after long-term exposure to highly contaminated drinking water: a study in the Ronneby Mother-Child Cohort.

Erika Norén, Annelise J Blomberg, Christian Lindh, Daniela Pineda, Kristina Jakobsson, Christel Nielsen

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Article in Journal of exposure science & environmental epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

6 authors.

Erika Norén *Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Annelise J Blomberg *Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Christian LindhDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Daniela PinedaDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Kristina JakobssonSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Christel NielsenDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden. christel.nielsen@med.lu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerfluoroalkyl substances (PFAS) are stable chemicals used in various applications. PFAS exposure has been associated with lower birth weight and immunological effects in children, and limited evidence further suggests adverse neurodevelopmental effects. Previous studies show that PFAS cross the placental barrier during pregnancy leading to prenatal exposure of the fetus. Research on the transplacental transfer efficiency (TTE) of PFAS in highly exposed populations is lacking.

objectiveThis study aimed to estimate the TTE of eight PFAS and three perfluorooctane sulfonic acid (PFOS) isomers in a birth cohort with a wide range of PFAS exposures and to investigate if maternal exposure level impacted the estimated TTE.

methodsThe participants, most of whom had been exposed to PFAS-contaminated municipal drinking water, were recruited between 2015 and 2020 after the end of exposure. We collected maternal serum samples during pregnancy and at delivery, as well as umbilical cord serum. Serum samples were analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS). TTE was estimated as the ratio of the PFAS concentration in cord serum to maternal serum. We used generalized additive mixed models accounting for maternal characteristics to assess if maternal exposure level (i.e., high, intermediate, or background) modified the estimated TTE.

resultsThe study included 200 dyads with matched cord and maternal serum samples. The exposure profile was dominated by perfluorohexane sulfonic acid (PFHxS) and PFOS. We observed the highest overall transfer efficiency for PFHxS (median TTE: 0.68) and the lowest for the n-PFOS isomer (median TTE: 0.33). Higher TTEs were observed for PFHxS and PFOS (total and isomers) in background-exposed dyads. IMPACT STATEMENT: In a birth cohort with a wide range of exposures to primarily PFOS and PFHxS from contaminated drinking water, we found that the transplacental transfer efficiencies (TTE) of eight PFAS and three PFOS isomers were of considerable magnitude. The highest TTE were observed for PFOA and PFHxS, and for branched PFOS isomers compared with linear. Although we observed slightly lower TTE in mother-child dyads with high and intermediate exposures compared with dyads with background levels of exposure, the considerable TTE in highly exposed mothers implies high absolute prenatal exposure in children in contaminated areas.

Indexed as

Drinking WaterFluorocarbonsMaternal ExposureMaternal-Fetal ExchangeWater Pollutants, ChemicalAdultAlkanesulfonic AcidsCaprylatesCohort StudiesFemaleHumansInfant, NewbornPregnancyAlkanesulfonic AcidsCaprylatesDrinking WaterFluorocarbonsperfluorooctane sulfonic acidWater Pollutants, ChemicalDrinking water contaminationEarly-life exposureFirefighting foamPFAS hotspot

Identifiers

PMID40050414
PMCPMC12069102

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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.