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<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
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<issn pub-type="epub">1664-042X</issn>
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<article-id pub-id-type="publisher-id">1254886</article-id>
<article-id pub-id-type="doi">10.3389/fphys.2023.1254886</article-id>
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<subject>Physiology</subject>
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<subject>Review</subject>
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<title-group>
<article-title>Toxicity of microplastics and nanoplastics: invisible killers of female fertility and offspring health</article-title>
<alt-title alt-title-type="left-running-head">Geng et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphys.2023.1254886">10.3389/fphys.2023.1254886</ext-link>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Geng</surname>
<given-names>Yuli</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2247021/overview"/>
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<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Zhuo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Hu</surname>
<given-names>Runan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Huang</surname>
<given-names>Yanjing</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Fan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
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<contrib contrib-type="author">
<name>
<surname>Ma</surname>
<given-names>Wenwen</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Xiao</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
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<contrib contrib-type="author">
<name>
<surname>Dong</surname>
<given-names>Haoxu</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Song</surname>
<given-names>Kunkun</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Xiaohu</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Zhuo</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Song</surname>
<given-names>Yufan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Institute of Integrated Traditional Chinese and Western Medicine</institution>, <institution>Tongji Hospital</institution>, <institution>Tongji Medical College</institution>, <institution>Huazhong University of Science and Technology</institution>, <addr-line>Wuhan</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Traditional Chinese Medicine</institution>, <institution>Tongji Hospital</institution>, <institution>Tongji Medical College</institution>, <institution>Huazhong University of Science and Technology</institution>, <addr-line>Wuhan</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Neurosurgery</institution>, <institution>Tongji Hospital</institution>, <institution>Tongji Medical College</institution>, <institution>Huazhong University of Science and Technology</institution>, <addr-line>Wuhan</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/721972/overview">Marianna Sadagurski</ext-link>, Wayne State University, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/471493/overview">Adnan Gora</ext-link>, Central Marine Fisheries Research Institute (ICAR), India</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1143231/overview">Naim M. Bautista</ext-link>, University of Nebraska-Lincoln, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Zhuo Zhang, <email>zhzmclaren@gmail.com</email>; Yufan Song, <email>songyufan23@163.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>28</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1254886</elocation-id>
<history>
<date date-type="received">
<day>10</day>
<month>07</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>08</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Geng, Liu, Hu, Huang, Li, Ma, Wu, Dong, Song, Xu, Zhang and Song.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Geng, Liu, Hu, Huang, Li, Ma, Wu, Dong, Song, Xu, Zhang and Song</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Microplastics (MPs) and nanoplastics (NPs) are emergent pollutants, which have sparked widespread concern. They can infiltrate the body via ingestion, inhalation, and cutaneous contact. As such, there is a general worry that MPs/NPs may have an impact on human health in addition to the environmental issues they engender. The threat of MPs/NPs to the liver, gastrointestinal system, and inflammatory levels have been thoroughly documented in the previous research. With the detection of MPs/NPs in fetal compartment and the prevalence of infertility, an increasing number of studies have put an emphasis on their reproductive toxicity in female. Moreover, MPs/NPs have the potential to interact with other contaminants, thus enhancing or diminishing the combined toxicity. This review summarizes the deleterious effects of MPs/NPs and co-exposure with other pollutants on female throughout the reproduction period of various species, spanning from reproductive failure to cross-generational developmental disorders in progenies. Although these impacts may not be directly extrapolated to humans, they do provide a framework for evaluating the potential mechanisms underlying the reproductive toxicity of MPs/NPs.</p>
</abstract>
<kwd-group>
<kwd>microplastics</kwd>
<kwd>nanoplastics</kwd>
<kwd>reproductive toxicity</kwd>
<kwd>cross-generational</kwd>
<kwd>environmental toxicants</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Reproductive and Mating Physiology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>With the intensification of industrialization, the world has now embraced an era of plastics. Polyethylene (PE), polypropylene, polyvinyl chloride, polystyrene (PS), polyurethane, and polyethylene terephthalate have hit 80% of plastic demand (<xref ref-type="bibr" rid="B39">Europe, 2015</xref>). The application of plastics has brought great convenience, but has also resulted in the discharge of a large quantity of plastic refuse into the environment, causing the accumulation of plastic in ecosystems (<xref ref-type="fig" rid="F1">Figure 1</xref>) (<xref ref-type="bibr" rid="B6">Andrady and Neal, 2009</xref>). They can be found in a wide range of environments across the globe, including inland rivers, soil, air, and even polar regions (<xref ref-type="bibr" rid="B62">Ivar do Sul and Costa, 2014</xref>; <xref ref-type="bibr" rid="B96">Nor and Obbard, 2014</xref>; <xref ref-type="bibr" rid="B5">Anderson et al., 2016</xref>; <xref ref-type="bibr" rid="B9">Bessa et al., 2019</xref>). After entering the environment, bulk plastic materials will be broken down into small fragments by heat, photochemical reactions, oxidation, and other processes, thus forming microplastics that may persist for an extremely long period (<xref ref-type="bibr" rid="B17">Canniff and Hoang, 2018</xref>). In addition to environmental sources, plastics are produced in the form of microparticles and even incorporated into personal care items such as lotions, moisturizers, cleansers, and toothpaste to meet industrial requirements (<xref ref-type="bibr" rid="B110">Rist et al., 2018</xref>; <xref ref-type="bibr" rid="B30">Cox et al., 2019</xref>). When the size of plastic particles approaches the micron range, the interaction and absorption with organisms may become significant (<xref ref-type="bibr" rid="B141">Wright et al., 2013b</xref>). MPs are plastic particulates with diameters less than 5&#xa0;mm, whereas NPs range in dimension from 1&#x3bc;m to 100&#xa0;nm (<xref ref-type="bibr" rid="B111">Rochman et al., 2016</xref>). Recently, there has been growing concern regarding the fate and impact of MPs and NPs in the environment. MPs/NPs can be ingested and transmitted by animals, which may lead to toxicity in humans (<xref ref-type="bibr" rid="B19">Chae et al., 2018</xref>; <xref ref-type="bibr" rid="B105">Proki&#x107; et al., 2019</xref>; <xref ref-type="bibr" rid="B122">Strungaru et al., 2019</xref>). Previous research has demonstrated that MPs/NPs accumulate in a variety of organisms and have a wide range of negative consequences, including liver inflammation and intestinal flora disturbance (<xref ref-type="bibr" rid="B67">Jin et al., 2018</xref>; <xref ref-type="bibr" rid="B150">Yang et al., 2019</xref>). According to recent investigations, MPs/NPs have been detected in human hands and facial skin, hair, saliva, as well as placenta and feces (<xref ref-type="bibr" rid="B116">Schwabl et al., 2019</xref>; <xref ref-type="bibr" rid="B1">Abbasi and Turner, 2021</xref>; <xref ref-type="bibr" rid="B108">Ragusa et al., 2021</xref>; <xref ref-type="bibr" rid="B144">Xu et al., 2022</xref>). Additionally, numerous studies have revealed that MPs/NPs induce reproductive damage in different species and have extensive impacts on the developmental and metabolic abnormalities of offspring (<xref ref-type="bibr" rid="B109">Rist et al., 2017</xref>; <xref ref-type="bibr" rid="B87">Luo et al., 2019a</xref>; <xref ref-type="bibr" rid="B82">Liu et al., 2019b</xref>; <xref ref-type="bibr" rid="B88">Luo et al., 2019b</xref>; <xref ref-type="bibr" rid="B63">Jaikumar et al., 2019</xref>; <xref ref-type="bibr" rid="B130">Trifuoggi et al., 2019</xref>; <xref ref-type="bibr" rid="B3">Amereh et al., 2020</xref>; <xref ref-type="bibr" rid="B100">Park et al., 2020</xref>). Female reproductive disorder is a global health issue, which may be closely related to the environmental deterioration (<xref ref-type="bibr" rid="B40">Feichtinger, 1991</xref>; <xref ref-type="bibr" rid="B90">Mahalingaiah et al., 2016</xref>; <xref ref-type="bibr" rid="B163">Zhou et al., 2020</xref>). Moreover, given that pregnancy is a crucial period time for neonatal organ development, prenatal exposure to these toxins is of particular concern for the health and development of unborn child (<xref ref-type="bibr" rid="B46">G&#xf3;mez-Roig et al., 2021</xref>; <xref ref-type="bibr" rid="B152">Yi et al., 2022</xref>). However, it remains unclear of the mechanisms that MPs/NPs entangle with female reproductivity. Therefore, this review summarizes the connections between MPs/NPs and female fertility, pregnancy as well as offspring, in order to give some inspiration for investigating the reasons of the high incidence of female infertility and enhancing the protection of female fertility and offspring health.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>The sources, transfer, and reproductive toxicity of microplastics (MPs) and nanoplastics (NPs). <bold>(A)</bold> According to the different sources, MPs/NPs can be separated into primary and secondary type. Primary MPs/NPs have been generated and added to a range of daily necessities in order to meet business purposes. Plastic debris released into the environment will further degrade as secondary MPs/NPs. MPs/NPs can be transferred to human body through inhalation, ingestion, and skin contact, which pose a great threat to female reproduction and offspring health. <bold>(B)</bold> Exposure to MPs/NPs will interfere with reproductive endocrine in female, which will inhibit gonadotropic hormones and steroidogenesis. It will also cause a decline of energy allocated to reproduction and induce oxidative stress in female reproductive system. In addition, MPs/NPs may also affect female reproduction through DNA damage and epigenetic regulation.</p>
</caption>
<graphic xlink:href="fphys-14-1254886-g001.tif"/>
</fig>
</sec>
<sec id="s2">
<title>2 Endocrine interference of MPs/NPs</title>
<p>Some research has suggested that MPs/NPs may act as endocrine disruptors (<xref ref-type="bibr" rid="B125">Sussarellu et al., 2016</xref>; <xref ref-type="bibr" rid="B136">Wang et al., 2019</xref>). It has been demonstrated that exposure to MPs/NPs will affect the levels of sex hormone in serum of aquatic organisms and rodents (<xref ref-type="bibr" rid="B136">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="B41">Feng et al., 2022</xref>; <xref ref-type="bibr" rid="B138">Wei et al., 2022</xref>). According to a study conducted on female marine medaka, MPs have a detrimental regulatory effect on the hypothalamic pituitary gonadal (HPG) axis, which is accompanied by a decline in gonadotropic hormones and suppression of steroidogenesis (<xref ref-type="bibr" rid="B136">Wang et al., 2019</xref>). In an experiment with swine granulosa cells, it was also confirmed that NPs exposure influenced steroidogenesis, especially the synthesis of estrogen and progesterone (<xref ref-type="bibr" rid="B8">Basini et al., 2021</xref>). However, there is a strong heterogeneity in the dynamic changes of female reproductive endocrine related hormones caused by MPs/NPs. In an experiment using aged polystyrene microplastics (PSMPs), it was found that PSMPs could stimulate the production and release of estradiol (E2) and increase the expression of estrogen receptor (<xref ref-type="bibr" rid="B148">Yang et al., 2022b</xref>). This is controversial in light of the results obtained with primary MPs, which may be due to the modifications in the properties of plastic particles (<xref ref-type="bibr" rid="B136">Wang et al., 2019</xref>). Through transcriptome analysis, Sussarellu et al. also verified the differential expression of hormone receptors or transcripts involved in different hormone pathways in oysters subjected to MPs (<xref ref-type="bibr" rid="B125">Sussarellu et al., 2016</xref>). In spite of this, they found that MPs contained endocrine disrupting compounds, indicating that additives in MPs might interfere with the experiment (<xref ref-type="bibr" rid="B125">Sussarellu et al., 2016</xref>).</p>
<p>According to the current research, we may not be able to draw a definite conclusion on how MPs/NPs affect the endocrine axis. Existing results continue to suggest that MPs/NPs may have endocrine-disrupting properties, yet further experiments are required to rule out the influence of plastic properties and additives.</p>
</sec>
<sec id="s3">
<title>3 Reproductive toxicity of MPs/NPs</title>
<sec id="s3-1">
<title>3.1 Bioenergy utilization</title>
<p>Energy is essential for the growth of organisms, while ingestion of MPs/NPs may lead to digestive tract obstruction, reducing food intake and energy intake (<xref ref-type="bibr" rid="B159">Zhang W. et al., 2020</xref>). Different types of MPs/NPs exposure have been reported to limit female reproductive capacity in a variety of species, which were attributed to the restrictions on energy consumption (<xref ref-type="bibr" rid="B7">Au et al., 2015</xref>; <xref ref-type="bibr" rid="B26">Cole et al., 2015</xref>; <xref ref-type="bibr" rid="B125">Sussarellu et al., 2016</xref>; <xref ref-type="bibr" rid="B28">Cong et al., 2019</xref>; <xref ref-type="bibr" rid="B70">Kim et al., 2019</xref>; <xref ref-type="bibr" rid="B92">Mao et al., 2022</xref>). In the marine worm <italic>Arenicola marina</italic>, researchers have observed extended intestine residence time, inflammation, and depletion of energy reserves following the exposure to MPs, which may be related to reproductive issues (<xref ref-type="bibr" rid="B140">Wright et al., 2013a</xref>). Through transcriptome analysis, Sussarellu and colleagues also confirmed that the PS-MPs intake altered the energy flow and metabolism of oysters, resulting in a loss of energy allocated to the reproductive function (<xref ref-type="bibr" rid="B125">Sussarellu et al., 2016</xref>). Despite the fact that animals tend to increase their appetite in response to external stress, studies have demonstrated that exposure to MPs still has an influence on the metabolism of glucose and protein in female <italic>Drosophila melanogaster</italic> with an increased food consumption (<xref ref-type="bibr" rid="B162">Zhong et al., 2022</xref>). However, the reproductive influence of MPs/NPs on energy reserve differ among species. For zooplankton like <italic>Daphnia magna</italic>, green algae, which can colonize and flourish on the surface of plastic objects, is the primary food source (<xref ref-type="bibr" rid="B49">Gross et al., 2016</xref>). As a result, the presence of plastic materials can either impede or assist organisms by occupying intestinal space during plastic ingestion, such as supporting the growth of algae in the environment (<xref ref-type="bibr" rid="B17">Canniff and Hoang, 2018</xref>). Several studies have found that zooplankton exposed to high concentrations of plastic particles tended to produce more offspring (<xref ref-type="bibr" rid="B97">Ogonowski et al., 2016</xref>; <xref ref-type="bibr" rid="B109">Rist et al., 2017</xref>; <xref ref-type="bibr" rid="B82">Liu et al., 2019b</xref>; <xref ref-type="bibr" rid="B38">Eltemsah and B&#xf8;hn, 2019</xref>). Canniff et al. found that polyethylene MPs had no influence on the reproduction of <italic>Daphnia Magna</italic>, despite the digestive system being stuffed with microplastic beads (<xref ref-type="bibr" rid="B17">Canniff and Hoang, 2018</xref>). Whereas some studies have discovered a reduction in the number of newborns in the reproduction test employing MPs and NPs (<xref ref-type="bibr" rid="B10">Besseling et al., 2013</xref>; <xref ref-type="bibr" rid="B164">Zimmermann et al., 2020</xref>).</p>
<p>Currently, the controversy about the impact of MPs/NPs on energy metabolism by impairing or obstructing the digestive tract is primarily centered on zooplankton and other species, which may depend on the characteristics of the food, as mentioned above (<xref ref-type="bibr" rid="B17">Canniff and Hoang, 2018</xref>). The hypothesis that MPs/NPs induce reproductive toxicity by altering energy distribution seems credible for the majority of the investigated organisms. It is worth noting that the studied species are quite tiny, which is a significant factor for the impact of MPs/NPs on their digestive systems. However, extrapolating these findings to humans may be challenging. Although there is evidence that the digestion of microplastics may weaken intestinal barriers (<xref ref-type="bibr" rid="B54">Hirt and Body-Malapel, 2020</xref>), additional research is necessary to establish a connection between energy exhaustion and reproductive disorders.</p>
</sec>
<sec id="s3-2">
<title>3.2 Oxidative stress</title>
<p>MPs/NPs have been proved to exhibit pro-oxidant properties (<xref ref-type="bibr" rid="B65">Jeong et al., 2017</xref>; <xref ref-type="bibr" rid="B130">Trifuoggi et al., 2019</xref>; <xref ref-type="bibr" rid="B36">Dubey et al., 2022</xref>; <xref ref-type="bibr" rid="B42">Ferrante et al., 2022</xref>). The toxicity of MPs/NPs in organisms mainly comes from oxidative stress through the generation of reactive oxygen species (ROS). The accumulating ROS then triggers a sequence of biological responses, such as oxidative stress-induced signaling cascades, apoptosis and inflammation (<xref ref-type="bibr" rid="B65">Jeong et al., 2017</xref>). Numerous studies have demonstrated that the activation of oxidative stress <italic>in vivo</italic> may be connected to the detrimental effects of MPs/NPs on the reproduction of various species (<xref ref-type="bibr" rid="B66">Jeong et al., 2016</xref>; <xref ref-type="bibr" rid="B70">Kim et al., 2019</xref>; <xref ref-type="bibr" rid="B106">Qiang and Cheng, 2021</xref>).</p>
<p>When <italic>Paracyclopina nana</italic> was exposed to MPs, researchers observed an increase of ROS levels which was related to impaired reproductive function with the decrease of newborn nauplii (<xref ref-type="bibr" rid="B65">Jeong et al., 2017</xref>). They also demonstrated an activation of mitogen-activated protein kinase/nuclear factor erythroid 2-related factor 2 (MAPK/Nrf2) signaling pathway, promoting the activity of antioxidant enzymes in response to the oxidative stress (<xref ref-type="bibr" rid="B65">Jeong et al., 2017</xref>). Additionally, they showed that the toxicity was inversely proportional to the size of MPs (<xref ref-type="bibr" rid="B65">Jeong et al., 2017</xref>). Some other investigations supported the association between MPs/NPs-induced oxidative stress and reduced fertility (<xref ref-type="bibr" rid="B82">Liu et al., 2019b</xref>; <xref ref-type="bibr" rid="B130">Trifuoggi et al., 2019</xref>; <xref ref-type="bibr" rid="B106">Qiang and Cheng, 2021</xref>; <xref ref-type="bibr" rid="B146">Xue et al., 2021</xref>). They have also shown an enhanced expression of genes encoding antioxidant enzymes to withstand environmental stress (<xref ref-type="bibr" rid="B82">Liu et al., 2019b</xref>). However, Liu et al. further found that the high concentration of NPs was likely to disrupt the antioxidant system in <italic>Daphnia pulex</italic>, manifesting as a reduction in the expression of the genes for antioxidant enzymes (<xref ref-type="bibr" rid="B82">Liu et al., 2019b</xref>).</p>
<p>In addition, the toxic effects of MPs/NPs have been validated in rodents. Research has revealed that MPs can induce oxidative stress and impair the antioxidant capacity in the ovary (<xref ref-type="bibr" rid="B138">Wei et al., 2022</xref>). As a consequence of PSMPs exposure, MPs were found to deposit in the ovary, which further resulted in decreased ovarian reserve, lower ovarian volume, and disruption of the estrous cycle (<xref ref-type="bibr" rid="B4">An et al., 2021</xref>; <xref ref-type="bibr" rid="B55">Hou et al., 2021</xref>; <xref ref-type="bibr" rid="B41">Feng et al., 2022</xref>; <xref ref-type="bibr" rid="B51">Haddadi et al., 2022</xref>; <xref ref-type="bibr" rid="B84">Liu et al., 2022</xref>; <xref ref-type="bibr" rid="B138">Wei et al., 2022</xref>). Wei et al. reported that PS-MPs reached the mouse ovary after oral administration of 5&#xa0;&#x3bc;m fluorescent PSMPs for 2&#xa0;days (<xref ref-type="bibr" rid="B55">Hou et al., 2021</xref>). In ovarian tissue, ROS and malondialdehyde (MDA) levels increased markedly whereas glutathione (GSH) levels decreased considerably (<xref ref-type="bibr" rid="B55">Hou et al., 2021</xref>; <xref ref-type="bibr" rid="B138">Wei et al., 2022</xref>). Hou et al. found that MP-induced oxidative stress further activated NOD-like receptor thermal protein domain associated protein 3 (NLRP3)/Caspase-1 signaling pathway, which led to pyroptosis and apoptosis of granulosa cells (<xref ref-type="bibr" rid="B4">An et al., 2021</xref>; <xref ref-type="bibr" rid="B55">Hou et al., 2021</xref>). Moreover, research by An et al. suggested that the activation of oxidative stress caused by PSMPs might also play a role in the ovarian fibrosis through the Wnt/&#x3b2;-catenin signaling pathway, as it could be the blocked by N-Acetyl-l-cysteine (NAC) treatment (<xref ref-type="bibr" rid="B4">An et al., 2021</xref>). Additionally, exposure to PSMPs altered the expression of cytoskeleton protein in rat ovary which was also considered as the target of ROS (<xref ref-type="bibr" rid="B51">Haddadi et al., 2022</xref>).</p>
<p>Apart from ovary, PSMPs were also observed to accumulate in the uterus, causing pathological alterations such as thinner endometrium, a reduction in uterine glands, endometrial adhesion and so on (<xref ref-type="bibr" rid="B51">Haddadi et al., 2022</xref>; <xref ref-type="bibr" rid="B84">Liu et al., 2022</xref>). Wu et al. claimed that via the Toll-like receptor 4/NADPH oxidase 2 (TLR4/NOX2) signaling axis PSMPs induced oxidative stress, which thereby activated Notch and transforming growth factor-&#x3b2; (TGF-&#x3b2;) signaling pathways, ultimately resulting in uterine fibrosis in rats. Inhibition of TLR4/NOX2 signaling transduction can play an anti-fibrotic effect by lowering the generation of ROS (<xref ref-type="bibr" rid="B143">Wu et al., 2022</xref>).</p>
</sec>
</sec>
<sec id="s4">
<title>4 Genotoxicity of MPs/NPs</title>
<sec id="s4-1">
<title>4.1 Deoxyribonucleic acid (DNA) damage</title>
<p>Currently, it has been documented that MPs/NPs may induce genotoxicity through DNA damage in various tissues and organs of several species (<xref ref-type="bibr" rid="B161">Zheng et al., 2019</xref>; <xref ref-type="bibr" rid="B34">Domenech et al., 2021</xref>; <xref ref-type="bibr" rid="B112">Sangkham et al., 2022</xref>; <xref ref-type="bibr" rid="B50">Guimar&#xe3;es et al., 2023</xref>). Two separate studies revealed that the reproductive toxicity induced by PSMPs may be associated with the activation of cell apoptosis through DNA damage in <italic>Caenorhabditis elegans</italic> (<xref ref-type="bibr" rid="B21">Chen et al., 2022</xref>; <xref ref-type="bibr" rid="B58">Hua et al., 2023</xref>). Wu and colleagues observed an increase in DNA damage markers in ovarian granulosa cells following exposure to PSMPs (<xref ref-type="bibr" rid="B142">Wu et al., 2023</xref>). Hua et al. also confirmed that suppressing DNA damage checkpoints could improve germline apoptosis and subfertility (<xref ref-type="bibr" rid="B58">Hua et al., 2023</xref>). An <italic>in vitro</italic> testing by Chatterjee et al. confirmed the toxicity of polystyrene nanoplastics (PSNPs) to zebrafish oocytes, accompanying an alteration in the expression of genes associated to DNA damage (<xref ref-type="bibr" rid="B20">Chatterjee et al., 2022</xref>).</p>
</sec>
<sec id="s4-2">
<title>4.2 Epigenetic response</title>
<p>Epigenetic regulation refers to the chemical modifications of DNA and histones that can influence gene expression without altering the DNA sequence (<xref ref-type="bibr" rid="B118">Skvortsova et al., 2018</xref>; <xref ref-type="bibr" rid="B23">Chen et al., 2020</xref>). Existing data on NPs and epigenetics suggest that NPs indeed have the potential to modulate the epigenome, while current research in this area remains limited. Wang et al. noticed that exposure to PSNPs led to a decrease in the expression of a methyltransferase, homoserine O-acetyltransferase (MET-2), which played a critical role in the germline cells in defending against the toxicity of PSNPs in <italic>Caenorhabditis elegans</italic> (<xref ref-type="bibr" rid="B137">Wang et al., 2021</xref>). Yang et al. also demonstrated that germline microRNA38 in <italic>C. elegans</italic> mediated epigenetic regulation in response to exposure to PSNPs (<xref ref-type="bibr" rid="B151">Yang et al., 2020</xref>). Additionally, MPs/NPs may cause cross-generational epigenetic effects since epigenetics is heritable, as will be discussed in the following section.</p>
</sec>
</sec>
<sec id="s5">
<title>5 Cross-generational toxicity of MPs/NPs</title>
<p>MPs/NPs have the potential to translocate to oocytes, placenta, and offspring, thereby posing a greater threat to human and animal health (<xref ref-type="fig" rid="F2">Figure 2</xref>). The cross-generational transfer effect of NPs has been illustrated in some aquatic and soil organisms (<xref ref-type="bibr" rid="B91">Manabe et al., 2011</xref>; <xref ref-type="bibr" rid="B31">Cui et al., 2017</xref>; <xref ref-type="bibr" rid="B160">Zhao et al., 2017</xref>; <xref ref-type="bibr" rid="B104">Pitt et al., 2018b</xref>; <xref ref-type="bibr" rid="B128">Teng et al., 2022</xref>). After exposing zebrafish to PSNPs, Pitt et al. found that PSNPs initially appeared in the yolk sacs of embryos that were maternally or co-parentally exposed rather than paternally exposed, and subsequently spread throughout the digestive system, pancreas, and liver in the larvae (<xref ref-type="bibr" rid="B104">Pitt et al., 2018b</xref>). Although it is unclear how maternal transfer of PSNPs is mediated, previous research has indicated that PSNPs interacted with vitellogenin, which may promote PSNPs transfer to the oocyte and eventually the embryonic yolk sac (<xref ref-type="bibr" rid="B104">Pitt et al., 2018b</xref>). Two independent research groups respectively demonstrated that PSNPs could penetrate the chorion of zebrafish and distribute to various organs after being absorbed via the yolk sac (<xref ref-type="bibr" rid="B103">Pitt et al., 2018a</xref>; <xref ref-type="bibr" rid="B73">Lee et al., 2019</xref>). Lee and colleagues described the morphology of chorion exposed to NPs with uneven surface as well as narrow chorionic pore canals under scanning electron microscope (<xref ref-type="bibr" rid="B73">Lee et al., 2019</xref>). NPs with sizes of 50&#xa0;nm and 200&#xa0;nm were dispersed throughout the pores, whereas NPs with a diameter of 500&#xa0;nm were partially blocked, suggesting that the size of NPs was positively correlated with the capacity to penetrate (<xref ref-type="bibr" rid="B73">Lee et al., 2019</xref>). However, some experts still hold the view that chorion acts as an effective barrier against PSNPs. Their studies showed that PSNPs gathered on the chorion instead of infiltrating it (<xref ref-type="bibr" rid="B132">van Pomeren et al., 2017</xref>; <xref ref-type="bibr" rid="B35">Duan et al., 2020</xref>). Kashiwada et al. also verified that chorion could prevent embryos from PSNPs invasion at the early developmental stage of Japanese medaka. Nonetheless, with the extension of exposure time, it was found that NPs were internalized and transmitted to the gallbladder (<xref ref-type="bibr" rid="B68">Kashiwada, 2006</xref>). Researchers speculated that particles will not be transported across the chorion until the chorion reaches its maximal adsorption value (<xref ref-type="bibr" rid="B132">van Pomeren et al., 2017</xref>). Given the extent of chorionic pore canal in fish, most investigations supported that MPs will be blocked by embryonic chorion (<xref ref-type="bibr" rid="B75">LeMoine et al., 2018</xref>; <xref ref-type="bibr" rid="B35">Duan et al., 2020</xref>; <xref ref-type="bibr" rid="B78">Li et al., 2020</xref>; <xref ref-type="bibr" rid="B24">Cheng et al., 2021</xref>; <xref ref-type="bibr" rid="B32">De Marco et al., 2022</xref>). Additionally, exposure to NPs has also been shown to result in translocation from matrix to the placenta and fetal tissues in rodents (<xref ref-type="bibr" rid="B59">Huang et al., 2015</xref>; <xref ref-type="bibr" rid="B44">Fournier et al., 2020</xref>; <xref ref-type="bibr" rid="B95">Nie et al., 2021</xref>; <xref ref-type="bibr" rid="B149">Yang et al., 2022a</xref>). However, according to a single exposure experiment, carboxylated PSNPs only showed a high density in the placenta without reaching the embryonic tissue, and were eliminated within 4 days after exposure (<xref ref-type="bibr" rid="B69">Kenesei et al., 2016</xref>). Variations in exposure time and surface modifications of plastic particles may account for the discrepancies between different research. This work reminds us that the scavenging effect of MPs/NPs should be taken into consideration during exploration of their toxicity, which may have been overlooked in prior studies.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Cross-generational toxicity of microplastics (MPs) and nanoplastics (NPs). MPs/NPs have the potential to infiltrate the embryonic chorion. MPs/NPs will disrupt the delicate immune balance at the maternal-fetal surface while also altering the distribution and profile of immune cells in offspring. Additionally, MPs/NPs will impact fetal circulatory function and angiogenesis during pregnancy, inducing cardiovascular damage and hypercoagulable state. MPs/NPs will also cause neurological dysfunction, which can extend far beyond the gestational period. Moreover, metabolic disorders may emerge in progenies due to maternal exposure to MPs/NPs. Other detrimental influences of MPs/NPs manifest as developmental abnormalities and subfertility in progenies, leading to a multitude of health challenges throughout lifetimes.</p>
</caption>
<graphic xlink:href="fphys-14-1254886-g002.tif"/>
</fig>
<p>Unlike animal experiments, MPs have been detected in human meconium and placenta, including fetal side, maternal side, and chorionic amniotic membrane (<xref ref-type="bibr" rid="B108">Ragusa et al., 2021</xref>; <xref ref-type="bibr" rid="B138">Wei et al., 2022</xref>). Placental transfer of PSNPs from maternal to fetal compartment has been proven using the <italic>ex vivo</italic> human placental perfusion model (<xref ref-type="bibr" rid="B139">Wick et al., 2010</xref>; <xref ref-type="bibr" rid="B47">Grafmueller et al., 2015a</xref>). The findings of Grafmueller et al. suggested that an active, energy-dependent transport pathway rather than passive diffusion may be the underlying mechanism of PSNPs translocation across the placenta, in which syncytiotrophoblast played a crucial contributor (<xref ref-type="bibr" rid="B47">Grafmueller et al., 2015a</xref>). Although there are certain limitations in the methodology of human placental perfusion (<xref ref-type="bibr" rid="B48">Grafmueller et al., 2015b</xref>), these data are essential for comprehending the onset of developmental toxicity of MPs/NPs. Another <italic>in vitro</italic> study using human placental choriocarcinoma cells also verified the intercellular transport of PSNPs from the maternal to the fetal compartment, with an inverse relationship between particle size and transport rate (<xref ref-type="bibr" rid="B18">Cartwright et al., 2012</xref>).</p>
<p>Of note, a study pointed out that maternally administrated PSNPs were mainly transmitted to offspring through breast milk after delivery, while the quantity of PSNPs that crossed the placental barrier during pregnancy could not be enough to reach embryonic organs (<xref ref-type="bibr" rid="B64">Jeong et al., 2022</xref>).</p>
<p>There has been increased concern on the threat that MPs/NPs may pose to fetal development. Numerous studies have demonstrated that maternal exposure to MPs/NPs has profound influence on offspring at various levels, ranging from weight loss, developmental malformations to immune disturbance, metabolic disorders, circulatory abnormalities, neurological deficits, and reproductive failure (<xref ref-type="bibr" rid="B87">Luo et al., 2019a</xref>; <xref ref-type="bibr" rid="B88">Luo et al., 2019b</xref>; <xref ref-type="bibr" rid="B14">Bringer et al., 2020</xref>; <xref ref-type="bibr" rid="B57">Hu et al., 2021</xref>).</p>
<sec id="s5-1">
<title>5.1 Immune microenvironment</title>
<p>Despite variations in exposure patterns, several investigations have elucidated that MPs/NPs induce embryo resorption (<xref ref-type="bibr" rid="B44">Fournier et al., 2020</xref>; <xref ref-type="bibr" rid="B57">Hu et al., 2021</xref>; <xref ref-type="bibr" rid="B95">Nie et al., 2021</xref>). After intraperitoneal exposure to PS-MPs, Hu et al. observed a reduction in uterine blood supply and the proportion of decidual natural killer (dNK) cells while an increase of placental T helper cells, a polarization of M2 macrophage, and an immune suppressive state of cytokines (<xref ref-type="bibr" rid="B57">Hu et al., 2021</xref>). Due to the intricacy of gestation, this result may not entirely align with our general conception (<xref ref-type="bibr" rid="B153">Yi et al., 2019</xref>). Therefore, further research is necessary to uncover the mechanism underlying the MPs/NPs induced embryonic loss. Additionally, a study reported that PE-MPs altered the composition of lymphocyte subsets in spleen of offspring which might be secondary to maternal and/or paternal toxicity (<xref ref-type="bibr" rid="B100">Park et al., 2020</xref>). Exposure of zebrafish embryos to MPs/NPs indicated that could trigger an immune response, which was also evidenced by the recruitment of neutrophils and macrophages around the PS particles (<xref ref-type="bibr" rid="B133">Veneman et al., 2017</xref>; <xref ref-type="bibr" rid="B16">Brun et al., 2018</xref>).</p>
</sec>
<sec id="s5-2">
<title>5.2 Circulatory dynamic</title>
<p>Although several of the studies previously cited lend credence to the notion that the embryonic chorion can effectively prevent external contaminants, it does not mean getting rid of the influence caused by MPs/NPs. The adsorption of MPs/NPs on the outer surface of chorion has been shown to alter the permeability of chorionic channel and the mechanical properties of embryonic chorion, which might result in the hypoxic microenvironment in the embryo (<xref ref-type="bibr" rid="B35">Duan et al., 2020</xref>; <xref ref-type="bibr" rid="B24">Cheng et al., 2021</xref>). Through the methodology of metabonomics, Duan et al. concluded that the variations in heart rates and blood flow rates were connected to the changes in the antioxidant system of the embryo (<xref ref-type="bibr" rid="B35">Duan et al., 2020</xref>). Furthermore, Park et al., reported that MPs/NPs caused pathological angiogenesis and peripheral microcirculatory disruption, thus leading to prematurity and growth restriction during the zebrafish embryonic development (<xref ref-type="bibr" rid="B102">Park and Kim, 2022</xref>). Sun and colleagues also provided evidence for NPs inducing cardiovascular damage in zebrafish embryos (<xref ref-type="bibr" rid="B123">Sun et al., 2021</xref>). They found that NPs can inhibited blood flow velocity of zebrafish embryos, resulting in hypercoagulable state of circulation (<xref ref-type="bibr" rid="B123">Sun et al., 2021</xref>). Simultaneously, NPs probably caused vascular cell dysfunction <italic>in vivo</italic> by inducing systemic inflammatory response and oxidative stress, which would eventually promote thrombosis in zebrafish embryos (<xref ref-type="bibr" rid="B123">Sun et al., 2021</xref>). The formation of atrioventricular heart valves was substantially impacted after human induced pluripotent stem cells were exposed to NPs, according to another <italic>in vitro</italic> investigation utilizing gene set enrichment analysis (<xref ref-type="bibr" rid="B11">Bojic et al., 2020</xref>).</p>
</sec>
<sec id="s5-3">
<title>5.3 Neurological development</title>
<p>According to multiple studies, prenatal or perinatal exposure to NPs may accumulate in fetal brain and result in brain dysfunction (<xref ref-type="bibr" rid="B149">Yang et al., 2022a</xref>; <xref ref-type="bibr" rid="B64">Jeong et al., 2022</xref>). A study injecting of PSNPs into zebrafish embryos also illuminated that NPs accumulated in the brain and induced oxidative DNA damage (<xref ref-type="bibr" rid="B120">S&#xf6;kmen et al., 2020</xref>). Yang et al. illuminated that NPs induced excessive production of ROS, which led to apoptosis of fetal thalamic neurons and inhibition of &#x3b3;-aminobutyric acid (GABA) synthesis, thus ultimately causing anxiety-like behavior in progenies (<xref ref-type="bibr" rid="B149">Yang et al., 2022a</xref>). Jeong et al. reported that PSNPs altered the composition of neural cells in the brain of postnatal offspring, featured as an increase in the number of astrocytes (<xref ref-type="bibr" rid="B64">Jeong et al., 2022</xref>). Furthermore, reductions of estrogen signal induced by PSNPs could lead to cognitive impairment in female offspring (<xref ref-type="bibr" rid="B64">Jeong et al., 2022</xref>). After embryo injection exposure, Zhang et al. described that there was a downregulation of genes involved in neurological function, including synapse formation, neuronal differentiation, and cytoskeleton modulation, which suggested an influence on the development of central nervous system (<xref ref-type="bibr" rid="B158">Zhang et al., 2020a</xref>). It was also confirmed by Nie et al. that exposure to NPs during the gastrula stage of chicken embryos caused neural tube defects (<xref ref-type="bibr" rid="B95">Nie et al., 2021</xref>). According to an investigation of Chen et al., embryo exposure to NPs lowered acetylcholinesterase (AChE) activity and substantially upregulated neurotoxicity biomarkers, which in turn affected the locomotion of juvenile fish (<xref ref-type="bibr" rid="B22">Chen et al., 2017</xref>).</p>
</sec>
<sec id="s5-4">
<title>5.4 Glucolipid metabolism</title>
<p>A team has revealed that maternal exposure during pregnancy to MPs would have cross-generational consequences, causing lipid and amino acid metabolic abnormalities in offspring, which might provide concealed risks for long-term metabolic diseases (<xref ref-type="bibr" rid="B87">Luo et al., 2019a</xref>; <xref ref-type="bibr" rid="B88">Luo et al., 2019b</xref>). This may be associated with gut microbiota dysbiosis and gut barrier dysfunction in matrix, according to their findings (<xref ref-type="bibr" rid="B87">Luo et al., 2019a</xref>). Another study found that prenatal and <italic>postpartum</italic> administration with PSNPs not only perturbed glucose metabolism but also triggered oxidative stress and inflammation in the liver of male offspring, thus resulting in a weight loss at birth and postnatally (<xref ref-type="bibr" rid="B60">Huang et al., 2022</xref>). Similarly, modifications in intestinal microbiota and glucolipid metabolism were noted after zebrafish embryos were exposed to MPs/NPs (<xref ref-type="bibr" rid="B133">Veneman et al., 2017</xref>; <xref ref-type="bibr" rid="B135">Wan et al., 2019</xref>).</p>
</sec>
<sec id="s5-5">
<title>5.5 Reproductive barrier in offspring</title>
<p>Diverse species have exhibited decreased fecundity in their progeny after parental exposed to MPs/NPs, and one study even discovered that <italic>Daphnia Magna</italic> required at least three generations to gradually recover from the effects of impaired fertility (<xref ref-type="bibr" rid="B160">Zhao et al., 2017</xref>; <xref ref-type="bibr" rid="B94">Martins and Guilhermino, 2018</xref>; <xref ref-type="bibr" rid="B119">Sobhani et al., 2021</xref>). Huang et al. revealed that exposure to PSNPs during pregnancy and lactation also prevented spermatogenesis in male offspring by causing testicular developmental disorders and oxidative injury (<xref ref-type="bibr" rid="B60">Huang et al., 2022</xref>). Additionally, Lu et al. reported that exposure to PSMPs altered the reproductive endocrine level of zebrafish embryos, exhibiting a considerable increase in testosterone, estrogen, vitellogenin, and T3 levels (<xref ref-type="bibr" rid="B85">Lu et al., 2022</xref>). Several studies also implied that the cross-generational reproductive toxicity was also associated with DNA methylation and histone modifications although one study found no significant differences in global DNA methylation among four generations in <italic>Daphnia magna</italic> (<xref ref-type="bibr" rid="B154">Yu et al., 2021</xref>; <xref ref-type="bibr" rid="B121">Song et al., 2022</xref>; <xref ref-type="bibr" rid="B74">Lee et al., 2023</xref>). These data offer fresh insight into the negative reproductive consequences of MPs/NPs on progeny which also require further investigations in the exact mechanisms.</p>
</sec>
<sec id="s5-6">
<title>5.6 Developmental malformations</title>
<p>A number of investigators have documented the aberrant development of progenies after parental exposure to MPs/NPs, even if some others have found no appreciable difference in the malformation rate of offspring (<xref ref-type="bibr" rid="B22">Chen et al., 2017</xref>; <xref ref-type="bibr" rid="B103">Pitt et al., 2018a</xref>). Body length reduction, weight loss, locomotion diminution, and changes in activity behavior are among the most typical developmental issues (<xref ref-type="bibr" rid="B99">Pacheco et al., 2018</xref>; <xref ref-type="bibr" rid="B98">Oliviero et al., 2019</xref>; <xref ref-type="bibr" rid="B124">Sun et al., 2019</xref>; <xref ref-type="bibr" rid="B14">Bringer et al., 2020</xref>; <xref ref-type="bibr" rid="B13">Bringer et al., 2022</xref>; <xref ref-type="bibr" rid="B128">Teng et al., 2022</xref>). Recently, a novel study evaluated the presence of MPs in fresh human placenta and the association with the development of neonatal infants, heightening concerns about the potential impact of a lifestyle involving continuous plastic exposure on birth outcomes (<xref ref-type="bibr" rid="B2">Amereh et al., 2022</xref>). Their research revealed a negative correlation between MPs burden and anthropometric measurements of neonates in intrauterine growth restriction (IUGR) pregnancies (<xref ref-type="bibr" rid="B2">Amereh et al., 2022</xref>). Additionally, MPs/NPs will induce pericardial edema and harm the integrity of the visual structure since they can reach heart, eyes, and other significant organs (<xref ref-type="bibr" rid="B159">Zhang et al., 2020b</xref>; <xref ref-type="bibr" rid="B11">Bojic et al., 2020</xref>; <xref ref-type="bibr" rid="B123">Sun et al., 2021</xref>; <xref ref-type="bibr" rid="B32">De Marco et al., 2022</xref>). Some studies also pointed out that MPs/NPs induced osteotoxicity which was inherited by offspring (<xref ref-type="bibr" rid="B32">De Marco et al., 2022</xref>; <xref ref-type="bibr" rid="B127">Tarasco et al., 2022</xref>).</p>
</sec>
</sec>
<sec id="s6">
<title>6 Combined effects of MPs/NPs with other pollutants in reproductivity</title>
<p>MPs/NPs rarely play a solitary function in inducing biological toxicity in the natural environment, as evidenced by an abundance of recent literature (<xref ref-type="bibr" rid="B145">Xu et al., 2020</xref>; <xref ref-type="bibr" rid="B117">Sheng et al., 2021</xref>; <xref ref-type="bibr" rid="B156">Zhang et al., 2022</xref>). On the one hand, various types of additives are applied in the production of plastics to impart specific properties (<xref ref-type="bibr" rid="B27">Cole et al., 2011</xref>; <xref ref-type="bibr" rid="B12">Bouwmeester et al., 2015</xref>). In turn, these toxic additives will also leach out from MPs/NPs and cause deleterious effects (<xref ref-type="bibr" rid="B12">Bouwmeester et al., 2015</xref>; <xref ref-type="bibr" rid="B117">Sheng et al., 2021</xref>). Despite the fact that multiple studies have demonstrated that additives in plastics such as bisphenol A and phthalates can impair female reproductive function, research on the combined effects of MPs/NPs with these chemicals remains limited (<xref ref-type="bibr" rid="B61">Hunt et al., 2003</xref>; <xref ref-type="bibr" rid="B71">Lai et al., 2017</xref>; <xref ref-type="bibr" rid="B77">Li et al., 2018</xref>; <xref ref-type="bibr" rid="B89">Ma et al., 2019</xref>; <xref ref-type="bibr" rid="B101">Park et al., 2019</xref>; <xref ref-type="bibr" rid="B131">Ullah et al., 2022</xref>). On the other hand, due to their minuscule diameters and large specific surface area, MPs/NPs tend to absorb or desorb other environmental contaminants thus altering their bioaccumulation and toxicity (<xref ref-type="bibr" rid="B72">Law and Thompson, 2014</xref>; <xref ref-type="bibr" rid="B155">Yu et al., 2019</xref>). Several studies have raised concerns about the potential for MPs and NPs to serve as carriers for other environmental contaminants, triggering reproductive disorders such as endocrine disruption and infertility in females (<xref ref-type="bibr" rid="B142">Wu et al., 2023</xref>).</p>
<sec id="s6-1">
<title>6.1 MPs/NPs and organic pollutants</title>
<p>Research on the interaction between MPs/NPs and organic pollutants implies that MPs/NPs have multiple effects on the bioaccumulation and toxicity of diverse compounds. A majority of studies have supported that the combined exposure of organic pollutants with MPs/NPs has an additive or synergistic toxicity on female reproduction and embryonic development. Endocrine disrupting chemicals (EDCs) are prevalent organic contaminants in the environment, which are likely to interplay with MPs/NPs (<xref ref-type="bibr" rid="B81">Liu et al., 2019a</xref>; <xref ref-type="bibr" rid="B25">Coffin et al., 2019</xref>; <xref ref-type="bibr" rid="B56">Hu et al., 2020</xref>; <xref ref-type="bibr" rid="B53">He et al., 2021</xref>; <xref ref-type="bibr" rid="B86">Lu et al., 2021</xref>). The co-occurrence of MPs/NPs and several EDCs has been reported to exerted an additive or synergistic endocrine-disrupting toxicity in reproductivity, impairing the ovarian function and inhibiting the secretion of sex hormones (<xref ref-type="bibr" rid="B53">He et al., 2021</xref>; <xref ref-type="bibr" rid="B52">Han et al., 2022</xref>; <xref ref-type="bibr" rid="B92">Mao et al., 2022</xref>; <xref ref-type="bibr" rid="B79">Lin et al., 2023a</xref>; <xref ref-type="bibr" rid="B80">Lin et al., 2023b</xref>). Furthermore, research indicated that PSMPs could enhance the desorption of di-(2-ethylhexyl) phthalic acid, thereby generating DNA oxidative damage, granulosa cell cycle arrest, and necroptosis in the ovary (<xref ref-type="bibr" rid="B25">Coffin et al., 2019</xref>; <xref ref-type="bibr" rid="B142">Wu et al., 2023</xref>).</p>
<p>Likewise, the comprehensive toxicity of MPs/NPs not only cause parental reproductive dysfunction, but also onset more notable cross-generational consequences in progenies. Compared to individual exposures, it has been confirmed that the combined exposure of MPs/NPs with multiple types of organic pollutants poses a more severe threat to offspring development, especially in cases of pericardial cyst, skeletal abnormalities, and growth retardation (<xref ref-type="bibr" rid="B85">Lu et al., 2022</xref>; <xref ref-type="bibr" rid="B127">Tarasco et al., 2022</xref>; <xref ref-type="bibr" rid="B80">Lin et al., 2023b</xref>; <xref ref-type="bibr" rid="B45">Gao et al., 2023</xref>; <xref ref-type="bibr" rid="B157">Zhang et al., 2023</xref>). On the basis of the combination index, Lu et al. also observed an antagonistic effect between MPs and sulfamethoxazol, while it only caused a slight reduction in the combined toxicity (<xref ref-type="bibr" rid="B85">Lu et al., 2022</xref>).</p>
<p>Even though most current studies suggest that MPs exacerbate the toxicity of organic pollutants, there is still controversy surrounding this issue. A study has indicated that there is no interaction between PSNPs and BPA in marine water medium, accompanying no alterations in the embryonic developmental toxicity on a phenotypic level (<xref ref-type="bibr" rid="B43">Ferrari et al., 2022</xref>). Some other studies pointed out that MPs/NPs could mitigate the toxicity of several compounds including B[&#x3b1;]P, phenanthrene, and butyl methoxydibenzoylmethane, lessening the adverse effects on embryonic development (<xref ref-type="bibr" rid="B78">Li et al., 2020</xref>; <xref ref-type="bibr" rid="B83">Liu et al., 2021</xref>; <xref ref-type="bibr" rid="B33">de Mello Souza et al., 2023</xref>). When zebrafish embryos were exposed to NPs and a mixture of complex polycyclic aromatic hydrocarbons (PAHs), PAHs were shown to adsorb onto the surface of NPs, thereby reducing developmental abnormalities and vascular injury (<xref ref-type="bibr" rid="B129">Trevisan et al., 2019</xref>). Additionally, a study found that NPs and phenmedipham (PHE) exhibited results of no interaction, synergistic effect, and antagonistic effect at different concentrations and endpoints (<xref ref-type="bibr" rid="B114">Santos et al., 2022</xref>). Despite that, dual exposure still increased the possibility of PHE transfer to embryos, disrupting oxidative balance and neural neurotransmitter activity (<xref ref-type="bibr" rid="B157">Zhang et al., 2023</xref>).</p>
<p>It is worth mentioning that most studies only focus on a specific type of pollutant, whereas the natural environment contains a vast array of compounds. Their coexistence may pose greater ecological or health hazards than their individual effects, necessitating additional investigation into these cumulative effects.</p>
</sec>
<sec id="s6-2">
<title>6.2 MPs/NPs and inorganic pollutants</title>
<p>Currently, investigations on the combined toxicity of MPs/NPs with inorganic substances predominantly focus on heavy metals (HMs) (<xref ref-type="bibr" rid="B147">Yan et al., 2020</xref>; <xref ref-type="bibr" rid="B24">Cheng et al., 2021</xref>; <xref ref-type="bibr" rid="B113">Santos et al., 2021</xref>; <xref ref-type="bibr" rid="B41">Feng et al., 2022</xref>). Yan et al. has found that the combined exposure to HMs and MPs led to the formation of empty follicles in marine medaka fish, showing additive and synergistic effects on reproductive toxicity (<xref ref-type="bibr" rid="B147">Yan et al., 2020</xref>). In addition, a study on co-exposure suggested that the presence of PSMPs increased the bioaccumulation of lead in mice, potentially exacerbating the ovarian toxicity through oxidative and endoplasmic reticulum stress in female mice (<xref ref-type="bibr" rid="B41">Feng et al., 2022</xref>). Santos et al. also found that MPs regulated neurotoxicity induced by copper in the early developmental stage of zebrafish, with higher AChE inhibition observed in the mixture groups (<xref ref-type="bibr" rid="B113">Santos et al., 2021</xref>). However, according to the research of Cheng et al., MPs could assimiliate HMs like cadmium present in the exposed environment, thereby reducing the bioaccumulation of HMs in embryos and performing a detoxifying function under co-exposure with MPs (<xref ref-type="bibr" rid="B24">Cheng et al., 2021</xref>). Besides, a study found that the combined effect of HMs and MPs can also influenced by the concentration of the mixture (<xref ref-type="bibr" rid="B93">Martins et al., 2022</xref>).</p>
</sec>
</sec>
<sec sec-type="discussion" id="s7">
<title>7 Discussion</title>
<p>Collectively, MPs/NPs tend to elicit multiple reproductive consequences in a variety of organisms, leading to the decline of female fertility and the developmental anomalies of offspring. However, it is still premature to make firm judgements regarding the toxicity on humans. On the one hand, several studies have demonstrated that the susceptibility of various species to MPs/NPs exposure varied with body size, showing a more severe toxicity with the decrease of body size (<xref ref-type="bibr" rid="B63">Jaikumar et al., 2019</xref>; <xref ref-type="bibr" rid="B29">Cormier et al., 2021</xref>). In comparison to the size of most experimental animals, MPs/NPs seem negligible to humans. However, for human beings, we are more likely to be confronted with MPs/NPs exposure over an extended period of time, or even throughout the entire life cycle, allowing for the accumulation of MPs/NPs in the organisms as well as the detrimental effects locally and systemically. On the other hand, the outcomes of laboratory research may not accurately represent the natural environment. The extent to which MPs/NPs could pose issues for different organisms will be determined by a variety of factors, such as particle size, the amount and type of plastic particles, the species-specific toxicity of plastics, the mode and location of plastics accumulation within organisms. Plastic debris exists in a diversity of shapes, sizes, and types in natural environments (<xref ref-type="bibr" rid="B27">Cole et al., 2011</xref>; <xref ref-type="bibr" rid="B37">Eerkes-Medrano et al., 2015</xref>; <xref ref-type="bibr" rid="B126">Syberg et al., 2015</xref>). Since most research adopted commercially available round primary MPs/NPs, it would be hard to completely replicate the exposure situation in nature. In addition, the concentration of microplastics in the environment could be less than 1&#xa0;&#x3bc;g/L (<xref ref-type="bibr" rid="B76">Lenz et al., 2016</xref>). However, to better explore the toxic effects of MPs/NPs, most research has far exceeded the concentrations observed in the environment up to this point (<xref ref-type="bibr" rid="B15">Browne et al., 2008</xref>; <xref ref-type="bibr" rid="B134">von Moos et al., 2012</xref>; <xref ref-type="bibr" rid="B10">Besseling et al., 2013</xref>; <xref ref-type="bibr" rid="B26">Cole et al., 2015</xref>; <xref ref-type="bibr" rid="B125">Sussarellu et al., 2016</xref>). As we have seen in most investigations, the modest concentration of MPs/NPs may do no harm (<xref ref-type="bibr" rid="B160">Zhao et al., 2017</xref>; <xref ref-type="bibr" rid="B38">Eltemsah and B&#xf8;hn, 2019</xref>; <xref ref-type="bibr" rid="B115">Sch&#xf6;pfer et al., 2020</xref>). A study also demonstrated that cross-generational effects caused by environmentally relevant concentrations of PSMPs can be negligible or reversible (<xref ref-type="bibr" rid="B107">Qiang et al., 2020</xref>). Furthermore, a large number of studies have also revealed MPs/NPs can interact with multiple pollutants on account of their intense adsorption to other contaminants. As a result, it is still a highly complex issue how MPs and NPs endanger female reproduction and offspring development in the actual environment.</p>
<p>According to the current research, we still in support of MPs/NPs may play a significant role in female reproduction and have far-reaching influence beyond reproduction under certain conditions. We anticipate further mechanical research to shed light on the potential impacts of MPs/NPs with environment-related concentrations on female fertility and progeny health throughout the whole reproductive cycle.</p>
</sec>
</body>
<back>
<sec id="s8">
<title>Author contributions</title>
<p>YG: Investigation, Visualization, Writing&#x2013;original draft, Writing&#x2013;review and editing. ZL: Writing&#x2013;review and editing. RH: Writing&#x2013;review and editing. YH: Writing&#x2013;review and editing. FL: Writing&#x2013;review and editing. WM: Supervision, Writing&#x2013;review and editing. XW: Supervision, Writing&#x2013;review and editing. HD: Supervision, Writing&#x2013;review and editing. KS: Writing&#x2013;review and editing. XX: Supervision, Writing&#x2013;review and editing. ZZ: Supervision, Writing&#x2013;review and editing. YS: Methodology, Supervision, Visualization, Writing&#x2013;review and editing.</p>
</sec>
<ack>
<p>Thanks to BioRender. The figures are created with <ext-link ext-link-type="uri" xlink:href="http://biorender.com/">BioRender.com</ext-link>.</p>
</ack>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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