Blood - Adverse Effects
PFOS - PFOA
(Perfluorinated chemicals)
 
 

Return to
Adverse Effects

Blood Adverse Effects
PFOS - PFOA Index Page

• Due to length, we are presenting this effect as a separate section for PFOS and PFOA. The study of the adverse effects of PFOS-PFOA chemicals is in its infancy and we anticipate that more effects will be presented and published over the next several years. Most of the animal studies (as of early 2004) have been performed by the major producers of PFOS-PFOA (3M and DuPont).

• Click here to return to the same section for fluorine & organofluorine pesticides.

This is not an exhaustive list. The review of data was performed in 2003 to early 2004. When time allows more information will be added.

Excerpts from: Table 1. Mean PFOS serum  levels in human populations
(page 22)
General Population Exposures
Source Mean (ppb) Range (ppb)
U.S. Blood Banks (1998)
n = ~340-680 donors
29.7 9 – 56
U.S. Blood Banks (2000)
American Red Cross (ages 20-69)
n = 645
34.9
(geometric mean)
4.3 – 1656
Samples in U.S.children (ages 2-12)
(1995) (n = 599)
37.5
(geometric mean)
6.7 – 515
Samples in elderly in Seattle, WA
(ages 65-96) (1999) (n = 238)
31.0
(geometric mean)
3.4 - 175
European Blood Banks (1999)  

Belgium (6 pooled samples)

17 4.9 – 22.2

Netherlands (5 pooled samples)

53 39 – 61

Germany (6 pooled samples)

37 32 – 45.6
*GM is geometric mean;
** 95% Confidence Interval of the GM
Ref: November 21, 2002 report: Hazard Assessment of Perfluorooctane sulfonate (PFOS) and its salts. Organisation for Economic Co-operation and Development. ENV/JM/RD(2002)17/FINAL.
http://www.fluorideaction.org/pesticides/pfos.final.report.nov.2002.pdf

 

The following graphic is from: PFCs: a family of chemicals that contaminate the planet.
Part 4: PFC Health Concerns
. An online report from the Environmental Working Group


Adverse signs of toxicity observed in Rhesus monkey studies included anorexia, emesis, diarrhea, hypoactivity, prostration, convulsions, atrophy of the salivary glands and the pancreas, marked decreases in serum cholesterol, and lipid depletion in the adrenals. The dose range for these effects was reported between 1.5-300 mg/kg/day. No monkeys survived beyond 3 weeks into treatment at 10 mg/kg/day or beyond 7 weeks into treatment at doses as low as 4.5 mg/kg/day.
Ref: November 21, 2002 report: Hazard Assessment of Perfluorooctane sulfonate (PFOS) and its salts. Organisation for Economic Co-operation and Development. ENV/JM/RD(2002)17/FINAL.
http://www.fluorideaction.org/pesticides/pfos.final.report.nov.2002.pdf

In a 6-month study of Cynomolgus monkeys, low food consumption, excessive salivation, labored breathing, hypoactivity, ataxia, hepatic vacuolization and hepatocellular hypertrophy, significant reductions in serum cholesterol levels, and death were observed at 0.75 mg/kg/day. No effects were observed at doses of 0.15 or 0.03 mg/kg/day. No effects were noted in animals at any dose level following a 52-week recovery period. The average concentration of PFOS in the serum following 26 weeks of treatment was 11.1 + 1.52, 58.5 + 4.67 and 160 + 23.9 µg/ml for the females in the 0.03, 0.15 and 0.75 mg/kg/day groups, respectively; for males, the average concentrations were 15.9 + 5.54, 68.1 + 5.75 and 194 + 8.93 µg/ml in the 0.03, 0.15 and 0.75 mg/kg/day groups, respectively. After the 52-week recovery period, the serum levels were 21.4 + 2.01 and 41.4 + 1.15 µg/ml for the females in the 0.15 and 0.75 mg/kg/day groups, respectively; for males, the average concentrations were 19.1 + 0.805 and 41.1 + 25.9 µg/ml in the 0.15 and 0.75 mg/kg/day groups, espectively.
Ref: November 21, 2002 report: Hazard Assessment of Perfluorooctane sulfonate (PFOS) and its salts. Organisation for Economic Co-operation and Development. ENV/JM/RD(2002)17/FINAL.
http://www.fluorideaction.org/pesticides/pfos.final.report.nov.2002.pdf

Numerous repeat-dose oral toxicity studies on PFOS have been conducted in rats and primates. In general, exposure to PFOS results in hepatotoxicity and mortality; the dose-response curve for mortality is very steep for rats and primates. Adverse signs of toxicity observed in 90-day rat studies included increases in liver enzymes, hepatic vacuolization and hepatocellular hypertrophy, gastrointestinal effects, hematological abnormalities, weight loss, convulsions, and death. These effects were reported at doses of 2 mg/kg/day and above...
2.4.2 Non-occupational Exposures...
Sera pooled from 18 regional blood banks in various geographic regions of the U.S. were analyzed for PFOS in 1998 (3M Report, 1999). There were 68 pools and an estimated 340-680 donors. The overall mean PFOS serum level across the pools was 29.7 ppb. The PFOS levels varied quite a bit depending on the geographic location of the blood bank. The range of the levels across geographic regions was 9 to 56 ppb, while the range of the averages was 14 to 52 ppb. Pooled sera from blood banks in Belgium (6 pools), the Netherlands (5 pools), and Germany (6 pools) also have been analyzed for PFOS. Each pool had 15-20 donors. The Netherlands had the highest PFOS levels (mean = 53 ppb) and Belgium had the lowest (mean = 17 ppb). Individual blood samples from 3 different age populations were recently analyzed for PFOS and other fluorochemicals using high-pressure liquid chromatography/electrospray tandem mass spectrometry (HPLC/ESMSMS) (Olsen et al., 2002a, 2002b, 2002c). The studies’ participants included adult blood donors, an elderly population participating in a prospective study in Seattle, WA, and children from 23 states participating in a clinical trial. Overall, the PFOS geometric means were similar across all 3 populations (34.9 ppb, 31.0 ppb, and 37.5 ppb, respectively). The geometric means and 95% tolerance limits and their upper bounds were comparable across all 3 studies. However, the upper ranges for the children and adults were much higher than for the elderly population. It is not clear whether this is the result of geographic differences in PFOS levels or some other factor. It should be noted that PFOS and PFOA were highly correlated in all three studies (r = .63, r = .70, and r = .75). The details of each study are provided...
The highest serum PFOS measurement in this sample was 1656 ppb from a male blood donor, 67 years old from Portland. The next highest donor level was 329 ppb from a male donor, 62 years old also from Portland. The next 8 highest serum PFOS values (range 139 – 226 ppb) were measured in 4 females and 4 males representing Charlotte (n=4), Hagerstown (n=2), Los Angeles (n=1) and Minneapolis/St. Paul (n=1). In bootstrap analyses, the mean of the 95% tolerance limit for PFOS was 88.5 ppb with an upper 95% confidence limit of 100.0 ppb.
Ref: November 21, 2002 report:
Hazard Assessment of Perfluorooctane sulfonate (PFOS) and its salts. Organisation for Economic Co-operation and Development. ENV/JM/RD(2002)17/FINAL.
http://www.fluorideaction.org/pesticides/pfos.final.report.nov.2002.pdf

Abstract excerpt: ... On the basis of results from size-exclusion chromatography and ligand blotting, most PFOA was in protein-bound form in male and female rat plasma, and the primary PFOA binding protein in plasma was serum albumin... On the basis of these binding parameters and the estimated plasma concentration of serum albumin, greater than 90% of PFOA would be bound to serum albumin in both rat and human blood."
Ref: 2003. Chem Res Toxicol. Jun;16(6):775-81.Binding of perfluorooctanoic Acid to rat and human plasma proteins; by Han X, Snow TA, Kemper RA, Jepson GW.

Abstract: The 3M Company manufactures fluorochemicals, which have as a precursor perfluorooctane sulfonyl fluoride (C8F17SO2F). These compounds may be expected to transform metabolically, to an undetermined degree, to perfluorooctane sulfonate (PFOS, C8F17SO3-) as an end-stage metabolite. Subchronic studies in rats and primates indicate a potential for cumulative toxicity with PFOS with the primary effect related to metabolic wasting with hypolipidemia as a consistent finding. Biennial medical surveillance has been offered to the company's fluorochemical production workers located in Decatur, Alabama, and Antwerp, Belgium. In 1995, the mean serum PFOS level, as measured by high-performance liquid chromatography mass spectrometry, for 178 male employees was 2.19 parts per million (ppm; range, 0.00 to 12.83 ppm), and in 1997, for 149 male employees, it was 1.75 ppm (0.10 to 9.93 ppm). Our analyses suggest that among these production employees, there were no substantial changes in serum hepatic enzymes, cholesterol, or lipoproteins associated with PFOS levels less than 6 ppm. It was not possible to derive inferences from the few employees who had serum PFOS levels > or = 6 ppm. These results may be due to the lower levels of serum PFOS measured among these production employees, compared to those suspected to cause effects in laboratory animals.
Ref: 1999. J Occup Environ Med Sep;41(9):799-806. Serum perfluorooctane sulfonate and hepatic and lipid clinical chemistry tests in fluorochemical production employees; by Olsen GW, Burris JM, Mandel JH, Zobel LR. Medical Department, 3M Company, St. Paul, MN 55144, USA.

• Notes from FAN:
Hypolipidemia -  Excess of fats (lipids) in the blood

To understand "metabolic wasting", the following discussion on AIDS offers some insight:
".. In recent years, a significant amount of research has focused on metabolic problems that can cause wasting. Metabolism - an intricate system by which nutrients are either broken down (catabolism) for energy purposes or stored (anabolism) for later use - has been shown to become highly irregular in people with HIV. More simply, metabolism is the body's utilization of energy from foods. To fuel its energy needs, the body first catabolizes glucose and lipids circulating in the blood ('free floating' nutrients); amino acids are spared so that they can be used to build muscle mass and other substances such as enzymes and antibodies. If free-floating nutrients are used up and not adequately replaced, the body will then begin breaking down stored nutrients - usually lipid and cholesterol deposits (fat mass) - to keep up with its energy needs; stored amino acids, such as those in muscle, are spared during prolonged fasting and used as energy only as a last resort. In people with HIV, this entire process is often reversed. We know this because people with HIV often have elevated glucose levels and fat levels (hyperlipidemia) and, especially during an OI, have a negative nitrogen balance (a marker of muscle loss). While negative nitrogen balances are certainly a sign that muscle wasting is occurring, the connections between elevated glucose levels, lipid levels and muscle loss have not yet been fully determined. However they are characteristic of cachexia."
Ref:AIDS Community Research Initiative of America. ACRIA Update. Summer 1998 - Vol. 7, No. 3. Wasting and Metabolic Changes in the Era of HAART. By Tim Horn. http://www.criany.org/treatment/treatment_edu_summerupdate98_wasting.html

Abstract: Perfluorooctane sulfonate (PFOS) is a degradation product of sulfonyl-based fluorochemicals that are used extensively in industrial and household applications. Humans and wildlife are exposed to this class of compounds from several sources. Toxicity tests in rodents have raised concerns about potential developmental, reproductive, and systemic effects of PFOS. However, the effect of PFOS on the neuroendocrine system has not been investigated thus far. In this study, adult female rats were injected intraperitoneally with 0, 1, or 10 mg PFOS/kg body weight (BW) for 2 weeks. Food and water intake, BW, and estrous cycles were monitored daily. At the end of treatment, PFOS levels in tissues were measured by high-performance liquid chromatography (HPLC) interfaced with electrospray mass spectrometry. Changes in brain monoamines were measured by HPLC with electrochemical detection, and serum corticosterone and leptin were monitored using radioimmunoassay. Treatment with PFOS produced a dose-dependent accumulation of this chemical in various body tissues, including the brain. PFOS exposure decreased food intake and BW in a dose-dependent manner. Treatment with PFOS affected estrous cyclicity and increased serum corticosterone levels while decreasing serum leptin concentrations. PFOS treatment also increased norepinephrine concentrations in the paraventricular nucleus of the hypothalamus. These results indicate that exposure to PFOS can affect the neuroendocrine system in rats.
Ref: Environ Health Perspect. 2003 Sep;111(12):1485-9. Neuroendocrine effects of perfluorooctane sulfonate in rats; by Austin ME, Kasturi BS, Barber M, Kannan K, MohanKumar PS, MohanKumar SM.

Abstract excerpt: "In a previous investigation, we demonstrated that severe thymus and spleen atrophy occurs in mice upon dietary exposure to several potent peroxisome proliferators (PPs). In the present investigation, the effects of the potent PP perfluorooctanoic acid (PFOA) on the adaptive immunity of mice was evaluated both in vivo and ex vivo... the relatively metabolically inert PP PFOA may exert adaptive immunosuppression in mice by an indirect mechanism. The possible relevance of this immunosuppression to the alterations in plasma lipids caused by PPs is discussed."
Ref: 2002. Int Immunopharmacol Feb;2(2-3):389-97. Potent suppression of the adaptive immune response in mice upon dietary exposure to the potent peroxisome proliferator, perfluorooctanoic acid; by Yang Q, Abedi-Valugerdi M, Xie Y, Zhao XY, Moller G, Nelson BD, DePierre JW.

Abstract excerpt: "... Liver-fatty acid binding protein (L-FABP) is an abundant intracellular lipid-carrier protein... this work provides evidence to support the hypothesis that displacement of endogenous ligands from L-FABP may contribute to toxicity in rodents fed these fluorochemicals.
Ref: 2002. Toxicology Jul 15;176(3):175-85. Interactions of fluorochemicals with rat liver fatty acid-binding protein; by Luebker DJ, Hansen KJ, Bass NM, Butenhoff JL, Seacat AM.

Abstract excerpt: "The influence of the peroxisomal proliferators perfluorooctanoic acid (PFOA), perfluorooctane sulphonic acid (PFOSA) and clofibric acid on lipid metabolism in rats was studied... The present data suggest that the hypolipemic effect of these compounds may, at least partly, be mediated via a common mechanism; impaired production of lipoprotein particles due to reduced synthesis and esterification of cholesterol together with enhanced oxidation of fatty acids in the liver."
Ref: 1992. Biochim Biophys Acta Sep 22;1128(1):65-72. The mechanism underlying the hypolipemic effect of perfluorooctanoic acid (PFOA), perfluorooctane sulphonic acid (PFOSA) and clofibric acid; by Haughom B, Spydevold O.

Type: Biopersistence Screening Study
Species/Strain: Rats/Crl:CD SD(IGS)BR
Sex/Number: Male/5/group
Exposure Period: 5 or 10 days; 94 days of recovery
Frequency of Treatment: Ad libitum for 5 or 10 days
Exposure Levels; Method:
Reference: DuPont Co. (2000). Unpublished Data, Haskell Laboratory Report
No. 2922.

Ammonium perfluorooctanoate: 20 mgkg
Potassium perfluoroalkyl sulfonate (PFOS): 10 mg/kg

Six groups of rats were administered ammonium perfluorooctanoate, 1 group received the test substance for 5 consecutive days and the other 5 groups received the test substance for 10 days. Approximately 2 hours after the first dose, blood was collected from each rat from the group designated for 5 doses. These same rats were sacrificed on test day 5 approximately 2 hours post-dosing, and blood and livers were collected. The remaining groups received the test substance for 10 days. Five rats were sacrificed and had blood and livers collected on test days 10 (2 hours post-dose), 13,24, 52, or 93/94. The total fluorine content of the blood was determined by using a Wickbold torch combustion method, followed by analysis with a fluoride ion selective electrode.
Results:
Rats dosed with ammonium perfluorooctanoate exhibited wet perineum and diarrhea during the dosing period. Alopecia was observed during the recovery period. The normalized pM equivalents (blood organofluoride levels) in rat blood peaked after
5 days of dosing and then decreased throughout the testing period.
The Cmax was 518.12 _+ 44.89 ppm with a terminal half-life of 8.3 days. The AI (Accumulation Index) was 12.5 and the BI (Bioaccumulation) was 6497.5. An area under the curve (estimated to infinity) (AUCLNF/D) was calculated and normalized for fluorine content. The AUCINFD was calculated as 70,789.6.

Rats dosed with potassium perfluoroalkyl sulfonate exhibited diarrhea, salivation, alopecia, black ocular discharge, and staining of various parts of the body during the dosing period. Alopecia was observed during the recovery period. The normalized phi
equivalents (blood organofluoride levels) in rat blood continued to rise throughout the dosing period and may not have reached steady-state.
The Cmax was 989.85 k 116.90 ppm with a terminal half-life of 40.5 days. The AI was 59.0 and the BI was 58382.2. The AUCINFD was calculated as 566,479.1.
Ref: DuPont summary of studies conducted with PFOS and PFOA.

Type: 14-Day Feeding Study
SpeciesIStrain: Rat/Crl:CD BR
SexNurnber: Male/20/group
Exposure Period: 14 days; 56 days of recovery
Frequency of Treatment: ad libitum for 14 days
Exposure Levels: 0,30,300 ppm
Test Substance: Ammonium perfluorooctanoate, purity approximately 100%
Reference: DuPont Co. (1995). Unpublished Data, Haskell Laboratory Report Reference:
NO. 326-95.
Method:
Rats were approximately 6 weeks old at arrival. At study start, the body weights ranged from 196 to 240 g. Rats were housed singly and were fed food and water ad libitum. During the test period each group were fed diet that contained 0, 30, or 300 ppm of the
test substance. Diets were prepared once for the 2-week feeding period and were stored refrigerated until used. All rats were weighed and observed for clinical signs of toxicity. Rats not sacrificed at the end of the feeding period were weighed and observed during the recovery period. Cageside examinations to detect moribund or dead rats were conducted twice daily. Five rats/group were sacrificed at the end of the 14-day feeding period, and on recovery days 7,28, and 56. Livers were removed and weighed at each sacrifice period. Blood samples were taken for organofluoride concentration analysis from rats sacrificed at the end of the feeding period and on recovery day 7.
Results: Mean blood organofluoride concentrations of rats sacrificed on recovery day 0 were 0.3 ppm in control rats, 33.2 ppm in the 30 ppm rats, and 7 1.5 ppm in the 300 ppm rats. On recovery day 7, mean blood organofluoride concentrations were 0.9 ppm for
controls, 19.3 ppm for the 30 ppm group, and 22.2 ppm for the 300 ppm group.

Ref: DuPont summary of studies conducted with PFOS and PFOA.

Type: Repeated Exposure Inhalation Study
Species/Strain: Rats/CrI:CD
Sex/Number: Male/24/group
Exposure Period: 2 weeks; 84 days of recovery
Frequency of Treatment: 6 hourslday, 5 days/week
Exposure Levels: 0, 1, 8, 80 mg/m3
References
:
• DuPont Co. (198 1). Unpublished Data, Haskell Laboratory Report No. 205-81.
• Kennedy, G. L., Jr. et al. (1983). The Toxicologist, 3:22.
• Kennedy, G. L., Jr. et al. (1986). Food Chem. Toxicol., 24: 1325-1329.
Method:
Dust atmospheres of ammonium perfluorooctanoate were generated by passing air through a glass generator. For the high concentration (80 mg/m3), chamber atmosphere concentrations were primarily determined by gravimetric analysis. For the intermediate and low concentrations (8 and 1 mg/m', respectively), chamber atmospheres were determined by a chemical analyses.
Male rats (age 7-8 weeks, weighing 240-279 g) were exposed head-only to dust atmospheres for 6 hours/day, 5 daydweek for 2 weeks (weekends excluded). During exposure, rats were observed and clinical signs were noted. Post-exposure rats were weighed and observed daily for 14 recovery days, then weighed and observed 2 times/week through 84 days of recovery. Five rats/group were sacrificed at 0, 14, 28,42, and 84 days of recovery, for a total of 96 test days. Clinical laboratory examinations were performed on 5 rats from each group at 0, 14,28,42, and 84 days post-exposure. After a total of 10 exposures, 5 rats from each group were pathologically evaluated at 0, 14, 28,42, and 84 days post-exposure.
Results:
... Blood organofluoride analysis clearly demonstrated an exposure-related presence in all groups (including the controls, this finding remains unexplained). Blood organofluoride levels
decreased with time, but was detectable after 84 days of recovery in both the control and 80 mg/m3 exposure levels.

Ref: DuPont summary of studies conducted with PFOS and PFOA.

Ylinen et al.(1990) studied the difference between male and female Wistar rats in the distribution and accumulation of PFOA after single and subchronic administration. For the single dose study, 50 mg/kg of PFOA was administered by ip injection to groups of 20 male and 20 female 10 week old rats. For the subchronic study, PFOA was administered by gavage at doses of 3, 10, and 30 mg/kg/day to groups of 18 male and 18 female newly weaned rats. For both studies, samples were collected for determination of PFOA levels 12 hr after treatment, at 24-168 hr at 24 hr intervals, at 244 hr and at 336 hrs after treatment. For the subchronic study, samples were also taken on Day 28. ... In the single-dose study, concentrations of PFOA in the serum and tissues were higher in males than females at all time periods.Twelve hours after the administration of PFOA about 10% of the administered dose was found in the serum of females, whereas about 40%of the administered dose was in the serum of males. ...
Samples taken on the 28th day indicated significantly higher PFOA concentrations in the serum and tissues of males versus females at all three dose levels. After subchronic, as well as single- dose administration, PFOA was mainly distributed in the serum of rats. High concentrations of PFOA were also found in the liver, kidney, and lung of males and females. ...
A significant positive correlation existed between the administered dose and the concentration of PFOA in the liver, kidney, spleen, and lung of female
s. On the contrary, no significant correlation between the administered dose and the concentration of PFOA was observed in the males, as 10 mg/kg/day produced higher PFOA concentrations in the serum and organs than 30 mg/kg/day. However, in males, the concentration in the spleen, testis, and brain correlated positively with the concentration in the serum.
Ref: April 10, 2003: Preliminary Risk Assessment of the Developmental Toxicity associated with Exposure to Perfluorooctanoic Acid and its Salts. US EPA Office of Pollution Prevention and Toxics. 63 pages.

 
Fluoride Action Network | Pesticide Project | 315-379-9200 | pesticides@fluoridealert.org