Evidence map›Paper›PMID 41187616›Full record

ArticleEBioMedicine2025

A new screening framework to support the identification of exogenous particles and suspect microplastics in situ in pathological tissue samples.

Stephanie L Wright, Claire Gwinnett, Ian S Mudway, Yukari Ishikawa, Henry Blake, James M Kinross, Frank J Kelly, Jon Salisbury

Abstract read
In one paragraph

Article in EBioMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. 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

8 authors.

Stephanie L WrightEnvironmental Research Group, School of Public Health, Imperial College London, London, United Kingdom; Medical Research Council Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom. Electronic address: s.wright19@imperial.ac.uk.
Claire GwinnettCriminal Justice and Forensic Science Department, School of Law, Policing and Forensic Science, Staffordshire University, Stoke-on-Trent, United Kingdom.
Ian S MudwayEnvironmental Research Group, School of Public Health, Imperial College London, London, United Kingdom; Medical Research Council Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom.
Yukari IshikawaEnvironmental Research Group, School of Public Health, Imperial College London, London, United Kingdom; Medical Research Council Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom.
Henry BlakeEnvironmental Research Group, School of Public Health, Imperial College London, London, United Kingdom; Medical Research Council Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom.
James M KinrossDepartment of Surgery & Cancer, Imperial College London, London, United Kingdom.
Frank J KellyEnvironmental Research Group, School of Public Health, Imperial College London, London, United Kingdom; Medical Research Council Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom.
Jon SalisburyDepartment of Histopathology, King's College Hospital, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicroplastics are ubiquitous environmental pollutants that have been detected in various human tissues. Often the particle sizes reported challenge established theory in toxicokinetics, and fundamental data on whether exogenous microparticles can enter tissues (and which tissues) is needed. This observational and method validation study aimed to develop a screening framework to determine whether particles including microplastics can access tissues using human ileal tissue sections and to investigate the presence of exogenous particles within the subepithelial mucosa.

methodsAs proof of concept that exogenous particles may translocate into tissues, a screening framework was established using polarised light microscopy (PLM), to identify birefringent particles in ileal tissue sections from 101 subjects. The population included adults who had undergone endoscopy and biopsy for the investigation of bowel symptoms at King's College Hospital. Exclusion criteria were applied to differentiate between true particles and procedural contaminants. The remaining particles were analysed for their morphology and size. To further illustrate the potential for plastic to access intestinal tissue, a bulk intestinal tissue sample underwent a basic digestion, filtration, and analysis using pyrolysis gas chromatography mass spectrometry.

findingsResults revealed the presence of subepithelial birefringent particles in a small number of ileal tissue sections. However, of the 35 samples containing sub-epithelial particles, 31 (i.e., 91% of observations) were concluded to be due to procedural contamination. Of the 'true' observations, some of these particles, which include starch, likely entered the tissue via persorption. Additionally, a single viscose fibre was observed within the lumen of the small intestine. Supplemental chemical data finding signatures of polypropylene and polyvinylchloride demonstrate how the framework would fit in a wider analytical pipeline.

interpretationThis study highlights the importance of a robust screening framework for the identification of particles and suspect microplastics in human tissues. While the frequency of particles like microplastics in the subepithelial mucosa was low, the findings suggest that microplastics could indeed penetrate the intestinal epithelium and this was supplemented with example chemical data. Further research is needed to investigate the distribution, accumulation, and potential health effects of microplastics in human tissues.

fundingMedical Research Council.

Indexed as

Environmental PollutantsIleumMicroplasticsAdultAgedFemaleGas Chromatography-Mass SpectrometryHumansIntestinal MucosaMaleMiddle AgedParticle SizeEnvironmental PollutantsMicroplasticsGastrointestinal tractMethodological frameworkMicroplasticsParticlesPathologyPolarised light microscopy

Identifiers

PMID41187616
PMCPMC12629922

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LicenceCC BY
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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.