Evidence map›Paper›PMID 40089764›Full record

ArticleEnvironmental health : a global access science source2025

Per- and poly-fluoroalkyl substances (PFAS) in circulation in a Canadian population: their association with serum-liver enzyme biomarkers and piloting a novel method to reduce serum-PFAS.

Jennifer J Schlezinger, Anila Bello, Kelsey M Mangano, Kushal Biswas, Paridhiben P Patel, Emily H Pennoyer, Thomas M S Wolever, Wendy J Heiger-Bernays, Dhimiter Bello

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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

9 authors.

Jennifer J SchlezingerDepartment of Environmental Health, Boston University School of Public Health, Boston, MA, 02118, USA. jschlezi@bu.edu.ORCID 0000-0001-6834-4369
Anila BelloDepartment of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.ORCID 0000-0002-9934-908X
Kelsey M ManganoDepartment of Biomedical and Nutritional Sciences, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.ORCID 0000-0002-1750-1747
Kushal BiswasDepartment of Biomedical and Nutritional Sciences, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.ORCID 0000-0002-3310-9454
Paridhiben P PatelDepartment of Biomedical and Nutritional Sciences, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.ORCID 0000-0003-3722-2662
Emily H PennoyerDepartment of Environmental Health, Boston University School of Public Health, Boston, MA, 02118, USA.ORCID 0000-0002-5181-4851
Thomas M S WoleverINQUIS Clinical Research, Ltd. (formerly GI Labs), Toronto, ON, Canada.ORCID 0000-0001-9030-8575
Wendy J Heiger-BernaysDepartment of Environmental Health, Boston University School of Public Health, Boston, MA, 02118, USA.ORCID 0000-0002-0091-9629
Dhimiter BelloDepartment of Biomedical and Nutritional Sciences, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, USA.ORCID 0000-0003-2402-5651

Funding

Defining the Impact of Per/Polyfluoroalkyl Substance Exposure on Susceptibility to SARS-CoV-2 Infection and DiseaseR21ES032882 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI DOUAM, FLORIAN, SCHLEZINGER, JENNIFER J · 2021 to 2022
$445k
Federal Emergency Management Agency EMW-2020-FP-00078NIEHS NIH HHS R21 ES032882
6 · The paper itself

Abstract

Extensive use of per- and polyfluoroalkyl substances (PFAS) has resulted in their ubiquitous presence in human blood. PFAS exposures have been associated with multiple adverse human health effects. Biomonitoring studies have focused on long-chain PFASs, but these are being replaced by short-chain PFASs or with alternate PFAS chemistries (or replacement chemistries such as GenX), resulting in changes in human exposures with time. Here, we take advantage of serum samples collected as part of a clinical trial testing the efficacy of a dietary fiber intervention to reduce serum cholesterol to investigate exposure to PFASs in Canadian participants. Serum samples were collected from 72 participants (adult males with elevated cholesterol) in 2019-2020 at baseline and after 4 weeks of the intervention and were analyzed for 17 PFASs. The highest geometric mean serum concentrations of PFAS measured at baseline corresponded to PFOSA (7.1 ng/ml), PFOS (4.2, ng/ml), PFOA (1.8 ng/ml) and PFHxS (1.3 ng/ml). Four long-chain PFASs (PFOA, PFOS, PFOSA and PFHxS) and two short-chain PFASs (PFBA, PFHxA) were detected in 100% of participants. GenX was detected in 71% of participants. Analyses of associations between serum-PFAS concentrations and biomarkers of adverse health outcomes showed the PFBA, PFHxA, PFDA and PFOSA were associated with higher serum gamma-glutamyl transferase concentrations but not with measures of serum-total or low-density lipoprotein cholesterol. Comparison of PFAS concentrations at baseline and after a 4-week follow-up showed that the total PFAS detected decreased in both the control and cholesterol intervention groups. However, the suite of long-chain PFASs of concern identified by the United States National Academies of Sciences, Engineering, and Medicine, significantly decreased only in the cholesterol intervention group. This observation suggests that a sustained dietary fiber intervention may reduce long-chain PFAS body burden, but future intervention studies need to control for PFAS exposure sources and extend the dietary supplement intake beyond 4 weeks. Overall, the results show that exposures to short-chain and replacement chemistry PFASs are common in this Canadian population.

Indexed as

Environmental ExposureEnvironmental PollutantsFluorocarbonsAdultAgedBiomarkersCanadaFemaleHumansLiverMaleMiddle AgedPilot ProjectsBiomarkersEnvironmental PollutantsFluorocarbonsCholesterolDietary fiberLDL-COat β-glucanPFAS interventionPFOAPFOSPFOSASerum-PFAS

Identifiers

PMID40089764
PMCPMC11909942

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.