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Article Tier 2 Food & Water Gut & Microbiome Human Health Effects Sign in to save

Analysis of Microplastics in Human Feces Reveals a Correlation between Fecal Microplastics and Inflammatory Bowel Disease Status

Environmental Science & Technology 2021 709 citations

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Researchers analyzed microplastics in the stool of patients with inflammatory bowel disease (IBD) and healthy volunteers, finding that IBD patients had significantly higher concentrations of microplastics in their feces. PET plastic and polyamide were the most common types found, likely originating from food packaging and dust. The positive correlation between microplastic levels and IBD severity suggests that microplastic exposure may be linked to gut inflammation, though it is not yet clear whether the plastics contribute to the disease or the disease causes more plastic retention.

Polymers
Body Systems
Models
Study Type Environmental

Human ingestion of microplastics (MPs) is inevitable due to the ubiquity of MPs in various foods and drinking water. Whether the ingestion of MPs poses a substantial risk to human health is far from understood. Here, by analyzing the characteristics of MPs in the feces of patients with inflammatory bowel disease (IBD) and healthy people, for the first time, we found that the fecal MP concentration in IBD patients (41.8 items/g dm) was significantly higher than that in healthy people (28.0 items/g dm). In total, 15 types of MPs were detected in feces, with poly(ethylene terephthalate) (22.3-34.0%) and polyamide (8.9-12.4%) being dominant, and their primary shapes were sheets and fibers, respectively. We present evidence indicating that a positive correlation exists between the concentration of fecal MPs and the severity of IBD. Combining a questionnaire survey and the characteristics of fecal MPs, we conclude that the plastic packaging of drinking water and food and dust exposure are important sources of human exposure to MPs. Furthermore, the positive correlation between fecal MPs and IBD status suggests that MP exposure may be related to the disease process or that IBD exacerbates the retention of MPs. The relative mechanisms deserve further studies. Our results also highlight that fecal MPs are useful for assessing human MP exposure and potential health risks.

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