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  2. Risk Assessment Of Pfas-induced Male Reproductive Toxicity: A Comprehensive Evaluation Using The Traec Strategy.
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  2. Risk Assessment Of Pfas-induced Male Reproductive Toxicity: A Comprehensive Evaluation Using The Traec Strategy.

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Risk Assessment of PFAS-Induced Male Reproductive Toxicity: A Comprehensive Evaluation Using the TRAEC Strategy.

Xiaoyu Xu1,2, Ziye Xia1,2, Junyao Luo1,2

  • 1Key Laboratory of Modern Toxicology of Ministry of Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China.

Environment & Health (Washington, D.C.)
|June 25, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Per- and polyfluoroalkyl substances (PFAS) pose a moderate risk to male fertility, with perfluorooctanesulfonic acid (PFOS) and perfluorononanoic acid (PFNA) showing the highest risks for sperm abnormalities and motility issues.

Keywords:
PFASmale reproductive healthrisk assessmentsex steroid hormone levelssperm quality

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Area of Science:

  • Environmental Health
  • Reproductive Toxicology
  • Chemical Risk Assessment

Background:

  • Male fertility has declined globally, coinciding with increased environmental chemical exposures.
  • Per- and polyfluoroalkyl substances (PFAS) are widespread environmental contaminants linked to male reproductive toxicity.
  • Comparative risks of individual PFAS on male reproductive health remain unclear.

Purpose of the Study:

  • To systematically assess the effects of multiple PFAS on semen quality and sex hormone levels in men.
  • To identify specific PFAS compounds posing the highest risks to male reproductive health.
  • To evaluate the overall risk level of PFAS exposure to male fertility.

Main Methods:

  • Employed the Targeted Risk Assessment of Environmental Chemicals (TRAEC) strategy for systematic review.
  • Integrated evidence from 25 epidemiological studies, 75 in vivo, and 43 in vitro experiments.
  • Conducted independent in vivo experiments to validate findings on PFNA effects.
  • Main Results:

    • PFAS exposure presents a moderate risk (score: 6.47) to male reproductive health.
    • Perfluorooctanesulfonic acid (PFOS) and perfluorononanoic acid (PFNA) showed the highest risk for sperm abnormalities (scores: 7.43 and 6.38, respectively).
    • PFAS exposure poses a high risk to sperm progressive motility, particularly PFOS and PFNA.

    Conclusions:

    • PFOS and PFNA are identified as particularly detrimental to male reproductive health.
    • Urgent measures are needed to reduce PFAS exposure and mitigate risks to male fertility.
    • The study highlights the significant impact of environmental chemicals on male reproductive outcomes.