Polycyclic aromatic hydrocarbons (PAHs) are highly concerning environmental pollutants due to their toxicity, persistence, and bioaccumulation. In this paper, concentrations and compositions of 16 United States Environmental Protection Agency (USEPA) priority control PAHs in the fish collected from four lakes in central and eastern China were analyzed. 18 species of fish were collected from four typical lakes, namely Taihu Lake, Danjiangkou Reservoir, Yuncheng Salt Lake, and Nansi Lake. Quantitative analysis of PAHs were carried out with gas chromatograph/mass spectrometer, and 13 out of 16 PAHs were identified, with the main components being pyrene, chrysene, naphthalene, and benzo(b)fluoranthene. The accumulation of PAHs in fish from Taihu Lake, Danjiangkou Reservoir, Yuncheng Salt Lake, and Nansi Lake was 28.75–47.27, 26.60–31.93, 33.56–39.30, and 27.22–43.01 ng·g−1, respectively. The toxic equivalents of high-cyclic PAHs in fish of the four lakes were significantly higher than those of low-cyclic and middle-cyclic PAHs (P < 0.05). In Taihu Lake, Danjiangkou Reservoir, and Nansi Lake, the toxicity equivalents were predominantly contributed by benzo[a] pyrene (BaP), while in Yuncheng Salt Lake, dibenzo(a,h) anthracene (DahA) was the main contributor. The residents in central and eastern China exposed to PAHs had a negligible non-cancer risk (non-carcinogenic risk values <1) and a potential low cancer risk. It was noteworthy that the Pleuronichthys cornutus and Lateolabrax japonicus from Yuncheng Salt Lake could pose carcinogenic risks (>10−4) to humans, with benzo[b]fluoranthene (BbF) having the highest risk contribution rate. Source analysis indicated that the main source of PAHs in fish was combustion sources. BaP, DahA, and BbF could become potential pollutants of concern in the field of ecotoxicology. The results of this study on PAHs bioaccumulation, pollution characteristics, sources and health risks in fish from four lakes would provide a scientific basis for local governments to formulate targeted environmental management policies, pollution control measures, and public health strategies.
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