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The Human Intervertebral Disc as a Long-Term Repository for Micro/Nanoplastics: Tissue-Specific Accumulation and Risk Estimation

2026
Xuehua Li, Yanhua Wang, Zixian Feng, Rui Zhang, Baoshan Xing, Tan Ding

Summary

Researchers quantified microplastic and nanoplastic accumulation in blood, bone, and intervertebral disc tissue from 21 surgical patients, finding a distinct disc-enriched accumulation profile in nearly half of individuals, with nanoplastics dominated by polyvinyl chloride and polyamide 66, suggesting the avascular disc may serve as a long-term plastic reservoir.

Abstract The presence of microplastics (MPs) and nanoplastics (NPs) in the human has raised health concerns, yet their tissue-specific accumulation in avascular environments remains unclear. Laser micro-Raman spectroscopy and pyrolysis-gas chromatography/mass spectrometry were employed to quantify MNPs from 21 donors undergoing spinal fusion. MPs showed a tissue-specific abundance gradient (blood: 6.74 ± 4.40 n/mL; bone: 13.55 ± 4.48 n/g; disc: 13.92 ± 4.69 n/g), predominantly composed of polyethylene terephthalate, polyethylene, and polystyrene fragments/fibers (1-100 μm). NPs (0.16-20.28 μg/g) were ubiquitously detected, with polyvinyl chloride and polyamide 66, accounting for 78.2% of the total mass, indicating distinct tissue-selective enrichment. A regulated accumulation pattern showed a dominant “disc-enriched” profile in nearly half the individuals. Fiber morphology, white color, larger size, and PET/PE polymers were identified as key drivers of tissue-selective retention. Although calculated chemical risks remain within safety limits, the substantial NPs sequestration in the avascular disc suggests an overlooked mechanism of long-term physical burden and potential tissue degradation. This study provides novel insights into the individualized MNPs accumulation and highlight the need to re-evaluate the health implications of plastic pollution in slow-metabolizing tissues.

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