Evidence map›Paper›PMID 41057870›Full record

ArticleJournal of translational medicine2025

Microplastics as an emerging driver of osteoarthritis: a translational synthesis of environmental exposure, patho-mechanisms, and public health implications.

Muhammad Adil Malik, Song Wu, Wenxiu Zhang, Junjie Huang, Xu Cao, Uroosa Ayub, Adnan Malik

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

7 authors.

Muhammad Adil MalikDepartment of Orthopaedics, The Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha, 410013, Hunan Province, China.
Song WuDepartment of Orthopaedics, The Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha, 410013, Hunan Province, China.
Wenxiu ZhangDepartment of Orthopaedics, The Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha, 410013, Hunan Province, China.
Junjie HuangDepartment of Orthopaedics, The Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha, 410013, Hunan Province, China. hjjhuang@hotmail.com.
Xu CaoDepartment of Orthopaedics, The Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha, 410013, Hunan Province, China. hughcaoxu@hotmail.com.
Uroosa AyubDow international Dental College, Karachi, Pakistan.
Adnan MalikNED University of Engineering and Technology, Karachi, Pakistan.

Funding

National Natural Science Foundation of China 82302761National Outstanding Youth Science Fund Project of National Natural Science Foundation of China 2022JJ40742
6 · The paper itself

Abstract

backgroundOsteoarthritis (OA), a leading global cause of disability, has been increasingly associated with environmental microplastic (MP) exposure. MPs bioaccumulate in human tissues via the food chain and may disrupt joint homeostasis through inflammatory and oxidative pathways. However, their role in OA pathogenesis remains underexplored in translational contexts.

methodsWe conducted a synthesis of environmental microplastic contamination data from global aquatic ecosystems, integrated with molecular pathway analyses and epidemiological evidence. Microplastic sampling and polymer identification were performed using GPS mapping, stereomicroscopy, and Fourier-transform infrared (FTIR) spectroscopy. Public health implications were assessed through cost-effectiveness analyses of MP mitigation strategies.

resultsHigh MP exposure regions demonstrated elevated OA prevalence, with MPs identified in cartilage and skeletal tissues. Mechanistically, MPs activated NLRP3 inflammasomes, induced reactive oxygen species (ROS), and disrupted osteoblast/osteoclast balance. Epidemiological data revealed that populations in coastal and industrial regions exhibited up to 1.85-fold increased OA risk. Cost-benefit modeling indicated that MP reduction strategies, such as seafood safety regulations and advanced water filtration, could yield annual healthcare savings exceeding $50 billion globally.

conclusionsMicroplastics constitute an emerging and modifiable environmental risk factor for OA. Translational strategies targeting MP reduction may mitigate OA burden and offer substantial public health and economic benefits. This underscores the need for integrated environmental-health policies and further clinical investigation.

Indexed as

Environmental ExposureMicroplasticsOsteoarthritisPublic HealthTranslational Research, BiomedicalAnimalsHumansInflammasomesReactive Oxygen SpeciesInflammasomesMicroplasticsReactive Oxygen SpeciesEnvironmental exposureInflammationJoint degenerationMicroplasticsOsteoarthritisPublic healthTranslational medicine

Identifiers

PMID41057870
PMCPMC12502272

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.