Per-
and polyfluoroalkyl substances (PFAS) are a diverse class
of synthetic chemicals that accumulate in the environment. Many proteins,
including the primary human serum transport protein albumin (HSA),
bind PFAS. The predictive power of physiologically based pharmacokinetic
modeling approaches is currently limited by a lack of experimental
data defining albumin-binding properties for most PFAS. A novel thermal
denaturation assay was optimized to evaluate changes in the thermal
stability of HSA in the presence of increasing concentrations of known
ligands and a structurally diverse set of PFAS. Assay performance
was initially evaluated for fatty acids and HSA-binding drugs ibuprofen
and warfarin. Concentration–response relationships were determined
and dissociation constants (K
d) for each
compound were calculated using regression analysis of the dose-dependent
changes in HSA melting temperature. Estimated K
d values for HSA binding of octanoic acid, decanoic acid, hexadecenoic
acid, ibuprofen, and warfarin agreed with established values. The
binding affinities for 24 PFAS that included perfluoroalkyl carboxylic
acids (C4–C12), perfluoroalkyl sulfonic acids (C4–C8),
mono- and polyether perfluoroalkyl ether acids, and polyfluoroalkyl
fluorotelomer substances were determined. These results demonstrate
the utility of this differential scanning fluorimetry assay as a rapid
high-throughput approach for determining the relative protein-binding
properties and identification of chemical structures involved in binding
for large numbers of structurally diverse PFAS.
Road test skills appear to be well preserved in the healthy elderly population. More road test studies are needed on elderly individuals with mental and physical impairments to determine if road tests can play a role in identifying the driver at high risk for a crash.
Per- and polyfluoroalkyl substances (PFAS) are a class of structurally diverse synthetic organic chemicals that are chemically stable, resistant to degradation, and persistent in terrestrial and aquatic environments. Widespread use of PFAS in industrial processing and manufacturing over the last 70 years has led to global contamination of built and natural environments. The brain is a lipid rich and highly vascularized organ composed of long-lived neurons and glial cells that are especially vulnerable to the impacts of persistent and lipophilic toxicants. Generally, PFAS partition to protein-rich tissues of the body, primarily the liver and blood, but are also detected in the brains of humans, wildlife, and laboratory animals. Here we review factors impacting the absorption, distribution, and accumulation of PFAS in the brain, and currently available evidence for neurotoxic impacts defined by disruption of neurochemical, neurophysiological, and behavioral endpoints. Emphasis is placed on the neurotoxic potential of exposures during critical periods of development and in sensitive populations, and factors that may exacerbate neurotoxicity of PFAS. While limitations and inconsistencies across studies exist, the available body of evidence suggests that the neurobehavioral impacts of long-chain PFAS exposures during development are more pronounced than impacts resulting from exposure during adulthood. There is a paucity of experimental studies evaluating neurobehavioral and molecular mechanisms of short-chain PFAS, and even greater data gaps in the analysis of neurotoxicity for PFAS outside of the perfluoroalkyl acids. Whereas most experimental studies were focused on acute and subchronic impacts resulting from high dose exposures to a single PFAS congener, more realistic exposures for humans and wildlife are mixtures exposures that are relatively chronic and low dose in nature. Our evaluation of the available human epidemiological, experimental, and wildlife data also indicates heightened accumulation of perfluoroalkyl acids in the brain after environmental exposure, in comparison to the experimental studies. These findings highlight the need for additional experimental analysis of neurodevelopmental impacts of environmentally relevant concentrations and complex mixtures of PFAS.
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