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4220321 
Journal Article 
Comparing the toxic potency in vivo of long-chain perfluoroalkyl acids and fluorinated alternatives 
Gomis, MI; Vestergren, R; Borg, D; Cousins, IT 
2018 
Yes 
Environment International
ISSN: 0160-4120
EISSN: 1873-6750 
PERGAMON-ELSEVIER SCIENCE LTD 
OXFORD 
113 
1-9 
English 
Since 2000, long-chain perfluoroalkyl acids (PFAAs) and their respective precursors have been replaced by numerous fluorinated alternatives. The main rationale for this industrial transition was that these alternatives were considered less bioaccumulative and toxic than their predecessors. In this study, we evaluated to what extent differences in toxicological effect thresholds for PFAAs and fluorinated alternatives, expressed as administered dose, were confounded by differences in their distribution and elimination kinetics. A dynamic one-compartment toxicokinetic (TK) model for male rats was constructed and evaluated using test data from toxicity studies for perfluorobutanoic acid (PFBA), perfluorohexanoic acid (PFHxA), perfluorobutane sulfonic acid (PFBS), perfluorooctanoic acid (PFOA), perfluoroctanesulfonic acid (PFOS) and ammonium 2,3,3,3-tetrafluoro-2-(heptafluoropropoxy)-propanoate (GenX). Dose-response curves of liver enlargement from sub-chronic oral toxicity studies in male rats were converted to internal dose in serum and in liver to examine the toxicity ranking of PFAAs and fluorinated alternatives. Converting administered doses into equivalent serum and liver concentrations reduced the variability in the dose-response curves for PFBA, PFHxA, PFOA and GenX. The toxicity ranking using modeled serum (GenX > PFOA > PFHxA > PFBA) and liver (GenX > PFOA ≈ PFHxA ≈ PFBA) concentrations indicated that some fluorinated alternatives have similar or higher toxic potency than their predecessors when correcting for differences in toxicokinetics. For PFOS and perfluorobutane sulfonic acid (PFBS) the conversion from administered dose to serum concentration equivalents did not change the toxicity ranking. In conclusion, hazard assessment based on internal exposure allows evaluation of toxic potency and bioaccumulation potential independent of kinetics and should be considered when comparing fluorinated alternatives with their predecessors. 
PFAS
• Additional PFAS (formerly XAgency)
• Expanded PFAS SEM (formerly PFAS 430)
     Ammonium 4,8-dioxa-3H-perfluorononanoate
• PFAS 150
     Literature Search Update December 2020
          PubMed
          WOS
     Literature Search August 2019
          PubMed
          Web of Science
          ToxNet
          Other sources
               Identified after chem tag updates in SWIFT Review
               Reference list review of included studies
     Screened Studies
          Excluded
               Exclude (TIAB)
     Ammonium perfluoro-2-methyl-3-oxahexanoate
     Ammonium perfluorooctanoate
     Perfluorobutanesulfonic acid
     Perfluorobutanesulfonyl fluoride
     Perfluorobutanoic acid
     Perfluorohexanoic acid
     Perfluorooctanesulfonate
     Perfluorooctanesulfonic acid
     Perfluorooctanoic acid
     1,1,1,3,3,3-Hexafluoro-2- (fluoromethoxy)propane
• PFAS Universe
     Data Source
          Web of Science
          Pubmed
     Ammonium 4,8-dioxa-3H-perfluorononanoate
     Ammonium perfluoro-2-methyl-3-oxahexanoate
     Perfluoro(2-propoxypropanoate)
     Perfluoro-2-methyl-3-oxahexanoic acid
     Perfluorobutane
     Perfluorobutanesulfonate
     Perfluorobutanesulfonic acid
     Perfluorobutanoate
     Perfluorobutanoic acid
     Perfluorohexanoate
     Perfluorohexanoic acid
     Perfluorooctanesulfonate
     Perfluorooctanesulfonic acid
     Perfluorooctanoate
     Potassium perfluorooctanesulfonate
     Perfluorooctanoic acid
• PFBA
     Literature Search
          Pubmed
     Literature Search Update 5/2019
          PubMed
          WOS
     Scopus: April 2021
• PFBS
          Excluded/Not on Topic
     Search
          PubMed
     Excluded
          PubMed
     Scopus: April 2021
• PFHxA
     LitSearch Update: February 2018
          PubMed
          Toxline
     Literature Search
          Pubmed
          Toxline
     Scopus: April 2021
     Title and Abstract Screening
          Full Text Screening
          Tagged as Supplemental
               ADME TK
     HAWC
• PFHxS
• PFNA
     Litsearch Update 2017-2018
          Pubmed
          Toxline
     Literature Search
          Pubmed
          Toxline
     PFNA May 2019 Update
          Toxnet
• Yale PFAS Liver study
OW - HHRAB
• GenX Chemicals (CASRN 13252-13-6 and CASRN 62037-80-3)
     LitSearch - GenX: July 2017 - Feb 2019
          PubMed
          WoS
     LitSearch GenX Ammonium Salt: Feb 2018 - Feb 2019
          PubMed
          WoS
• PFOA (335-67-1) and PFOS (1763-23-1)
     Literature Search Update (2013-2019)
          PubMed
          WOS