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               A Drosophila-based screening platform for Traditional Chinese Medicines

               targeting microplastic and plasticizer-induced kidney stones


                                                                        ,3
                                                     +,2
               Ling-Hsuan Ho,   #,+,1  Chuan-Hsiu Liu,  Hsin-Ping Liu,* Wei-Yong Lin*    ,1,4

               1  Department of Chinese Medicine, College of Chinese Medicine, China Medical University,
                 Taichung 40402, Taiwan.
               2  Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical
                 University, Taichung 40402, Taiwan.
               3  Graduate Institute of Acupuncture Science, College of Chinese Medicine, China Medical
                 University, Taichung 40402, Taiwan.
               4  Department of Medical Research, China Medical University Hospital, Taichung 40447,
                 Taiwan.
               +  These authors contributed equally to this work.
               * Email: linwy@mail.cmu.edu.tw (W.-Y. Lin); hpliu@mail.cmu.edu.tw (H.-P. Liu)

               Abstract
                  Kidney stones are highly prevalent in both Taiwan and the United States, yet their pathogenic
               mechanisms are not fully understood. Recent studies suggest that microplastics (MPs) and the
               plasticizer di (2-ethylhexyl) phthalate (DEHP) may impair kidney function and metabolism,
               contributing to stone formation. In this study, we used Drosophila melanogaster as a model,
               separately adding polystyrene microplastics (PS-MPs) and DEHP to the culture medium. The
               results showed that both agents induced significant stone deposition compared to the control
               group. We then tested six traditional Chinese medicinal herbs commonly used to treat kidney
               stones: Poria, Alismatis Rhizoma, Malvae Semen, Pyrrosiae Folium, Desmodium Stracifolii
               Herba, and Lygodii Spora. Our findings revealed that Alismatis rhizoma and Lygodii Spora
               significantly reduced stone formation, while the other herbs had no notable effects. Therefore,
               our study demonstrates that microplastics and plasticizers may induce kidney stone formation
               and that Alismatis Rhizoma and Lygodii Spora could be potential therapeutic agents for stones
               caused by these environmental pollutants.

               Keywords: Polystyrene Microplastics (PS-MPs); Di-(2-ethylhexyl) phthalate (DEHP); Kidney
                           Stones; Alisma Rhizoma; Lygodii Spora
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