Tiny bits of plastic pollution are found all across the natural environment, from the deep ocean to Arctic ice. This widespread contamination comes from the manufacture and overuse of plastics which degrade over time and leach toxic chemicals into the environment and the food system. The chemicals in micro-and nanoplastics (MNPs) cause a plethora of health impacts, including harming people’s hormonal systems, leading to infertility, and neurological and behavior disorders, says a new review in the International Journal of Molecular Sciences which unpacks the mechanisms of how plastics harm health.

Typically, people consume microplastics from contaminated food and drinking water, ingesting around 50,000 particles each year. People can also inhale micro- and nanoplastics and absorb them through skin contact. Most microplastics in the atmosphere come from the wear and tear of vehicle tires and brake pads. Researchers estimate that the harmful health effects from toxic chemicals in microplastics cost the United States nearly $250 billion in health care expenses per year.

“The solution is to cap and reduce plastic production.”

To tackle the plastic epidemic and its health harms, scientists and health advocates are pushing for world leaders to commit to curb plastic production in a legally binding United Nations treaty due to be voted on next month in Geneva, Switzerland. 

The plastics and fossil fuel industries object to curbs on production, arguing instead for more recycling. But scientists and pollution advocates say that very little plastic is ever recycled and doing so adds to the spread of toxic chemicals in the plastics.

“We are already seeing the impacts of plastic pollution on our health and our children’s health. … The solution is to cap and reduce plastic production,” said Tracey Woodruff, professor and director of the Program on Reproductive Health and the Environment at the University of California, San Francisco.

Messing the with endocrine system

The tiny bits of plastic contain endocrine-disrupting chemicals which can accumulate in body tissues and organs, such as ovaries and testes, where they bind to hormone receptors and interfere with their function, the review authors wrote. The chemicals also mess with key parts of the body’s endocrine system, including the hypothalamus — an area of the brain that helps regulate hormones and the nervous system, and controls body temperature and blood pressure, among other central processes. For example, studies have found that endocrine disrupting chemicals interfere with the molecules produced by the hypothalamus that signal to the body when it is time to eat or sleep. 

MNPs also affect several other organs involved in the endocrine system, the review says. These include the pituitary gland in the brain, which makes hormones involved in reproduction and fertility, and the thyroid gland, which produces hormones that control how the body uses energy. Long-term exposure to MNPs harms the development and function of the thyroid gland, according to the review. Studies show that rats fed a daily diet of nanoplastics and polystyrene for five weeks produced less of two key thyroid hormones known as thyroxine (T4) and triiodothyronine (T3).

Endocrine disrupting chemicals interfere with the function of the pituitary gland mainly by altering the hypothalamus. They reduce levels of hormones important to the reproductive system, such as follicle stimulating hormone, which is involved in the production of sperm and eggs. That can lead to infertility and possibly cancer of the uterus, according to the review, which was written by a team of six scientists in Poland. 

Harming reproduction

The ovaries and testes are very sensitive to the damaging effects of endocrine disrupting chemicals in micro- and nanoplastics. Studies in rodents exposed to microplastics found that the plastics build up in uterine tissue and ovaries. They also found a drop in the production of proteins that provide structural support for cells and are involved in cell movement. The ovaries also weighed less and produced fewer mature follicles (the sacks that contain developing eggs). Tests in mice that drank water contaminated with microplastics found that mice ovaries showed signs of oxidative stress — a condition where antioxidants in the body are unable to combat free radicals — unstable and highly reactive molecules that can damage cells. 

“More plastic production means more pollution.”

The review said that microplastics are linked to a decrease in pregnancies and an increase in offspring mortality. 

Microplastics also cause oxidative stress and inflammation in the testes. Studies in mice that were fed polystyrene microplastics for 28 days found a reduction in sperm number and quality and lower testosterone levels. Those findings suggest MNPs could be contributing to the continuing decline in male fertility rates seen over the last 80 years.

Better controls on plastic pollution 

Plastic production and use continues to grow as does the evidence of its harm to human health, particularly in vulnerable populations like children and pregnant women, the authors wrote. Further research is needed into the long-term effects of micro- and nanoplastics, and to better understand the mechanisms through which they harm health. In the meantime, the authors call for limits on the mass production of plastics and plastic additives containing endocrine disrupting substances. 

The Endocrine Society, a global professional organization of endocrinologists, says the mounting evidence of the health impacts of plastics and the toxic chemicals they contain is not keeping pace with current regulations to control their production and use.

The International Pollutants Elimination Network (IPEN) says a legally binding global treaty is needed to curb plastic production and protect human health.

“More plastic production means more pollution,” Bjorn Beeler, IPEN international coordinator, said in a statement. “That’s why the Treaty also needs to include provisions to cap and reduce plastic production, and not rely on false promises about failed solutions, like plastic recycling.”

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