Microplastic Contamination in the Human Placenta

Abstract

Introduction: The widespread presence of plastics in our environment poses a growing concern as they may pose risks to human and environmental health. Microplastics (MPs) are small particles generated through fragmentation of larger plastic items. The presence of MPs particles has been reported in the human placenta, an organ essential for pregnancy and fetal development. The presence of MP contamination of the womb raises the possibility of adverse effects on the developing fetus with potential life-long consequences. This thesis seeks to investigate this issue through: 1) A review aimed to examine the current state of knowledge on the effects of exposure to MP on maternal and fetal health within the DOHaD framework; 2) A study conducted to confirm and further the reports of microplastics in human placentas through a study, in a Canadian setting, comparing MPs exposure to delivery methods. Methods: 1) A review was conducted of the current literature on microplastic contamination in human reproductive tissues, and the resulting reproductive consequences of exposure. 2) Placentas (n=10) were collected from singleton, uncomplicated pregnancies. Placentas were collected from vaginal (n=5) and cesarean section (n=5) deliveries within a plastics-reduced clinical setting. Placental tissue biopsies were micro-dissected under plastic-reduced conditions - from basal plate, chorionic villous and chorionic plate. Samples were chemically digested and filtered through glass microfiber filters and the retained particles were identified and characterized using Raman microspectroscopy. iii Results: 1) The review reports multiple lines of evidence that suggest that MP-exposure prior to or during pregnancy can contaminate various internal tissues (including those of the fetus) and may result in potential adverse effects on fertility, fetal development and long-term health of the exposed fetus. More importantly, the available evidence is limited and several significant gaps in knowledge were identified. 2) Microplastics composed of various polymer types were detected in placentas from both delivery types (vaginal or caesarian), with polyethylene being the most common. In addition, non-plastic foreign particles including graphite, lead oxide and black carbon were observed in a higher frequency than microplastics. Notably, both microplastic and non-microplastic particles were found in all placentas sampled with variations in the number of particles. Particles both plastic and non-plastic were observed in placenta regions of maternal and fetal circulation suggesting that these can pass through the placenta into fetal tissues. Conclusion: This thesis provides evidence that the human placenta can serve as a reservoir for the accumulation of a variety of foreign particles during pregnancy. The potential human health impacts of such particles in general or on fetal development, in particular, are unknown but is a critical question for future work to understand the health consequences of plastic pollution.