Document 2RgDd4yk2wdBVezqOQGeGGGYr
: : Taft/ x) 25 Walnut Set SiteC1i80r0cCianCnva OsHC4o52m0b2a3t9/5a7o:n51i3n3s81a2n8s3h8lsFaxe:r51r338s10i20K8teacSkttyettFiroobwonlsctSeorep4mp
seapys
ian cam
GEHQ-B0-273
AL 826-390]
2g2
June 12, 2000
fu
TSCA Confidential Business Information Center (7407M)
EPA East - Room 6428, Attn: Section 8(e) & FYI
U.S. Environmental Protection Agency
W1a2s0h0inPgetnnosny,lDvaCni2a0A4v6e0n-u0e0,01NW
EF 5
z=
2s
\
Re: Submission To TSCA 8(e)/FY| Database Re: PFOA/PFOS
To TSCA 8(e)/FY| Database:
FYI datWaebaasrees hweirthebryesppreocvtidtiongPtFhOeAfPolFlOowSi:ng information for inclusion in the TSCA 8(e)/
1. Fenton, S.E., et al., "Analysis of PFOA in Dosed CD-1 Mice Part 2: Disposition of PFOA in Tissues and Fluids From Pregnant and Lactating Mice and Their Pups," Reprod. Toxicol. (2009),
doi:10.1016/}.reprotox.2009.02.012;
2.
von Ehrenstein, 0.S., et al., "Polyfluoroalkyl Chemicals in the Serum and
Milk of Breastfeeding Women," Reprod. Toxicol. (2009),
doi:10.1016/j.reprotox.2009.03.001; and
3. EHixnpeoss,urE.eP.,to ePtearlf,luPohroeoncottaynpoiiccADciicdh(otPoFmOyA)FoilnlFoewimnagleDeCvDe-l1opMmiecnet:alLow Doses Induce Elevated Serum Leptin and Insulin, and Overweight in MidLife," 304 Molecular& Cellular Endocrinology 97-105 (2009).
ALI S
RAB:mdm
Enclosure
nora
rE
[i
ofPoh
~ Robert A. Bilott
CyONTAINSNO CB Contains No CBI
2211596:qa1 --_
p.2 7 ONSWATHOD
.
ps
Accepted Manuscript
--,
TDiitslep:osAitnionaolfoPyFfsOPAFiOsiAnitnisDsuoesseadndCDfl-u1idMsifcreomPparretg2n:ant and lactating mice and their pups.
Remstie hiye
NAuatkhaoyras:maS,uAzmaynnDE.e.DFeelnitnosnk,y,JeJasssoincPLa.. SRteainnekro,,SEhroijniP.EHines,
i
SSaylrlaygoS-.StWyhliitaen,iAEn.dPreetwroBp.ouLlionudstrom, MarkJ. Surynar,
Pu: DOL Reference:
00i89100-.61203186(]09e)p0r0ol0o4x0.-29009.02.012 RTX 6230
To appear in: Reproductive Toxicology
-
RReevciesievdeddadtatee:: Accepled date:
4202:.22:0200909 2522009
JPPl,eaHsienceisteEtRh.isWahrtiitcele SasS:, FLeinnidosntSrEo,m RAeBi,nerStJrLy,naNrakMaJy,aPmeatrSoFp,oDuelloiunsSkEy ,AD,AnSatlaynsikso offroPmFpOrAegnianntDoasnedd lCacDt-a1tinMgimcieceParatnd2:thDeiisrpopsuiptsi,onReopfroPdFuOcAti,veinTofixsiscuoclsogaynd(2f0l0u8i)d,s 0i:10.1016/.reprotox 2009.02.012
T"AThsheiasmiassenruavsiPccrDeiFp:(t0fowiiulolrlfucnaudsnetrougmneoecrdosiptyweeeddimatariennugps,rcorvtiyippdteisntcghiatttihnihgsa,scaanbrdelyernevveaircescwieoponftotefhdetfhroeersumpluatbniluinscgcarptiirpootno..f ebrerfoorrsemitaiys bpeubdliisschoevderienditwshfiicnhacfoourlm.d aPfifcecatstehenoctcotnhatt deaunnridtnag,lthleegparloddiuscctliaoinmeprrsoctehsast apply 0 thejoumal pertain
E ERG E
pt STERS E T TTT EE ST R S i esaan s
:
1
Analysis of PFOA in Dosed CD-1 Mice Part 2 Disposition of PEOA in tissues and ids from pregaantand actatogmican thetpups.
Suzanne .Feton",Jessica L. Reine, Shi. Nakayama', AmyD.Delos', Jon P.
Stanko", Erin P. Hines", Sally S. White", AndrewB. Lindstrom", Mark J. Suynar', and
Syrago-SylaEi. Peoponiow
*Reprodicive Taxicology Division, National HealthandEnvironmentalEffects Research Laboratory, ORD, US. EPA, MD.7,ResarchTrianglePark,NC27711, USA
* Oakridge InstfiortScuietnceeandEducation (ORISE)Research. Participant, Human
Exposure andAtmospheric SciencesDivision NationalExposure ResearchLaboratory,
ORD, U.S. EPA,ResearchTriangle Park,NC 27711, USA
Human ExposureandAsphericSciencesDivision,NationalExposeResearch Laboratory, ORD, US: EPA, Research Triangle Park, NC2771, USA
* Curriculum in Toxicology, UniversityofNorth Carolina, Chapel Hill, NC 27599, USA
"Current address: DivisionofLaboratorySciences, NationalCenter forEnvironmental
Healt, CentersforDisease onanrdProevenlion, tant, GA 30341, USA
*Conesapuhoonr sdndiaddnregss:
SUu.zS.anEnneviroFnemnetnotna,lPPhroDt.ection Agency Mii Drop 67 RTFeasnae: ao9r11c9h95T54r41i1a:n45g03l21e07Park,NC 27711 USA Emaileonsuzanc@ep go
2202009 Page 132
ps
LE T RE T T T I T Am R Tee
:
2
Running tite: PFOAdisposiniltacitaotinon
Abbreviations ANOVA analofyvasriaincse
BW bodyweight
a gestational day
Lop liofmdetiecttion
LoQ Vimitofquaniaton
Ms massspectrometer
PEAA perfluoroatiylacid
PFOA perorooctanoaciicd
POS perfivorooctanesulfonate
ND postnatalday
SEM UPLC
uslmupaernrrrdoffatolheirqmrueiddacmhnroamantogcrapehy
2202009
Page20132
v6
i EEACT TEA LTs E Re RR
3
Abstract
Previousstudiesinmice wilhmuliplegestational exposures perflorooctancic acid (PFOA) demansirat numerous dosedependentgrowthand developmental ffocts `which appeared to worsen ifoffspring exposedin utero nursed fromPFOA.exposed dams.Toevaluste thedisposition of PFOAinthepregnantandlactatingdamandher offspring,time-pregoant CD-1micercciveda sin0g,l0.1e, 1,or mg PFOBAW
dose (N=gr2 oup)5 byg/ avagd eono gestas tione day 17. Matemalandpupfluidsand
tieswerecollevcetrteimde. Pupsexhibited signifbiighecrsaounmtPFlOyA concentrations thantheirrespectivedams,andthei bodyburdenincreasedafcbirth oil least 8 days od, regardsofdose. The distributionof milkserum PFOA varied by dose and time, but was typically in excessof020. These data suggest that milk isa substantial PFOA exposure rout in mice and shoukd be considered n risk assessment modeling designs for his compound.
Key words: PFOA; serum; amaiotic fd; wine; milk; mammary glands dosimetry; disposiion
202009
Poge 30132
. EE RR EE ET
nr OR RE
4 | 1Introduction 2 Pefloarcid(oPFoO)ci umemnbercofitheprforsiysid(PAR) 3 familyofmanmade,Morneorganiccompoundswedin maserofconsumer 4 goad ndindus srfciansdu to tei rss ndwater repelsproper The 5 1s Of AASinmanycommon aplcaons,schassaireelsforclin, 6 cameing, ndphir, and estab ofthe bn: ornbondhav made hem 7 ubaiuthtcoovironnmesnt. The predominantrueofexpos inNorth Arian 8 and Europeanconsumersis iklol ake,nin drinking trwieinlaion 9 andderma sorption compris routes of esr exposure [15] 101 PPARsweprien,readily bird,nokknown obcle,and re 11 poorly clminted,withbelies in nasrnin rom rvghly 8 rs (24. In 12 fctearihmedicad omericmeanbal esoseameliminationrespectively, 13. were 5.4 yer[9574 confidence nev (CT), 3.96n5d4]38 yas (55% C1, 405.5) 14 forPROS;8.5yeas (99% C1, 6.4106) a 3years (95%C1, 92 or PHS, and 1538 yers 95% C3144)00 3.5yours 95% C1, 304.1 or FFOA 4), 16 These characterises od1 crs concer hepototisl es ik of 17. PFAAS in.program oreduceproductsnd cision contentofPFOAad ted 18 chemicalswasrece nid[1 PFAAS ir continuallydetctedworldwide nbs 19. ha adwnide samples 3,6.)A ent analysisofAmericanRedCrossbod 20 donorsindicaeadutcteiodn of60% nbd perlcroctne slant (FOS) and 25% 21 inblood PFOA eves between heyeas 2000 nd 200610) However, wie he 22. prodocion ofand poten for bmn nd wife exposes ces PEARS hs een 23 reduce intheUSin cent ears, pot cles thtperi compounds roced
202009
Prnacrs
.
vs
s 1 inoberconti ink contin 0 lctherin he USmketplce inh I--
3
Muchoftherecenthealtheffectsresearchon PFOA in mice,commonly
4 associatedwithgestationalexposures of 0.01-5 mg PFOA/kg BW,has focusoedn
5 developmentloicie sua deccreahsed maweighr t ain, aheed ecnatl 6 survival andbodyweigh a well str sft ucha ober delays, mammary 7 gant sbooranmdcasiviwecigsh , gain, 11-16,Batyposadtveraells cbervaions promptedsiscamisin th fect of PFOAo semanand 5 health lftof the singoffiWnhigt,l(14) decribedredued pilin
10 differentiatioonn postndaay(tPNaDl) 10in mamgm lana dsor fCDy-1mousedams.
11 exposed omgPRONEBWfomG11, wellsdelaysin tt vovion 12. and shermicns in milk prongs cxpresion an PNDZD In sion mle offing 13 ofposeddams displayed sumedmammary pte ranching nd grow on PNDIO 14 andPND, cross.foster studyliCnD-1 mie, Wolfetl.(16reportehid 15. although i er xpos 05 PFOA BW rom GDI-17 inthe shen of 16 actatonsl pose vas sffcint doc postal body weight dfs and 17 dexclopmens ea, pp suv rom bith 0 wesin vs foci aly n hose bh 18. in beroan tmtonaly expos. Fuhrer,ren suis 15 ave shown that 19. uncuposcl scones ctrl exposed PFOA quickly desloed mammary gd
20 growth deficits and that control dams nursing in utero-exposed pups (dams exposed via
21 pup grooming) demonstrated slowed differentiation oftheirown mammary glands that 22 was evident in whole mount preparationsof the tissue by the 5dayof lactation. These
220m0 Pagosarsz
vs | ERR RE TERTARR
` 1 els spp oe fo pid action) desclomen ad posi gic 2 ciation anotf PReOA iteahscratyigroowneoffefts 3 Toeotwsem forpotatel prensasnd eon possin Buseshs een 4 red hebthe ctionof PEASin hnbeat ik ndcord bloodandte 5 developmen ltdoutcomesss vith hi ese obserd vations. St. (17) nied 6 arog oF47210 nL. (0.047.021 gf) PFOA in 19 samplesof rest milk on 7 Chics womenPFOAwsdetect anyon f 12 human ilksamples cole 8 from 199.200in Swede at conenoft492ryimo04n92 gs 15), ad 9 mean of 438 pm (0.004 mms repre fo5 US, breast milk samples colloced 10 200419) Twastoi cknlydined negiveassociationbtw PFOAnd 1 grow nics in chide with motion cond ser lel of. gh PFOA in he US. 12 (20130456n/nPFOA inDemat (21) Wie olyonesplwsfound 0consi 15. PFOAintheKron . (8) ny,these recs epored siganmiko
14 serum comelation (r* = 0.7-0.8, p<0.05) for other PFAAs detected. Furthermore, Tao et
15s. (19) vga tht hese mybeprerenial prinof PFOA to milk compared 16. 1 olber PEARS and so indicted tt omenwh wer asin ore frst me 17 exibie 19% ighconcentciofoPnFOsA in rest ikth women wo hd 18. mused previously, atough ine dividual varinin, daily ilk ouput nd ilk pci 19. concntwerranodoakne toconsiders. Toe nlysy htbas cated the 20 issbuioncosfcint of PFCs ewes bad sd mili anil models was 21 harmocokineie soy ofpacts nd actions anspof PoROrA in (2) 22 Although male rts rc Known have sro PFOA Ral. fly fw hos 2), 23 uni mie which have ofshut 15 dys 13 he sty 122) iced
220000
Page 6 of 32
CR TREE
eo
, 1 emeicromiinpvetpynyfeonesiosteeraies
nepnenan nipt nne ot + Frmsonmt itnmr--t----m----i----n 6? A eosin -------------- supporttheneedforcxaminiagthedispositionofPFAASduringpregnancyacitionin A 2 sumetontrrA i, cat ne 113 mbeytts ,ttftom es4o,lFTdOofe seeteeiet A A A A - "-
--
Pa7gofe32
ptt
5
1 2 Materials 300 methods 2 2. Chemicals 3 PFOA (ammoniumsal; >98%pure),usedinanimalexposures,waspurchased 4 from Fluka Chemical (Steinheim, Switzerland). PFOA was completely dissolved by 5 agiationindeionized ap water,inwhich PFOA wasbelowthe levelofdetection (LOD -- 60.5 ng/L.for water),andpreparedfreshjustprior touse. 7 8 22Amimals 9 Alaiastudicswereconductedssapprovedby the National Healthand 10 EnvironmentalEffects ResearchLaboratoryInstitutionalAmalCareandUse 11 Committe. Confirmed timedpregnant femaleCID-1mice (r=100)werepurchasedfrom 12 Charles RiverLaboratories(Raleigh, NC).Pregnantmicewerereceivedatthe US, 13 EPA's Laboratory AnimalCare facilityongestadatyi(GoDn) 14 (dayofsperm pitve 14 designasaGtDeA)d. Uponava,mice (appr12owexeksiolm)waeretweieghledaynd 15 randomlydistriambonugtPFeOdA eatmen groups.Theywere housedindividuallyin 16 polypropylene cages with Alpha-ri (Shepherd Speciahty Papers, Kalamazoo, MI) 17 beadndndesinig manterigal. Theywere providedpectedchow(LabDictS001,PMI 18 Nuiton Interational LLC, Brentwood,MO)andtap wateradlibitum (both contained 19 PFOA at concenuations below the LOD). Anima facies were controlled for 20 temperature (20-24C) and relative humidity (40-60%), an keptunder a 14:10: ight 21 dakcycle. Mice (r-2SHdose group)received theswatervehicleo asingledose(0.1, 22 1.005r.0mg/kg)of PFOA (in water 10 ug) by oral gavage on GDIT. 2
2202009
Page Boi 32
,
t1I 2.3 ttmra---- Animal Asseasnds Sammple eConlletcts ion TA
A1DI gnath,f tn e DYE.m.o .d c1c5.0ndOotke ,eeoite
osiir6 i--m--i--r--d--hro----h--d--ra--y
7 tr eens meROeo T ist I fr Ltr Amase er
raetrieneAats a
11 -- hr--tecttrsti oot i ra
ST,
SR)
15
ceeeric
cao rere
mc
te et en
to
fr res
17 18
retkye sm e t eemtm rertt oypctnenns
megeaA----------------
2 tkcatesrmrnr t loiai nsetcOi,
7 Senet
Hatt tmentten
sms roa
p13
FEE REE TIE a
0
1 cololnPeNDsc2,t8,1e1,adnd 18 following a 2b separation of tepups romthedam 2 and an oxytocin simulus. The milk was vacuum aspirated sin low, pulsatile pressure, 3 into 8 pre-weighed microcentrifuge tube. Collocted milk was weighed and frozen uni 4 analyzed. Biologicalsamplesinchingurine,damandpupserum, mao (id, 5 mammary isue, wholepup,andmilkwer analyzedfor PFOAusing themethods 6 described briefly below and in our companion paper [24]
7 & 2.4 PFOA sample analyses Briefly, the analysisofPFOA ws performed usinga Waters AcquityTM Ultra 10 Performance liquid chromlography sysem interfaced with a Waters Quattro Premier XE 11 ipl quadsupole mass specromeer(UPLC-MS/MS)(Waters,Milford, MA). iter 25 12 or50L ofserumandamaiotcfluid (50 kLwedorcon), 20 Laliquots ofwine 13 andmilk,40d300Lofpupormammary tissuehomogenateswer ulizedassiring 14 material for these analyses. Samples were extracted, purified, and concentrated os diluted 15 exactly sdescribbeydReineref al. 24], 10-40 uL. ofthepreparedsample,dependingon 16. the concentrationofthe original exposure, was nected and un on the UPLC-MSIMS 17 (24). Refer toReinertal. [24] for method performance and quality control cps that 18 wereperformed t insur theprecisionandaccuracyofthemethodsused.The limitof 19 quantitation (LOQ)forthese experiments were ng/ml (ser), | ng (smiotc hid, 20 urine,milk),and | ng/g (whole pups, mammary issue).
2
2
2
2007009
Poge 100132
. i1 2.3 am---- Urinary creatinine measures ----------TT--
3 urine. The QuantiChrom creatinine assay (BioAssay Systems, Hayward, CA) exhibited 4 anLODof0.10 ng/mland waslinearup to 300ng/ml.Thirtywlofeachurinesamplewas
5 wemtm------ preapndeavalruae teddat 510nmsingolriyn dup(lfivieducpliacattespeers set of 20 .B#"5+S m OStrr--itt nm--stteS--eefr tsr--ei--os--n--t----T--O--tNea--et----s 7 variation (CV) ranged from 4.0-6.8% and the intra-assay CV ranged from 0.3-16.1%, .-"*"#lseom O e memei--tT rm--15--31-- --t--_-- e -------- ----n---- --e---- 14 (ng/g; mammarytissueandwhole pups).Serum,amniotic fluid, milkandurinary
-- --
pts ER EEE TT E as
2
| Res 2 3 Bloc Otome 3 Thisth ftsty oeponsinhe dose isposonof PFOAinprgoan and 4 tainmiceandtherffi Thedoses chen er basedanprevious epsin
:
5 CD-1mice 3, 14, 16]demonstratingdevelopmentalbealthoutcomesfollowingmultiple
6 gearsPFOAexposures.A singePFOAexposeon GDI di no afc he
7 numberoffive ese on GDI), impltaion sics, lvebo pups on PND) ox
5 dam body weight dt ot shown) Unlike dis sing mali gains PFOA
9 exposures (13,25),therewasno changeinpup bodyweight,damliverweight,and dam
10. er BW ros, wl he PFOA dos ans adminis is soy (Fig 1), The
11 risein damliver:BW ratiobetween GD18andPND, whichpersisutnetidlweaning,was
12. due othedmcdecreas inbodyweightot aon, is singletgsaon 15. PFOA expose fied o chang mean vrweight speddame,compared 0 contol 1 vac, ot ny me vated. is 16.3.2 ROA Cocenvatns Piro Birth 17 Themenconcentadon of PFOA inthe mio ida serumof he posed 18. dam 24br er xpos i show (Fie 2 nicTui cols average 3.8 gh 19. The svrae concntion of PFOA detected nda serumwassbowt wie te amitic 20 hid concen t cach dose cvautd amit uid was 6.3, 1.5, an 40% of 21 damm levels 10.1, and mg PFOAg BW,especialy. Acomparisotne 22 amoouf PnFOtA in an cote GDI fetus body idenpupsstadand ror ofhe msn 23 SEM Figure 5 tthe GDIR PFOA concen namie id (sgn suming
nono eo 2022
. CREE
p16 EE TRTEERTe
n 1 tt volume) eves 2.3.3.1,ad2.700 cress PFOA inthe pupvee uid 2 inhi was contin n ro fo 01,1, 1nd mf os rope,respec. 3 4 3.3 PFOA Corcenvatons inthe Dams s ThescumandwinePFOAconcntionswere vatedindams htwere
6 nursing littersofapproximately 10 pups (PNDI equalized; minimal pup loss over time).
7 hs capeted, da ser coined he ighst PFOA cantons of any mats 5 cvaatd, epicsofdoe Figure 3; serum cons <LOG). The is in ciulting 9 serum PFOA with ceasing dam cxposrs ws proportions ote change nde 10. delivers, eps fsa of action i man 99-0 snd .- odnas 1 betwee0n1-10 mead10-50 mpg expose,epecively). 12 AonPcFOAiexpiosurme ofe0)my produced an vrs damseam PFOA 13. concemiation (Figure 3A) of 44226 nigh a1 24 snd 48 bales xpos, respectively, 4. hich was edd 1 30 vegof4 ng ca th peak f cation (PNDS), and bd 15. iscomcanaf123 g/mlby DIS, ie whe he pp'primarycarenshe 16. cam fom rodechnot nd nt ik The U-shaped seramconceuvneaotbsierovend 17 inthe .1 mg PRONG dose group was alo presen inthe |ad mh xpos 1 gu 19 AsshowninFig (0G;control rin ndmammary god PFOA <10G),
20 although the concentrations of PFOA cannot be compareddirectlybetween serum, urine,
20 ad mammary Guede tthe iffnce nis, i ws det ht aches PFOA 22 was beingexcretedindumwo tha was rstind sum, ndtamammary 25 dome contin considrble suntof PFOA, Whe U-shaped response in dam
270009 Pao 120132
F AEE R R
"
1 excretionofPFOA (urine) wasnotas pronouncedasthal ofserum, mammarytissue:
2 demonstrated astrong U-shapedresponse,withthelowestconcentrationsmeasurednear
3 thepeakoflactation,anda significantrieinconcentrationsppareotagainat PNDIS.
4 (p<0.05).
+5 rv om----i --or----e --errr--n e--n--r--e o-------- `Whenaspirated milk PFOAvalueswere evaluated(Figure 3D; 1control >LOQ), A 3 siksre---------------------- A BE RTA Aer are? J+ bwee--P1--0)--eg------rTn--c--t r-- = --s--n--i--rai--me------s ----"--i----n--m0 + cmormmee------------------r--s--t----------i + Patterrsamon B sesssnem--m--------------------43--" 70 Fc--n--mo--neao--rn--eo--oar--sSre--petee--te
-- peat
ERS
pis
TI
EE
1s 1 pip erm PFOAcomentionswersignifybigher han hoe eared nds, 2 regal of dose(0.05). houghppspss stil highersumPFOA 3 concnrionthn am he ifieceinppaddamblood ole hsesagsof 4 pop development sr considers, Regsof hose difernces bgt 5 cimalaing PFOA inpups refed increas expos, proportion doe 6 uoughout anionic. ean 10.404 0 43. mrssbene 1-10mp 7 0d 1050 megexpos pete), 8 Unlike heidam,pps did otdemons Ushapedsr PFOA
9
10
cohneceanvterantgieoancmurevers(mFiPguFrOeAc4Bo)c.PeunptsierounmsPaFvOerAicoen,cenntirlatNiIonDscownthineuedhetpoeuxpcaeedd
1 damconcnrionspoche 1:, When he PRO concen (sg)vascai
12. inwholepus upand on: Fg pecs) deinein PFOA concent was
13
14.
odfettehcetepdopvsewratsimseh,eancriostsacloldsolseersm.iHoonwtevoecr,wuhetnteheralpidalymincreaosfinPgbFOoAdyiwheieght
15 coasnshowntin Feie 1), completely dren rendwas med (Fire Sight
16. pach) Regs of pone dos, PFOAbodyburden (cused orweigh rose
17 ough hepeakof tation ddbg 0dein by NDI, desing
08 incre Ustedcurve,Whentheainistred PFOAdos ndmessedoy burden
19. inwholepps (dyweight ake itef)were compared seaiid
20. PRONmeanred PFOAmio was longerproportions sgh con, ad like
21 termi spud oda andpopsam PFOA.Me oyborden ios of 13.2.0
22 11170)a0 43.0 ong 25.1) cessbetween 0.1.1.0 mpgand10
3 5Omghg cpus, pecivly,wee dmind,
u
2200009
Page 052
pis
1 | 4 Dicusion 2 Thesdoconim non concen bsdcomparison, gna 3 PRO exposed pups xii significant Lares seam PFOA od than tea, 4 Th bani erm PFOAkdinops was vdt24braf single cone, sd 5 was apparel dos o bod ore (spc) str. Anohermportdiocry
6 istheU-shaped PFOA concentration overtime, regardlessofdose, in the dammammary
7
tissesruuem,,maildk,waansdseevirduemn.tT0hissunirquceiPeFntOAinrheespdoansneswaisnyotdeextcercetteidoinncpuurpvseosrHpuopwer
9 whenROAbodybrn i ol ipws he itofmeasure ves sap
10. curvewas ppt, nd he PFOAbnpusspropos ccs doe tik
1 bome PFOA nak,
12 Thdctieincometcteoninnthemilk,marosyandsen Used
13. curve is ypthesized bed 0 yoGition soc with ces lodsnd
14 milk volumes. Svenpysloiaconditions re changed during tain ahve
15. benwel document int 0 ict etomics ei tion perdi of
16. sameeng. Adecease nolplas roti due to res od vole, cards
17 out, nd bod owtcrti iss chs hemammary gladhsbcrepre
18 int (26,27) Elev od volun be bo cased sma vl 27), Mik
19. itd 9) intsws por 1 echspe by PND 1027)ad he tammy
20
21
gland reaches
sis om PND
its maximum
S.15. Kot m
size (a5
arry
% body weight) by PNDIS 26),
gad od fo nd volume of
with
ilk
prod sc a steep rise in.
22 dicly etd, when mer on PNDLS (26) Tou sna prin re lover in
23 tio shot os msdn ncn is 27), in has, een
2000009
[--
p20
n 1 bums concentration decreases ding pregnancy and aly ciation (28) Farber, a 14 2d postpartum,thecartaottofactin biswas 30%highstanh in on
3 lactatinganimals,andthemammaryglandwastheonly organshowntoincrease in.
4 weigh live to body weight [29 5 Abough complet ctof dathatcouldadresthe nateonfor he Us 6 shpedcurvesdrogavasnocollectedi thissay, he pried ilkweights 7 deve dramatic crs ilk vom sumed oe to weight hage) om 5 PND?up tbpeakof ction(PDI),Thisdramatic hinge i volume (weigh) 5 may cp he drs in lk PFOA concent se between PND? and PDI 10. PFOA seo spears concn inseruman ilknar heedof tion (PNDIE, 1 for cxampl) when poss cigmorschowsnd scl ssfe. Mammary lad 12. blood howbasbenreportedto dese byhalf 24hperiod,whensuckling 13 offing ar removed fom he dam 26), snd his lin amma lod flow is drcly 14 sso with cs cas ouput 4% lo flow udbytemammary lad 15 Toistudy prciptons drop in weigh of milk lected beente peso cain 16. and PNDIS was nord, dieing apdders nikvolume. Terrhe,U17 Shope aedmPFOAcawvr perosse bedivbeyphysiologicaldionsnd 18 conceniion fhe PFOA lod ver the periodof actin, aching ie reset dition
19 ator nearthe peakoflactation whenthemilkvolumeprod bytuhecdaemad nd
20 consumed by the pups is the rset. need consmpionofmilk up 0 PDI ily 21 diol conned othe sccumlationofbody burdeni the pup over is sng. 2 Aspifan consbofuiikohomne PFOA stern CD-1mic was 23 detect in these dics. Previons epost [2] ad humans (1) hve ested
220m009 Pago 170132
RE EE
= TERRE TE
i 1 he dam PFOA milks isbn ti as 0.1 and 001, respectively Tn he 2 prsotsy,the dissbution oange om ilymere han 00. i ice, 3 depeomndode,iwinth ghe owes doses stddemnsiztingtheihe os vr 4 time. milk PFOA concentrations bd ben mesure es he eso tao nly 5 Gy 1, be 0.1 milksers disbuion stmt previously pore for rs nic 6 lctnion 22]may ov so been rsd ein ie However, twopeesig 7 lotion ay and) spikes fcrmil seu tis ppd, regards of doe, with substan ek nikPFOAconcnraoson PND2. Alboughvolumes 5 ofmilecnoughto porto ayiamesses pri 0PND?wer sbi ob 10. ane, we suspect,basednthe sipifcnt PFOA cocenraions he NDI 1 mammary gan, ht substi ilk PFOA cocewnoudaaiv boes ncvisdnt on 12 NDa welIlpm,sl ue to being condensed insllmilkores. 13 InprveoinsboyLna [s13], Wol [16], Whi (14) andcoworkers, ders 14. body weight ain and const marly were cident an sever dy sf ihn 15 CD-1 mse itergesationally posed 103 mg PFOA an higher. Int, n 16. crossfoto say 16) demanirtingdese bodyweigh gai tSmg om in
17 utero exposure only, significant decreases in body weight gain were detected in the 3
18. mhdos rou nly whe nro posedmiceweress lowed ome om 19. PFOAexpos dam. Ev at me, here was no evden ofdeseppbody 20 weoir cgonht morality nthe curen sy, lewin single gestation PFOA 21 expose,Our PFOAmsc inwhospps dicate hathe OAbody ren 22 accumils incl i, nd begin dis pps mare, pe ei yc, and gin 23 oct chow nd ink water, Oedt snd hos demsring deletions ek
2202009
Pog thr 32
v.22
Fs
ETEIE ees eae
1 outcomessuggest thtthe ilkofstrayPFOAexpose micwas mor sores 2 ofconimd expo to his compoundfore developingpps. : Asexpec, arg iffecce indam andpopsumPFOAconcent om 4 hse previously reported (1, 16] wre noted an hos difrencosbog igh te 5 isu fig vs. multiple dos Kiet. A oe fos PFOS, single dose Kins my 6 ifr substantial fom those involving reper oss (30). Connon dependent 7 changesi cernce canes indisraisbeeen silan repeateddose. + kios 9 limi umberofrtemilgil ses hve revealedasocnionsbeween 10 heath ces ithweight,hedicumtrence) cond lodormeatsem
11 PFOA concentrationsinbum [20a ,21)n ,whs ileotherstudiesfailed todetectassociations
12 wil tr developer miso i fs 31), Sve sds hv mow messed 13 PEAASinhuman ik 17-19, 32,3), however oly oesoybas bsnl 0 14. apposite th milks latinsof PFOA wants 18) The report 001
15 (1/100%) relationship was determined from a single voluntarily contributed sample at 3
16. weeks postpartum. Acctheoosueinstu PFOA diibvue imoetnt
17 wereport herein,thevaluesreported inone hum(18a)anndrats (22)maynotbe 18 representativeofthe PFOA distribution to milk throughout lactation in those species.
19 Inconclusitohens,sis confmed and rer ened consider PFOA 20 capone to moe offing ll sine gestions pon. They sho 21 demand he camila hcl ove me in whole pups, ic ily css 22 fommilk home PFOA, 1 xpos ho bd prvisly ben caplet ascii 25 other A singe 0.1 mp PFOA expos bo prean mvss nocd
2202009
Pao 0122
EL
acterEbmanuscrEipEt
+ST rem------------------ ------ ...3+4+;.: eTrwn reem--r--it----ar--te--------s--T---------------------- 3 accidentally exposed via DuPont production plantemission (34). Becauseofevidence: +14 TvemreamTosCt--G------------------ The authors would like to thank Drs. Barbara Abbott (US EPA, Reproductive Toxicology
16 EPA)fortheirconstructive criticisms ofthismanuscript.Weacknowledgetheexcellent.
17 careofthese animals by New Year Tech, Inc. (Restin, VA).Theresearch in this article.
18 has been reviewed by the Nationa) Health and Environmental Effects Research
19 Laboratory, US Environmental Protection Agency (EPA), and approved for publication.
*-72 --e ive--- ------------ 20 Findingsinthisreportarethoseofthe authorsandapprovaldoesnotsignifythis report
roman
p24
S BR RI EEEREET STE INEEE Im ee eee
2
1 References
423 Sth[1e]waprdsUihSi.p.PErnovgicrrpao.mngmobevynitoAapdlpmtPirinonitiseptcfrtoiaaotlnopruASbgtseelnppchfyeo,snAsLi.enJwoahrnndssoaohnin.p.u(A20con0ef6et)schsAeev2eda0i21lm30a1b/2le10e50aP9nt.FOtA
65 7
L1a2u), GWM.EOAlenn,J.dSceedLLrn.BduKst.eBne.bWoafnltlSa,.cCe.,CPheafnogr,oDsGl.iyFaarcmaird,sGaLn .rKeoeendncehJedrm.yiCi,.cs-
58 -toxicokineticsandmoodfaectison, Toxicol ci 102 008), 3-14,
1111201P30e)r0f7i)vo,rCo3.a6lL.ka3yul9,4aKc.idAsn: itroleCe,.oHfvomdoneiistD,o.reLisnig,awAn.dtPolxaicboelosg-icHaul tficndhiaenngnds)s,. TSoewede,l Sc, 99
514 15
(B4u)tcnhoGfWfa.ndOLlseRn,ZIoMbe.l,BuHrail,Df.J.oEfbsveersummaenl,imJiWn.tiFon oofpceihoAroMlo.citSaencaecsahu,fJo,Ln.ate,
1167 1s
pwoerkrerfs,lEunvoirroonHbeaelxthaPnearensdpspeecurtf,llo1fr1oo5on(c2ta0a0nt7o)ea,t,e139i8n-r13t0r5d. flaorochemicl production
221095H2)u5n1g2er6bD.u.blTerr,udEset)iL,m.atHionrgocwiotnzs,uMm.eWoexrpmoustuhr,e1M0.PSFcOhSearnidnPgFO,T.AC,oRuisciknsAantn,d2K8. 2008),
22 24
(Y6a)mashiKtSa., SGpecuis-sPnpMsi.gfMcacneagoe,,nN.cYaemoafnnpaektrsiSv,r.orMoaiaylaytzlacikonit,o.amTinnaannstis yinaanfsadru.m and
225 pet animal in Japa, Chemosphere, 73 (2008). 5210-215,
2218 29.
[oM7ta]hnedrelo,rGHo.icWs.htoOerlmiscieaclna,closHm.piYan.rhiuHsmuoaannnogf,blpKoJoe.d,rHEelnlvluisrooouenrrH,oeKa.olJt.ch HPiaenrassepnpneec,cftlJ,usL1e.ru1o3Bol(cui3fa0tmo0o8cnn,tnea3.b3at9nao-dn,3fJd4f5.
3332118T)anabe,1PTeKorKlaonnva,n,oN.rKajoaiwnadorrae,csMiMtd.fuaCoorosncthaeGc,m.icFsaillsluminaslninba,.ftrToasoksaeshn,aslhetipahncedn5t.
3343 s0e0al6,)p,en7g6u4i2n-s1,64an8dpolaskuas fiomthe SouthemnOca,Emviron51Tochmel40
33619) 37 Li,
JP.
LGiWes.y,YeKuSn.g,GuMrXu.geSoan,dG,PXJi.anLg,aSm,
PTearnhoiryoaocsNt,a.ncYsaumlafosnhaitetaMa.,ndSroenr,eY.
Wu,J.
3398 7Mu1o5r7o0c,hemicasin human blood samplesfrom Chin,Emon Si Tena, 40 (2006),
04) 42
R11M0.) HGeWr.on2O,l.seMne,dDhCd.izaMadierh,kTaRsh.iC,Bh).uNrochb,ilME.tEi1l.,iRoino,s,W1K1.. BReuagtene,sTahMn.ed1lBo5lyd,
443 45
AZ4o9mb8ee9rl-i,4cD9ae9nc5lRiendeCirnopsesrafdullutoblroooodcdtoanonrcs,su20ia0fn0od-o2nt0sh0i6ec,rEpomlyoTanorSoesftiToelchcnhoe,m4i3se(20108),
2002009
Pogo 210132
ns
fCrR
TE STUE E E EEEEe ara seCo
| 32
lL Gob Chugokefrsprztpaatots openes [11] JLButenhoff, D.W. Gay J.Al .Moo orer,G, .W. OlsenJ,.Rodricks, J.H. Mandel
&547
perfluoro
e112r]roC.
ocLtanasoaJwitLes,RaBenugurlhbToeoxsildcfolna1PnMihda.,rRmogaTecroosl3,oT9,Ae(p2d0p0te4)Pv,h3ce6v3l-mo3a8pc0.lmt1ee9nnc(t3ya0o0lf9,
231241
5
190 L[i1n3d]stroC.mLaanud,MJ.R.JTShtriynbaor,dEeffaeucRtxsG,o.fHpaenfshouno,roMo.cGt.anoNiacraocitdsekxJpyMo,s.urRoegdeurrsi,nAg.pBr.egaancy
11 inthemouse, ToxSci i,9c0(2o006l), 510-518.
1143 1156
P{tMF1n04dO)t ASeexSpySo.s,Wuhre Aeio.,fmLAicMiTe.m rinsCiaoooss3lo2c1ai5.a.a ,9te6hdKw(ui3kbt0lh0ea7nol. ,yt1te5,.r3Le.1dm9WVa8om.iomldalrnyadg,lSaELn.DdF.deeZvteolnopeLGmeenlto,ifnmd,]ams
110583 30.
[1a5]rWamlyt5.Bg.WDoh.idtAdebobKrotKsceaptnmo,ednL.aToFdJeino,5,.1iEBfiifesno,fpAiMr.egCraooeam,avnEPe. oHirdtoinwLmdPcoSien,k,
%21 restrictedgestational exposures, ReprodToxicol(2008).
5213 Se
hada [16] CJ. KF Da 5.Whe Wo SE.lFenf ton,, ).E. Dre Toner 53 2007,
CS5c.hmLiadt, 4S
aAn.dM.BC .. a Arbl ebZr.aDKuf rkloea ngyit ek,Xn, .A.oBrnyayntoJ,f.
33558 (1o11atMhKs nSw08aYommessehit,. Tanayraos, Q anP,eIrP.bGlyc,Ko.nChenand PK. Lam,
550 west rom EvoutenChaError36 Teil 30 B06 254392.
33335255 Ll[i1ta8m]htthecPnhAoe.drdKsa6oimLnrana1ndn1,s5itIk.o2Em0ar,0inEcd7sxos3npe,3o6B2s.5aev0na,ondfBpavcrelip,Ps.rOe.edDnadmc,eorm1ui99dcM6,.1b0A0uo0ngc,hSAw.etGdleanyi,nnnE.S,n.vreosn
53353%01C1So9mepvoLuTenusnm h,amKaanmmain, CroMm.MWonag,KsF.sAvUoSAa,ndEn1r.oBniSenoboftn,Pter4f3or3000,
25o3120(NeF)uOtSamBmJd.anAdeLpRr.eCsoFbRta.ne,WiCeorr(,Pd1F5Oe.rmHcootnicsmo,ustAiooMwn.eiCogfhapsrotl,wsoRUne.caHonalhen,EoLrnLri.ocr
55 rath spe 135G00, TONNE
0m Poo 220132
p26
E EE ERTE OTE T SERE E E eR es
z 12 2p1os)luorCFiei,natdchIeKm.icMaclLsa:ugahsltiund,yiRnEt.heTDaraonnicsahnNdatJ.ioOnlacloi,FtehtCaogbroow,thAmindJicEaptiodresmainodl, 3` 1682008), 6672. 5& (Jr2.2P)erfPloMr.ooHciinadnoeartl:ePrlEa,c.eMntayl alndlcacSt.htAi.orGnaalnenaonnes,p1otr.:phBarmuacoekinaenntdicGos.Li.nrKtesn,nedy, 78 Toricology, 211 2005), 139-14. 105 di[s2t3r]ibutJiPo.n,VmaetnadbeolHiesumv,ealn,dBLl.imKiunsahtikiiosn,oMfJp.erVfhaonroRocaifaneoilcaagcnihddiRenEmm.alPeetaenrdsofne,mTailses:oe: 1n1 rat, J BiochemTosico, 6 (1991), 83.92 1143. [L24i]ndJsLatnRrdeioMneJmr., SSFu.ynNaark,aAynaamlyas,isAoDf.PDFiOnAkny,doLsPe.dSCtDanIkmoi,cSe.:E.PFaernt1t.oMne,thA.oB. ds 1156.. tdheevierlpouppmse,nRtepforrotdhTeoainacloylsi(s2o00f8)i.ssues andfluids rompregnantandlactatingmiceand u1n8 [25] BD Abbot,CJ. Wolf, J. Schmid, K.P. Das, RD. Ze,L.Hefan,S. 2109 dNeavkealyoapmmae,ntAa.lBt.oxLiicnidtysitnrotmh,eMm.o.uSsaeyinsadreapnedndCe.ntLaovn,ePxperesshsivonoorfpoeorocxaiicsiaodimnneoduicecd 221 proifeato activatedreceptor alpha, ToxSci,9c8(2o007l), 71-581. 2243 s[u2c6k]lingAo. nHmaamnmawraenybdlJlLolo.dLifnlzoewli,ntThheeerfaft,ectsPohfeysn2ig3,3o(1r973wg)i,te1h1m1mi-l12ke5a,nndotf 226127) K. SuzukiH,. HiroseR,. Hokao,N. Takemura and. Mooyeshi,Changes of 227 plasma osmotic pressureduringlactationin ats,VetMedSc, 55 (1993), 561-564 3209. d(u2r8i)ng aMn.dDaefatner,pBr.egSntaonccky,iRnJ.hPumaarnss,oCnloinnPdhGa.rLmeavcyo,lSTehrro,m 2p8ro1s9e8b0),i2n53-d2o6if1.dnrogs 332 [29] CS. Jones and DS. Parker, Mammary bloodflowand cadin output during 3334 iPnitihatedyi91nvso1l9u8it8i)on,o2o1f-t,2he5m.ammarygland i herabbi, Comp Biochem PhysioAl Comp 33s6 [30] LA. Harisand H.A. Barton,Comparingsingleandrepeateddosimetrydotafor 337 perfluorcoctsne sulfonate i ats, Toicol Let, 181 (2008), 148.156, 3409. (fe3t1a)l grCo.wF:e,asJtKu.dyMwciLthoiungthhelDiRa.nnE,ishTaNraotinoenaalndB)i.rtOhlsCeonr,Pte,rfElnuvcirrnoanteHdeaclhtehmiPcearlsspsenc,d 421 115.007), 1677-1682. 444D3. (T3w2)ardW.elVaoU,l.kReaOla.bGaenndaHe.l-FBroormomvei,caPeenrylH,o.rDoeocrtuamnccslumliphrCo,.naGteeb(oPuFeO,SB). nKodletzko, 4465. pEnevfiuroornoHoecatlatnh,oi2a1c1i(d20(08),P43i0n-F4h4u6mOanbeAastm)ilk: resof upillotstuds, IJnHytg
2202009 Poe sols
RR
REVY T SYSTI TTENT ROSTE AE
;
:H D 501 Er SorIR SS tbe nEgreormi k lLo--,
8I:e 01E 8 pen em StT tenmeetefsa C tGeoa rp Blen.
1 ii13
EGEs See,Po Bek BT pl Elevated Serum Leptinand Insulin, and OverweightinMid-life, Mo Cell lEnde ocric nol,
"
os rns
ERT 7TES EE OFCsabasa
2| FFieguvreerlegePnds: eA tes Tn + mente ---- chr
5 (GD)18 (not shown). (A) Dam liver weight, (B) liver:body weight ratio, and(C) pup 6 bodyweightovertimeornumbersoflive pupsorfetuses(notshown)werealso
7 uncbyh asia nglenPFOgAexe posud re. DataareshownasMean +SEMoras amean
9 Figure2. Compaorfigesstaotinonday (GD)!8damseanr damu niom ticfluid PFOA
H # Feet oa vetn mett5et BreFeirereetms boannis eosmanos 10 concentrations. PFOA concentrations were significantly higher in dam scrum than
13 in dam serum (A; ng/ml), urive (B; ng/g creatinine), and mammary tissue (C; ng/g tissue:
14 weight)onpostdnaayst(PaNDl)1, 4, 8and 18. PFOAconcentrationsweremeasured in
15 wodm tm bra t ete aspirated milk samples collected on PNDs 2,8, 11, and 18 (D; ng/ml). Although pancls.
17 conccure vepn rest enir ndaa mset rumi (rego ardln essofdose)wasalsodetecteidn
5A3 viine------------------------ 18 mammarytissue andaspirated milk. Dataare shownas Me+aSEnM. "Denaostineglse 222 eTiisn----------------------r concentriantpuipovsn.damser onuPNm D]wasnoted (p<0.0v:5v;). (B)Pooledpup
anv nz
I : i ------Sp o ------
A ---- 4? detb--a --itor--h--e--m ----e--s represcatativewholepup(pupandblood; ng/g: eRpancl)fromcachliner. Although ?+ twevrea--------------------------------r--o -- - em------------r "4
sev tas
p30
Figurea1s.
(A)-- DamLi-- ver Weight
5
3
28]
1HEA
fR A YA
9A
2sof i[1] i
igZ A
iiagA
EAZ4
Conrat | 01
'
s
PFOAExposure (mg/kg)
5
(B) Dam Liver:BW Ratio
g
zg'
2
Hl
% 7 AR 7 A A7R 7
Contot PFOAotExposure (ma+ke) s
(C) Pup Body Weight
.
5ge
A
ag
7
PA
1ld ecAt mmld A oA1ed d Control PFOAorExposure (ma3ke) s
Po27o01n52
TT sii
Figure 2.
2-2fem 7:2mB e000 & =-:3000
rons ro
pwns
EER EE IE TE
--'
a
1
-
"
o
BR
Nl]
RA
MoT
N
mon
i.
= mil
"I
EEllJMLUEME el:=leen|<L1 RliL.e
.
[--
-
-
= lg
EE
.
orommmnrron
:-
h 12]
"
iMaaE t,L Emao HLR| EE
ronmat
FE
p33
E EE SE EO A SITITENT R R ETEE R a eee
Figure 4. (A) Dam vs. Pup Serum PFOA
5Trreee JEeSrTrEeR S< tomoo
- 8000 E 6000
i ==
a
11
|5
PFOAExposure (mg/kg)
(B) Pup Serum PFOAOver Time
iE -
-
g=
1 17
5
%5.
oe |
a : .
PostuDeayt(PaHDl)
Pagec00r2
ER COT AR T
pst aee
--
A
sof
m
wo
hl
2000
5 7)
eo 3
| a.
HR -?
oo
1$ H i1H
n |":
B|og ||i=
-
3"
A
-
HH] [=i
Gesolon (013nd Postot {Hoy ay ofFOR Messrs
ws
p.35
igy
a=
wFE
EgeHH|. A
is
=,
c|=8|E
5 OE i
i
fle7sfe
if
Fa J
si5sgs) 5 2 | fiH,
Pie=e
5igllee%%
REi]it
i:
=ja
get
sieii
i4"
3HE5H REE EEA HiHH
523
ixgles 5|2i
3iHisHs
Hier oe ox |
i
FE
$3:
3| 3| i2f | ed eg) 2i
=
E| 28% [sf =f sE| 33
i
p36
ro Cc LgNEI S ERERRR E es TEFT: EE SIS Re
[OU ----
:
gememe,
Contes fists availableotScienceDirect
mm
Reproductive Toxicology
o --F_I--SEViEK Journal homepage: www ae lsevio.comiocotsiraprotox
+ Polyfluoroalkyl chemicals in the serum and milkofbreastfeeding women
+ Ondine S. von Ehrenstein, Suzanne E. Fenton, Kayoko Kato*,Zsuzsanna Kuklenyik<,
> AA ntonit a M. Caloatfat,rEirtainofCeP. tHmirneosay 'stei A tooston.1e . eist to Otte
+ articie nro B T Te y Eon n T rrdom D b foe m
3 p Sim m
:I3 3 m me e oo
avsreace Gfeianneisci nmoauor4psoenitFseGStcseorTpomeo5rrPpheelcsaottdhataC ehdosswoW etisroeodynphioosnrRelrsTeweonare pbeynkd
se vlenknmieoian0 A hcoeropnearsnooksnoPinne)eea stsmaerscontouAlroosSoa3PTsRsnnbdoPrreoeisromenatbe0i2e
EiotenansndppECoOaeSlFasOex0eem7inFaMaerknoweerCplh3reetia0 SaAy0PCea0htpepo eHOdwFpHlCatryTeerpkbPo 0bo09eoBitetcni ros toedBor
=
1. rodcrion Plural chemicals(PCs)compe re roupofman-
aTnSoOdnHaoonndcan3dlek5m0o(0n0sP5N.Apewriidrneogsnptik asdnoxpcaoisd TtPOo ORpS.eT2l0o0cecran.e
;+
7= TmplaroduoTctosnraincdnicnodruustaunreks,cppopmhCpcoauoinnsdssCaoslceidn3g3s0Af0UodfCpIaRcOikOaeRgsio,ngCnmuastpe:s. 761c EbxepcnonohtmesaeSofottdasSnhugadweao,SEshSotaunedtdyhoonlssoembtoernoBfcOsPmRaiClksonndd
SSaIta imndoepaSppfeeo,cicraoalmycmepecrearrcoaanntdinhaoarrcise)nFSTtpApAs)c.,abonvsweb1leln5Fes0E,cI3endd danovdecStei(h0oepnsacHG ktsame atna[5l3s .3c6 uDee nlosspmeeerrl esntDoornl bvaists
STnL iihaenepyt,eslnhtlaonredUpeSlopoerhrasuphmbcoaemnasonrnoesneunmwpguoo6naw,nasndS[e1-1c5 1PN3aerv9ao5mmss. S aekdaSosp mesrhsoowe stvooFeeOsN0l d0S eTvHOoStm npenanea nnoaeran nssnk ny +
ApSDrhaale2Ar2R7-S249c31nSs[2io3 ncrceucaespntoltynheepescpeesismewbnrtracseochorndaonsasoCfBotOenOneTen)d.
E ns codE ecmur1ehmrOk.ArtT te emaiHei1E)00LTmo) SShooP oscolnOfFro4r3m 0r 1p)ot(o RdaOSeeYi r o drloe6o0neamrno e(s enH, OnMo1wn SbOOo,woen .
O BT e eSNA hVt OaLestT0A7TR taSismthwanevdrehAteVrnIaGlprecy SerumP0A)ACS oen h wee er,
a trA r oe OTS ITTEr LOOINS,Oa+pe 1eap5nr0etd0teS tPmOaRtpn eusrtaoeo deoeihnowrt ioep h wnh e ersr ns
an
fash pbiatibeiy
:
TR en20001
erm
{ESeEeprioGdrEioS (3009)cdae h d OE) bre epronS ca 0R DOT e ieerr e L REAk SRIN SZriaadFmhEsie
er |
Sia
CEERI SR RSE DN Ss es
.
p37
QipUrEerRIHEES EEESERSReRR2ELGHaA
<r
5a TR
X
8 ne coTestyeB
"w5u pDratia oantahubmiasnomnilskmPaRlCacomnpcleenstratifonosmarCehsatil0lsparSswe.eTdheen UTookemn100) i nslemon 0) mie.
"Gomi [35]T.IGeOrNma(n4O3yanRpdalMHmunIgiaGnrS4y|3T36me]i.csoumgcgeecnstasetdedcnetsoecacltaabOtlesSleUhv0eo0lsp4obfmpory)em- PlS S ys fosroulote a A chemican rewxo1n 0 a Saernv100.
Lomi FS epoedaru ercee ar(yog 2f5nc)riyinSgeo.e sOotn1vce5uslte PiRsnCgcytohs npwaeanent mr0-R1C9hs) Ib e oSt t e ry == i:: o
5"7aon IIcoimnikg[nwohoS)mTeSeanmmapreowraatlnhononwcne.r5atnoonmshpoaynbgss mgsssiamdercnoinceln. PeA opeo teleen m70on E=a] o=e
nT rCaogneceonfataatmoenerscufosasvaebnlotcoemMnpooneep3n7os]swhtelU1lsPEsn0vrocnoodnmmoepnae: b Dra tee r e WB
7% iMealithPomrdsiAodnvuaAngcreemnednt(fUoSrlIi9X)ecroanoydlcesciieodMnAspRlAuotTsahospyleehsotitcyt 74 tf mgiere . rrr. -
27 fpRorrietcohonsNcoetepitnoindosinnCgaheir3l1e38Ss]udW3.7e]iponrncedhviioneouDsJo0pDpDoeUnDCdoHIIGpRMA10Am Lorman
S3m eo 2.e8%e. sSaey rioo o sn A remAonnsddErxetPamOAe)osw.
22
3
[S--
apa Tso S e ertpyBetvsy pepaencross 2
oo
seep Icicl A rth ty nr ttseset
PI re iptereiel leieeyi rl tn op efs on .
z
seeRiSe mMLrSCoaen nag, bo,yn|Toe Saetcyoesmo3T tPaCo r orCe oimyiTnCtnd SoTienedsen
et omovies Sosy rt
Em AePE)
1%
I
m ma re II, dI e ents
e Pe se in i eemr An ar (e reSt een
iT : EEe E m, e
(t[aortsT S ene e eecaneTl
ee
2
22 mA t prem es er y ee cn dy i
a ny DGe ,efo ree T sekvs ais
ws u
et teotecpatos
LTDRemL
oe SLEE IITLT I I,L S e totsr b1eosmMon s vsIe SnonaSt pneia re
T eose bsiCroesr SlnakevTnos F3 oesIsceomrt bOsrasm tree co Spost biosir naos ss
Nr ----
Seveh 4 ntsSae 8. hat 1dGene sep
22
>
Ire
22 Sompecoenmpeepiaaotonn
ee ho cr
chr
FoeA s soht pSep anto etlTeetts
samplecollection procedures orserum10d lkwerepushedpeevousy (395
a wl
na a menk ooes
id
on
Be
heEeari tUaS ho DS adi
7e % Seee svaaepteoseamyrmemAm esrcnnicesicnigoen
1)
T 3B LeE mpertS eam lT eety lamI pSeAoS O itC, m os ndn os BC1S aotttoan sveene stnoetm,eoemlestroesm,n Me Egrb iyon
11
3
et Toi scanso e O ls e e ee. oA beREn E ho nsme SRE oe TA
p38
| SEE msR amENE EERE
8 nh Rei ig
ESE E
)
05nRJ eorg u trm kam teis seDIGS 00 kn
hoseansteyeess sfboxer whB ichthefrequr encyofdetectioA no (L0D)was 26, 0K born vis.
0
sn
Iokaeron
En)
wovn
ve
ne
BRIOTR0)
o3
J eFvrseCspereaneer eseaeS emlt eaeesienreer rieamg.ne.
ioy 4
os 5
.
eenmrmeeyttT i eesss Tro1deosgtesssahope t dp yhowphm yebr . =z
fr)
men
: 2 ness
-
m4
2m
: MneeTdithaeanmraeeidsieawnearnaeggeo5f3(QtwRhe)ee:kws2o7m(1Qe-Rn3:42i4n-6yiwesewses)ktsyndviahse 0c13haiy1dres1s3
owsey ser on
um I.
"1. W5S7echkRiO(sA1,,3w1Pe4NwrAewGeea)idciaetca12.0lT0ThIoef57w o%fsohte iao ls1ir3e 0PdcsCp1Ls 00sP.%ROofS oo soy vomenssamplesavi 2 (be2) Incomran, nmilksales
=
Frond
3)oko
\3
3 sn)
AOjNuwt(om41wano0ammeiinogntd,yMLae3nPdoHfOP( SROSACms OaHs d(e7wn teei ctteSda1Iwl n0e03rweEodCme) tTeencStoe,fd
oo
2 the2nd vit (03.05. 0G gi Theremaicofehre milk
Samplesrmboth econ we mesures 00nd t
Twri ran
.: ,
.: '
Hcio0gnTch0heegnesttdlrcasiotbnixcooennisttho<rean1Bt0oisQol,nFvswFiesr4eenrdouum1cn6doSnocrmnFsoOtSotwniostshscmhoeonwddniiVnaolTobcPesROo,fS
"
1+1
vas
: EO Trea: co1ncentrateionwswere ohosatHxN10dp her thw an hecons enration ++
e uroneka) m0aMae PioPe As3iepaeset0env5enprnctsinn,l icin nam
Oow1ee5r4a00n2P.F0SO,67R0OK1c3o2ntdchPenUerStaSiasonndcs h6wceornedvpvi ins(oecnSoemycpiu(Ct5la2000) oceniaion sed il 1bod on al3s0woomen
-o1be3n
2 Seats .
.
SWShTohOdPooTmnCTiSweadeens4rereuA pmrseamfpolc eesxcahhtevbio ocstohnaveiinr esro3w)intSshn oehfetmHcced, eeoennecee.ds
pase Fenste detent SAND. a TereosDwa eb uo iLOPTparoSmwer meedwPe r mea ts
WioOsVrwEofhgh(eeTatsbcaleme4.EPDCuReCwcoeotnrhceeAnthSraeetaidonndywtbceosrroondfmercdetswoameiiltekenesantmos..
nE esVtedn ,eodtpshieeeedprcn eo,hpR SreRmC Ym eemi so e e a neseW d o oSmgsltn ri L Vwaa r omman o womw wa r mwoowme n=e m e"=e awTso
wey
=
no.
"
i
be
Wwoommeenm o3m
Bo
wwoame
=so
=ao
i0n
Wo omeens ee
a=n
wnooms a=m
Imo
=om
EE eSmhaemm ie0
wio
te i. OR ot
o a aae wooe
ofod
who ee To YT be
aa
Ed AR: eb an 4, e ROS:ehon lot. TEA. ects PA pervs os Send
iS =Fe IGGn OBBIe 06El rRee prR o RpEPorEN oC TtEoEdI e RaGSaAbNeToMkiatbreastaESng AomeRr
p39
: SR eHed C I MR ERED, TT I S RE E a
.
8 onri etekg |
Diimt1 rin Cece oe tn oe dsreenconcn IC cien it |
Ta T rn e Gm
mem
a
mTToeoee _GSwnhoeaeCmmieune"n sSatmmmenem
Faarmma ven mom
aon i"
@. .
meen trebe TtEoe 03
f---4
Bd
HS
on pariirnomecrootoicl fukcioncconceidneritk w=
w
=
=52 cfoonri cmeenstrSac Tt)iwoerrn1ee4sp8not on(tca1ab0lu1yvsoa ewwesormtehnrannl asaednruegmcsownncoemnoteranutwihonnos.hsad E 18,1) u =1 n="
=
5
LeroeaponhrotheeaddwlihvoihnhgearinsNroeerptmohiCeoadrcoliiennaagfonnrN1s0oyroeftaFrCPsAoorromPoOrceRsc3o0mdopaFmrOe1S0d
"PH nan
3 Ha3:
gil
3 s(iEgeDtIacEhed1) Rcomparre h lTiongein3hrhoowssemWwiithhao 2h0eenn ekedd 170Seoruwm caopnycennttratEioAnsof18.60w0ee pod si coas ted with
=
To
PgVVaREIraESUgeAa(Ltg3tG(amc1tIh4:e)dL1m.5sPu0g9-eg(eH0sOJt7Oae)EDRd5vai0nrIet0laZ13ti:oaM2nnt2doSO(1Ih4IFi)gIhGReSr1IcI1UoSnP(cKe0nS6Ot)rAapIt<SiOoSn0sL)o:f
NtrooenwneneqoeefrntohgeaobctmhteecrsnealceecstcoeoednbitronlmyongiocnattdlFmaCora kensrsrianesenrsruommnoenrtiitn?omninlsk
a.
73
wn Srv ren
{coinrylad3 yeomdreiwnionrehpsoropteldottDedurym0eshed5so3mnBCmoomarmeecrceckafno
o Bivens
oner4aiionavyadhorep3soHnwecou ot mabePR on -
gz e
4 Discussion
-
8,
3
+
i -3
B
034F7maPnTRsC spierd,insFe5u05FOts GPnerbd SaTrekoedd ---- in neaty 100% oh erm she EOS. lowe tyPON ond
. [2 BSETH 1 (7
Ofnolfythresm3iPICpdsrorpovar edeonf iiklk.seaImpndlbesrnmeaddciseercmeemvsoeewseriofn
o PRUKVEATz PFRAPVrERCZhPyFvOAVl 1 PROAVARE otnwhienegrriltnovFihEkoOmae,nwFdaOrhNroaonedPeibmep3eedemshocerdnECwoEocSromopseitroen
10lve serum comeonfcttss RC ot aoe,
3 Seve voNu C Ross ier
Naclonwsedovtaerrm ,staehelsenehi aneaaylhystyoeos sbnwleeocorkeewunIQaukdrj0iupgstooehdansnedbspahosopeelnrdditoonedacps0omaPnelTnlsnevnonsd. wr
e2Zowl
i.
aDnidabtmseodoonnnRslCsameer3a565mMcfaaotcinindcgoseweoameain eofosppnaecse TMon
g
ls
nd pont eposHtC ar Soman ak omy
3
i|4
+ . |
`LceonanueitrnersagaortrlwoioOnemsrsSeotfnu(PdiysnSSaws:sewedesrse1endblngodthahtpsne(rou0miaTnOmdaNmmmSilbSkSrlesavmterlason.oitwneho1c2torlna0c.- 11+
A
=
17E 5d5)PBORr aDaenndmtaare krohrnnseDnapoohsStppNaenortnumanOrbthNSCEBtoryoOtmerrSns,. 1+
TC E msmvalmcWamI e OV] AezECwre aie ee r: ivingileneyth.eDbannipsheersntsuedyo ,oceoncernetratiwoenre se olh oinw teheCe sOeecr ond, x:
r re oma eroi LSEeScsSoptmeiee Rrs TTS TTASJ a frromSPmAhNrErSe2d00hTtooptL opteanFyalhySreroemdtds ne
|E Ferenn gi s BE sar sa Bs e ii a eE ST e
p40
: - BREE FTT E TT I ET TH y eTry
re heer rte cr
.
hy b rt m S -- m te
TT RmST
Ho.
22-43years. n=45, ersing the
ROK438(33) pagel
ro:asn
Cm p io
Une
scage
fi omvi or ,
=owAeEu=s ro tn
va
we
EaIRT ENE Mothersofpreter ikontnes1,3 Leip:1230-308) gh.
jo
connie
I i oT mesIecnn
RnE gs mt E Sagee r n
mSmTmmam, pa
memes te cots fr 2 rT.
SRETee
)
tmimy ation
ri ecy aman bean
PRGA,PFOA,PRUBDA: NO
ma ee mE noem tn,,
P r E smT R e eEom
see tis m ma m =esr si . cms n
wan
0
Sm,
mEemTamaen
me m Ss rmoe ,
atm ms a wes eA
A er , xt
S a E TrE trL . Mm SER
os
s ERmTi o TI knn rts por
[aEe EgssaH e te R SE ------
Tir -- eB
a
Jol Tn
0fr 0msm T2a50e1n2 iandrobpeoeetivseheoyt wi1sn2g0m1e)riBnuoci osonncrrRaIiOoAnPsBEfoR
ee
Joon ht
sodhAoudtlh sSwcest aoefPrCpl soriendaomracne dibkdhvfeon mbSDeSenmcrotm. 35546oad
sze 2
7Te T20 5
TN nme6s1i0e0o3nen15e0s)iurneagroitneeenpOpoFesKmsTc2eo0l,sOeaohmemgUeteciTem1E5os5dS3
o sienswobSesa r e0 spor ppa nTs AISUiSkToHmEeSr)
Chese
Tk BSL
TTlo eaneceeTmSnssdoasoOwnrhstmarrNalTO SeOahOnneN 14oinescaonSstrsE oeoa mmEc ol U 1o3S r)
ETTe EE
pat
: S SEER E EL TH Y E RTTREERESEARE
.
05rm emttLBr Ty
s3o3 0Tu
T1sPnu0irg3gna1es-ht5hia3ng1itTrrhneogeinpoanrdnadoltbeoeiiuwfnnelcdrroeetnnoctccenrspapoiripnootreencxiipnionnstsuhcrnuieamolnalsenovbbeflashonu[dm2ua5cn3ob4tn-a3o6ns]sd,
witSXthpehoWausTuCrepenfctle0poeocsrenrddoitareaocrPtgIloyCftSf.sroWaouicmorhtcmehedeenrnWoewIgehnCdodedlpeccorgrervseasaddarv ctioin[oa5cnit9oen)fing afaouoirmntoahensenrs
0
T3Tu5e 1%
ieCakomhemieptonut.nhdathnsoaha1e5n0vp1etrTocsitScs1hinmomwaaaymca{ochnnteiShAnohawnihagyaFrmEaAoliRlkcnno(onmbcsoeuconnmdtarndepardoutagpicnotaaanrr.ese
oiSftP puPidcaH nadnoiPfdFeoOrS xmoneuusnrd3osnradsmpClleenoThasnamaFcEyseCbeodsFoucChoascueproisatonrmgmaUrtksee.Ed .200 mentsHower dotothesllamples nhposswe
T0o ZTohur
oFoccohhlFhoriwagenshersurIsnoscePiruuolmmahnncaosmncbKceeeenhnrumanaooirncfPsraRoetOfSeiP.EaPnAoRlRaOSannN2amh6s)lno.SoAguHhShiresaernlu.m CeomcueoTlnrhdoermoepitoecndacfmcltairmae:m1haotsomeryaRccnystgokoifneretIhtLehGrwsvaerxsppalsiortsacsopreacnedalhltyoescdweie:c
= -=
IZL wrReeilrvoewseSrriannocgeihnPgeRSbCeectcowonencedennvt3ir.ka4tyCioeomnrpmaferoaersduPrtFoeOdAC,onAnehnyuermaaarunsosnfeosrrsPthFatOvhe., FpooRrsCysSibplarynoddcPeCasS..gInrienhestwCpitrehachntasPtieAtvNheScesielcanyoynb.daeceretoceelntte0oalmnnesspfoo:mint1=
1TT0ur3T0Ci0oenCtd7ao1idlynoesGnatsroeolsotfspePsRnIwi(NcSnpa[oa5bst1eststbosoermecihniusleteokaPwhensgeurhcgegbameiesrgohettcodbtceimupalrrtkoeicrtoennansag.tsl rCeeoxseppleaortkniismooeernsnsltraswlolidwhii,nhgsexritopnmamiirmocr,us0pneoOrodSinb gngtksrruopop(rble6p ts0sl1riaWoonnecioi,fdnis oaidnrmonmtTuseHsnEsde.
I2To BnlececaacubsaebheFIcaChaInnrngeiesoGgdduhrevinobgsomcua,ntdbio9ynstwcheaihmgahpyrorreilhanetepsa0erthirpciohtakenegse,, HRooedorfenOptehsctoMicAsmMarAskneSrgTPOrcRonncoecnanotionnsachcanvnorsadocerwesnSmPaOgOiPRcPEoS1.0 1=
ITZ.L oePvreceastmdemurnsgap.otaUhcensoifsn.o(Arontderahwnaemavseetyane,ck.fteFmdCesthpsrtcionsocennrrumamtohirounsnrtoof 27 Ver thin serum in te coure of ciation, scum concenradons
wtPaReOnINnn1a01im]dltBeetrcsayutsipeorcoohocreeesdu:oimfnbcgerreoatfcwxnopxmploesnvs,10coaoihweedloyosemaaFlCamSnsdy.
=<
2TTLL $1
oCiFhPkiRhCmaycotuiatoinbevaarybceceufsesewnteellmseTseupdoursidienchacorgtetooafnFe.TCrohvfaFdelRaCuuerr(n0 Serumtoconcematons in ik ar yt cesand muRoRTE
wCeavsoyrlsn.c,detsaden(drpamnadeoermleyt,nidctshiotafpwnseoofaembseiiltnoeohwcIcabniistdaouici,noinohnpnen.oys(bthoeeebceaxmreppedoltmeeerd.ewHipPsoaI2wt0C.1
= =
TI2o0+ ZL
GpNerooarcrppuorsscnrsomyotpvoreune1nudgdrpskielrnnccanhcnwkehdnegeie dndbhgies,naa ,e kFiCkBr,0dae nudFiPRPOCRcDcEad SoFnEn[o5Wcn6na5f7.o]r
Itxkoedpni tohaotsww0eecooutlhdnPoRtFCEcCoSllxect pip lkaEImpCr lEesSsoeoEn asiWrEs tOhiSn iowof cacontri in kingor coostrom milkSuds
<+4 on
I0L Z2L
Uinanttoouhcsmamchwinoinagmsseernrcustmbwoafsrmiilek pacvortstonHomwQmeuaaveirrcurseiaheouroelodfsbaslevcmlsoysoned.d Letnonrandom empl women and ne cpicton Ataerde
hSnaevmterheehbAehsMwin<AtnhmcogtleheoFeRatpOnrRakccohaniceeinrt5tkr0aO6tPi)Evo.Onv4Rvcreteoerhenhhrecadtecitwonoutstsarrcoeapcaocotrtrtoiaesdmtoooeronnne.
11123+ ++
0ZU T5LG
So Smoyathfuosr ptoihsm5b eetrpacprnootcdntmtsR:mkOftahAtoaeimyco ooicnn2oe5nToncaiaurrndaeenefdo]nn3hsa2wtcrovseorusne)ntsdwnmuiekecieclhdoolv(nestrt i
C05I6nxocownptchlnulodunneamudheouugrGhaenyavntolpatnookvri bRreCeEvtAmbiEs kly perKgbodyweight cukdbe pprcibe forsmepopulaettioincs of
o43 41+
25 0
iivckrmtcieammepiolnetsfhoefsfmseHwtoowmeSveuebnrje,tcsteis drcatithheerrs hendmncionamcgypsabewrdeisnergboaasrcndsgoe.ns.
Tanda van
PghEErConeupCsapo(lsbaesde fp6vaSefotoaneatrfseFtonrCcd.iunrInn .oecrhiadaxnhgdapepnlodhymasaurnymskabnhceoorwokniecinfcopdnetaotauroel.r
+01 >02
2 2
pCnoCruurrmeomkfceornongthpaeencrnviaogstdoeuoifgfPoee1nsA0tnyo,eefddaFhrhsRtsixOatpnc.odiasannupodrgrePtslioFnwNSaoSos1rontcoshriCteardapollri0ceinqtugffiyvheo.d3r.
b1se0cVciAEooSnPn5tctOweeeeMnOASrOtASeEsrEPctMu5mEP0SEcARhcocnoocrekdnDtroaontedion PnsAeRmCSia anon and ian i eg 1334] TottoaBnc0ofeS05
+ or
Z521 PCoDirnosdoouudrncgems(hmsaeycloPkmaRptdoOiuNoncdpre,evratsthoeaandeweirtengmonoaebalysUnsNSngIdhlceotyhevdaibnyagsmeoornnmgd opafnldhetnpdotytcuedxnepraocmsoaur0enrte Fhe iC5 ms wlclpsoi ofohfeBErCoeme1tohnlootorpagemreeuarUyl5 oonn
52S22onhCooenmdgueacnteersdamaiUnlSlNsoprotpcuCiloinane55s)nhoAswesenrditeareigsaovuarrnrcieafitaipgoccuntisswacr teornrco eeny. u(Naatn tinigonwaolbdemCoehtnde hrnredshl rcilacyC.[h38e]nRCinxRposthrCs ionproepnadnnstossnsd BC. 0z
L2i 51
CIscnaoctmaphseaodDUeorSxispnthogosewheDesda1b4ii0Ag1h.nerCsttomicyopnacpBeroenatedrmCastoeiorsnosrlPfeoorsCPdtcSmnopnkcaoedcnovhcsarectcwootoirnntassdh
connoirnterest
-
S3Zn5 Th
TC0piol2glah0ieents.ste7dfc0oori0nnR c)2e0m10r16)iO nwoCatinsththhN ckeasm,eueNbcaartcahftaaioodnOrnelscRdlh[n,aPd4oH1ibnUssB.eae3rmcnpkdeyPns,tscvsmoiclaesdvd
1 24005dere hatthrearenconoff iertes Acknowledgments
"
$$11 TDeOhWReOp)undcidssfeos p(veer.sormoeml fmeeBpdhinIgntfhuerWsowredddecomCebno HTheaene seEarnchoih nhs riEcTchaes eaernnrevLieowesdebyythUesoovnenl. a
Fes EE
ER
5]
ee
IB Nelle cs ni sh co)
biz
LR BERNERE aE s ET TET TL s a e
oe rnsre 5 -
or Le
i h m p ne oAtnt yAer n To orrhsCmeo o r0o.es vosmEiveeo Dnsn laeos Cfe.ogRneepro, ducti1veFxE icpA ologyyx(0E 2G 00S29A) 0ersi T E cmtT esosmT co nY4-e 17--r
a revimvos meon ore
i
IJ FaoS ]micteesem mSoe en ams--vetn eos 2 hicm tnws roa tuo herc.
7E EA ES Ee EeA e iR ]nr SheeCmee RE tE yB2i25
=ZS Dew
oCn mmm mmsecnodonfmathiteheKieatloaomnam rCo HWSany e oI--mrARc--EEiNY
p0gSS L OLISRE rET rEA-- A
i23
= foha rd.eBianKaraasck) andotnheaUnSEPs Atnuyrsvinegsnldlr(DeebLi evinMary S oI 1oSS 002EiR ae L EtI e tWagE penwe =iNN]
wE 2a1 Referennces.r et C en me ren 190 S 3. AESrE Inoue.OkadaFo. eroncianesuntFSsdresedpert: aoy
E E n C EE T n i S EL E tTIaTE rSrIRy 2
D I II me AC :3 "Em
miE p SR E , a |, ES PIE L CILE LA ,
E F3R w im yee en R L E e E E i S e feE
E &
EB 5 Ie E ye p C e i tts uy Eaa RST DLEIL ek Fsee Se ol us
ED&RmI e ai y m" ei ELERsrEa ey 4 0ttty a:
T IDEo no eRRt Ir IRcIoEmt TEmIiEs"W ES eSE EA LR tA eEst 5
IFT m L R i SREaes wf cenmnrrppmtaraSmasmctwteoneainl 5
E II w EEA E C e oE BC EoE Th ep aens Im EEEcn mice ts
z
D D r DI m Er RSe m rL e n E a rR er,e 1j0o SS SReire, tsp TRtee ascrse ecosn monpe,
i=
ERs TO
Em eres N BS1o0 120)L CE arAa wS ongLY olT ehe7 e1A e PlycrosT yTl chaevaiI l inthse 1.
|1l A pSe are erg eeeneres
tnoan ,on nSouDn,s coets Gone Smen m pae obeeos
23
E RPhEeC clei n a r m eNeER caeE t riR eran edEemTaom aod isre Sa it]s
EERE SOECONE Bal 1H
ikRs 15
at
pds
-- RE EE --
se
EET
Co
oe eri pte gy Om
ZI oz oT mBe mocwS kecg seo aO co AoTs pyct S ss.IT
15]pHE reraSe N bteDLpeT ( tp EeE t C dS etNee L,
1 2
InDoOn e peSS , L tes= i m hr SA p {e Cre y pe eiW,R 2
551 0OEmEarEAAXCGo SLoOryLCoUoIpIsIIsIeveIscIomEm 159E ].Ko elL Pt RT amen fp, urer no
Bo ES mspcsn EESR RTLSmtr te 5
Bn o t m AT cunte p et AhAetSm L tme pWySESISTE E Rtartcopplt oll S
EEETRE Ty
a To
"
=
WE
ee tc eens
=
Molecular and Cellular Endocrinology
De AESeVvw iEeR eeeIoe ne ammapagemwaaeterecomteiosmrv mse esSsSsE
Phenotypic dichotomy following developmental exposure to perfluorooctanoic
acid (PFOA) in female CD-1 mice: Low doses induce elevated serum leptin
and insulin, and overweight in mid-life*
T Cihre irstophier Lari Sr uesanrr E etrrrop etre re Erin P. Hines**, Sally S. White, Jason P. Stanko?, Eugene A. Gibbs-Flournoy<, E E EE rt.
Aeriewstory.
E wRhr=ee--, B E e e E o nm d PTLo r, eOr Sarabod renmens E r E e S EE Tr R S E e T e ae a r nee RR beee r ityi tosTero Oaseciomy
Thesyntheticsuractan.ipd(ePFOr)sfaplrovoenodevreloopmeontacl totxicaantnin miccek,cocus-
BI001.m010h31.3.oraSgyTmOAeDaBW or 1daosernae okrsyouna ok.Boy woegs beacdevelopmeenxptoasl. PFOAexpat canine whthOv tedtes0h ons rae
a e i rS m ei es e EEthee c eEt TSR epco i TeJ npeter I he mtr ryh e o t em
vo rtrs ere S nm O em --n--
p45
"
In ------------
+ Iotwton PheostPsr(FTOoonem fctedeg ck tlonCle.
J opn oeop Sohnme
ep-- ra nSeen
e re omme pne edoopsratk ei osamom a ee ogen r isobn e oie penpsntt mn es r trIeS dA20LOH
emeem tspraooabortctheto sta ob nr eis cSeoalenspcrap eatpycyanSDaood,rhad,seBedS iftidaot
Sia oovea pertoaamn seyhrheers
ol rg mse u peerpo, nn daaeddioh Ta
oE i at ehinegNSsatnbp itshWsoeewd Toom le HetOs eRala FmROoN l SnOSo. oHoO oenocMe rapaacr SiaheaIh o sededestaLEedfSs0eTE
SroaneieTnRdtOoNGesoeasnteSoSbeeaseeBgcT0o0lhnmS0onemCoorriaooTone eyisSepe rmoh e eerk Ena ssne oa0hkerTiOddR
rstktea:tnti omSsaeSaeogsAwesayerraoess FShros imes Ese r3ri op poi ti,pcoaeolo0T BRCO9Ac1O-s h0m)eisidhoe
SeoaieyaMa poim SOAoBr Fr ORhpooomhsoedlreri,enkd SSHSeeOPph iar ol wheFknThe osuersesmia2stt2hhoBele
a Noinatno sei nl ia ebobs t PByolpfe peeeyd.o2yironsmri ehire
ntehrtbr0Sa o0S noohehwmomeaao tn OvoOyrSsr orAtToTonT
er o Ve OtAee bAere HAAOOn
DSa ahrnanelso(PeSOrRswie ind ryaeT nrosueC3dcomlpoyFuRncOd.ob ppohopnb,e SBS e A amTmera EE rd e epE ne Pr Set
as oud cord odPOAcnenatons we rl `f Daneishtse tudoycihoofouncd aoinincaenneogativeebcboroeylanionsbtetawceedn
Te re be A E 5SPSITORY (+1 1A1ple TPchetaSrurToh NRTBW.we hiehbd
ami abs sopeaion sommeepalted EE E EeAL E e eeateo
rH ighcOesrAdeo sGyhavenbeoBem nospAcosiateivCele nyoh 3ce550e0ise cdr ewithyn PROs sA cps xapmtoerle
+m oomro 20m bee of cfabopusas ed sds ov
15 meme
RE iheeeirsgheetnRotOnAascarnogonry y(03E 0dpymO and BOlee528d ,1995OdRot)a; reeoSrL eisderOpLolrneScnotSnd tvptted al bery
Crtg s eranteekSahWSasoyisSnedeeSsTahoo mpic nrs R eeT EE
anreaat).nOhiaoe,nhVinrgianimha,pesaKtaeinattuecekwty,eeISsndeianta,mPeLnntsrylevAaniuSa,sTAebnnGe,sessee, 1T 291UPseE rmmeeldeEeSeTnaEIErLE 11 0me oteepgoroe)
2e0re0sHciosmeltaHimoOnawnNitih 8ennaldo lneenehrOeR1e. 200i8en) ca, A PLem oeEeyreedGRyYr R d rd e ion en
p.46
oe 1 crnder rl30420)37.105
"
i
T=oomo omowween
-- REE=e, n fTuese-en Lk HE pa rops wt
1. utecolton eaebo dyof praysd FO cp se.
e0yRdeeunrp 3tsemowacetneedrtsa34oepes em pein,
weeCAcoehddti seoidrdt rDde
25 Senn 15Srhi 1e0rthgcebay ddesernca we sCdofio nhEyH
2IE22A2DsSReovoLtlmi146neeromppemTrTOeTAniado1ye)nuopeornrsko2e,dWaIocNns tG(SOGm,EcON3Ro-LrH
hlT oardiheI m 3 2O )va eh0s 3pmN i Oco AR(G :s 5whor ) A1n-TtHpO SSeeboNwoetEt.n 55-50s0t0a eortie 8 reoPeeTye o
SoTfnralssrrtUn.cJpotoetceereyhAepneredrswsdggdnoeAmsolhsyiSorheeBde esi4aya.yeoeA tronynoh e e
ee (3S woEre ohCn 827, botyescomin
(2O22mAappknacgnCrt.of"mkRcendnPOAOSgM8Aksgr 17d m0eOhiE)aenre essr+heebt o7e3tb5hye eotecnde om--eweBh
2T24efmiptewessechoeateelb iTochnosbk etesaolkhflscArrteendn0 s1ho8w001".101e.0BesoedkhSv0ae0cl
ey h meeTteemet eevfssedr bp bmyabLoen rsOnPa a.wrsoo e Tity saen. nehSed O83 1 PONRS (2k
STEenmdThe0ImanfayerrpmhvheamclsLetTiErrories0gSchorvdeepatsronlISOa T y p , es
rabor pe ftes so0 38 Mhmf ftni
rme etteenn l) yGye icp5lBoMeendeokechiyheessrmmictynrdn em8aenmy,yO kidAkeCL remelting
O(6NS8etre,da(d13Bbo,Wecooe0i).Ftam sSyoKT he mce (l aY r de) pt
lcdpfoemnJ r rritpy enwpenRBeotshiproenemrdteodrAet tnn iOo1eo5feesdatsesnCTsOoRmS.irn08oebi s R,h BAe TRY
24 Guero
ry--
SShEoaharIldcTSmOEtP:AEeeGnAlRcE1ie:l)etpsio2ersGSponeehndeopcnnfrr2)te0)dsdms(To1onetmviaskrse(sr1s5ro1s f6maeshOdt h01he5 bCm3teeteodecorotntottrtiponnne1o07em-.eeo nkh0th3- dcsepnAeRttye cbxepesd mtEeT.
Temrevreoel Thwellnagesnmefico,)ndTefbmieehhyeepatesaseopsborAdrttahre.S 0ri rt eet nidt e etee eet o 00eid
y a emeeh meehTthemkaekkwor)choeVneSdese ewkihetr or)o nSt ote
24. Meme fr OA Tr odseemsae(500)fe 0
ke C1oligo
Sehe
7m 2 Bameie y nsKah5 CiM0)
rn--s--ts
eed ees AFena s) 21 su Otwre ed ig A531 (4 oy BoymehoO
or R e andC r en o eCaee 3t-A38O)Lao Ohua el rLr nTSgn ISn S0O5eSNeOLThe eSSnAeeSdnc bsoirethesdp teoe rphtsntmsctec dts
ny io iktoh Foemabteh
1
p47
1 oe tCty 50715
cts mageenss 01
heLE SteeTra k-s
.
FE
T eoedrrdomt mrsew moetO oam neoe pisa Spm ecSonoes,cn
3 11428] jl
me aot es onporoptte e ee T ces
aa
it po ada eteb
DosePFOA(mee5)
STEIII me
.
oE Tetecenp anpe n gha erep iwoI npkoaethodemerpnytooenc0hs 3]wSl EAE. Re i J
En Cre
ehiosee Bvgleye stree oroesppFtramomSohemts.
3
enoe taoeyp ooets eeaeyasbaeebss op
a TTT
ae eeasochc ete hee Be
prs
5 Ress
oe
31. Delmer pore
2
2i1n1.Thoarbyttdovoemrsemroooiusei(b9ao-0dn0yw9e)ei0gnhdcpecossstianlomeopruap yonwdaesrnk
5iaa a
aSpoasecddaoy5(EPPN1DI)O1NdsEyhaWvprsagewwewares CiSucofbatenhtdeveDtsohptmOhennvpacoolnsy.
x REC INCI erro wren)
iwotegrhiele2At)nsiatnPhDIed.eoAcseeewsreeoudapnnde.hmesoSnnrIaeEtePmdIsbOn1a3Ny9aRw5e0Eibg8e(hs)s )
CcTomnPotrOm(pN<g6pA0x%paT1e04dr47am n0iem3al)sdwe ee som Sgrptoco panNdyss ahleneibn i3 Time grouped mea bodyweighsof he female ofsping over 5
3.
haoe.uirrseicrteawmmaepsasorenemSchrooewnnoinswiebgyi.2g20h82iB9newgheienen0si1nogf4s0g01fO0-mm19gswOetdkNaeoSf
53 in
iik
CiEnoncmdteaeneadsly0ineAbxDpoowyseeewdkestioogfPh5FOaAi0S0hhoew0eO1d.11n3$80c93nmm4gEaPPoO0sIeNO-T3sNEeSpewwnhhdceehns 3 u
C2e0or.m2pa5aswrweeedeikgwsihtt(hs7g.c12-o01n,5w3thg(eprh<0h0eh5D,n0Tch1ois3nbns:spFeORcTtrusghsohad1
TR EteErEe RE
EmadeesCoiemgienosmnousfnaFahcyentsraFefyaa ekuelddtoessemBa heoaouedwrosefebioOdeyowYeisglihptreog.eFD.rorSeoyssheseicnpr mETeTe CPT O 1pr eskS etgs iL ngh,ors
holDlcmhcigiweoenTi0t1himmeeWlspehroe(mopot5wnCp-nnir0gMoo0irF5n5)gden3oDtadltmh0ooo3rmlarwmnykey3Hc3su0dy(k.t53sr7-ne0hA0eh4))nIsil).otcA oowpoesilghof|SoSeS G emLeInb y cG pohv1 t resR e e et s hh byAO hols
aRmgaeeepeiwtpsiitghncowhleerieccisotnnr)ilnoogwuteopeWsd((nwokemehrkolesra)rofeTR)eaitsi giemsn Sees et ope
lGeihncuotemThrehecmng FcRuOeN.RDdcsormo 3wasRoOtAsEcxanptty
pdt
. won a-
rtpm rc
-
wn .
3a
+
-
3 =!
ix
iJni are5 LJL
i
in[Bet - PF-CI Te
=
-
3
3
-
5 wo
Ew
on
2 1.
i5i n
i w=e: rome,nh
a LL rsysn pn ec i t
BARTERI EELeEOTRTE ess oe is sn aeds 3
haeh ereai uced comp cs, S a E CoR dTHI eT peA eraiGrncoemn) bodyfat:bodyweightinPFOA-exposedmice(datanotshown).
O i opedT ie GerT e istneMwmtiigsn, SE SrDopnkn s eanaeSr ne peiree
SAT aewsoars pms 1o114411.r,reodeie,rrFeset[ctoBrm th onc0s4eitn:d
C l aeEL r e L . Eth
Sp poi ut Sire --------
ieond hoe
s sm n [Imsgid
1A I 3 lemf ) ps taE SEI Sr T Le
i C e iomai 0oySssanA nrahOeL, $De 0e.fy0o1nyte m heg t sme veneoe ens
Ea E E E eNrion oat =ars Tisaerr3T
oT I traTs ie Hk E 010%, Ta mPee er IE re
eS sa
pss
-
me pt inenmin 5
Teoneestose 8iteedtstpt bae 1w bmeerw Dee
Wo
EEIISNmEmR
WD
MmIiE MenTeS
een
emiem msiim
weir
maei aiami
weedy
asro men
SPo ERmeSh MSLSS LGINDD PS GRt f--o--un Tess
LOIIDD Heo
sNaRl S15
i MID Too
SeisOtie
smeems Hue
pSliih Si
e2dn mSeeu
ty ei
Iciercctresenso1mo3coenstntc iscikyleCrhno pocure)iSTntshveeecrd rmoPwOoeeRsncna(ene ocEerhnManirCo.s amt drs om 331015ay
n e18hmaseth Aimilr,nSctyeAeywp Woh hehnct F oe m0n opyy wtCnosees Kf ni ct ms0 rt on
SrrT ennnGoerd sio siummtinreele 1ohepte eogaFphOotNs CoooGwnndiooatnprm sues aX F 8loOnrG 0s sA sloure edwO DbeHiym PAfS 5s o
{a E50ee0ewaEneddSadEndStmrhemaAhmAeAdiLTEeEonneiaStR ohSuohvoOenpeeO. croncnnhhoOonysw)Setieowhetok,eo Smlodsp seedeS aa d mSealn.e DeTvoCeeSs:
a Ienncih oonati 5p OSmOognS HeONv(V pe 0e0) sT p,eend
Tboam.e 6 Fp
on arian aoe mewi oe mer
nena ==
ea dno
4
308 coffedroicuny ntHsONndoboddywiwip gn 00,01, iu4
Co S0m3.ea2ig nidn5GmoegAoPoFofOakkgies)ewaheheOraewmonevtc)xostobtwetaahnmcipknrogeh3me0ydrost,hteohesnbosndy
31
a,
Ce
malweightswasappreciableand thereforethedifferencesdidnot me
FO Pueefughe 8%)
fu.
i5-
} Bin
IHNE ET
TR
ii.
iksd
BE,
CE rvEs e St, om fo my oes
fm
se
14e 8 a.e mt t sR een sy tne
fSem
ATI II Sner,EiLe ee d s
.
p.50
-
1 Mot cr Cisdt 9430099105
w
Wpohr5etweidtphiindidnwteeatcitagshi.niTnobarbllreeitl1ah.nteitIgvniesso3sbu.vedoawnmiimnaellsh.oiinfeeoigtxherahpnAaibdmdtwaoelmlsgiashnrta,el epdoopsre.ter1adnsgisentah3nu5cmeaomnveescrh(wCeaoinngishistdmiinneoctthhe1soe,fo1an9oi9mv6ae)lsO,vecorEhnsgroauvseepnrtervcwipiootunhselyd
svwiaegrrnieiefsicisaglnnitiglfhyitcdyaenfctlrryeoamdseiindtraicnstssiifzbr;loiamnkgoshv.owxuhogeh,rieinnatcahetniwcmhoainlttsertohfaettpvwaeedligwThaHesds aihenLscoowap-esdnesosieenpc(i0hn0i1wni3gtrDhdEd0Se1mv(NegelwPobpRomlOdeNnet)axd.ep2v0eo0l7osp)me1n0tcalomFmOeAnetxpaol
asSEmimWgeani,igfbhoit(cJhGsaiasntttenhslakcnyasphiunotlwarnct)brcsoohnwtornwole[sda.twASeimignogihnfigcaPannRtOdArine-cleraxetpaisvoeesseodabwoovvnke inIsnsrcuereatshreaedtsiiJsnetsdaunl1ci0enmivenacclruheeaasnseaidt 3s1cpr-au3tm3.hwwilaecyptkcion.uTlshdnidsbbesobudgeygfewesicgthhettd anthnde
i`nhctoonatcwrtodalnoivmxSalilegsvneialfnisdcaawtnta1IsmncagrPeiaFseaO.AnTIhtEisa(t5it<hi0e.aa0)mr:endooastheh.eeSpfdlloecsctengwsrecoieugphist npnglluyicc3oeseo.llIeenvi3elnsdn(ecvleevlnaotpeemdse,ntbtaaulnF.nRoOtsASecxapEorsAurh,et.ienatdruc1c5ei1de6ovdweerpewlkesiagth1s0t
(Thdiiaggthhallyynovstiagrnisiahfboilwceannx)ta1n8tdhmrnelta1hti3svn,eds1pSnldmeesnPhwoRewOiegNdhtddeiocnsroeevasese(a,n5i-lmb0ae0li6stwananosdx 1reossuKptoosnotswuednyt)(o.vbriefeewscoetcdnigianthMeedowIniothseecoxfucc3ecspsotoab1td.<o2hm0ai0ln8ca)lnfenoatpfeneotsbrnmaasnlaitnne
W=i0e0nt5hrtdesospspeeleeesceinlvnwetelhyiae:ghnTttacabclotemipa1n)a.ireme1adlatsnoscdoh3notmwriognlgsP.FtOFhinaallrye(.sosekcaSvrmegelvskegsr) oTnvledarpbweceitogsshatndwdoummeeeotna(bCiorlekgysytmsadlruo1m9e9l6I)anrrbiogrheahennpesslasnaiodschameadnwtofiiestscchvsyahcepyse
`Cwoemipgahtrsehdotwoeodvnecoosnitgrnoilf.icantdiferencesacrossdos groupswhen Ionfclroewa-sdeodsesPuRmOAndseovleilnoprmeeinmtpaolrteaxnpto.sre and5asocition with
317A. L1o8cmkoonftehffsecotsffargoem.bdoudlyPanOdAetxpsoesuwreeightswer recorded `iwnegTigfhhietogcaeviondrwaitthtaahwtedorevveeeldoidfpufmicecneutldtatlwoePinFgeOhstApIranenccrd.eoTavsheesbmaacyykroehffolvseecdtdaiadscokneestd
ooinnmatdeur1lmti6nPa-FlOmAb-oexnopootrsddoheurd-lgyiaocnteka.wcdetAig0hdsd.dPeWFvuiOelAeoenpxlmp3eoncsttouamrlpelayrheiaxsdponopoosfeefdldaeanctta d3meovneelfoslpccmkaeonnftbeRcOreAfgAucleataoeftdPibReyONbcwyxaroosspweexenpi.lgothrheadrboylenuosdfimngheeotvDeuapsneeimnlr:.
WmCadeilvEsehloiLnpbmtrehnoetw0an.lla1ytaxwnpediogsShcmt,EdaFanPndFiOwmAaIlshwdoeatsriweeeSi7igg0thnuipfisecwtanhatelsy|mhmaidggehPe,FrbOtohKdaEyn bT(uhKseeeproodtoeetnntatLih.ael2oi0bms0pe3orrvwatetarineocnepohhfaetntLahyiep-aitvcaeanlrslygyieAnmchie(oreveltroeproseursosfsPi(nRngOeNsmsweets
hesamedose insd <xpo1ed animals(ars nk how) 4 Discussion
bhpoetdstywaoertigdgiehstciutnshcsereeodaviasnretydhb)srpooawupnresarct)uGWdeeymthayspyoartenhvdeepsseidztoehdrettaaiodcaeentmoofvraacartliiooafn
esxe"prTouhsmeusrleeeospttnuidnCiOae-snd1dfienemumolanilsnetmiroataudesudlettbhhooeodfdye.cnItnthdesdooerfgvdaeenlvweoelpiompgemhen,ntt5aawllePPlFFlOO5AA
fosirvePwOeiRgehftfegcatisnf.oOrveth.eainnicmraelasseybpkoatwly ai banodpyowesgihtsiheneexxcce.s visn.wienitagchttagnaiimnaolfs i(natamcetsPROaR-.<x0p0os8e)dThfemcalcesaberyooendaftthehoofvoeavrey
Wsinetirnutnadcotiapfdeorsee-esdmepsaen.edlenntetmiincmei;cLeatxedpntiocsehfefodetcotsmlyopowre-fsdeponhsteenfPooFltlOyopAweisanwngadhsiipgcrheewdsroessenost. tPwrFaeOsaAtnmodevenltemanadtpcShEmeRedIiiESntbehnewdeoinvgatehrhieacnn6h.ox0n1sgteasn2.5d01pmkgenPtRoOeNEeBorurosf
Aaltlh.oulgohw-tdhoesree PwFsOA10edxposeurets (e0c.h01acn0g1et.ionarboOdJbymwElePiFgeOhNtknge)olne.d 10 significantly inceased mean weight and Tate of weigh gin in
rPeFcOAeAnpooitsnhde(ruPPcApeRo)ecnfsfcccacitlastmiioendtphietopheorf.oxihPseoAmseR.pirnatesirwrin(edasylcoi)wh-daotseed
mn2i0if4idc3a3newte(eeluepkvsa0t(i30o.0n0d1oif1nscdleur0du1imnmgIg37ePpwtRenOeakNnsEdo)fiansgu)lnanvdalcuoesncbiedcewnetesnig21. Pa3nPdA.Rnie2pr0fh0sa7e;(lePAtPbaAlbR.omatu)s.cr2l0ee.0v9ea)stTpheecedtseelypPiP(AdmRoeiwtsaoebloonrmsaMoridenKidnniepoeccowrmee1ss5
minectruacbrsosleildcowwc-ehdiaognshgetesihnhorathmteanmleeocwhedairntiadsotisicneadilgclrayotuespsu.ppoptoPerrntetviitaolhlueysndIdomispniomgretstarnoytf 20tN0Ie6ud:EbarcyeeHnepvoigtveonnemiuesnnistewlSeociuwogcmhypWeoaeuningdadhsnsdluohcsvhetvbeentebsneihnmeepwin(ec6rcobmekere.r.
mvoWiuaosaceiranioraokunnrsaaltacebsxphnatssousrahenowelnxlto(efhngadetsetdiadntieWoenvreaneldxopnoepsaumrrleeyex3n1pm0tooFsnaRutOrlhAespipeorsittoh-de PdoPboeAwsRe,reeaggnudlauitnelsdutochfaoFnegAsnetRsansinolemaooeos.ieiexmmpvrooedessedisohnhe(neHroo<ycosxm,pied2ne0dd0r8os)reoA.
Tahhatitsgloo,vnegWrnheixtpfeoastmureaec1.amba20yo0l5em;sdoWotlaofprpeetpiarto.egc2ro0ant0mom7li.Fnegtn/htmooenutcagtbhoa1lw.ee2v0we0e9nr)es `unable to peiform some ofthe other end points of terest dur.
3PlnpEdaOgNsekhnealesestsbaleoermnufssachtlyoewconfdkoovtbayennehcetPosPmsAiRhsoeavdcemteioecnr(r1mepevohnreodsoilsa2d(ipi0og. does) and cel ines. and to be requiredfo PEON indoced ev.
`ilnepgpothsiiensadntdmiiimceenpseusrpipouodortlfcruiretnceoscrtyo,woetntihhgechettriegemnienvoniftrooonrvrmeenrandwtieatnllggichshieormneiPlncFaatOlisAsn.,g emed environmental obesogens (ietybSUDI (DES). 20H-E5,
op2p0rm0i7em:anrtAyablobaodtn,ei2ol0f0ic9nt)iioncPfP(oATrRakdaatcyskvawonetdioAgnbhbtiostltr.ce2cs0e0p7to:olrooiwmntmnsvEt1.03 xposore.thedecrease inePPARreceuor (lowingovaciony
`bi4ne0dscHit.nigngaweedniucgishtcthioonosdasan2td1ebrNiilsgophwhe-erdnodasloesAedLs.e(hGivrvieenbleno31sp2eh0xmo0pw6oen:sun(rN0eet.iwwnbahdouillcldee E031 2005; Niyoki 131. 2007)nd re reviewed furtherwithin
o4SfcniF dvdaetciorO nneoaasvleldN moCiwicHneCgHUo3LwdIeeNvvCeeslrtorpoRpeOenRnsianmdaupycoeesdxucpreaonsmrhieJqocukheoaefnfsppchAeaes (sb vue.
hdossSeseOorAeu.-meIxeppionsewdas10s0i9gn3i.fiTcahnitslylcelceaotcedurntemdiadhee nsatmheePlRoOwR. dofeceArceeerads4ein0d3wm eneikmsoaa flpsinoThhosrr eeratr aepgrea ,evCnio1usinmcerrenaestesinn omon eraleitp ey wsas
.
p51
-
A ----
sBbtoyCysweiigohft (whesmsCpcoohnofotundSlianngl,u2re0us0tt:aT103casbw.despeHeseeoatdthesu1.r2e0s00o,f Te her aof te phenayic Gichoromy caw by deve
fo31rcShoEIneNEmdorsdoeeuotfesccthon,FnpthootrFmeoonnessdaTesstmairynoonfsPgApRoentd. to ON nedehowes
oiipomcheenetsarlhPdeOoncRasyepopfeRoOmAw1lso3w3-d53o00s0eeFvSeOolRkDReOplAaRonEpe)h.enTt1hl0s 5fpevotanl.e PEONdose Gchtomymymanic sl notsid vs wn
muryen.slaydthlsceeecmeeeocnh1aw snecs nne pes
mFoRdOoywdpesenur(hahveeRndemcORrEsswWNidtAahNSyEeiDcoGndydewiegAhmOteYoInsPnImEeiNoS pmkondedpements
ina pIhCeE eWaetigghtte0oogP1 ESS5O0NST)m Eings hoSSehsoEsrenEwhoSshe. 1gae,ckleesstMluoeLohBrmconkerkrOpteincsiIAnoncco,fnowtCeiastotredccshhonegwrsosif
sueOtahdeirpsosiotyvein raedpuolrttemdaldeosmei-cdeepaefntdrenPtFOoAsexopfowsehi(0t02.% P5FOA2FwReOimghtiBhWowdaweyi)ghtw,itwhhi1ch ltsr.answliattehdoktoftapcporlolxmimaeterly
0L3rad vAoKSS6Y4Hn0cXe todZorasstaenrnfKolefonktealDHevatnh, TpTrOoAlCro0cT13D0e0sc C5o1n0rols8nd Prevm ntio ld defvoerltohpemaenntaallcoyfasspeisreusmd
lo hatsPPAR dependent ith rec scvaion Oy nel Der. emer Eloy Dion.
el3ftlaatoorlavs.noe2dssb0b0dseo2or)ds.yeecIswpneutiTthgaoohttrnsidngoaefPmc3wer1AiesR(mgt3eu.h0nd0ttyl3s.)lsiahntsviohecisietgeihisgenahrtdRdohorOisgsaNenhlssdgoptorhaeestposnwretemPreeedsAwabh.iRsietnet1e+o Lror Are10 yelndlatedsftoaorrsCmRVil4 enolrmtohSeinEsLDeseubuaouDnWossavRosiBhdeissnGgRytTnoDSn,,hfacor0idnlSRlUnElbesyitnyin
sXubsepquenot stfudiese,Xieaefnim1.a(l2s0o03P)EsOhNow(De0dZtEhPatRaOfNereciessgateiohnonf
Wei. 32mgFRONT BW) dalfor 7dys llama by 10 days
(ao0y 2xePsXhroTre pihlcVaerndcehdeRiicoanklsgSdlleylsxeaNlteenewgtsYhe,yasDrTtoedwcCshhTlahncainfako.sr
rfenoceor,vReewrOyioN,thewnetcigohltnclosnssepphaonerdttiewdmhipeetreatacdmitopootsfeTv laetveeelsrs rnp edtudmeedOpsn wtoeebsasnse,. REETRces 012. ML. ortheirconstructiveinop nthu ismt ane
EsinCefuortherex3plhaoeriingrhhedsoeismoefcPhEanOaiNsdHmosowfwevicehtrieotnh,e3ed5 mBa-ayodrbeennrerygic 5nd.fou0nSeblipes3,Rerae n:d iy ptse Loses
5d50carLweidnWttietrhsNiicghidiosemr(ayananidmnarAlosteml(Foewodsd.ow1se9)83ef)eacitnsddinsDstOhsDoeINrwMOanCst "SmaAStedSsemCieoennScAheTS iUt r0e8a Te o PRa KESore ec t4hTO,
phEele nefotcynpients3heih nbKerrPooRwenOtlNan.te2p"ai0nd0bb3p)ykosncigtnisficiocmannemtdinonticvhireeaspnsveass ytin(brsrneoemwidnngodG,tn,EEPSxEDShtB e LE3005 CoT tneo ATemheLL
uts1nhchoh1wan0ngs3ie7gdna0iafcicrmcoagsnsmPtdheoesOpepagtrooAolmuaepcghKsasailnytcGalefdtedio)rntWgdeovv1le0ea<lrots1pizme 1ee.nEt2xa30lr0weP7erFet wOWkoAsrhekaxehpaosor-f "C 5TAcehoS utaA wyr0skUcCrsM s.GieCt JU ;.L eCJma CL202. 00M1ent-e
3r S2d007rhTehcoen ee rptrhsaslbSheess p(amwctkodaemoennetge20y0d, 5GfeavilopmmoenraatnxpCoomspon1enPtEOoNfoensbeydei s cwoeegd ik
t ET A S5%nSA 5 t a SSS Sor 1hrndh
tB 17a-daSy IuOgN hptohseE )tiwmiangcofrdosifnog (eanl cvs. SseTvoerrwoer
Cn A e.ERECT BAA ee rtnCtit c5 EnehL1SceTmeon --.
Se y ca e cor er r whencmars esterehee
ee fe
=
imcoeInlacdoenbcColutsoilomno,utDhsevpieemrilinotgepnam,neddndolusoewo-e fdoPsFeOFa AOcecNxpcod saCuprOufsotrfionodteuco,. SCAoemmBasOeg y raet oGe eaesf C0npaeskr Bbe Te eonRes2a
1ad0i0dn1vmc.gerlerasesePeedlRswfOecceiNognhltetehvneidslnstnais(doutNlntOsgss.EwwLiinentlheioiginbnmhcoprdGadeycoaEtssweTeoedIsgnshmNeetarGsulgma.pii,nhasosulcieGontrahnosdlaepl.ttetipn-, aPS S erspm ecoto b115,71367m A 7,-1M68J2,. is, SFs.nooe ,i AA.yESokf HEc1.`Hnircptrmend
siveendpoi. Th
the overweight cffect
vay Spied fo
in mid-life, and it
py sn impale
is proposed that there
"81c0 dSe mop
cons
nbs
tf
its
is
Tories en el A Pup ep ep. Comp.
a,
52
. S S SEEE L riIILrT E Cmh S aR aCmrtiErTtTLE8E o p Ds Es 5 teteet ge peen-
E EE E E r T T te eIE T en onA iBa aer E sprT earpeoeg e tla to
EwETD eSrokrm gAi aeTver Ea sRe Iy r n ILCuT, e ITYSRSEEASEC RREERe SeS rR t
E SE e fE rAS S E EBENr Ge E S r y i Ee Ea rs tt yyE E ESI o a RLR hae EdrE B e wt eee eeas , reo,
oEfS E HEaSE hr eEtHeo Re aIrm m Es vSesn ems
wEE E e iA RRiS Ae E e Pp IC EEenvoL mR nL 1wEmet
B SE RST A E CASN IS II Sry eISte,r E sReEbDtE Se mneee tn r en
E o pE o LE eme T eA E eEyEweFE Si OYES R n e t Set c0eee
WeP f H rE hrem R TR WLRtptCypEem s W S E DS EE iE e S R CASR e Te STn "okopereniome.probessched. recpeonps(tPoArA.) `odes.|.Da,K.Whe. 55.Ln.C5.Abbot.8.2007Developmental
wESeTSEaEirRnEthIEr ERERaEEaR ERREEI n EI ET rLEerTeR,y
m BE e n E i RE SaSEeeeeSe