Microplastics impair wound healing via NAT10-mediated epigenetic dysregulation of FASN-PI3K/AKT signaling

Feng-Jie Shen1, Wei-Nan Cao2, Xue-Chun Han1

  • 1Beijing Key Laboratory of Diabetes Research and Care, Department of Endocrinology, Beijing Diabetes Institute, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.

Nanoimpact
|September 1, 2025
PubMed

Insights

Microplastics (MPs) significantly delay wound healing, especially in diabetic individuals. MPs disrupt cellular processes and the PI3K/AKT pathway, revealing a new link between plastic pollution and impaired healing.

Area of Science:

  • Environmental Science
  • Toxicology
  • Cell Biology

Background:

  • Microplastics (MPs) are pervasive environmental pollutants.
  • MPs pose potential risks to human health.
  • Impaired wound healing is a significant clinical challenge, particularly in diabetic patients.

Purpose of the Study:

  • To investigate the impact of microplastic exposure on wound healing in diabetic and non-diabetic mice.
  • To elucidate the molecular mechanisms underlying MP-induced impairment of wound healing.
  • To identify potential therapeutic targets for mitigating these effects.

Main Methods:

  • In vivo studies using diabetic and non-diabetic mouse models with controlled MP exposure.
  • Histological analysis of wound tissue, including epidermal thickness and collagen deposition.
  • In vitro experiments using human dermal fibroblasts.
  • Transcriptomic analysis to identify dysregulated pathways.
  • Molecular assays to investigate signaling pathways and gene expression.

Main Results:

  • MP exposure significantly delayed wound healing in both groups, with a more pronounced effect in diabetic mice.
  • MPs reduced epidermal thickness, impaired collagen deposition, suppressed cell proliferation and angiogenesis, and increased apoptosis.
  • Transcriptomic analysis revealed dysregulation of inflammation, ECM remodeling, and lipid metabolism pathways, with notable inhibition of the PI3K/AKT pathway.
  • MPs were found to suppress N-acetyltransferase 10 (NAT10) expression, leading to reduced Fasn mRNA stabilization, diminished lipid synthesis, and further inhibition of the PI3K/AKT pathway.

Conclusions:

  • Microplastics exacerbate impaired wound healing, particularly in the context of diabetes.
  • The NAT10-FASN-PI3K/AKT signaling axis is a critical mediator of MP-induced wound healing defects.
  • Targeting the NAT10-FASN-PI3K/AKT pathway may offer a novel therapeutic strategy for managing impaired wound healing associated with microplastic exposure and diabetes.