Prenatal exposure to PFAS and multimodal structural brain development across childhood

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Abstract Background Per- and polyfluoroalkyl substances (PFAS) are ubiquitous environmental pollutants that are posited to be neurotoxic to the developing brain; however, the impact of prenatal exposure to PFAS — particularly to newer, short-chain PFAS — on brain development across childhood is unclear. Methods Concentrations of 9 PFAS were quantified in cord blood plasma of 459 infants who later participated in structural and diffusion magnetic resonance imaging (MRI) at ages 4.5, 6, 7.5, and 10.5 years, providing estimates of regional cortical thickness and surface area, subcortical volumes, and fractional anisotropy (FA) of key white matter tracts. Longitudinal mixed effect models estimated associations of PFAS with age 4.5 brain metrics and their developmental trajectories across childhood. Results Higher concentrations of long-chain PFAS (PFNA, PFHxS, PFDA) in cord blood were associated with lower surface area of the right paracentral lobule at age 4.5. PFHpA was associated with faster surface area growth in the left rostral anterior cingulate and slower growth in the right caudal middle frontal gyrus from 4.5 to 10.5 years. The short-chain compound PFBS was linked with greater FA in 17 of 27 white matter tracts at 4.5 years; those associations attenuated with age. Finally, PFOA was associated with lower FA in 6 tracts at 4.5 years. Conclusions Prenatal exposure to PFAS was associated with altered development of frontal and paracentral regions and of white matter microstructure. These findings highlight the need for further research examining the long-term effects of prenatal exposure to PFAS on children’s neurodevelopment.

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