Microplastics and the kidney: Exposure routes, renal pathophysiology, and clinical implications — A review


Creative Commons License

Yazar S.

8th International Asklepios Congress On Medicine, Nursing, Midwifery, And Health Sciences, Priştine, Kosova, 12 Haziran - 14 Temmuz 2026, ss.481-486, (Tam Metin Bildiri)

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Priştine
  • Basıldığı Ülke: Kosova
  • Sayfa Sayıları: ss.481-486
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Evet

Özet

ABSTRACT

Background: Microplastics (MPs) and nanoplastics (NPs) are environmentally persistent synthetic particles now detectable in human biological tissues. The kidney, as the principal filtration organ, is particularly vulnerable to MNP accumulation. This review synthesizes current evidence on renal MNP deposition, pathophysiological mechanisms, and nephrourological implications.

Methods: A narrative review was conducted through PubMed, Scopus, and Web of Science. Studies published through early 2025 examining MNP detection in renal and urinary tissues, mechanistic in vitro and in vivo data, and clinical correlates were included.

Results: MPs have been identified in human urine and kidney tissue using micro-Raman spectroscopy and µFTIR. Animal and cell-based studies demonstrate tubular dilatation, glomerular collapse, tubulointerstitial fibrosis, and reduced renal function following MNP exposure. Key mechanisms include oxidative stress, NF-κB-mediated inflammation, cGAS/STING pathway activation, and disruption of circadian regulatory networks. Human iPSC-derived kidney organoid models confirm translational relevance.

Conclusions: Accumulating evidence supports a biologically plausible role for MNPs in renal injury and potentially in the progression of chronic kidney disease. Prospective clinical studies are urgently needed to establish exposure-outcome relationships in human populations.

Keywords: microplastics, nanoplastics, kidney, renal tubular injury, oxidative stress, chronic kidney disease, cGAS/STING, urine