“…We identified ten studies (n=10) profiling numerous nascent metabolic changes related to PFAS exposure (71)(72)(73)(74)(75)(76)(77)(78)(79)(80). Animal studies demonstrated that PFAS exposure led to derangements in lipid metabolism (73,74,78,80), glucose and mitochondrial energy metabolism (71)(72)(73)(74)78,79), fatty acid metabolism and antioxidation (75,80), sex hormone homeostasis, and amino acid metabolism (71,72,76,(78)(79)(80). In the only human study, metabolomic profiling on 181 Chinese men demonstrated lipid and amino acid metabolism, xenobiotic detoxifying, and metabolic pathways directly linked to CKD pathogenesis, including glutathione metabolism and nitric oxide generation, were disrupted by PFAS exposure (77).…”