The
hepatotoxicities of perfluoroalkyl and polyfluoroalkyl substances
(PFASs) have been extensively investigated, while little is known
about the sex-specific differences. In this study, common carp were
exposed to the emerging perfluoroalkyl phosphinic acids (6:6 and 8:8
PFPiAs) for 14 days to disclose sex-specific hepatotoxicity. Apparent
hepatotoxicity, including cell necrosis, apoptosis, and steatosis,
was observed in both male and female carp liver. The observed hepatocyte
steatosis was predominantly attributed to the dysregulation of hepatic
lipid metabolism but was based on sex-specific mechanisms. It was
manifested as inhibited oxidative decomposition of fatty acids (FAs)
in the female liver, whereas it enhanced the uptake of FAs into the
male liver, both of which led to excessive lipid accumulation. Untargeted
lipidomics validated that the metabolism pathways of FA, sphingolipid,
glycerolipid, and glycerophospholipid were disrupted by both compounds,
leading to the generation of reactive oxygen species and oxidative
stress. The oxidative stress further evolved into inflammation, manifested
as promoted expression of proinflammatory cytokines and repressed
expression of anti-inflammatory cytokines. Consistently, all of the
changes were more noticeable in male carp, suggesting that male fish
were more susceptible to PFPiA disruption. 8:8 PFPiA was less accumulated
but caused stronger hepatotoxicity than 6:6 PFPiA, possibly because
of the stronger binding capacity of 8:8 PFPiA to nuclear transcription
factors mediating lipid metabolism and inflammation. The findings
of this study highlight the significance of sex- and chemical-dependent
bioaccumulation and the toxicity of PFASs in organisms