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Abu-Salah A, Cesur M, Anchan A, Ay M, Langley MR, Shah A, Reina-Gonzalez P, Strazdins R, Çakır T, Sarkar S. Comparative Proteomics Highlights that GenX Exposure Leads to Metabolic Defects and Inflammation in Astrocytes. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2024; 58:20525-20539. [PMID: 39499804 PMCID: PMC11580177 DOI: 10.1021/acs.est.4c05472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2024] [Revised: 10/10/2024] [Accepted: 10/10/2024] [Indexed: 11/07/2024]
Abstract
Exposure to PFAS such as GenX (HFPO dimer acid) has become increasingly common due to the replacement of older generation PFAS in manufacturing processes. While neurodegenerative and developmental effects of legacy PFAS exposure have been studied in depth, there is a limited understanding specific to the effects of GenX exposure. To investigate the effects of GenX exposure, we exposed Drosophila melanogaster to GenX and assessed the motor behavior and performed quantitative proteomics of fly brains to identify molecular changes in the brain. Additionally, metabolic network-based analysis using the iDrosophila1 model unveiled a potential link between GenX exposure and neurodegeneration. Since legacy PFAS exposure has been linked to Parkinson's disease (PD), we compared the proteome data sets between GenX-exposed flies and a fly model of PD expressing human α-synuclein. Considering the proteomic data- and network-based analyses that revealed GenX may be regulating GABA-associated pathways and the immune system, we next explored the effects of GenX on astrocytes, as astrocytes in the brain can regulate GABA. An array of assays demonstrated GenX exposure may lead to mitochondrial dysfunction and neuroinflammatory response in astrocytes, possibly linking non-cell autonomous neurodegeneration to the motor deficits associated with GenX exposure.
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Affiliation(s)
- Abdulla Abu-Salah
- Department
of Environmental Medicine, University of
Rochester Medical Center, 575 Elmwood Avenue, Rochester, New York 14620, United States
| | - Müberra
Fatma Cesur
- Department
of Bioengineering, Gebze Technical University, Gebze, KOCAELİ 41400, Turkey
| | - Aiesha Anchan
- Department
of Neuroscience, University of Rochester
Medical Center, 575 Elmwood
Avenue, Rochester, New York 14620, United States
| | - Muhammet Ay
- Department
of Environmental Medicine, University of
Rochester Medical Center, 575 Elmwood Avenue, Rochester, New York 14620, United States
| | - Monica R. Langley
- Department
of Molecular Pharmacology & Experimental Therapeutics, Department
of Neurology, Department of Physical Medicine & Rehabilitation, Mayo Clinic, Gonda Building, 19th Floor, 200 First St. SW, Rochester, Minnesota 55905, United States
| | - Ahmed Shah
- Department
of Environmental Medicine, University of
Rochester Medical Center, 575 Elmwood Avenue, Rochester, New York 14620, United States
| | - Pablo Reina-Gonzalez
- Department
of Environmental Medicine, University of
Rochester Medical Center, 575 Elmwood Avenue, Rochester, New York 14620, United States
| | - Rachel Strazdins
- Department
of Environmental Medicine, University of
Rochester Medical Center, 575 Elmwood Avenue, Rochester, New York 14620, United States
| | - Tunahan Çakır
- Department
of Bioengineering, Gebze Technical University, Gebze, KOCAELİ 41400, Turkey
| | - Souvarish Sarkar
- Department
of Environmental Medicine, University of
Rochester Medical Center, 575 Elmwood Avenue, Rochester, New York 14620, United States
- Department
of Neuroscience, University of Rochester
Medical Center, 575 Elmwood
Avenue, Rochester, New York 14620, United States
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Zhao X, Meng X, Yang D, Dong S, Xu J, Chen D, Shi Y, Sun Y, Ding G. Thyroid disrupting effects and the developmental toxicity of hexafluoropropylene oxide oligomer acids in zebrafish during early development. CHEMOSPHERE 2024; 361:142462. [PMID: 38815816 DOI: 10.1016/j.chemosphere.2024.142462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 05/10/2024] [Accepted: 05/25/2024] [Indexed: 06/01/2024]
Abstract
As perfluorooctanoic acid (PFOA) alternatives, hexafluoropropylene oxide dimeric acid (HFPO-DA) and hexafluoropropylene oxide trimeric acid (HFPO-TA) have been increasingly used and caused considerable water pollution. However, their toxicities to aquatic organisms are still not well known. Therefore, in this study, zebrafish embryos were exposed to PFOA (0, 1.5, 3 and 6 mg/L), HFPO-DA (0, 3, 6 and 12 mg/L) and HFPO-TA (0, 1, 2 and 4 mg/L) to comparatively investigate their thyroid disrupting effects and the developmental toxicity. Results demonstrated that waterborne exposure to PFOA and its two alternatives decreased T4 contents, the heart rate and swirl-escape rate of zebrafish embryos/larvae. The transcription levels of genes related to thyroid hormone regulation (crh), biosynthesis (tpo and tg), function (trα and trβ), transport (transthyretin, ttr), and metabolism (dio1, dio2 and ugt1ab), were differently altered after the exposures, which induced the thyroid disrupting effects and decreased the heart rate. In addition, the transcription levels of some genes related to the nervous system development were also significantly affected, which was associated with the thyroid disrupting effects and consequently affected the locomotor activity of zebrafish. Therefore, HFPO-DA and HFPO-TA could not be safe alternatives to PFOA. Further studies to uncover the underlying mechanisms of these adverse effects are warranted.
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Affiliation(s)
- Xiaohui Zhao
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Xianghan Meng
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Dan Yang
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Shasha Dong
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Jianhui Xu
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Dezhi Chen
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Yawei Shi
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Ya Sun
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China
| | - Guanghui Ding
- College of Environmental Science and Engineering, Dalian Maritime University, Dalian 116026, China.
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Rericha Y, St. Mary L, Truong L, McClure R, Martin JK, Leonard SW, Thunga P, Simonich MT, Waters KM, Field JA, Tanguay RL. Diverse PFAS produce unique transcriptomic changes linked to developmental toxicity in zebrafish. FRONTIERS IN TOXICOLOGY 2024; 6:1425537. [PMID: 39104825 PMCID: PMC11298493 DOI: 10.3389/ftox.2024.1425537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Accepted: 06/21/2024] [Indexed: 08/07/2024] Open
Abstract
Per- and polyfluoroalkyl substances (PFAS) are a widespread and persistent class of contaminants posing significant environmental and human health concerns. Comprehensive understanding of the modes of action underlying toxicity among structurally diverse PFAS is mostly lacking. To address this need, we recently reported on our application of developing zebrafish to evaluate a large library of PFAS for developmental toxicity. In the present study, we prioritized 15 bioactive PFAS that induced significant morphological effects and performed RNA-sequencing to characterize early transcriptional responses at a single timepoint (48 h post fertilization) after early developmental exposures (8 h post fertilization). Internal concentrations of 5 of the 15 PFAS were measured from pooled whole fish samples across multiple timepoints between 24-120 h post fertilization, and additional temporal transcriptomics at several timepoints (48-96 h post fertilization) were conducted for Nafion byproduct 2. A broad range of differentially expressed gene counts were identified across the PFAS exposures. Most PFAS that elicited robust transcriptomic changes affected biological processes of the brain and nervous system development. While PFAS disrupted unique processes, we also found that similarities in some functional head groups of PFAS were associated with the disruption in expression of similar gene sets. Body burdens after early developmental exposures to select sulfonic acid PFAS, including Nafion byproduct 2, increased from the 24-96 h post fertilization sampling timepoints and were greater than those of sulfonamide PFAS of similar chain lengths. In parallel, the Nafion byproduct 2-induced transcriptional responses increased between 48 and 96 h post fertilization. PFAS characteristics based on toxicity, transcriptomic effects, and modes of action will contribute to further prioritization of PFAS structures for testing and informed hazard assessment.
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Affiliation(s)
- Yvonne Rericha
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
- Sinnhuber Aquatic Research Laboratory, Oregon State University, Corvallis, OR, United States
| | - Lindsey St. Mary
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
- Sinnhuber Aquatic Research Laboratory, Oregon State University, Corvallis, OR, United States
| | - Lisa Truong
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
- Sinnhuber Aquatic Research Laboratory, Oregon State University, Corvallis, OR, United States
| | - Ryan McClure
- Pacific Northwest National Laboratory, Biological Sciences Division, Richland, WA, United States
| | - J. Kainalu Martin
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
| | - Scott W. Leonard
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
| | - Preethi Thunga
- Biological Sciences Department, College of Sciences, North Carolina State University, Raleigh, NC, United States
| | - Michael T. Simonich
- Sinnhuber Aquatic Research Laboratory, Oregon State University, Corvallis, OR, United States
| | - Katrina M. Waters
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
- Pacific Northwest National Laboratory, Biological Sciences Division, Richland, WA, United States
| | - Jennifer A. Field
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
| | - Robyn L. Tanguay
- Environmental and Molecular Toxicology Department, College of Agricultural Sciences, Oregon State University, Corvallis, OR, United States
- Sinnhuber Aquatic Research Laboratory, Oregon State University, Corvallis, OR, United States
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Dunn F, Paquette SE, Pennell KD, Plavicki JS, Manz KE. Metabolomic changes following GenX and PFBS exposure in developing zebrafish. AQUATIC TOXICOLOGY (AMSTERDAM, NETHERLANDS) 2024; 271:106908. [PMID: 38608566 PMCID: PMC11209921 DOI: 10.1016/j.aquatox.2024.106908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 03/30/2024] [Accepted: 04/02/2024] [Indexed: 04/14/2024]
Abstract
Short chain per- and polyfluoroalkyl substances (PFAS), including hexafluoropropylene oxide dimer acid (GenX) and perfluorobutane sulfonate (PFBS), are replacement chemicals for environmentally persistent, long-chain PFAS. Although GenX and PFBS have been detected in surface and ground water worldwide, few studies provide information on the metabolic alterations or risks associated with their exposures. In this study, larval zebrafish were used to investigate the toxicity of early-life exposure to GenX or PFBS. Zebrafish were chronically exposed from 4 h post-fertilization (hpf) to 6 days post-fertilization (dpf) to 150 µM GenX or 95.0 µM PFBS. Ultra-high-performance liquid chromatography paired with high-resolution mass spectrometry was used to quantify uptake of GenX and PFBS into zebrafish larvae and perform targeted and untargeted metabolomics. Our results indicate that PFBS was 20.4 % more readily absorbed into the zebrafish larvae compared to GenX. Additionally, PFBS exposure significantly altered 13 targeted metabolites and 21 metabolic pathways, while GenX exposure significantly altered 1 targeted metabolite and 17 metabolic pathways. Exposure to GenX, and to an even greater extent PFBS, resulted in a number of altered metabolic pathways in the amino acid metabolism, with other significant alterations in the carbohydrate, lipid, cofactors and vitamins, nucleotide, and xenobiotics metabolisms. Our results indicate that GenX and PFBS impact the zebrafish metabolome, with implications of global metabolic dysregulation, particularly in metabolic pathways relating to growth and development.
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Affiliation(s)
- Fiona Dunn
- School of Engineering, Brown University, 184 Hope Street, Providence, RI, 02912, United States
| | - Shannon E Paquette
- Department of Pathology and Laboratory Medicine, Brown University, 70 Ship Street, Providence, RI, 02903, United States
| | - Kurt D Pennell
- School of Engineering, Brown University, 184 Hope Street, Providence, RI, 02912, United States
| | - Jessica S Plavicki
- Department of Pathology and Laboratory Medicine, Brown University, 70 Ship Street, Providence, RI, 02903, United States.
| | - Katherine E Manz
- School of Engineering, Brown University, 184 Hope Street, Providence, RI, 02912, United States; Department of Environmental Health Sciences, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109, United States.
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Treschow AF, Valente MJ, Lauschke K, Holst B, Andersen AR, Vinggaard AM. Investigating the applicability domain of the hiPSC-based PluriLum assay: an embryotoxicity assessment of chemicals and drugs. Arch Toxicol 2024; 98:1209-1224. [PMID: 38311648 PMCID: PMC10944425 DOI: 10.1007/s00204-023-03675-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 12/20/2023] [Indexed: 02/06/2024]
Abstract
To meet the growing demand for developmental toxicity assessment of chemicals, New Approach Methodologies (NAMs) are needed. Previously, we developed two 3D in vitro assays based on human-induced pluripotent stem cells (hiPSC) and cardiomyocyte differentiation: the PluriBeat assay, based on assessment of beating differentiated embryoid bodies, and the PluriLum assay, a reporter gene assay based on the expression of the early cardiac marker NKX2.5; both promising assays for predicting embryotoxic effects of chemicals and drugs. In this work, we aimed to further describe the predictive power of the PluriLum assay and compare its sensitivity with PluriBeat and similar human stem cell-based assays developed by others. For this purpose, we assessed the toxicity of a panel of ten chemicals from different chemical classes, consisting of the known developmental toxicants 5-fluorouracil, all-trans retinoic acid and valproic acid, as well as the negative control compounds ascorbic acid and folic acid. In addition, the fungicides epoxiconazole and prochloraz, and three perfluoroalkyl substances (PFAS), PFOS, PFOA and GenX were tested. Generally, the PluriLum assay displayed higher sensitivity when compared to the PluriBeat assay. For several compounds the luminescence readout of the PluriLum assay showed effects not detected by the PluriBeat assay, including two PFAS compounds and the two fungicides. Overall, we find that the PluriLum assay has the potential to provide a fast and objective detection of developmental toxicants and has a level of sensitivity that is comparable to or higher than other in vitro assays also based on human stem cells and cardiomyocyte differentiation for assessment of developmental toxicity.
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Affiliation(s)
- Andreas Frederik Treschow
- Cell Toxicology Team, National Food Institute, Technical University of Denmark, Kongens Lyngby, Denmark.
| | - Maria João Valente
- Cell Toxicology Team, National Food Institute, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Karin Lauschke
- Cell Toxicology Team, National Food Institute, Technical University of Denmark, Kongens Lyngby, Denmark
- Cell Therapy TRU, Novo Nordisk A/S, Måløv, Denmark
| | | | - Anders Reenberg Andersen
- Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Anne Marie Vinggaard
- Cell Toxicology Team, National Food Institute, Technical University of Denmark, Kongens Lyngby, Denmark.
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6
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Lv D, Liu H, An Q, Lei C, Wang Y, Sun J, Li C, Lin Y, Dong Q, Yang Z, Che K, Liu W, Han W. Association of adverse fetal outcomes with placental inflammation after oral gestational exposure to hexafluoropropylene oxide dimer acid (GenX) in Sprague-Dawley rats. JOURNAL OF HAZARDOUS MATERIALS 2024; 461:132536. [PMID: 37717439 DOI: 10.1016/j.jhazmat.2023.132536] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 08/26/2023] [Accepted: 09/10/2023] [Indexed: 09/19/2023]
Abstract
Hexafluoropropylene oxide dimer acid (HFPO-DA), known as "GenX" for its trade name, is gradually taking the place of Perfluorooctanoic acid (PFOA). However, there is a poor understanding of the developmental effects of GenX. This study aims to explore whether GenX produces adverse effects on offspring development in Sprague-Dawley (SD) rats and the underlying mechanisms. Pregnant rats were orally administered with GenX (0, 1, 10 and 100 mg/kg/day) from gestational 0.5-19.5 days. Experimental data showed that the exposure to GenX resulted in increased rats' gestational weight gain, whereas both body weight and body length of their fetuses born naturally were significantly reduced. This could contribute to the developmental delays of fetal body weight, body length and tail length from postnatal 1-21 days. Histopathological evaluation of placenta indicated that GenX exposure led to neutrophil infiltration in decidual zone and congestion in labyrinth zone. Moreover, placental proteomics showed changes at the expression levels of the inflammation-related proteins in the Rap1 signaling pathway. In conclusion, gestational exposure to GenX induced fetal intrauterine and extrauterine development retardation in SD rats. Placental inflammation may play a key role in this process through the Rap1 signaling pathway.
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Affiliation(s)
- Di Lv
- Pediatrics Department, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao 266071, China; Qingdao Medical College, Qingdao University, Qingdao 266071, China
| | - Hongyun Liu
- Pathology Department, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao 266071, China
| | - Qi An
- Child Healthcare Department, Qingdao Women and Children's Hospital, Qingdao 266071, China
| | - Chengwei Lei
- Pediatrics Department, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao 266071, China; Qingdao Medical College, Qingdao University, Qingdao 266071, China
| | - Yanxuan Wang
- Pediatrics Department, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao 266071, China; Qingdao Medical College, Qingdao University, Qingdao 266071, China
| | - Jin Sun
- Department of Developmental Pediatrics and Child Health Care, The First Affiliated Hospital of Shandong First Medical University, Jinan 250014, China
| | - Chuanhai Li
- School of Public Health, Qingdao University, Qingdao 266071, China
| | - Yongfeng Lin
- School of Public Health, Qingdao University, Qingdao 266071, China
| | - Qing Dong
- Pediatrics Department, The Affiliated Taian City Central Hospital of Qingdao University, Taian 271000, China
| | - Zhugen Yang
- School of Water, Energy and Environment, Cranfield University, Cranfield MK43 0AL, UK
| | - Kui Che
- Key Laboratory of Thyroid Diseases, Medical Research Center, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
| | - Wendong Liu
- Pediatrics Department, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao 266071, China.
| | - Wenchao Han
- Pediatrics Department, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao 266071, China.
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Jeanne PV, McLamb F, Feng Z, Griffin L, Gong S, Shea D, Szuch MA, Scott S, Gersberg RM, Bozinovic G. Locomotion and brain gene expression exhibit sex-specific non-monotonic dose-response to HFPO-DA during Drosophila melanogaster lifespan. Neurotoxicology 2023; 96:207-221. [PMID: 37156305 DOI: 10.1016/j.neuro.2023.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 05/04/2023] [Accepted: 05/05/2023] [Indexed: 05/10/2023]
Abstract
BACKGROUND Legacy per- and polyfluoroalkyl substances (PFAS), known for their environmental persistence and bio-accumulative properties, have been phased out in the U.S. due to public health concerns. A newer polymerization aid used in the manufacture of some fluoropolymers, hexafluoropropylene oxide-dimer acid (HFPO-DA), has lower reported bioaccumulation and toxicity, but is a potential neurotoxicant implicated in dopaminergic neurodegeneration. OBJECTIVE We investigated HFPO-DA's bio-accumulative potential and sex-specific effects on lifespan, locomotion, and brain gene expression in fruit flies. METHODS We quantified bioaccumulation of HFPO-DA in fruit flies exposed to 8.7×104µg/L of HFPO-DA in the fly media for 14 days via UHPLC-MS. Long-term effect on lifespan was determined by exposing both sexes to 8.7×102 - 8.7×105µg/L of HFPO-DA in media. Locomotion was measured following 3, 7, and 14 days of exposures at 8.7×101 - 8.7×105µg/L of HFPO-DA in media, and high-throughput 3'-end RNA-sequencing was used to quantify gene expression in fly brains across the same time points. RESULTS Bioaccumulation of HFPO-DA in fruit flies was not detected. HFPO-DA-induced effects on lifespan, locomotion, and brain gene expression, and lowest adverse effect level (LOAEL) showed sexually dimorphic patterns. Locomotion scores significantly decreased in at least one dose at all time points for females and only at 3-day exposure for males, while brain gene expression exhibited non-monotonic dose-response. Differentially expressed genes correlated to locomotion scores revealed sex-specific numbers of positively and negatively correlated genes per functional category. CONCLUSION Although HFPO-DA effects on locomotion and survival were significant at doses higher than the US EPA reference dose, the brain transcriptomic profiling reveals sex-specific changes and neurological molecular targets; gene enrichments highlight disproportionately affected categories, including immune response: female-specific co-upregulation suggests potential neuroinflammation. Consistent sex-specific exposure effects necessitate blocking for sex in experimental design during HFPO-DA risk assessment.
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Affiliation(s)
- P Vu Jeanne
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA; San Diego State University, Graduate School of Public Health, San Diego, CA, USA; University of California, San Diego, Division of Extended Studies, La Jolla, CA, USA
| | - Flannery McLamb
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA; University of California, San Diego, Division of Extended Studies, La Jolla, CA, USA
| | - Zuying Feng
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA; San Diego State University, Graduate School of Public Health, San Diego, CA, USA
| | - Lindsey Griffin
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA; University of California, San Diego, Division of Extended Studies, La Jolla, CA, USA
| | - Sylvia Gong
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA; San Diego State University, Graduate School of Public Health, San Diego, CA, USA; University of California, San Diego, Division of Extended Studies, La Jolla, CA, USA
| | | | - Mary A Szuch
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA
| | - Savannah Scott
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA
| | - Richard M Gersberg
- San Diego State University, Graduate School of Public Health, San Diego, CA, USA
| | - Goran Bozinovic
- Boz Life Science Research and Teaching Institute, San Diego, CA, USA; San Diego State University, Graduate School of Public Health, San Diego, CA, USA; University of California, San Diego, School of Biological Sciences, La Jolla, CA, USA.
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