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Maternal, fetal, and neonatal toxicity and potency estimates of perfluorohexane sulfonate (PFHxS) from oral maternal exposure in the Sprague-Dawley rat

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Perfluorohexane sulfonate (PFHxS) is a legacy, long-chain per- and polyfluoroalkyl substance (PFAS) frequently detected in human serum and environmental media across the globe. Previously published developmental studies in rats indicated a general lack of effects in common endpoints like maternal and offspring body and liver weights at doses up to 50 mg/kg/d. To facilitate mixture-based studies of PFAS co-exposure, individual dose response parameters are necessary for model predictions. To address these data needs we exposed timed-pregnant Sprague-Dawley rat dams to PFHxS (3–125 mg/kg/d) via oral gavage from gestation days (GD)14–18 or GD8 to postnatal day (PND)2. We evaluated a range of key events and adverse outcomes in both exposure intervals with a focus on chemical effects on serum thyroid hormone concentrations and liver toxicity. Maternal exposure from GD14–18 resulted in increased maternal liver weight (≥30 mg/kg), reduced serum total thyroxine (T4; ≥10 mg/kg) and low-density lipoprotein (LDL; ≥10 m/kg), and modest changes in maternal liver fatty acid metabolism-associated and fetal liver peroxisome proliferator-activated receptor signaling-associated gene expression. Exposure from GD8-PND2 did not affect newborn liver glycogen concentration, but did result in other neonatal effects consistent with prior PFAS studies including reduced pup survival (125 mg/kg), reduced pup bodyweight (≥62.5 mg/kg), increased pup liver weight (≥10 mg/kg), highly elevated pup serum total cholesterol and bile acids (≥3 mg/kg) and reduced serum thyroid hormones (T3, rT3, T4; ≥3 mg/kg). Maternal effects were largely limited to reductions in serum total T3 and T4 (≥10 mg/kg) and elevated serum BUN (≥62.5 mg/kg). Compared to previously published data for other PFAS, PFHxS displayed relatively low potency as a function of maternal serum concentration across a range of effects.

Impact/Purpose

Perfluorohexanesulfonic acid (PFHxS) is the shortest member of the long-chain perfluoroalkyl substance (PFAS) sulfonates and is among the most frequently detected PFAS in human and environmental monitoring studies.  The US EPA recently finalized a regulatory determination for PFHxS in drinking water and a toxicological review of PFHxS health effects.  To our knowledge, only two developmental toxicity studies in rats included multiple dose levels of PFHxS and have reported a lack of some common PFAS effects.  Because of this, the US EPA toxicity evaluation for PFHxS reported several uncertainties regarding similarity of effects with other reported PFAS maternal and developmental effects in the literature, including whether PFHxS affects pup survival, pup liver weight, or pup birth weight. Further, given the high detection frequencies and hazard profile of PFHxS it is a high priority compound to develop data for future inclusion in PFAS mixture studies.  The goals were to address uncertainties regarding developmental toxicity of PFHxS in a rat model and generate dose-response curve parameters based on internal PFHxS levels for several endpoints for future studies of PFAS mixtures that include PFHxS.  This study fills data gaps regarding the maternal and offspring effects of exposure to PFHxS during pregnancy and provides dose-response data necessary for mixture model calculations. It is not likely that this data would impact recent risk assessment or regulatory determinations, but does provide additional data to the weight of evidence for the potential health effects of PFHxS exposure. 

Citation

Conley, J., C. Lambright, N. Evans, Jackie Bangma, J. Ford, D. Jenkins-Hill, E. Medlock Kakaley, AND L. Gray. Maternal, fetal, and neonatal toxicity and potency estimates of perfluorohexane sulfonate (PFHxS) from oral maternal exposure in the Sprague-Dawley rat. Elsevier Science Ltd, New York, NY, 518:154245, (2025). [DOI: 10.1016/j.tox.2025.154245]

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DOI: Maternal, fetal, and neonatal toxicity and potency estimates of perfluorohexane sulfonate (PFHxS) from oral maternal exposure in the Sprague-Dawley rat
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Last updated on August 26, 2025
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