Cumulative Exposure and Health Risk Assessment of PFAS in Animal-Derived Foods Using the Relative Potency Factor Approach

Per- and polyfluoroalkyl substances (PFASs) are persistent and bioaccumulative contaminants frequently detected in animal-derived foods, raising concerns for consumer health. In 2020, the European Food Safety Authority (EFSA) established a group tolerable weekly intake (TWI) of 4.4 ng/kg bw per week for four PFAS (PFOA, PFNA, PFOS, PFHxS) based on immunotoxicity, prompting the European Commission to set maximum levels in food. However, many other PFAS are present in the diet, and their cumulative risk is poorly characterized. This study applied the Relative Potency Factor (RPF) approach, using hepatic toxicity as the reference endpoint. The RPF approach addresses a key challenge in assessing human dietary exposure to PFAS by enabling cumulative risk assessment for complex mixtures found in food, moving beyond single-compound evaluations. Occurrence data from EFSA's 2020 opinion were combined with European consumption data for fish, meat, eggs, and milk across four population groups (toddlers, adolescents, adults, elderly). Exposure estimates, expressed in PFOA equivalents, were compared with the group TWI. Results showed toddlers as the most vulnerable, with cumulative exposure approaching or exceeding TWI through fish, meat, and eggs, while milk contributed less. PFOS and PFOA were the main contributors across all food categories, with PFNA and PFDA also relevant, especially in younger populations. The findings highlight the added value of the RPF approach for cumulative PFAS risk assessment and emphasize the need for updated monitoring, refinement of potency factors for under-studied PFAS, and continued regulatory measures to protect high-risk consumers.