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Unraveling the impact of microplastics on autoimmune diseases: hidden dangers and environmental triggers
Yu-Tong Tan1,2, Wei-Wei Wang1,2, Shu-Zhen Xu1,2
1Department of Epidemiology and Biostatistics, School of Public Health, Center for Big Data and Population Health of IHM, Anhui Medical University, 81 Meishan Road, Hefei, 230032, Anhui, People's Republic of China.
Abstract:
Autoimmune diseases (ADs) are a heterogeneous group of disorders characterized by loss of immune tolerance against self-antigens, leading to local or systemic inflammation and subsequent tissue/organ damage. Until now, the etiology of ADs remains obscure. Growing evidence suggests that microplastics (MPs) may act as emerging environmental triggers in the initiation and progression of these disorders. MPs have been shown to modulate immune-related gene expression and induce excessive reactive oxygen species production in various immune cells, such as macrophages, T cells, and B cells. This may lead to the release of pro-inflammatory cytokines and could create conditions that may promote the production of autoantibodies. Moreover, MPs can activate neutrophils and natural killer cells, potentially exacerbating immune dysregulation and chronic inflammation. Additionally, plasticizers and other chemical additives in MPs interact with immune cells via nuclear and membrane receptors, suggested to cause mitochondrial dysfunction and potentially further compromise immune homeostasis. Given the increasing presence of MPs in the environment and their potential immunomodulatory effects, understanding their role in ADs is of critical importance. This review summarizes the recent evidence and unveils the potential impact of MPs on immune functions and the pathogenesis of major ADs, including systemic lupus erythematosus, rheumatoid arthritis, and inflammatory bowel disease. Furthermore, we highlight future research directions to better understand the influences of MPs on ADs.
Insights
Microplastics (MPs) may trigger autoimmune diseases (ADs) by disrupting immune cell function and promoting inflammation. Further research is crucial to understand MPs' role in AD pathogenesis and develop targeted interventions.
Area of Science:
- Environmental Science
- Immunology
- Toxicology
Background:
- Autoimmune diseases (ADs) result from a loss of immune tolerance, causing inflammation and organ damage.
- The exact causes of ADs are unknown, but environmental factors are increasingly implicated.
- Microplastics (MPs) are emerging as potential environmental triggers for AD initiation and progression.
Purpose of the Study:
- To review current evidence on the impact of microplastics (MPs) on immune function.
- To explore the potential role of MPs in the pathogenesis of major autoimmune diseases.
- To identify future research directions for understanding MP-AD interactions.
Main Methods:
- Literature review of studies investigating microplastic exposure and immune responses.
- Analysis of research on MP-induced immunomodulation, including cytokine release and cell activation.
- Examination of evidence linking MPs to the development of specific ADs like lupus, rheumatoid arthritis, and IBD.
Main Results:
- MPs modulate immune cell gene expression and increase reactive oxygen species production.
- MPs can promote pro-inflammatory cytokine release and autoantibody production.
- MPs activate neutrophils and natural killer cells, potentially worsening immune dysregulation.
- Plastic additives in MPs may cause mitochondrial dysfunction, further compromising immune homeostasis.
Conclusions:
- Microplastics possess significant immunomodulatory potential, influencing key immune pathways relevant to ADs.
- MPs are increasingly recognized as a contributing factor in the pathogenesis of autoimmune diseases.
- Further investigation is essential to elucidate the precise mechanisms by which MPs impact ADs and to inform public health strategies.
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