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4289872 
Journal Article 
Review 
Developmental exposures to perfluoroalkyl substances (PFASs): An update of associated health outcomes 
Liew, Z; Goudarzi, H; Oulhote, Y 
2018 
Current Environmental Health Reports
EISSN: 2196-5412 
1-19 
English 
PURPOSE OF REVIEW:
We reviewed and summarized the epidemiological evidence for the influence that pre- and postnatal exposures to perfluoroalkyl substances (PFASs) may have on health outcomes in offspring, with a particular focus on birth outcomes and postnatal growth, immunomodulatory effects and neurodevelopment.

RECENT FINDINGS:
PFASs are persistent organic pollutants that have been widely produced and used in a range of commercial products since the 1950s. Human exposures to PFASs are nearly ubiquitous globally, but studies that addressed potential health effects of PFASs have only begun to accumulate in recent years. Animal studies suggest adverse effects resulting from developmental encompasses prenatal exposures to PFASs. In humans, the developing fetus is exposed to PFASs via active or passive placenta transfer, while newborns might be exposed via breastfeeding or PFAS in the home environment. Overall, epidemiological findings are consistent and suggest possible associations with fetal and postnatal growth and immune function, while the findings on neurodevelopmental endpoints to date are rather inconclusive. Methodological challenges and future directions for PFASs-focused research are discussed 
Developmental exposures; Fetal growth; Immunotoxicity; Neurodevelopment; Perfluoroalkyl substances 
PFAS
• Additional PFAS (formerly XAgency)
     Literature Search November 2019
          Other Sources
               Reference list review of included studies
     Screened Studies
          Supplemental
• PFAS 150
     Literature Search August 2019
          Other sources
               Reference list review of included studies
     Screened Studies
          Supplemental
• PFBS
• PFHxS
• PFNA
     Literature Search
          Toxline
     PFNA May 2019 Update
          Toxnet
     Title and Abstract Screening
          Tagged as Supplemental
               Other PFAS
               Other
• PFOA (335-67-1) and PFOS (1763-23-1)