The wide use of nano‑titanium dioxide (nano-TiO2) and its ubiquitous emission into aquatic environments are threatening environmental health. Ambient temperature can affect the aggregation state of nano-TiO2 in seawater, thus influencing the intake and physiological effects on marine species. We studied the physiological effects of mixed nano-TiO2 (a mixture of anatase and rutile crystals with an average particle size of 25 nm, P25) on mussels. Subsequently, we investigated the oxidative stress, immunotoxicity, neurotoxicity, and detoxification in Mytilus coruscus exposed to two different crystal structures of nano-TiO2 (anatase and rutile) at 100 μg/L concentration under marine heatwaves (MHWs, 28 °C). MHWs and nano-TiO2 exposure induced neurotoxicity and immune damage and caused dysregulation of redox balance in the gills. Moreover, MHWs exposure disturbed the glutathione system and detoxification function of mussels, resulting in enhanced toxicity of nano-TiO2 under co-exposure. Anatase exposure significantly impaired the antioxidant system and downregulated the relative expression of antioxidant-related genes (Nrf2 and Bcl-2), HSP-90, and immune parameters under MHWs, while producing higher ROS levels compared to rutile. Based on integrated biomarker response (IBR), mussels co-exposed to anatase and MHW showed the highest value (19.29). However, there was no significant difference in bioaccumulation of titanium between anatase (6.07 ± 0.47 μg/g) and rutile (5.3 ± 0.44 μg/g) exposures under MHWs. These results indicate that MHWs would elevate the potential hazard of nanoparticles to marine organisms.
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