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Do Perfluorinated Chemicals Enhance the Toxicity of Other Contaminants in Aquatic Organisms? A Review

Valle EMA, Ivantsova E, Pracchia ML, Cabello CQ, de Oliveira HPM, Codognoto L, Martyniuk CJ

Toxics, 2026

1 citation

Abstract

Environmental contaminants pose threats to exposed organisms and negatively impact the nervous, cardiovascular, immune, and reproductive systems. Per- and polyfluoroalkyl substances (PFAS) are synthetic chemicals that are ubiquitous in the environment. Given that mixtures of environmental contaminants have the potential to exacerbate toxicity, we reviewed the current literature on pesticides, microplastics, or metal exposure in combination with PFAS on aquatic vertebrates and invertebrates. The objectives were to evaluate the toxicological effects of mixtures of the selected contaminants with PFAS on aquatic organisms to better understand biological responses in animals. Based on our review, data suggest that PFAS can modify the toxicity of co-occurring pollutants. For example, synergistic effects on toxicity include chlorpyrifos + perfluorohexanoic acid (PFHxA), which increased reactive oxygen species (ROS) and upregulated neurotoxicity-related genes in zebrafish, and perfluorooctanoic acid (PFOA) + atrazine, which increased the presence of malformations and oxidative stress. However, antagonistic interactions were also observed, for example, reduced herbicide toxicity in PFOA + 2,4-dichlorophenoxyacetic acid (2,4-D) mixtures. PFAS combined with microplastics often intensified oxidative stress and developmental or reproductive effects, though polyethylene microplastics attenuated perfluorooctane sulfonic acid (PFOS)-induced immunotoxicity in fish like seabass. Interactions…

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