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Potential mechanisms of aortic medial degeneration promoted by co-exposure to microplastics and lead

Journal of Hazardous Materials 2024 22 citations

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Researchers found that microplastics and lead were both present in tissue samples from patients with aortic disease, and in mice, combined exposure to both pollutants caused significant damage to the aorta -- the body's main artery. The co-exposure triggered a form of cell death in blood vessel muscle cells through oxidative stress and mitochondrial damage. This suggests that microplastics may worsen the cardiovascular effects of heavy metals people are already exposed to.

Microplastics (MPs) have attracted widespread attention because they can lead to combined toxicity by adsorbing heavy metals from the environment. Exposure to lead (Pb), a frequently adsorbed heavy metal by MPs, is common. In the current study, the coexistence of MPs and Pb was assessed in human samples. Then, mice were used as models to examine how co-exposure to MPs and Pb promotes aortic medial degeneration. The results showed that MPs and Pb co-exposure were detected in patients with aortic disease. In mice, MPs and Pb co-exposure promoted the damage of elastic fibers, loss of vascular smooth muscle cells (VSMCs), and release of inflammatory factors. In vitro cell models revealed that co-exposure to MPs and Pb induced excessive reactive oxygen species generation, impaired mitochondrial function, and triggered PANoptosome assembly in VSMCs. These events led to PANoptosis and inflammation through the cAMP/PKA-ROS signaling pathway. However, the use of the PKA activator 8-Br-cAMP or mitochondrial ROS scavenger Mito-TEMPO improved, mitochondrial function in VSMCs, reduced cell death, and inhibited inflammatory factor release. Taken together, the present study provided novel insights into the combined toxicity of MPs and Pb co-exposure on the aorta.

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