# Micro- and Nanoplastics and Human Health: Role of Food Nutrients Targeting Nfe2l2 Gene in Diabetes

**Authors:** Maria Concetta Scuto, Cinzia Lombardo, Nicolò Musso, Paolo Giuseppe Bonacci, Gabriella Lupo, Carmelina Daniela Anfuso, Angela Trovato Salinaro

PMC · DOI: 10.3390/nu18040600 · Nutrients · 2026-02-11

## TL;DR

This paper explores how food nutrients can protect against micro- and nanoplastics by targeting the Nfe2l2 gene, potentially reducing diabetes-related damage.

## Contribution

This is the first study to investigate how food nutrients interact with the Nfe2l2 gene to counteract micro- and nanoplastic toxicity.

## Key findings

- Food nutrients like polyphenols can activate Nrf2 to reduce oxidative stress from micro- and nanoplastics.
- Dysregulation of Nfe2l2 due to plastic exposure may worsen diabetes and its complications.
- Epigenetic changes affect Nrf2 pathway activity, influencing cellular resilience to environmental toxins.

## Abstract

A new category of polyphenolic compounds, like flavonoids, phenolic acids, phenylpropanoids, terpenoids, and others, referred to as food nutrients, may counteract the harmful effects of micro- and nanoplastics (MNPs) by enhancing cellular stress resilience response and overall human health. These compounds found in functional food help mitigate the cellular damage, inflammation, and oxidative stress caused by MNP exposure, which can contribute to pathological conditions, including diabetes. Importantly, specific food nutrients are able to activate, at the minimum dose, the nuclear factor erythroid-derived 2-like 2 (Nrf2) to prevent or block MNP-induced damage. The Nfe2l2 gene encodes the Nrf2 transcription factor, acting as a master regulator of redox homeostasis by inducing antioxidant response element (ARE)-driven resilience genes, which in turn, promote the expression of detoxification enzymes like heme oxygenase-1 (HO-1), NAD(P)H: quinone oxidoreductase 1 (NQO1), and glutathione S-transferase (GST) to scavenge reactive oxygen species (ROS) and shield cells from environmental damage and toxicity. Deregulation of the Nfe2l2 gene due to the accumulation of MNP pollutants may exacerbate the inflammatory conditions associated with diabetes and its chronic complications by rendering cells more sensitive to oxidative stress, apoptosis, and pyroptosis. Furthermore, epigenetic modifications influence gene regulation; chromatin remodeling directly impacts DNA accessibility, allowing or limiting transcription factor access to regulate gene expression. This mechanism may also play a pivotal role in the progression of oxidative stress-related diseases, as it modulates the Nrf2 pathway and the expression levels of its target genes. In contrast to the current literature, which has only addressed the pathological mechanisms induced by MNPs, this research explores, for the first time, how food nutrients interacting with the Nfe2l2 gene can combat or reverse the toxic effects of MNPs in cells, tissues, and organs. The goal is to improve health by attenuating MNP toxicity, which is influenced by individual genetic variations and cellular stress resilience.

## Linked entities

- **Genes:** NFE2L2 (NFE2 like bZIP transcription factor 2) [NCBI Gene 4780]
- **Proteins:** GABPA (GA binding protein transcription factor subunit alpha), HMOX1 (heme oxygenase 1), NQO1 (NAD(P)H quinone dehydrogenase 1), SLCO6A1 (solute carrier organic anion transporter family member 6A1)
- **Diseases:** diabetes (MONDO:0005015)

## Full-text entities

- **Genes:** HMOX1 (heme oxygenase 1) [NCBI Gene 3162] {aka HMOX1D, HO-1, HSP32, bK286B10}, GSK3B (glycogen synthase kinase 3 beta) [NCBI Gene 2932], SREBF1 (sterol regulatory element binding transcription factor 1) [NCBI Gene 6720] {aka HMD, IFAP2, SREBP1, bHLHd1}, Gpt (glutamic pyruvic transaminase, soluble) [NCBI Gene 76282] {aka 1300007J06Rik, 2310022B03Rik, ALT, ALT1, Gpt-1, Gpt1}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, Pten (phosphatase and tensin homolog) [NCBI Gene 50557] {aka MMAC1, Mmac, TEP1}, Plk2 (polo like kinase 2) [NCBI Gene 20620] {aka Snk}, Cul3 (cullin 3) [NCBI Gene 26554] {aka KIAA0617}, Il1rl1 (interleukin 1 receptor-like 1) [NCBI Gene 17082] {aka DER4, Fit-1, Ly84, ST2L, St2, St2-rs1}, Hspa5 (heat shock protein family A (Hsp70) member 5) [NCBI Gene 25617] {aka BIP, GRP 78, GRP78}, Slc2a2 (solute carrier family 2 (facilitated glucose transporter), member 2) [NCBI Gene 20526] {aka Glut-2, Glut2}, Traf6 (TNF receptor-associated factor 6) [NCBI Gene 22034] {aka 2310003F17Rik, C630032O20Rik}, SIRT3 (sirtuin 3) [NCBI Gene 23410] {aka SIR2L3}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, Ffar3 (free fatty acid receptor 3) [NCBI Gene 233080] {aka Gm478, Gpr41}, RELA (RELA proto-oncogene, NF-kB subunit) [NCBI Gene 5970] {aka AIF3BL3, CMCU, NFKB3, p65}, PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468] {aka CIMT1, FPLD3, GLM1, NR1C3, PPARG1, PPARG2}, Il10 (interleukin 10) [NCBI Gene 25325] {aka IL10X, If2a}, Mok (MOK protein kinase) [NCBI Gene 362787] {aka Rage}, Akt1 (Akt serine/threonine kinase 1) [NCBI Gene 11651] {aka Akt, LTR-akt, PKB, PKB/Akt, PKBalpha, Rac}, LGALS3 (galectin 3) [NCBI Gene 3958] {aka CBP35, GAL3, GALBP, GALIG, L31, LGALS2}, Dnmt3a (DNA methyltransferase 3A) [NCBI Gene 13435] {aka MmuIIIA}, Ppp2ca (protein phosphatase 2 (formerly 2A), catalytic subunit, alpha isoform) [NCBI Gene 19052] {aka PP2A}, Traf4 (TNF receptor associated factor 4) [NCBI Gene 22032] {aka A530032M13Rik, CART1, msp2}, Creb1 (cAMP responsive element binding protein 1) [NCBI Gene 12912] {aka 2310001E10Rik, 3526402H21Rik, Creb, Creb-1}, P2rx7 (purinergic receptor P2X, ligand-gated ion channel, 7) [NCBI Gene 18439] {aka P2X(7), P2X7R}, ELAVL1 (ELAV like RNA binding protein 1) [NCBI Gene 1994] {aka ELAV1, HUR, Hua, MelG}, Olig2 (oligodendrocyte transcription factor 2) [NCBI Gene 50913] {aka Bhlhb1, Olg-2, Oligo2, RK17, bHLHe19}, Neurog3 (neurogenin 3) [NCBI Gene 11925] {aka Atoh5, Math4B, bHLHa7, ngn3}, ACTA1 (actin alpha 1, skeletal muscle) [NCBI Gene 58] {aka ACTA, ASMA, CFTD, CFTD1, CFTDM, CMYO2A}, Ins1 (insulin I) [NCBI Gene 16333] {aka Ins-1, Ins2-rs1}, Stat3 (signal transducer and activator of transcription 3) [NCBI Gene 20848] {aka 1110034C02Rik, Aprf}, Slc2a3 (solute carrier family 2 (facilitated glucose transporter), member 3) [NCBI Gene 20527] {aka Glut-3, Glut3}, Tet2 (tet methylcytosine dioxygenase 2) [NCBI Gene 214133] {aka Ayu17-449, E130014J05Rik, mKIAA1546}, Ptpn1 (protein tyrosine phosphatase, non-receptor type 1) [NCBI Gene 19246] {aka PTP-1B, PTP-HA2, PTP1B}, Slc5a2 (solute carrier family 5 (sodium/glucose cotransporter), member 2) [NCBI Gene 246787] {aka Sglt2}, Vcam1 (vascular cell adhesion molecule 1) [NCBI Gene 22329] {aka CD106, Vcam-1}, ABCC4 (ATP binding cassette subfamily C member 4 (PEL blood group)) [NCBI Gene 10257] {aka MOAT-B, MOATB, MRP4}, Fgf21 (fibroblast growth factor 21) [NCBI Gene 56636] {aka Fgf8c}, Prdx5 (peroxiredoxin 5) [NCBI Gene 54683] {aka AOEB166, AOPP, PLP, Pmp20, Prdx6, PrxV}, Anxa3 (annexin A3) [NCBI Gene 25291] {aka Anx3, LC3, LRRGT00047}, Notch1 (notch 1) [NCBI Gene 18128] {aka 9930111A19Rik, Mis6, N1, Tan1, lin-12}, Mlxipl (MLX interacting protein-like) [NCBI Gene 58805] {aka ChREBP, Mlx, WS-bHLH, Wbscr14, bHLHd14}, COX2 (cytochrome c oxidase subunit II) [NCBI Gene 17709], Hspa1b (heat shock protein family A (Hsp70) member 1B) [NCBI Gene 15511] {aka HSP70B1, Hsp70, Hsp70-1, Hsp70.1, hsp68}, Fasn (fatty acid synthase) [NCBI Gene 14104] {aka A630082H08Rik, FAS}, Casp7 (caspase 7) [NCBI Gene 12369] {aka CMH-1, ICE-IAP3, Mch3, caspase-7, mCASP-7}, Tbc1d4 (TBC1 domain family, member 4) [NCBI Gene 210789] {aka 5930406J04Rik, A930035N22, As160}, Fn1 (fibronectin 1) [NCBI Gene 14268] {aka E330027I09, Fn, Fn-1}, Tfeb (transcription factor EB) [NCBI Gene 21425] {aka Tcfeb, bHLHe35}, Srebf1 (sterol regulatory element binding transcription factor 1) [NCBI Gene 20787] {aka ADD1, SREBP1, bHLHd1}, IRS1 (insulin receptor substrate 1) [NCBI Gene 3667] {aka HIRS-1}, Casp3 (caspase 3) [NCBI Gene 25402] {aka CPP32-beta, Lice, Yama}, Pik3r1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 18708] {aka PI3K, p50alpha, p55alpha, p85alpha}, Gpx1 (glutathione peroxidase 1) [NCBI Gene 14775] {aka CGPx, GPx-1, GSHPx-1, Gpx}, Bcl2 (BCL2, apoptosis regulator) [NCBI Gene 24224] {aka Bcl-2}, Hdac3 (histone deacetylase 3) [NCBI Gene 15183], Sirt1 (sirtuin 1) [NCBI Gene 93759] {aka SIR2L1, Sir2, Sir2a, Sir2alpha}, Irs1 (insulin receptor substrate 1) [NCBI Gene 16367] {aka G972R, IRS-1}, Hdac8 (histone deacetylase 8) [NCBI Gene 70315] {aka 2610007D20Rik}
- **Diseases:** Renal damage (MESH:D007674), obese (MESH:D009765), organ damage (MESH:D000092124), Sciatic nerve injuries (MESH:D020426), diabetic neuropathic pain (MESH:D009437), T2DM (MESH:D003924), axonal degeneration (MESH:D009410), hepatic steatosis (MESH:D005234), cardiac autonomic neuropathy (MESH:D006331), overweight (MESH:D050177), type-1 diabetes (MESH:D003922), diabetic peripheral neuropathy (MESH:D010523), liver and kidney damage (MESH:D056486), nerve cell damage (MESH:D002280), intestinal damage (MESH:D007410), proteinuria (MESH:D011507), hepatic lipid disorders (MESH:D011017), cold allodynia (MESH:D006930), glucose intolerance (MESH:D018149), renal pyroptosis (MESH:D006030), metabolic (MESH:D008659), CCI (MESH:D020208), Diabetic Nephropathy (MESH:D003928), micro-and macroangiopathies (MESH:C536681), hypoxia (MESH:D000860), Chronic Disorders (MESH:D002908), tissue damage (MESH:D017695), neuropathy (MESH:D009422), MNP Damage (MESH:D020263), cognitive decline (MESH:D003072), hyperglycemia (MESH:D006943), endothelial abnormalities (MESH:D000014), albuminuria (MESH:D000419), metabolic syndrome (MESH:D024821), hyperlipidemia (MESH:D006949), fibrosis (MESH:D005355), hepatic and colonic inflammation (MESH:D007249), impaired hepatic function (MESH:D008107), renal organomegaly (MESH:D016878), injury to (MESH:D014947), diseases (MESH:D004194), neurodegeneration (MESH:D019636), mitochondrial dysfunction (MESH:D028361), nerve injury (MESH:D000080902), PD (MESH:D010300), Diabetic Complications (MESH:D048909), dyslipidemia (MESH:D050171), demyelination (MESH:D003711), pain (MESH:D010146), impaired insulin secretory (MESH:D008579), hyperglycemic (MESH:D006944), hypertension (MESH:D006973), cancer (MESH:D009369), resistant (MESH:D060467), immune dysfunction (MESH:D007154), intestinal dysbiosis (MESH:D064806), endothelial dysfunction (MESH:D014652), DM (MESH:D003920), non-alcoholic fatty liver disease (MESH:D065626), Diabetic Neuropathy (MESH:D003929)
- **Chemicals:** PS (MESH:D011137), kaempferol (MESH:C006552), ascorbic acid 2-sulfate (MESH:C001956), per- and polyfluoroalkyl substances (MESH:D005466), butyric acid (MESH:D020148), linolenic acid (MESH:D017962), formononetin (MESH:C007768), metformin (MESH:D008687), 17alpha-methyltestosterone (MESH:D008777), GSH (MESH:D005978), sphingosine-1-phosphate (MESH:C060506), AGEs (MESH:D017127), methylglyoxal (MESH:D011765), DMF (MESH:D000069462), salvianolic acid B (MESH:C076944), polyphenol (MESH:D059808), water (MESH:D014867), ATP (MESH:D000255), sorbitol (MESH:D013012), Tan I (MESH:C021751), CS (MESH:D002586), vitexin (MESH:C032731), hesperetin (MESH:C013015), Loganin (MESH:C059516), eriocitrin (MESH:C114706), terpenoids (MESH:D013729), STZ (MESH:D013311), PP (MESH:D011126), BPA (MESH:C006780), catechin (MESH:D002392), UA (MESH:C005466), Se-methylselenocysteine (MESH:C002979), sucrose (MESH:D013395), glycogen (MESH:D006003), phenolic acids (MESH:C017616), FE (MESH:D007501), lipid (MESH:D008055), disaccharide (MESH:D004187), ferulic acid (MESH:C004999), urea nitrogen (MESH:C530477), cholesterol sulfate (MESH:C007045), PA (MESH:D019308), PLA (MESH:C033616), MPTP (MESH:D015632), V (MESH:D014639), glibenclamide (MESH:D005905), free fatty acid (MESH:D005230), aglycone (MESH:C458179), PET (MESH:D011093), anthocyanin (MESH:D000872), inulin (MESH:D007444), 4-HNE (MESH:C027576), hydroxybenzoic acids (MESH:D062385), diglyceride (MESH:D004075), caffeic acid (MESH:C040048), alkaloids (MESH:D000470), liquiritigenin (MESH:C083152), luteolin (MESH:D047311), flavones (MESH:D047309), trans-resveratrol (MESH:D000077185)
- **Species:** Sorbus aucuparia (European mountain ash, species) [taxon 36599], Artemisia montana (species) [taxon 669134], Salvia polystachya (species) [taxon 268922], Cynara cardunculus var. scolymus (artichoke, varietas) [taxon 59895], Hibiscus syriacus (Rose-of-Sharon, species) [taxon 106335], Plantago australis (species) [taxon 101995], C. elegans [taxon 328850], Vigna radiata (mung bean, species) [taxon 157791], Salvia miltiorrhiza (Chinese salvia, species) [taxon 226208], Punica granatum (granado, species) [taxon 22663], Panax ginseng (Asiatic ginseng, species) [taxon 4054], P. australis [taxon 425650], Danio rerio (leopard danio, species) [taxon 7955], Malus domestica (apple, species) [taxon 3750], Cornus officinalis (Japanese cornel, species) [taxon 16906], Mus musculus (house mouse, species) [taxon 10090], Helianthus annuus (common sunflower, species) [taxon 4232], Potentilla lineata (species) [taxon 539895], Rattus norvegicus (brown rat, species) [taxon 10116], Homo sapiens (human, species) [taxon 9606], Verbascum sinuatum (species) [taxon 1042526], Scutellaria baicalensis (Baikal skullcap, species) [taxon 65409], Eucalyptus tereticornis (red ironbark, species) [taxon 183855]
- **Mutations:** rs6721961
- **Cell lines:** C2C12 muscle — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_0188), MES-13 — Mus musculus (Mouse), Transformed cell line (CVCL_5368), HepG2 — Homo sapiens (Human), Hepatoblastoma, Cancer cell line (CVCL_0027), SV40 — Rattus norvegicus (Rat), Transformed cell line (CVCL_WN19), RSC96 — Rattus norvegicus (Rat), Spontaneously immortalized cell line (CVCL_4694), caco-2 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0025), betatc3 — Mus musculus (Mouse), Mouse insulinoma, Transformed cell line (CVCL_0172), C57BL/6J — Mus musculus (Mouse), Transformed cell line (CVCL_C0MW), HK-2 renal — Mus musculus (Mouse), Mouse kidney carcinoma, Cancer cell line (CVCL_2174), MPC5 — Mus musculus (Mouse), Conditionally immortalized cell line (CVCL_AS87)

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## References

233 references — full list in the complete paper: https://tomesphere.com/paper/PMC12943260/full.md

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Source: https://tomesphere.com/paper/PMC12943260