• Abstract

    Microplastics, small plastic particles less than 5 millimeters in size, have become common in the environment and occur in air, water, and food sources. Possible effects on human health, particularly as carcinogens, have become a growing concern. This review aims to investigate the mechanisms by which microplastics may contribute to cancer development and the implications for public health. A comprehensive literature review was conducted, focusing on studies from 2010 to 2024. The data were collected from various sources, including Google Scholar, PubMed, Web of Science and Scopus. The key areas examined include biological mechanisms of carcinogenesis, human exposure pathways, and risk assessment models. Microplastics can induce carcinogenesis through multiple pathways, including oxidative stress, inflammation, and cellular damage pathways. Research both in vivo and in vitro has demonstrated that microplastics can cause DNA damage and disrupt cellular processes, potentially leading to cancer. Human exposure occurs primarily through ingestion, inhalation, and dermal contact in the absence of data, and epidemiological studies indicate a link between increased levels of microplastic exposure and a greater risk of cancer. Microplastics represent a coming class of environmental carcinogens with significant public health implications. More investigations are needed to completely explain their carcinogenic mechanisms and to develop effective strategies to reduce human exposure. Public health policies must evolve to mitigate the risks connected with microplastic pollution, protecting future generations from its potential health impacts.

  • References

    1. Ahmed, S. F., Islam, N., Tasannum, N., Mehjabin, A., Momtahin, A., Chowdhury, A. A., Almomani, F., & Mofijur, M. (2024). Microplastic removal and management strategies for wastewater treatment plants. Chemosphere, 347, 140648. https://doi.org/10.1016/j.chemosphere.2023.140648
    2. Alberghini, L., Truant, A., Santonicola, S., Colavita, G., & Giaccone, V. (2022). Microplastics in Fish and Fishery Products and Risks for Human Health: A Review. International Journal of Environmental Research and Public Health, 20(1), 789. https://doi.org/10.3390/ijerph20010789
    3. Alhmoud, J. F., Woolley, J. F., Al Moustafa, A.-E., & Malki, M. I. (2020). DNA Damage/Repair Management in Cancers. Cancers, 12(4), 1050. https://doi.org/10.3390/cancers12041050
    4. Ali, N., Khan, M. H., Ali, M., Sidra, Ahmad, S., Khan, A., Nabi, G., Ali, F., Bououdina, M., & Kyzas, G. Z. (2024). Insight into microplastics in the aquatic ecosystem: Properties, sources, threats and mitigation strategies. Science of The Total Environment, 913, 169489. https://doi.org/10.1016/j.scitotenv.2023.169489
    5. Anagnosti, L., Varvaresou, A., Pavlou, P., Protopapa, E., & Carayanni, V. (2021). Worldwide actions against plastic pollution from microbeads and microplastics in cosmetics focusing on European policies. Has the issue been handled effectively? Marine Pollution Bulletin, 162, 111883. https://doi.org/10.1016/j.marpolbul.2020.111883
    6. Arfin, S., Jha, N. K., Jha, S. K., Kesari, K. K., Ruokolainen, J., Roychoudhury, S., Rathi, B., & Kumar, D. (2021). Oxidative Stress in Cancer Cell Metabolism. Antioxidants, 10(5), 642. https://doi.org/10.3390/antiox10050642
    7. Barboza, L. G. A., Lopes, C., Oliveira, P., Bessa, F., Otero, V., Henriques, B., Raimundo, J., Caetano, M., Vale, C., & Guilhermino, L. (2020). Microplastics in wild fish from North East Atlantic Ocean and its potential for causing neurotoxic effects, lipid oxidative damage, and human health risks associated with ingestion exposure. The Science of the Total Environment, 717, 134625. https://doi.org/10.1016/j.scitotenv.2019.134625
    8. Basu, A. K. (2018). DNA Damage, Mutagenesis and Cancer. International Journal of Molecular Sciences, 19(4), 970. https://doi.org/10.3390/ijms19040970
    9. Blackburn, K., & Green, D. (2022). The potential effects of microplastics on human health: What is known and what is unknown. Ambio, 51(3), 518–530. https://doi.org/10.1007/s13280-021-01589-9
    10. Caliri, A. W., Tommasi, S., & Besaratinia, A. (2021). Relationships among smoking, oxidative stress, inflammation, macromolecular damage, and cancer. Mutation Research. Reviews in Mutation Research, 787, 108365. https://doi.org/10.1016/j.mrrev.2021.108365
    11. Campanale, C., Massarelli, C., Savino, I., Locaputo, V., & Uricchio, V. F. (2020). A Detailed Review Study on Potential Effects of Microplastics and Additives of Concern on Human Health. International Journal of Environmental Research and Public Health, 17(4), 1212. https://doi.org/10.3390/ijerph17041212
    12. Caputi, S., Diomede, F., Lanuti, P., Marconi, G. D., Di Carlo, P., Sinjari, B., & Trubiani, O. (2022). Microplastics Affect the Inflammation Pathway in Human Gingival Fibroblasts: A Study in the Adriatic Sea. International Journal of Environmental Research and Public Health, 19(13), 7782. https://doi.org/10.3390/ijerph19137782
    13. Carr, A., Cullen, K., Keeney, C., Canning, C., Mooney, O., Ní Chinseallaigh, E., & O’Dowd, A. (2020). Effectiveness of positive psychology interventions: A systematic review and meta-analysis. The Journal of Positive Psychology, 16, 1–21. https://doi.org/10.1080/17439760.2020.1818807
    14. Chatterjee, N., & Walker, G. C. (2017). Mechanisms of DNA damage, repair, and mutagenesis. Environmental and Molecular Mutagenesis, 58(5), 235–263. https://doi.org/10.1002/em.22087
    15. Chen, L., Deng, H., Cui, H., Fang, J., Zuo, Z., Deng, J., Li, Y., Wang, X., & Zhao, L. (2017). Inflammatory responses and inflammation-associated diseases in organs. Oncotarget, 9(6), 7204–7218. https://doi.org/10.18632/oncotarget.23208
    16. Cho, Y. M., & Choi, K.-H. (2021). The current status of studies of human exposure assessment of microplastics and their health effects: A rapid systematic review. Environmental Analysis, Health and Toxicology, 36(1), e2021004-2021000. https://doi.org/10.5620/eaht.2021004
    17. Coffin, S., Wyer, H., & Leapman, J. C. (2021). Addressing the environmental and health impacts of microplastics requires open collaboration between diverse sectors. PLoS Biology, 19(3), e3000932. https://doi.org/10.1371/journal.pbio.3000932
    18. Critchell, K., Bauer-Civiello, A., Benham, C., Berry, K., Eagle, L., Hamann, M., Hussey, K., & Ridgway, T. (2019). Chapter 34 - Plastic Pollution in the Coastal Environment: Current Challenges and Future Solutions. In E. Wolanski, J. W. Day, M. Elliott, & R. Ramachandran (Eds.), Coasts and Estuaries (pp. 595–609). Elsevier. https://doi.org/10.1016/B978-0-12-814003-1.00034-4
    19. Cverenkárová, K., Valachovičová, M., Mackuľak, T., Žemlička, L., & Bírošová, L. (2021). Microplastics in the Food Chain. Life, 11(12), 1349. https://doi.org/10.3390/life11121349
    20. da Silva, A., Jude, R., & Gallardo, R. (2022). Da Silva et al 2022—Infectious bronchitis virus—A comprehensive multilocus genomic analysis to compare DMV:1639 and QX strains. Viruses, 14, 1998. https://doi.org/10.3390/v14091998
    21. Das, A. (2023). The emerging role of microplastics in systemic toxicity: Involvement of reactive oxygen species (ROS). Science of The Total Environment, 895, 165076. https://doi.org/10.1016/j.scitotenv.2023.165076
    22. Daussy, C. F., & Wodrich, H. (2020). “Repair Me if You Can”: Membrane Damage, Response, and Control from the Viral Perspective. Cells, 9(9), 2042. https://doi.org/10.3390/cells9092042
    23. de Almeida, A. J. P. O., de Oliveira, J. C. P. L., da Silva Pontes, L. V., de Souza Júnior, J. F., Gonçalves, T. A. F., Dantas, S. H., de Almeida Feitosa, M. S., Silva, A. O., & de Medeiros, I. A. (2022). ROS: Basic Concepts, Sources, Cellular Signaling, and its Implications in Aging Pathways. Oxidative Medicine and Cellular Longevity, 2022, 1225578. https://doi.org/10.1155/2022/1225578
    24. De-la-Torre, G. E. (2020). Microplastics: An emerging threat to food security and human health. Journal of Food Science and Technology, 57(5), 1601–1608. https://doi.org/10.1007/s13197-019-04138-1
    25. Domenech, J., & Marcos, R. (2021). Pathways of human exposure to microplastics, and estimation of the total burden. Current Opinion in Food Science, 39, 144–151. https://doi.org/10.1016/j.cofs.2021.01.004
    26. Emenike, E. C., Okorie, C. J., Ojeyemi, T., Egbemhenghe, A., Iwuozor, K. O., Saliu, O. D., Okoro, H. K., & Adeniyi, A. G. (2023). From oceans to dinner plates: The impact of microplastics on human health. Heliyon, 9(10), e20440. https://doi.org/10.1016/j.heliyon.2023.e20440
    27. Evode, N., Qamar, S. A., Bilal, M., Barceló, D., & Iqbal, H. M. N. (2021). Plastic waste and its management strategies for environmental sustainability. Case Studies in Chemical and Environmental Engineering, 4, 100142. https://doi.org/10.1016/j.cscee.2021.100142
    28. Fadare, O. O., Wan, B., Guo, L.-H., & Zhao, L. (2020). Microplastics from consumer plastic food containers: Are we consuming it? Chemosphere, 253, 126787. https://doi.org/10.1016/j.chemosphere.2020.126787
    29. Fairchild, G., Tasseff, B., Khalsa, H., Generous, N., Daughton, A. R., Velappan, N., Priedhorsky, R., & Deshpande, A. (2018). Epidemiological Data Challenges: Planning for a More Robust Future Through Data Standards. Frontiers in Public Health, 6, 336. https://doi.org/10.3389/fpubh.2018.00336
    30. Farabegoli, F., Blanco, L., Rodríguez, L. P., Vieites, J. M., & Cabado, A. G. (2018). Phycotoxins in Marine Shellfish: Origin, Occurrence and Effects on Humans. Marine Drugs, 16(6), 188. https://doi.org/10.3390/md16060188
    31. Filiciotto, L., & Rothenberg, G. (2021). Biodegradable Plastics: Standards, Policies, and Impacts. Chemsuschem, 14(1), 56–72. https://doi.org/10.1002/cssc.202002044
    32. Gambino, I., Bagordo, F., Grassi, T., Panico, A., & De Donno, A. (2022). Occurrence of Microplastics in Tap and Bottled Water: Current Knowledge. International Journal of Environmental Research and Public Health, 19(9), 5283. https://doi.org/10.3390/ijerph19095283
    33. Green, J., Cross, R., Woodall, J., & Tones, K. (2019). Health Promotion: Planning & Strategies.
    34. Greten, F. R., & Grivennikov, S. I. (2019). Inflammation and Cancer: Triggers, Mechanisms, and Consequences. Immunity, 51(1), 27–41. https://doi.org/10.1016/j.immuni.2019.06.025
    35. Guerranti, C., Martellini, T., Perra, G., Scopetani, C., & Cincinelli, A. (2019). Microplastics in cosmetics: Environmental issues and needs for global bans. Environmental Toxicology and Pharmacology, 68, 75–79. https://doi.org/10.1016/j.etap.2019.03.007
    36. Hakem, R. (2008). DNA-damage repair; the good, the bad, and the ugly. The EMBO Journal, 27(4), 589–605. https://doi.org/10.1038/emboj.2008.15
    37. Haleem, N., Kumar, P., Zhang, C., Jamal, Y., Hua, G., Yao, B., & Yang, X. (2024). Microplastics and associated chemicals in drinking water: A review of their occurrence and human health implications. Science of The Total Environment, 912, 169594. https://doi.org/10.1016/j.scitotenv.2023.169594
    38. Hatta, M. N. A., Mohamad Hanif, E. A., Chin, S.-F., & Neoh, H. (2021). Pathogens and Carcinogenesis: A Review. Biology, 10(6), 533. https://doi.org/10.3390/biology10060533
    39. Hernandez, A. F., Green, J. B., Janmohamed, S., D’Agostino, R. B., Granger, C. B., Jones, N. P., Leiter, L. A., Rosenberg, A. E., Sigmon, K. N., Somerville, M. C., Thorpe, K. M., McMurray, J. J. V., Del Prato, S., Del Prato, S., McMurray, J. J. V., D’Agostino, R. B., Granger, C. B., Hernandez, A. F., Janmohamed, S., … Mandal, T. (2018). Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): A double-blind, randomised placebo-controlled trial. The Lancet, 392(10157), 1519–1529. https://doi.org/10.1016/S0140-6736(18)32261-X
    40. Iroegbu, A. O. C., Ray, S. S., Mbarane, V., Bordado, J. C., & Sardinha, J. P. (2021). Plastic Pollution: A Perspective on Matters Arising: Challenges and Opportunities. ACS Omega, 6(30), 19343–19355. https://doi.org/10.1021/acsomega.1c02760
    41. Issac, M. N., & Kandasubramanian, B. (2021). Effect of microplastics in water and aquatic systems. Environmental Science and Pollution Research International, 28(16), 19544–19562. https://doi.org/10.1007/s11356-021-13184-2
    42. Jain, R., Gaur, A., Suravajhala, R., Chauhan, U., Pant, M., Tripathi, V., & Pant, G. (2023). Microplastic pollution: Understanding microbial degradation and strategies for pollutant reduction. Science of The Total Environment, 905, 167098. https://doi.org/10.1016/j.scitotenv.2023.167098
    43. Juan, C. A., Pérez de la Lastra, J. M., Plou, F. J., & Pérez-Lebeña, E. (2021). The Chemistry of Reactive Oxygen Species (ROS) Revisited: Outlining Their Role in Biological Macromolecules (DNA, Lipids and Proteins) and Induced Pathologies. International Journal of Molecular Sciences, 22(9), 4642. https://doi.org/10.3390/ijms22094642
    44. Kalair, A. R., Seyedmahmoudian, M., Stojcevski, A., Abas, N., & Khan, N. (2021). Waste to energy conversion for a sustainable future. Heliyon, 7(10), e08155. https://doi.org/10.1016/j.heliyon.2021.e08155
    45. Kannan, K., & Vimalkumar, K. (2021). A Review of Human Exposure to Microplastics and Insights Into Microplastics as Obesogens. Frontiers in Endocrinology, 12, 724989. https://doi.org/10.3389/fendo.2021.724989
    46. Kiessling, T., Hinzmann, M., Mederake, L., Dittmann, S., Brennecke, D., Böhm-Beck, M., Knickmeier, K., & Thiel, M. (2023). What potential does the EU Single-Use Plastics Directive have for reducing plastic pollution at coastlines and riversides? An evaluation based on citizen science data. Waste Management, 164, 106–118. https://doi.org/10.1016/j.wasman.2023.03.042
    47. Kim, D., Lee, J.-Y., Yang, J.-S., Kim, J. W., Kim, V. N., & Chang, H. (2020). The Architecture of SARS-CoV-2 Transcriptome. Cell, 181(4), 914-921.e10. https://doi.org/10.1016/j.cell.2020.04.011
    48. Knoblauch, D., & Mederake, L. (2021). Government policies combatting plastic pollution. Current Opinion in Toxicology, 28, 87–96. https://doi.org/10.1016/j.cotox.2021.10.003
    49. Krewski, D.,(2019). Analysis of key characteristics of human carcinogens. In Tumour Site Concordance and Mechanisms of Carcinogenesis. International Agency for Research on Cancer. https://www.ncbi.nlm.nih.gov/books/NBK570329/. Accessed on April 6, 2024.
    50. Lamichhane, G., Acharya, A., Marahatha, R., Modi, B., Paudel, R., Adhikari, A., Raut, B. K., Aryal, S., & Parajuli, N. (2023). Microplastics in environment: Global concern, challenges, and controlling measures. International Journal of Environmental Science and Technology, 20(4), 4673–4694. https://doi.org/10.1007/s13762-022-04261-1
    51. Lee, Y., Cho, J., Sohn, J., & Kim, C. (2023). Health Effects of Microplastic Exposures: Current Issues and Perspectives in South Korea. Yonsei Medical Journal, 64(5), 301–308. https://doi.org/10.3349/ymj.2023.0048
    52. Leslie, H. A., & Depledge, M. H. (2020). Where is the evidence that human exposure to microplastics is safe? Environment International, 142, 105807. https://doi.org/10.1016/j.envint.2020.105807
    53. Li, Y., yan, yicha, Deng, S., Zhang, C., Haq, F., Chen, T., Li, Y., Li, S., Yang, R., Zou, L., & Chen, G. (2020). Yilang Li et al. 2020.
    54. Luo, X., Tong, S., Fang, Z., & Qu, Z. (2019). Frontiers: Machines vs. Humans: The Impact of Artificial Intelligence Chatbot Disclosure on Customer Purchases. Marketing Science. https://doi.org/10.1287/mksc.2019.1192
    55. Mamun, A. A., Prasetya, T. A. E., Dewi, I. R., & Ahmad, M. (2023). Microplastics in human food chains: Food becoming a threat to health safety. Science of The Total Environment, 858, 159834. https://doi.org/10.1016/j.scitotenv.2022.159834
    56. Mason, C., Taggart, D., & Broadhurst, K. (2020). Parental Non-Engagement within Child Protection Services—How Can Understandings of Complex Trauma and Epistemic Trust Help? Societies, 10(4), Article 4. https://doi.org/10.3390/soc10040093
    57. Mayer, P. M., Moran, K. D., Miller, E. L., Brander, S. M., Harper, S., Garcia-Jaramillo, M., Carrasco-Navarro, V., Ho, K. T., Burgess, R. M., Thornton Hampton, L. M., Granek, E. F., McCauley, M., McIntyre, J. K., Kolodziej, E. P., Hu, X., Williams, A. J., Beckingham, B. A., Jackson, M. E., Sanders-Smith, R. D., … Mendez, M. (2024). Where the rubber meets the road: Emerging environmental impacts of tire wear particles and their chemical cocktails. Science of The Total Environment, 927, 171153. https://doi.org/10.1016/j.scitotenv.2024.171153
    58. McIlwraith, H. K., Kim, J., Helm, P., Bhavsar, S. P., Metzger, J. S., & Rochman, C. M. (2021). Evidence of Microplastic Translocation in Wild-Caught Fish and Implications for Microplastic Accumulation Dynamics in Food Webs. Environmental Science & Technology, 55(18), 12372–12382. https://doi.org/10.1021/acs.est.1c02922
    59. Mitrano, D. M., & Wohlleben, W. (2020). Microplastic regulation should be more precise to incentivize both innovation and environmental safety. Nature Communications, 11, 5324. https://doi.org/10.1038/s41467-020-19069-1
    60. Nawab, A., Ahmad, M., Khan, M. T., Nafees, M., Khan, I., & Ihsanullah, I. (2024). Human Exposure to Microplastics: A Review on Exposure Routes and Public Health Impacts. Journal of Hazardous Materials Advances, 100487. https://doi.org/10.1016/j.hazadv.2024.100487
    61. Ngoc, L. T. N., Park, D., & Lee, Y.-C. (2022). Human Health Impacts of Residential Radon Exposure: Updated Systematic Review and Meta-Analysis of Case–Control Studies. International Journal of Environmental Research and Public Health, 20(1), 97. https://doi.org/10.3390/ijerph20010097
    62. Nøklebye, E., Adam, H. N., Roy-Basu, A., Bharat, G. K., & Steindal, E. H. (2023). Plastic bans in India – Addressing the socio-economic and environmental complexities. Environmental Science & Policy, 139, 219–227. https://doi.org/10.1016/j.envsci.2022.11.005
    63. Osman, A. I., Hosny, M., Eltaweil, A. S., Omar, S., Elgarahy, A. M., Farghali, M., Yap, P.-S., Wu, Y.-S., Nagandran, S., Batumalaie, K., Gopinath, S. C. B., John, O. D., Sekar, M., Saikia, T., Karunanithi, P., Hatta, M. H. M., & Akinyede, K. A. (2023). Microplastic sources, formation, toxicity and remediation: A review. Environmental Chemistry Letters, 1–41. https://doi.org/10.1007/s10311-023-01593-3
    64. Pastorino, P., & Barceló, D. (2023). Microplastics and their environmental effects. Environmental Toxicology and Pharmacology, 104, 104324. https://doi.org/10.1016/j.etap.2023.104324
    65. Patel, A. B., Shaikh, S., Jain, K. R., Desai, C., & Madamwar, D. (2020). Polycyclic Aromatic Hydrocarbons: Sources, Toxicity, and Remediation Approaches. Frontiers in Microbiology, 11, 562813. https://doi.org/10.3389/fmicb.2020.562813
    66. Patel, J. A., Nielsen, F. B. H., Badiani, A. A., Assi, S., Unadkat, V. A., Patel, B., Ravindrane, R., & Wardle, H. (2020). Poverty, inequality and COVID-19: The forgotten vulnerable. Public Health, 183, 110–111. https://doi.org/10.1016/j.puhe.2020.05.006
    67. Patrício Silva, A. L., Prata, J. C., Walker, T. R., Duarte, A. C., Ouyang, W., Barcelò, D., & Rocha-Santos, T. (2021). Increased plastic pollution due to COVID-19 pandemic: Challenges and recommendations. Chemical Engineering Journal, 405, 126683. https://doi.org/10.1016/j.cej.2020.126683
    68. Piña-Sánchez, P., (2021). Cancer Biology, Epidemiology, and Treatment in the 21st Century: Current Status and Future Challenges From a Biomedical Perspective. Cancer Control : Journal of the Moffitt Cancer Center, 28, 10732748211038735. https://doi.org/10.1177/10732748211038735.
    69. Pironti, C., Ricciardi, M., Motta, O., Miele, Y., Proto, A., & Montano, L. (2021). Microplastics in the Environment: Intake through the Food Web, Human Exposure and Toxicological Effects. Toxics, 9(9), 224. https://doi.org/10.3390/toxics9090224
    70. Pizzino, G., Irrera, N., Cucinotta, M., Pallio, G., Mannino, F., Arcoraci, V., Squadrito, F., Altavilla, D., & Bitto, A. (2017). Oxidative Stress: Harms and Benefits for Human Health. Oxidative Medicine and Cellular Longevity, 2017, 8416763. https://doi.org/10.1155/2017/8416763
    71. Pothiraj, C., Amutha Gokul, T., Ramesh Kumar, K., Ramasubramanian, A., Palanichamy, A., Venkatachalam, K., Pastorino, P., Barcelò, D., Balaji, P., & Faggio, C. (2023). Vulnerability of microplastics on marine environment: A review. Ecological Indicators, 155, 111058. https://doi.org/10.1016/j.ecolind.2023.111058
    72. Prata, J. C., da Costa, J. P., Duarte, A. C., & Rocha-Santos, T. (2019). Methods for sampling and detection of microplastics in water and sediment: A critical review. TrAC Trends in Analytical Chemistry, 110, 150–159. https://doi.org/10.1016/j.trac.2018.10.029
    73. Prata, J. C., da Costa, J. P., Lopes, I., Duarte, A. C., & Rocha-Santos, T. (2020). Environmental exposure to microplastics: An overview on possible human health effects. Science of The Total Environment, 702, 134455. https://doi.org/10.1016/j.scitotenv.2019.134455
    74. Rahman, A., Sarkar, A., Yadav, O. P., Achari, G., & Slobodnik, J. (2021a). Potential human health risks due to environmental exposure to nano- and microplastics and knowledge gaps: A scoping review. Science of The Total Environment, 757, 143872. https://doi.org/10.1016/j.scitotenv.2020.143872
    75. Rahman, A., Sarkar, A., Yadav, O. P., Achari, G., & Slobodnik, J. (2021b). Potential human health risks due to environmental exposure to nano- and microplastics and knowledge gaps: A scoping review. Science of The Total Environment, 757, 143872. https://doi.org/10.1016/j.scitotenv.2020.143872
    76. Rahman, T., Hasnain, M. D. G., & Islam, A. (2021). Food insecurity and mental health of women during COVID-19: Evidence from a developing country. PLOS ONE, 16(7), e0255392. https://doi.org/10.1371/journal.pone.0255392
    77. Ramírez, A. S., Ramondt, S., Van Bogart, K., & Zuniga, R. P. (2019). Public Awareness of Air Pollution and Health Threats: Challenges and Opportunities for Communication Strategies to Improve Environmental Health Literacy. Journal of Health Communication, 24(1), 75–83. https://doi.org/10.1080/10810730.2019.1574320
    78. Seewoo, B. J., Goodes, L. M., Mofflin, L., Mulders, Y. R., Wong, E. V., Toshniwal, P., Brunner, M., Alex, J., Johnston, B., Elagali, A., Gozt, A., Lyle, G., Choudhury, O., Solomons, T., Symeonides, C., & Dunlop, S. A. (2023). The plastic health map: A systematic evidence map of human health studies on plastic-associated chemicals. Environment International, 181, 108225. https://doi.org/10.1016/j.envint.2023.108225
    79. Sharifi-Rad, M., Anil Kumar, N. V., Zucca, P., Varoni, E. M., Dini, L., Panzarini, E., Rajkovic, J., Tsouh Fokou, P. V., Azzini, E., Peluso, I., Prakash Mishra, A., Nigam, M., El Rayess, Y., Beyrouthy, M. E., Polito, L., Iriti, M., Martins, N., Martorell, M., Docea, A. O., … Sharifi-Rad, J. (2020). Lifestyle, Oxidative Stress, and Antioxidants: Back and Forth in the Pathophysiology of Chronic Diseases. Frontiers in Physiology, 11, 694. https://doi.org/10.3389/fphys.2020.00694
    80. Sivadas, S. K., Mishra, P., Kaviarasan, T., Sambandam, M., Dhineka, K., Murthy, M. V. R., Nayak, S., Sivyer, D., & Hoehn, D. (2022). Litter and plastic monitoring in the Indian marine environment: A review of current research, policies, waste management, and a roadmap for multidisciplinary action. Marine Pollution Bulletin, 176, 113424. https://doi.org/10.1016/j.marpolbul.2022.113424
    81. Smith et al., 2018: Learning about strategies and difficulties of emotion regulation increased emotional well-being and belonging in school among middle schoolers over six weeks. (n.d.). https://www.wiseinterventions.org. Accessed on June 4, 2024.
    82. Smith, M. T., Guyton, K. Z., Kleinstreuer, N., Borrel, A., Cardenas, A., Chiu, W. A., Felsher, D. W., Gibbons, C. F., Goodson, W. H., Houck, K. A., Kane, A., La Merrill, M. A., Lebrec, H., Lowe, L., McHale, C. M., Minocherhomji, S., Rieswijk, L., Sandy, M. S., Sone, H., … Fielden, M. (2020). The Key Characteristics of Carcinogens: Relationship to the Hallmarks of Cancer, Relevant Biomarkers, and Assays to Measure Them. Cancer Epidemiology, Biomarkers & Prevention : A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 29(10), 1887–1903. https://doi.org/10.1158/1055-9965.EPI-19-1346
    83. Sobhani, Z., Luo, Y., Gibson, C., Tang, Y., Naidu, R., Mallavarapu, M., & Fang, C. (2021). Collecting Microplastics in Gardens: Case Study (i) of Soil. Frontiers in Environmental Science, 9, 739775. https://doi.org/10.3389/fenvs.2021.739775
    84. Su, L.-J., Zhang, J.-H., Gomez, H., Murugan, R., Hong, X., Xu, D., Jiang, F., & Peng, Z.-Y. (2019). Reactive Oxygen Species-Induced Lipid Peroxidation in Apoptosis, Autophagy, and Ferroptosis. Oxidative Medicine and Cellular Longevity, 2019. https://doi.org/10.1155/2019/5080843
    85. Thacharodi, A., Hassan, S., Meenatchi, R., Bhat, M. A., Hussain, N., Arockiaraj, J., Ngo, H. H., Sharma, A., Nguyen, H. T., & Pugazhendhi, A. (2024). Mitigating microplastic pollution: A critical review on the effects, remediation, and utilization strategies of microplastics. Journal of Environmental Management, 351, 119988. https://doi.org/10.1016/j.jenvman.2023.119988
    86. Thacharodi, A., Meenatchi, R., Hassan, S., Hussain, N., Bhat, M. A., Arockiaraj, J., Ngo, H. H., Le, Q. H., & Pugazhendhi, A. (2024). Microplastics in the environment: A critical overview on its fate, toxicity, implications, management, and bioremediation strategies. Journal of Environmental Management, 349, 119433. https://doi.org/10.1016/j.jenvman.2023.119433
    87. Thompson, A. (2018). Solving Microplastic Pollution Means Reducing, Recycling—And Fundamental Rethinking. Scientific American. https://www.scientificamerican.com. Accessed on June 4, 2024.
    88. Thompson, A., Carroll, K., A. Inker, L., Floege, J., Perkovic, V., Boyer-Suavet, S., W. Major, R., I. Schimpf, J., Barratt, J., Cattran, D. C., S. Gillespie, B., Kausz, A., W. Mercer, A., Reich, H. N., H. Rovin, B., West, M., & Nachman, P. H. (2019). Proteinuria Reduction as a Surrogate End Point in Trials of IgA Nephropathy. Clinical Journal of the American Society of Nephrology : CJASN, 14(3), 469–481. https://doi.org/10.2215/CJN.08600718
    89. Toporcov, T. N., & Filho, V. W. (2018). Epidemiological science and cancer control. Clinics, 73(Suppl 1), e627s. https://doi.org/10.6061/clinics/2018/e627s
    90. Torres-Agullo, A., Karanasiou, A., Moreno, T., & Lacorte, S. (2021). Overview on the occurrence of microplastics in air and implications from the use of face masks during the COVID-19 pandemic. Science of The Total Environment, 800, 149555. https://doi.org/10.1016/j.scitotenv.2021.149555
    91. Tumu, K., Vorst, K., & Curtzwiler, G. (2023). Global plastic waste recycling and extended producer responsibility laws. Journal of Environmental Management, 348, 119242. https://doi.org/10.1016/j.jenvman.2023.119242
    92. Vanapalli, K. R., Sharma, H. B., Ranjan, V. P., Samal, B., Bhattacharya, J., Dubey, B. K., & Goel, S. (2021). Challenges and strategies for effective plastic waste management during and post COVID-19 pandemic. The Science of the Total Environment, 750, 141514. https://doi.org/10.1016/j.scitotenv.2020.141514
    93. Verbeek, J. H., Rajamaki, B., Ijaz, S., Sauni, R., Toomey, E., Blackwood, B., Tikka, C., Ruotsalainen, J. H., & Kilinc Balci, F. S. (2020). Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. The Cochrane Database of Systematic Reviews, 2020(4), CD011621. https://doi.org/10.1002/14651858.CD011621.pub4
    94. Virolainen, S. J., VonHandorf, A., Viel, K. C. M. F., Weirauch, M. T., & Kottyan, L. C. (2023). Gene–environment interactions and their impact on human health. Genes and Immunity, 24(1), 1–11. https://doi.org/10.1038/s41435-022-00192-6
    95. Wen, Y., Zhu, Y., Zhang, C., Yang, X., Gao, Y., Li, M., Yang, H., Liu, T., & Tang, H. (2022). Chronic inflammation, cancer development and immunotherapy. Frontiers in Pharmacology, 13, 1040163. https://doi.org/10.3389/fphar.2022.1040163
    96. Windle, M., Lee, H. D., Cherng, S. T., Lesko, C. R., Hanrahan, C., Jackson, J. W., McAdams-DeMarco, M., Ehrhardt, S., Baral, S. D., D’Souza, G., & Dowdy, D. W. (2019). From Epidemiologic Knowledge to Improved Health: A Vision for Translational Epidemiology. American Journal of Epidemiology, 188(12), 2049–2060. https://doi.org/10.1093/aje/kwz085
    97. Wright, S. L., Ulke, J., Font, A., Chan, K. L. A., & Kelly, F. J. (2020). Atmospheric microplastic deposition in an urban environment and an evaluation of transport. Environment International, 136, 105411. https://doi.org/10.1016/j.envint.2019.105411
    98. Yang, X., Man, Y. B., Wong, M. H., Owen, R. B., & Chow, K. L. (2022). Environmental health impacts of microplastics exposure on structural organization levels in the human body. Science of The Total Environment, 825, 154025. https://doi.org/10.1016/j.scitotenv.2022.154025
    99. Yee, M. S.-L., Hii, L.-W., Looi, C. K., Lim, W.-M., Wong, S.-F., Kok, Y.-Y., Tan, B.-K., Wong, C.-Y., & Leong, C.-O. (2021). Impact of Microplastics and Nanoplastics on Human Health. Nanomaterials, 11(2), 496. https://doi.org/10.3390/nano11020496
    100. Yuan, Z., Nag, R., & Cummins, E. (2022). Human health concerns regarding microplastics in the aquatic environment—From marine to food systems. Science of The Total Environment, 823, 153730. https://doi.org/10.1016/j.scitotenv.2022.153730
    101. Zarus, G. M., Muianga, C., Hunter, C. M., & Pappas, R. S. (2021). A review of data for quantifying human exposures to micro and nanoplastics and potential health risks. The Science of the Total Environment, 756, 144010. https://doi.org/10.1016/j.scitotenv.2020.144010
    102. Zhang, S., Wang, J., He, W., Kan, S., Liao, X., Jordan, D., Mace, E., Tao, Y., Cruickshank, A., Klein, R., Daojun, Y., Tembrock, L., & Wu, Z. (2023). Zhang et al-2023-BMC Plant Biology.
    103. Zhang, Y., Wu, H., Xu, L., Liu, H., & An, L. (2022). Promising indicators for monitoring microplastic pollution. Marine Pollution Bulletin, 182, 113952. https://doi.org/10.1016/j.marpolbul.2022.113952
    104. Zhao, B., Rehati, P., Yang, Z., Cai, Z., Guo, C., & Li, Y. (2024). The potential toxicity of microplastics on human health. Science of The Total Environment, 912, 168946. https://doi.org/10.1016/j.scitotenv.2023.168946
    105. Zhu, Y., Che, R., Zong, X., Wang, J., Li, J., Zhang, C., & Wang, F. (2024). A comprehensive review on the source, ingestion route, attachment and toxicity of microplastics/nanoplastics in human systems. Journal of Environmental Management, 352, 120039. https://doi.org/10.1016/j.jenvman.2024.120039
    106. Ziani, K., Ioniță-Mîndrican, C.-B., Mititelu, M., Neacșu, S. M., Negrei, C., Moroșan, E., Drăgănescu, D., & Preda, O.-T. (2023). Microplastics: A Real Global Threat for Environment and Food Safety: A State of the Art Review. Nutrients, 15(3), 617. https://doi.org/10.3390/nu15030617
    107. Zuri, G., Karanasiou, A., & Lacorte, S. (2023). Microplastics: Human exposure assessment through air, water, and food. Environment International, 179, 108150. https://doi.org/10.1016/j.envint.2023.108150
    108. Zurub, R. E., Cariaco, Y., Wade, M. G., & Bainbridge, S. A. (2024). Microplastics exposure: Implications for human fertility, pregnancy and child health. Frontiers in Endocrinology, 14, 1330396. https://doi.org/10.3389/fendo.2023.1330396

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2025 The Authors

How to cite

Nibude, S., Rathored, J., Shende, S., & Badkhal, A. (2024). The impact of environmental microplastics as emerging carcinogens: A public health concern. Multidisciplinary Reviews, 8(2), 2025067. https://doi.org/10.31893/multirev.2025067
  • Article viewed - 1268
  • PDF downloaded - 765