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Plastics in the Brain: A Narrative Review of Central Nervous System Micro- and Nanoplastic Accumulation, Exposure Pathways, and the Underinvestigated Link to Neurodegenerative Disease

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Scientists have found tiny plastic particles in human brain tissue, and this review pulls together what we know about how they get there and what they might do once inside. Lab studies suggest these particles may trigger inflammation and stress in brain cells, processes linked to diseases like Alzheimer's and Parkinson's, but scientists haven't yet proven plastics actually cause these diseases in people. More research is needed to know how worried we should be.

Body Systems
Models
Study Type In vivo

Microplastics and nanoplastics (MNPs) are ubiquitous environmental contaminants that have emerged as a potential concern to human health due to their widespread distribution and increasing detection in human tissues, including the brain. This narrative review evaluates current evidence regarding the accumulation of MNPs within the central nervous system (CNS) and its potential implications for neurodegenerative disease. Recent human biomonitoring studies have demonstrated the presence of MNPs in postmortem brain tissue, providing direct evidence that these particles can reach the human CNS. Experimental studies suggest that MNPs can cross biological barriers, including the blood-brain barrier, accumulate in neural tissues, and induce cellular and molecular disturbances associated with neurodegeneration. Proposed mechanisms include oxidative stress, neuroinflammation, mitochondrial dysfunction, blood-brain barrier dysfunction, pathological protein aggregation, and gut-brain axis dysregulation. These processes overlap with established pathways implicated in Alzheimer’s disease, Parkinson’s disease, amyotrophic lateral sclerosis, and related neurodegenerative disorders. Evidence from in vitro and in vivo models further suggests that MNP exposure may impair neuronal function, promote cell death, and accelerate neurodegenerative pathology. However, direct causal relationships between MNP exposure and human neurodegenerative disease remain unconfirmed due to limitations in exposure assessment, analytical methodologies, and longitudinal human data. Collectively, current findings highlight biologically plausible links between MNP exposure and neurodegeneration while underscoring the need for standardized detection methods, large-scale epidemiological studies, and human-relevant experimental models to better characterize the neurological consequences of chronic MNP exposure.

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