Background: The Mureș River Basin is a long-term heavily polluted watershed, in a situation of climate changes with decreasing water flow and related decreasing dilution capacity. Here, a mixture of emerging pollutants such as pharmaceuticals were targeted to reveal potential risks regarding the natural lotic ecosystems. Due to the continuous discharge into the environment, pharmaceuticals are gaining persistent organic pollutant characteristics and are considered emerging pollutants. Based on the hazard quotient, this research highlights the dangerous concentrations of carbamazepine, ibuprofen, furosemide, and enalapril in river water. Results: High levels of four pharmaceutical compounds (carbamazepine, ibuprofen, furosemide, and enalapril) and some of their derived metabolites (enalaprilat, carboxyibuprofen, 1-hydroxyibuprofen, and 2-hydroxyibuprofen) were reported in our study in the Mureș River Basin. Overall, pharmaceutical concentrations were found to be highest in the wastewater treatment plant (WWTP) effluent, median downstream of the WWTP, and lowest upstream of the WWTP, as was expected. For all pharmaceutical compounds tested, we recorded concentrations above the limit of quantification (LOQ) in at least one of the sites tested. Carbamazepine exhibited the highest mean values upstream, downstream, and at the WWTP. As expected, the highest concentrations for all the studied pharmaceutical compounds were detected in the WWTP effluent. All Hazard Quotient (HQ) values were below one (on a logarithmic scale in base 10), with the highest values in the WWTP and the lowest in the river upstream of the WWTP. The HQ intervals were in the same range for furosemide, carbamazepine, and ibuprofen at each of the three different sites: upstream WWTP effluent, and downstream. The interval for enalapril stands out as having the lowest HQ at all three sites. Conclusions: Based on these results, the large and complex hydrographical system Mureș River Basin was transformed from a grey area, with little information about pharmaceutical contamination, to a hotspot in terms of contamination with emerging pollutants. Pharmaceutical compound concentrations were found to be the highest in WWTP effluents. The WWTP effluent concentrations were among the highest in Europe, indicating that treatment plants are the primary source of water pollution with pharmaceuticals compounds. The detected levels were higher than the safety limit for carbamazepine and ibuprofen. The determined HQ values imply that the measured levels do pose a threat to the environment for the studied pharmaceuticals. Based on the obtained results, human communities can assess, monitor, predict, and adapt in time to these already-present regional challenges and risks for sustainable use of natural resources, including water and associated products and services.

The feeding characteristics of the nase, based on its mouth morphology and feeding behavior related to aquatic habitat substrata sediments make this fish a biological uptake vector for microplastics in freshwater ecosystems. Fibers may have limited absorption through the gastrointestinal tract therefore unlikely to be found in fish gastrointestinal tissue and muscle tissue. The presence of microplastic fibers in the gastrointestinal content is proof of how difficult it is for these fibers to become embedded in other organs. The absence of microplastic fibers in muscle tissue and gastrointestinal tissue is key information for microplastic fabrication and management in aquatic ecosystems. The majority of fish have relatively low levels of microplastics; however, a few individuals have a higher dose. This is true for all types of microplastics analyzed, with the exception of fish that had just one microplastic present in the analyzed matrix. The microplastics are not concentrated in the fish muscle tissue, gastrointestinal tissue and gastrointestinal content in relation to fish age, which may be due to their different mobility in the ecosystem, or due to the recent appearance of this type of contamination and the scale at which microplastics bioaccumulate. Such a relatively common fish species must be included in the assessment and monitoring systems of the Eurasian lotic systems. The risks involved include the transfer of the freshwater environments microplastics into human tissues via the food web of fishing species with the nase as a key basis.

Persistent organic pollutants (POPs) have been at the forefront of environmental contamination research even before their ban in 2001 at the Stockholm Convention. Their relation to different compartments of the environment (biotic and abiotic) has been thoroughly investigated. This article aims to identify whether the benthos could represent a reliable indicator of environmental contamination with POPs and to highlight its potential transfer role between abiotic and upper trophic compartments—benthos feeders. In this regard, we determined that the Ephemeroptera samples have higher concentrations (p < 0.05) of ΣPCB, ΣHCH, and ΣDDT than sediment samples while Trichoptera samples have higher concentrations (p < 0.05) only in the case of ΣPCB and ΣDDT. This, along with the fact that the frequency of detection for POPs is similar between the sample types (sediments, Trichoptera, and Ephemeroptera), makes the benthos samples valuable indicators of contamination with sediment samples working as complementary information about how recent the contamination is.

Background/Objectives: Microplastics (MPs) are emerging environmental contaminants with potential implications for human health. Experimental studies suggest that MPs accumulate in the liver and promote inflammatory and fibrotic changes, but evidence from human tissues remains limited. This study investigated the presence of suspected MP-like particles in post-mortem human liver tissue and their associations with clinical, biochemical, hematological and histopathological parameters. Methods: Post-mortem liver tissue samples were collected from 55 adults. Suspected MP-like particles were extracted using hydrogen peroxide digestion, filtration, Nile Red staining and image-based quantification. Histopathological evaluation assessed inflammation, fibrosis, necrosis and fatty liver degeneration. Polarized light microscopy was used as a supportive morphological assessment method. Statistical analyses included Mann–Whitney U tests, Fisher’s exact tests and Spearman correlation analysis. Results: Detectable hepatic suspected MP-like particles were identified in 9 of 55 individuals (16.4%). Individuals with detectable suspected MP-like particles had significantly lower alanine aminotransferase (ALT) levels and leukocyte counts. The hepatic suspected MP-like particle burden showed weak positive correlation with liver fibrosis and inflammation and weak inverse correlation with ALT levels and leukocyte count. Fisher’s exact test showed that liver fibrosis and liver inflammation were significantly associated with detectable hepatic suspected MP-like particles, with higher unadjusted odds observed in the corresponding 2 × 2 contingency tables. No statistically significant associations were found for liver necrosis or fatty liver degeneration. Conclusions: Detectable suspected MP-like particles were identified in post-mortem human liver tissues and were more closely associated with fibrotic and inflammatory histopathological changes than with routine biochemical abnormalities. Larger studies using standardized detection methods are needed to confirm these results.

Warming climates induce Mediterranean Sea level rise, which is destined to have major impacts on Rhône Delta habitats, biocoenosis, and escorting biota, including fish. Based on their bioecological features, a number of fish species in the Rhône Delta will be affected by such sea level rise. Others will adapt and positive ecological feedback loops may fuel further changes. Sea level variation was and is likely to be one of the key stress factors for fish in the Rhône Delta.