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1.
N Engl J Med ; 390(10): 900-910, 2024 Mar 07.
Article En | MEDLINE | ID: mdl-38446676

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.).


Carotid Artery Diseases , Microplastics , Plaque, Atherosclerotic , Humans , Carotid Stenosis/diagnostic imaging , Carotid Stenosis/etiology , Carotid Stenosis/pathology , Microplastics/adverse effects , Myocardial Infarction/etiology , Myocardial Infarction/mortality , Plaque, Atherosclerotic/chemistry , Plaque, Atherosclerotic/etiology , Plaque, Atherosclerotic/mortality , Plaque, Atherosclerotic/pathology , Plastics/adverse effects , Prospective Studies , Stroke/etiology , Stroke/mortality , Heart Disease Risk Factors , Endarterectomy, Carotid , Carotid Artery Diseases/etiology , Carotid Artery Diseases/pathology , Carotid Artery Diseases/surgery , Follow-Up Studies
2.
Molecules ; 28(10)2023 May 20.
Article En | MEDLINE | ID: mdl-37241948

In recent years, the discharge of various emerging pollutants, chemicals, and dyes in water and wastewater has represented one of the prominent human problems. Since water pollution is directly related to human health, highly resistant and emerging compounds in aquatic environments will pose many potential risks to the health of all living beings. Therefore, water pollution is a very acute problem that has constantly increased in recent years with the expansion of various industries. Consequently, choosing efficient and innovative wastewater treatment methods to remove contaminants is crucial. Among advanced oxidation processes, electrochemical oxidation (EO) is the most common and effective method for removing persistent pollutants from municipal and industrial wastewater. However, despite the great progress in using EO to treat real wastewater, there are still many gaps. This is due to the lack of comprehensive information on the operating parameters which affect the process and its operating costs. In this paper, among various scientific articles, the impact of operational parameters on the EO performances, a comparison between different electrochemical reactor configurations, and a report on general mechanisms of electrochemical oxidation of organic pollutants have been reported. Moreover, an evaluation of cost analysis and energy consumption requirements have also been discussed. Finally, the combination process between EO and photocatalysis (PC), called photoelectrocatalysis (PEC), has been discussed and reviewed briefly. This article shows that there is a direct relationship between important operating parameters with the amount of costs and the final removal efficiency of emerging pollutants. Optimal operating conditions can be achieved by paying special attention to reactor design, which can lead to higher efficiency and more efficient treatment. The rapid development of EO for removing emerging pollutants from impacted water and its combination with other green methods can result in more efficient approaches to face the pressing water pollution challenge. PEC proved to be a promising pollutants degradation technology, in which renewable energy sources can be adopted as a primer to perform an environmentally friendly water treatment.

3.
Molecules ; 28(3)2023 Jan 30.
Article En | MEDLINE | ID: mdl-36770973

In the last few years, many industrial sectors have generated and discharged large volumes of saline wastewater into the environment. In the present work, the electrochemical removal of nitrogen compounds from synthetic saline wastewater was investigated through a lab-scale experimental reactor. Experiments were carried out to examine the impacts of the operational parameters, such as electrolyte composition and concentration, applied current intensity, and initial ammoniacal nitrogen concentration, on the total nitrogen removal efficiency. Using NaCl as an electrolyte, the NTOT removal was higher than Na2SO4 and NaClO4; however, increasing the initial NaCl concentration over 250 mg·L-1 resulted in no benefits for the NTOT removal efficiency. A rise in the current intensity from 0.05 A to 0.15 A resulted in an improvement in NTOT removal. Nevertheless, a further increase to 0.25 A led to basically no enhancement of the efficiency. A lower initial ammoniacal nitrogen concentration resulted in higher removal efficiency. The highest NTOT removal (about 75%) was achieved after 90 min of treatment operating with a NaCl concentration of 250 mg·L-1 at an applied current intensity of 0.15 A and with an initial ammoniacal nitrogen concentration of 13 mg·L-1. The nitrogen degradation mechanism proposed assumes a series-parallel reaction system, with a first step in which NH4+ is in equilibrium with NH3. Moreover, the nitrogen molar balance showed that the main product of nitrogen oxidation was N2, but NO3- was also detected. Collectively, electrochemical treatment is a promising approach for the removal of nitrogen compounds from impacted saline wastewater.

4.
Molecules ; 25(4)2020 Feb 19.
Article En | MEDLINE | ID: mdl-32092867

Humic acids (HA) are promising green materials for water and wastewater treatment. They show a strong ability to sorb cationic and hydrophobic organic pollutants. Cationic compounds interact mainly by electrostatic interaction with the deprotonated carboxylic groups of HA. Other functional groups of HA such as quinones, may form covalent bonds with aromatic ammines or similar organic compounds. Computational and experimental works show that the interaction of HA with hydrophobic organics is mainly due to π-π interactions, hydrophobic effect and hydrogen bonding. Several works report that sorbing efficiency is related to the hydrophobicity of the sorbate. Papers about the interaction between organic pollutants and humic acids dissolved in solution, in the solid state and adsorbed onto solid particles, like aluminosilicates and magnetic materials, are reviewed and discussed. A short discussion of the thermodynamics and kinetics of the sorption process, with indication of the main mistakes reported in literature, is also given.


Humic Substances , Soil Pollutants/chemistry , Adsorption , Hydrogen-Ion Concentration , Hydrophobic and Hydrophilic Interactions
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