Charlton-Howard · Journal of hazardous materials 2023 · Observational cross-sectional wildlife tissue study · n=30

'Plasticosis': Characterising macro- and microplastic-associated fibrosis in seabird tissues.

Cited 201 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Animal/wildlife tissue study with no human clinical data (Level 5 by Oxford CEBM criteria).

PubMed 36867907 · doi:10.1016/j.jhazmat.2023.131090 · record verified 2026-08-28

What was done

Researchers examined proventriculus (stomach) tissue samples from 30 wild Flesh-footed Shearwater (*Ardenna carneipes*) fledglings collected from Lord Howe Island, Australia. Masson's Trichrome staining was used to detect collagen deposition as a marker of scar tissue formation and evaluate fibrosis associated with ingested macro- and microplastics compared to naturally occurring indigestible items such as pumice.

What was found

Ingested plastic was associated with widespread scar tissue formation and structural changes or loss of architecture in the gastric mucosa and submucosa. In contrast, naturally occurring indigestible items (pumice) did not cause similar scarring. The abstract reports no numerical values, effect sizes, or statistical metrics.

Why it matters

This study provides field evidence of non-lethal pathological damage from plastic ingestion in wild birds, proposing a specific fibrotic condition termed 'Plasticosis'.

Limits

The study is an observational cross-sectional assessment limited to 30 fledglings from a single avian species at one geographic location. The abstract provides no quantitative data on plastic dose, particle size thresholds, or physiological functional impairment, and non-experimental wildlife designs cannot rule out confounding environmental exposures.

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