Microplastics and Nanoplastics in Atheromas and Cardiovascular Events.

BACKGROUND: Microplastics and nanoplastics (MNPs) are emerging as a potential risk factor for cardiovascular disease in preclinical studies. Direct evidence that this risk extends to humans is lacking. METHODS: We conducted a prospective, multicenter, observational study involving patients who were undergoing carotid endarterectomy for asymptomatic carotid artery disease. The excised carotid plaque specimens were analyzed for the presence of MNPs with the use of pyrolysis-gas chromatography-mass spectrometry, stable isotope analysis, and electron microscopy. Inflammatory biomarkers were assessed with enzyme-linked immunosorbent assay and immunohistochemical assay. The primary end point was a composite of myocardial infarction, stroke, or death from any cause among patients who had evidence of MNPs in plaque as compared with patients with plaque that showed no evidence of MNPs. RESULTS: A total of 304 patients were enrolled in the study, and 257 completed a mean (±SD) follow-up of 33.7±6.9 months. Polyethylene was detected in carotid artery plaque of 150 patients (58.4%), with a mean level of 21.7±24.5 µg per milligram of plaque; 31 patients (12.1%) also had measurable amounts of polyvinyl chloride, with a mean level of 5.2±2.4 µg per milligram of plaque. Electron microscopy revealed visible, jagged-edged foreign particles among plaque macrophages and scattered in the external debris. Radiographic examination showed that some of these particles included chlorine. Patients in whom MNPs were detected within the atheroma were at higher risk for a primary end-point event than those in whom these substances were not detected (hazard ratio, 4.53; 95% confidence interval, 2.00 to 10.27; P<0.001). CONCLUSIONS: In this study, patients with carotid artery plaque in which MNPs were detected had a higher risk of a composite of myocardial infarction, stroke, or death from any cause at 34 months of follow-up than those in whom MNPs were not detected. (Funded by Programmi di Ricerca Scientifica di Rilevante Interesse Nazionale and others; ClinicalTrials.gov number, NCT05900947.).

Ibuprofen photodegradation in aqueous solutions.

The advanced treatment of polluted liquid streams containing traces of pharmaceutical compounds is a major issue, since more and more effluents from pharma labs and wastewaters containing the excretions of medically treated humans and animals are discharged in the conventional wastewater treatment plants without previous effective treatments. Ibuprofen is a widely used non-steroidal anti-inflammatory drug (NSAID), which explains why it is found in wastewaters so often. In this paper, the removal of IBP from simulated water streams was investigated by using a lab-scale experimental device, consisting of a batch reactor equipped with a lamp emitting monochromatic UV light at a fixed wavelength (254 nm) and various intensities. Three sets of experiments were carried out: the first to study IBP concentration as a function of time, at different volumes of treated solutions (V = 10-30 mL); the second to explore the effect of pH on IBP degradation as a function of time (pH = 2.25-8.25) and the third to evaluate the effect of different UV light intensities on IBP degradation (E = 100-400 mJ m-2). The IBP initial concentration (IBP 0) was varied in the range 30-60 mg L-1. The results obtained show that the concentration of IBP decreases along with treatment time, with a negative effect of the treated volume, i.e. smaller volumes, such as lower liquid heights, are more easily degraded. Moreover, the higher the pH, the better the IBP degradation; actually, when pH increases from 2.25 to 6.6 and 8.25, the IBP concentration, after an hour of treatment, decreases respectively to 45, 34 and 27 % of its initial value. In addition, as the intensity of light increases from 100 to 400 mJ m-2, the IBP concentration decreases to 34 % of its initial value. A reaction scheme is put forward in the paper, which well describes the effects of volume, pH and light intensity on the IBP degradation measured experimentally. Moreover, the IBP degradation by-products have been identified.

Degradation of ibuprofen by hydrodynamic cavitation: Reaction pathways and effect of operational parameters.

Ibuprofen (IBP) is an anti-inflammatory drug whose residues can be found worldwide in natural water bodies resulting in harmful effects to aquatic species even at low concentrations. This paper deals with the degradation of IBP in water by hydrodynamic cavitation in a convergent-divergent nozzle. Over 60% of ibuprofen was degraded in 60 min with an electrical energy per order (EEO) of 10.77 kWh m(-3) at an initial concentration of 200 µg L(-1) and a relative inlet pressure pin=0.35 MPa. Five intermediates generated from different hydroxylation reactions were identified; the potential mechanisms of degradation were sketched and discussed. The reaction pathways recognized are in line with the relevant literature, both experimental and theoretical. By varying the pressure upstream the constriction, different degradation rates were observed. This effect was discussed according to a numerical simulation of the hydroxyl radical production identifying a clear correspondence between the maximum kinetic constant kOH and the maximum calculated OH production. Furthermore, in the investigated experimental conditions, the pH parameter was found not to affect the extent of degradation; this peculiar feature agrees with a recently published kinetic insight and has been explained in the light of the intermediates of the different reaction pathways.

Modelling the biphasic sorption of simazine, imidacloprid, and boscalid in water/soil systems.

The sorption kinetics of simazine (6-chloro-N,N'-diethyl-1,3,5-triazine-2,4-diamine), imidacloprid (1-(6-chloro-3-pyridylmethyl)-N-nitroimidazolidin-2-ylideneamine), and boscalid (2-chloro-N-(4'-chlorobiphenyl-2-yl)nicotinamide), three pesticides of wide use in agriculture, was determined in five different water/soil systems over a time interval from the initial few seconds to about 1 month. In all the experiments, sorption kinetics showed a biphasic pattern characterized by an initial, relatively short phase with a high sorption rate and a later phase with much a lower sorption rate. Initial sorption capacity increased with soil organic carbon content and with sorbate hydrophobicity. We postulate that the first phase of the process involves a fast second-order sorption reaction on superficial sites of soil particles, whereas the second phase depends on diffusion-controlled migration to internal binding sites. A kinetic equation based on this hybrid model accurately fitted all data sets. Less satisfactory results were obtained employing the pseudo-first order, pseudo-second order, Elovich, two site non-equilibrium, or Weber-Morris equation. The superior performance of the hybrid model for describing boscalid sorption probably reflects the high hydrophobic character and consequent low diffusion rates of this compound. The accuracy of modelling was in any case strongly dependent on the time interval considered.

Contribution of vehicular traffic and industrial facilities to PM10 concentrations in a suburban area of Caserta (Italy).

PM10 levels have been recorded in the suburban area of Caserta (Italy) from February to October 2012. The daily limit was exceeded in 13 % of the determinations, with no significant difference between weekdays and weekends. Benzo[a]pyrene concentrations were in the range 0.01-0.46 ng/m(3), thus, never exceeding the National Standard. The B(a)P-eq was 0.20 ng/m(3). PM10 peaks were associated with wind from east-northeast. The same was observed for Ca concentrations, whereas no relation with wind direction was observed for organic pollutants. The results point to a local limestone quarry and cement factory as the likely major source of PM10 pollution in the area investigated.