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ee Sma AR226-0M75 3M 7. Serum Perfluorooctanoic Acid and Hepatic Enzymes, Lipoproteins, and Cholesterol: A Study of Occupationally Exposed Men. This is the published paper (Gilliland and Mandel; Am J Ind Med 1996,29:560-568) from the Gilliland doctoral dissertation (see study # 5) that evaluates the effect of PFOA on hepatic enzymes and lipoproteins. This study of 115 occupationally exposed workers examined the cross-sectional associations between serum PFOA (measured as serum total organic fluorine) and hepatic enzymes, lipoproteins, and cholesterol. There was no significant clinical hepatic toxicity at the PFOA (i.e., total organic fluorine) levels measured in this study. Based on multivariable models, PFOA may exacerbate the effect obesity has on liver transaminase tests and blunt the effect that alcohol has on HDL levels. [Note: In three subsequent time periods, the findingsofthis study could not be replicated. PFOA, assayed by mass spectrometry methods, did not appear in this production workforce to modulate hepatic responses to cither obesity or alcohol consumption. See study #8 below.] 03477 Fa - A) AMERICAN JOURNAL OF INDUSTRIAL MEDICINE 29:560-568 11996) Serum Perfluorooctanoic Acid and Hepatic Enzymes,Lipoproteins, and Cholesterol: A Study ofOccupationally --- Exposed Men Frank D. Gilliland, Wo, rho and Jack S. Mandel, mo, ww "SJmPueommlbbeeehrrerspoafoiufnaentsihmtemeaclneascucpreiocsdliies(s..mPFpnoOPiAIdp5iep0dusescm,uiepaesP,rEfmOaaunAnrdskiweswdlreppoeanrinscsooofmfhefesp.prainocpltuidodinnog honpepmsianteose,s nAislcatthsaoibulogulhbslnPe.FcOoannAcewirsnnctiohnuegpmlhaejruoorrfrasrsuinuduanifvuesrip0hnoesPcpFohomOrpiodeauxinipndae,frruean.neddTmhbmnieoshsruubmodes+t.ofcneo1n1es5eerperepennnse pclerlxielncsiiecenaxslsp,lhoyesUpedapdetusiwcpcorrrsikebeneirdssi.heexpataanttmidihcnecerodPeisFctphsOeueArcrilo.esvse.lTssheeocbtfisioennrdavilendegsvicmiiaasitosenas.tbheotwPeFheOenArSmssF.Amwmpoeerns!se sesto bessandsenbioics. rom sp KEY WORDS: perflorooctanoc acd, human, hepatic encymes, cholesterol, HDL INTRODUCTION atCarscocacrnoldc isnid3 w(iPdFeOAv)ariy+ofpoiem sync iLmaminpseo:rsahnokwneivoewrn,ofssbeuoudxsicehaoIvxeiscsnhpoolwtnen(tattGofheePFlaOegAr iLnohroun. SCToovyse,nTdoTppromeducntss.pOor2pg.ualnai9tci7oNn6soGrsuiuo,ebda19s7(9bU,ebBenencoldoneu.ds1i199pn8r80ho; Eo 11998807A;:nKViemanannlesRdvy,ts1t9g8i5t1KheaPneEd1Oy98vr7aapJirttysaoep ssguoyemya0.8 aly with ca eons snd show man Tov femroaave7sg6pa:morunoyud.nh1i5nt76i )PFPOFAOAswearsisumtoheu(nTpodeosic.isl15u7a1m.; em RO a long bilgi li, lowi prlorgoisclrsraeospeno,nasents chaaorntiionfcnaldnmeacoesnnstttpoeepoerrnnoo: cmleion of small doses ovr ume (Ul e 1. n1g5850,. bKrieoanlleod.xyicd(teOss.npi1hn9o8s6g3h0P6oassitLoooonng.1.nsl.50d10987:seVoen enlguer. re e r T a oT My e E Ee S i1 oEeo nwensm cr 17 etalt.ah1e9t87p:truoEsxtmsleotmael.p19e189898a::1TTr9aa9kk2agsSiooblcaelRn.ai1tu9se9d1e,twpiat.eh rP1Fo99O3Am: Zwo EEEcoEnsoa Coonr 2ee Cirnee,rreegr o30fMeCw oensc sone 5 1 "tHheuhtephatic eduero o sh (PP, h eechanges in pro5duct8ionhnedhproceionegpof plipolpmuc.ine 199 Wiese. "pons results rom downvegultion of HMG-Con rs. 03478 : : o o @ ABEL Guten MEanorr m orera TooNmoeera To TNoerart rmreanre PFOA. Cholesterol, Lipoproteins. and Hepatic enzymes. 561 Gos ora aT Sn oe Gai 3Cem Pa, Coerm. a Tom sn ti pom = "e Ee ea or wMosE m min mwmeoann mmeeanramweeeae I cSwan aote `re tin `saseas Soteon Tsimesn oo oswo oo Ssiree oo wTseimn ewoooas csaerns oa 2teean oa tio m1a0 nwme am ah woemo toimon Soaoo Znoen oter1a9espce8v.5tee.IrsniHaoeed0'dpcdisuetlioliomnnrGec.eargPpemaalFalsgyOyeedAsvecnhdapcseihboceeser(ncayaKismopeseomoacswi.yaetreutds1wsgi5sthmigoheepparaotnocoiy1te.1TAB0LE sien I. Distiouson Sto of Age. Alcohol, ang Tobacco Use om inParticipants. pchanigesrae not rapidly reversed (Perkins, 1992; Sohlepivs itoBpaeserdimoenntfsi.ndisnmgsefreomsthie stsudiesovof gens rodents and in --_-- wehn ad w feee boed PTPeLoisag lv bums pbnete oePEOG.wurel, TobC[ accTous,B e. IAvNamm mam! pamme mm aao:e Jmeos l ped nieilUkichii nes rae roroprs. 2 "5% fpeenrsLimPiFeOdAduian rureaanvilUabeletnsceostatesh(ep3u0ic 1 woaos a agen oa se ms 2Sse r0fe6chGa cfFuv1, ma0dteLs,onl1m(1ush9820e0,ne crrepcdosnce eodmoodafnmnsmParRyOeoMnWpo oereyc (SO m ken Ndionse . sem 3ssa et es Clo wl 1%, caDesupsaertsisciwnhceNrtaohymenarenst,heowbcehearSnvgeeidsdiinn c1rh1oo3ldeesnottcesrcouwlp,eaalteiipdoopnrwosittehipnsP.aFOaAn.d pre 45% F Ge) Smary ve wii hi hidiid ElEl5emypelswwoihmyheenistsaeaaeohpdhlheasnosteliiyPFrwpOoriAdohdeunplcsooeorwsutPdroFeeOdssAeohfPseBrdsaONaetpapoonrnesse. man MATERIALS AND METHODS T alm. e198s0)c. mr WePeFxmOaEAmi.Pneovodalthleliocr,dosssp-m osmeocatgioronnanlmasesosc3iaHtoiounsbie. 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The two nonrespondents to the smok- . 03482 } o @ BESTCOPY AVABBLE rn sermons 10 RTS rie LL sae pinapgnaicPiiFrOaAnc.issTnhleoyf.haSypGsuOhteTsiaissnOtShEtGPPDTFOiAwnictmhrstyehesmw:iotcdhhuuinlngecersetahisne phPeFuoOmtAso.spnrsoi.duBscbteiwsoonsbeewodrPkcFearOsyA.hhaavaendhoeivnmnshenindogtmrscol ehdarif"!1m hscaroampicsraaprbotfihirlto.ughThshifsbateteyynpoicncfihiletisrsteiodnhaw(iLltuhdowcieggsaettopanL.lofu1a98ns0.: pralneocyeeeedfso.10maPrFsOAhaenx2po0suyreeash.iveNobese oimcevhnm emnneeme epHoopdsgistoenpihedtismulle.ect1t9ai89bn).osusPacnFedOpiAmbalymeaibynldodicrviitdlhuy.meoPtraEbiOonAldiasimleilonyf ccumued fy sid, euling in 3 sacrbsion dheenpiIsa.incTscuhmhimaa(nrgnye,iniPn FhisOucAmoamwansstmethonatttshwoaciviteahbtteedswisothurthorcermoarsk.ed pathoPlFogOiAcpmraocyesisso(Hmaosgdhuolmeehae.eff1e9c9t3o)f aicohl oonfhheeFoc mesboln. PROA ix Staiated with chinge in he ftprehocmrteilanivlesmrodrfiarsloeimstsyea o(GciaylrlliileharntdmoafonrudindtMaynnodseuele,ys19o9dy3) fnodrswiyts avr hepatic lloccsinogfhseeoioselicnoHnDsuLmpStsisonciotndHwDitLh llecehso.lecxocnstulmlpy. ton.GGT ws inverely associated with PFOA in drinkers. 2indesteenoebofic eomefltssecbcoolh(ioslUm.wleCaoaanln.drvo19ee80ypFiaixgmeepnoepenomoss vellonce i appropri in ores imPneegdrilcseutlolerdmoieonmcdbaurcntaiincoenaopifedrGmmGeaTab.yildioetrcyrb.eyabscyeharsneegdriuuncmginGaglGtcToehlbcyooraxaildlra. ACKNOWLEDGMENTS. wager siok Gtinoitnefrpmsae,dtihawt1a9ey8ss2:uasOdsrteargeldoduecehitnygdaLe.e(B19ap8i5rs:o.duSc9ct8hi1uon:ckoiSfcsshncudhckIrtwosixnnid.c TISOTHhOiTsOSst8u-d1y6 wsansd tsnpp0oneMdiien spapebyiNInOSH gra mm1oi98dn8ua)l.nastTeohsfestheehpafetifinfcedcimtnsegstoafbsoeulnpidpsoomgr.entohueshyapnodtheexsoigsentohauts PdFeOtAe eration of tee inings REFERENCES AltA pe. Varn1 isn . Rts 190 per iofcfaectdorsi.nOinlsy sacttidve 1workrers lin PiFstOtiAmoiperrdoedbusyctaiwomhnobweerer. Sarmee t lnerCoorpT nESy e. asi5n5 rs Col biperonidulconistonisdspiovrsietnydTebirecnauntseeeop 5f5c3sreruyv oewwostfvi vsoeuulRhiOvnAe 15D71 Sst 2 bnsprene CTS fehas rm No re 3vy2.eesrBernceauasheoafnMteoherlreomwlim]osvaeofmrmretsesicn 3uplaeSnkOeeOmmTppllo0 oyyeeess i appropriate job histories. pos C JUSS TMe! n](19e9)t MS ortysn nong empopess in FOXi S arian 40%s ) sorrsonseelebctaison by ias isonotd8n,likely Information on smoking and alcohol consumprion was col: SSSL,LTEnLke12v0Anfonichat sic ihn umnp.eTrtr Co, wesesmpect BrecatuorsrethsemsoekaIirnbn0ld6sSsclIocuoIlhdl:scloPorOwsWEuNrmeEpsTii.dounTalsceEonnlooxLunsirEnogn,g Pepneosrr<s.iFcSO3pSRep) ecnn1 sneTB1 emneA 1 teiiiarebeBhorne. 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