Microplastics aggravate the bioaccumulation and toxicity of coexisting contaminants in aquatic organisms: A synergistic health hazard.

There are ongoing controversies regarding the effects of microplastics (MPs) on the bioaccumulation and toxicity of coexisting contaminants in aquatic organisms. This study aims to quantitatively evaluate this issue based on 870 endpoints from 40 publications. It was shown that the presence of MPs significantly increased the bioaccumulation of co-contaminants by 31%, with high statistical power and without obvious publication bias. The aggravated bioaccumulation was also revealed by the strongly positive correlation between bioconcentration factors in the presence and the absence of MPs. Furthermore, the subgroup/regression analyses indicated that the vector effect of MPs on other chemicals was affected by multiple factors and their interactions, such as particle size and exposure time. In addition, a relatively comprehensive biomarker profile was recompiled from included studies to assess the changes in toxicity caused by combined exposure. Results confirmed that the presence of MPs obviously exacerbated the toxicity of co-contaminants by 18%, manifested by the potentiated cytotoxicity, endocrine disruption, immunotoxicity and oxidative stress, implying a synergistic health hazard. Ultimately, the mismatches between laboratory and field conditions were discussed, and the recommendations for future research were offered.