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Microplastic and Nanoplastic Exposures, Gut Microbiome Disruption, and Nutritional Health: A One Health Systematic Review of Human and Translational Evidence-Systematic Review

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This review pulls together current research on how tiny plastic particles from food, water, and packaging may disrupt our gut bacteria, potentially triggering inflammation and other health issues. The catch: most evidence so far comes from animal or lab studies, so while cutting plastic exposure seems wise, science can't yet recommend specific diets or treatments to counteract the effects. More human studies are needed before we know exactly what to do about it.

Body Systems
Study Type Review

Background: Food, drinking water, food-contact materials, and infant-feeding products are important interfaces for exposure to microplastics, nanoplastics, and associated contaminants. Their effects on the gut microbiome and host metabolism create a One Health problem linking nutritional, human, animal, and ecosystem health. Objective: To synthesize recent human and translational evidence on microplastic exposure, emphasizing gut microbiome disruption, nutritional pathways, One Health, and multi-omics. Methods: PubMed/MEDLINE and Europe PMC were searched for English-language reports published from January 1, 2021, through September 12, 2026; supplementary citation searching identified additional reports. Eligibility was restricted to primary studies examining a defined microplastic or nanoplastic exposure together with host-associated intestinal microbiota, experimentally generated omics data relevant to host response, or a human nutritional-exposure pathway. Environmental and mechanistic publications not meeting these primary criteria were retained only for contextual interpretation. Results: The reconstructed evidence set comprised 29 primary studies and 16 contextual sources. Primary evidence described context-dependent dysbiosis, altered microbial metabolites, epithelial injury, oxidative stress, inflammation, and perturbation of gut-organ axes. Food processing, heating, storage, and infant-feeding materials emerged as potentially modifiable exposure points. Fiber-, prebiotic-, probiotic-, and polyphenol-oriented strategies remain preclinical or hypothesis-generating; no omics-guided or dietary treatment is validated for routine care. Conclusions: Current evidence supports exposure reduction, standardized measurement, and prospective human research. Multi-omics may improve mechanistic characterization and trial stratification, but clinical recommendations must not be inferred directly from animal, aquatic, or in-vitro findings.

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