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Vojnits K, de León A, Rathore H, Liao S, Zhao M, Gibon J, Pakpour S. ROS-dependent degeneration of human neurons induced by environmentally relevant levels of micro- and nanoplastics of diverse shapes and forms. J Hazard Mater 2024; 469:134017. [PMID: 38518696 DOI: 10.1016/j.jhazmat.2024.134017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 03/08/2024] [Accepted: 03/11/2024] [Indexed: 03/24/2024]
Abstract
Our study explores the pressing issue of micro- and nanoplastics (MNPs) inhalation and their subsequent penetration into the brain, highlighting a significant environmental health concern. We demonstrate that MNPs can indeed penetrate murine brain, warranting further investigation into their neurotoxic effects in humans. We then proceed to test the impact of MNPs at environmentally relevant concentrations, with focusing on variations in size and shape. Our findings reveal that these MNPs induce oxidative stress, cytotoxicity, and neurodegeneration in human neurons, with cortical neurons being more susceptible than nociceptors. Furthermore, we examine the role of biofilms on MNPs, demonstrating that MNPs can serve as a vehicle for pathogenic biofilms that significantly exacerbate these neurotoxic effects. This sequence of investigations reveals that minimal MNPs accumulation can cause oxidative stress and neurodegeneration in human neurons, significantly risking brain health and highlights the need to understand the neurological consequences of inhaling MNPs. Overall, our developed in vitro testing battery has significance in elucidating the effects of environmental factors and their associated pathological mechanisms in human neurons.
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Affiliation(s)
- Kinga Vojnits
- School of Engineering, University of British Columbia, Kelowna, BC, Canada
| | - Andrés de León
- School of Engineering, University of British Columbia, Kelowna, BC, Canada; Department of Biology, University of British Columbia, Kelowna, BC, Canada
| | - Harneet Rathore
- School of Engineering, University of British Columbia, Kelowna, BC, Canada
| | - Sophia Liao
- School of Engineering, University of British Columbia, Kelowna, BC, Canada
| | - Michael Zhao
- School of Engineering, University of British Columbia, Kelowna, BC, Canada
| | - Julien Gibon
- Department of Biology, University of British Columbia, Kelowna, BC, Canada; Office of Vice-Principal, Research and Innovation, McGill University, Montreal, Quebec, Canada
| | - Sepideh Pakpour
- School of Engineering, University of British Columbia, Kelowna, BC, Canada.
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2
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Li X, Zheng Y, Lu L, Eom J, Ru S, Li Y, Wang J. Trophic transfer of micro- and nanoplastics and toxicity induced by long-term exposure of nanoplastics along the rotifer (Brachionus plicatilis)-marine medaka (Oryzias melastigma) food chain. Environ Pollut 2024; 346:123599. [PMID: 38369093 DOI: 10.1016/j.envpol.2024.123599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 02/15/2024] [Accepted: 02/15/2024] [Indexed: 02/20/2024]
Abstract
Microplastics (MPs) and nanoplastics (NPs) are emerging pollutants in the ocean, but their transfer and toxicity along the food chains are unclear. In this study, a marine rotifer (Brachionus plicatilis)-marine medaka (Oryzias melastigma) food chain was constructed to evaluate the transfer of polystyrene MPs and NPs (70 nm, 500 nm, and 2 μm, 2000 μg/L) and toxicity of 70 nm PS-NPs (0, 20, 200, and 2000 μg/L) on marine medaka after long-term food chain exposure. The results showed that the amount of 70 nm NPs accumulated in marine medaka was 1.24 μg/mg, which was significantly higher than that of 500 nm NPs (0.87 μg/mg) and 2 μm MP (0.69 μg/mg). Long-term food chain exposure to NPs caused microflora dysbiosis, resulting in activation of toll-like receptor 4 (TLR4) pathway, which induced liver inflammation. Moreover, NPs food chain exposure increased liver and muscle tissue triglyceride and lactate content, but decreased the protein, sugar, and glycogen content. NPs food chain exposure impaired reproductive function and inhibited offspring early development, which might pose a threat to the sustainability of marine medaka population. Overall, the study revealed the transfer of MPs and NPs and the effects of NPs on marine medaka along the food chain.
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Affiliation(s)
- Xuan Li
- College of Marine Life Sciences, Ocean University of China, Qingdao, 266003, China
| | - Yuqi Zheng
- College of Marine Life Sciences, Ocean University of China, Qingdao, 266003, China
| | - Lin Lu
- School of Public Health, Qingdao University, Qingdao, 266021, China
| | - Junho Eom
- Department of Zoology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Shaoguo Ru
- College of Marine Life Sciences, Ocean University of China, Qingdao, 266003, China
| | - Yuejiao Li
- College of Marine Life Sciences, Ocean University of China, Qingdao, 266003, China
| | - Jun Wang
- College of Marine Life Sciences, Ocean University of China, Qingdao, 266003, China.
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De Boever S, Devisscher L, Vinken M. Unraveling the micro- and nanoplastic predicament: A human-centric insight. Sci Total Environ 2024; 916:170262. [PMID: 38253106 DOI: 10.1016/j.scitotenv.2024.170262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Revised: 01/02/2024] [Accepted: 01/16/2024] [Indexed: 01/24/2024]
Abstract
Micro- and nanoplastics are vast anthropogenic pollutants in our direct surroundings with a robust environmental stability and a potential for a long-lasting and increasing global circulation. This has raised concerns among the public and policy makers for human health upon exposure to these particles. The micro- and nanoplastic burden on humans is currently under debate, along with criticism on the experimental approaches used in hazard assessment. The present review presents an overview of the human-relevant aspects associated with the current micro-and nanoplastic burden. We focus on environmental circulation and the estimation of exposure quantities to humans, along with a state-of-the-art overview of particle accumulation in over 15 human organs and other specimen. Additionally, data regarding particle characteristics used in toxicity testing was extracted from 91 studies and discussed considering their environmental and human relevance.
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Affiliation(s)
- Sybren De Boever
- Entity of In Vitro Toxicology and Dermato-Cosmetology, Department of Pharmaceutical and Pharmacological Sciences, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
| | - Lindsey Devisscher
- Gut-Liver Immunopharmacology Unit, Basic and Applied Medical Sciences, Liver Research Centre Ghent, Faculty of Medicine and Health Sciences, Universiteit Gent, Corneel Heymanslaan 10, 9000 Ghent, Belgium
| | - Mathieu Vinken
- Entity of In Vitro Toxicology and Dermato-Cosmetology, Department of Pharmaceutical and Pharmacological Sciences, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium
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Dainelli M, Castellani MB, Pignattelli S, Falsini S, Ristori S, Papini A, Colzi I, Coppi A, Gonnelli C. Growth, physiological parameters and DNA methylation in Spirodela polyrhiza (L.) Schleid exposed to PET micro-nanoplastic contaminated waters. Plant Physiol Biochem 2024; 207:108403. [PMID: 38290343 DOI: 10.1016/j.plaphy.2024.108403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 01/09/2024] [Accepted: 01/25/2024] [Indexed: 02/01/2024]
Abstract
The effects of polyethylene terephthalate micro-nanoplastics (PET-MNPs) were tested on the model freshwater species Spirodela polyrhiza (L.) Schleid., with focus on possible particle-induced epigenetic effects (i.e. alteration of DNA methylation status). MNPs (size ∼ 200-300 nm) were produced as water dispersions from PET bottles through repeated cycles of homogenization and used to prepare N-medium at two environmentally relevant concentrations (∼0.05 g L-1 and ∼0.1 g L-1 of MNPs). After 10 days of exposure, a reduction in fresh and dry weight was observed in treated plants, even if the average specific growth rate for both frond number and area was not altered. Impaired growth was coupled with a MNP-induced decrease of chlorophyll fluorescence parameters (i.e. ΨETo and Piabs, indicators of photochemical efficiency) and starch concentration, as well as with alterations in plant ionomic profile and oxidative status. The methylation-sensitive amplification polymorphism (MSAP) technique was used to assess possible changes in DNA methylation levels induced by plastic particles. The analysis showed unusual hypermethylation in 5'-CCGG sites that could be implicated in DNA protection from dangerous agents (i.e. reactive oxygen species) or in the formation of new epialleles. This work represents the first evidence of MNP-induced epigenetic modifications in the plant world.
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Affiliation(s)
- Marco Dainelli
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Maria Beatrice Castellani
- Institute of Bioscience and Bioresources (IBBR), National Research Council (CNR), Via Madonna del Piano 10, 50019, Sesto Fiorentino, Italy
| | - Sara Pignattelli
- Institute of Bioscience and Bioresources (IBBR), National Research Council (CNR), Via Madonna del Piano 10, 50019, Sesto Fiorentino, Italy
| | - Sara Falsini
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Sandra Ristori
- Department of Chemistry, University of Florence, Via della Lastruccia 3, Sesto Fiorentino, 50019, Firenze, Italy
| | - Alessio Papini
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Ilaria Colzi
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy.
| | - Andrea Coppi
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Cristina Gonnelli
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
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Yang Z, DeLoid GM, Zarbl H, Baw J, Demokritou P. Micro- and nanoplastics (MNPs) and their potential toxicological outcomes: State of science, knowledge gaps and research needs. NanoImpact 2023; 32:100481. [PMID: 37717636 PMCID: PMC10841092 DOI: 10.1016/j.impact.2023.100481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 08/11/2023] [Accepted: 09/12/2023] [Indexed: 09/19/2023]
Abstract
Plastic waste has been produced at a rapidly growing rate over the past several decades. The environmental impacts of plastic waste on marine and terrestrial ecosystems have been recognized for years. Recently, researchers found that micro- and nanoplastics (MNPs), micron (100 nm - 5 mm) and nanometer (1 - 100 nm) scale particles and fibers produced by degradation and fragmentation of plastic waste in the environment, have become an important emerging environmental and food chain contaminant with uncertain consequences for human health. This review provides a comprehensive summary of recent findings from studies of potential toxicity and adverse health impacts of MNPs in terrestrial mammals, including studies in both in vitro cellular and in vivo mammalian models. Also reviewed here are recently released biomonitoring studies that have characterized the bioaccumulation, biodistribution, and excretion of MNPs in humans. The majority MNPs in the environment to which humans are most likely to be exposed, are of irregular shapes, varied sizes, and mixed compositions, and are defined as secondary MNPs. However, the MNPs used in most toxicity studies to date were commercially available primary MNPs of polystyrene (PS), polyethylene (PE), polyvinyl chloride (PVC), polyethylene terephthalate (PET), and other polymers. The emerging in vitro and in vivo evidence reviewed here suggests that MNP toxicity and bioactivity are largely determined by MNP particle physico-chemical characteristics, including size, shape, polymer type, and surface properties. For human exposure, MNPs have been identified in human blood, urine, feces, and placenta, which pose potential health risks. The evidence to date suggests that the mechanisms underlying MNP toxicity at the cellular level are primarily driven by oxidative stress. Nonetheless, large knowledge gaps in our understanding of MNP toxicity and the potential health impacts of MNP exposures still exist and much further study is needed to bridge those gaps. This includes human population exposure studies to determine the environmentally relevant MNP polymers and exposure concentrations and durations for toxicity studies, as well as toxicity studies employing environmentally relevant MNPs, with surface chemistries and other physico-chemical properties consistent with MNP particles in the environment. It is especially important to obtain comprehensive toxicological data for these MNPs to understand the range and extent of potential adverse impacts of microplastic pollutants on humans and other organisms.
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Affiliation(s)
- Zhenning Yang
- Nanoscience and Advanced Materials Center, Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USA; Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ 08854, USA
| | - Glen M DeLoid
- Nanoscience and Advanced Materials Center, Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USA; Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USA
| | - Helmut Zarbl
- Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USA; School of Public Health, Rutgers University, Piscataway, NJ 08854, USA
| | - Joshua Baw
- Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ 08854, USA
| | - Philip Demokritou
- Nanoscience and Advanced Materials Center, Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USA; Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway, NJ 08854, USA; School of Public Health, Rutgers University, Piscataway, NJ 08854, USA.
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Forest V, Pourchez J. Can the impact of micro- and nanoplastics on human health really be assessed using in vitro models? A review of methodological issues. Environ Int 2023; 178:108115. [PMID: 37542783 DOI: 10.1016/j.envint.2023.108115] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 07/17/2023] [Accepted: 07/24/2023] [Indexed: 08/07/2023]
Abstract
Because of the many advantages they offer (strength, low cost, durability, lightweight, resistance, etc.), plastics are integral part of our daily life with a production constantly rising. However, their waste management is still inadequate, resulting in their release and accumulation in the environment, representing a main source of pollution. Their degradation results in debris of variable size including microplastics (0.1 μm-5 mm) and even nanoplastics (<0.1 μm), whose potential impact on ecosystems and human health have raised concerns. The potential adverse effects they may cause have been evaluated using both in vitro and in vivo models. However, due to some specific characteristics of micro- and nanoplastics, there are challenging questions about whether conventional in vitro tests are appropriate for evaluating their toxicity. For example, low-density plastics float on the surface of the culture medium and cannot come into contact with cells adhering to the bottom of the culture plates, which prevents proper evaluation of potential adverse effects and leads to misinterpretation of toxicological assays. In this review, we discuss the main issues related to the evaluation of micro- and nanoplastics toxicity using conventional in vitro assays. A literature survey has allowed to propose some solutions to circumvent these issues including the use of mathematical models to accurately determine the dose of particles delivered to cells, advanced 3D models (organoids), inverted cell culture models, cell cultures at the air-liquid interface or under dynamic conditions. Finally, we propose some perspectives and recommendations for further research on the in vitro evaluation of micro- and nanoplastics toxicity, underlining the importance of using standardized protocols for comparison purposes and samples and experimental conditions more representative of real-life exposure.
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Affiliation(s)
- Valérie Forest
- Mines Saint-Etienne, Univ Jean Monnet, INSERM, U1059 Sainbiose, Centre CIS, F-42023 Saint-Etienne, France.
| | - Jérémie Pourchez
- Mines Saint-Etienne, Univ Jean Monnet, INSERM, U1059 Sainbiose, Centre CIS, F-42023 Saint-Etienne, France
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van den Berg AET, Plantinga M, Vethaak D, Adriaans KJ, Bol-Schoenmakers M, Legler J, Smit JJ, Pieters RHH. Environmentally weathered polystyrene particles induce phenotypical and functional maturation of human monocyte-derived dendritic cells. J Immunotoxicol 2022; 19:125-133. [PMID: 36422989 DOI: 10.1080/1547691x.2022.2143968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Micro- and nanoplastics (MNP) are ubiquitously present in the environment due to their high persistence and bioaccumulative properties. Humans get exposed to MNP via various routes and consequently, they will encounter dendritic cells (DC) which are antigen-presenting cells involved in regulating immune responses. The consequences of DC exposure to MNP are an important, yet understudied, cause of concern. Therefore, this study aimed to assess the uptake and effect of MNP in vitro by exposing human monocyte-derived dendritic cells (MoDC) to virgin and environmentally weathered polystyrene (PS) particles of different sizes (0.2, 1, and 10 µm), at different concentrations ranging from 1 to 100 µg/ml. The effects of these particles were examined by measuring co-stimulatory surface marker (i.e. CD83 and CD86) expression. In addition, T-cell proliferation was measured via a mixed-leukocyte reaction (MLR) assay. The results showed that MoDC were capable of absorbing PS particles, and this was facilitated by pre-incubation in heat-inactivated (HI) plasma. Furthermore, depending on their size, weathered PS particles in particular caused increased expression of CD83 and CD86 on MoDC. Lastly, weathered 0.2 µm PS particles were able to functionally activate MoDC, leading to an increase in T-cell activation. These in vitro data suggest that, depending on their size, weathered PS particles might act as an immunostimulating adjuvant, possibly leading to T-cell sensitization.
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Affiliation(s)
| | - Maud Plantinga
- Center for Translational Immunology, University Medical Centre Utrecht, Utrecht, The Netherlands
| | - Dick Vethaak
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.,Department of Environment and Health, Vrije Universiteit, Amsterdam, The Netherlands
| | - Kas J Adriaans
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | | | - Juliette Legler
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Joost J Smit
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Raymond H H Pieters
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
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Wang W, Do ATN, Kwon JH. Ecotoxicological effects of micro- and nanoplastics on terrestrial food web from plants to human beings. Sci Total Environ 2022; 834:155333. [PMID: 35452728 DOI: 10.1016/j.scitotenv.2022.155333] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 04/11/2022] [Accepted: 04/13/2022] [Indexed: 06/14/2023]
Abstract
Micro- and nanoplastics (MNPs) are present in almost all environmental compartments. Terrestrial soils are major environmental reservoirs for MNPs, but the ecotoxicological effects of MNPs on terrestrial biota remain relatively understudied. In this review, we collated findings of previous research on the uptake and impact of MNPs in terrestrial organisms, including flora, fauna, and human beings. Terrestrial plants can take up MNPs via the roots or leaves and translocate them to other parts. MNPs have been detected in the gastrointestinal tracts or feces of many terrestrial animals, including some high trophic-level predators, indicating the incidence of direct ingestion or trophic transfer of MNPs. The presence of MNPs in food items and human feces combines to verify human intake of MNPs via the dietary pathway. Exposure to MNPs can cause diverse effects on terrestrial organisms, including alterations in growth performance, oxidative stress, metabolic disturbance, cytotoxicity, genotoxicity, and mortality. The biological internalization and impact of MNPs are influenced by the physicochemical properties of MNPs (e.g., particle size, polymer type, surface chemistry, and exposure concentrations) and the physiology of the species. MNPs can also affect the bioavailability of co-occurring intrinsic or extrinsic contaminants to terrestrial biota, but their specific role is under dispute. Finally, we underlined the current research gaps and proposed several priorities for future studies.
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Affiliation(s)
- Wenfeng Wang
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Anh T Ngoc Do
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Jung-Hwan Kwon
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea.
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Yu Y, Flury M. How to take representative samples to quantify microplastic particles in soil? Sci Total Environ 2021; 784:147166. [PMID: 34088075 DOI: 10.1016/j.scitotenv.2021.147166] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 06/12/2023]
Abstract
The amount of plastic particles in terrestrial ecosystems is not well known, not only because it is difficult to extract and identify plastic particles from terrestrial samples, but also because it is challenging to take representative samples from soils or sediments. Here, we numerically simulated how to take representative terrestrial samples to quantify plastic particles, and we evaluated the accuracy (error) of reported plastic concentrations in the literature. Fields with randomly distributed plastic particles (uniform and clustered) were numerically generated and sampled to determine the representative elementary volume (REV) and the required number of samples to quantify plastic concentrations (10 to 106 particles/m2) with different relative errors (5%, 10%, 15%). The REV and the required number of samples decrease hyperbolically as the plastic concentration increases, indicating a strong non-linear relation. For instance, hundreds to thousands of soil cores (8-cm diameter) would be required to quantify plastics at low concentrations (102 particles/m2), while a few cores are sufficient at high plastic concentrations (105 particles/m2). For an accurate measurement of plastic concentrations, the total surface area of samples taken should approach or exceed the REV. We recommend to take replicated samples with each sample as large as possible (e.g., 1 m × 1 m) rather than multiple small cores, and then reduce the soil volume by the quartering method.
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Affiliation(s)
- Yingxue Yu
- Department of Crop & Soil Sciences, WSU Puyallup Research & Extension Center, Washington State University, Puyallup, WA 98371, USA; Department of Crop & Soil Sciences, Washington State University, Pullman, WA 99164, USA
| | - Markus Flury
- Department of Crop & Soil Sciences, WSU Puyallup Research & Extension Center, Washington State University, Puyallup, WA 98371, USA; Department of Crop & Soil Sciences, Washington State University, Pullman, WA 99164, USA.
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