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Microplastics in ovarian function and ozone-based mitigation strategies: Emerging evidence and translational
Zaher Merhi1,2,3
1Reproductive Endocrinology and Infertility, Rejuvenating Fertility Center, New York, NY, USA.
Microplastics (MPs) contaminate the human reproductive system, potentially harming fertility. Ozone-based water treatment effectively removes a significant portion of MPs, offering a strategy to mitigate exposure and protect reproductive health.
Area of Science:
- Environmental Science
- Reproductive Biology
- Toxicology
Background:
- Microplastics (MPs) are pervasive environmental contaminants.
- Emerging evidence shows MPs bioaccumulate in the human reproductive system, including follicular fluid, oocytes, placenta, and semen.
- Concerns exist regarding MPs' impact on fertility, gamete quality, and embryo development.
Purpose of the Study:
- To review current knowledge on MPs in ovarian health.
- To explore the role of ozone-based treatments in reducing human exposure to MPs.
- To discuss engineering strategies for MP removal and their translational implications for fertility preservation.
Main Methods:
- Literature review synthesizing studies on MP detection in reproductive tissues.
- Analysis of experimental data from animal models and in vitro human studies on MP toxicity mechanisms.
- Evaluation of laboratory, pilot-scale, and full-scale plant studies on ozone-based water and wastewater treatment efficacy for MP removal.
Main Results:
- MPs can induce oxidative stress, mitochondrial dysfunction, meiotic spindle disruption, and apoptosis, impairing fertilization and development.
- Ozonation, alone or combined with other treatments (e.g., GAC, filtration), can remove up to 96% of MPs.
- Ozone treatment increases MP hydrophilicity, promoting aggregation and removal, with smaller particles often removed more efficiently.
Conclusions:
- Ozone-based treatments present a viable strategy for mitigating environmental MP exposure before human contact.
- Further research is needed to link environmental MP reduction directly to improved reproductive outcomes.
- Multidisciplinary collaboration is essential for developing evidence-based public health interventions to protect fertility from MP contamination.
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