Although emissions of perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) have been dramatically reduced, the persistence and bioaccumulation of these chemicals result in detectable levels in the U.S. population. Despite declining emissions, there is continued widespread exposure to both chemicals and a number of studies have reported potential PFOA-and PFOS-associated immunotoxicity in both humans and non-human animals. The NTP conducted a systematic review to evaluate the evidence on exposure to PFOS or PFOA and immune-related health effects to determine whether exposure to either chemical is associated with immunotoxicity for humans. The literature search and screening process identified 33 human studies, 93 animal studies, and 27 in vitro/mechanistic studies relevant for addressing the objective. The health effects data for PFOA and PFOS were considered separately in developing hazard identification conclusions. Conclusions for each chemical were reached by integrating evidence from human and animal studies with consideration of any mechanistic data.
PEER REVIEW OF THE DRAFT NTP MONOGRAPHPeer review of the draft NTP Monograph was conducted by an ad hoc expert panel in a public meeting held July 19, 2016, at the National Institute of Environmental Health Sciences, Research triangle park and via WebEx (see http://ntp.niehs.nih.gov/go/37090 for meeting materials and peer review report). The selection of panel members and conduct of the peer review were performed in accordance with the Federal Advisory Committee Act and Federal policies and regulations. The panel members served as independent scientists, not as representatives of any institution, company, or governmental agency. In this capacity, panel members had two major responsibilities in reviewing the draft NTP Monograph:(1) to determine whether the scientific information cited in the draft monograph was technically correct and clearly stated, and whether NTP has objectively presented and assessed the scientific evidence;(2) to determine whether the scientific evidence presented in the draft monograph supported the NTP's conclusions regarding whether immunotoxicity is associated with exposure to PFOA or PFOS.The panel agreed with the draft conclusions that PFOA and PFOS are both presumed to be immune hazards to humans; however, they recommended changing the level of evidence conclusion for hypersensitivity-related outcomes for the animal body of evidence from "high" to "moderate". NTP concurred with this recommendation. Comments from the peer reviewers and written public comments were considered during finalization of the document.