Exposure of general population to PBDEs: a Progressive Total Diet Study in South Korea

Evidence of polybrominated diphenyl ethers (PBDEs) and alternative halogenated flame retardants (AHFRs) in wild fish species from the remote tropical marine environment, south China sea

Polybrominated diphenyl ethers (PBDEs) and their alternatives (e.g., dechlorane plus (DPs) and decabromodiphenyl ethane (DBDPE)) are ubiquitous in various environmental media. However, limited data is available on these chemicals in edible fish species from the wide-open South China Sea (SCS). In the present study, ten legacy PBDEs and three substitutions (DBDPE and two DPs) were analyzed in 16 wild fish species sampled from the open SCS to investigate their spatial and species-specific variations. The results showed that the total concentrations of PBDEs, DBDPE, and DPs in fish samples were in the range of 1.69-47.6, not detected (nd) to 21.0, and nd to 3.80 ng/g lipid weight (lw), respectively. BDEs 47, 209 and 100 were the dominant target PBDE congeners, representing 49.2%, 17.2% and 9.93% of the total PBDE concentrations, respectively. Higher concentrations of PBDEs, DBDPE, and DPs were found in fish species from the Wanshan Archipelago compared to those from the Mischief Reef and the Yongxing Island, suggesting the significant influence of anthropogenic activities. Species-specific differences in levels of PBDEs were observed, with the order of bathydemersal > demersal > pelagic ≈ reef-associated > benthopelagic species. The average fanti value of all fish samples was 0.68, suggesting commercial DP products as a contamination source. The levels of PBDEs, DPs, and DBDPE in fish samples were relatively low compared with those from other locations around the globe. Finally, the health risks concerning the ingestion of BDEs 47, 99, 153 and 209 via fish consumption collected from the SCS are negligible.

Low level exposure to BDE-47 facilitates the development of prostate cancer through TOP2A/LDHA/lactylation positive feedback circuit

2,2',4,4'-tetra brominated diphenyl ether (BDE-47) is one of the most widely distributed congeners of polybrominated diphenyl ethers. While the relationships between BDE-47 exposure and other hormone-dependent cancers (such as breast cancer) are well established, no previous study has examined whether BDE-47 exposure is related to the development of prostate cancer (PCa). Through bulk and single-cell RNA sequencing (scRNA-seq) analyses, as well as in vitro and in vivo experiments, this study aims to investigate the effect of BDE-47 exposure on PCa progression. Herein, we found that low dose BDE-47 promoted the growth of PCa cells (PC3 and LNCaP) in a dose-dependent manner in vitro and in vivo. Based on Comparative Toxicogenomics Database (CTD) and The Cancer Genome Atlas (TCGA), we obtained 34 BDE-47-related and PCa-related genes through screening and overlapping. These genes were significantly enriched in fatty acid metabolism-related gene ontology (GO) terms, which were also enriched for genes targeting BDE-47 obtained from the UniProt. Through scRNA-seq data, certain cell type-specific expression was observed for CYP2E1, PIK3R1, FGF2, and TOP2A in PCa tissues from men. Molecular docking simulation showed that BDE-47 was tightly bound to the protein residues of AOX1, PIK3R1, FGF2, CAV2, CYP2E1 and TOP2A. Further screening in terms of patient overall survival, receiver operating characteristics curve (ROC) curve and Gleason score grading system narrowed the candidate genes down to TOP2A. Mechanistically, the growth-promoting effect of BDE-47 on PCa cells could be reversed by TOP2A inhibitor. RNA-seq followed by experimental verification demonstrated that TOP2A promoted PCa progression through upregulating LDHA and glycolysis. Furthermore, lactate upregulated TOP2A transcription through lactylation of H3K18la in PCa cells, which could be rescued by LDHA knockdown. Taken together, low dose BDE-47 triggered PCa progression through TOP2A/LDHA/lactylation positive feedback circuit, thus revealing epigenetic shifting and metabolic reprogramming underpinning BDE-47-induced carcinogenesis of the prostate.

Association of smoking and dietary polycyclic aromatic hydrocarbon exposure on the prevalence of metabolic syndrome in Korean adults

BACKGROUND

Polycyclic aromatic hydrocarbons (PAHs) are environmental pollutants that are potentially hazardous to human health. Dietary exposure is recognized as one of the major pathways of exposure to PAHs among humans. While some PAH exposures have been associated with metabolic syndrome (MetS) in the general population, most epidemiological studies are based on urinary metabolites of a few noncarcinogenic PAHs.

OBJECTIVE

To investigate the association between estimates of dietary exposure to major carcinogenic PAHs and MetS in Korean adults.

METHODS

Multi-cycle Korean National Health and Nutrition Examination Survey (KNHANES) database (n = 16,015) and PAH measurement data from the total diet survey were employed to estimate daily PAH intake for each participating adult. After adjusting for potential confounders, multinomial logistic regression analysis was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) between PAHs and MetS of the participating adults.

RESULTS

Benzo(a)pyrene exposure was associated with an increased risk of MetS in men (OR = 1.30; 95% Cl: 1.03-1.63; P-trend = 0.03). In women, however, only chrysene and low high-density lipoprotein (HDL-c) were positively associated with an increased risk of MetS (OR = 1.24; 95% CI: 1.03-1.48; P-trend = 0.0172). Among men, smokers were at an increased risk for MetS, regardless of whether they were exposed to low or high total PAHs and benzo(a)pyrene levels.

SIGNIFICANCE

Our findings suggested that PAHs are associated with the risk of MetS and MetS components in Korean adults. In particular, it was confirmed that smoking may influence the relationship between PAH exposure and MetS.Further prospective cohort studies are required to confirm the causal relationship between PAHs and MetS.

IMPACT STATEMENT

Epidemiological studies on PAH exposure are often hampered by a lack of reliable exposure estimates, as biomonitoring of urine does not capture exposure to more toxic PAHs. Using multi-cycle KNHANES data and the measurement data from a total diet survey of Korea, we could develop a personalized PAH intake estimate for each participating adult and assessed the association with MetS.

Dietary exposure and risk assessment of polybrominated diphenyl ethers in the Republic of Korea: A nationwide study

In this study, the dietary exposure to seven polybrominated diphenyl ethers (PBDEs) congener groups, including 22 types of PBDEs compounds, through consumption of 80 food items in Korean diets along with their risk assessment has been investigated. To process this, the concentrations of the target PBDEs in samples of food items were measured. The consumption amounts of the target food items were derived from the results of the 24 h food recall interview of subjects who participated in the Korean National Health and Nutrition Examination Survey (KNHANES) from 2015 to 2019. Thereafter, the estimated daily intake and risk of exposure for each PBDEs congener group were assessed. Results indicate that although exposure to the target PBDEs was not significant enough to cause a potential health risk, deca-BDE (BDE-209) was the dominant congener in terms of both exposure and risk for consumers in all age groups. Furthermore, while eating seafood was the dominant path for dietary exposure to PBDEs, exposure to octa-BDEs was mostly through livestock products. Accordingly, to protect all consumers, especially those aged below 2 years and over 65 years, more accurate food quality management is required for controlling the dietary intake of PBDEs.

Human exposure to polybrominated diphenyl ethers (PBDEs) through the diet: An update of the scientific literature

Polybrominated diphenyl ethers (PBDEs) are a class of brominated flame-retardants (BFRs). As for other persistent organic pollutants, dietary intake (followed by dust inhalation) is the main route of human exposure to PBDEs. In 2012, we reviewed the scientific literature on the concentrations of PBDEs in foodstuffs and their dietary exposure. The current review is aimed at updating the results of recent studies (2012-2022) focused on determining the levels of PBDEs in food samples, as well as the dietary intake of these compounds. We have revised studies conducted over the world. The current information on the concentrations of PBDEs in food and their dietary intake is now much more notable than that available in our previous review, being China the country contributing with the highest number of studies. Because of the important differences in materials and methods used in the available studies, the comparison of results is certainly complicated. However, there seems to be a general trend towards a decrease in the levels of PBDEs in foods, and consequently, in the dietary intake of these contaminants. The lack of tolerable daily intakes of PBDEs is an issue that needs to be solved for assessing human health risks of these BFRs.

Polybrominated diphenyl ethers in the environment: a wake-up call for concerted action in India

Polybrominated diphenyl ethers (PBDEs) are a class of persistent organic pollutants (POPs) used as flame retardants in the products utilized in day-to-day life. Their bioaccumulation, low volatility, and high persistence in the environment have led to their global spread even to remote and distant regions. The present study identifies gaps in the investigation of the neurotoxic potential of PBDEs, their effects on brain development, toxicokinetic, and their potential as a carcinogen. In India, to date, only human breast milk was assessed for levels of PBDEs, and it is suggested that other human tissues can also be explored. No data on the reproductive toxicity of PBDEs are reported from Indian cohorts. Long-range transport and deposition of PBDEs in colder regions necessitates monitoring of Himalayan regions in India. An inventory of PBDEs is required to be made for addressing the worrisome situation of the unregulated import of E-waste from the developed countries in India. The study also emphasizes providing guidelines for the articulation of policies regarding sound surveillance and management of PBDE production, consumption, and release in the Indian context. It is recommended that a separate cell for monitoring and follow-up of PBDEs should be established in India. Also, the development of better alternatives and environment-friendly remediation technologies for PBDEs is the need of the hour.

Transportation and degradation of decabrominated diphenyl ether in sequential anoxic and oxic crop rotation

This work evaluated the debromination and uptake of ¹⁴C-labeled BDE-209 in rice cultivars grown in anoxic soil for 120 days (d) followed by cultivation of vegetables (peanut, eggplant and pepper) in oxic soil (120 d). Degradation of BDE-209 to lower polybrominated diphenyl ethers (PBDEs) occurred in cultivated soils, and more metabolites were released in oxic soil than in anoxic soil. The crop rotation from anoxic to oxic greatly enhanced the dissipation of BDE-209 in the soil (P < 0.05), in which the dissipation in anoxic soil planted with Huanghuazhan (HHZ, indica) and Yudao 1 (YD1, indica) were 6.8% and 2.4%, respectively, while in oxic soil with peanut and pepper were increased to 25.8% and 21.7%, respectively. The crop rotation also enhanced the degradation of BDE-209 in the soil, the recovered BDE-209 in soil after 120 d anoxic incubation with YD1 was 81.1%, but it decreased to 47.8% and 45.8% after another 120 d oxic incubation. Bioconcentration factors were between 0.23 and 0.36 for rice, eggplant and pepper but reached to 0.5 in peanut, which contains more lipids in the edible portion than the other test crops. The estimated daily intake for vegetables was 0.01-0.07 μg BDE-209-equivalent kg^-1 bw day^-1, which is at least two orders of magnitude below the maximum acceptable oral dose (7 μg kg^-1 bw day^-1). Our work confirms that crop rotation from rice to vegetable enhanced the dissipation and debromination of BDE-209 in the soil, and indicate that sequential anoxic-oxic rotation practice is considered to be effective in remediation of environmental pollutants.

Short-chain chlorinated paraffins in various foods from Republic of Korea: Levels, congener patterns, and human dietary exposure

Short-chain chlorinated paraffin (SCCP) concentrations in 419 food samples (from 59 species) from Republic of Korea were determined. The SCCP concentrations and lipid contents in whole foods positively correlated and the highest SCCP concentration (891 ng/g wet weight) was observed in fats and oils. The SCCP concentrations were higher in benthic fish/shellfish and demersal fish than other fish and shellfish. The SCCP concentrations were higher in duck meat and eggs than meat and eggs of other species. The chlorine-based congener group patterns were related to the lipid contents of the foods. SCCPs in eggs (high lipid content) were dominated by more-chlorinated SCCPs (particularly Cl₈-SCCPs, which contributed 43% of the total) but SCCPs in seaweed (low lipid content) were dominated by less-chlorinated SCCPs (particularly Cl₆-SCCPs, which contributed 46%). Dietary SCCP intakes were calculated using the median SCCP concentrations and estimated 888 and 781 ng/kg/d for male and female Korean adults, respectively. The predominant contributing foods to SCCP dietary exposure differed according to sex and age. Dairy products contributed most (about 50%) for infants/children (1-5 y old), but meat and dairy products contributed most for adult males and females, respectively. Grain contributed most for ≥65 y old.

Metabolomics and lipidomics study unveils the impact of polybrominated diphenyl ether-47 on breast cancer mice

Polybrominated diphenyl ether-47 (BDE-47) is a congener of polybrominated diphenyl ethers (PBDEs) and relates to different health risks. However, in vivo study of the association between BDE-47 and breast cancer was scarce. In this study, we performed in vivo exposure of BDE-47 to breast cancer nude mice and conducted mass spectrometry-based metabolomics and lipidomics analysis to investigate the metabolic changes in mice. Results showed that the tumor sizes were positively associated with the dosage of BDE-47. Metabolomics and lipidomics profiling analysis indicated that BDE-47 induced significant alterations of metabolic pathways in livers, including glutathione metabolism, ascorbate and aldarate metabolism, and lipids metabolism, etc. The upregulations of phosphatidylcholines (PCs) and phosphatidylethanolamines (PEs) suggested the membrane remodeling, and the downregulations of Lyso-PCs and Lyso-PEs might be associated with the tumor growth. Targeted metabolomics analysis revealed that BDE-47 inhibited fatty acid β-oxidation (FAO) and induced incomplete FAO. The inhibition of FAO and downregulation of PPARγ would contribute to inflammation, which could promote tumor growth. In addition, BDE-47 elevated the expression of the cytokines TNFRSF12A, TNF-α, IL-1β and IL-6, and lowered the cytokines SOCS3 and the nuclear receptor PPARα. The changes of cytokines and receptor may contribute to the tumor growth of mice.

Dietary exposure to PCBs by seafood cooking method: A Korean study

The levels of 82 polychlorinated biphenyl (PCB) congeners in 86 different types of seafood (n = 237) were analyzed and the PCBs changes in seafood by seven cooking methods were verified from 51 different species of seafood (total 127 pairs) to confirm the effect of cooking on dietary PCB levels in the human body. Total PCB levels in raw seafood ranged from 0.01 to 20.6 ng/g ww, while those for DL PCBs ranged from 0.001 to 1.67 pg TEQ/g ww. There was no statistically significant difference between PCB levels in raw and each different cooked seafood. However, Raw seafood samples with PCB concentrations under 1 ng/g showed a markedly increase in PCBs after cooking. When comparing mean and median value for total PCBs, the high-fat fish group exhibited a slightly decreasing PCB concentrations trend after cooking. The estimated daily intake (EDI) of cooked seafood was 1.07 ng/kg BW/day, while the EDI for raw seafood was 1.26 ng/kg BW/day.

2,2',4,4'-tetrabromodiphenyl ether induces germ cell apoptosis through oxidative stress by a MAPK-mediated p53-independent pathway

2,2',4,4'-Tetrabromodiphenyl ether (BDE-47), a representative congener of polybrominated diphenyl ethers in the environment, is known to have reproductive toxicity. However, the underlying mechanisms remain to be clarified, especially in in vivo systems. In the present study, we employed Caenorhabditis elegans to study the effects of BDE-47 on reproduction. Our results showed that BDE-47 impaired worm fecundity and induced germ cell apoptosis. To elucidate the mechanisms, DNA damage and oxidative stress induction were investigated by determining the numbers of foci formation in transgenic worms expressing HUS-1::GFP and the levels of reactive oxygen species, respectively. We found that BDE-47 induced oxidative stress but not DNA damage, and treatment with the antioxidant, N-acetyl-L-cysteine, completely abrogated BDE-47-induced germ cell apoptosis. In addition, the apoptosis was blocked in mutants carrying mek-1, sek-1 or abl-1 loss-of-function alleles, but not in the p53/cep-1 deficient worms, suggesting that the mitogen-activated protein kinase (MAPK) signaling cascade was essential for BDE-47-induced germ cell apoptosis and p53/cep-1 was not required. Moreover, the apoptosis in the strains deficient for DNA damage response was not suppressed under BDE-47 treatment. Overall, we demonstrated that BDE-47 could induce oxidative stress and subsequent germ cell apoptosis in Caenorhabditis elegans through a MAPK-mediated p53-independent pathway.

Assessment of exposure to polybrominated diphenyl ethers associated with consumption of market hens in Guangzhou

To evaluate contamination by polybrominated diphenyl ethers (PBDEs) in market hens and human PBDE exposure via hen consumption in Guangzhou, hens were collected and their muscle, liver, fat, blood, yolk, and ingluvies tissues were analyzed for 13 PBDE congeners. The median highest concentration of ∑PBDEs was found in the ingluvies (5.30 ng/g lw), followed by the muscle (2.53 ng/g lw), with the lowest located in the yolk (0.09 ng/g lw). The concentrations of PBDEs in the muscle tissue of market hens in Guangzhou were at medium levels compared to others reported around the world. BDE-47, -153, -99, and -183 were the predominant congeners. The daily intake concentrations of PBDEs from hen muscle were estimated to range from 0.08 to 0.31 ng/kg/day in this study, with a Hazard Quotient (HQ) below 1.0. These results suggest that the health risk of PBDEs for the general population, through the consumption of market hens in Guangzhou, was generally low. However, the intake of PBDEs via food consumption may be one major exposure pathway for the general population of Guangzhou.

Occurrence and distribution of old and new halogenated flame retardants in mosses and lichens from the South Shetland Islands, Antarctica

The spatial distribution of old and new halogenated flame retardants (HFRs), including polybrominated diphenyl ethers (PBDEs), hexabromocyclododecanes (HBCDs), and Dechlorane Plus (DPs) and related compounds (Dechloranes), were investigated in the South Shetland Islands of Antarctica, employing mosses (Andreaea depressinervis and Sanionia uncinata) and lichens (Himantormia lugubris and Usnea antarctica) as bioindicators. The levels of PBDEs, HBCDs, and Dechloranes ranged from 3.2 to 71.5, 0.63-960, and 2.04-2400 pg/g dw (dry weight) in the mosses, and from 1.5 to 188, 0.1-21.1, and 1.0-83.8 pg/g dw in the lichens, respectively. HFRs were detected in all of the collected samples, even in those from the remote regions. The dominance of high brominated-BDE, anti-DP fraction, and HBCD diastereomeric ratio in the samples from remote regions suggested the long-range atmospheric transport (LRAT) of the HFRs. The relatively high HBCDs and Dechloranes contamination and their similar chemical profile with commercial products in the vicinity of Antarctic research stations indicated that human activities might act as local sources, while PBDEs appeared to be more influenced by LRAT and bioaccumulation rather than local emission. Lastly, the relatively high HFR levels and dominance of more brominated BDEs at the Narębski Point and in the wet lowlands suggested that penguin colonies and melting glacier water could be secondary HFR sources in Antarctica. The HFR levels differed by sample species, suggesting that further research on the factors associated with the HFR accumulation in the different species is necessary. This study firstly reports the alternative HFR levels in a wide area of the Antarctica, which could improve our understanding of the source, transport, and fate of the HFRs.

Occurrence of selected halogenated flame retardants in Belgian foodstuff

This paper reports on the occurrence of halogenated flame retardants (HFRs), namely PBDEs, HBCDs, TBBPA, brominated phenols (BrPhs), dechlorane plus (DP) and emerging FRs in a variety of Belgian foodstuffs. A total of 183 composite food samples were analyzed by GC-MS and LC-MS/MS techniques for the presence of HFRs. The analyses revealed that 72% of the samples was contaminated with HFRs to some extent. The highest number of contaminated samples was observed within the group 'Potatoes and derived products', 'Fish and fish products' and 'Meat and meat products', while the least contaminated group was 'Food for infants and small children'. The total HFR content ranged from <LOQ to 35.4 ng/g ww with an average content of 1.2 ng/g ww and median of 0.25 ng/g ww. The samples with the highest total HFR levels were canned king crab, fresh mackerel, Emmental cheese, fresh eel and plaice. The most frequently detected HFRs were PBDEs and BrPhs being present in almost all food groups, and among the individual HFRs, the most frequently found compounds were BDE-47 (53%), BDE-209 (46%) and 246-TBP (40%). TBBPA, DPs, TBPH and γ-HBCD occurred with a frequency of less than 5%. TBBPS, 26-DBP, HBB, TBB and BTBPE were not detected in any of the analyzed food samples.

Overview on relative importance of house dust ingestion in human exposure to polybrominated diphenyl ethers (PBDEs): International comparison and Korea as a case

Human exposure studies to polybrominated diphenyl ethers (PBDEs) have reached different results about the relative importance of diet intake and house dust ingestion. In the present study, concentrations of PBDEs in Korean house dust (n=15) from geographically different cities were measured, which were in agreement with a previous result, and compared with those for 22 countries of five continents collected from the most recent scientific literature. Compared with other exposure pathways, diet intake was the most important contributor to total PBDEs exposure of Korean adults (i.e., 71% of overall intake). On global comparison, total PBDE levels in house dust differed by two to three orders of magnitude among the countries investigated, with a significant relationship with gross domestic product (GDP). Whereas, dietary daily intakes exhibited a narrow difference within one order of magnitude worldwide and no relationship with GDP. Consequently, the relative importance of major two pathways depended on the contamination extent of PBDEs in house dust, which may be associated with the amount of PBDE products in use. In most countries except for UK and USA, the contribution of house dust ingestion was less important than diet intake in the current and are expected to much more mitigate in the future. However, how fast the effect of regulation will be reflected to house dust and human exposure is necessary to be monitored steadily.

Hexabromocyclododecane (HBCD) in the Korean food basket and estimation of dietary exposure

1,2,5,6,9,10-hexabromocyclododecane (HBCD) is a brominated flame retardant that is used worldwide in expanded and extruded polystyrene foam and simultaneously emitted to the environment. HBCD can easily accumulate in animals and humans and cause neurotoxicity, thyroid hormone disruption, and reproductive disorders. Therefore, it is essential to monitor the HBCD concentrations in foods and estimate the human exposure through the diet. In this study a total of 521 food samples from eight food categories were sampled and analyzed for their HBCD content. Based on consumption data, the average dietary intake of the general Korean population and specific subgroups was calculated. The highest levels of HBCD were found in fish and shellfish (0.47 ng g(-1) ww), and this was attributed to natural exposure to the contaminated marine environments and the HBCD bioaccumulation. In addition, the use of expanded polystyrene buoys in aquaculture was also found to be a potential source of HBCD in bivalves. The high solubility of α-HBCD in water and the persistence of this diastereomer compared to β- and γ-HBCD in biological tissues, led to higher accumulation of α-HBCD in animal-based foods. In contrast, the diastereomeric selectivity and lower metabolic capacity in plants compared with animals led to the predominance of γ-HBCD in plant-based foods. The dietary intake of HBCD was estimated to be 0.82 ng kg(-1) bw d(-1) in the general population and 2.89 ng kg(-1) bw d(-1) in children up to 5 years of age. The high HBCD intake in children was found to be a result of their lower body weight and their high consumption of milk and homemade Korean baby foods that usually contain fish.

Occurrence of Dechlorane compounds and polybrominated diphenyl ethers (PBDEs) in the Korean general population

Dechlorane compounds, including Dechlorane Plus (DP), mirex, and Dechlorane (Dec) 602, 603 and 604, were measured in 61 serum samples collected from a Korean urban area (Seoul) in 2013. Dechlorane Plus and Dec 602 were dominant in most samples, whereas Dec 604 was not detected in any samples. The median value of DP was 0.75 ng/g lipid, which was comparable with the levels observed in Europe and Canada, but lower than that observed in China. Statistically significant correlations among Dechlorane compounds were observed. The median anti-isomer fractional abundance (fanti) was 0.74, and a negative correlation between fanti and the DP concentration in serum samples was observed. Polybrominated diphenyl ethers (PBDEs) were also measured for comparison with Dechlorane compounds, and BDE-153 was found the most abundant congener with a median value of 1.43 ng/g lipid. A time trend of Dechlorane compounds was investigated in 7 pooled serum samples to cover the period from 2006 to 2013. A distinct trend of Dechlorane compounds was not observed, while PBDEs steadily decreased with time.

Progressive risk assessment of polychlorinated biphenyls through a Total Diet Study in the Korean population

Human exposure to polychlorinated biphenyls (PCBs) from foods was investigated through a Total Diet Study (TDS) for the first time in Korea. A representative food list was developed from food intake data. Non-selected foods were also included in the TDS through the mapping process to anticipate practical risk assessment. For better representativeness, data (2008-2011) from the Korea National Health and Nutrition Examination Survey (KNHANES) were combined with the TDS data set. And also, we estimated the dietary exposure to PCBs from various food items using a 'best-fit' mapping process and assessed the differences in PCB exposures by sex and age. In this study, we examined total PCBs (62 congeners) including dioxin-like PCBs (DL-PCBs) and indicator PCBs, which are congeners that are mainly detected in various environmental matrices. The average dietary exposure (3.94 ng/kg body weight/day) that was estimated through food intake was 19.7% of the World Health Organization (WHO) recommendation.

Human exposure to PBDE and critical evaluation of health hazards

Polybrominated diphenyl ethers (PBDEs) are used in large quantities as flame-retardant additives in a number of commercial products. Biomonitoring data show that, in recent years, PBDE concentrations have increased rapidly in the bodies of wildlife and humans. Usually, PBDE levels in North America have been reported to be higher than those in Europe and Asia. Moreover, body burden of PBDEs is three- to ninefold higher in infants and toddlers than in adults, showing these last two age groups the highest levels of these compounds, due to exposure via maternal milk and through dust. Tetra-, Penta-, and Hexa-BDEs are the isomers most commonly found in humans. Based on studies on experimental animals, the toxicological endpoints of exposure to PBDEs are likely to be thyroid homeostasis disruption, neurodevelopmental deficits, reproductive changes, and even cancer. Experimental studies in animals and epidemiological observations in humans suggest that PBDEs may be developmental neurotoxicants. Pre- and/or postnatal exposure to PBDEs may cause long-lasting behavioral abnormalities, particularly on motor activity and cognition. This paper is focused on reviewing the current status of PBDEs in the environment, as well as the critical adverse health effects based on the recent studies on the toxic effects of PBDEs.