The Invisible Threat: Why Micronanoplastics are a Systemic Immune Problem Across All Organ Systems

Our review synthesizes evidence on how ubiquitous micronanoplastics (MNPs) impact the immune system across major organ systems. The hidden threat is clear: MNPs are not just pollutants, but systemic immune system disruptors.

Published in Earth & Environment and Immunology

The Invisible Threat: Why Micronanoplastics are a Systemic Immune Problem Across All Organ Systems
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The Micronanoplastics-immune axis across organ systems: towards a research agenda - Discover Medicine

The ubiquitous presence of micronanoplastic (MNP) pollution raises significant concerns regarding its potential impact on human health. This review synthesizes current evidence on the detrimental effects mediated by the MNP–immune axis across various organ systems. We explore the primary routes of MNP entry into the human body – inhalation, ingestion, and dermal contact – and their subsequent cellular interactions, including uptake mechanisms and cytotoxicity. Furthermore, we examine the immunomodulatory effects of MNP exposure in key organ systems, including the nervous, endocrine, integumentary, reproductive, respiratory, skeletal, cardiovascular, and digestive systems in human, animal, and in vitro models. Our analysis highlights the capacity of MNPs to induce oxidative stress, trigger inflammation, and disrupt immune homeostasis, potentially contributing to a range of adverse health outcomes such as neuroinflammation, endocrine disruption, skin damage, reproductive dysfunction, respiratory illnesses, bone degradation, cardiovascular disease, and gut microbiota alterations. We also propose an algorithm to guide future research on the MNP–immune axis. Understanding the intricate interplay between MNP and the immune system across different organs is crucial for assessing the full spectrum of human health risks associated with microplastic pollution and for developing effective mitigation strategies.

The Spark: Why This Review Now?

Over the last few years, research has confirmed that we ingest and inhale thousands of micronanoplastic (MNP) particles daily. Yet, the scientific community often operates in silos—studies on pulmonary effects are disconnected from those on reproductive failure or neurotoxicity.

This fragmentation led us to a crucial question: Is there a common mechanism linking these disparate adverse outcomes? We realized the scientific landscape required a comprehensive synthesis that connected these isolated "islands" of data, defining MNPs as a systemic, immunity-driven health problem.

The Challenge: Mapping the Immune Highway

The task was colossal. We had to synthesize evidence from human, animal, and in vitro models, covering eight major body systems (nervous, endocrine, respiratory, digestive, and others).

The greatest challenge was reconciling the vast differences in MNP data—particles varied in shape, size, material, and concentration across studies. We needed to identify a universal language of toxicity that could explain why such diverse particles lead to such consistently alarming pathologies.

Our Key Finding: Inflammation is the Common Thread

Our analysis revealed that MNPs are not passive, inert particles; they are active disruptors of cellular processes. The core mechanism of their harm is a cascading immune dysfunction, primarily manifesting through two pathways:

  1. Oxidative Stress: MNPs induce excessive production of free radicals, damaging cells across all organs.

  2. Immune Dysregulation: The particles trigger persistent, low-grade inflammation that can contribute to neuroinflammation, endocrine disruption, and other chronic illnesses.

In essence, we found that the immune system acts as the highway through which MNPs exert their systemic effects across the entire body.

The Research Agenda: What Happens Next?

Our review is not an endpoint; it is a roadmap. It’s a clear call to action for the scientific community. To effectively combat this global threat, standardization is essential. We urge researchers to:

  1. Standardize Protocols: Adopt unified testing protocols and MNP characterization metrics to make results truly comparable globally.

  2. Focus on Nanoplastics: Increase research on the smallest fraction—nanoplastics—as their capacity to cross biological barriers (like the blood-brain and placental barriers) presents the most significant threat.

  3. Transition to Clinical Relevance: Develop clinical intervention and prevention strategies to protect human health from this pervasive environmental danger.

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Immunology
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Immunotoxicity
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