ToxSci Advance Access originally published online on January 16, 2006
Toxicological Sciences 2006 90(2):510-518; doi:10.1093/toxsci/kfj105
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Published by Oxford University Press 2006.
Effects of Perfluorooctanoic Acid Exposure during Pregnancy in the Mouse


* Reproductive Toxicology Division, National Health and Environmental Effects Research Laboratory, and
Human Exposure and Atmospheric Science Division, National Exposure Research Laboratory, Office of Research and Development, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina 27711
1 To whom correspondence should be addressed at Mail Drop 67, U.S. Environmental Protection Agency, Research Triangle Park, NC 27711. Fax: (919) 541-4017. E-mail: lau.christopher{at}epa.gov.
Received October 29, 2005; accepted December 20, 2005
| ABSTRACT |
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Perfluorooctanoic acid (PFOA), a member of the perfluoroalkyl acids that have wide commercial applications, has recently been detected in humans and wildlife. The current study characterizes the developmental toxicity of PFOA in the mouse. Timed-pregnant CD-1 mice were given 1, 3, 5, 10, 20, or 40 mg/kg PFOA by oral gavage daily from gestational day (GD) 1 to 17; controls received an equivalent volume (10 ml/kg) of water. PFOA treatment produced dose-dependent full-litter resorptions; all dams in the 40-mg/kg group resorbed their litters. Weight gain in dams that carried pregnancy to term was significantly lower in the 20-mg/kg group. At GD 18, some dams were sacrificed for maternal and fetal examinations (group A), and the rest were treated once more with PFOA and allowed to give birth (group B). Postnatal survival, growth, and development of the offspring were monitored. PFOA induced enlarged liver in group A dams at all dosages, but did not alter the number of implantations. The percent of live fetuses was lower only in the 20-mg/kg group (74 vs. 94% in controls), and fetal weight was also significantly lower in this group. However, no significant increase in malformations was noted in any treatment group. The incidence of live birth in group B mice was significantly lowered by PFOA: ca. 70% for the 10- and 20-mg/kg groups compared to 96% for controls. Postnatal survival was severely compromised at 10 or 20 mg/kg, and moderately so at 5 mg/kg. Dose-dependent growth deficits were detected in all PFOA-treated litters except the 1-mg/kg group. Significant delays in eye-opening (up to 23 days) were noted at 5 mg/kg and higher dosages. Accelerated sexual maturation was observed in male offspring, but not in females. These data indicate maternal and developmental toxicity of PFOA in the mouse, leading to early pregnancy loss, compromised postnatal survival, delays in general growth and development, and sex-specific alterations in pubertal maturation.
Key Words: perfluorooctanoic acid; developmental toxicity.
| INTRODUCTION |
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Perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) are members of perfluoroalkyl acids (PFAA) commonly used as surfactant processing aids in the production of fluoropolymers, coatings for clothing fabrics, upholstery, and carpets, and paper products approved for food contact. PFAA are composed of a carbon backbone (typically ranging from C-4 to C-15), full substitution of hydrogen by fluorine, and a functional group (typically carboxylic acid or sulfonic acid). These chemicals are stable and persistent in the environment, present in humans, and wide-spread in wildlife. They are readily absorbed (Johnson and Ober, 1979
The toxic potentials of PFOS and PFOA have been reviewed recently (3M, 2003
; Kennedy et al., 2004
; Lau et al., 2004
). In particular, developmental toxicity of PFOS has been described in rodent models (Lau et al., 2003
; Luebker et al., 2005a
,b
; Thibodeaux et al., 2003
). In both rat and mouse, in utero exposure to PFOS compromised the survival of newborns and retarded postnatal growth and development of the survivors in a dose-dependent manner. More recent studies have examined the involvement of pulmonary complications in the neonatal mortality (Grasty et al., 2004
, 2005
). Developmental toxicity of PFOA has also been assessed in the rat (Butenhoff et al., 2004b
; Hinderliter et al., 2005
). While results indicated that PFOA was less developmentally toxic than PFOS, this was probably due, in part, to the efficient renal elimination of PFOA in the female rat, with a half-life estimate of 34 h, compared to that of 68 days in the males (Hanhijarvi et al., 1982
, 1987
, 1988
; Kemper and Jepson, 2003
; Kojo et al., 1986
; Kudo et al., 2002
; Kudo and Kawashima, 2003
; Ohmori et al., 2003
; Uy-yu et al., 1990
; Vanden Heuvel et al., 1991
; Ylinen et al., 1989
, 1990
). Hence, PFOA was undetectable in the serum of pregnant rats 24 h after an oral treatment (Gibson and Johnson, 1983
). Thus, in rats, daily single administration of PFOA during pregnancy constitutes repeated episodic exposures to the dams, with the chemical surging to a maximum level in circulation within 1.25 h (Kemper and Jepson, 2003
), but declining rapidly, reaching a nadir between 2024 h; the level of PFOA then rises again in the succeeding treatment. Such a major gender difference in the elimination of PFOA has not been established in humans or primates (Butenhoff et al., 2004c
; Ehresman et al., 2005
; Olsen et al., 2003
, 2005b
), thus complicating the extrapolation of findings from the rat model to humans for health risk assessment (Butenhoff et al., 2004a
).
On the other hand, results from studies by Uy-yu et al. (1990)
and Sohlenius et al. (1992)
suggest that the mouse may provide an alternative model for the evaluation of PFOA developmental toxicity. These investigators reported a lack of sex-related differences in mice for the effects of PFOA on hepatic responses. In support of these findings, studies conducted by the PFOA manufacturer indicated that retention of 14C-PFOA for both sexes of mice was more like that of male rats than female rats (Kennedy et al., 2004
). The current study, therefore, was undertaken to ascertain whether there was a sex difference in the bioaccumulation of PFOA in the mouse and to evaluate the effects of PFOA exposure during pregnancy on prenatal and postnatal development of offspring.
| MATERIALS AND METHODS |
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PFOA.
Perfluorooctanoic acid (PFOA, ammonium salt; >98% pure) was purchased from Fluka Chemical (Steinheim, Switzerland). NMR analysis kindly provided by 3M Company (St. Paul, MN) indicated that approximately 98.9% of the chemical was straight-chain and the remaining 1.1% was branched isomers. 1,2-13C-Pefluorooctanoic acid was purchased from Perkin-Elmer (Wellesley, MA) and used as an internal standard in the quantitative analysis. For all studies, PFOA was dissolved in deionized water and prepared fresh daily.
Animal treatment.
All animal studies were conducted with approval by the U.S. EPA ORD/NHEERL Institutional Animal Care and Use Committee; procedures and facilities were consistent with the recommendations of the 1996 NRC "Guide for the Care and Use of Laboratory Animals," the Animal Welfare Act, and Public Health Service Policy on the Humane Care and Use of Laboratory Animals. Timed-pregnant CD-1 mice were obtained from Charles River Laboratories (Raleigh, NC). Females were bred overnight, and those with spermatozoa in a vaginal smear and/or with a copulatory plug were considered to be at gestational day (GD) 0. Animals were shipped by truck to our facilities in the afternoon of the same day. In a separate study, mature male and female CD-1 mice and Sprague-Dawley rats (about 10 weeks old) were obtained from the same supplier. Animals were randomly assigned to treatment groups, housed individually in polypropylene cages, and provided pellet chow (LabDiet 5001, PMI Nutrition International) and tap water ad libitum. Animal facilities were controlled for temperature (2024°C) and relative humidity (4060%), and operated under a 12-h light-dark cycle.
PFOA (1, 3, 5, 10, 20, or 40 mg/kg) was given to pregnant mice by gavage once daily from GD 1 through GD 17. Controls received an equivalent volume (10 ml/kg) of water. Maternal weight was monitored daily throughout gestation. Some mice were sacrificed on GD 18 (24 h after last treatment) by CO2 asphyxiation for teratological evaluation. Blood was collected from the descending aorta, and serum samples were prepared and analyzed for PFOA concentration. Maternal liver was dissected and weighed. The gravid uterus was then removed and examined; the numbers of the live or dead fetuses as well as resorptions were recorded. Live fetuses were weighed individually, sex-determined, and examined for external abnormalities. All fetuses were killed with an overdose of pentobarbital; one half of each litter was prepared for skeletal examination, while the other half was prepared for visceral evaluation. For skeletal evaluation, the fetuses were eviscerated, fixed in 95% ethanol, and subsequently stained with Alizarin red and alcian blue to visualize bone and cartilage, respectively. Skeletal morphology was evaluated as described previously (Narotsky and Rogers, 2000
). For visceral evaluation, fetuses were fixed in Bodian's solution (2% formaldehyde, 5% acetic acid, 72% ethanol, 21% water). Examination of the head, as well as thoracic and abdominal viscera was carried out using free-hand razor dissection.
The remaining pregnant mice received an additional PFOA treatment on GD 18. On GD 19, these mice were monitored hourly; the day was divided into four 6-h quarters, and mice giving birth during each quarter were tabulated. The quarter in which the first control mouse gave birth was arbitrarily assigned as parturition time zero. Time of parturition for each animal, condition of the newborns, and number of live offspring were noted. The following day was designated as postnatal day (PD) 1. The number of live pups in each litter and their body weight were tabulated daily for the first 4 days after birth and at intervals of several days thereafter. Litter size was not adjusted unless three or fewer pups survived within a litter. In such cases, the surviving pups were distributed randomly to nursing dams within the same dosage group, with litter size maintained at 10 or less. The age at which the mouse neonates opened their eyes was tracked beginning on PD 12. All pups were weaned on PD 23 and separated by sex. The age at which the mouse offspring reached puberty was determined by monitoring vaginal opening in females and preputial separation in males beginning on PD 24. Representative pups (24 for each sex) from each litter were randomly selected, ear-marked, and monitored; in addition, body weights of the mice when they reached puberty were noted. Following vaginal opening in female mice, the age at first detectable estrus was determined by daily evaluation of vaginal cytology, according to the method of Cooper and Goldman (1999)
. After weaning, the nursing dams were sacrificed, and their uteri were removed, stained with 2% ammonium sulfide, and the residual implantation sites were counted. The postnatal survival rate was calculated based on the number of implantations for each pregnant mouse.
In a separate study, adult male and female rats and mice were given PFOA daily (10 mg/kg for 20 days and 20 mg/kg for 17 days, respectively); controls received deionized water. Mice were sacrificed by CO2 asphyxiation, and rats by decapitation 24 h after last treatment; blood samples were collected, and serum prepared and stored for PFOA analysis.
Determination of PFOA concentrations.
For controls and animals receiving 1 mg/kg of PFOA, a 25-µl aliquot of thawed serum sample was spiked with 10 ng of the 13C-PFOA internal standard and added to 200 µl of 0.1 M formic acid, followed by 2 ml of cold acetonitrile. The samples were vortex-mixed and centrifuged at 5,000 rpm to precipitate the serum proteins. The supernatant was diluted by 20 ml of deionized water and loaded onto SPE cartridges (Waters Instruments, Bedford, MA) and eluted with 2 ml of acetone. The eluent was evaporated to dryness and reconstituted in 400 µl of 50:50 2 mM ammonium acetate:acetonitrile for high performance liquid chromatography-electrospray tandem mass spectrometry (LC-MS/MS).
For animals receiving greater than 1 mg/kg of PFOA, an additional dilution of the serum samples was required. A 25-µl aliquot of thawed serum was added to 5 ml of 0.1 M formic acid and sonicated for 30 min. A 50-µl aliquot of the diluted sample was removed and added to 5 ml of acetonitrile containing 20 ng of 13C-PFOA internal standard and sonicated for another 30 min. A 200-µl aliquot of the acetonitrile extract was then added to an equal volume of 2 mM ammonium acetate for LC-MS/MS analysis.
Data analysis.
Data are presented as means and standard errors. Statistical significance was determined by the analysis of variance (ANOVA), using the individual litter as the statistical unit. Maternal weight gain was analyzed by ANOVA with repeated measures. When a significant treatment effect or interaction was detected, Duncan's multiple range test was performed post hoc. Incidence of full litter resorptions was analyzed by Fisher's Exact test. Statistically significant differences were determined at p
0.05.
The U.S. Environmental Protection Agency now uses the benchmark dose (BMD) approach (Barnes et al., 1995
; Crump, 1984
) for noncancer risk assessment (U.S. EPA, 1995
). This approach is designed to provide a more quantitative alternative to dose-response assessment than the no-observed-adverse-effect-level (NOAEL) process, by constructing mathematical models to fit all data points in the dose-response study, and to take data variance into consideration. In the current study, BMD5 and BMDL5 values were calculated for the maternal and developmental toxicity of PFOA. BMD5 refers to the central estimate of the administered dose predicted to cause a 5% increase in response above background, and BMDL5 is defined as the corresponding lower limit of the 95% confidence interval on the BMD5 (Allen et al., 1994
). Benchmark Dose Software (U.S. EPA, 2000
) was used to calculate the BMD5 values. Selection of a specific curve-fitting model for the BMD determination was based on the Akaike's Information Criterion (AIC) value. The AIC is equal to 2L + 2p, where L is the log-likelihood at the maximum likelihood estimates for the parameters, and p is the number of model parameters estimated. The model that demonstrates "goodness-of-fit" with the lowest AIC value is presumed to be the most appropriate.
| RESULTS |
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An experiment was carried out to compare the body burdens of PFOA between rat and mouse after subchronic exposure. A clear sex difference in PFOA accumulation was observed in the rat (Table 1); a serum level of 111 µg PFOA/ml was reached in male rats after 20 daily treatments, while only traces of PFOA were detectable in female rats. In contrast, no significant differences were seen between serum PFOA concentrations of male and female mice. Additionally, a steady-state level of serum PFOA was apparently reached in mice within 1 week of chemical exposure, as serum levels in both male and female mice did not change appreciably between 7 and 17 days of treatment. It is also noteworthy that, when the male animals are compared, doubling the administered dose of PFOA in the mouse versus the rat (20 mg/kg vs. 10 mg/kg, respectively) yielded approximately twice the amount of the chemical in circulation, suggesting that steady-state levels of PFOA are proportional to administered dose and are amenable to extrapolation between males of these two species.
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Control CD-1 mice gained approximately 22 g from days 2 to 18 of pregnancy. PFOA treatment altered maternal weight gain in a dose-dependent manner (Fig. 1), as pronounced weight deficits were seen in the 20- and 40-mg/kg dosage groups. In addition, PFOA treatment led to an increase of liver weight in a dose-related fashion (Fig. 2). Analysis of maternal serum demonstrated a dose-dependent increase in the accumulation of PFOA at term (Fig. 3).
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Exposure of pregnant mice to PFOA throughout gestation did not alter the number of implantations. However, a significant increase in the incidence of full-litter resorptions was seen in the 5-mg/kg and higher dose groups; indeed, all pregnancies were lost in the 40-mg/kg group (Table 2). Among litters with viable fetuses at term, significant prenatal loss was observed only in the 20-mg/kg group. Similarly, weights of the live fetuses at term were not affected significantly by PFOA at
10 mg/kg, although a 20% reduction was detected in the 20-mg/kg group. Fetal examination revealed enlarged fontanel and reduced ossification of sternebrae, caudal vertebrae, metacarpals, metatarsals, phalanges, calvaria, supraoccipital, and hyoid in the 10- and 20-mg/kg dose groups. Visceral examination also revealed minor tail and limb defects and microcardia in these dose groups (Table 2).
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Exposure to PFOA during pregnancy slightly increased the average time to parturition, by up to half a day in the high-dose group (Table 3). Most offspring were born alive, but the incidence of stillbirth and neonatal mortality was increased markedly by PFOA treatment, particularly in the high-dose groups (up to 30%, Fig. 4). Most of the neonates exposed to 10 or 20 mg/kg PFOA did not survive the first day of life. Survival of the newborn mice was better in the lower-dose groups; postnatal viability in the 1- and 3-mg/kg groups was comparable to that in controls. Among survivors, a trend toward growth retardation was noted in the PFOA-treated neonates, leading to 2530% lower body weights in the 3-mg/kg or higher dose groups at weaning (Fig. 5). Body weights subsequently recovered in these groups, reaching control levels by 6.5 weeks of age for the females and by 13 weeks for the males (Table 4). Interestingly, as the animals aged, body weights of both males and females in the PFOA-exposed groups tended to be higher (by about 10%) than those of controls. Corresponding to the early postnatal growth deficits, development of the mice exposed to PFOA in utero was impaired, as significant delays in eye opening were detected in the 5-mg/kg or higher dose groups, by as much as 3 days (Table 5). On the other hand, pubertal development for the female mice was not appreciably affected by prenatal PFOA treatment, as only a slight delay was noted in the highest dose group, with either age at vaginal opening or time to first estrus. In contrast, the onset of puberty for the male pups was markedly advanced by PFOA, such that the prepuce was separable in the 1-mg/kg dose group almost 4 days earlier than in the controls. It is noteworthy that this accelerated pubertal maturation took place despite a body weight deficit of 2530%.
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| DISCUSSION |
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Results from the current study that evaluated the developmental toxicity of PFOA in the CD-1 mouse are strikingly different than those described previously with the rat model. Butenhoff et al. (2004b)
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Exposure of the mouse to PFOA during pregnancy produced developmental toxicity. Full-litter resorptions were observed in the 5-mg/kg PFOA and higher dose groups. These pregnancy losses probably took place shortly after implantation. Residual implantation sites were clearly detectable in all treatment groups, but maternal weight gains were arrested in these high-dose groups starting at GD 68, after the embryos were already implanted. The nature of this early pregnancy loss is not well understood, but may be related to maternal toxicity involving failure to support viability of the early embryos (Bielmeier et al., 2004
The slight delays in fetal development might have led to a prolongation of gestational length in the PFOA-treated mice, as time of parturition in these dams was consistently later than that in controls, although a clear-cut dose-related response was lacking. In contrast, survival of the newborn mice was profoundly influenced by in utero exposure to PFOA. Almost 30% of the offspring were found either stillborn or died immediately after live birth in the 10- and 20-mg/kg dose groups, and less than 25% of these pups survived the ensuing days. However, those pups that survived the first postnatal week generally did reach adulthood. The profile of postnatal mortality was almost identical to that previously described for PFOS in the rat and in the mouse (Lau et al., 2003
; Luebker et al., 2005a
,b
). The pathophysiological mechanism(s) for this PFOA effect remains to be elucidated, but may be, in part, related to deficits of pulmonary function as described previously for PFOS exposure (Grasty et al., 2004
, 2005
).
Among surviving mouse pups, postnatal growth and development was significantly hampered by PFOA. Although PFOA treatment of the mouse dams ceased at the end of pregnancy, chemical exposure to the suckling pups undoubtedly continued until weaning, as a previous study with the rat reported a substantial presence of PFOA in the milk (ca. 10% of plasma level, Hinderliter et al., 2005
). Here, PFOA exposure in mice led to deficits of postnatal weight gain, in dose groups as low as 3 mg/kg. These shortfalls persisted into young adulthood, as female mice did not catch up to controls until 6.5 weeks of age and the males not until 13 weeks. Neonatal growth deficits may be related to the nursing dams' capability to lactate, and hence the nutritional status of the suckling pups. PFOA is a potent peroxisome proliferator-activated receptor (PPAR) agonist, and PPAR-associated proteins are known to regulate mammary gland development and function (Jia et al., 2005
; Qi et al., 2004
). Interestingly, as the mice matured, a trend toward excess weight gain (ca. 10% above control mouse weights) was noted in the PFOA-exposed mice at 4860 weeks of age, for both sexes. However, these results were derived from a fairly small population of mice, and this observation requires confirmation. Given the propensity of PFOA to alter lipid metabolism (Kennedy et al., 2004
), changes of body weight and/or composition related to the chemical exposure are not beyond speculation.
Eye-opening and pubertal landmarks such as vaginal opening and preputial separation are simple but reliable indices of postnatal development in rodents (Goldman et al., 2000
; Stoker et al., 2000
). Consistent with deficits in body weight, eye-opening in the PFOA-exposed pups was delayed by as much as 3 days in the high-dose groups (10 and 20 mg/kg). On the other hand, onset of puberty in female pups was only slightly delayed (by about a day) in the high-dose groups. The effect of PFOA on pubertal attainment of the male pups was intriguing. Pups exposed to PFOA consistently displayed accelerated preputial separation (by more than 3 days). This effect was most pronounced in the lowest dose group (1 mg/kg) and appeared to have an inverse relationship with dose. It is noteworthy that male puberty was advanced by PFOA despite growth deficits. The underlying mechanism for this PFOA action is unknown, but in a previous study, the advancement of preputial separation induced by the herbicide simazine was accompanied by elevations of circulating luteinizing hormone, testosterone, and androstenedione (Stoker et al., 2005
, 2006
). Interestingly, these effects of simazine were also observed preferentially in the lower treatment dose groups. With the exception of male pubertal findings, the pattern of growth retardation and developmental delays seen in the PFOA-treated mice is similar to that observed with PFOS (Lau et al., 2003
), suggesting that this pattern of developmental toxicity may be a common feature of the PFAA.
In the present study, significant adverse outcomes were noted in the low PFOA dose groups (e.g., the effects of neonatal weight gains, eye opening, and preputial separation). Such low-dose effects were not observed with PFOS (Lau et al., 2003
). One potential explanation may involve differences in the pharmacokinetic handling of PFOA in the immature mice, leading to a disproportionately larger body burden of the chemical in the pups. Alternatively, PFOA may simply be more potent than other PFAA in its cellular and molecular actions.
In addition to the direct chemical insults of PFOA, contributions from maternal factors to the adverse developmental outcomes should not be overlooked. Alterations of maternal liver weight provide another indication of the maternal effects of the chemical. Indeed, liver enlargement is an exquisitely sensitive biomarker for PFOA exposure, as significant changes were observed even in the lowest dose group, with BMD5 and BMDL5 estimated at 0.20 mg/kg and 0.17 mg/kg, respectively (Table 6).
In summary, results from the current study present a different profile of developmental toxicity for PFOA in the mouse from that reported previously in the rat, most likely related to the pharmacokinetic differences between these two rodent species. Because of a similar lack of sex-difference in PFOA elimination among humans, primates, and mice, findings from the mouse may provide a more amenable alternative than other laboratory animal models for species extrapolation in the human health risk assessment of PFOA. Moreover, the observations of neonatal mortality, retarded postnatal growth, and delayed development in the PFOA-exposed mice closely resemble the toxicity findings of PFOS, raising concerns that these adverse outcomes may be extended to other chemicals in the PFAA family.
| NOTES |
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The information in this document has been funded by the U.S. Environmental Protection Agency. It has been subjected to review by the National Health and Environmental Effects Research Laboratory and approved for publication. Approval does not signify that the contents reflect the views of the Agency, nor does mention of trade names or commercial products constitute endorsement or recommendation for use.
| ACKNOWLEDGMENTS |
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The authors wish to thank Dr. John Butenhoff of 3M to provide analytical support in the NMR analysis of PFOA, and Ms. Judy Schmid and Dr. Kaberi Das for their technical assistance.
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