2. Hazard Identification
Hazard identification is the first step in risk assessment and involves the identification of those biological, chemical, and physical agents capable of causing adverse health effects
[6]. MPs are considered emerging food hazards that pose growing challenges and opportunities for researchers. Many studies have identified the presence of MPs in food and beverages, but the current available data could be considered not only insufficient but also of questionable quality. Even though Fourier Transform Infrared Spectroscopy (FTIR) is the most widely used detection method, the absence of consensus about unified nomenclature and a standardized quantifying method, as other techniques, such as Raman Spectroscopy or Thermo-extraction and desorption (TED) GC/MS, are also used
[7][8][9][10], affects the quality of the data. The need of a standardized pre-treatment method for each matrix and the development of new ones for the study of new matrices to be able to accomplish a global dietary exposure assessment is also a great challenge.
[7][9]
Fish
[11][12][13], crustaceans and molluscs
[14][15][16], drinking water
[17][18], and salt are the main food categories with MPs occurrence data reports (
Table 1,
Table 2,
Table 3 and
Table 4). According to Danapoulos et al., most studies identified MPs contamination in seafood and reported MPs content <1 MPs/g. These authors reported that molluscs collected off the coasts of Asia were the most heavily contaminated (0−10.5 MPs/g), followed by crustaceans (0.1–8.6 MPs/g) and fish (0–2.9 MPs/g)
[19]. In 2021, Jin et al.
[20] demonstrated that aquatic food products (fish and bivalves) have a wide range of MPs levels (0–10.5 items/g for bivalves and 0–20 items/individual for fish). These same authors reported that drinking water and salt are also a pathway of MPs exposure to humans, with concentrations ranging from 0–61 particles/L in tap water, from 0–3074 MPs/L in bottled water, and from 0–13,629 particles/kg for salt
[20][21]. However, MPs have been also being identified in other foods, such as sugar (249 ± 130 particles/kg), fruits (5.2 particles/100 g), vegetables (6.4 particles/100 g), cereals (5.7 particles/100 g), honey (1992–9752 particles/kg), meats (9.6 particles/100 g), dairy products (8.1 particles/100 g), soft drinks (40 ± 24.53 particles/L), tea (11 ± 5.26 particles/L), energy drinks (14 ± 5.79 particles/L), and beers (152 ± 50.97 particles/L)
[7][9][22][23][24][25][26][27].
3. Hazard Characterization
Hazard characterization is the second step of any risk assessment and involves defining the nature of the adverse health effects associated with those biological, chemical, and physical agents that may be present in food. The hazard characterization should, if possible, involve an understanding of the doses involved and related responses
[28]. As mentioned above, there are large knowledge gaps concerning the toxicokinetic, toxicodynamic, and toxicity effects of MPs in humans
[29][30]. Therefore, the potential risks of dietary MPs to human health have been little explored. In other words, these knowledge gaps impede the estimation of food safety standards based on risk
[2][31]. Therefore, more research in animals is needed to identify biomarkers of MPs toxicity, such as the disruption in immunity indices (acid phosphatase and alkaline phosphatase activity) and oxidative stress indices (total antioxidant capacity and malondialdehyde content) previously observed, for example, in juvenile and adult sea cucumbers
[32][33]. Polyethylene microparticles have been shown to have an effect on haematological and biochemical indices, the antioxidant defence system, and expression of selected genes associated with the immune profile
[34].
The size of MPs seems to have a relevant role in their toxicokinetic, as their gastrointestinal absorption has been observed to reach only 0.3% of ingested MPs and is limited to those MPs smaller than 1.5 µm
[35][36]. Some evidence suggest that MPs are able to pass through the human placental barrier
[37][38].
Regarding the toxicodynamic of these food pollutants, it is suspected that their action mechanism in humans is like that observed in animals
[32]. Therefore, it is to be expected that the MPs could affect many molecular pathways
[36][39], disrupt the genetic expression of oxidative stress control, and activate the E2 (Nrf) nuclear factor expression, among others. Alterations and changes in the oxidative stress, immune response, genomic instability, endocrine system alteration, neurotoxicity, reproductive abnormalities, embryotoxicity, and transgenerational toxicity, among others, may be a consequence of these action mechanisms
[36].
Tissue abrasion, intestinal obstruction, chronic inflammation, body mass and metabolism reduction, neurotoxicity, behavior changes, cancer, fertility affectation, and mortality and morbidity increase, among many others, have been described as potential health effects associated with MP exposure
[40][30][36][41][42][43][44][45][46][47][48][49]. These results were obtained after the administration of different doses of MPs (0.001 mg/L and 10 mg/L for 10 days, 0.1% of food weight for 90 days, 396 MPs per 100 mg of food for 28 and 56 days, 0.1 g/L for 4 days, 110 particles/mL for 14 days, 5 particles per 1.5 g of feed for 8 months, among other doses) in fishes, bivalves, mice, and nematodes
[36][41][42][43][44][47][48][49]. The oral intake of PS MPs has been specifically associated with the decrease of intestinal mucosa, the malfunction of the intestinal barrier, and changes in the biodiversity of the intestinal microbiota and metabolism
[50].
4. Exposure assessment
Exposure assessment is third step in any risk assessment study. This step relates to a thorough evaluation of who or what has been exposed to a hazard and a quantification of the amounts involved
[51]. The need to know the total dietary exposure and the contribution of the different dietary sources have aroused researchers’ interest in analysing and evaluating the MPs levels in the different food categories and assessing the dietary exposure in different scenarios.
The presence of MPs in drinking water has been confirmed by many studies in different locations and different types of waters (tap water, bottled, and groundwater). Oßmann et al. reported 2649 ± 2857 and 3074 ± 2531 particles of MPs/L in single-use plastic bottled water and glass bottled water, respectively
[21]. The most common polymers found in drinking waters are PE ≈ PP > PS > PVC > PET
[18], and the most frequent morphologies are fragments, fibres, films, foams, and pellets
[18].
Some authors affirm that the dietary exposure to MPs from bottled water tends to be greater than from tap water
[52][21].
In Saudi Arabia, given a mean average recommended water intake of 3.7 and 2.7 L per day for men and women, respectively, the corresponding daily exposure to MPs would be 0.1–0.2 particles/Kg bw. This estimated dietary exposure for high consumers of water increases to a daily exposure of 1.7–1.9 particles/Kg bw based on the WHO recommended intake for drinking water in hot climates
[53].
Seafood has been identified as the main dietary source of these food contaminants. Therefore, and due to the nutritional importance of seafood consumption, addressing any knowledge gap related to seafood hazards is a critical priority
[54]. The studies reviewed evinced the presence of theses pollutants in crustaceans, molluscs, and fish. There are studies reporting noteworthy levels: 287,527 particles/fish, 103–183 particles/fish, and 2.19 particles/individual
[55][56][57].
In Europe, seafood consumption has been estimated at 25.8 kg per capita/year, which means 494.76 g/week or 70.68 g/day
[58]. Considering the MPs levels in the molluscs and crustaceans and a 70.68 g/day portion, an estimated daily intake has been calculated for each type of seafood. A wide range of MPs intakes (0–212.04 particles/day) is observed. The EDI was only estimated for those types of seafood where the levels of MPs were reported in particles/g but not for those products where the units used were particles/individual. The highest intake levels of intakes are observed after the ingestion of Scotland coast mussels due to the high levels of MPs reported.
As mentioned above, the exposure assessment faces the challenge of a non-existing normalized unit system for MPs. Only the study from Charleston Harbour (USA)
[59] reports the MPs levels in particles/g. Therefore, this is the only study reviewed here that provided the MPs levels necessary for the calculation of the estimated daily intake (EDI) (409.94 ± 113.09 particles/day) derived from the consumption of a daily fish portion of 70.68 g
[58].
Comparing the MPs levels detected in bivalves and crustaceans (range: 0.15–3.2 particles/g) and the only study of MPs in fish expressed in particles/g (range: 5.8 ± 1.6 particles/g), the fish food category presents higher levels of MPs than crustaceans. That is the reason why the dietary exposure to MPs after ingesting the same portion size would expose the consumer to a higher intake of MPs when eating fish. However, the exposure to MPs derived from fish intake could be lowered in those scenarios where the fish is consumed after removing the gastrointestinal tract, liver, and gills, which are known to be the main locations of MPs in fish. The dietary exposure is expected to be lower, as these parts are usually discarded. In the case of ingestion of small fish consumed without discarding any of its content, all the MPs present in the individual are ingested, and the consumer is expected to be exposed to the total count of the MPs detected in the fish. Therefore, it is recommended that future MPs studies in fish report its MPs contents in the edible parts, so the dietary exposure estimation would be more accurate.
Salt is another food product where MPs levels have been analysed and detected worldwide. The occurrence of MPs in sea salt, rock salt, and lake salt demonstrate, as mentioned above, the ubiquity, diversity, and variability of MPs. Among all the data, the levels of MPs observed in salts from Croatia (27.13–31.68 particles/g) stand out
[60].
Salt consumption in Europe has been estimated at 9.4 g/day
[61]. Considering the reported MPs levels and this daily 9.4-g salt ingestion, an estimated daily intake (EDI) has been calculated for each type of salt. A wide range of MPs intakes derived from salt consumption has been observed (0.015–6.40 particles/day). Sea salt from China presented the highest total count of MPs (550–681 particles/kg) and therefore generated the greatest dietary exposure (5.17–6.40 particles/day). In the case of this food product, it was possible to calculate the EDI because all the studies reported the MPs levels using a normalized unit system of number of particles/g.
Some recent studies refer to the occurrence of MPs in other food groups, such as sugar (249 ± 130 particles/kg), fruits (5.2 particles/100 g), vegetables (6.4 particles/100 g), cereals (5.7 particles/100 g), honey (1992–9752 particles/kg), meats (9.6 particles/100 g), dairy products (8.1 particles/100 g), soft drinks (40 ± 24.53 particles/L), tea (11 ± 5.26 particles/L), energy drinks (14 ± 5.79 particles/L), and beers (152 ± 50.97 particles/L)
[7][9][22][23][24][25][26][27], which had not yet been pointed as a dietary sources of MPs. MPs in agricultural soils create a potential impact on plants, including edible species, with relative concerns on food security
[27]. Therefore, we suggest all food categories should be considered in the MPs dietary exposure assessment studies as any food group, if contaminated with quantifiable levels of MPs, may contribute to the total intake of MPs.
Even though, as stated above, the number of studies of MPs total dietary intake is low, Danopoulus et al. recently reported that the maximum annual human MPs uptake was estimated to be close to 55,000 MPs particles
[19], which means an intake of 151 particles/day. In the present study, considering a consumption scenario where only the above-listed food categories (water, crustaceans and molluscs, fish, and salt) are included, and the upper intake of each one is considered, the MPs estimated dietary intake would be 34,254 particles/day (33,626 particles/day from 2 L/day of water, 212 particles/day from 70.68 g/day of crustaceans/molluscs, 409.94 particles/day from 70.68 g/day of fish, and 6.40 particles/day from 9.4 g/day of salt) (
Figure 2).
Figure 2. Summary of the MPs dietary intake ranges from each studied group.
There is no doubt that drinking-water data distorts the MPs dietary exposure estimation and suggests the need of developing, harmonizing, and standardizing not only a detection method for MPs but also the nomenclature to be used. The use of different nomenclatures in reporting the data not only makes the discussion and comparison of the results more difficult but also complicates the risk analysis derived from the dietary exposure to these growing pollutants.
5. Risk Characterization
Risk characterization is the final step of the risk assessment, in which the likelihood that a particular substance (MPs in this case) will cause harm is calculated in the light of the nature of the hazard and the extent to which people are exposed to it
[62]. Some authors affirm that even though fish have been observed to be able to cope with the PE toxic effects, their consumption could pose serious health risks to humans
[34]. However, as there are insufficient reference values to evaluate the MPs dietary intake, the MPs risk characterization for dietary MPs is not possible at present. In 2019, however, Stock et al. affirmed that their results suggested that the oral exposure to PS microplastic particles did not pose acute health risks to mammals, as the data from in-vivo studies did not provide any evidence of histologically detectable adverse effects
[63]. In the same way, more recently, Almaiman et al. reported that the exposure to MPs from drinking water did not pose any concern to consumers in Saudi Arabia due to the low level of dietary intake of MPs from drinking water
[53].
As the risk characterization derived from dietary MPs is not yet possible because of the existing knowledge gaps in the previous steps of the risk analysis, different authors have aimed to characterize the risks of the pollutants and pathogens adsorbed by the MPs
[29][64], especially heavy metals.