From Sources to Environmental Risks: Research Progress on Per- and Polyfluoroalkyl Substances (PFASs) in River and Lake Environments

Per- and polyfluoroalkyl substances (PFASs) have attracted global attention due to their persistence and biological toxicity, becoming critical emerging contaminants in river and lake environments worldwide. Building upon existing studies, this work aims to comprehensively understand the pollution patterns, environmental behaviors, and potential risks of PFASs in freshwater systems, thereby providing scientific evidence and technical support for precise pollution control, risk prevention, and the protection of aquatic ecosystems and human health. Based on publications from 2002 to 2025 indexed in the Web of Science (WoS), bibliometric analysis was used to explore the temporal evolution and research hotspots of PFASs, and to systematically review their input pathways, pollution characteristics, environmental behaviors, influencing factors, and ecological and health risks in river and lake environments. Results show that PFAS inputs originate from both direct and indirect pathways. Direct emissions mainly stem from industrial production, consumer product use, and waste disposal, while indirect emissions arise from precursor transformation, secondary releases from wastewater treatment plants (WWTPs), and long-range atmospheric transport (LRAT). Affected by source distribution, physicochemical properties, and environmental conditions, PFASs display pronounced spatial variability among environmental media. Their partitioning, degradation, and migration are jointly controlled by molecular properties, aquatic physicochemical conditions, and interactions with dissolved organic matter (DOM). Current risk assessments indicate that PFASs generally pose low risks in non-industrial areas, yet elevated ecological and health risks persist in industrial clusters and regions with intensive aqueous film-forming foam (AFFF) use. Quantitative evaluation of mixture toxicity and chronic low-dose exposure risks remains insufficient and warrants further investigation. This study reveals the complex, dynamic environmental behaviors of PFASs in river and lake systems. Considering the interactions between PFASs and coexisting components, future research should emphasize mechanisms, key influencing factors, and synergistic control strategies under multi-media co-pollution. Developing quantitative risk assessment frameworks capable of characterizing integrated mixture toxicity will provide a scientific basis for the precise identification and effective management of PFAS pollution in aquatic environments.