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Developmental Exposures to Perfluoroalkyl Substances (PFASs): An Update of Associated Health Outcomes
Zeyan Liew1, Houman Goudarzi2,3, Youssef Oulhote4
1Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles (UCLA), 650 Charles E. Young Dr. South, Los Angeles, CA, 90095, USA.
Insights
Perfluoroalkyl substances (PFASs) exposure during pregnancy and after birth may affect child growth and immune function. More research is needed on neurodevelopmental effects of these persistent pollutants.
Area of Science:
- Environmental Health
- Toxicology
- Epidemiology
Background:
- Perfluoroalkyl substances (PFASs) are persistent organic pollutants widely used since the 1950s.
- Global human exposure to PFASs is nearly ubiquitous.
- Animal studies indicate adverse developmental effects from prenatal PFAS exposure.
Purpose of the Study:
- To review and summarize epidemiological evidence on prenatal and postnatal PFAS exposure effects on offspring health.
- Focus on birth outcomes, postnatal growth, immunomodulatory effects, and neurodevelopment.
- Discuss research challenges and future directions in PFASs-focused studies.
Main Methods:
- Systematic review of epidemiological studies.
- Analysis of evidence linking PFAS exposure to specific health outcomes in offspring.
- Evaluation of methodological strengths and limitations in existing research.
Main Results:
- Epidemiological findings suggest associations between PFAS exposure and fetal/postnatal growth and immune function.
- Evidence indicates potential immunomodulatory effects.
- Findings on neurodevelopmental endpoints are currently inconclusive.
Conclusions:
- Prenatal and postnatal PFAS exposure may impact offspring growth and immune system development.
- Further research is necessary to clarify the effects of PFASs on neurodevelopment.
- Addressing methodological challenges is crucial for advancing PFASs health research.
Purpose Of Review:
We reviewed and summarized the epidemiological evidence for the influence that pre- and postnatal exposures to perfluoroalkyl substances (PFASs) may have on health outcomes in offspring, with a particular focus on birth outcomes and postnatal growth, immunomodulatory effects and neurodevelopment.
Recent Findings:
PFASs are persistent organic pollutants that have been widely produced and used in a range of commercial products since the 1950s. Human exposures to PFASs are nearly ubiquitous globally, but studies that addressed potential health effects of PFASs have only begun to accumulate in recent years. Animal studies suggest adverse effects resulting from developmental encompasses prenatal exposures to PFASs. In humans, the developing fetus is exposed to PFASs via active or passive placenta transfer, while newborns might be exposed via breastfeeding or PFAS in the home environment. Overall, epidemiological findings are consistent and suggest possible associations with fetal and postnatal growth and immune function, while the findings on neurodevelopmental endpoints to date are rather inconclusive. Methodological challenges and future directions for PFASs-focused research are discussed.
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