Evidence map›Paper›PMID 40843955›Full record

ArticleRespirology (Carlton, Vic.)2025

Microplastics in Human Bronchoalveolar Lavage Fluid.

Takatomo Tokito, Takashi Kido, Osamu Nagafuchi, Koichi Tomoshige, Koyomi Nakazawa, Ken'ichi Shinozuka, Shuntaro Sato, Kumiko Kido, Yasuko Noguchi, Takamune Matsumoto and 11 more

Abstract read
In one paragraph

Article in Respirology (Carlton, Vic.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Effects of microplastics in CPAP users: looking for needles in the haystack?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  7. Article
  8. Microplastics in Human Bronchoalveolar Lavage Fluid.Respirology (Carlton, Vic.) · 2025
    Article
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

21 authors.

Takatomo TokitoDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0009-0003-6905-8024
Takashi KidoDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0001-8338-0608
Osamu NagafuchiEnvironments Research Laboratory, Comprehensive Research Organization, Fukuoka Institute of Technology, Fukuoka, Japan.ORCID 0000-0003-1976-3596
Koichi TomoshigeDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-0712-2989
Koyomi NakazawaDepartment of Environmental and Civil Engineering, Toyama Prefectural University, Toyama, Japan.ORCID 0000-0002-3190-5609
Ken'ichi ShinozukaCenter for Environmental and Societal Sustainability, Gifu University, Gifu, Japan.ORCID 0000-0001-6495-8136
Shuntaro SatoClinical Research Center, Nagasaki University Hospital, Nagasaki, Japan.ORCID 0000-0002-6055-3649
Kumiko KidoDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Yasuko NoguchiDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Takamune MatsumotoDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0009-0008-0051-1739
Satoshi MizoguchiDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-6099-1702
Ritsuko MurakamiDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Hirokazu YuraDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0003-2496-7358
Hiroshi IshimotoDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-4374-2894
Takahiro TakazonoDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-0696-5386
Noriho SakamotoDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-7577-476X
Yuji IshimatsuDepartment of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0003-0915-1916
Yoshimasa TanakaCenter for Medical Innovation, Nagasaki University, Nagasaki, Japan.ORCID 0000-0002-5024-0614
Keitaro MatsumotoDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-4344-2322
Takeshi NagayasuDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-0677-9364
Hiroshi MukaeDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0002-1429-5706

Funding

Japan Society for the Promotion of Science 19K22937Japan Society for the Promotion of Science 22K12405Japan Society for the Promotion of Science 23K07654
6 · The paper itself

Abstract

BACKGROUND AND

objectiveHealth impacts of inhaling airborne microplastics have been actively investigated. Although microplastics have been detected in lung tissues and bronchoalveolar lavage fluids, their detection requires substantial effort and is technically challenging, with existing studies demonstrating various limitations. Bronchoalveolar lavage fluid is a less invasive sampling method than surgical lung biopsy. This study aimed to establish a detection method for microplastics from bronchoalveolar lavage fluid and evaluate the relevant health impacts.

methodsPatients undergoing bronchoscopy for diffuse lung disease diagnosis were included. Microplastics were detected using Nile Red staining and fluorescence microscopy. Particle size, shape, and concentration were assessed through image analysis, and plastic types were identified via Raman spectroscopy. Correlations between microplastic findings and clinical laboratory data were evaluated.

resultsMicroplastics were detected in the bronchoalveolar lavage fluid of all 30 patients. The median concentration of Nile Red-stained particles was 684.7 particles/mL, and over 80.0% of the particles were smaller than 10 μm, with 93.5% being particulate and 6.5% fibre. The most frequently identified microplastics were polyvinyl chloride, polystyrene, and polyethylene terephthalate. Microplastic concentration positively correlated with blood C-reactive protein levels (r

conclusionsWe established a method for detecting microplastics in bronchoalveolar lavage fluid. Microplastics were found in all patients, with a potential link to inflammation. In addition, Nile Red staining was applied for the first time to detect plastics in the lung and appeared to be useful for screening and quantification.

Indexed as

Bronchoalveolar Lavage FluidMicroplasticsAdultAgedBronchoscopyFemaleHumansMaleMicroscopy, FluorescenceMiddle AgedParticle SizeSpectrum Analysis, RamanMicroplasticsairborne microplasticbronchoscopyparticulate matterplastic pollutionRaman spectroscopy

Identifiers

PMID40843955
PMCPMC12668894

What OpenQuestion holds

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Registered trials

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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.