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HERO ID
4238514
Reference Type
Journal Article
Title
Association among total serum isomers of perfluorinated chemicals, glucose homeostasis, lipid profiles, serum protein and metabolic syndrome in adults: NHANES, 2013-2014
Author(s)
Liu, HS; Wen, LL; Chu, PL; Lin, CY
Year
2018
Is Peer Reviewed?
Yes
Journal
Environmental Pollution
ISSN:
0269-7491
EISSN:
1873-6424
Publisher
Elsevier
Location
England
Volume
232
Issue
Elsevier
Page Numbers
73-79
Language
English
PMID
28923343
DOI
10.1016/j.envpol.2017.09.019
Web of Science Id
WOS:000414881300007
URL
https://linkinghub.elsevier.com/retrieve/pii/S0269749117315130
Exit
Relationship(s)
is supplemented by
4442168
: Supplemental materials
Abstract
Perfluorinated chemicals (PFCs) have been used widely in consumer products manufacture. Recent in vitro as well as animal studies have found that there are different toxicity and pharmacokinetic profiles between isomers of perfluorooctanoic acid (PFOA) and/or perfluorooctane sulfonate (PFOS). However, the differential effects of linear or branched PFOA/PFOS isomers on human beings have never been reported. Herein, we examined 1871 adult subjects (age older than 18 years) from the National Health and Nutrition Examination Survey (NHANES) 2013-2014 to determine the association between the isomers of PFOA/PFOS and serum biochemistry profiles, including glucose, lipids, protein and components of metabolic syndrome (MS). The results showed that for PFOA, increased linear PFOA was associated with increases in total cholesterol, serum albumin and an enhancement of β cell function as well as a decrease in the serum globulin. Increased branched PFOA was significantly associated with increased fasting glucose. All isomers of PFOA were positively associated with high-density lipoprotein-cholesterol (HDL-C) and negatively associated with glycohemoglobin (HbA1C). The branched PFOS was positively associated with β cell function and inversely associated with serum globulin. Both linear and branched isomers of PFOS were positively associated with the total protein and albumin. The increased branched PFOA was associated with less HDL-C insufficiency defined by the National Cholesterol Education Program Third Adult Treatment Panel (NCEP-ATP III) MS criteria, whereas the increased concentrations of serum total and linear PFOS were associated with less hypertriglyceridemia by the NCEP-ATP III. In conclusion, serum isomers of PFOA and PFOS were associated with glucose homeostasis, serum protein as well as lipid profiles; they were also indicators of MS. This may suggest that there is a distinct difference in the toxicokinetics of the isomers of PFOA and PFOS. Further clinical and animal studies are warranted to clarify the putative causal relationships between isomers and biochemical alterations.
Keywords
Glucose homeostasis; Lipid profiles; Isomers of perfluorooctanoic acid (PFOA); Isomers of perfluorooctane sulfonate (PFOS); National Health and Nutrition Examination; Survey (NHANES); Serum protein
Tags
PFAS
•
Additional PFAS (formerly XAgency)
Literature Search November 2019
Other Sources
Reference list review of included studies
Screened Studies
Excluded
Exclude (TIAB)
•
Expanded PFAS SEM (formerly PFAS 430)
Litsearch: September 2019
PubMed
Web of Science
Not prioritized for screening
Perfluorooctane
Potassium perfluorooctanoate
Sodium perfluorooctanoate
•
PFAS 150
Literature Search Update December 2020
PubMed
WOS
Literature Search August 2019
PubMed
Web of Science
Other sources
Reference list review of included studies
Screened Studies
Excluded
Exclude (TIAB)
Ammonium perfluorooctanoate
Perfluorooctane
Perfluorooctanesulfonic acid
Perfluorooctanoic acid
•
PFNA
Litsearch Update 2017-2018
Pubmed
Toxline
Literature Search
Pubmed
Toxline
PFNA May 2019 Update
Toxnet
Title and Abstract Screening
Full Text Screening
Studies Meeting PECO
Human health effects studies
Tagged as Supplemental
Exposure assessment or qualitative exposure only
Other PFAS
•
PFOA (335-67-1) and PFOS (1763-23-1)
Literature Search Update (2013-2019)
PubMed
WOS
•
PFOA and PFOS OW MCLG Approaches
Cited in White Papers
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