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We measured 33 legacy, precursor, and emerging PFAS in maternal serum, plasma, urine, and cord serum from Korean singleton pregnancies (n = 151) to characterize matrix-specific exposure profiles, transplacental transfer, and associations with maternal and neonatal factors. Matrix-specific detection patterns distinguished predominantly protein-bound PFAS detected in blood matrices from short-chain, renally excreted PFAS prevalent in urine at the population level. Notably, the precursor 6:2 diPAP showed a relatively high estimated maternal\u2013cord concentration ratio, whereas the alternative PFAS 9Cl-PF3ONS was consistently detected in maternal blood and cord serum, suggesting compound-specific distribution patterns compared with regulated legacy PFAS. Associations with fetal growth indicators were modest, matrix- and sex-specific, and interpreted as exploratory. Overall, these findings suggest that multimatrix biomonitoring can reveal matrix-specific PFAS detection and distribution patterns that may not be captured by single-matrix approaches. However, maternal\u2013cord comparisons should be interpreted cautiously because maternal samples were collected during pregnancy rather than at delivery.<\/jats:p>","DOI":"10.1021\/acs.est.6c08434","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:02:14Z","timestamp":1790668934000},"page":"28471-28483","source":"Crossref","is-referenced-by-count":0,"title":["Multimatrix\nBiomonitoring\nand Transplacental Transfer\nof Legacy and Emerging PFAS in Korean Pregnant Women"],"prefix":"10.1021","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1394-7634","authenticated-orcid":true,"given":"Hyewon","family":"Shin","sequence":"first","affiliation":[{"name":"Eulji University , , , ,","place":["Seongnam-si, Gyeonggi-do, South Korea, 13135"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na-Youn","family":"Park","sequence":"additional","affiliation":[{"name":"Eulji University , , , ,","place":["Seongnam-si, Gyeonggi-do, South Korea, 13135"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Ah","family":"Lee","sequence":"additional","affiliation":[{"name":"Seoul National University Hospital & Seoul National University College of Medicine , , ,","place":["Seoul, South Korea, 03080"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Kwan","family":"Jun","sequence":"additional","affiliation":[{"name":"Seoul National University Hospital & Seoul National University College of Medicine , , ,","place":["Seoul, South Korea, 03080"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7460-792X","authenticated-orcid":true,"given":"Kyungho","family":"Choi","sequence":"additional","affiliation":[{"name":"Seoul National University , , ,","place":["Seoul, South Korea, 08826"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun Wook","family":"Cho","sequence":"additional","affiliation":[{"name":"Seoul National University Hospital & Seoul National University College of Medicine , , ,","place":["Seoul, South Korea, 03080"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2590-4722","authenticated-orcid":true,"given":"Younglim","family":"Kho","sequence":"additional","affiliation":[{"name":"Eulji University , , , ,","place":["Seongnam-si, Gyeonggi-do, South Korea, 13135"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"316","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"2026101310154756300_cit1","unstructured":"GeoEnvironmental.\n          \n          Per- and Polyfluoroalkyl Substances\u2500Part I\u2500A\nFocus on the History of Aqueous Film-Forming Foams, 2025."},{"issue":"2","key":"2026101310154756300_cit2","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1038\/s41370-018-0094-1","article-title":"A Review of the\nPathways of Human Exposure to Poly-and\nPerfluoroalkyl Substances (PFASs) and Present Understanding of Health\nEffects","volume":"29","author":"Sunderland","year":"2019","journal-title":"J. Exposure Sci. Environ. Epidemiol."},{"key":"2026101310154756300_cit3","doi-asserted-by":"publisher","first-page":"126223","DOI":"10.1016\/j.biortech.2021.126223","article-title":"Biodegradation of Per-and\nPolyfluoroalkyl Substances (PFAS): A Review","volume":"344","author":"Zhang","year":"2022","journal-title":"Bioresour. Technol."},{"key":"2026101310154756300_cit4","unstructured":"Kesic, R.\n          \n          UNEP, I. Proposal to\nList Long-Chain Per Uorocarboxylic Acids, Their Salts and Related\nCompounds in Annexes A, B and\/or C to the Stockholm Convention on\nPersistent Organic Pollutants (UNEP\/POPS\/POPRC. 17\/7), 2022, 1973\u20132019."},{"key":"2026101310154756300_cit5","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1016\/j.envint.2013.08.021","article-title":"Fluorinated\nAlternatives to Long-Chain Perfluoroalkyl Carboxylic Acids (PFCAs),\nPerfluoroalkane Sulfonic Acids (PFSAs) and Their Potential Precursors","volume":"60","author":"Wang","year":"2013","journal-title":"Environ. Int."},{"key":"2026101310154756300_cit6","doi-asserted-by":"publisher","DOI":"10.1016\/j.teac.2019.e00066","article-title":"Analysis of F-53B, Gen-X, ADONA,\nand Emerging Fluoroalkylether Substances in Environmental and Biomonitoring\nSamples: A Review","volume":"23","author":"Munoz","year":"2019","journal-title":"Trends Environ. Anal. Chem."},{"key":"2026101310154756300_cit7","doi-asserted-by":"publisher","first-page":"105244","DOI":"10.1016\/j.envint.2019.105244","article-title":"Multiple\nPathways of Human Exposure to Poly-and Perfluoroalkyl\nSubstances (PFASs): From External Exposure to Human Blood","volume":"134","author":"Poothong","year":"2020","journal-title":"Environ. Int."},{"key":"2026101310154756300_cit8","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.scitotenv.2012.05.011","article-title":"Analysis of\nPerfluoroalkyl Substances\nin Waters from Germany and Spain","volume":"431","author":"Llorca","year":"2012","journal-title":"Sci. Total\nEnviron."},{"issue":"22","key":"2026101310154756300_cit9","doi-asserted-by":"publisher","first-page":"14558","DOI":"10.1021\/acs.est.0c04869","article-title":"Per-and\nPolyfluoroalkyl Substances\nin Dust Collected from Residential Homes and Fire Stations in North\nAmerica","volume":"54","author":"Hall","year":"2020","journal-title":"Environ. Sci. 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Endocrinol."},{"key":"2026101310154756300_cit18","doi-asserted-by":"publisher","first-page":"100002","DOI":"10.1016\/j.jpbao.2023.100002","article-title":"Analysis of Perfluoroalkyl\nSubstances (PFAS) in Conventional and Unconventional Matrices: Clinical\nOutcomes","volume":"1","author":"Di Giorgi","year":"2023","journal-title":"J. Pharm. Biomed. Anal. Open"},{"issue":"1","key":"2026101310154756300_cit19","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1111\/cdep.12104","article-title":"Behavior During\nthe Prenatal Period: Adaptive for Development and Survival","volume":"9","author":"Hepper","year":"2015","journal-title":"Child Dev. 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Epidemiol."},{"issue":"4","key":"2026101310154756300_cit24","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1289\/ehp.11681","article-title":"Correlations between Prenatal Exposure to Perfluorinated\nChemicals and Reduced Fetal Growth","volume":"117","author":"Washino","year":"2009","journal-title":"Environ.\nHealth Perspect."},{"key":"2026101310154756300_cit25","doi-asserted-by":"publisher","first-page":"117010","DOI":"10.1016\/j.envres.2023.117010","article-title":"Adverse Birth Outcomes Related to Concentrations\nof Per-and Polyfluoroalkyl Substances (PFAS) in Maternal Blood Collected\nfrom Pregnant Women in 1960\u20131966","volume":"241","author":"Zheng","year":"2024","journal-title":"Environ.\nRes."},{"key":"2026101310154756300_cit26","doi-asserted-by":"publisher","first-page":"122488","DOI":"10.1016\/j.envres.2025.122488","article-title":"Prenatal Exposure\nto Legacy and Emerging PFAS and Sex-Specific Associations with Fetal\nGrowth: Evidence from a Chinese Birth Cohort","volume":"285","author":"Wu","year":"2025","journal-title":"Environ. Res."},{"issue":"41","key":"2026101310154756300_cit27","doi-asserted-by":"publisher","first-page":"15301","DOI":"10.1021\/acs.est.3c04845","article-title":"A Critical Review on the Opportunity\nto use Placenta and Innovative Biomonitoring Methods to Characterize\nthe Prenatal Chemical Exposome","volume":"57","author":"Contini","year":"2023","journal-title":"Environ. Sci.\nTechnol."},{"key":"2026101310154756300_cit28","doi-asserted-by":"publisher","first-page":"135885","DOI":"10.1016\/j.scitotenv.2019.135885","article-title":"High\nTrans-Placental Transfer of Perfluoroalkyl Substances\nAlternatives in the Matched Maternal-Cord Blood Serum: Evidence from\na Birth Cohort Study","volume":"705","author":"Cai","year":"2020","journal-title":"Sci. Total Environ."},{"key":"2026101310154756300_cit29","doi-asserted-by":"publisher","first-page":"136970","DOI":"10.1016\/j.jhazmat.2024.136970","article-title":"Comprehensive\nAnalysis of Transplacental Transfer of\nEnvironmental Pollutants Detected in Paired Maternal and Cord Serums","volume":"486","author":"Yuan","year":"2025","journal-title":"J. Hazard. Mater."},{"key":"2026101310154756300_cit30","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1016\/j.envint.2019.01.010","article-title":"Concentrations\nof Perfluoroalkyl Substances (PFASs) in Human Embryonic and Fetal\nOrgans from First, Second, and Third Trimester Pregnancies","volume":"124","author":"Mamsen","year":"2019","journal-title":"Environ. Int."},{"issue":"7","key":"2026101310154756300_cit31","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0021230","article-title":"Differences\nbetween Human Plasma and Serum\nMetabolite Profiles","volume":"6","author":"Yu","year":"2011","journal-title":"PLoS One"},{"issue":"3","key":"2026101310154756300_cit32","doi-asserted-by":"publisher","first-page":"995","DOI":"10.3390\/ijms22030995","article-title":"Legacy\nand Emerging Per-and Polyfluoroalkyl\nSubstances: Analytical Techniques, Environmental Fate, and Health\nEffects","volume":"22","author":"Brase","year":"2021","journal-title":"Int. J. Mol. Sci."},{"key":"2026101310154756300_cit33","doi-asserted-by":"publisher","first-page":"2508","DOI":"10.1021\/acs.est.6b04806","article-title":"A Never-Ending Story\nof Per-and Polyfluoroalkyl Substances (PFASs)?","volume":"51","author":"Wang","year":"2017","journal-title":"Environ. Sci. 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Sci.\nTechnol."},{"issue":"10","key":"2026101310154756300_cit40","doi-asserted-by":"publisher","first-page":"5756","DOI":"10.1021\/acs.est.7b00268","article-title":"Isomer-Specific Transplacental Transfer\nof Perfluoroalkyl Acids: Results from a Survey of Paired Maternal,\nCord Sera, and Placentas","volume":"51","author":"Chen","year":"2017","journal-title":"Environ. Sci. Technol."},{"issue":"11","key":"2026101310154756300_cit41","doi-asserted-by":"publisher","first-page":"6529","DOI":"10.1021\/acs.est.9b00715","article-title":"Prenatal Exposure to\nPer-and Polyfluoroalkyl Substances (PFASs) and\nAssociation between the Placental Transfer Efficiencies and Dissociation\nConstant of Serum Proteins\u2013PFAS Complexes","volume":"53","author":"Gao","year":"2019","journal-title":"Environ. Sci. 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Technol."},{"issue":"1","key":"2026101310154756300_cit45","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1021\/tx200363w","article-title":"Renal Elimination\nof Perfluorocarboxylates (PFCAs)","volume":"25","author":"Han","year":"2012","journal-title":"Chem. Res.\nToxicol."},{"issue":"12","key":"2026101310154756300_cit46","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1289\/ehp.1408837","article-title":"Associations of Perfluoroalkyl Substances (PFAS)\nwith Lower Birth Weight: An Evaluation of Potential Confounding by\nGlomerular Filtration Rate Using a Physiologically Based Pharmacokinetic\nModel (PBPK)","volume":"123","author":"Verner","year":"2015","journal-title":"Environ. Health Perspect."},{"issue":"2","key":"2026101310154756300_cit47","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1021\/acs.est.3c07415","article-title":"Binding\nof Per-and Polyfluoroalkyl Substances (PFAS) to Serum Proteins: Implications\nfor Toxicokinetics in Humans","volume":"58","author":"Fischer","year":"2024","journal-title":"Environ. Sci.\nTechnol."},{"issue":"5","key":"2026101310154756300_cit48","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1038\/s41370-023-00545-x","article-title":"Associations\nof Perfluoroalkyl Substances (PFAS) with Lipid and Lipoprotein Profiles","volume":"33","author":"Haug","year":"2023","journal-title":"J. Exposure Sci. Environ. Epidemiol."},{"issue":"01","key":"2026101310154756300_cit49","doi-asserted-by":"publisher","first-page":"017006","DOI":"10.1289\/ehp1884","article-title":"Associations\nof Fetal Growth Outcomes with Measures of the Combined Xenoestrogenic\nActivity of Maternal Serum Perfluorinated Alkyl Acids in Danish Pregnant\nWomen","volume":"127","author":"Bjerregaard-Olesen","year":"2019","journal-title":"Environ. Health Perspect."},{"issue":"7","key":"2026101310154756300_cit50","doi-asserted-by":"publisher","first-page":"1206","DOI":"10.1016\/j.envint.2011.05.001","article-title":"Comparison on Gestation and Lactation Exposure of Perfluorinated\nCompounds for Newborns","volume":"37","author":"Liu","year":"2011","journal-title":"Environ. 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