Polycystic ovary syndrome (PCOS), a common endocrine disorder, has been linked to environmental factors such as exposure to per- and polyfluoroalkyl substances (PFAS), which may induce disruptions in ovarian function. However, the molecular mechanisms underlying PFAS–PCOS interactions remain poorly understood. We performed absorption, metabolism, distribution, excretion (ADME) profiling analysis of PFOA/PFOS using SwissADME. Target genes were retrieved from multiple databases and intersected with PCOS-associated genes from Gene Expression Omnibus (GEO) datasets, followed by GO and KEGG enrichment analyses. Weighted Gene Co-expression Network Analysis (WGCNA) identified PCOS -related modules, and hub genes were selected via LASSO regression. Immune infiltration was evaluated using single-sample Gene Set Enrichment Analysis (ssGSEA). Molecular docking and dynamics simulations validated interactions with SwissDock, PyMOL, and associated tools. Causal genetic relationships were assessed through Mendelian Randomization (MR) analyses. The impacts of PFOA/PFOS on ovarian granulosa cells (GCs) and hub gene expression were examined in vitro. In silico ADME predictions using SwissADME indicated low gastrointestinal (GI) absorption for PFOA/PFOS, based on their physicochemical properties. Shared targets between PFOA/PFOS and PCOS were enriched in endocrine resistance and PI3K–Akt signaling pathways. Integration of computational toxicology and machine learning identified two hub genes, KCTD15 and FAM19A2 . ssGSEA indicated altered immune profiles, with hub genes correlated to T-cell infiltration. MR analyses confirmed causal links between KCTD15/FAM19A2 and PCOS. Molecular dynamics simulations (MDS) showed stable binding of PFOA/PFOS to KCTD15/FAM19A2 proteins. In vitro experiments demonstrated that PFOA/PFOS exposure reduced GC viability and upregulated KCTD15/FAM19A2 expression. This study identifies KCTD15/FAM19A2 as potential hub genes linked to PFOA/PFOS exposure in PCOS, providing preliminary evidence for a causal association. These findings may inform future research into targeted interventions within environmental reproductive toxicology. • Integrated computational toxicology identified KCTD15 and FAM19A2 as pivotal hub genes in PFOA/PFOS-mediated PCOS pathogenesis. • Mendelian randomization analyses established causal associations between KCTD15/FAM19A2 and PCOS risk. • Molecular docking and dynamics simulations demonstrated stable binding interactions in PFOA-KCTD15 and PFOS-FAM19A2 complexes.
Jiang et al. (Sun,) studied this question.