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Research Finds Common ‘Forever Chemical’ Worsens Alcohol-Induced Liver Damage

The concentration of PFOS in the liver that amplifies alcohol damage has prompted studies of other PFAS, sex-specific effects, therapies

File photo: a gastroenterologist doctor explaining liver and gallbladder problems using an anatomical model to a patient during a clinic visit.

Overview

  • A University of Louisville–led study published in Toxicological Sciences shows that mice co-exposed to alcohol and PFOS accumulate significantly more liver fat and damage markers, with 60% of PFOS concentrated in the liver.
  • Researchers found that PFOS disrupts hepatic fat metabolism, impairs protective and repair systems, and activates pathways linked to oxidative stress and cancer.
  • Data from the National Health and Nutrition Examination Survey indicate PFAS appear in about 95% of Americans, while the World Health Organization attributes nearly 3 million global deaths and 95,000 U.S. deaths annually to alcohol.
  • Only around 35% of heavy drinkers develop severe liver disease, suggesting environmental exposures like PFOS play a critical role in individual susceptibility.
  • Teams are expanding research to other PFAS compounds, examining sex differences and long-term outcomes, exploring targeted therapies and recommending public health measures to reduce PFAS exposure.