Migration and Enrichment of Per- and Polyfluoroalkyl Substances (PFAS) and Their Protein Binding Behavior in Human Tissues and Organs: A Review
Per- and polyfluoroalkyl substances (PFAS) are a class of synthetic persistent organic pollutants that pose significant risks to human health. Owing to their high binding affinity for proteins, PFAS are ubiquitously detected in human populations worldwide. Following oral ingestion, PFAS bind to transport proteins such as human serum albumin and organic anion transporters, facilitating their distribution and accumulation in various tissues and organs, including the liver and kidneys, and enabling penetration across the blood-brain and placental barriers. This review systematically examines the migration and enrichment behaviors of PFAS in human tissues and organs mediated by multiple transport proteins, the molecular mechanisms underlying PFAS-protein interactions, and the key factors influencing these interactions. Additionally, we discuss the potential applications derived from PFAS-protein binding. By synthesizing current research findings, this review provides a theoretical foundation for future investigations into PFAS-protein interactions and outlines prospective research directions. The pervasive environmental contamination and documented health effects, including developmental retardation, endocrine disruption, obesity, and cancer, underscore the urgency of understanding PFAS toxicokinetics. Our analysis highlights the critical role of protein binding in the prolonged biological half-lives of PFAS and their tissue-specific accumulation, which are central to health risk assessment and the development of mitigation strategies.