Exposure to per-fluoroalkyl and polyfluoroalkyl substances leads to immunotoxicity: Epidemiological and toxicological evidence

Dewitt, JC; Blossom, SJ; Schaider, LA

HERO ID

5080663

Reference Type

Journal Article

Subtype

Review

Year

2019

Language

English

PMID

30482935

HERO ID 5080663
Material Type Review
In Press No
Year 2019
Title Exposure to per-fluoroalkyl and polyfluoroalkyl substances leads to immunotoxicity: Epidemiological and toxicological evidence
Authors Dewitt, JC; Blossom, SJ; Schaider, LA
Journal Journal of Exposure Science & Environmental Epidemiology
Volume 29
Issue 2
Page Numbers 148-156
Abstract In this perspective, we evaluate key and emerging epidemiological and toxicological data concerning immunotoxicity of perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) and seek to reconcile conflicting conclusions from two reviews published in 2016. We summarize ways that immunosuppression and immunoenhancement are defined and explain how specific outcomes are used to evaluate immunotoxicity in humans and experimental animals. We observe that different approaches to defining immunotoxicological outcomes, particularly those that do not produce clinical disease, may lead to different conclusions from epidemiological and toxicological studies. The fundamental point that we make is that aspects of epidemiological studies considered as limitations can be minimized when data from toxicological studies support epidemiological findings. Taken together, we find that results of epidemiological studies, supported by findings from toxicological studies, provide strong evidence that humans exposed to PFOA and PFOS are at risk for immunosuppression.
Doi 10.1038/s41370-018-0097-y
Pmid 30482935
Wosid WOS:000459048700003
Url https://www.proquest.com/docview/2183202463?accountid=171501&bdid=35863&_bd=viUjFmK%2Brt53i%2BrjqZf1GNHfY%2FQ%3D
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword emerging contaminants; perfluorinated chemicals; population-based studies
Is Peer Review Yes
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