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Mouse study reveals that tattoo ink migrates into the lymphatic system altering the immune response

Research shows how pigments from tattoos reach the lymph nodes, causing persistent inflammation and altering the efficacy of vaccines such as anti-Covid and flu vaccines.

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

The ink from tattoos does not remain on the skin but is absorbed by the body, affecting the immune system. This is shown by a study published in Pnas (Proceedings of the National Academy of Sciences) and conducted by researchers from the University of Southern Switzerland, in collaboration with the University of Bern, Regensburg University Hospital, the Biology Centre of the Czech Academy of Sciences, the International Agency for Cancer Research, the Cantonal Institute of Pathology in Locarno, the Basel Cantonal Laboratory and the Hannover Medical School.

The journey of ink from the skin to other organs

The study sought answers for one of the main concerns related to tattoo safety: the possible redistribution of ink not retained by the tattoo site to organs other than the skin and the consequent toxic effect that the accumulation of these insoluble pigments could have systemically for the body in the medium and long term.

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"Despite safety concerns regarding the toxicity of tattoo ink, the authors explain, no study to date has investigated the consequences of tattooing on the immune response. With our work, we characterised the transport and accumulation of different tattoo inks in the lymphatic system, using a mouse model."

With this in mind, the team was able to demonstrate that tattoo ink does not remain inert on the skin. In fact, the research shows that it moves rapidly into the lymphatic system, where it can persist for several months, kill immune system cells and even alter the body's response to vaccines.

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Collection in lymph nodes and inflammation

The mouse models used by the scientists showed that, once in contact with the skin, the pigments of the tattoo ink reached the nearby lymph nodes within minutes and accumulated there for two months, inducing immune cell death and a state of inflammation.

"With rapid lymphatic drainage," the scientists continue, "we observed that macrophages mainly capture the ink in the lymph nodes. An initial local and systemic inflammatory reaction follows after the ink is captured'. The inflammation is not entirely transient, but persists even after some time. "In particular, the inflammatory process is maintained over time, as we have observed clear signs of inflammation in the lymph nodes even months after the tattoo was created."

The effect on vaccine response

The ink would also weaken the antibody response to Pfizer and BioNTech's Covid vaccine in cases where the injection was administered on tattooed skin. Conversely, the same inflammation would appear to enhance responses to the flu vaccine.

'On the one hand,' the study states, 'we observed a reduced antibody response after vaccination with a SARS-CoV-2 vaccine. In contrast, we observed an enhanced response in the case of the influenza vaccine'.

There are tests on humans

"This work," the authors conclude, "represents the most extensive study to date on the effect of tattoo ink on the immune response and raises serious health concerns associated with this tattooing practice, and underlines the need for further research on the safety of tattoo inks.

The study - available on the website of the journal Pnas - does not show whether similar immune effects also occur in humans, as this has not yet been tested. But it does point to clear risks. The presence of ink pigments has long been documented in human lymph nodes. The results obtained in mice therefore suggest the need to investigate the presence of possible health risks with subsequent studies in humans and primates.

Previous studies

A 2024 Swedish study of almost 12,000 people found that tattooed people had a 21% higher risk of developing malignant lymphoma than non-tattooed people, with the strongest associations occurring in the first two years after tattooing and then more than a decade later.

A Danish study conducted on a population of twins published in January reported similar patterns. Tattooed participants had an increased risk of cancer, with even higher risks in subjects with large tattoos on the palm of the hand.

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