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2851011 
Journal Article 
Novel fluorinated surfactants tentatively identified in firefighters using liquid chromatography quadrupole time-of-flight tandem mass spectrometry and a case-control approach 
Rotander, A; Kärrman, A; Toms, LM; Kay, M; Mueller, JF; Gómez Ramos, MJ 
2015 
Environmental Science & Technology
ISSN: 0013-936X
EISSN: 1520-5851 
49 
2434-2442 
English 
Fluorinated surfactant-based aqueous film-forming foams (AFFFs) are made up of per- and polyfluorinated alkyl substances (PFAS) and are used to extinguish fires involving highly flammable liquids. The use of perfluorooctanesulfonic acid (PFOS) and other perfluoroalkyl acids (PFAAs) in some AFFF formulations has been linked to substantial environmental contamination. Recent studies have identified a large number of novel and infrequently reported fluorinated surfactants in different AFFF formulations. In this study, a strategy based on a case-control approach using quadrupole time-of-flight tandem mass spectrometry (QTOF-MS/MS) and advanced statistical methods has been used to extract and identify known and unknown PFAS in human serum associated with AFFF-exposed firefighters. Two target sulfonic acids [PFOS and perfluorohexanesulfonic acid (PFHxS)], three non-target acids [perfluoropentanesulfonic acid (PFPeS), perfluoroheptanesulfonic acid (PFHpS), and perfluorononanesulfonic acid (PFNS)], and four unknown sulfonic acids (Cl-PFOS, ketone-PFOS, ether-PFHxS, and Cl-PFHxS) were exclusively or significantly more frequently detected at higher levels in firefighters compared to controls. The application of this strategy has allowed for identification of previously unreported fluorinated chemicals in a timely and cost-efficient way. 
Environmental Studies; Mass spectrometry; Statistical methods; Contamination; Chemicals; Chromatography; Firefighters 
PFAS
• Additional PFAS (formerly XAgency)
     Literature Search November 2019
          PubMed
          Web of Science
     Screened Studies
          Supplemental
     Perfluorononanesulfonic acid
     Perfluoropentanesulfonic acid
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch: September 2019
          PubMed
          Web of Science
     Screened Studies
          Excluded
               Exclude (TIAB)
     Perfluorooctane
     Perfluorononanesulfonate
     Perfluorononanesulfonic acid
     Perfluoropentanesulfonate
• ^Per- and Polyfluoroalkyl Substances (PFAS)
     PFOA (335-67-1) and PFOS (1763-23-1)
          Literature Search – Adverse outcome pathway (2015-present)
               Pubmed
               WOS
     PFNS (68259-12-1)
          Literature Search
               Pubmed
               WOS
     PFHpS (375-92-8)
          Literature Search
               Pubmed
               WOS
     PFHxS (355-46-4)
          Literature search
               Pubmed
               WOS
     PFPeS (2706-91-4)
          Literature Search
               Pubmed
               WOS
• PFAS 150
     Literature Search Update December 2020
          PubMed
          WOS
     Literature Search August 2019
          PubMed
          Web of Science
     Screened Studies
          Supplemental
     Perfluorinated compounds
     Perfluoroheptanesulfonic acid
     Perfluorohexanesulfonic acid
     Perfluorooctane
     Perfluorooctanesulfonic acid
• PFBA
     Protocol References
• PFHpS
     Literature Search
          Pubmed
          WOS
     Screening Results
          Susceptible populations
• PFHxS
     Database searches
          Pubmed
          Toxline
          WOS
          Scopus
     Excluded
          TiAb
• PFNS
     Literature Search
          Pubmed
          WOS
     Screening Results
          Susceptible populations
• PFOA (335-67-1) and PFOS (1763-23-1)
     Literature Search – Adverse outcome pathway (2015-present)
          Pubmed
          WOS
     Screening Results
          Susceptible populations
     Literature Search Update (2013-2019)
          PubMed
          WOS
• PFPeS
     Literature Search
          Pubmed
          WOS
     Screening Results
          Susceptible populations