Evidence map›Paper›PMID 40904929›Full record

SynthesisFrontiers in public health2025

Invisible invaders: unveiling the carcinogenic threat of microplastics and nanoplastics in colorectal cancer-a systematic review.

Junkai Wen, Yuhua Lin

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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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

2 authors.

Junkai WenDepartment of Oncology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Yuhua LinDepartment of Respiratory Medicine, Xiamen TCM Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Xiamen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Microplastics (MPs, 0.1-5000 μm) and nanoplastics (NPs, 0.001-0.1 μm) are ubiquitous environmental pollutants with strong persistence and bioaccumulation, posing significant threats to human health. Given their ability to penetrate biological barriers, accumulate in the food chain, and infiltrate human gastrointestinal tissues, humans ingest and inhale over 70,000 microplastic particles annually, and the observed higher abundance of MPs/NPs in colorectal tumor tissues in epidemiological data, this systematic review aims to explore the link between MPs/NPs exposure and colorectal cancer (CRC) carcinogenesis. Methods: This study synthesizes 20 years of relevant research to systematically analyze the association between MPs/NPs exposure and CRC development. Results: Key findings reveal that MPs/NPs enter the body via ingestion, inhalation, and dermal contact, translocating across biological barriers to induce DNA damage and oxidative stress through reactive oxygen species overproduction. They disrupt intestinal barrier function by reducing tight junction proteins, trigger chronic inflammation via pro-inflammatory cytokines, and cause gut microbiota dysbiosis. Additionally, MPs/NPs act as "Trojan horses", adsorbing toxicants (e.g., bisphenol A) and pathogens, which exacerbate cytotoxicity and activate carcinogenic pathways. Conclusion: This review highlights the potential carcinogenic risk of MPs/NPs in CRC, deepens understanding of their mechanistic roles in carcinogenesis, and provides insights for the scientific management of MPs/NPs pollution.

Indexed as

CarcinogenesisCarcinogensColorectal NeoplasmsEnvironmental ExposureEnvironmental PollutantsMicroplasticsNanoparticlesHumansCarcinogensEnvironmental PollutantsMicroplasticscarcinogenic mechanismsDNA damageenvironmental toxicologygut barrier disruptionhuman exposureoxidative stress

Identifiers

PMID40904929
PMCPMC12402728

What OpenQuestion holds

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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.