Microplastics (MPs) have adverse effects on aquatic organisms in marine environments; however, there is a lack of information on freshwater environments. This study investigated the dietary uptake, and biodistribution and depuration of MPs in the freshwater diving beetle Cybister japonicus (Coleoptera: Dytiscidae) after consumption of zebrafish (Danio rerio) exposed to MPs. The transfer of MPs in diving beetles after consumption of zebrafish was assessed to determine whether the presence of MPs affected diving beetle behavior and predation. We found that diving beetles that consumed MP-exposed fish had a significantly lower ingestion rate than the control. In addition, the trophic transfer rate of MPs was 13–18%. However, MPs were found only in the crop and proventriculus of the beetles, and all particles were depurated within 48 h, likely via regurgitation. As diving beetle is a top predator in freshwater ecosystems and could facilitate transfer from aquatic to terrestrial ecosystems via predation, its behavior towards indigestible MPs in its digestive organs (i.e., filtering and vomiting) could represent a meaningful phenomenon as a potential vector for MP transport. This is the first report of the trophic transfer of MPs from fish to dytiscid species, which helps clarify the effects and mechanisms of MPs in freshwater systems.

Carbon monoxide (CO) poisoning is the primary cause for access to emergency department (ED) services for more than 50,000 persons in Europe and the USA every year. CO poisoning diagnosis is based on multiple factors and is usually confirmed by high carboxyhemoglobin (COHb) levels in the blood. We conducted a systematic evaluation of literature to investigate the usefulness of COHb as a biomarker of environmental CO exposure. We conducted an electronic search in Medline, Embase, and the Cochrane Library databases. We selected studies reporting high or low environmental CO concentrations, as well as COHb levels in exposed subjects presenting in ED or staying at home. We included 19 studies, but only 7 studies reported environmental CO concentration and proved a correlation between COHb and CO exposure in healthy and non-smoker subjects only. However, confounding factors were often incompletely assessed. The main symptoms reported were headache, nausea, vertigo and vomiting. COHb data stored in healthcare databases were used in six studies and provided useful information about symptoms, CO sources and patient characteristics. Most studies were classified at risk of bias. This review indicates that COHb is the most commonly used biomarker to assess CO exposure and seems to be useful. Further studies are needed to establish the reliability of COHb as a biomarker and/or explore other possible biomarkers. Surveillance systems of the general population, correlated with geographical locations and other confounding factors, could be important for CO exposure monitoring and the development of focused prevention programs.