Heart failure & cardiomyopathies

Microplastic Exposure Aggravates Cardiomyopathy Under Hemodynamic Stress Through the Gut-Heart Axis

CirculationPublished Mechanistic study

Authors' conclusion

BPF disrupts intestinal barrier function through microbial metabolism involving the tryptophol/Sat1 pathway, leading to NAP production. NAP damages intestinal organelles and enters circulation, inducing cardiac p53 activation and hypertrophy. This study delineates a novel gut microbiota-Sat1-NAP pathway underlying BPF-induced cardiotoxicity.

Study context

Population
Mice and human urine samples; patients with inflammatory bowel disease
Participants
285 human urine samples
Outcome
Effects of BPF on the cardiovascular system and intestinal barrier
Methodological detailsgerm-free mouse models, fecal microbiota transplantation, untargeted and spatial metabolomics, single-cell sequencing, human urine and serum samples
  • Germ-free mouse models
  • Fecal microbiota transplantation
  • Untargeted and spatial metabolomics
  • Single-cell sequencing
  • Human urine and serum samples

Main finding

As reported in the abstract

BPF exposure, gut microbiota and cardiac/intestinal injury

Bisphenol F (BPF) detected in human urine samples

90.5% of 285

Urinary BPF, median

1.16 ng/μg creatinine

Further findings

Elevated serum N-acetylputrescine (NAP) levels in patients with inflammatory bowel disease, positively correlating with cardiac injury markers
  • Clinical analysis

Original publication

Microplastic Exposure Aggravates Cardiomyopathy Under Hemodynamic Stress Through the Gut-Heart Axis. Circulation. Published 28 May 2026. doi:10.1161/circulationaha.126.079820

Summarised from the published abstract; every number is checked against it

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