1. Introduction
Plastics, due to their malleability, high versatility and low cost, are currently widely used; their production is only slightly lower than that of concrete and steel. Low- and high-density polyethylene (PE), polypropylene (PP), polystyrene (PS), polyethylene terephthalate (PET), polyurethane (PUR), polycarbonate (PC) and polyvinyl chloride (PVC) are the most produced plastics due to their characteristics [
1]. Despite the remarkable durability, around 50% of the total mass of currently manufactured plastics is disposable. This aspect has greatly increased their presence in different environmental matrices, where improperly disposed plastic waste undergoes a slow and partial physical, chemical and even biological degradation. Due to abiotic factors, such as the mechanical action of wind and wave motions and prolonged exposure to ultraviolet (UV) light (photo-oxidation), as well as by biotic factors (degradative microbiological processes), the fragmentation of plastic waste produces secondary microplastics (<5 mm) and, following further fragmentation, secondary nanoplastics with a diameter ≤0.1 µm [
2]. In addition to these particles, primary microplastics and nanoplastics, which are intentionally and directly produced on a micro- and nanoscale as constituents of specific products, also contribute to plastic pollution [
3]. Micro- and nanoplastics are persistent in the environment and can interact very easily with biological systems [
4,
5]. Indeed, they have been found in sediment [
6], soil [
7], seawater [
8], high mountain lake ecosystems [
9] and air [
10], but also in many foods and beverages like shellfish, cooking salt, drinking water and beer [
11]. Moreover, due to their hydrophobic nature, micro- and nanoplastics are highly bioavailable and are able to bioaccumulate, as confirmed by their presence in several organisms along the trophic scale, attesting to their biomagnification [
12,
13].
Humans are inevitably exposed to micro- and nanoplastics, mainly via ingestion and inhalation, while exposure by skin contact causes less concern [
14,
15,
16,
17,
18,
19]. Some very recent studies have verified the presence of microplastics in different body regions as well as their faecal excretion [
20,
21,
22,
23,
24].
Airborne micro- and nanoplastics are derived from a variety of sources, including synthetic fibres, waste disposal products, incinerators, particles used in agriculture (such as PS peat) and sewage sludge used as fertiliser, as well as road traffic [
10,
25,
26,
27]. In particular, tyre wear particles (TWPs) and brake wear particles (BWPs) are formed by complex mixtures of metal and mainly microplastics. It has been estimated that in ambient air around 4% and 11% of the respirable (fine) and inhalable (coarse) PM, respectively, are formed by micro- and nanoplastics derived by TWPs and BWPs only [
28].
In addition to ambient air (outdoor), exposure to airborne micro- and nanoplastics also occurs in indoor environments, where higher concentrations are present due to several sources, such as synthetic textile fibres, upholstery and furnishing objects or building materials, which release plastic particles after wearing down [
29]. Indoor exposure to airborne micro- and nanoplastics appears to be highly relevant considering the lower dilution volumes and the time spent in indoor environments (on average 70–90% of our life).
We currently know a lot about the mechanisms responsible for the pathogenesis of airborne micro- and nanoparticulate matter (fine and ultrafine PM), as well as metal- and carbon-based engineered nanoparticles [
30,
31,
32]. The ≤2.5 µm particles can overcome muco-ciliary clearance and reach the alveolar surface, wherein nanoparticles can bypass alveolar clearance, based on the phagocytic activity of macrophages. They easily cross the pulmonary epithelial barrier and enter the bloodstream, from where they are distributed to the various anatomical regions [
33]. For micro- and nanoparticles, the number of surface atoms per unit mass is increased by several orders of magnitude, greatly enhancing the surface area for chemical reactions, while charge and polarity are fundamental in regulating cellular uptake and biological effects [
34]. The pathogenesis of respirable micro- and nanoplastics is poorly known, but it can be assumed that the trigger is determined by intense oxidative stress, which causes lipid peroxidation, protein and DNA damages, mitochondrial dysfunction and inflammation in response to tissue damage [
35].
The aim of this in vitro study was to investigate in human alveolar epithelial cells (A549 cell line) the uptake and the cytotoxic effects of polystyrene nanoplastics (nPS) and microplastics (mPS) with diameters of 0.1 and 1 μm, respectively. As the largest share of environmental nPS/mPS that humans inevitably inhale are the secondary ones, subjected to a long wear process (including photo-oxidation), for a more realistic assessment of biological effects, we examined in-home oxidised nPS/mPS, comparing the effects with virgin ones.
This was in order to determine how much the changes undergone in the environment, such as the presence on the surface of functional groups, enhances the reactivity of the particles, thus increasing the hazard for the exposed subjects.
4. Discussion
The potential adverse health effects of breathable micro- and nanoplastics in humans are still poorly studied, despite the increasing quantities of airborne micro- and nanoplastics that can be found in the ambient air and, above all, in indoor environments. Several factors contribute to make plastic air pollution a threat for human health. These include both the features of micro- and nanoplastics and the anatomical and physiological characteristics of humans. As reported in the introduction, the progressive fragmentation of plastics and their low density favour their long stay in the air (fly particles). Other intrinsic features of the plastic particles such as hydrophobicity favour a closer interaction with cell membranes, inducing higher translocation rates [
10].
Regarding humans, we must consider how the defence mechanisms of the respiratory system are undoubtedly less efficient against microparticles (≤2.5 µm) and, above all, nanoparticles (≤0.1 µm). In particular, while microparticles are phagocytosed by alveolar macrophages, a process which is much slower than mucociliary clearance and able to trigger the inflammatory cascade, nanoparticles may bypass macrophage clearance. To maximise gas exchange, the alveolar epithelium is extremely extended (about 140 m2), and the alveolar-capillary barrier is particularly thin (<1 µm), which greatly favours the ability of nanoparticles to cross it and enter the bloodstream. Moreover, considering the volumes of air breathed daily (always >10 m3 in adults), even a reduced presence of airborne micro- and nanoplastics (a single particle L-1 corresponds to 10,000 respired particles) would cause their accumulation both in the lungs and, by bloodstream, in other organs triggering pathogenic processes.
Our in vitro study improves knowledge on the mechanisms that regulate the biological effects of inhaled airborne micro- and nanoplastics, also considering the possible differences in the effects attributable to the surface changes of the particles due to oxidative processes, undergone during their environmental stay. As previously reported [
37], the “artificial aging” used by us significantly increased the presence of carboxyl, alkoxyl and hydroxyl groups on their surface, simulating the photoaging, endured by the particles once released into the environment [
43]. The increase in oxygen-containing groups after the oxidative process was confirmed by Fourier-Transform Infrared (FT-IR) spectrometry, dynamic light-scattering (DLS), scanning electron microscopy (SEM) and UV-Vis spectrophotometry [
37], which coincided with that which was reported by Biale et al. (2021) [
44], showing surface-limited formation of oxidised aromatic structures in PS particles without any involvement of the overall polymer mass. As assumed, the presence of oxygen-containing groups on the particle surface increased the reactivity and our results highlight the greater damage induced by the oxidised particles compared to the virgin ones, confirming the results of several studies [
45,
46,
47,
48].
By using homemade FITC-loaded nPS/mPS, we quantified the uptake and highlighted the speed at which both nPS and mPS were internalised. The volumes of air breathed and the observed internalisation rate, equal to approximately one fifth at low exposure doses, clearly underscore the potential impact of these emergent pollutants on human health. Similar to that which has been demonstrated for other particles [
30], hydrophobicity favours the close interaction between micro- and nanoparticles and cell membranes, justifying both the speed of the process and the yield, as confirmed by the internalised doses, which ranged from 5.1 to 91.19 pg/cell. For both mPS and nPS, the process was significantly dose dependent, while only the internalisation of nPS at low doses was time-dependent.
Despite endocytosis is the main pathway of particle internalisation in all cells, we cannot exclude the possibility that nanoparticles can cross cell membranes via the energy-independent diffusion process. Diffusion is gradient-dependent and, albeit partially, is counteracted by the frictional coefficient of the particle that is in turn related to both the medium viscosity and the interactions between particles and macromolecules diluted in the solvent [
49]. In particular, a diffusion process could be involved in the internalisation of plastic fibres that, due to their morphological parameters (i.e. the high length-to-diameter ratio), could efficiently penetrate biological membranes (needle-like crossing) [
31]. Considering energy-dependent endocytosis, our cell models allowed us to verify internalisation in epithelial alveolar cells (pinocytosis) which involves actin polymerisation. Therefore, the process requires GTPase activity, and can be receptor-mediated (clathrin-dependent endocytosis or caveola-mediated endocytosis) [
50]. The role of the endocytosis pathway had been confirmed in intestinal cells by using inhibitors of caveola-mediated and clathrin-mediated endocytosis, such as nystatin and chlorpromazine, respectively [
51]. The same authors assessed the involvement of the cytoskeleton in uptake by measuring the actin levels, which were significantly higher in exposed cells. More recently, similar results were reported by Bonamoni et al. (2022) [
52] on normal human intestinal cells (CCD-18Co) by using several inhibitors of endocytosis, such as Cytochalasin D and Genistein.
After membrane invagination, the particles are internalised in early endosomes, which merge with lysosomes to form endolysosomes (late endosomes); our results revealed the fast load (i.e. 3 h) of v- and ox-nPS/mPS in the acidic compartment, highlighted by the enlargement of endolysosomes. Extending observation times, the reduction of the acid compartment, particularly evident for ox-nPS, could be attributed to endolysosomal permeabilization, producing irreversible cytoplasmic acidification, enzymolysis and apoptosis (i.e., the Trojan horse effect) [
34]. Excluding ox-nPS, the moderate cytotoxicity observed leads us to believe that a limited number of cells are involved in this effect. Conversely, the endolysosomal permeabilisation induced by ox-nPS was more marked, as confirmed by the higher percentage of dead cells recorded by the MTT test.
Despite the massive seizure in endocytic apparatus, a share of nPS/mPS randomly localises in the cell cytoplasm, causing the observed oxidative damage. We have reported similar results in HT-29 cells exposed to 3 and 10 µm PS particles [
17] and similar results were obtained in Caco-2 cells [
53].
For both nPS and mPS, the cellular-induced redox imbalance was time-dependent and higher in cells treated with oxidised mPS, confirming their intracellular bioavailability and the most powerful pro-oxidant effect of aged particles. Surprisingly, the redox imbalance of aged particles was more evident for mPS, despite the higher surface/mass ratio of the nPS, which notably increases reactivity [
32]. This is conceivably imputable to the higher cytotoxicity elicited by ox-nPS that, causing the detachment of a large number of cells with internalised nPS, did not allow us to assess oxidative damage in its entirety.
The most powerful pro-oxidant effect of aged particles was highlighted by the results of the comet assay and mitochondrial transmembrane potential and, unlike the virgin counterpart, oxidised nPS/mPS was able to cause DNA damage and mitochondrial dysfunction.
Since oxidation is the most important degradation process to which plastics undergo during their aging in the environment, our results highlight in a more realistic way the potential health risk of the general population, mainly exposed to aged nPS/mPS. downsizing the value of the first in vitro studies almost always performed using virgin micro and nano polystyrene particles. However, it should be emphasised that nPS impaired mitochondrial function, regardless of whether it was virgin or oxidised. The decreases in transmembrane potential after exposure to v- and ox-nPS confirmed the results of Wu et al. (2019) [
53] who observed transmembrane depolarisation in Caco-2 cells exposed to nanoplastics. In addition to nPS, ox-mPS also decreased transmembrane potential, confirming that mitochondrial impairment, by triggering a vicious circle, further contributes to ROS overproduction, which was significantly increased in cells exposed to ox-mPS. Moreover, considering the key role played by mitochondria in triggering apoptosis [
54], the observed mitochondrial impairment is certainly not to be underestimated in outlining the pathogenetic mechanism of these emergent airborne pollutants.