Evidence map›Paper›PMID 39220680›Full record

ArticleEnvironmental science and ecotechnology2024

Polystyrene microplastics and di-2-ethylhexyl phthalate co-exposure: Implications for female reproductive health.

Ke Xu, Yunyi Wang, Xiao Gao, Zhaolan Wei, Qi Han, Shuxin Wang, Wanting Du, Jian Wan, Cuihong Wan, Mingqing Chen

Abstract read
In one paragraph

Article in Environmental science and ecotechnology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Ovarian toxic effects of micro- and nanoplastics (Review).Experimental and therapeutic medicine · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. The Impact of Microplastics in Food and Drugs on Human Health: A Review of the MENA Region.International journal of environmental research and public health · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Cycle Effects Are Not Universal: A Case Study of Urinary C-Reactive Protein Concentrations in Rural Polish and Polish American Samples.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  17. Review
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

10 authors.

Ke XuSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Yunyi WangSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Xiao GaoSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Zhaolan WeiSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Qi HanSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Shuxin WangSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Wanting DuSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Jian WanSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Cuihong WanSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.
Mingqing ChenSchool of Life Sciences, Central China Normal University, Wuhan, 430079, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microplastics and phthalates are prevalent and emerging pollutants that pose a potential impact on human health. Previous studies suggest that both microplastics and phthalates can adversely affect the reproductive systems of humans and mammals. However, the combined impact of these pollutants on the female reproductive system remains unclear. Here we show the impacts of exposure to polystyrene microplastics (PS-MPs) and di-2-ethylhexyl phthalate (DEHP) on female Sprague-Dawley rats' reproductive systems. We find that co-exposure to PS-MPs and DEHP results in a marked increase in cystic and atretic follicles, oxidative stress, fibrosis, and dysregulation of serum sex hormone homeostasis in the ovaries of the rats. Proteomic analysis identified differentially expressed proteins that were predominantly enriched in signaling pathways related to fatty acid metabolism and tight junctions, regulated by transforming growth factor β1 (TGF-β1). We further confirm that co-exposure to DEHP and PS-MPs activates the TGF-β1/Smad3 signaling pathway, and inhibiting this pathway alleviates oxidative stress, hormonal dysregulation, and ovarian fibrosis. These results indicate that exposure to the combination of microplastics and phthalates leads to a significant increase in atretic follicles and may increase the risk of polycystic ovary syndrome (PCOS). Our study provides new insights into the reproductive toxicity effects of microplastics and DEHP exposure on female mammals, highlighting the potential link between environmental pollutants and the occurrence of PCOS. These findings highlight the need for comprehensive assessments of the reproductive health risks posed by microplastic pollution to women and contribute to the scientific basis for evaluating such risks.

Indexed as

DEHPMicroplasticsPCOSReproductive toxicityTGF-β1/Smad3

Identifiers

PMID39220680
PMCPMC11363624

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.