<%@LANGUAGE="JAVASCRIPT" CODEPAGE="65001"%> PFOA Human Health Effects by Endpoint
 
     

PFOA HUMAN HEALTH EFFECTS BY ENDPOINT

TAB

DATE

PUBLISHED?

SPONSOR

POPULATION

ASSOCIATION

STATISTICALLY SIGNIFICANT?

I.  LIPIDS

1

12/22/78

No

DuPont

DuPont NJ Fluoroproducts Workers

Increased incidence of metabolic disorders

Yes

12

1996

Yes

Univ. Minn.

3M Minnesota Fluorochemical Workers

Altered HDL dependant on alcohol & obesity levels

Yes

17

3/03

Yes

3M

3M Belgium/Alabama Fluorochemical Workers

Increased triglycerides

Increased cholesterol

Yes

Yes

15

2000

Yes

3M

3M Minnesota Fluorochemical Workers

Decreased CCK

Yes

19

8/04

Yes

3M

3M Alabama Fluorochemical Workers

Increased episodes of care for:

  • disorders of lipid metabolism

   -     cholelithiasis

 

20

9/7/04

No

Mitini (Italy)

Mitini Italian PFOA Workers

Increased total cholesterol

Increased non-HDL cholesterol

No

No

22

1/10/05

No

DuPont

DuPont WV PFOA Workers

Increased total cholesterol

Increased LDL

Increased triglycerides

Yes

Yes

Yes

24

8/06

Yes

Univ. Penn.

Little Hocking OH Water Customers

Increased cholesterol

No

27

6/07

Yes

3M

3M Alabama/Belgium/
Minnesota Fluorochemical Workers

Decreased HDL

Increased triglycerides

Yes

Yes

30

8/07

Yes

DuPont

DuPont WV PFOA Workers

Increased total cholesterol

 

Yes

 

32

10/07

Yes

DuPont

DuPont WV PFOA Workers

Increased total cholesterol

Increased LDL

Increased VLDL

Yes

Yes

Yes

33

2008

No

WVU

WV/OH C8 Settlement Population

Increased total cholesterol-children

 

 

36

12/29/08

Yes

Taiwan Hospital

General U.S. Population

Increased B cell function (associated with glucose homeostasis and metabolic syndrome)

Yes

40

3/09

Yes

Mitini

Mitini Italian PFOA Workers

Increased total cholesterol

Yes

47

10/21/09

Yes

C8 Science Panel

WV/OH C8 Settlement Population (Adults)

Increased total cholesterol

Increased LDL

Increased non-HDL

Increased triglycerides

Yes

Yes

Yes

Yes

52

11/2/09

Yes

Boston Univ.

General U.S. Population

Increased total cholesterol

Increased non-HDL cholesterol

Yes

Yes

59

9/7/10

Yes

C8 Science Panel

WV/OH C8 Settlement Population (Children)

Increased total cholesterol

Increased LDL

Increased HDL

Yes

Yes

No

82

11/17/11

Yes

Taiwan Hospital

General Taiwanese Population (ages 12-30)

No associations with glucose homeostasis, adiponectin level, lipid profile, or inflammatory markers in young population with low average PFOA exposures (only 2.39 ppb average PFOA serum level)

 

89

12/5/11

No

C-8 Science Panel

WV/OH C8 Settlement Population

Decreased LDL associated with decreased PFOA

Yes

96

2/12

No

3M

3M Fluorochemical Demolition Workers

[No significant positive associations with non-HDL cholesterol]

 

93

3/12

Yes

3M

General US Population

Partitioning of PFOA to lipid fraction of blood does not support reverse causality on lipid associations

 

II.  URIC ACID

22

1/10/05

No

DuPont

DuPont WV PFOA Workers

Increased uric acid

 

Yes

 

40

3/09

Yes

Mitini

Mitini Italian PFOA Workers

Increased uric acid

 

Yes

 

48

10/22/09

Yes

C-8 Science Panel

WV/OH C8 Settlement Population (adults)

Increased uric acid

Yes

78

9/11

Yes

WVU

General U.S. Population

Increased uric acid

Yes

III.  CARDIOVASCULAR DISEASE (IHD)

19

8/04

Yes

3M

3M Alabama Fluorochemical Workers

Increased episodes of care for coronary disease/cardiac arrest/hypertension

 

31

8/07

Yes

DuPont

DuPont WV PFOA Workers

Increased IHD mortality

 

No

 

37

2008

Yes

Plaintiffs

WV/OH C8 Settlement Population

Increased self-reports of angina

 

44

6/23/09

Yes

DuPont

DuPont WV PFOA Workers

Increased IHD deaths at longest exposure categories

No

IV.  CEREBROVASCULAR DISEASE (STROKE/MI)

5

3/30/81

No

DuPont

DuPont WV PFOA Workers

Increased MI incidence among foremen

Yes

16

4/26/01

No

Univ. Minn.

3M Minnesota Fluorochemical Workers

Increased death from cerebrovascular disease

 

Yes

37

2008

Yes

Plaintiffs

WV/OH C8 Settlement Population

Increased self reports of MI

Increased self reports of stroke

 

51

11/09

Yes

3M/Univ. Minn.

3M Minnesota Fluorochemical Workers

Increased cerebrovascular disease death

 

Yes

 

V.  DIABETES

19

8/04

Yes

3M

3M Alabama Fluorochemical Workers

Increased episodes of care for diabetes

 

31

8/07

Yes

DuPont

DuPont WV PFOA Workers

Increased diabetes mortality

 

Yes

 

36

12/29/08

Yes

Taiwan Hospital

General U.S. Population

Increased B cell function
(associated with glucose homeostasis and metabolic syndrome)

Yes

46

9/09

Yes

C8 Science Panel

WV/OH C8 Settlement Population

[no association with adult Type II diabetes]

 

51

11/09

Yes

3M/Univ. Minn.

3M Minnesota Fluorochemical Workers

Increased diabetes death

Yes

98

4/13/12

No

C8 Science Panel

WV/OH C8 Settlement Population

[No Probable Link with adult Type II diabetes]

 

VI.  CANCER

 

 

 

 

 

 

 

10

10/92

No

U. Minn.

3M Minnesota Fluorochemical Workers

Increased leukocyte counts

Increased prostate cancer deaths in long exposure group

Yes

Yes

11

9/93

Yes

U. Minn.

3M Minnesota Fluorochemical Workers

Increased prostate cancer deaths in high exposure group

Yes

16

4/26/01

No

U. Minn.

3M Minnesota Fluorochemical Workers

[no cancer death excess using redefined exposure categories]

 

18

2003

Yes

U. Minn.

3M Alabama Fluorochemical Workers

Increased bladder cancer deaths

Increased liver cancer deaths

Yes

No

19

8/04

Yes

3M

3M Alabama Fluorochemical Workers

Increased episodes of care for:

  • Malignant colon neoplasm
  • Malignant rectum neoplasm
  • Malignant neoplasm of lower respiratory tract
  • Malignant skin melanoma
  • Malignant prostate neoplasm
  • Benign colonic polyps

 

90

10/04

No

UCLA

WV/OH C8 Community

 

 

 

DuPont WV PFOA Workers

Increased self-reported prevalence of:

  • Uterine/cervical cancer
  • Multiple myeloma
  • Lung cancer
  • Non-Hodgkin’s lymphoma
  • Bladder cancer
  • Colon/rectal cancer

Increased bladder cancer
Increased kidney cancer
Increased prostate cancer

 

Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes

21

11/04-
2/05

No

UCLA

WW/OH C8 Community

 

 

 

DuPont WV PFOA Workers

Increased self-reported cervical/uterine cancer

Increased self-reported prostate cancer

Increased self-reported breast cancer

Increased prostate cancer

Yes

 

Yes

 

Yes

Yes

23

3/1/06

No

WV Dept. Health

Wood/Mason Cty WV General Population

Increased prostate cancer incidence

Increased leukemia incidence

Increased non-Hodgkin lymphoma incidence

Increased cutaneous melanoma

Yes

Yes

Yes

 

Yes

25

11/06

Yes

Univ. Cincinnati

Firefighters (PFOA not directly measured)

Increased risk of multiple myeloma

Increased risk of non-Hodgkins lymphoma

Increased risk of prostate cancer

Increased risk of testicular cancer

Yes

Yes

 

Yes

Yes

31

8/07

Yes

DuPont

DuPont WV PFOA Workers

Increased death from kidney cancer

No

43

4/7/09

Yes

Danish Cancer Society

General Danish Population

Increased risk of pancreatic cancer in highest exposure group

No

51

11/09

Yes

3M/Univ. Minn.

3M Minnesota Fluorochemical Workers

Increased prostate cancer death

 

Yes

 

70.

7/15/11

No

C8 Science Panel

DuPont WV PFOA Workers

Increased death from kidney cancer

Yes

79

10/6/11

Yes

Aarhus Univ. (Denmark)

General Greelandic Inuit Population

Increased risk of breast cancer

Yes (combined PFCs)

99

4/15/12

No

C8 Science Panel

WV/OH C8 Settlement Population

Probable Link with testicular cancer

Probable Link with kidney cancer

[No Probable Link with other cancers]

Yes

Yes

VII.  IMMUNE FUNCTION

1

12/22/78

No

DuPont

DuPont NJ Fluoroproducts Workers

Increased incidence of allergic disorders

Yes

24

8/06

Yes

Univ. Penn.

Little Hocking OH Water Customers

Increased monocyte count

 

Yes

 

33

2008

No

WVU

WV/OH C8 Settlement Population

Decreased CRP

Decreased IG

 

40

3/09

Yes

Mitini (Italy)

Mitini Italian PFOA Workers

Increased IgA

Increased globulins

No

Yes

42

3/16/09

No

C8 Science Panel

WV/OH C8 Settlement Population

Decreased lgA

Increased ANA

Decreased CRP

Decreased IgE (females)

Yes

Yes

Yes

Yes

56

2010

Yes

Univ. Penn.

Little Hocking, OH Water Customers

Increased anemia

Yes

58

8/26/10

Yes

Univ. Cal.

General Danish Population

Slightly increased risk of hospitalization for girls with highest prenatal exposures

No

67

4/19/11

Yes

Taiwan Hospital

General Taiwan Population (Children)

Increased cord blood IgE levels

Yes

80

10/11

Yes

Hokkaido Univ. (Japan)

General Sapparo Japan Population (Infants)

Decreased IgE (female infants)

[No associations with food allergy, eczema, wheezing, or otitis media in first 18 months]

Yes

91

1/25/12

Yes

Harvard Univ.

General Faroe Islands Population (Children)

Decreased humoral immune response to childhood immunizations

Yes

97

2/12

No

Norwegian Inst. Pub. Health

General Norwegian Population - Children

Decreased response to rubella vaccinations

 

 

VIII.  THYROID FUNCTION

10

10/92

No

U. Minn.

3M Minnesota Fluorochemical Workers

Increased TSH

 

Yes

17

3/03

Yes

3M

3M Belgium/Alabama Fluorochemical Workers

Increased T3

 

Yes

 

24

8/06

Yes

Univ. Penn.

Little Hocking OH Water Customers

[no effect on thyroid]

 

27

6/07

Yes

3M

3M Alabama/Belgium/
Minnesota Fluorochemical Workers

Decreased free T4

Increased T3

 

Yes

Yes

33

2008

No

WVU

WV/OH C8 Settlement Population

Increased free TH

 

39

2/09

Yes

SUNY

New York General Population-Fishermen

[no effects on thyroid function]

 

55

1/20/10

Yes

Peninsula Medical School

General U.S. Population

Increased reported thyroid disease in women

Increased reported thyroid disease in men

Yes

 

No

65

2/8/11

Yes

Univ. Alberta

General Alberta Canada Population

[no effect on hypothyroxinemia in pregnant women]

 

73

8/1/11

Yes

WVU

WV/OH C8 Settlement Population

Increased serum thyroxine

Reduced T3

Yes

Yes

74

8/2/11

Yes

Korean Univ.

General S. Korean Population

Reduced  thyroid hormone levels

No

87

12/5/11

No

C8 Science Panel

WV/OH C8 Settlement Population - Adults

Increased thyroid disease

Yes (women)

75

3/27/12

Yes

C8 Science Panel

WV/OH C8 Settlement Population - Children

Increased thyroid disease

 

IX.  LIVER FUNCTION

1

12/22/78

No

DuPont

DuPont NJ Fluoroproducts Workers

Abnormal liver function

 

2

3/15/79

No

DuPont

DuPont NJ Fluoroproducts Workers

Abnormal liver function

No

3

8/80

Yes

3M

3M Minnesota Fluorochemical Workers

Increased SGOT

 

 

4

1/28/81

No

DuPont

DuPont WV PFOA Workers

Increased SGOT

Increased AP

Yes

Yes

7

5/28/82

No

3M

3M Alabama Fluorochemical Workers

[no elevated liver enzymes]

 

8

1/28/83

No

DuPont

DuPont WV PFOA Workers

[no elevated liver enzymes]

 

12

1996

Yes

Univ. Minn.

3M Minnesota Fluorochemical Workers

Altered SGOT, GGT, and SGPT dependant on alcohol & obesity levels

Yes

13

8/5/96

No

DuPont

DuPont WV PFOA Workers

Increased SGOT

Increased AP

Increased LDH

No

No

No

15

2000

Yes

3M

3M Minnesota Fluorochemical Workers

[No elevated liver enzymes]

 

 

17

3/03

Yes

3M

3M Belgium/Alabama Fluorochemical Workers

Increased GGT

Increased AP

Increased ALT

Yes

Yes

Yes

19

8/04

Yes

3M

3M Alabama Fluorochemical Workers

Increased episodes of care for liver disorders

 

24

8/06

Yes

Univ. Penn.

Little Hocking OH Water Customers

[no liver associations found]

 

26

4/2/07

No

DuPont

DuPont WV PFOA Workers

Increased LDH

Decreased total bilirubin

Increased serum aspartate aminotransferase

 

27

6/07

Yes

3M

3M Alabama/Belgium/
Minnesota Fluorochemical Workers

Decreased bilirubin

Increased Alkaline phosphatase

Increased ALT/GGT

Yes

Yes

Yes

30

8/07

Yes

DuPont

DuPont WV PFOA Workers

Decreased total bilirubin

Increased AST

Yes

Yes

32

10/07

Yes

DuPont

DuPont WV PFOA Workers

Increased GGT

Increased AST

Increased ALT

Yes

No

No

33

2008

No

WVU

C8 WV/OH Settlement Population

Increased ALT

Increased AST/SGOT

 

40

3/09

Yes

Mitini

Mitini Italian PFOA Workers

Decreased bilirubin

Increased ALT

Increased GGT

Increased ALP

Yes

Yes

Yes

Yes

53

12/15/09

Yes

Taiwan Hospital

General U.S. Population

Increased ALT

Increased GGT

Yes

No

71

1/30/12

Yes

C8 Science Panel

C8 WV/OH Settlement Population

Increased ALT

Altered bilirubin

Yes

 

 

 

 

 

 

 

X.  KIDNEY FUNCTION

13

8/5/96

No

DuPont

DuPont WV PFOA Workers

Increased kidney disease incidence

No

31

8/07

Yes

DuPont

DuPont WV PFOA Workers

Increased death from kidney cancer

No

70

7/15/11

No

C8 Science Panel

DuPont WV PFOA Workers

Increased death from kidney cancer

Increased death from chronic kidney disease

Yes

Yes

76

8/26/11

Yes

WVU

General US Population

Increased chronic kidney disease

Yes

95

2/12

No

3M

3M Fluorochemical Workers

Increased chronic kidney disease

No

XI.  HORMONE EFFECTS

2

3/15/79

No

DuPont

DuPont NJ Fluoroproducts Workers

Increased incidence of endocrine/metabolic disorders

 

Yes

 

10

10/92

No

Univ. Minn.

3M Minnesota Fluorochemical Workers

Increased estrodiol

Decreased free testosterone

Increased hemoglobin

Increased mean cellular volume

 

Yes

Yes

Yes

Yes

14

7/98

Yes

3M

3M Minnesota Fluorochemical Workers

Increased estradiol in high exposure group

Elevated 17-HP

No

 

No

26

4/2/07

No

DuPont

DuPont WV PFOA Workers

Increased estradiol

Increased testosterone

 

 

XII.  DEVELOPMENTAL/REPRODUCTIVE EFFECTS

6

9/81

No

DuPont

DuPont WV PFOA Workers

Increased birth defect incidence

Yes

9

12/84

No

DuPont

DuPont WV PFOA Workers - Males

CLAIMS of infertility among male workers – not pursued

 

19

8/04

Yes

3M

3M Alabama Fluorochemical Workers

Increased episodes of care for:

  • Preterm labor
  • Infertility

 

21

11/04-
2/05

No

UCLA

WW/OH C8 Community

 

Decreased age to menopause

 

 

28

7/31/07

Yes

Johns Hopkins

General US Population

Decreased birth weight

Decreased ponderal index

Decreased head circumference

Yes

Yes

Yes

29

8/16/07

Yes

Univ. Cal.

General Danish Population

Decreased birth weight

Yes

35

11/4/08

Yes

Hokkaido Univ. (Japan)

General Sapporo Japan Population

[no effects on birth weight]

 

38

1/28/09

Yes

Univ. Cal.

General Danish population

Increased time to pregnancy

Yes

41

3/2/09

Yes

Univ. Denmark

General Danish population

Decreased normal sperm

Yes

45

819/09

Yes

C8 Science Panel

WV/OH C8 Settlement Population

Increased preeclampsia

Increased birth defects

Yes

Yes

49

10/28/09

Yes

Univ. Alberta

General Alberta Canada Population

[no effect on birth weight]

 

50

11/09

Yes

Univ. Cincinnati

General OH/KY Population

Increased pubescent maturation in breasts of young girls

 

54

2009

Yes

Univ. Penn.

Little Hocking OH Water Customers

[no effects on birth weight]

 

56

2010

Yes

Univ. Penn.

Little Hocking OH Water Customers

Increased dysfunctional labor

Yes

58

8/26/10

Yes

Univ. Cal.

General Danish Population

Slightly increased risk of hospitalization for girls with highest prenatal PFOA exposure

No

60

9/13/10

Yes

Emory Univ.

General U.K. Population

Decreased time to menarche/puberty in girls

No

62

10/12/10

Yes

Danish Government

General Danish Population

Decreased baby weight in first year

Decreased baby body mass in first year

Yes

Yes

66

3/16/11

Yes

WVU

WW/OH C8 Settlement Population

Decreased time to menopause

Yes

61

5/2/11

Yes

C8 Science Panel

WV/OH C8 Settlement Population (children)

Increased time to reach puberty in girls

Yes

69

7/11

Yes

3M

General NC Population

No significant effects on sperm quality

 

72

5/12

Yes

C8 Science Panel

WV/OH C8 Settlement Population

Increased preeclampsia

Slight increase in congenital heart defects

[No other birth outcome effects]

Yes

 

74

8/2/11

Yes

Korean Univ.

General S. Korean Population

[No association with birth weight]

 

94

3/15/12

Yes

Danish Univ.

General Greenland, Poland, Ukraine Population - Male

Slight increase in SHBG and TUNEL-positivity

[No other associations with sperm DNA fragmentation, apoptosis or reproductive hormones]

No

77

3/26/12

Yes

C8 Science Panel

WV/OH C8 Settlement Population

Inconsistent decreased birth weight in highest exposure categories

Inconsistent reduced fetal growth

Large, imprecise associations with preterm birth

[No association with stillbirth, pregnancy-induced hypertension]

 

81

11/10/11

Yes

NIEHS

General Norwegian Population

Increased subfecundity (time to pregnancy) in parous but not nulliparous women

Yes

83-86, 88

12/5/11

No

C8 Science Panel

WV/OH C8 Settlement Population

Probable Link with pregnancy-induced hypertension/preeclampsia

[No Probable Link with miscarriage, stillbirth, preterm birth, low birthweight, or birth defects]

 

92

2/3/12

Yes

Danish/Icelandic Researchers

General Danish Population

Increased overweight status in female children at age 20

Yes

XIII.  NEUROLOGICAL EFFECTS

2

3/15/79

No

DuPont

DuPont NJ Fluoroproducts Workers

Increased mental/psychoneurotic disorders

Yes

34

10/08

Yes

Univ. Cal.

General Danish Population

[no effect on APGAR scores]

 

57

6/15/10

Yes

Boston Univ.

General U.S. Population (12-15 Year-Olds)

Increased self-report of ADHD

Yes

63

11/9/10

Yes

Univ. Cal.

General Danish Population (Children)

[no effect on behavioral/motor coordination at age 7]

 

64

10/1/11

Yes

C8 Science Panel

WV/OH C8 Settlement Population (5-18 Year-Olds)

Increased self-reported ADHD with medication in children at lower exposure levels with decreased level at highest exposure level

 

XIV.  PANCREATIC EFFECTS

15

2000

Yes

3M

3M Minnesota Fluorochemical Workers

Decreased CCK

No

19

8/04

Yes

3M

3M Alabama Fluorochemical Workers

Increased episodes of care for:

  • acute pancreatitis
  • pancreatitis

 

43

4/7/09

Yes

Danish Cancer Society

General Danish Population

Increased risk of pancreatic cancer in highest exposure group

No

XV.  OSTEOARTHRITIS EFFECTS

68

6/27/11

Yes

WVU

WV/OH C8 Settlement Population

Increased osteoarthritis

Yes