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5017765 
Journal Article 
Review 
A hypothesis-driven weight-of-evidence analysis to evaluate potential endocrine activity of perfluorohexanoic acid 
Borghoff, SJ; Fitch, S; Rager, JE; Huggett, D 
2018 
Yes 
Regulatory Toxicology and Pharmacology
ISSN: 0273-2300
EISSN: 1096-0295 
Academic Press Inc. 
99 
168-181 
English 
Perfluorohexanoic acid (PFHxA) is a potential impurity and environmental degradation product of C6-based fluorotelomer products. Considering the potential endocrine activity of perfluoroalkyl acids, a hypothesis-driven weight-of-evidence (WoE) analysis was conducted to evaluate the potential endocrine disruptor activity of PFHxA, as defined by World Health Organization (WHO), across estrogen (E), androgen (A), thyroid (T), and steroidogenesis (S) pathways. A comprehensive literature search identified primary and secondary studies across species for review. The ToxCast/Tox21 database provided in vitro data. Studies identified were reviewed for reliability, and relevance, with endocrine endpoints ranked, and lines of evidence evaluated across pathways. Overall, PFHxA showed no endocrine effects in Japanese medaka, juvenile rainbow trout, chickens or reproductive parameters in northern bobwhite with no significant activity in rodent repeated-dose toxicity, lifetime cancer, or reproductive and developmental studies. In vitro, there was weak or negative activity for T transport protein or activation of E, A or T receptors. PFHxA was also negative in vitro and in vivo for disrupting steroidogenesis. Based on this WoE endocrine analysis, PFHxA exposure did not cause adverse effects associated with alterations in endocrine activity in these models, as such would not be characterized as an endocrine disruptor according to the WHO definition. 
PFHxA; Endocrine; Estrogen; Androgen; Thyroid; Steroidogenesis; Weight-of-evidence 
PFAS
• Additional PFAS (formerly XAgency)
• PFAS 150
     Literature Search Update December 2020
          PubMed
          WOS
     Literature Search August 2019
          PubMed
          Web of Science
     Not prioritized for screening
     Perfluorinated compounds
     Perfluorohexanoic acid
     1,1,1,3,3,3-Hexafluoro-2- (fluoromethoxy)propane
• PFHxA
     LitSearch Update: Feb 2018 - May 2019
          PubMed
          ToxNet
          WoS
     Literature Search
          Pubmed
          Toxnet
          WOS
     Scopus: April 2021
     Title and Abstract Screening
          Tagged as Supplemental
               Mechanistic or MOA
     HAWC
• PFNA
     Literature Search
          Toxline
     PFNA May 2019 Update
          Toxnet
     Title and Abstract Screening
          Tagged as Supplemental
               Other PFAS
               Other