Per- and polyfluoroalkyl substances (PFAS) alter immune responses from THP-1 human monocytes
Jennifer R McCall1, Kathryn T Sausman1, Ralph N Mead2
1School of Nursing, College of Health and Human Services, University of North Carolina Wilmington, 601 S. College Road, Wilmington, NC, USA; Center for Marine Science, University of North Carolina Wilmington, 5600 Marvin K Moss Lane, Wilmington, NC, USA.
Environmental Toxicology and Pharmacology
|January 12, 2026
Summary
Per- and Polyfluoroalkyl substances (PFAS) impact human immune cells differently. This study reveals how various PFAS alter immune responses, affecting cytokine release and cell activation states, even at low concentrations.
Area of Science:
- Environmental Health Sciences
- Immunotoxicology
- Cellular Biology
Background:
- Per- and Polyfluoroalkyl substances (PFAS) are pervasive environmental contaminants.
- Exposure to PFAS is associated with adverse health outcomes, including immune system dysfunction.
- The precise cellular mechanisms by which PFAS affect immune function are not fully understood.
Purpose of the Study:
- To investigate the direct in vitro effects of various PFAS on THP-1 human monocyte function.
- To elucidate how different PFAS compounds differentially modulate immune cell responses.
- To understand the cellular mechanisms underlying PFAS-induced immune alterations.
Main Methods:
- Utilized THP-1 human monocyte cell line for in vitro studies.
- Exposed cells to specific PFAS, including legacy (PFOA, PFOS), byproduct (NBP2), and next-generation (HFPO-DA/"GenX") compounds.
- Assessed changes in immune cell activation, cytokine profiles, and phenotypic markers.
Main Results:
- All tested PFAS activated THP-1 cells and altered immune function.
- PFOS suppressed inflammatory cytokine release.
- NBP2 and PFO4DA induced mixed inflammatory and anti-inflammatory responses.
- PFOA, HFPO-DA/"GenX", and PFMOAA promoted suppressive phenotypes, similar to tumor-associated macrophages.
Conclusions:
- PFAS, even at non-lethal concentrations, directly interfere with immune cell function.
- Different PFAS compounds exert distinct and often contrasting effects on immune responses.
- Findings highlight the complex immunomodulatory potential of PFAS, impacting cytokine profiles and immune activation states.
Keywords:
HFPO-DA/GenXImmunosuppressionInflammatoryMonocyteNafion Byproduct 2PFASPFMOAAPFO4DAPFOAPFOSTHP-1

