Per- and polyfluoroalkyl substances and sleep health in U.S. adults, NHANES 2005-2014

BACKGROUND

Per- and polyfluoroalkyl substances (PFAS) are synthetic chemicals that induce oxidative inflammatory responses and disrupt the endocrine and central nervous systems, all of which can influence sleep.

OBJECTIVE

To investigate the association between PFAS exposure and sleep health measures in U.S. adults.

METHODS

We analyzed serum concentration data of four PFAS [perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), and perfluorononanoic acid (PFNA)] reported for 8913 adults in NHANES 2005-2014. Sleep outcomes, including trouble sleeping, having a diagnosis of sleep disorder, and recent daily sleep duration classified as insufficient or excessive sleep (<6 or >9 h/day) were examined. Weighted logistic regression was used to estimate the association between the sleep outcomes and each PFAS modeled continuously (log2) or in exposure tertiles. We applied quantile g-computation to estimate the effect of the four PFAS as a mixture on the sleep outcomes. We conducted a quantitative bias analysis to assess the potential influence of self-selection and uncontrolled confounding.

RESULTS

We observed some inverse associations between serum PFAS and trouble sleeping or sleep disorder, which were more consistent for PFOS (e.g., per log2-PFOS (ng/ml) and trouble sleeping OR = 0.93, 95%CI: 0.89, 0.98; sleep disorder OR = 0.89, 95%CI: 0.83, 0.95). Per quartile increase of the PFAS mixture was inversely associated with trouble sleeping and sleep disorder. No consistent associations were found for sleep duration across analyses. Our bias analysis suggests that the finding on sleep disorder could be explained by a moderate level of self-selection and negative confounding effects.

CONCLUSIONS

We found no evidence to suggest exposure to four legacy PFAS worsened self-reported sleep health among U.S. adults. While some inverse associations between specific PFAS and sleep disorder were observed, self-selection and uncontrolled confounding biases may play a role in these findings.

Association between serum concentrations of perfluoroalkyl substances and global DNA methylation levels in peripheral blood leukocytes of Japanese women: A cross-sectional study

Global DNA methylation levels in peripheral blood leukocytes can be a biomarker for cancer risk; however, levels can be changed by various factors such as environmental pollutants. We investigated the association between serum concentrations of perfluoroalkyl substances (PFASs) and global DNA methylation levels of leukocytes in a cross-sectional study using the control group of a Japanese breast cancer case-control study [397 women with a mean age of 54.1 (SD 10.1) years]. Importantly, our analysis distinguished branched PFAS isomers as different from linear isomers. The serum concentrations of 20 PFASs were measured by in-port arylation gas-chromatography negative chemical ionization mass spectrometry. Global DNA methylation levels in peripheral blood leukocytes were measured using a luminometric methylation assay. Associations between log₁₀-transformed serum PFAS concentrations and global DNA methylation levels were evaluated by regression coefficients in multivariable robust linear regression analyses. Serum concentrations of 13 PFASs were significantly associated with increased global DNA methylation levels in leukocytes. Global DNA methylation was significantly increased by 1.45 %-3.96 % per log₁₀-unit increase of serum PFAS concentration. Our results indicate that exposure to PFASs may increase global DNA methylation levels in peripheral blood leukocytes of Japanese women.

Bioremediation of perfluorochemicals: current state and the way forward

Perfluorochemicals are widely found in the environment due to their versatile uses and persistent nature. Perfluorochemicals have also been detected in human and animals due to direct or indirect exposures, giving rise to health concerns. This review aims to examine the bioremediation of perfluorochemicals with plants, bacteria and fungi, including their efficiency and limitations. It also aims to propose the future prospects of bioremediation of perfluorochemicals. This review retrieved peer-reviewed journal articles published between 2010 and 2021 from journal databases consisting of Web of Science, Scopus and ScienceDirect. This review shows that multiple Pseudomonas species could degrade perfluorochemicals particularly perfluoroalkyl acids under aerobic condition. Acidimicrobium sp. degraded perfluoroalkyl acids anaerobically in the presence of electron donors. A mixed Pseudomonas culture was more effective than pure cultures. Multiple plants were found to bioconcentrate perfluorochemicals and many demonstrated the ability to hyperaccumulate perfluoroalkyl acids, particularly Festuca rubra, Salix nigra and Betula nigra. Fungal species, particularly Pseudeurotium sp. and Geomyces sp., have the potential to degrade perfluorooctanoic acid or perfluorooctane sulphonic acid. Perfluorochemicals bioremediation could be advanced with identification of more candidate species for bioremediation, optimization of bioremediation conditions, mixed culturing, experiments with environmental media and studies on the biochemical pathways of biotransformation. This review provides comprehensive insight into the efficiency of different bacterial, plant and fungal species in perfluorochemicals bioremediation under different conditions, their limitations and improvement.

Photochemical decomposition of perfluorochemicals in contaminated water

Perfluorochemicals (PFCs) are a set of chemicals containing C-F bonds, which are concerned due to their bioaccumulation property, persistent and toxicological properties. Photocatalytic approaches have been widely studied for the effective removal of PFCs due to the mild operation conditions. This review aims to provide a comprehensive and up-to-date summary on the homogenous and heterogeneous photocatalytic processes for PFCs removal. Specifically, the homogenous photocatalytic methods for remediating PFCs are firstly discussed, including generation of hydrated electrons (e_aq^‒) and its performance and mechanisms for photo-reductive destruction of PFCs, the active species responsible for photo-oxidative degradation of PFCs and the corresponding mechanisms, and metal-ion-mediated (Fe(III) mainly used) processes for the remediation of PFCs. The influences of molecular structures of PFCs and water matrix, such as dissolved oxygen, humic acid, nitrate, chloride on the homogenous photocatalytic degradation of PFCs are also discussed. For heterogeneous photocatalytic processes, various semiconductor photocatalysts used for the decomposition of perfluorooctanoic acid (PFOA) are then discussed in terms of their specific properties benefiting photocatalytic performances. The preparation methods for optimizing the performance of photocatalysts are also overviewed. Moreover, the photo-oxidative and photo-reductive pathways are summarized for remediating PFOA in the presences of different semiconductor photocatalysts, including active species responsible for the degradation. We finally put forward several key perspectives for the photocatalytic removal of PFCs to promote its practical application in PFCs-containing wastewater treatment, including the treatment of PFCs degradation products such as fluoride ion, and the development of noble-metal free photocatalysts that could efficiently remove PFCs under solar light irradiation.

Research progress on the removal of hazardous perfluorochemicals: A review

Perfluorinated substances are global and ubiquitous pollutants. The persistent organic pollution of perfluorochemicals (PFCs) have drawn attentions worldwide. In view of the current need for sustainable development, many researchers began to study the remediation techniques for PFCs. Due to its unique hydrophobic and oil-phobic characteristics, the requirements for the PFCs removal process are different, so that their remediation techniques are still under continuous exploration. Hence, this review summarized the removal behaviors of various PFCs on different materials which supply a good foundation for future investigations in this field. It is evident from previous literature that every remediation techniques for PFCs has its own advantages. Among various currently evaluated removal methods, adsorption seems to be one of the most commonly used and recognized techniques for PFCs pollution control. Other innovative and promising techniques, such as physical and/or chemical methods, have also been tested for their effectiveness in removing perfluorinated compounds.

Combined sonochemical and short-wavelength UV degradation of hydrophobic perfluorinated compounds

Perfluorochemicals (PFCs), which are common in the aquatic environment, are toxic substances that have high chemical and heat resistance because of their strong C-F bonds. We investigated the effect of ultrasonication and short-wavelength UV irradiation on the degradation of perfluorooctane, perfluoropropionic acid, and perfluorooctanoic acid, which are examples of hydrophobic, hydrophilic, and intermediate PFCs, respectively. The results confirmed that ultrasonication was more effective for decomposing hydrophobic PFCs and UV irradiation was more effective for decomposing hydrophilic PFCs. Therefore, defluorination of the degradation intermediates was improved by a combination of ultrasonication and UV irradiation. Our results can be applied to the decomposition treatment of PFCs that have various levels of water solubility in the aquatic environment.

Review on the occurrence, fate and removal of perfluorinated compounds during wastewater treatment

Perfluorinated compounds (PFCs) consist of a fully fluorinated hydrophobic alkyl chain attached to a hydrophilic end group. Due to their wide use in several industrial and household applications, they have been detected in numerous Sewage Treatment Plants (STPs) during the last ten years. The present review reports the occurrence of 22 PFCs (C4-C14, C16, C18 carboxylates; C4-C8 and C10 sulfonates; 3 sulfonamides) in municipal or/and industrial wastewater, originating from 24 monitoring studies. PFCs levels in sewage sludge have also been reported using data from 12 studies. Most of the above monitoring data originate from the USA, North Europe and Asia and concern perfluorooctanesulfonate (PFOS) and perfluorooctanoic acid (PFOA), while limited information is available from Mediterranean area, Canada and Australia. PFCs concentrations range up to some hundreds ng/L and some thousands ng/g dry weight in raw wastewater and sludge, respectively. They are not significantly removed during secondary biological treatment, while their concentrations in treated wastewater are often higher compared to raw sewage. Their biodegradation during wastewater treatment does not seem possible; whereas some recent studies have noted the potential transformation of precursor compounds to PFCs during biological wastewater treatment. PFCs sorption onto sludge has been studied in depth and seems to be an important mechanism governing their removal in STPs. Concerning tertiary treatment technologies, significant PFCs removal has been observed using activated carbon, nanofiltration, reverse osmosis or applying advanced oxidation and reduction processes. Most of these studies have been conducted using pure water, while in many cases the experiments have been performed under extreme laboratory conditions (high concentrations, high radiation source, temperature or pressure). Future efforts should be focused on better understanding of biotransformation processes occurred in aerobic and anaerobic bioreactors and result to PFCs formation and on the application of advanced treatment technologies under conditions commonly found in STPs.

Perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA) in soils and groundwater of a U.S. metropolitan area: migration and implications for human exposure

Perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA) are emerging anthropogenic compounds that have recently become the target of global concern due to their ubiquitous presence in the environment, persistence, and bioaccumulative properties. This study was carried out to investigate the migration of PFOS and PFOA in soils and groundwater in a U.S. metropolitan area. We observed elevated levels in surface soils (median: 12.2 ng PFOS/g dw and 8.0 ng PFOA/g dw), which were much higher than the soil-screening levels for groundwater protection developed in this study. The measured levels in subsurface soils show a general increase with depth, suggesting a downward movement toward the groundwater table and a potential risk of aquifer contamination. Furthermore, concentrations of PFOS and PFOA in monitoring wells in the source zone varied insignificantly over 5 years (2009-2013), suggesting limited or no change in either the source or the magnitude of the source. The analysis also shows that natural processes of dispersion and dilution can significantly attenuate the groundwater contamination; the adsorption on aquifer solids, on the other hand, appears to have limited effects on the transport of PFOS and PFOA in the aquifer. The probabilistic exposure assessment indicates that ingestion of contaminated groundwater constitutes a much more important exposure route than ingestion of contaminated soil. Overall, the results suggest that (i) the transport of PFOS and PFOA is retarded in the vadose zone, but not in the aquifer; (ii) the groundwater contamination of PFOS and PFOA often follows their release to surface soils by years, if not decades; and (iii) the aquifer can be a major source of exposure for communities living near point sources.

Associations of perfluorinated chemical serum concentrations and biomarkers of liver function and uric acid in the US population (NHANES), 2007-2010

BACKGROUND

Perfluorinated chemicals (PFCs) are a group of manmade compounds that are not broken down in the body. Four PFCs (PFHxS, PFOS, PFOA, and PFNA) have been found in the blood of more than 98% of the United States population.

OBJECTIVES

Our goal was to assess associations between PFHxS, PFOS, PFOA, and PFNA and uric acid, alanine transferase (ALT), gamma-glutamyl transferase (GGT), asparate aminotransferase (AST), alkaline phosphate (ALP), and total bilirubin in 2007-2008 and 2009-2010 combined National Health and Nutrition Examination Survey (NHANES).

METHODS

We used multivariate linear regression and logistic regression adjusted for age, gender, race/ethnicity and BMI group, poverty, smoking, and/or alcohol consumption to estimate associations. Trend analysis was performed.

RESULTS

PFHxS was associated with ALT. Each quartile of PFOS was statistically associated with total bilirubin [(Q2: OR=1.44, 95% CI 1.12-1.84), (Q3: OR=1.65, 95% CI 1.25-2.18), and (Q4: OR=1.51, 95% CI 1.06-2.15)], with evidence of an increasing trend (p-value=0.028). PFOA was associated with uric acid, ALT, GGT, and total bilirubin. PFNA was linearly associated with ALT (p-value <0.001), and there was statistically significant increasing trend (p-value=0.042).

CONCLUSIONS

Our analysis found evidence of associations of biomarkers of liver function and uric acid with PFHxS, PFOS, PFOA, and PFNA at levels found in the general U.S. population.

Sorption of Perfluorinated Compounds onto different types of sewage sludge and assessment of its importance during wastewater treatment

The distribution coefficient (Kd) and the organic carbon distribution coefficient (KOC) were determined for four Perfluorinated Compounds (PFCs) to three different types of sludge taken from a conventional Sewage Treatment Plant (STP). Batch experiments were performed in six different environmental relevant concentrations (200ngL(-1)to 5μgL(-1)) containing 1gL(-1) sludge. Kd values ranged from 330 to 6015, 329 to 17432 and 162 to 11770Lkg(-1) for primary, secondary and digested sludge, respectively. The effects of solution's pH, ionic strength and cation types on PFCs sorption were also evaluated. Sorption capacities of PFCs significantly decreased with increased pH values from 6 to 8. Furthermore, the divalent cation (Ca(2+)) enhanced PFCs sorption to a higher degree in comparison with the monovalent cation (Na(+)) at the same ionic strength. The obtained Kd values were applied to estimate the sorbed fractions of each PFC in different stages of a typical STP and to calculate their removal through treated wastewater and sludge. In primary settling tank, the predicted sorbed fractions ranged from 3% for Perfluorooctanoic Acid (PFOA) to 55% for Perfluoroundecanoic acid (PFUdA), while in activated sludge tank and anaerobic digester sorption was more than 50% for all target compounds. Almost 86% of initial PFOA load is expected to be detected in treated wastewater; while Perfluorodecanoic acid (PFDA), PFUdA and Perfluorooctanesulfonate (PFOS) can be significantly removed (>49%) via sorption to primary and excess secondary sludge. In anaerobic digester, the major part (>76%) of target PFCs is expected to be sorbed to sludge, while almost 3% of initial PFOA load will be detected in sludge leachates.

Trends of perfluorochemicals in Greenland ringed seals and polar bears: indications of shifts to decreasing trends

Time-series of perfluorinated alkylated substances (PFASs) in East Greenland polar bears and East and West Greenland ringed seals were updated in order to deduce whether a response to the major reduction in perfluoroalkyl production in the early 2000s had occurred. Previous studies had documented an exponential increase of perfluorooctane sulphonate (PFOS) in liver tissue from both species. In the present study, PFOS was still the far most dominant compound constituting 92% (West Greenland ringed seals), 88% (East Greenland ringed seals) and 85% (East Greenland polar bears). The PFOS concentrations increased up to 2006 with doubling times of approximately 6 years for the ringed seal populations and 14 years in case of polar bears. Since then a rapid decrease has occurred with clearing half-lives of approximately 1, 2 and 4 years, respectively. In polar bears perfluorohexane sulphonate (PFHxS) and perfluorooctane sulphonamide (PFOSA) also showed decreasing trends in recent years as do perfluorodecanoic acid (PFDA) and perfluoroundecanoic acid (PFUnA). For the West Greenland ringed seal population perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), PFDA and PFUnA peaked in the mid 2000s, whereas PFNA, PFDA and PFUnA in the East Greenland population have been stable or increasing in recent years. The peak of PFASs in Greenland ringed seals and polar bears occurred at a later time than in Canadian seals and polar bears and considerably later than observed in seal species from more southern latitudes. We suggest that this could be explained by the distance to emission hot-spots and differences in long-range transport to the Arctic.