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A Simple Pharmacokinetic Model of Prenatal and Postnatal Exposure to Perfluoroalkyl Substances (PFASs)
Marc-André Verner, Gérard Ngueta, Elizabeth T Jensen1,2
1National Institute of Environmental Health Sciences, National Institutes of Health , Department of Health and Human Services, Research Triangle Park, North Carolina 27709, United States.
Insights
A new pharmacokinetic model estimates infant exposure to per- and polyfluoroalkyl substances (PFASs), revealing higher intake in nursing infants than mothers. This tool aids in assessing childhood PFAS exposure and body burden.
Area of Science:
- Environmental Health
- Toxicology
- Pharmacokinetics
Background:
- Children are exposed to per- and polyfluoroalkyl substances (PFASs) via placental transfer, breastfeeding, and environmental routes.
- Validated tools for estimating infant and childhood PFAS exposure and body burden are lacking.
Purpose of the Study:
- Develop a two-generation pharmacokinetic model for prenatal and postnatal exposure to PFOA, PFOS, and PFHxS.
- Evaluate the model's accuracy against measured children's PFAS levels in existing studies.
Main Methods:
- A pharmacokinetic model with maternal and child compartments was created to simulate lifetime exposure and transfer across the placenta and via breastfeeding.
- Model simulations were performed for mother-child dyads from two studies, using maternal PFAS levels at delivery and children's levels.
- Model predictions were evaluated against measured children's PFAS levels at 6 and 36 months of age.
Main Results:
- Model predictions explained 52-60% of variability in children's PFAS levels at 6 months and 52-62% at 36 months.
- Simulations indicated that daily intake and internal PFAS levels through breastfeeding can be substantially higher in nursing infants compared to their mothers.
- The model accurately predicted children's PFAS levels based on maternal levels, child's sex, body weight, and breastfeeding duration.
Conclusions:
- The developed pharmacokinetic model demonstrates potential for assessing postnatal PFAS exposure in epidemiological studies and risk assessments.
- The findings highlight the significant role of breastfeeding in infant PFAS exposure, potentially leading to higher body burdens than in mothers.
- This model provides a valuable tool for understanding and quantifying PFAS exposure dynamics in early life stages.
Abstract:
Most children are exposed to perfluoroalkyl substances (PFASs) through placental transfer, breastfeeding, and other environmental sources. To date, there are no validated tools to estimate exposure and body burden during infancy and childhood. In this study, we aimed to (i) develop a two-generation pharmacokinetic model of prenatal and postnatal exposure to perfluorooctanoic acid (PFOA), perfluorooctanesulfonate (PFOS), and perfluorohexanesulfonate (PFHxS); and to (ii) evaluate it against measured children's levels in two studies. We developed a pharmacokinetic model consisting of a maternal and a child compartment to simulate lifetime exposure in women and transfer to the child across the placenta and through breastfeeding. To evaluate the model, we performed simulations for each mother-child dyad from two studies in which maternal PFAS levels at delivery and children's PFAS levels were available. Model predictions based on maternal PFAS levels, sex of child, body weight, and duration of breastfeeding explained between 52% and 60% of the variability in measured children's levels at 6 months of age and between 52% and 62% at 36 months. Monte Carlo simulations showed that the daily intake through breastfeeding and resulting internal PFAS levels can be much higher in nursing infants than in mothers. This pharmacokinetic model shows potential for postnatal exposure assessment in the context of epidemiological studies and risk assessment.
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