Evidence map›Paper›PMID 39164741›Full record

ArticleParticle and fibre toxicology2024

Microplastics are associated with elevated atherosclerotic risk and increased vascular complexity in acute coronary syndrome patients.

Yunxiao Yang, Feng Zhang, Zhili Jiang, Zhiyong Du, Sheng Liu, Ming Zhang, Yanyan Jin, Yanwen Qin, Xiubin Yang, Chenggang Wang and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Particle and fibre toxicology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06965023 (Microplastics and Nanoplastics), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06965023 recruitingnot on this mapstarted 2025, after this paper: background citation

Microplastics and Nanoplastics (MNPs) in Patients With ST-elevation Myocardial Infarction (STEMI)

TypeobservationalSponsorAzienda Ospedaliera "Sant'Andrea"Ran2025 to 2027Enrolled130ConditionsST-elevation Myocardial Infarction (STEMI), Microplastics, Nanoplastics, Pollution Exposure
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Health impacts of micro- and nanoplastics in humans: systematic review of in vivo evidence.Environmental health : a global access science source · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yunxiao Yang *Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Feng Zhang *Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Zhili Jiang *Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Zhiyong DuBeijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Sheng LiuDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Ming ZhangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Yanyan JinDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Yanwen QinBeijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Xiubin YangDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.
Chenggang WangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China. chamwang@163.com.
Hai GaoDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China. gaohai1221@mail.ccmu.edu.cn.

Funding

Capital's Funds for Health Improvement and Research CFH 2022-1-206National Natural Science Foundation of China 82100295
6 · The paper itself

Abstract

backgroundMicroplastics, widely present in the environment, are implicated in disease pathogenesis through oxidative stress and immune modulation. Prevailing research, primarily based on animal and cell studies, falls short in elucidating microplastics' impact on human cardiovascular health. This cross-sectional study detected blood microplastic concentrations in patients presenting with chest pain using pyrolysis-gas chromatography/mass spectrometry and evaluating inflammatory and immune markers through flow cytometry, to explore the potential effects of microplastic on acute coronary syndrome.

resultsThe study included 101 participants, comprising 19 controls and 82 acute coronary syndrome cases. Notably, acute coronary syndrome patients exhibited elevated microplastic concentrations, with those suffering from acute myocardial infarction presenting higher loads compared to those with unstable angina. Furthermore, patients at intermediate to high risk of coronary artery disease displayed significantly higher microplastic accumulations than their low-risk counterparts. A significant relationship was observed between increased microplastic levels and enhanced IL-6 and IL-12p70 contents, alongside elevated B lymphocyte and natural killer cell counts.

conclusionThese results suggest an association between microplastics and both vascular pathology complexity and immunoinflammatory response in acute coronary syndrome, underscoring the critical need for targeted research to delineate the mechanisms of this association. HIGHLIGHTS: 1 Blood microplastic levels escalate from angiographic patency, to angina patients, peaking in myocardial infarction patients. 2 Microplastics in acute coronary syndrome patients are predominantly PE, followed by PVC, PS, and PP. 3 Microplastics may induce immune cell-associated inflammatory responses in acute coronary syndrome patients.

Indexed as

Acute Coronary SyndromeMicroplasticsAdultAgedAtherosclerosisBiomarkersCase-Control StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsBiomarkersMicroplasticsAcute coronary syndromeCoronary angiographyFlow cytometryMicroplasticPyrolysis–gas chromatography/mass spectrometry

Identifiers

PMID39164741
PMCPMC11337598

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.