Evidence map›Paper›PMID 42460774›Full record

SynthesisTherapeutic advances in respiratory disease

Evidence on microplastic exposure and respiratory health outcomes: a systematic review.

Chen Chen, Ling Luo, Yanghong Zheng, Linxin Ran, Zhaoqi Li, Zhongliang Guo, Qiang Li, Yingqun Ji, Jing Hua, Na Wang

Abstract readSystematic Review
In one paragraph

Synthesis in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Chen ChenDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.ORCID 0009-0001-0747-1476
Ling LuoDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.
Yanghong ZhengDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.
Linxin RanDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.
Zhaoqi LiSt. George's University School of Medicine, Wayne, NJ, USA.ORCID 0009-0008-0287-4226
Zhongliang GuoDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.
Qiang LiDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.
Yingqun JiDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai, China.
Jing HuaDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai 200120, China.
Na WangDepartment of Pulmonary and Critical Care Medicine, Shanghai East Hospital Affiliated to Tongji University, Tongji University School of Medicine, Shanghai 200120, China.ORCID 0000-0002-9776-7683

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlastic fragmentation leads to widespread microplastic (MP) pollution. Inhalation of airborne MPs is a key human exposure route. Evidence links MPs to respiratory diseases, but causal mechanisms and real-world risks remain unclear.

objectivesThis review synthesizes evidence on human exposure to airborne MPs and their role in major respiratory diseases. It aims to identify critical knowledge gaps and improve the framework for assessing inhalation health risks.

designThis is a systematic review study. DATA SOURCES AND

methodsPubMed, Scopus, and Web of Science were searched (up to 15 June 2025) using keywords for MPs and respiratory diseases. Two researchers independently screened articles, extracted data, and assessed the quality of the studies.

resultsA total of 17 studies were included. MPs are found in human lungs and can induce inflammation. Evidence associates chronic exposure with increased risks of COPD, asthma, and pulmonary fibrosis. A major limitation is that experimental animal studies use MP concentrations vastly exceeding environmental levels, limiting real-world risk extrapolation. Research is also disproportionately focused on polystyrene (PS), while occupational data implicate other polymers.

conclusionAirborne MPs are a respiratory toxicant, but definitive causal evidence is constrained by a critical gap between experimental and environmentally relevant concentrations and a polymer-specific research bias. Future studies must prioritize environmentally relevant exposures, investigate high-risk polymers, and integrate exposomics with advanced toxicology.

Indexed as

Air PollutantsInhalation ExposureMicroplasticsRespiratory Tract DiseasesAnimalsHumansRisk AssessmentAir PollutantsMicroplasticsenvironmental pollutionexposomemicroplasticsnanoplasticsrespiratory diseases

Identifiers

PMID42460774
PMCPMC13376494

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.