{"id":"https://openalex.org/W7225638189","doi":"https://doi.org/10.20935/acadneurosci8596","title":"Micro- and nanoplastics, brain health, and One Health: a scoping review","display_name":"Micro- and nanoplastics, brain health, and One Health: a scoping review","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225638189","doi":"https://doi.org/10.20935/acadneurosci8596"},"language":"en","primary_location":{"id":"doi:10.20935/acadneurosci8596","doi":"https://doi.org/10.20935/acadneurosci8596","is_oa":true,"landing_page_url":"https://doi.org/10.20935/acadneurosci8596","pdf_url":"https://www.academia.edu/3071-4087/2/4/10.20935/AcadNeurosci8596.pdf","source":{"id":"https://openalex.org/S7407057263","display_name":"Academia Neuroscience and Brain Research","issn_l":"3071-4087","issn":["3071-4087"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academia Neuroscience and Brain Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.academia.edu/3071-4087/2/4/10.20935/AcadNeurosci8596.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161320510","display_name":"Pratiti Bandyopadhyay","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Pratiti Bandyopadhyay","raw_affiliation_strings":["School of Biological Sciences, Faculty of Medicine, Health and Life Sciences, Queen\u2019s University Belfast, Belfast, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Biological Sciences, Faculty of Medicine, Health and Life Sciences, Queen\u2019s University Belfast, Belfast, UK","institution_ids":["https://openalex.org/I126231945"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035221017","display_name":"Sarah Abdulmalek","orcid":"https://orcid.org/0000-0002-3707-7197","observed_orcids":["https://orcid.org/0000-0002-3707-7197"]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sarah Abdulmalek","raw_affiliation_strings":["School of Biological Sciences, Faculty of Medicine, Health and Life Sciences, Queen\u2019s University Belfast, Belfast, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Biological Sciences, Faculty of Medicine, Health and Life Sciences, Queen\u2019s University Belfast, Belfast, UK","institution_ids":["https://openalex.org/I126231945"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026090891","display_name":"Isabel Forner-Piquer","orcid":"https://orcid.org/0000-0002-5315-3858","observed_orcids":["https://orcid.org/0000-0002-5315-3858"]},"institutions":[{"id":"https://openalex.org/I134820265","display_name":"Consejo Superior de Investigaciones Cient\u00edficas","ror":"https://ror.org/02gfc7t72","country_code":"ES","type":"government","lineage":["https://openalex.org/I134820265"]},{"id":"https://openalex.org/I4210151560","display_name":"Institut de Ci\u00e8ncies del Mar","ror":"https://ror.org/05ect0289","country_code":"ES","type":"facility","lineage":["https://openalex.org/I134820265","https://openalex.org/I4210151560"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Isabel Forner-Piquer","raw_affiliation_strings":["Department of Renewable Marine Resources, Institute of Marine Science, Spanish National Research Council (ICM-CSIC), Barcelona, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Renewable Marine Resources, Institute of Marine Science, Spanish National Research Council (ICM-CSIC), Barcelona, Spain","institution_ids":["https://openalex.org/I134820265","https://openalex.org/I4210151560"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016505833","display_name":"Gary Hardiman","orcid":"https://orcid.org/0000-0003-4558-0400","observed_orcids":["https://orcid.org/0000-0003-4558-0400"]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Gary Hardiman","raw_affiliation_strings":["School of Biological Sciences, Faculty of Medicine, Health and Life Sciences, Queen\u2019s University Belfast, Belfast, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Biological Sciences, Faculty of Medicine, Health and Life Sciences, Queen\u2019s University Belfast, Belfast, UK","institution_ids":["https://openalex.org/I126231945"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5016505833"],"corresponding_institution_ids":["https://openalex.org/I126231945"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2","issue":"4","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10753","display_name":"Microplastics and Plastic Pollution","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2310","display_name":"Pollution"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10753","display_name":"Microplastics and Plastic Pollution","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2310","display_name":"Pollution"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11266","display_name":"Neuroinflammation and Neurodegeneration Mechanisms","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2808","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10419","display_name":"Pharmaceutical and Antibiotic Environmental Impacts","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2310","display_name":"Pollution"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/microplastics","display_name":"microplastics","score":0.9769999980926514},{"id":"https://openalex.org/keywords/nanoplastics","display_name":"nanoplastics","score":1.0},{"id":"https://openalex.org/keywords/brain-health","display_name":"brain health","score":0.8209999799728394},{"id":"https://openalex.org/keywords/neuroinflammation","display_name":"neuroinflammation","score":0.906000018119812},{"id":"https://openalex.org/keywords/oxidative-stress","display_name":"oxidative stress","score":0.9200000166893005},{"id":"https://openalex.org/keywords/blood-brain-barrier-disruption","display_name":"blood-brain barrier disruption","score":0.8610000014305115},{"id":"https://openalex.org/keywords/dopaminergic-dysfunction","display_name":"dopaminergic dysfunction","score":0.7480000257492065},{"id":"https://openalex.org/keywords/polystyrene","display_name":"polystyrene","score":0.7739999890327454},{"id":"https://openalex.org/keywords/nlrp3-inflammasome","display_name":"NLRP3 inflammasome","score":0.9200000166893005},{"id":"https://openalex.org/keywords/nf-kappab","display_name":"NF-\u03baB","score":0.8840000033378601},{"id":"https://openalex.org/keywords/dementia","display_name":"dementia","score":0.531000018119812},{"id":"https://openalex.org/keywords/one-health","display_name":"One Health","score":0.7599999904632568},{"id":"https://openalex.org/keywords/zebrafish-model","display_name":"zebrafish model","score":0.7450000047683716},{"id":"https://openalex.org/keywords/animal-models","display_name":"animal models","score":0.39899998903274536},{"id":"https://openalex.org/keywords/cerebrospinal-fluid","display_name":"cerebrospinal fluid","score":0.8040000200271606},{"id":"https://openalex.org/keywords/biodegradable-polymers","display_name":"biodegradable polymers","score":0.7580000162124634}],"concepts":[{"id":"https://openalex.org/C87753298","wikidata":"https://www.wikidata.org/wiki/Q17157137","display_name":"Neuroinflammation","level":3,"score":0.5522000193595886},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.5072000026702881},{"id":"https://openalex.org/C152541439","wikidata":"https://www.wikidata.org/wiki/Q5186693","display_name":"Critical appraisal","level":3,"score":0.48010000586509705},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39879998564720154},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.3718000054359436},{"id":"https://openalex.org/C61904560","wikidata":"https://www.wikidata.org/wiki/Q1148359","display_name":"Grey literature","level":3,"score":0.3582000136375427},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.35519999265670776},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.3515999913215637},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.33410000801086426},{"id":"https://openalex.org/C60644358","wikidata":"https://www.wikidata.org/wiki/Q128570","display_name":"Bioinformatics","level":1,"score":0.3140000104904175},{"id":"https://openalex.org/C2987857752","wikidata":"https://www.wikidata.org/wiki/Q12147","display_name":"Human health","level":2,"score":0.2930999994277954},{"id":"https://openalex.org/C83867959","wikidata":"https://www.wikidata.org/wiki/Q371467","display_name":"Scopus","level":3,"score":0.28690001368522644},{"id":"https://openalex.org/C2776286997","wikidata":"https://www.wikidata.org/wiki/Q2880966","display_name":"Dopaminergic pathways","level":4,"score":0.2791999876499176},{"id":"https://openalex.org/C3020774429","wikidata":"https://www.wikidata.org/wiki/Q1201886","display_name":"Web of science","level":3,"score":0.265500009059906},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.251800000667572},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.2500999867916107}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.20935/acadneurosci8596","doi":"https://doi.org/10.20935/acadneurosci8596","is_oa":true,"landing_page_url":"https://doi.org/10.20935/acadneurosci8596","pdf_url":"https://www.academia.edu/3071-4087/2/4/10.20935/AcadNeurosci8596.pdf","source":{"id":"https://openalex.org/S7407057263","display_name":"Academia Neuroscience and Brain Research","issn_l":"3071-4087","issn":["3071-4087"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academia Neuroscience and Brain Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.20935/acadneurosci8596","doi":"https://doi.org/10.20935/acadneurosci8596","is_oa":true,"landing_page_url":"https://doi.org/10.20935/acadneurosci8596","pdf_url":"https://www.academia.edu/3071-4087/2/4/10.20935/AcadNeurosci8596.pdf","source":{"id":"https://openalex.org/S7407057263","display_name":"Academia Neuroscience and Brain Research","issn_l":"3071-4087","issn":["3071-4087"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academia Neuroscience and Brain Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320314731","display_name":"UK Research and Innovation","ror":"https://ror.org/001aqnf71"},{"id":"https://openalex.org/F4320320300","display_name":"European Commission","ror":"https://ror.org/00k4n6c32"},{"id":"https://openalex.org/F4320320357","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62"},{"id":"https://openalex.org/F4320334322","display_name":"HORIZON EUROPE Framework Programme","ror":null},{"id":"https://openalex.org/F4320334631","display_name":"Natural Environment Research Council","ror":"https://ror.org/02b5d8509"},{"id":"https://openalex.org/F4320338337","display_name":"H2020 Marie Sk\u0142odowska-Curie Actions","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225638189.pdf","grobid_xml":"https://content.openalex.org/works/W7225638189.grobid-xml"},"referenced_works_count":121,"referenced_works":["https://openalex.org/W1969928450","https://openalex.org/W2116961566","https://openalex.org/W2523478345","https://openalex.org/W2586426956","https://openalex.org/W2742646427","https://openalex.org/W2766268889","https://openalex.org/W2768927119","https://openalex.org/W2785715629","https://openalex.org/W2891378911","https://openalex.org/W2901669506","https://openalex.org/W2928369575","https://openalex.org/W2953531740","https://openalex.org/W2964069698","https://openalex.org/W3017473902","https://openalex.org/W3027822257","https://openalex.org/W3043250040","https://openalex.org/W3091514011","https://openalex.org/W3092419658","https://openalex.org/W3113597590","https://openalex.org/W3126104116","https://openalex.org/W3138095994","https://openalex.org/W3188533108","https://openalex.org/W3214866643","https://openalex.org/W4210465736","https://openalex.org/W4210601223","https://openalex.org/W4211169194","https://openalex.org/W4221115112","https://openalex.org/W4226242726","https://openalex.org/W4282837001","https://openalex.org/W4283376485","https://openalex.org/W4283835475","https://openalex.org/W4285605914","https://openalex.org/W4296105385","https://openalex.org/W4304808925","https://openalex.org/W4306408244","https://openalex.org/W4307581506","https://openalex.org/W4319996393","https://openalex.org/W4320730621","https://openalex.org/W4362636054","https://openalex.org/W4365143804","https://openalex.org/W4366415346","https://openalex.org/W4375953079","https://openalex.org/W4377090643","https://openalex.org/W4379470504","https://openalex.org/W4380369904","https://openalex.org/W4381620394","https://openalex.org/W4382364025","https://openalex.org/W4384831112","https://openalex.org/W4385956147","https://openalex.org/W4386089684","https://openalex.org/W4386448563","https://openalex.org/W4386484364","https://openalex.org/W4388116492","https://openalex.org/W4388441293","https://openalex.org/W4389904136","https://openalex.org/W4390842337","https://openalex.org/W4391069547","https://openalex.org/W4391610570","https://openalex.org/W4392096134","https://openalex.org/W4392373183","https://openalex.org/W4392977288","https://openalex.org/W4394796492","https://openalex.org/W4396684173","https://openalex.org/W4399701102","https://openalex.org/W4400388117","https://openalex.org/W4400402403","https://openalex.org/W4402173008","https://openalex.org/W4403016282","https://openalex.org/W4403600864","https://openalex.org/W4404053441","https://openalex.org/W4404473663","https://openalex.org/W4404728337","https://openalex.org/W4404844545","https://openalex.org/W4405623937","https://openalex.org/W4406445734","https://openalex.org/W4406502622","https://openalex.org/W4406682582","https://openalex.org/W4407087473","https://openalex.org/W4407204731","https://openalex.org/W4408069956","https://openalex.org/W4409167723","https://openalex.org/W4409173987","https://openalex.org/W4409187821","https://openalex.org/W4409386482","https://openalex.org/W4410022620","https://openalex.org/W4410127819","https://openalex.org/W4410347343","https://openalex.org/W4410348976","https://openalex.org/W4410452460","https://openalex.org/W4410525491","https://openalex.org/W4410588266","https://openalex.org/W4410645005","https://openalex.org/W4410711691","https://openalex.org/W4410731963","https://openalex.org/W4411060318","https://openalex.org/W4411371942","https://openalex.org/W4411431803","https://openalex.org/W4411680627","https://openalex.org/W4411771795","https://openalex.org/W4411895988","https://openalex.org/W4413034589","https://openalex.org/W4413049374","https://openalex.org/W4413053414","https://openalex.org/W4413110660","https://openalex.org/W4413864683","https://openalex.org/W4413962380","https://openalex.org/W4414704106","https://openalex.org/W4415015214","https://openalex.org/W4415357265","https://openalex.org/W4415503226","https://openalex.org/W4415698833","https://openalex.org/W4415892364","https://openalex.org/W4416356263","https://openalex.org/W4416397648","https://openalex.org/W4416418506","https://openalex.org/W4416452618","https://openalex.org/W4417264536","https://openalex.org/W7119093585","https://openalex.org/W7119124040","https://openalex.org/W7125434030","https://openalex.org/W7162338480"],"related_works":["https://openalex.org/W4415728349","https://openalex.org/W7163158856","https://openalex.org/W4415957292","https://openalex.org/W7213463302","https://openalex.org/W7158758798","https://openalex.org/W7131354484","https://openalex.org/W7131635907","https://openalex.org/W7115593225","https://openalex.org/W4413993396","https://openalex.org/W7223143116"],"abstract_inverted_index":{"Introduction:":[0],"Micro-":[1],"and":[2,11,35,56,79,89,94,107,119,152,164,177,184,189,211,239,241,269,287],"nanoplastics":[3],"(MNPs)":[4],"are":[5],"detectable":[6],"in":[7,17,27,109,190],"human":[8,80,181,262,272],"brain":[9,263],"tissue":[10],"cerebrospinal":[12],"fluid,":[13],"with":[14,19,111,144],"concentrations":[15],"elevated":[16],"individuals":[18],"dementia.":[20],"Despite":[21],"rapidly":[22],"expanding":[23],"evidence":[24,61,75],"implicating":[25],"MNPs":[26],"neuroinflammation,":[28],"oxidative":[29,223],"stress,":[30],"blood\u2013brain":[31,235],"barrier":[32,236],"(BBB)":[33,237],"disruption,":[34],"neurotransmitter":[36],"dysregulation,":[37],"findings":[38],"have":[39],"not":[40],"been":[41],"systematically":[42],"integrated":[43],"across":[44,102,248],"species.":[45],"This":[46],"systematic":[47,97],"scoping":[48,98],"review":[49,99],"aims":[50],"to":[51,65,83],"map":[52],"the":[53,112,195,212,226],"extent,":[54],"characteristics,":[55],"thematic":[57],"patterns":[58],"of":[59,86,105,205],"existing":[60],"linking":[62],"MNP":[63,198,254],"exposure":[64,199,255],"brain-related":[66],"outcomes,":[67],"applying":[68],"a":[69,156],"One":[70,162,278],"Health":[71,279],"framework":[72,280],"that":[73],"integrates":[74],"from":[76],"environmental,":[77],"animal,":[78],"neuroscience":[81],"research":[82],"identify":[84],"areas":[85],"mechanistic":[87,286],"convergence":[88],"critical":[90],"knowledge":[91],"gaps.":[92],"Materials":[93],"methods:":[95],"A":[96,277],"was":[100],"conducted":[101],"PubMed/MEDLINE,":[103],"Web":[104],"Science,":[106],"Scopus":[108],"accordance":[110],"Preferred":[113],"Reporting":[114],"Items":[115],"for":[116,122,253,261,283],"Systematic":[117],"reviews":[118],"Meta-Analyses":[120],"extension":[121],"Scoping":[123],"Reviews":[124],"(PRISMA-ScR).":[125],"Peer-reviewed":[126],"studies":[127,166],"reporting":[128],"microplastic":[129],"(MP":[130],"<":[131,137],"5":[132],"mm)":[133],"or":[134],"nanoplastic":[135],"(NP":[136],"1":[138],"\u00b5m)":[139],"exposure,":[140],"including":[141],"biodegradable":[142],"polymers,":[143],"central":[145],"nervous":[146],"system":[147],"outcomes":[148],"were":[149],"eligible.":[150],"Screening":[151],"data":[153,273],"extraction":[154],"followed":[155],"standardised":[157],"five-domain":[158],"charting":[159],"framework.":[160],"Results:":[161],"hundred":[163],"eight":[165],"(2016\u20132026)":[167],"met":[168],"inclusion":[169],"criteria,":[170],"spanning":[171],"zebrafish":[172],"(33),":[173],"rodents":[174],"(35":[175],"mice":[176],"6":[178],"rats),":[179],"seven":[180],"observational":[182],"studies,":[183],"twenty-seven":[185],"invertebrate,":[186],"alternative":[187],"teleost,":[188],"vitro":[191],"models.":[192],"Polystyrene":[193],"dominated":[194],"literature":[196],"(64%).":[197],"consistently":[200],"elicited":[201],"neuroinflammation":[202],"through":[203],"activation":[204],"nuclear":[206],"factor":[207,260],"kappa":[208],"B":[209],"(NF-\u03baB)":[210],"nucleotide-binding":[213],"oligomerization":[214],"domain-like":[215],"receptor":[216],"family":[217],"pyrin":[218],"domain-containing":[219],"3":[220],"(NLRP3)":[221],"inflammasome,":[222],"stress":[224],"involving":[225],"reactive":[227],"oxygen":[228],"species":[229,249],"(ROS)/superoxide":[230],"dismutase":[231],"2":[232],"(SOD-2)":[233],"axis,":[234],"impairment,":[238],"dopaminergic":[240],"cholinergic":[242],"dysregulation.":[243],"Conclusions:":[244],"Convergent":[245],"neurobiological":[246],"responses":[247],"support":[250],"biological":[251],"plausibility":[252],"as":[256],"an":[257],"emerging":[258],"risk":[259],"health.":[264],"Methodological":[265],"heterogeneity,":[266],"polystyrene":[267],"overrepresentation,":[268],"absent":[270],"longitudinal":[271],"constrain":[274],"translational":[275],"conclusions.":[276],"is":[281],"essential":[282],"directing":[284],"future":[285],"clinical":[288],"research.":[289]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
