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Zhu H, Xia Y, Zhang Y, Kang Y, Ding Y, Chen R, Feng H. Distribution characteristics and transformation mechanism of per- and polyfluoroalkyl substances in drinking water sources: A review. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 916:169566. [PMID: 38160823 DOI: 10.1016/j.scitotenv.2023.169566] [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: 10/21/2023] [Revised: 12/03/2023] [Accepted: 12/19/2023] [Indexed: 01/03/2024]
Abstract
Per- and polyfluoroalkyl substances (PFASs) have raised significant concerns within the realm of drinking water due to their widespread presence in various water sources. This prevalence poses potential risks to human health, ecosystems, and the safety of drinking water. However, there is currently a lack of comprehensive reviews that systematically categorize the distribution characteristics and transformation mechanisms of PFASs in drinking water sources. This review aims to address this gap by concentrating on the specific sources of PFASs contamination in Chinese drinking water supplies. It seeks to elucidate the migration and transformation processes of PFASs within each source, summarize the distribution patterns of PFASs in surface and subsurface drinking water sources, and analyze how PFASs molecular structure, solubility, and sediment physicochemical parameters influence their presence in both the water phase and sediment. Furthermore, this review assesses two natural pathways for PFASs degradation, namely photolysis and biodegradation. It places particular emphasis on understanding the degradation mechanisms and the factors that affect the breakdown of PFASs by microorganisms. The ultimate goal is to provide valuable insights for the prevention and control of PFAS contamination and the assurance of drinking water quality.
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Affiliation(s)
- Heying Zhu
- School of Environmental Science and Engineering, Zhejiang Gongshang University, Hangzhou 310018, Zhejiang, China
| | - Yijing Xia
- School of Environmental Science and Engineering, Zhejiang Gongshang University, Hangzhou 310018, Zhejiang, China
| | - Yifeng Zhang
- Department of Environmental and Resource Engineering, Technical University of Denmark, DK-2800 Lyngby, Denmark
| | - Ying Kang
- Zhejiang Ecological Environmental Monitoring Center, 117 Xueyuan Road, Hangzhou 310012, Zhejiang, China
| | - Yangcheng Ding
- School of Environmental Science and Engineering, Zhejiang Gongshang University, Hangzhou 310018, Zhejiang, China
| | - Ruya Chen
- School of Environmental Science and Engineering, Zhejiang Gongshang University, Hangzhou 310018, Zhejiang, China.
| | - Huajun Feng
- Ecological-Environment & Health College (EEHC), Zhejiang A & F University, Hangzhou 311300, Zhejiang, China.
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2
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Takdastan A, Babaei AA, Jorfi S, Ahmadi M, Tahmasebi Birgani Y, Jamshidi B. Perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) in water and edible fish species of Karun River, Ahvaz, Iran: spatial distribution, human health, and ecological risk assessment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2024; 34:803-814. [PMID: 36709497 DOI: 10.1080/09603123.2023.2168630] [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: 12/18/2022] [Accepted: 01/10/2023] [Indexed: 06/18/2023]
Abstract
Per- and polyfluoroalkyl substances (PFASs) such as perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) are environmental contaminants with unfavorable impacts on human health and nature. This study aimed to determine the PFOA and PFOS concentration in water and fish samples from Karun, the largest river in Iran. According to the results, the PFOA and PFOS in water samples were 5.81-69.26 ng/L and not detected (n.d.)-35.12 ng/L, respectively. The dry season displayed higher concentrations in water samples than in the wet season. The maximum PFOS concentration measured was related to Barbus barbules sp. (27.89 ng/g). The human health risk assessment indicated minor risks (hazard ratio, HR < 1) from PFOA and PFOS through consuming contaminated drinking water and fish. Only HR value of PFOS in downstream area exceeded slightly 1.0, indicating potential health risk due to consumption of the river fish. Considering the average PFASs concentration, the risk quotients (RQs) showed low ecological risk.
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Affiliation(s)
- Afshin Takdastan
- Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Environmental Health Engineering, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Ali Akbar Babaei
- Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Environmental Health Engineering, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Sahand Jorfi
- Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Environmental Health Engineering, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mehdi Ahmadi
- Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Environmental Health Engineering, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Yaser Tahmasebi Birgani
- Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Environmental Health Engineering, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Behzad Jamshidi
- Department of Environmental Health Engineering, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Environmental Health Engineering, Petroleum Industry Health Organization, NIOC, Ahvaz, Iran
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Mojiri A, Zhou JL, Ozaki N, KarimiDermani B, Razmi E, Kasmuri N. Occurrence of per- and polyfluoroalkyl substances in aquatic environments and their removal by advanced oxidation processes. CHEMOSPHERE 2023; 330:138666. [PMID: 37068615 DOI: 10.1016/j.chemosphere.2023.138666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 03/15/2023] [Accepted: 04/10/2023] [Indexed: 05/14/2023]
Abstract
Per- and polyfluoroalkyl substances (PFAS), one of the main categories of emerging contaminants, are a family of fluorinated organic compounds of anthropogenic origin. PFAS can endanger the environment and human health because of their wide application in industries, long-term persistence, unique properties, and bioaccumulation potential. This study sought to explain the accumulation of different PFAS in water bodies. In aquatic environments, PFAS concentrations range extensively from <0.03 (groundwater; Melbourne, Australia) to 51,000 ng/L (Groundwater, Sweden). Additionally, bioaccumulation of PFAS in fish and water biota has been stated to range from 0.2 (Burbot, Lake Vättern, Sweden) to 13,900 ng/g (Bluegill samples, U.S.). Recently, studies have focused on PFAS removal from aqueous solutions; one promising technique is advanced oxidation processes (AOPs), including microwaves, ultrasound, ozonation, photocatalysis, UV, electrochemical oxidation, the Fenton process, and hydrogen peroxide-based and sulfate radical-based systems. The removal efficiency of PFAS ranges from 3% (for MW) to 100% for UV/sulfate radical as a hybrid reactor. Therefore, a hybrid reactor can be used to efficiently degrade and remove PFAS. Developing novel, efficient, cost-effective, and sustainable AOPs for PFAS degradation in water treatment systems is a critical area of research.
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Affiliation(s)
- Amin Mojiri
- Department of Civil and Environmental Engineering, Graduate School of Advanced Science and Engineering, Hiroshima University, 1-4-1 Kagamiyama, Higashihiroshima, 739-8527, Hiroshima, Japan.
| | - John L Zhou
- School of Civil and Environmental Engineering, University of Technology Sydney, Sydney, NSW, 2007, Australia
| | - Noriatsu Ozaki
- Department of Civil and Environmental Engineering, Graduate School of Advanced Science and Engineering, Hiroshima University, 1-4-1 Kagamiyama, Higashihiroshima, 739-8527, Hiroshima, Japan
| | - Bahareh KarimiDermani
- Department of Geological Sciences, Hydrogeology, University of Alabama, Tuscaloosa, AL, 35487, USA
| | - Elham Razmi
- Department of Environmental Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Norhafezah Kasmuri
- School of Civil Engineering, College of Engineering, Universiti Teknologi MARA (UiTM), Shah Alam, 40450, Selangor, Malaysia
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Shiu RF, Lee HJ, Hsu HT, Gong GC. Suspended particulate matter-bound per- and polyfluoroalkyl substances (PFASs) in a river-coastal system: Possible correlation with transparent exopolymer particles. MARINE POLLUTION BULLETIN 2023; 191:114975. [PMID: 37121184 DOI: 10.1016/j.marpolbul.2023.114975] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 04/17/2023] [Accepted: 04/18/2023] [Indexed: 05/13/2023]
Abstract
The transport and ultimate fate of per- and polyfluoroalkyl substances (PFASs) are generally considered to be influenced by partitioning behavior between water, suspended particulate matters (SPM), and sediments. This study examined the distribution and partitioning of the PFASs in the water, SPM, and sediments in a densely populated urban river-coastal system. The total concentrations of eight PFASs (∑8 PFASs) in the water phase, SPM, and sediments varied from 0.59 to 7.40 ng/L, 0.54 to 9.08 ng/g, and 0.05 to 0.13 ng/g, respectively. The PFAS concentrations in the water and SPM phase decreased as the salinity increased, confirming contaminant inputs from the upstream of the river to the estuary zone. Notably, the positive correlation between SPM-bound PFASs and transparent exopolymer particles (TEPs) content, providing first evidence that TEPs may accumulate and concentrate more PFASs on the SPM. Collectively, this results offers useful information about roles of TEPs in determining environmental fate of PFASs.
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Affiliation(s)
- Ruei-Feng Shiu
- Institute of Marine Environment and Ecology, National Taiwan Ocean University, Keelung 20224, Taiwan; Center of Excellence for the Oceans, National Taiwan Ocean University, Keelung 20224, Taiwan.
| | - Hui-Ju Lee
- Institute of Marine Environment and Ecology, National Taiwan Ocean University, Keelung 20224, Taiwan
| | - Hung-Te Hsu
- Institute of Marine Environment and Ecology, National Taiwan Ocean University, Keelung 20224, Taiwan
| | - Gwo-Ching Gong
- Institute of Marine Environment and Ecology, National Taiwan Ocean University, Keelung 20224, Taiwan; Center of Excellence for the Oceans, National Taiwan Ocean University, Keelung 20224, Taiwan
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Nganda A, Kumar M, Uday V, Srivastava P, Deka BJ, Zitouni F, Mahlknecht J. EI/IOT of PFCs: Environmental impacts/interactions, occurrences, and toxicities of perfluorochemicals. ENVIRONMENTAL RESEARCH 2023; 218:114707. [PMID: 36436554 DOI: 10.1016/j.envres.2022.114707] [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: 09/08/2022] [Revised: 10/26/2022] [Accepted: 10/30/2022] [Indexed: 06/16/2023]
Abstract
Various studies have been conducted on the perfluorochemicals (PFCs) family over the years. These compounds have been sought in various industrial aspects involving the synthesis of everyday utilities due to their broad range of applications. As a result, PFCs have built up in the environment, causing concern. The presence of PFCs in various environmental media, such as terrestrial and marine settings, as well as the mechanisms of transport, bioaccumulation, and physio-chemical interactions of PFCs within plants, aquatic organisms, microplastics, and, ultimately, the human body, are discussed in this review, which draws on a variety of research publications. The interaction of PFCs with proteins, translocation, and adsorption by hydrophobic interactions were observed, and this had an impact on the natural functioning of biological processes, resulting in events such as phylogenic clustering, competitive inhibition, and many others, posing potential hazards to human health and other relevant organisms in the ecosystem. However, further research is needed to have a better knowledge of PFCs and their interactions so that low-cost treatments can be developed to eliminate them. It is therefore, future research should focus on the role of soil matrix as a defensive mechanism for PFCs, as well as the impact of PFC chain length rejection.
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Affiliation(s)
- Armel Nganda
- Energy Cluster, School of Engineering, University of Petroleum and Energy Studies, Dehradun, 248007, India
| | - Manish Kumar
- Sustainability Cluster, School of Engineering, UPES, Dehradun, 248007, India; Escuela de Ingenieria y Ciencias, Tecnologico de Monterrey, Campus Monterrey, Eugenio Garza Sada 2501 Sur, Monterrey, 64849, Mexico.
| | - Vismaya Uday
- Sustainability Cluster, School of Engineering, UPES, Dehradun, 248007, India
| | - Pankaj Srivastava
- Sustainability Cluster, School of Engineering, UPES, Dehradun, 248007, India
| | - Bhaskar Jyoti Deka
- Department of Hydrology, Indian Institute of Technology Roorkee, Haridwar, Uttarakhand, India 247667
| | - Faiza Zitouni
- College of Engineering, Applied Science University (ASU), Bahrain
| | - Jurgen Mahlknecht
- Escuela de Ingenieria y Ciencias, Tecnologico de Monterrey, Campus Monterrey, Eugenio Garza Sada 2501 Sur, Monterrey, 64849, Mexico
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Barbosa MO, Ratola N, Homem V, Pereira MFR, Silva AMT, Ribeiro ARL, Llorca M, Farré M. Per- and Poly-Fluoroalkyl Substances in Portuguese Rivers: Spatial-Temporal Monitoring. Molecules 2023; 28:molecules28031209. [PMID: 36770878 PMCID: PMC9921101 DOI: 10.3390/molecules28031209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 01/10/2023] [Accepted: 01/11/2023] [Indexed: 01/28/2023] Open
Abstract
Eighteen per-and polyfluoroalkyl substances (PFASs) were investigated in surface waters of four river basins in Portugal (Ave, Leça, Antuã, and Cértima) during the dry and wet seasons. All sampling sites showed contamination in at least one of the seasons. In the dry season, perfluorooctanoate acid (PFOA) and perfluoro-octane sulfonate (PFOS), were the most frequent PFASs, while during the wet season these were PFOA and perfluobutane-sulfonic acid (PFBS). Compounds detected at higher concentrations were PFOS (22.6 ng L-1) and perfluoro-butanoic acid (PFBA) (22.6 ng L-1) in the dry and wet seasons, respectively. Moreover, the prospective environmental risks of PFASs, detected at higher concentrations, were evaluated based on the Risk Quotient (RQ) classification, which comprises acute and chronic toxicity. The results show that the RQ values of eight out of the nine PFASs were below 0.01, indicating low risk to organisms at different trophic levels in the four rivers in both seasons, wet and dry. Nevertheless, in the specific case of perfluoro-tetradecanoic acid (PFTeA), the RQ values calculated exceeded 1 for fish (96 h) and daphnids (48 h), indicating a high risk for these organisms. Furthermore, the RQ values were higher than 0.1, indicating a medium risk for fish, daphnids and green algae (96 h).
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Affiliation(s)
- Marta O. Barbosa
- LSRE-LCM—Laboratory of Separation and Reaction Engineering-Laboratory of Catalysis and Materials, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- ALiCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- Centre for Research and Intervention in Education (CIIE), Faculdade de Psicologia e de Ciências da Educação, Universidade do Porto, Rua Alfredo Allen s/n, 4200-135 Porto, Portugal
| | - Nuno Ratola
- ALiCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- LEPABE—Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - Vera Homem
- ALiCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- LEPABE—Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - M. Fernando R. Pereira
- LSRE-LCM—Laboratory of Separation and Reaction Engineering-Laboratory of Catalysis and Materials, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- ALiCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - Adrián M. T. Silva
- LSRE-LCM—Laboratory of Separation and Reaction Engineering-Laboratory of Catalysis and Materials, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- ALiCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - Ana R. L. Ribeiro
- LSRE-LCM—Laboratory of Separation and Reaction Engineering-Laboratory of Catalysis and Materials, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
- ALiCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - Marta Llorca
- ON-HEALTH Research Group, Institute of Environmental Assessment and Water Research (IDAEA-CSIC), C/Jordi Girona, 18-26, 08034 Barcelona, Spain
- Correspondence: (M.L.); (M.F.)
| | - Marinella Farré
- ON-HEALTH Research Group, Institute of Environmental Assessment and Water Research (IDAEA-CSIC), C/Jordi Girona, 18-26, 08034 Barcelona, Spain
- Correspondence: (M.L.); (M.F.)
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Riaz R, Junaid M, Rehman MYA, Iqbal T, Khan JA, Dong Y, Yue L, Chen Y, Xu N, Malik RN. Spatial distribution, compositional profile, sources, ecological and human health risks of legacy and emerging per- and polyfluoroalkyl substances (PFASs) in freshwater reservoirs of Punjab, Pakistan. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 856:159144. [PMID: 36183770 DOI: 10.1016/j.scitotenv.2022.159144] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 09/26/2022] [Accepted: 09/27/2022] [Indexed: 06/16/2023]
Abstract
Per- and polyfluoroalkyl substances (PFASs) are a large group of chemicals reported in global environment and are responsible for various adverse impacts on humans and environment. We report a comprehensive study on occurrence of PFASs, including legacy, substitute and emerging ones, from Pakistan. Surface water samples were collected from five ecologically important freshwater reservoirs in Pakistan, namely, Head Panjnad (HP), Head Trimmu (HT), Chashma Barrage (CB), Head Blloki (HB), and Head Qadirabad (HQ). The detection frequencies of PFASs ranged between 37 %-100 %. The highest concentration of ∑15PFASs was detected at HP (114.1 ng L-1), whereas the lowest at HQ (19.9 ng L-1). Among the analyzed PFASs, 6:2 fluorotelomer sulfonic acid (6:2 FTS) and perfluorooctanoic acid (PFOA) showed maximum mean concentrations of 9.1 ng L-1 and 7 ng L-1 at HP, followed by Perfluorooctane sulfonic acid (PFOS) with level of 0.99 ng L-1 at HT. The ecological risk assessment for selected species i.e., daphnid, mysid, fish and green algae showed that PFOS, perfluorononanoic acid (PFNA), perfluorodecanoic acid (PFDA) exhibited moderate risk i.e., Hazard Quotients (HQs) < 1 to the modeled organisms, whereas perfluorobutane sulfonic acid (PFBS) showed the high risk to green algae (HQs = 8.6) and PFOA presented a high risk to all the organisms (HQs ranged between 1.04 and 7.38). The level of ∑PFASs at HP (114.1 ng L-1) exceed the EU guideline value of ∑PFASs in water (100 ng L-1), however the risk quotient (RQmix) values of all age groups were < 1 implying that the detected PFASs in water do not pose risk to human health. Source apportionment through Positive Matrix Factorization (PMF) showed that industrial effluent is the main source of PFASs in freshwater reservoirs. Comparable concentrations of legacy and substitute PFASs in this study indicate that legacy PFASs are still in use adjacent to ecologically important water reservoirs.
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Affiliation(s)
- Rahat Riaz
- Environmental Health Laboratory, Department of Environmental Sciences, Quaid-i-Azam University, Islamabad, Pakistan
| | - Muhammad Junaid
- Key Laboratory for Heavy Metal Pollution Control and Reutilization, School of Environment and Energy, Peking University Shenzhen Graduate School, Shenzhen 518055, China; Joint Laboratory of Guangdong Province and Hong Kong Region on Marine Bioresource Conservation and Exploitation, College of Marine Sciences, South China Agricultural University, Guangzhou 510641, China
| | - Muhammad Yasir Abdur Rehman
- Environmental Health Laboratory, Department of Environmental Sciences, Quaid-i-Azam University, Islamabad, Pakistan
| | - Taimoor Iqbal
- Environmental Health Laboratory, Department of Environmental Sciences, Quaid-i-Azam University, Islamabad, Pakistan
| | - Jawad Aslam Khan
- Environmental Health Laboratory, Department of Environmental Sciences, Quaid-i-Azam University, Islamabad, Pakistan
| | - Yanran Dong
- Key Laboratory for Heavy Metal Pollution Control and Reutilization, School of Environment and Energy, Peking University Shenzhen Graduate School, Shenzhen 518055, China
| | - Linxia Yue
- Key Laboratory for Heavy Metal Pollution Control and Reutilization, School of Environment and Energy, Peking University Shenzhen Graduate School, Shenzhen 518055, China
| | - Yupeng Chen
- Key Laboratory for Heavy Metal Pollution Control and Reutilization, School of Environment and Energy, Peking University Shenzhen Graduate School, Shenzhen 518055, China
| | - Nan Xu
- Key Laboratory for Heavy Metal Pollution Control and Reutilization, School of Environment and Energy, Peking University Shenzhen Graduate School, Shenzhen 518055, China.
| | - Riffat Naseem Malik
- Environmental Health Laboratory, Department of Environmental Sciences, Quaid-i-Azam University, Islamabad, Pakistan.
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Chen Y, Wang Y, Cui Z, Liu W, Liu B, Zeng Q, Zhao X, Dou J, Cao J. Endocrine disrupting chemicals: A promoter of non-alcoholic fatty liver disease. Front Public Health 2023; 11:1154837. [PMID: 37033031 PMCID: PMC10075363 DOI: 10.3389/fpubh.2023.1154837] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 03/06/2023] [Indexed: 04/11/2023] Open
Abstract
Non-alcoholic fatty liver disease (NAFLD) is the most prevalent liver disorder. With the improvement in human living standards, the prevalence of NAFLD has been increasing in recent years. Endocrine-disrupting chemicals (EDCs) are a class of exogenous chemicals that simulate the effects of hormones in the body. There has been growing evidence regarding the potential effects of EDCs on liver health, especially in NAFLD. This paper aims to summarize the major EDCs that contribute to the growing burden of NAFLD and to raise public awareness regarding the hazards posed by EDCs with the objective of reducing the incidence of NAFLD.
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9
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Radwan EK, Rashdan HRM, Hemdan BA, Koryam AA, El-Naggar ME. A dual-functional sulfone biscompound containing 1,2,3-triazole moiety for decolorization and disinfection of contaminated water. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:77238-77252. [PMID: 35676578 PMCID: PMC9581830 DOI: 10.1007/s11356-022-20932-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 05/13/2022] [Indexed: 05/28/2023]
Abstract
Water decontamination from toxic dyes and pathogenic microorganisms is critical for life on Earth. Herein, we report the synthesis of sulfone biscompound containing 1,2,3-triazole moiety and evaluation of its dye decolorization and biocidal and disinfection efficiencies. The decolorization efficiency was tested under different experimental conditions, while the biocidal action was examined against various types of waterborne pathogens, and the disinfection of some pathogenic microbes was executed in artificially contaminated water. The findindgs illustrated that the solution initial pH (pHi) affected the decolorization efficiency significantly. About complete removal of 10 mg/L malachite green (MG) dye was achieved after 10 min using 3 g/L of the sulfone biscompound at pHi 6. The pseudo-second-order equation suited the adsorption kinetics accurately, while the equilibrium data was suited by Langmuir isotherm model. Electrostatic, n-π, and π-π interactions brought about the adsorption of MG onto the sulfone biscompound. The biocidal results indicated that the sulfone biscompound had a powerful antibacterial potential against the tested bacterial species. Likewise, the distinction trail revealed that after 70-90 min of direct contact with an effective dose, the tested pathogens could be completely eliminated (6-log reduction). Overall, the newly synthesized sulfone biscompound can efficiently remove cationic dyes and disinfect contaminated water.
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Affiliation(s)
- Emad K Radwan
- Water Pollution Research Department, National Research Centre, 33 El Buhouth St, Dokki, Giza, 12622, Egypt.
| | - Huda R M Rashdan
- Chemistry of Natural and Microbial Products Department, Pharmaceutical and Drug Industries Research Institute, National Research Centre, 33 El Buhouth St, Dokki, Giza, 12622, Egypt
| | - Bahaa A Hemdan
- Water Pollution Research Department, National Research Centre, 33 El Buhouth St, Dokki, Giza, 12622, Egypt
| | - Asmaa A Koryam
- Water Pollution Research Department, National Research Centre, 33 El Buhouth St, Dokki, Giza, 12622, Egypt
| | - Mehrez E El-Naggar
- Institute of Textile Research and Technology, National Research Centre, 33 El Bohouth St, Dokki, Giza, 12622, Egypt.
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Huang Z, Zhang X, Wang X, Deji Z, Lee HK. Occurrence of Perfluoroalkyl and Polyfluoroalkyl Substances in Ice Cream, Instant Noodles, and Bubble Tea. JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY 2022; 70:10836-10846. [PMID: 35998314 DOI: 10.1021/acs.jafc.2c01434] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Food consumption is a significant exposure route to perfluoroalkyl and polyfluoroalkyl substances (PFAS). The concentrations of 27 PFAS in fast food were determined by ultrahigh-performance liquid chromatography-high resolution mass spectrometry. In ice cream, instant noodles, and bubble tea, some PFAS were detected, among which perfluorooctanoic acid, perfluoro-n-butanoic acid, and 6:2 polyfluoroalkyl phosphate monoester showed relatively high concentrations. PFAS migrating from bubble tea cups to the food simulant of 50% ethanol aqueous solution showed a difference compared with those migrating into bubble tea matrices. The migration of 27 PFAS to bubble tea samples indicated that long storage time increased PFAS levels (up to 4.8 times) and so did high storage temperature (up to 7.3 times). The hazard ratio, defined as the ratio of the estimated daily intake and the reference dose, was calculated, and it suggests that the total PFAS exposure risk due to consumption of bubble tea should be of concern.
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Affiliation(s)
- Zhenzhen Huang
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan 430071, P.R. China
| | - Xin Zhang
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan 430071, P.R. China
| | - Xin Wang
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan 430071, P.R. China
| | - Zhuoma Deji
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan 430071, P.R. China
| | - Hian Kee Lee
- Department of Chemistry, National University of Singapore, 3 Science Drive 3, Singapore 117543, Singapore
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Jurikova M, Dvorakova D, Pulkrabova J. The occurrence of perfluoroalkyl substances (PFAS) in drinking water in the Czech Republic: a pilot study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:60341-60353. [PMID: 35420337 DOI: 10.1007/s11356-022-20156-7] [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: 11/16/2021] [Accepted: 04/04/2022] [Indexed: 06/14/2023]
Abstract
Drinking water is one of the main contributors to overall human exposure to per- and polyfluoroalkyl substances (PFAS), a broad group of environmental contaminants with arising concerns on the impact on human health; therefore, it is necessary to monitor its quality. Here, we present a solid-phase extraction-based method to determine 22 PFAS in water, using 100 mL of the sample. The instrumental analysis employing an ultra-high-performance liquid chromatography coupled with tandem mass spectrometry achieved low limits of quantification (0.025-0.25 ng/L). The validated method (recoveries 70-120% and repeatabilities ≤ 20% at tested concentrations (0.05, 0.1 and 0.5 ng/L)) was applied to 67 tap water and 31 bottled water samples collected in the Czech Republic. The most abundant compounds were perfluorononanoic acid (88% positives; 0.034-13.3 ng/L) and perfluoroheptanoic acid (23% positives; 0.035-0.106 ng/L), respectively. ∑PFAS in positive samples ranged from 0.029 to 300 ng/L (99% positives, median 2.34 ng/L) in tap water data and 0.033 to 4.48 ng/L (32% positives, median 0.097 ng/L) in bottled water samples. Current-use fluoroalkyl ethers, dodecafluoro-3H-4,8-dioxanonanoate and 11-chloroeicosafluoro-3-oxaundecane-1-sulfonate, were occasionally detected in tap. Based on the median data, PFAS intake by an adult from a tap or bottled water represented units of % of the tolerable weekly intake set by the European Food Safety Authority and therefore did not represent a severe risk. The described method and obtained first data on PFAS in the Czech drinking water provided a solid basis for an ongoing national study on the presence of PFAS in tap water.
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Affiliation(s)
- Martina Jurikova
- Faculty of Food and Biochemical Technology, Department of Food Analysis and Nutrition, University of Chemistry and Technology, Prague, Technicka 3, Prague, 166 28, Czech Republic
| | - Darina Dvorakova
- Faculty of Food and Biochemical Technology, Department of Food Analysis and Nutrition, University of Chemistry and Technology, Prague, Technicka 3, Prague, 166 28, Czech Republic
| | - Jana Pulkrabova
- Faculty of Food and Biochemical Technology, Department of Food Analysis and Nutrition, University of Chemistry and Technology, Prague, Technicka 3, Prague, 166 28, Czech Republic.
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12
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Tang J, Zhu Y, Xiang B, Li Y, Tan T, Xu Y, Li M. Multiple pollutants in groundwater near an abandoned Chinese fluorine chemical park: concentrations, correlations and health risk assessments. Sci Rep 2022; 12:3370. [PMID: 35232998 PMCID: PMC8888542 DOI: 10.1038/s41598-022-07201-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 02/10/2022] [Indexed: 11/25/2022] Open
Abstract
Contamination and adverse effects from various pollutants often appear in abandoned industrial regions. Thus, nine groundwater samples were collected from the vicinity of the fluorochemical industry in Fuxin City, Liaoning Province, to determine concentrations of the ten heavy metals arsenic (As), chromium (Cr), cadmium (Cd), lead (Pb), nickel (Ni), copper (Cu), manganese (Mn), zinc (Zn), iron (Fe) and mercury(Hg), as well as those of fluorine (F−) and eighteen poly- and perfluorinated substances (PFASs), analyse correlation relationships, and assess the health risks for different age groups. The results showed that the levels of fluorine (F−) (0.92–4.42 mg·L−1), Mn (0.0005–4.91 mg·L−1) and Fe (1.45–5.61 mg·L−1) exceeded the standard limits for drinking water. Short chain perfluorobutanoic acid (PFBA) (4.14–2501.42 ng·L−1), perfluorobutane sulfonate (PFBS) (17.07–51,818.61 ng·L−1) and perfluorohexanoic acid (PFHxA) (0.47–936.32 ng·L−1) were the predominant substances from the PFASs group. No individual PFASs levels had significant relationships with F− or heavy metal contents. There was a positive relationship between short chain PFASs concentrations and water depth and a negative relationship between long chain PFASs concentration and water depth. The hazard quotient (HQ) decreased in the order F− > heavy metals > PFASs and also decreased for older age groups. In addition, As, Fe, Mn and perfluorooctanoic acid (PFOA) were the main sources of risk from the heavy metal and PFASs groups, respectively.
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Affiliation(s)
- Jiaxi Tang
- College of Environmental Science and Engineering, Liaoning Technical University, Fuxin, 123000, China. .,Liaoning Academy of Agricultural Sciences, Shenyang, 110161, China.
| | - Yongle Zhu
- College of Environmental Science and Engineering, Liaoning Technical University, Fuxin, 123000, China
| | - Biao Xiang
- College of Environmental Science and Engineering, Liaoning Technical University, Fuxin, 123000, China
| | - Yu Li
- College of Environmental Science and Engineering, Liaoning Technical University, Fuxin, 123000, China
| | - Ting Tan
- College of Environmental Science and Engineering, Liaoning Technical University, Fuxin, 123000, China
| | - Ying Xu
- College of Environmental Science and Engineering, Liaoning Technical University, Fuxin, 123000, China
| | - Mengxue Li
- College of Environmental Science and Engineering, Liaoning Technical University, Fuxin, 123000, China
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13
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PFAS Molecules: A Major Concern for the Human Health and the Environment. TOXICS 2022; 10:toxics10020044. [PMID: 35202231 PMCID: PMC8878656 DOI: 10.3390/toxics10020044] [Citation(s) in RCA: 75] [Impact Index Per Article: 37.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/05/2022] [Accepted: 01/11/2022] [Indexed: 01/09/2023]
Abstract
Per- and polyfluoroalkyl substances (PFAS) are a group of over 4700 heterogeneous compounds with amphipathic properties and exceptional stability to chemical and thermal degradation. The unique properties of PFAS compounds has been exploited for almost 60 years and has largely contributed to their wide applicability over a vast range of industrial, professional and non-professional uses. However, increasing evidence indicate that these compounds represent also a serious concern for both wildlife and human health as a result of their ubiquitous distribution, their extreme persistence and their bioaccumulative potential. In light of the adverse effects that have been already documented in biota and human populations or that might occur in absence of prompt interventions, the competent authorities in matter of health and environment protection, the industries as well as scientists are cooperating to identify the most appropriate regulatory measures, substitution plans and remediation technologies to mitigate PFAS impacts. In this review, starting from PFAS chemistry, uses and environmental fate, we summarize the current knowledge on PFAS occurrence in different environmental media and their effects on living organisms, with a particular emphasis on humans. Also, we describe present and provisional legislative measures in the European Union framework strategy to regulate PFAS manufacture, import and use as well as some of the most promising treatment technologies designed to remediate PFAS contamination in different environmental compartments.
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14
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Khan SAR, Ponce P, Yu Z, Golpîra H, Mathew M. Environmental technology and wastewater treatment: Strategies to achieve environmental sustainability. CHEMOSPHERE 2022; 286:131532. [PMID: 34303912 DOI: 10.1016/j.chemosphere.2021.131532] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 07/05/2021] [Accepted: 07/09/2021] [Indexed: 05/24/2023]
Abstract
Water is the vital liquid for human subsistence and is used as a resource in various production processes. However, the degradation of the environment is being reflected in the water resources of the planet. One of the leading causes of water pollution is ineffective wastewater treatment, which results in greywater being returned to the environment without having gone through a decontamination process. Ideally, wastewater should have the lowest concentration of polluting materials to be reused and exploited in other activities, such as agriculture or the generation of renewable energy. However, in its various forms, technological progress plays a vital role in improving wastewater treatment processes, becoming a determining factor in improving greywater quality. This study examines how environmental technology contributes to wastewater improvement in 16 selected OECD countries during 2000-2019. Annualized information is used and collected from various official sources of information, subsequently processed with various econometric approaches. The results obtained show a heterogeneous behaviour in the quantiles of wastewater treatment, environmental technology and renewable energy are positively related to an increase in wastewater treatment between 0.09% - 0.20% and 3.5 e-12% - 5.74 e-12%, respectively. Based on the results obtained, the policy implications suggest promoting environmental technology to improve wastewater treatment.
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Affiliation(s)
- Syed Abdul Rehman Khan
- School of Management and Engineering, Xuzhou University of Technology, Xuzhou, China; Department of Business Administration, ILMA University, Karachi, Pakistan; Beijing Key Laboratory of Urban Spatial Information Engineering, Beijing, China.
| | - Pablo Ponce
- Carrera de Economía and Centro de Investigaciones Sociales y Económicas, Universidad Nacional de Loja, Loja, Ecuador.
| | - Zhang Yu
- School of Economics and Management, Chang'an University, Xi'an, China.
| | - Hêriş Golpîra
- Department of Industrial Engineering, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran.
| | - Manoj Mathew
- Department of Mechanical Engineering, Shri Shakaracharya Institute of Professional Management and Technology, Chhattisgarh, India.
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15
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Liu Y, Lin N, Dai C, Xu J, Zhang Y, Xu M, Wang F, Li Y, Chen D. Occurrence and distribution of per- and polyfluoroalkyl substances (PFASs) in human livers with liver cancer. ENVIRONMENTAL RESEARCH 2021; 202:111775. [PMID: 34333008 DOI: 10.1016/j.envres.2021.111775] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 07/24/2021] [Accepted: 07/25/2021] [Indexed: 06/13/2023]
Abstract
Per- and polyfluoroalkyl substances (PFASs) are anthropogenic compounds that are widely accumulated in human tissues, and the liver is considered a primary target organ for PFASs exposure. The occurrence and distribution of 21 PFASs in liver tissues with tumors (n = 55) and without tumors (n = 55) are investigated in this study. Eleven perfluorinated carboxylic acids (PFCAs) and five perfluorinated sulfonic acids (PFSAs) were detected at high frequencies (45.5%-100 %), while the detection frequencies of five perfluoroalkyl phosphate (PFPAs) were relatively lower (≤29.1 %). PFSAs and PFCAs accounted for up to 82.5%-92.7 % of the total PFASs. Although it was not found to be statistically significant, the concentrations of the total PFASs were slightly higher in the tumor liver samples (mean 64.3, range 5.70-303 ng/g) than those in the non-tumor liver samples (mean 62.7, range 4.08-240 ng/g).The perfluorooctanoic acid (PFOA), perfluorotridecanoic acid (PFTrDA), and perfluorobutanesulphonate (PFBS) showed significant differences (p < 0.05) between the tumor and non-tumor liver samples, and the different distribution levels of these three PFASs may have been a consequence of oxidative stress. The total concentrations of PFASs in the three age groups were in the decreasing order of middle-aged people (45-60) > old people (>60) > young people (<45). The PFASs in females were generally lower than in males, which may have been related to women's special excretion methods (such as childbirth and breastfeeding). The results should be valuable for further mechanistic studies regarding the toxic effects of PFASs in human livers.
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Affiliation(s)
- Ying Liu
- Guangdong Key Laboratory of Environmental Pollution and Health, School of Environment, Jinan University, Guangzhou, 510632, China
| | - Nan Lin
- Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - Cao Dai
- Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - Jianliang Xu
- Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - Yi Zhang
- Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - Mingxing Xu
- Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - Fei Wang
- Guangdong Key Laboratory of Environmental Pollution and Health, School of Environment, Jinan University, Guangzhou, 510632, China.
| | - Yanjie Li
- Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
| | - Da Chen
- Guangdong Key Laboratory of Environmental Pollution and Health, School of Environment, Jinan University, Guangzhou, 510632, China
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16
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Zhong H, Zheng M, Liang Y, Wang Y, Gao W, Wang Y, Jiang G. Legacy and emerging per- and polyfluoroalkyl substances (PFAS) in sediments from the East China Sea and the Yellow Sea: Occurrence, source apportionment and environmental risk assessment. CHEMOSPHERE 2021; 282:131042. [PMID: 34111641 DOI: 10.1016/j.chemosphere.2021.131042] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 05/25/2021] [Accepted: 05/26/2021] [Indexed: 06/12/2023]
Abstract
The Yellow Sea (YS), the East China Sea (ECS) and their coastal areas have undergone rapid urbanization and industrialization. These areas are important sinks for many persistent organic pollutants. In this study, the concentration of legacy and emerging per- and polyfluoroalkyl substances (PFAS) in marine sediments from the YS and ECS were investigated. Nineteen PFAS were identified, ranging in concentration from 0.21 ng/g to 4.74 ng/g (mean: 1.60 ng/g). Legacy long-chain PFAS [e.g., perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), and perfluorooctane sulfonate (PFOS)] were the dominant contaminants. Alternative PFAS such as 6:2 chlorinated polyfluorinated ether sulfonate (6:2 Cl-PFESA) and 2,3,3,3-tetrafluoro-2-(1,1,2,2,3,3,3-heptafluoropropoxy) propanoic acid (HFPO-DA) were identified within the detection range of 16%-100%. HFPO-DA was measured in all sediments in equivalent levels to PFOS (0.119 ng/g and 0.139 ng/g, respectively). This is the first reported occurrence of perfluoro-1-butanesulfonamide (FBSA) and HFPO-DA in marine sediments, indicating a replacement in the production of PFAS from legacy to emerging ones along with eastern coastal cities of China. The results of the potential source identification demonstrated that metal plating plants, textile treatments, fluoropolymer products, food packaging, and the degradation of volatile precursor substances were the main sources of PFAS in the ECS and YS. The environmental risk assessment based on the risk quotient demonstrated that PFOA and PFOS in the ECS and YS may present a low to medium risk at most sampling points.
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Affiliation(s)
- Huifang Zhong
- Hubei Key Laboratory of Environmental and Health Effects of Persistent Toxic Substances, Institute of Environment and Health, Jianghan University, Wuhan, 430056, China; Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, 100085, China
| | - Minggang Zheng
- Marine Ecology Research Center, First Institute of Oceanography, Ministry of Natural Resources, 266061, Qingdao, China
| | - Yong Liang
- Hubei Key Laboratory of Environmental and Health Effects of Persistent Toxic Substances, Institute of Environment and Health, Jianghan University, Wuhan, 430056, China
| | - Yingjun Wang
- Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, 100085, China
| | - Wei Gao
- Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, 100085, China
| | - Yawei Wang
- Hubei Key Laboratory of Environmental and Health Effects of Persistent Toxic Substances, Institute of Environment and Health, Jianghan University, Wuhan, 430056, China; Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, 100085, China.
| | - Guibin Jiang
- Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, 100085, China
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17
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Jain RB. Impact of kidney hyperfiltration on concentrations of selected perfluoroalkyl acids among US adults for various disease groups. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2021; 28:21499-21515. [PMID: 33411299 DOI: 10.1007/s11356-020-11855-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 11/26/2020] [Indexed: 05/26/2023]
Abstract
Data from the National Health and Nutrition Examination Survey (N = 6141) for the years 2003-2016 for US adults were analyzed to evaluate the impact of glomerular hyperfiltration on the observed concentrations of perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS), perfluorodecanoic acid, perfluorohexane sulfonic acid (PFHxS), and perfluorononanoic acid (PFNA) for several disease groups. Hyperfiltrators were defined as having an estimated glomerular filtration rate (eGFR) ≥ 110 mL/min/1.73 m2, and normal filtrators were defined as those having an eGFR between 90 and 110 mL/min/1.73 m2. The seven disease groups for which the data were analyzed were as follows: those (i) without any diseases; (ii) with hypertension only; (iii) with albuminuria only; (iv) with anemia only; (v) with diabetes only; (vi) with hypertension and one or more of diabetes, anemia, and albuminuria; and (vii) with two or more of diabetes, anemia, and albuminuria without hypertension. For almost every PFAA, for all seven disease groups except the albuminuria only group, hyperfiltrators had lower adjusted geometric means (AGM) than normal filtrators. For example, for the disease group with hypertension only, for PFOS, the AGMs for hyperfiltrators and normal filtrators were 8.3 and 10.6 ng/mL, respectively, for the total population. For the group with albuminuria only, normal filtrators were found to have higher AGMs than hyperfiltrators for the total population and males. For example, for PFHxS, the AGMs for normal and hyperfiltrators were 0.98 and 1.05 ng/mL, respectively, for the total population. For females, these AGMs for normal and hyperfiltrators were 0.96 and 0.86 ng/mL respectively. Males usually had higher AGMs than females, but the reverse was also true occasionally. Usually, male-female differences were substantially narrower for normal filtrators than hyperfiltrators. Irrespective of the filtration status, the disease group with hypertension only had the highest AGMs for every PFAA. AGMs for the anemia only group were the lowest for every PFAA as compared with other disease groups among hyperfiltrators.
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