The liver is the primary target organ for MPs toxicity. MPs are transported to the liver through systemic circulation (Meng et al. 2022). The primary features of MPs-induced liver toxicity include oxidative stress, inflammation, and metabolic irregularities. In this study, rats were orally administered PE-MPs ranging from 1–10 µm in size via gavage at doses of 0.1, 1, and 5 mg/kg over a 4-week period. Biochemical and fluorescence analyses of liver tissue indicate a noteworthy accumulation of PE-MPs in the liver in a dose-dependent manner. We adopted the PHAD method for direct visualization of PE-MPs in the liver section, to avoid the melting of PE-MPs from xylene and efficient removal of paraffin from the section (Figure. 2D) (Marinho and Hanscheid 2023). Histopathologically, a dose-dependent increase in liver toxicity was observed. The rat treated with PE-MPs 5mg/kg dose showed higher levels of liver injury, neutrophil infiltration, inflammation, hepatocyte vacuolation, and dilated intercellular space compared to control.
Oxidative stress is the primary mechanism of MPs toxicity. SOD, CAT, and total TAA are crucial antioxidant enzymes that play a vital role in degrading ROS to mitigate cellular damage. They constitute essential components of the in vivo antioxidant defense mechanism (Auguet et al. 2022). Exposure to MPs induces excessive ROS production in the body and triggers activation of the antioxidant defense system (Prata et al. 2020). Wan et al. studied PS-MPs' impact on antioxidant enzymes in zebrafish larvae. They found elevated MDA levels and reduced activities of SOD, CAT, and TAA (Wan et al. 2019). Deng et al. (ref) built a mouse model to study PS-MPs exposure. They found that SOD activities increased, while CAT activity decreased (Deng et al. 2017). Yang et al., in a juvenile red crucian carp model, observed MP exposure increased MDA levels and an increase in antioxidant enzyme activity, which agrees with the present study (Yang et al. 2019). Zou et al. found that in the PS-MPs group, the activities of SOD, CAT, and TAA were notably reduced, while the MDA content was significantly elevated (Zou et al. 2023). Most of the study is in agreement with the present study in terms of the increase in MDA level. The fluctuations in antioxidant enzyme levels in response to MPs exposure are multifaceted. Factors such as MPs' size, type, concentration, and duration in contact with organisms and tissues under examination may contribute to these variations. However, the underlying mechanism behind these fluctuations remains elusive (de Sá et al. 2018). In the present study, an increase in GST level with an increase in PE-MP exposure further suggests that GST activity may protect the liver hepatocyte apoptosis against increased LPO. Despite observed upregulation of antioxidant levels (SOD, CAT, and TAA) but concomitant liver injury further suggests that PE-MPs induced LPO plays a pivotal role in liver damage and override the protective effects of antioxidants. One key observation of this study suggests that PE-MPs play a limited role in triggering ROS compared to PS-MPs (Das 2023). However, both types of MPs ultimately contribute to a shared stress response pathway, particularly LPO.
A previous study by Wang et al. demonstrated significant alterations in over 8000 genes in the liver of Gobiocypris rarus following 28 days of MPs exposure (Wang et al. 2022). Similarly, Fan et al. found upregulation of 293 genes and downregulation of 351 genes in mouse liver following 20 weeks of MPs ingestion (Fan et al. 2022). Wang et al. identified significant alterations in hepatic gene expression. In the low-dose group, 69 genes were affected, with 30 upregulated and 39 downregulated. In contrast, mice exposed to high-dose MPs showed changes in expression of 178 genes, with 72 were upregulated and 106 were downregulated (Wang et al. 2022). In the present study, following a 4-week exposure to PE-MPs, transcriptomic analysis revealed DEGs, with 103 genes upregulated and 59 genes downregulated in the rat liver. These DEGs exhibited close enrichment of NAFLD.
Recently, in human clinical samples, concentrations of MPs in cirrhotic liver tissues were observed which further confirms the capability of MP to cause diseases (Horvatits et al. 2022). NAFLD, comprising 25% of liver diseases, involves lipid accumulation, oxidative stress, neutrophil infiltration, inflammation, and fibrosis. ROS is mainly produced in the mitochondria and endoplasmic reticulum which instigate the LPO chain reaction. Our transcriptomic analysis revealed upregulation of Uqrch, Mt-co2, and Ndufc genes, which play key roles in the oxidative chain reaction. Validation of those genes in rat liver tissue samples exposed to PE-MPs indicates a connection to mitochondrial dysfunction that may amplify lipid peroxidation. Lipotoxicity is a characteristic of NAFLD accelerated by neutrophil infiltration, inflammation, and fibrosis (Figure. 5E) (Musso et al. 2018).
CXCL1 is a major chemoattractant for neutrophils. Its expression in the liver of NAFLD patients is well-documented. Elevated hepatic CXCL1 mRNA levels, dependent on toll-like receptor 4-MyD88 signaling, lead to neutrophil infiltration, exacerbating both hepatic inflammation and fibrosis. Moreover, CXCL1 overexpression mediated by adenovirus was enough to drive the progression from steatosis to steatohepatitis by instigating hepatic neutrophil infiltration and oxidative stress. These findings emphasize the significance of CXCL1-mediated neutrophil recruitment in NAFLD development (Bertola et al. 2010), (Nagata et al. 2022). In the current study, we validated the CXCL1 expression since we histopathologically observed the neutrophile infiltration.
Liver tissue inflammation is a hallmark feature of NAFLD progression. IL-1β, a pro-inflammatory cytokine, plays a crucial role in NAFLD development and progression, from liver steatosis to NASH and fibrosis. It requires proteolytic cleavage to become bioactive. One prominent activation mechanism in NAFLD is the classical NLRP3 inflammasome pathway, widely studied for its role in metabolic disturbances (Mirea et al. 2018), (Wree et al. 2014). TNF-α is a key inflammatory regulator by activating the NF-κB pathway. This activation triggers downstream signaling cascades, leading to nuclear translocation of NF-κB. Subsequently, NF-κB promotes the transcription of inflammation-associated proteins like TNF-α, IL-6, perpetuating a vicious cycle of inflammation (Schuster et al. 2018), (Zhang et al. 2017). Recently, Gasper et al. investigated the inflammatory response triggered by PS-MPs in the livers of both young and old mice. They noted a rise in the mRNA expression of the inflammatory cytokine TNF-α in PS-MP-exposed mice, regardless of age, compared to control groups (Gaspar et al. 2023). Coa et al. showed PE-MPs trigger activation of the NLRP3 inflammasome and increase expression of IL-1β in carp gills (Cao et al. 2023b). J Woo et al. showed inflammatory cytokines and chemokines such as TNF-α, IL-1β, IL-6, and CXCL1in the BALF of Polyvinyl microplastic exposed mice increased in a dose-dependent manner, and histopathological examination revealed Polyvinyl microplastic exposed mice showed inflammatory cell infiltration and contributed to neutrophilic lung inflammation (Woo et al. 2023).
Liver fibrosis is a pathological process that leads to abnormal deposition of extracellular matrix (ECM) in the liver. Shen et al. investigated the mitochondrial and nuclear damage caused by PS-MPs activating the cGAS/STING signaling pathway, which initiated the nuclear translocation of NFκB and upregulated pro-inflammatory cytokines expression of TNF-α and IL-1β, thus facilitating liver fibrosis (Shen et al. 2022). In the present study, we validate the neutrophile infiltration and inflammation marker (CXCL1, TNF-α, IL-1β) and fibrosis marker (Col1a1, α-sma, and IL-6) to establish the PE-MPs involvement in progressive NAFLD (Figure. 6).