Abstract:Microplastics (MPs) and nanomaterials (NPs), as emerging marine pollutants, exhibit high co-occurrence in coastal ecosystems. Their combined toxic effects have become a focus in environmental toxicology research. However, the regulatory role of MPs on the bioavailability and in vivo behavior of NPs remains poorly understood. In this study, the filter-feeding bivalve Scapharca subcrenata was used as the model organism. Experimental groups included a control, a nano?titanium dioxide (TiO2NPs) single-exposure group, an MPs single-exposure group, and a combined exposure group. The accumulation and depuration characteristics of TiO2 in S. subcrenata under different exposure conditions were systematically investigated. Combined with histopathological examination, electron microscopy observation, and oxidative stress biomarker analysis, the results demonstrated that TiO2NPs could significantly accumulate in S. subcrenata, with the digestive gland and gills being the main target organs. MPs slowed the in vivo accumulation of TiO2 but significantly inhibited its elimination during the depuration phase. Histopathological and ultrastructural observations revealed that combined exposure caused structural damage to the digestive gland and gills, accompanied by abnormal activation of the lysosomal system. Oxidative stress analysis indicated that long-term exposure led to an imbalance in the antioxidant defense system and induced lipid peroxidation damage. These findings reveal the complex mechanism by which MPs, through adsorbing TiO2NPs, influence their bioavailability and exacerbate physiological damage, providing important insights for the ecological risk assessment of marine co-contamination.