https://doi.org/10.4081/jbr.2025.14562
EVALUATION OF TRANS-EPITHELIAL PENETRATION AND MICROPLASTIC-INDUCED TISSUE DAMAGE IN A 3D MODEL OF HUMAN RESPIRATORY MUCOSA
Adelaide CARISTA1, Domiziana PICONE1, Giulia Maria Giorgia LO PIANO1, Olga Maria MANNA2,3, Stefano BURGIO3,4, Giuseppa D’AMICO1, Margherita FERRANTE5, Gea OLIVERI CONTE5, Francesca RAPPA1, Rosario BARONE1, Fabio BUCCHIERI1, Alessandro PITRUZZELLA1, Alberto FUCARINO6 | 1Department of Biomedicine, Neurosciences and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy; 2Pathologic Anatomy Unit, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy; 3Euro-Mediterranean Institute of Science and Technology (IEMEST), Palermo, Italy; 4Department of Medicine and Surgery, Kore University of Enna, Enna, Italy; 5Dipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", Università degli Studi di Catania, Igiene e Sanità Pubblica; 6Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy
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Published: 16 October 2025
Microplastics (MPs), ubiquitous pollutants, pose an emerging risk to human health.1 The accumulation of MPs, driven by the overuse of plastics, has established ingestion (through the food chain) and inhalation (through ambient air) as the primary routes of human exposure.2 Previous studies have confirmed that approximately 6,000 particles are inhaled in a polluted area over 18 cubic metres in 24 hours, which promotes their accumulation in the respiratory tract. Despite studies on the systemic effects of ingested MPs, their pulmonary impact, mechanisms of interaction with the epithelial barrier and potential tissue damage remain poorly investigated. In this study, we used a 3D air-liquid interface (ALI) culture model of human respiratory mucosa to evaluate:3 the ability of MPs to cross the epithelium and persist at the tissue level; the induction of cellular stress and epithelial damage. Samples of polystyrene MPs stained dark blue and dark red, 10 μm and 3 μm in diameter, respectively (SIGMA-ALDRICH), were diluted in PBS, counted and placed apically on the confluent and differentiated respiratory mucosa. The cultures were treated simulating acute (48 hours) and prolonged (1 week) exposures. At the end of the exposure to MPs treatments, the cultures were fixed in formalin and embedded in paraffin for subsequent analysis. The immunomorphological analyses aimed to assess the differential/potential penetration of MPs based on size, as well as any morphological changes that occurred to the epithelial layer of the mucosa. Epithelial stress markers were evaluated to determine any changes resulting from different exposure times.

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1. Long Zhu, Mindong Ma, Xizhuang Sun, Zhixin Wu et al. "Microplastics entry into the blood by infusion therapy: few but a direct pathway." Environmental Science & Technology Letters 11.2 (2023): 67-72.
2. Yue Li, Liping Chen, Nonglin Zhou, Yuyuan Chen et al. Microplastics in the human body: A comprehensive review of exposure, distribution, migration mechanisms, and toxicity, Science of The Total Environment, Volume 946, 2024;
3. Bucchieri, F., Pitruzzella, A., Fucarino, A., Gammazza, A. M., Bavisotto, C. C., Marcianò, V., … Davies, D. E. (2017). Functional characterization of a novel 3D model of the epithelial-mesenchymal trophic unit. Experimental Lung Research, 43(2), 82–92. https://doi.org/10.1080/01902148.2017.1303098
4. Sabah, D.M., Khalil, M.I. Genetic variation in GSTP1 and TBXA2R genes: influence of Badoush cement factory pollutant. (2024). Journal of Biological Research - Bollettino Della Società Italiana Di Biologia Sperimentale, 97(2).
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