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Microplastics and gut–brain axis: a mechanistic review of metabolic and microbial pathways

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This review summarizes existing research on how tiny plastic particles called microplastics may affect the gut and brain. It looks at how these particles might change gut bacteria and affect behavior, and calls for more research using animal studies to understand the underlying causes.

Microplastics (MPs) and nanoplastics (NPs) are characterized by small particle size, strong adsorption capacity, and resistance to degradation. Therefore, MPs are not only widely present in nature but also pose long-term pollution risks to organisms through pathways such as the digestive tract, respiratory tract, and skin contact, and can continuously accumulate upward through the food chain. Studies have found that exposure to MPs alone or in combination with other pollutants can have adverse effects on the body, such as alterations in gut microbiota and neurobehavioral effects. The gut microbiota plays a significant role in many physiological processes and may participate in bidirectional communication with the brain through the microbiota–gut–brain axis, which is associated with the occurrence and development of many neurological and psychiatric diseases. Up to now, few studies have examined the toxic effects and underlying mechanisms of MPs on the microbiota–gut–brain axis. This review synthesizes current advances in the literature concerning microplastic toxicity and its interactions with the microbiota–gut–brain axis, with the aim of promoting further investigation into the adverse effects of MPs on gut microbial composition and neurobehavioral outcomes, elucidating the underlying mechanistic pathways, identifying potential biomarkers and preventive strategies, and informing approaches for environmental and human health protection. Future studies should prioritize environmentally relevant exposure scenarios, standardized characterization of MPs/NPs, longitudinal and mammalian studies, and mechanistic experiments that directly test causality along the microbiota–gut–brain axis.

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