The ubiquitous presence of per- and polyfluoroalkyl substances (PFAS) in the environment after decades of manufacturing and consumer use (
Fig. 1) has garnered global interest, with an ever-expanding inventory of >1400 individual chemicals in the Toxic Substances Control Act Inventory and >8000 unique known structures (
1). PFAS have been incorporated in >200 use areas ranging from industrial-mining applications to food production and fire-fighting foams because of the innate chemical and thermal stability of the carbon–fluorine bond and ability to repel oil and water (
2). As PFAS flow through commerce from primary manufacturer to commercial user to final disposal, environmental release occurs through both controlled and fugitive waste streams. The stability of many PFAS degradants fosters their ubiquity in the environment. The growing number of PFAS susceptible to partial degradation (
3) further complicates environmental fingerprinting and remediation efforts. Whereas some PFAS transformation pathways have been well characterized, others degrade through as-yet unknown pathways, expanding the already immense PFAS inventory by untold numbers. Of the known PFAS, there is a paucity of data adequately describing potential impacts to ecosystems and their provisioning services, and few of these chemicals are well characterized by ecotoxicity studies, with the widely known perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS) alone covering 21 and 39% of the ECOTOX Knowledgebase (
4), respectively. Furthermore, with their detection in sera across the human population, coupled with epidemiological evidence of the health impacts for legacy PFAS (
5,
6), information on associations with human disease for emerging PFAS is needed. With global production volumes of fluoropolymers surpassing 230,000 tonnes/year (
2) and estimated cumulative global emissions of perfluoroalkyl acids totaling ≥46,000 tonnes (
7), scientists struggle to keep pace with manufacturing, use (
Fig. 1), and subsequent release. Here, we summarize central concerns in PFAS production, persistence, environmental mobility, exposure, and remediation to inform the international community.
Major PFAS groups and uses
PFAS are a class of substances within a wide universe of organofluorine compounds (
8), as first laid out by Buck
et al. in 2011 (
9). In 2021, the Organisation for Economic Cooperation and Development released a revised definition of PFAS, “PFAS are fluorinated substances that contain at least one fully fluorinated methyl or methylene carbon atom (without any H/Cl/Br/I atom attached to it)” (
10). This revised definition is more inclusive with unambiguous inclusion of PFAS such as side-chain fluorinated aromatics (
Fig. 2) (
11,
12). By contrast, most historical work within the research community has focused on a small set of perfluoroalkyl(ether) acids and their precursors, with an emphasis on environmental and biological occurrence investigations. Whereas the persistence associated with the perfluorinated-carbon chain is a fundamental underlying concern, PFAS also have a wide range of bioaccumulation and adverse-effect concerns, governed by their varied physiochemical properties.
Although industrial reviews include general synthetic routes and major applications of some PFAS groups (
13), inadequate public information exists for many PFAS internationally, particularly those currently in use, because of confidential business information claims and insufficient regulatory structures (
14–
16). Critical data gaps include PFAS identities, locations and quantities of production and processing, and final uses of products, limiting the capability to identify where environmental and human exposure occur. Here, we summarize synthetic routes, structural traits, and uses of the major PFAS groups (
Figs. 1 and
2) and describe implications and knowledge gaps for future research and action.
The fluorine in PFAS is mined from fluorite (CaF
2) mineral deposits, which is digested to form hydrofluoric acid (HF) (Fig. 1). HF and other non–PFAS-based chemicals are used in either of two general synthetic techniques to produce starting materials (e.g., perfluoroalkanoyl fluorides in
Fig. 2) of individual PFAS groups, namely direct fluorination (i.e., turning nonfluorinated to fluorinated substances; e.g., electrochemical fluorination) and oligomerization (i.e., converting monomers to larger molecules; e.g., fluorotelomerization). Direct fluorination is aggressive and often results in uncontrolled chemical reactions such as carbon chain shortening and rearrangement (
17–
19), leading to a wide range of by-products including cyclic and branched isomers. Oligomerization is less aggressive and mainly results in a homologous series of target compounds (
9), as have been observed near fluoropolymer (
20) and perfluoropolyether (
21) manufacturing and processing sites. Within individual PFAS groups, the functional moieties of starting materials may further react following conventional reaction pathways to yield different PFAS (
9); thus, depending on the complexity of synthetic routes, final products may contain a number of unreacted intermediates and degradation products (
22,
23). Whereas the summary below focuses on target and/or intentional PFAS, these unintentional PFAS can constitute an important part of human and environmental exposure and merit scrutiny.
Major PFAS groups from direct fluorination include those hydrofluorocarbons, hydrofluoroethers, hydrochlorofluoroolefins, and hydrofluoroolefins that contain a –CF
3 moiety and have an overall global production of >1 megatonne/year (
24). Including a range of low-molecular-weight and low-boiling-point compounds that are used as refrigerants, heat-transfer fluids, solvents, and foaming agents (
2,
24), these compounds replaced ozone-depleting chlorofluorocarbons and hydrochlorofluorocarbons. Because of their high global-warming potential, the international community has agreed to phase down and eventually eliminate hydrofluorocarbons (
25,
26). An ongoing industrial transition is taking place, including increasing large-scale replacement of hydrofluorocarbons with hydrofluoroethers and hydrofluoroolefins. Although they have low global-warming potentials, hydrofluoroethers and hydrofluoroolefins can ultimately degrade to highly persistent perfluoroalkylcarboxylic acids (PFCAs) such as trifluoroacetate, and a steep accumulation of trifluoroacetate in the environment is becoming increasingly evident (
27).
Another important PFAS group resulting from direct fluorination is side-chain fluorinated aromatics (
11,
12), with unknown but likely considerable amounts being produced and used annually. A common starting point is the synthesis of benzotrifluorides from benzotrichlorides by reaction with HF (
8). Addition of the –CF
3 moiety can reduce biological degradation, increase biological activity, and assist with membrane transport, making the parent compound longer lasting or more effective; therefore, many side-chain fluorinated aromatics are used in pharmaceutical (
12) or agricultural (
11) applications. These substances can also degrade to PFCAs such as trifluoroacetate.
Two other major PFAS groups produced from direct fluorination include perfluoroalkyl-tert-amines (
28) and perfluoroalkanoyl/perfluoroalkanesulfonyl fluorides (PACF/PASFs), which are further reacted to produce PFCAs, perfluoroalkanesulfonates (PFSAs), and other derivatives (
Fig. 2). Historically, hundreds of PACF/PASF–based derivatives with a wide range of perfluorocarbon-chain lengths were produced, on the order of kilotonnes/year (
15,
29), and used for industrial and consumer applications (
2). Since the early 2000s, numerous long-chain (fluoroalkyl carbon number ≥6) PACF/PASF–based derivatives have been—and are being—phased out because of widespread concern, whereas shorter-chain PACF/PASF-based derivatives still are being produced and widely used, although in unknown amounts (
15,
29). In the environment and biota, PACF/PASF–based derivatives may degrade and partially transform into different PFCAs and/or PFSAs.
On the oligomerization side, two major PFAS groups are fluoropolymers and perfluoropolyethers. These are high-production polymers having fluorinated backbones, with fluoropolymers being produced on the scale of 100 kilotonnes/year and unknown but likely considerable amounts for perfluoropolyethers. Despite often having simple names such as polytetrafluoroethylene, substances in these two groups can be highly diverse, including both nonfunctionalized (with –CF
3) and functionalized termini, with different structural combinations and molar ratios of monomers (for copolymers), and from low (< 1000 Da) to very high (> 100,000 Da) molecular weight (
30–
32); this complexity has not been clearly communicated with a comprehensive overview of different fluoropolymers and perfluoropolyethers on the market. Depending on structure, different fluoropolymers and perfluoropolyethers can be used in a range of industrial and consumer applications (
2); in some applications, perfluoropolyethers are used as alternatives to PACF/PASF–based derivatives. Given their variety and complexity, their subsequent bioavailability and degradability are highly variable and complex, which is generally overlooked, understudied, and/or unknown.
Three other major PFAS groups formed from oligomerization are fluorotelomers, perfluoroalkyl(ether) carboxylic and sulfonic acids, and perfluoroalkene derivatives. Fluorotelomers share many similarities to PACF/PASF–based derivatives other than perfluoroalkyl(ether) acids, including molecular structures, degradability (
9,
23,
29), use applications (
2), and manufacturing trends from a wide range of perfluorocarbon chain lengths to predominantly shorter chains. Fluorotelomers were historically produced on the order of 9 kilotonnes/year (
33), with the current amounts produced unknown. Unknown amounts of perfluoroalkyl(ether) carboxylic and sulfonic acids are being used to replace long-chain PFCAs and PFSAs (
34) in industrial applications such as fluoropolymer production and metal plating, respectively. Perfluoroalkene derivatives such as
p-perfluorous nonenoxybenzene sulfonate have been produced since the 1980s; large-scale production (on the scale of kilotonnes/year) was recently initiated in China as an alternative to PFOS in firefighting and oil production (
35). Despite having an unsaturated bond,
p-perfluorous nonenoxybenzene sulfonate is not readily biodegradable (
36).
Environmental stability, degradation schemes, and transformation rates
Despite typically having high stability as a group, ~20% of PFAS may undergo transformation in the environment (
3). These labile compounds are precursors to recalcitrant, terminal transformation products such as PFCAs and PFSAs. For example, frequently detected precursors including perfluorooctane sulfonamides, fluorotelomer alcohols (FTOHs), and fluorotelomer sulfonates, have been found to contribute up to 86% of total PFAS identified in wastewater-treatment plant sludge (
37).
Although PFAS can undergo complete degradation to inorganic components using high-energy remediation technologies, precursor transformations under environmental conditions, including processes such as hydrolysis (
38), oxidation (
39,
40), reduction, decarboxylation and hydroxylation (
41), ultimately yield stable PFAS. Despite the low vapor pressure and high water solubilities of many PFAS, some conditions (e.g., within industrial stacks) can promote partitioning to air through particulate sorption, and volatile PFAS such as FTOHs can exist in the gas phase (
42), making atmospheric and photochemical transformation possible. In the soil-water environment, microbe-facilitated functional group biotransformation can occur aerobically (
43,
44) or anaerobically (
45–
47), and some microbes that carry out these reactions have been identified (
46,
48,
49). Biotransformation of labile PFAS also can be mediated by plant-specific enzymes. For example, microbial transformation of 8:2 FTOH was substantially enhanced with the addition of soybean root exudates in solution (
50), and perfluorooctane sulfonamide was transformed in the presence of carrot and lettuce crops, but not in their absence, in amended soils (
51). In both studies, enhanced degradation was attributed to the organic carbon content of the soil, because the addition of carbon sources can increase microbial degradation rates through co-metabolic processes (
52).
Several PFAS can undergo transformation, resulting in the formation of FTOHs through processes such oxidation, reduction (
53), desulfonation (
54), and hydrolysis (
38,
55–
58) (
Fig. 3A). Although some fluorotelomers evidently transform without forming intermediate FTOHs (
9,
22,
49,
59), one of the archetypal “legacy PFAS” transformation schemes involves FTOHs that are subject to (bio)transformation through numerous intermediates, leading to the formation of terminal PFCA through chain-shortening processes (
Fig. 3A). The efficiency of these transformations decreases from aerobic to anoxic to anaerobic (
60,
61) conditions, and PFCA yields and rates of formation depend on specific precursor and transformation conditions (
9). On average, PFOA yields from 8:2 FTOH were reported to be 25% in aerobic soils compared with <1% in anaerobic sludge (
62). This process is initiated by the oxidation of 8:2 FTOH to yield the inferred 8:2 fluorotelomer aldehyde and then the 8:2 fluorotelomer carboxylic acid, which is reduced through the loss of F to form 7:3 unsaturated fluorotelomer acid, which can form the terminal acid perfluorohexanoic acid (
53,
63,
64) (
Fig. 3A). A key step in the pathway is hydroxylation in the β position and subsequent oxidation to form the 7:3 3(keto) fluorotelomer carboxylic acid, which then undergoes β-oxidation to form PFOA, as well as α-decarboxylation to form the 7:2 ketone (
53,
63,
64). The ketone then is reduced to form the secondary alcohol, 1-perfluoroheptyl ethanol [also known as 7:2(sec) FTOH], which is oxidized to form PFOA (
53,
63,
64).
In a second major transformation scheme,
N-ethyl perfluorooctane sulfonamido ethanol is proposed to oxidize to form the aldehyde and subsequently to
N-ethyl perfluorooctane sulfonamidoacetic (
Fig. 3B) (
65,
66).
N-deacetylation of
N-ethyl perfluorooctane sulfonamidoacetatic acid then leads to the formation of
N-ethyl perfluorooctane sulfonamide followed by C-hydroxylation to form perfluorooctane sulfonamido ethanol. Oxidation of perfluorooctane sulfonamido ethanol to perfluorooctane sulfonamido acetic acid is proposed to occur through the perfluorooctane sulfonamide aldehyde.
N-deacetylation of perfluorooctane sulfonamido acetic acid to form perfluorooctane sulfonamide is then observed. Perfluorooctane sulfonamide may also form directly from the
N-dealkylation of
N-ethyl perfluorooctane sulfonamide (
65,
66). Deamination of perfluorooctane sulfonamide to form perfluorooctane sulfinic acid is commonly followed by oxidation to form the terminal product, PFOS.
PFAS transformation under environmental conditions can be approximated using first-order kinetics (
67). Environmental degradation of labile precursors is observed to occur in a “tree structure,” with the formation of numerous intermediates along branching transformation pathways (
53,
68). Along each branch, the formation and disappearance of intermediates can be modeled as a sequential decay chain (
23), with each step characterized by a pseudo first-order rate constant (
67).
In soils and sediment, sorption can slow the observed rate of microbial transformation (
69). With long-chain PFAS preferentially adsorbing to soil phases, molecular weight can be used as an approximate indicator of relative stability among PFAS sharing common reaction centers (
43). To address the effects of reversible sorption, some have proposed use of a double-first-order, in-parallel model (
67), wherein rate-limited reversible sorption is included as a first-order process.
In addition to sorption, transformation rate is dependent on a number of other environmental factors including pH, temperature, and microbial population (
70), and these factors contribute to a wide variation of reported precursor half-lives. For example, biodegradation studies of
N-ethyl perfluorooctane sulfonamido ethanol in sludge reported a half-life of 0.7 to 4.2 days, yet the biodegradation in marine sediments was found to proceed at much slower rates (
t1/2, 4°C = 160 days and
t1/2, 25°C = 44 days), which could explain reports of elevated concentrations of
N-ethyl perfluorooctane sulfonamido ethanol in marine environments (
66). Similarly, the anaerobic biotransformations of 6:2 and 8:2 FTOHs slowed substantially (30 and 145 days, respectively) compared with aerobic conditions (<2 and 2 to 7 days, respectively) (
62), which can foster enhanced levels of telomer acids [e.g., 5:3 fluorotelomer carboxylic acid by hydrogenation of the 5:3 fluorotelomer unsaturated carboxylic acid (
53)] in landfills (
71). Therefore, PFAS that typically are intermediates in oxidizing settings may exist as terminal products under reducing conditions. For example, variations in PFAS species detected in leachate from waste collection vehicles compared with landfill leachate suggest alternative biodegradation pathways in long-term anaerobic settings such as landfills (
72). Consequently, degradation studies conducted under controlled conditions result in considerable variation in biotransformation potential and possibly different major stable perfluorinated degradation products when extrapolating half-lives and major products from laboratory to environmental conditions.
In addition to accounting for environmental conditions (
67), another complicating factor is that contaminants commonly exist as components in complex mixtures. One common precursor source is aqueous-film-forming foam (AFFF), formulations of which contain mixtures of PFAS, and co-contaminants such as nonfluorinated surfactants. High concentrations of organic solvents have been shown to inhibit PFOA degradation under in situ remedial chemical oxidation studies, suggesting that interactions of PFAS with other non-PFAS co-contaminants can alter PFAS transformation (
40). Additionally, the presence of different PFAS has resulted in changing compositions of microbial communities when comparing cultures spiked with PFOA or PFOS against microbial compositions without PFAS (
46). Considering that PFAS environmental transformation is mediated primarily by microbes, data suggest that the presence of complex mixtures could indirectly alter biodegradation and that the presence of one PFAS may affect the transformation rate of another, although transformation kinetics of PFAS mixtures has not been reported. Furthermore, these complex mixtures could have downstream implications for PFAS mobility, because co-contaminants in AFFF mixtures affect microbial toxicity and PFAS solubility, partitioning (
73), and remediation [PFAS can be transformed during treatment of organic contaminants (
39)].
Taken together, the complexity of real-world environmental conditions acting on primary precursors, intermediates and terminal products can result in divergence from reaction schemes and degradation rates derived under laboratory conditions. These complexities are aggravated by the many experimental challenges associated with larger PFAS such as fluoropolymers and side-chain fluorinated polymers, the structure and monomeric compositions of which often are not completely characterized (
23,
38,
74). In addition, there remain uncertainties regarding the levels of impurities or synthetic by-products and life cycle emissions of these polymers, which may affect degradation rates, further necessitating nontargeted analyses in conjunction with transformation prediction simulators such as EnviPath (
75) and the Chemical Transformation Simulator (
76) to identify new PFAS and transformation products in the environment.
Environmental mobility and distribution
The mobility of PFAS in the environment is dictated by properties of the mobile (usually air and water) and immobile phases [e.g., natural organic matter (NOM) and mineral assemblages] as well as the PFAS species. The transformation rates discussed above affect the time available for migration. When transformation rates of short-lived intermediates exceed environmental transport rates, these intermediates can remain proximate to their precursors, a phenomenon well established for the environmental distribution of short-lived radionuclides (
77) because of secular (radio-decay) equilibrium with long-lived parents (
78). Further, this secular equilibrium of short-lived intermediates might contribute to the undetectable status of some inferred compounds (e.g., 2-perfluorooctyl acetaldehyde;
Fig. 3). For PFAS with intermediate transformation rates (e.g., FTOHs and fluorotelomer unsaturated carboxylic acids;
Fig. 3) relative to environmental transport processes, these compounds can migrate considerable distances before transformation to recalcitrant PFAS, thereby dispersing widely in the environment (
79).
Early precursor PFAS include volatile species (FTOHs and sulfonamido ethanols;
Fig. 3), the presence of which has been established globally (
80–
82). Atmospheric residence time governs transport distance (
83) and depends on a variety of PFAS properties, including volatility, reactivity, molecular weight, and vapor-particulate partitioning (
82,
84,
85). Atmospheric lifetimes have been reported for FTOHs of ~20 days (
86). Consistent with these atmospheric lifetimes, air samples collected at remote oceanic locations are reported to contain several FTOH and/or perfluorosulfonamido ethanol species in both gas and particulate phases (
80). On the basis of these and related observations, a large portion of PFAS global distribution, including that to remote regions, has been attributed to atmospheric transport (
79,
87). For example, in a study of soils collected from remote sites globally, all samples contained PFAS, with homolog ratios [e.g., PFOA/perfluorononanoic acid (PFNA)] consistent with atmospheric transport (
79). These soil concentrations have been used to define global-background PFAS ranges in surface soils (means ~10 to 60 pg/g), such that surface soils rarely contain lower PFAS, and higher concentrations suggest local or regional sources (
88). Atmospherically transported ionic PFAS also have been shown to disperse widely, perhaps as far afield as >400 km (
21,
89,
90), although the form of these species, e.g., free acid, dissolved in droplets or sorbed to particulates, has not been resolved.
In terrestrial settings, PFAS transport usually occurs through aqueous advection, with migration retarded by sorption on NOM, minerals, and at fluid-fluid interfaces (particularly air-water) (
91). Most PFAS sorption studies have been conducted with surface soils in which NOM, which is typically present at relatively high concentrations (
Fig. 4) (
92), constitutes a major substrate. Exploring surface-soil sorption mechanisms of two PFAS having sulfonate termini revealed an easily extractable fraction, as well as less reversibly sorbed fractions composed of perfluoroalkyl groups hydrophobically associating with NOM, sulfonate moieties covalently binding to NOM–OH groups forming ester linkages, and physical entrapment in NOM or minerals (
93). Comparing the sorption of cationic, zwitterionic, and anionic PFAS showed concentration-dependent sorption for cationic and zwitterionic PFAS, pronounced sorption hysteresis for zwitterions, and major electrostatic and NOM sorption for cationic and zwitterionic PFAS (
94).
The high NOM concentrations of surface soils typically diminish precipitously in the first several centimeters below the ground surface, where mineral surfaces come to dominate the vertically more expansive subsurface realm (
Fig. 4) (
92). Authigenic minerals typically are abundant in the subsurface, and these minerals have surface charges for electrostatic sorption. Aluminosilicate clays bear permanent negative surface charges, presenting potential sorption sites for cationic and zwitterionic PFAS. Ferric and aluminum (oxy)hydroxides bear pH-dependent, positive surface charges below their zero point of charge at a pH of ~8, so these minerals can electrostatically sorb anionic PFAS. In the vadose zone, recent studies have shown that the surfactant nature of PFAS also fosters sorption at the air-water interface, retarding PFAS migration (
91).
To assess sorption across a wide breadth of PFAS species and complex sorption matrices, experiments have been performed on 29 PFAS in 10 soils (
95). This study concluded that a simple distribution coefficient,
Kd (soil/water concentration), effectively characterized relative distribution among PFAS. Recognizing that lower values of log
Kd favor partitioning to water, thereby favoring higher environmental mobility, general patterns in these data (
Fig. 4A) include the following: (i) the distribution coefficient increases logarithmically with fluoroalkyl carbon numbers >5, (ii) distribution coefficients converge to similar values among PFAS species and chain-lengths having fluorinated carbons ≤5, and (iii) for equal fluoroalkyl carbon numbers, sorption generally decreases according to zwitterions > sulfonamides > telomers > PFSAs > PFCAs > ethers. It also was observed that log
Kd for anionic PFAS increased with decreasing pH, a pattern consistent with increasing positive electrostatic charge on pH-dependent surfaces of (oxy)hydroxide minerals and amorphous solids.
When precursor degradation does not complicate interpretation (
96), relative values of log
Kd are reflected in PFAS distribution patterns across the spectrum of environmental settings.
Figure 4B depicts geometric mean ratios (subsoil/surface soil) of PFAS for three soil profiles after biosolids application at the ground surface (
97); consistent with log
Kd values, subsoil accumulation of PFCAs exceeds PFSAs for the common fluoroalkyl number 8, shorter chains vary little from each other, and shorter chains exceeds that of longer chains. It is noteworthy that subsoil accumulation for fluoroalkyl number >10 also varies little with chain length, perhaps reflecting facilitated transport of PFAS sorbed to colloids winnowing through the soil column (
98).
Transport of PFAS into terrestrial plants occurs through a variety of pathways, with the most studied being uptake through roots. As with transport in soils, vegetative accumulation factors (VAF = [PFAS]
vegetation/[PFAS]
soil) are influenced by the propensity of specific PFAS to partition into water as they are transported through plants. These VAFs have revealed plant species- and tissue-specific trends (
99–
101). However, a recent review of VAFs across numerous species and tissues reported uniformly declining trends in total VAF with increasing fluoroalkyl number for PFCAs and PFSAs (
102) (
Fig. 4C) (
101). VAF trends with chain length and among terminal moieties suggest that chemical properties of PFAS also exert a strong influence over plant uptake. Reports of plant uptake of emerging PFAS compounds are limited, but studies examining the concentration of chloroether sulfonic acids (F-53B, a replacement for PFOS in electroplating industry) suggest similar variation with chain length (
103).
In contrast to the VAF patterns, which are largely governed by relative PFAS aqueous-sorbed partitioning, soil macroinvertebrates feeding directly on long-chain-rich vegetative detritus and NOM tend to express trends opposite to that for VAFs. For example, macroinvertebrate accumulation factors (MAF = [PFAS]
macroinvertebrate/[PFAS]
soil) reported for earthworms (
Eisenia andrei) in biosolid-amended soil have trends of increasing MAF with fluoroalkyl number (
Fig. 4C) (
104).
After percolating through the vadose zone, relative PFAS mobility patterns have been reported in groundwater plumes. For example, PFAS concentrations were reported for wells in a groundwater plume flowing from a landfill, to an observation well, and then to water-supply well (
105). Given travel times exceeding 24 years for flow from the landfill to the water-supply well, several PFCA homologs fell to undetectable levels, but perfluorobutanoic acid, perfluorohexanoic acid, and PFOA exhibited a pattern of lower downgradient/upgradient ratios (specifically, downgradient well 1/upgradient well OW1f03) with increasing PFCA chain length (
Fig. 4D).
In a riverine setting, sediments downstream of a carpet industry have been reported to retain higher ratios of long-chain homologs than short (downstream site 5/upstream source site 4;
Fig. 4E) (
106), consistent with preferential sorption of the longer homologs (perhaps affected by precursor transformation as well). In turn, this pattern also is expressed at the base aquatic autotrophic level; for example, aquatic vegetative-leaf accumulation (AVAF = [PFAS]
vegetation/[PFAS]
water;
Fig. 4F) was relatively higher for long-chain compounds (
107). Mirroring these AVAF trends, aquatic macroinvertebrate accumulation factors (AMAF = [PFAS]
macroinvertebrate/[PFAS]
sediment;
Fig. 4F) for blackworms (
Lumbriculus variegatus) increases with fluoroalkyl number as well (
107).
Environmental exposure
Widespread global persistence of PFAS has resulted in detectable concentrations of the compounds in the blood of almost the entire human population (
6). Human health effects from exposure to PFAS have been studied extensively, identifying possible carcinogenic, reproductive, endocrine, neurotoxic, dyslipidemic, and immunotoxic effects (
6,
108,
109). However, with animal models reflecting similar postulated mechanisms of action, the potential toxicity of these compounds for wildlife cannot be dismissed (
110). For humans, direct exposure through manufactured products can be managed more expediently than indirect exposure to accumulated sources in aquatic ecosystems. PFAS exposures through food chains are more difficult to resolve, and dietary exposure through drinking water and contaminated food sources (e.g., seafood and other animal products) are among the greatest exposure sources for ecosystems and human populations alike (
109,
111). Here, we review the consequences of PFAS persistence in the environment and the resulting bioaccumulation in biota, present ecotoxicological details in the context of environmental distribution and exposure potential, and discuss the ecological effects of PFAS mixtures (
112).
Estimation of environmental exposure to PFAS is hindered by the sheer number of functionally diverse PFAS and is further complicated by their presence as complex mixtures. A fundamental understanding of ecotoxicology requires comprehensive knowledge of all PFAS species to which target organisms have been exposed. Although pragmatic limitations have fostered studies reporting summary characterizations such as Total Organic Fluorine and Total Oxidizable Precursor assays as proxies for more informative chemical-specific studies (
113–
116), more exhaustive approaches providing identification of individual compounds within PFAS mixtures remains the more informative strategy (
117,
118). Ideally, such characterizations would include details regarding branched- versus linear-chain homologs, homolog ratios, isomer comparisons, and forensics with high-resolution mass spectrometry. In addition to pinpointing potential point sources, these methods can distinguish between receptor contact with precursor compounds and their terminal products.
An accurate assessment of PFAS risk must consider exposure to precursor compounds because these compounds transform and are thus important for characterizing environmental PFAS mixtures (
119,
120). PFAS precursors are susceptible to in vivo metabolic conversion to terminal acids or sulfonamides after exposure, as well as transformation during (or subsequent to) atmospheric or oceanic transport (see previous sections). For example, whereas PFSAs were the most abundant PFAS in both sediment and water at sites contaminated with AFFF (
114), aquatic invertebrates exposed to AFFF displayed elevated concentrations of PFCAs as well as the 6:2 fluorotelomer sulfonate (
114,
115). Given the common detection of precursors, environmental-organismal uptake and distribution models should include both parent and degradant PFAS to best describe patterns of exposure and influence on biomagnification, especially considering the rapidly expanding incorporation of new, shorter-chain PFAS that tend to be detected less frequently in biota (
121).
Key to understanding distribution of PFAS in biota are the specific interactions between PFAS and biological molecules. Although the bioaccumulation of some persistent organic pollutants is often related to lipid partition coefficients, PFAS are not exclusively associated with lipids (
120). Bioaccumulation modeling suggests that both protein interactions and lipid partitioning are important parameters for accurately assessing PFAS (
122,
123), although predicting biomacromolecule interactions has proven difficult because of their physiochemical properties. PFAS do not behave like neutral, hydrophobic organic contaminants and instead are hypothesized to involve both phospholipids and proteinaceous tissues due in part to their anionic nature (
123). Cooperative binding models have further correlated (and predicted) protein associations, relying on traditional measures of hydrophobicity and its effect on biomacromolecule interactions (
124). Therefore, both membrane-water partitioning and protein-water coefficients could be informative bioaccumulation indicators (i.e., bioconcentration factors, bioaccumulation factors, and trophic magnification factors), and coupled with hepatic- and renal-clearance mechanisms across taxa are all vital in understanding PFAS persistence in organisms. Nevertheless, the specific physiochemical differences, such as chain length, result in different distribution of PFAS in biological tissues (
125).
Ecotoxicological study of PFAS is further complicated by diversity of the PFAS class. Bioaccumulation factors for terrestrial vegetation are greater for PFCAs than for PFSAs, with shorter-chain perfluoroalkyl acids bioaccumulating to a greater degree than longer-chain ones, largely driven by variation in PFAS solubility (
126), followed by uptake and translocation into tissues (
Fig. 4C) (
100,
101). Conversely, potential perfluoroalkyl acid bioaccumulation in other fauna is greatest in long-chain compounds (
120), with clear trends of bioaccumulation increasing with chain length (
Figs. 4, C and F, and
5) (
121). Long-chain PFAS concentrations tend to increase with trophic level in aquatic food webs, consistent with biomagnification processes (
127). However, transformation of precursors in exposure media and biota can confound interpretation of high concentrations of some PFAS (e.g., PFOS) as biomagnification without explicit identification of trophic magnification (
128).
Biomagnification in predators is related to trophic level, food-chain length, and capacity to metabolize PFAS precursors (
125). Seabirds, marine mammals, and terrestrial species show the greatest magnification factors compared with exclusively aquatic food webs, in which organisms with gills eliminate perfluoroalkyl acids more efficiently (
120). Effects in predators, also frequently seen in humans, seem to be largely cytotoxic, immunological, reproductive, or carcinogenic (
125). Exposure models for aquatic food webs at AFFF-contaminated sites found benthic invertebrate consumers to be the avian dietary guild at highest exposure risk (
114). At higher trophic levels, PFSAs (e.g., PFOS) bioaccumulate at greater rates than PFCAs (e.g., PFOA) of the same chain length (
Fig. 5) (
114,
129) and tend to be more toxic (
4).
Estuarine, marine, and freshwater environments have demonstrated trophic magnification of long-chain PFAS (
Fig. 5) (
130,
131). Discrepancies in the relative concentrations of PFAS in fish compared with benthic invertebrates appear largely dependent on the compounds’ functional group and exposure routes, with elevated PFAS concentrations often linked to site-specific sources and/or benthic prey (
131–
133). Solubilized (i.e., waterborne) rather than dietary exposure was linked to reduced amphipod survival and reproduction (
133), but higher trophic-level organisms are exposed primarily through ingestion (
109). Counterintuitively, exposure to low concentrations of PFAS can exacerbate bioconcentration, motivating biologically based, physiological models exploring this phenomenon (
127). Overall, evidence suggests that the ultimate global reservoirs of PFAS are oceans and marine sediments (
134), emphasizing the importance of elucidating consequences of PFAS contamination in these ecosystems (
135).
Ecological implications of PFAS exposure to aquatic and terrestrial organisms highlight the need to assess and incorporate new-approach methodologies that prioritize real-world hazard of organismal exposure and subsequent risk. Mechanism-based studies and in silico approaches are beginning to fill data gaps pinpointing the cellular and molecular pathways resulting in toxicity (
136,
137). Elimination half-life has been identified as an end point relevant to bioaccumulation and effects (
4). In addition to prioritizing chemical selection based on environmental fingerprinting, cross-taxa and sensitive-taxa toxicity testing research should focus on in silico model development that can determine tissue distribution, molecular perturbations, and trophic-level accumulation. As the scale of assessment expands, so does the need for the continued development of adverse-outcome-pathway models to facilitate translation of exposure concentration/dose to organismal-effect end points for the projection of population-level consequences, including multigenerational effects. For instance, unexposed progeny of fish exposed to PFOA and PFOS had lower survival rates, reduced growth, and thyroid-related effects as revealed by histology (
138). Similarly, lipid metabolism (
139) and behavioral end points (
140) were affected in subsequent generations of other species.
Although data are available on potentially common mechanisms of action and toxicity between species (e.g., lipid metabolism, modification of cell membrane integrity, protein binding, and nuclear receptor activation), the large number of PFAS underscores the need to augment conventional in vivo testing with in vitro and in silico approaches (
4). Using these approaches, a number of moderate- and long-chain PFAS have been shown to elicit varying degrees of oxidative stress and modify the antioxidant defense systems of invertebrates, induce neurotoxic and reprotoxic effects across species, and reside in organisms longer than or comparable to any known class of anthropogenic contaminants (
120). PFAS toxicity, bioaccumulation, and persistence generally are increasingly problematic with increasing chain length.
Remediation
Treatment and remediation of PFAS-affected media is especially challenging because the chemistry of PFAS renders them unaffected by most traditional treatment technologies (
141). Given the strength of the carbon–fluorine bond, complete mineralization is difficult, with fluorinated products of incomplete destruction remaining a concern (
142,
143). Many existing treatment technologies are only capable of concentrating PFAS (
144), and concentrated treatment residuals can result in the reintroduction of PFAS into the environment (
Fig. 6). For example, treatment of drinking water can reduce human exposure at the site of treatment while also acting as a PFAS source where residuals are generated, reinforcing the need for a preventative and holistic approach (
145). Therefore, treatment and remediation approaches for contaminated media should be considered in terms of a total management approach influenced by the primary source(s), the affected media, and the ultimate method of destruction or long-term storage of PFAS.
PFAS-affected drinking water often is the primary route of human exposure (
146), and treatment techniques for aqueous media are the most well established, although performance and cost for the removal of some short-chain PFAS can be particularly challenging. Management can occur at primary sources (i.e., treatment of industrial wastewater effluent), at the secondary concentration source (e.g., drinking water treatment plants or landfill leachate), or in diffuse environmental media (e.g., groundwater). Treatment of diffuse media can involve ex situ “pump-and-treat” approaches to adjoin groundwater to aqueous treatment technologies. The most established treatments for water are sorption to granular activated carbon (GAC) or ion-exchange stationary phases (
141). Powdered sorbents can be used; however, particle-separation technology is needed to physically recover the spent sorbent (e.g., conventional treatment, microfiltration, or ultrafiltration).
Removal performance of sorbents differs among targeted PFAS, concentrations, background water quality, and sorbent properties among other parameters (
141,
147,
148). Another concentrative approach is the use of high-pressure membrane systems such as reverse osmosis or nanofiltration. The residual stream for sorbent technologies are the spent media or a regenerate stream for regenerable ion-exchange media, whereas high-pressure membranes yield an enriched retentate. Both residual streams need to be processed further (
Fig. 6). GAC typically is reactivated and single-use resins typically are incinerated, but little is known regarding PFAS fate in full-scale facilities. Likewise, studies evaluating treatment options for PFAS-laden reverse-osmosis membrane concentrate or ion-exchange regenerant are in their infancy (
149). Other, less-used techniques include membrane distillation, electrodialysis reversal, flotation, electrocoagulation, and evaporation. The niche applications of these technologies are because of their performance, cost, and lack of process familiarity.
Environmental media such as soils can be diffusely contaminated through wet/dry deposition; land application of PFAS-enriched materials such as biosolids, wastewater, or leachate; usage of PFAS-containing products such as AFFFs and pesticides or uncontrolled release through unlined landfills or spills. Soil contamination is a threat to nearby water sources because of downward and lateral migration of PFAS into receiving water bodies (
Fig. 4). In some cases, the large volume of soil that is affected makes ex situ removal and destruction a considerable logistics problem. Another approach to site management is in situ modification to enhance mobility of PFAS for pump-and-treat application or to stabilize PFAS migration using GAC or other sorbents (e.g., clays) to limit impacts (
150). Although this can be an effective short-term site-management technique, it is not a permanent solution, and likely will not retain all PFAS species effectively (
148,
150,
151). In situ treatment of PFAS in aquifers requires different techniques, such as permeable reactive barriers or addition of powdered activated carbon – of which, none have shown the ability to control PFAS plumes in the long term (
150).
The terminal destination of PFAS wastes is of primary concern for the life cycle management of these compounds. Currently, two commercially viable long-term storage approaches are landfilling affected media or underground injection of contaminated water (
145). Such sequestration is a temporary solution. Because most PFAS do not naturally degrade to nonfluorinated chemical species, these long-term sinks are time-delayed sources. For example, landfills are recognized PFAS sources through PFAS-enriched landfill gas and liquid leachates (
71). The only permanent solution to PFAS is the destructive remineralization of the underlying fluorine, whether directly acting on contaminated media or from treatment of residual streams of other treatment techniques, such as spent sorbents or regenerant solutions.
Thermal treatment is a destructive approach that can achieve PFAS mineralization. Incineration by itself has been shown to at least partially destroy even highly fluorinated wastes (
143), and advanced thermal oxidation can be used on solid, liquid, and gas samples to convert PFAS to constituent gases with an acid-scrubber cleanup (
152). Ideally, this process yields HF, NO
x, SO
x, and CO
2 gases that are handled by traditional air pollution control technologies. However, thermal treatment requires substantial temperatures (>700°C) for a sufficient period to convert PFAS into HF and nonfluorinated products, with more highly fluorinated species requiring more time and higher temperature (
153,
154). Catalytic oxidation at lower temperatures (e.g., 400°C) has been demonstrated for some PFAS (
155). Thermal processes, however, have not been demonstrated at scale, where inefficiencies can reduce performance. Atmospheric emission of products of incomplete destruction or the air pollution control technologies associated with thermal treatment processes, including the regeneration of spent GAC, can become additional PFAS sources. Capture or destruction of these products in the exhaust of thermal processes also is an area of active research, although forefront technologies are like those applied for other media, namely scrubbers, activated-carbon adsorption, and thermal oxidation.
Other destructive treatments for aqueous streams include electrochemical degradation, sonolysis, nonthermal plasma, advanced oxidation (e.g., sulfate radicals) and reduction (solvated electrons), biodegradation (Feammox), zero-valent iron, hydrothermal, and supercritical water oxidation (
149,
156). Although many of these technologies have shown the ability to destroy select PFAS, none have demonstrated long-term performance approaching mineralization at full scale with natural and industrial water matrices for a wide assortment of PFAS. Also, the energy costs of many of these technologies limit their sustainability and desirability, and the formation of harmful by-products (e.g., bromate, perchlorate) remains a concern (
144). The lack of widespread testing and limited field usage has led to a reluctance in using these technologies because additional management of the waste or residual streams will be needed. These unknowns, among others, further demonstrate the need to minimize use of PFAS and find a total waste-management approach in which complete destruction of PFAS is ensured.
Conclusions
The pool of new PFAS, for which physical, chemical, and toxicological data remain undetermined, is expanding rapidly and now includes untold numbers of compounds having widely varying chemical structures, volatilities, and solubilities, as well as uncertain potential exposure consequences. Early studies on structurally similar PFAS suggest that behavioral trends gleaned from legacy PFAS studies can be useful as a basis to predict fate, toxicity, and remediation strategies for emerging compounds. Recently, an internationally authored paper called for PFAS to be managed as a class based upon widespread use in commerce, shared inclusion of strongly bonded perfluorocarbon moiety, and the resulting environmental persistence of common terminal products (
157).
Current international reporting practices used to document PFAS synthesis, production volumes, and potential releases vary among countries and are not always tailored to provide the knowledge necessary to adequately track and understand the movement of these compounds in the environment. These efforts typically serve as a critical first step in developing knowledge to be used in future assessment and potential regulation of PFAS. In the United States, expansion of the Toxic Release Inventory will include ~172 long-chain PFAS starting in 2021, providing limited but valuable information in the form of sources, compositions, and quantities released for these compounds. However, under regulatory frameworks around the world, information on many PFAS is protected as confidential business information and will not be disclosed publicly (
16), thereby necessitating substantial continued discovery and forensic identification efforts around the world. Other PFAS, such as many of those classified as chemical substances of unknown or variable composition, by-products, or biological materials and polymers, may be too complex to fully characterize and can challenge scientific investigation.
There is an ongoing need to advance responsive PFAS science, particularly regarding investigating environmental sources and sinks, toxicity, and remediation technologies, but evidence suggests that preventative upstream actions are critical to facilitating the transition to safer alternatives and minimizing the impact of PFAS on human health and the environment. Examples of these upstream actions include the EPA’s Stewardship Program (
158), the Amendment to the Polymer Exemption Rule removing side-chain fluorotelomer polymers from the Exemption Rule (
159), the Significant New Use Rule removing an exemption for a set of PFAS used as coatings (
160), the recently announced Comprehensive National Strategy to confront PFAS pollution (
161), and a ban on PFAS in food contact paper in Denmark (
162). Regardless of the regulatory approach implemented, collaborative efforts among scientists, industrial producers, and policy makers will remain key in finding effective and timely solutions (
163).
ACKNOWLEDGMENTS
We thank T. Collette, C. Lau, K. Godineaux, J. Johnston, B. Schumacher, B. Fisher, G. Hagler, T. Watkins, B. Rodan, and S. Burden and the anonymous referees for helpful comments and suggestions.
Funding: This research was supported by the EPA Office of Research and Development; North Carolina State University (NCSU), the National Institute of Environmental Health Sciences of the National Institutes of Health (P42ES031009); and ETH Zürich, Institute of Environmental Engineering. It has been subjected to the EPA’s administrative review and approved for publication. Mention of trade names or commercial products does not constitute endorsement or recommendation for use. The views expressed in this article are those of the authors and do not necessarily represent the views or policies of the EPA.
Author contributions: M.J.B.D., M.G.E., and J.P.M. wrote the print summary; A.B.L., M.J.S., and Z.W. wrote the products section; M.G.E., C.T.S., and E.J.W. wrote the degradation section; M.J.B.D. and J.W.W. wrote the mobility section; B.A., J.A.A., and W.M.H. wrote the exposure section; D.R.U.K., J.P.M., and T.F.S. wrote the remediation section.
Competing interests: Z.W. has received compensation from the Organisation of Economic Co-operation and Development (OECD) to develop a synthesis report on side-chain fluorinated polymers. D.R.U.K. serves on the North Carolina Secretaries’ Science Advisory Board. The remaining authors declare no competing interests.