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Diet-dependent effects of an environmentally relevant dose of polyethylene and polyethylene terephthalate on white adipose tissue and systemic insulin resistance in mice

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Mice exposed to realistic amounts of common plastic particles (from plastic bottles and packaging) developed health problems no matter what they ate, those on a healthy diet lost fat tissue in an unhealthy way, while those on a high-fat diet became more resistant to insulin, a warning sign for diabetes. This suggests that simply eating well may not be enough to protect us from the effects of everyday plastic exposure, highlighting why reducing plastic pollution at the source matters for public health.

As human exposure to micro- and nanoplastics (NPs) is unavoidable, it remains unclear whether dietary composition can modulate their health impacts. To address this, we investigated the metabolic effects of two common yet understudied polymers, polyethylene (PE) and polyethylene terephthalate (PET), in mice with either healthy or energy-dense diet. C57BL/6 J male mice were exposed to an environmentally relevant dose of PE or PET (100 nm, 25 mg/kg BW/day) for 29 weeks under either a normal diet (ND) or a high-fat diet (HFD). The metabolic consequence of NP exposure was highly diet-dependent. In ND-fed mice, PE and PET reduced white adipose tissue (WAT) mass, with PET inducing metabolic changes that toward a lipodystrophy-like state. Conversely, in HFD-fed mice, both polymers impaired systemic insulin sensitivity. Regardless of diet, PE and PET promoted immunoglobin G (IgG) accumulation in epididymal WAT, with PE-exposed lean mice exhibited the most robust IgG elevation, WAT fibrosis and impaired adipogenesis. These findings demonstrate that chronic, environmentally relevant PE or PET exposure disrupts metabolic health in male mice under both dietary contexts. While dietary composition dictates the specific metabolic phenotype, it does not prevent adverse outcomes. This complicates lifestyle-based mitigation strategies and underscores the urgent need for environmental source controls.

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