Ambient particulate air pollution, heart rate variability, and blood markers of inflammation in a panel of elderly subjects

Epidemiologic studies report associations between particulate air pollution and cardiopulmonary morbidity and mortality. Although the underlying pathophysiologic mechanisms remain unclear, it has been hypothesized that altered autonomic function and pulmonary/systemic inflammation may play a role. In this study we explored the effects of air pollution on autonomic function measured by changes in heart rate variability (HRV) and blood markers of inflammation in a panel of 88 elderly subjects from three communities along the Wasatch Front in Utah. Subjects participated in multiple sessions of 24-hr ambulatory electrocardiographic monitoring and blood tests. Regression analysis was used to evaluate associations between fine particulate matter [aerodynamic diameter less than or equal to 2.5 microm (PM2.5)] and HRV, C-reactive protein (CRP), blood cell counts, and whole blood viscosity. A 100- microg/m3 increase in PM2.5 was associated with approximately a 35 (SE = 8)-msec decline in standard deviation of all normal R-R intervals (SDNN, a measure of overall HRV); a 42 (SE = 11)-msec decline in square root of the mean of the squared differences between adjacent normal R-R intervals (r-MSSD, an estimate of short-term components of HRV); and a 0.81 (SE = 0.17)-mg/dL increase in CRP. The PM2.5-HRV associations were reasonably consistent and statistically robust, but the CRP association dropped to 0.19 (SE = 0.10) after excluding the most influential subject. PM2.5 was not significantly associated with white or red blood cell counts, platelets, or whole-blood viscosity. Most short-term variability in temporal deviations of HRV and CRP was not explained by PM2.5; however, the small statistically significant associations that were observed suggest that exposure to PM2.5 may be one of multiple factors that influence HRV and CRP.

PM source apportionment and health effects: 1. Intercomparison of source apportionment results

During the past three decades, receptor models have been used to identify and apportion ambient concentrations to sources. A number of groups are employing these methods to provide input into air quality management planning. A workshop has explored the use of resolved source contributions in health effects models. Multiple groups have analyzed particulate composition data sets from Washington, DC and Phoenix, AZ. Similar source profiles were extracted from these data sets by the investigators using different factor analysis methods. There was good agreement among the major resolved source types. Crustal (soil), sulfate, oil, and salt were the sources that were most unambiguously identified (generally highest correlation across the sites). Traffic and vegetative burning showed considerable variability among the results with variability in the ability of the methods to partition the motor vehicle contributions between gasoline and diesel vehicles. However, if the total motor vehicle contributions are estimated, good correspondence was obtained among the results. The source impacts were especially similar across various analyses for the larger mass contributors (e.g., in Washington, secondary sulfate SE=7% and 11% for traffic; in Phoenix, secondary sulfate SE=17% and 7% for traffic). Especially important for time-series health effects assessment, the source-specific impacts were found to be highly correlated across analysis methods/researchers for the major components (e.g., mean analysis to analysis correlation, r>0.9 for traffic and secondary sulfates in Phoenix and for traffic and secondary nitrates in Washington. The sulfate mean r value is >0.75 in Washington.). Overall, although these intercomparisons suggest areas where further research is needed (e.g., better division of traffic emissions between diesel and gasoline vehicles), they provide support the contention that PM(2.5) mass source apportionment results are consistent across users and methods, and that today's source apportionment methods are robust enough for application to PM(2.5) health effects assessments.

Acute exposure to environmental tobacco smoke and heart rate variability

Environmental tobacco smoke (ETS) has been associated with cardiovascular mortality. Pathophysiologic pathways leading from ETS exposure to cardiopulmonary disease are still being explored. Reduced cardiac autonomic function, as measured by heart rate variability (HRV), has been associated with cardiac vulnerability and may represent an important pathophysiologic mechanism linking ETS and risk of cardiac mortality. In this study we evaluated acute ETS exposure in a commercial airport with changes in HRV in 16 adult nonsmokers. We conducted ambulatory electrocardiographic (ECG) monitoring for 8-hr periods while participants alternated 2 hr in nonsmoking and smoking areas. Nicotine and respirable suspended particle concentrations and participants' blood oxygen saturation were also monitored. We calculated time and frequency domain measures of HRV for periods in and out of the smoking area, and we evaluated associations with ETS using comparative statistics and regression modeling. ETS exposure was negatively associated with all measures of HRV. During exposure periods, we observed an average decrement of approximately 12% in the standard deviation of all normal-to-normal heart beat intervals (an estimate of overall HRV). ETS exposures were not associated with mean heart rate or blood oxygen saturation. Altered cardiac autonomic function, assessed by decrements in HRV, is associated with acute exposure to ETS and may be part of the pathophysiologic mechanisms linking ETS exposure and increased cardiac vulnerability.

Workgroup report: workshop on source apportionment of particulate matter health effects--intercomparison of results and implications

Although the association between exposure to ambient fine particulate matter with aerodynamic diameter < 2.5 microm (PM2.5) and human mortality is well established, the most responsible particle types/sources are not yet certain. In May 2003, the U.S. Environmental Protection Agency's Particulate Matter Centers Program sponsored the Workshop on the Source Apportionment of PM Health Effects. The goal was to evaluate the consistency of the various source apportionment methods in assessing source contributions to daily PM2.5 mass-mortality associations. Seven research institutions, using varying methods, participated in the estimation of source apportionments of PM2.5 mass samples collected in Washington, DC, and Phoenix, Arizona, USA. Apportionments were evaluated for their respective associations with mortality using Poisson regressions, allowing a comparative assessment of the extent to which variations in the apportionments contributed to variability in the source-specific mortality results. The various research groups generally identified the same major source types, each with similar elemental makeups. Intergroup correlation analyses indicated that soil-, sulfate-, residual oil-, and salt-associated mass were most unambiguously identified by various methods, whereas vegetative burning and traffic were less consistent. Aggregate source-specific mortality relative risk (RR) estimate confidence intervals overlapped each other, but the sulfate-related PM2.5 component was most consistently significant across analyses in these cities. Analyses indicated that source types were a significant predictor of RR, whereas apportionment group differences were not. Variations in the source apportionments added only some 15% to the mortality regression uncertainties. These results provide supportive evidence that existing PM2.5 source apportionment methods can be used to derive reliable insights into the source components that contribute to PM2.5 health effects.

Binding of the Triton X series of nonionic surfactants to bovine serum albumin

The binding of a series of Triton X nonionic surfactants (NIS) tobivine serum albumin (BSA) has been studied by equilibrium dialysis and titration calorimetry. At pH 7.0, Triton X molecules bind to two classes of sites, the first 2 molecules binding with positive cooperativity to high-affinity sites following by the binding of approximately 15 additional molecules to lower affinity, thermodynamically identical, and independent sites. The strength of the binding decreases as the number of oxyethylene units is increased in the surfactants Triton X-114, X-100, X-102, and X-165. Calorimetric measurements show the enthalpy change for the NIS-BSA interaction to be small and endothermic. Increasing the hydrophilic oxyethylene chain length results in a more endothermic enthalpy change and a smaller association constant. Electron spin resonance studies of Triton X binding to BSA, covalently spin-labeled with N-(2,2,6,6-tetramethyl-piperidinyl-1-oxy)maleimide, indicated that the protein conformation in the vicinity of the labeled sulfhydryl was insensitive to NIS binding from dilute monomeric solutions. Calorimetric experiments near the critical micelle concentration indicate, however, that the protein probably undergoes a conformational change associated with the population of the lower affinity NIS binding sites.

Kinetics of drug decomposition by heat conduction calorimetry

The application of heat conduction calorimetry to the determination of decomposition mechanisms and rates for drugs is shown to be a rapid and generally useful method. The application of the method to determine the nature of the decomposition reaction, sources of systematic errors in the method, the equations relating the calorimetric signal to the kinetics of the reaction, and some examples of results are presented and discussed.

PM source apportionment and health effects. 3. Investigation of inter-method variations in associations between estimated source contributions of PM2.5 and daily mortality in Phoenix, AZ

As part of an EPA-sponsored workshop to investigate the use of source apportionment in health effects analyses, the associations between the participant's estimated source contributions of PM(2.5) for Phoenix, AZ for the period from 1995-1997 and cardiovascular and total nonaccidental mortality were analyzed using Poisson generalized linear models (GLM). The base model controlled for extreme temperatures, relative humidity, day of week, and time trends using natural spline smoothers. The same mortality model was applied to all of the apportionment results to provide a consistent comparison across source components and investigators/methods. Of the apportioned anthropogenic PM(2.5) source categories, secondary sulfate, traffic, and copper smelter-derived particles were most consistently associated with cardiovascular mortality. The sources with the largest cardiovascular mortality effect size were secondary sulfate (median estimate=16.0% per 5th-to-95th percentile increment at lag 0 day among eight investigators/methods) and traffic (median estimate=13.2% per 5th-to-95th percentile increment at lag 1 day among nine investigators/methods). For total mortality, the associations were weaker. Sea salt was also found to be associated with both total and cardiovascular mortality, but at 5 days lag. Fine particle soil and biomass burning factors were not associated with increased risks. Variations in the maximum effect lag varied by source category suggesting that past analyses considering only single lags of PM(2.5) may have underestimated health impact contributions at different lags. Further research is needed on the possibility that different PM(2.5) source components may have different effect lag structure. There was considerable consistency in the health effects results across source apportionments in their effect estimates and their lag structures. Variations in results across investigators/methods were small compared to the variations across source categories. These results indicate reproducibility of source apportionment results across investigative groups and support applicability of these methods to effects studies. However, future research will also need to investigate a number of other important issues including accuracy of results.

Dimethyl and monomethyl sulfate: presence in coal fly ash and airborne particulate matter

Dimethyl sulfate and its hydrolysis product monomethyl sulfate have been found at concentrations as high as 830 parts per million in fly ash and in airborne particulate matter from coal combustion processes. This discovery poses a new environmental problem because of the mutagenic and carcinogenic properties of these compounds.

Aerosol measurement: the use of optical light scattering for the determination of particulate size distribution, and particulate mass, including the semi-volatile fraction

The GRIMM model 1.107 monitor is designed to measure particle size distribution and particulate mass based on a light scattering measurement of individual particles in the sampled air. The design and operation of the instrument are described. Protocols used to convert the measured size number distribution to a mass concentration consistent with U.S. Environmental Protection Agency protocols for measuring particulate matter (PM) less than 10 microm (PM10) and less than 2.5 microm (PM2.5) in aerodynamic diameter are described. The performance of the resulting continuous monitor has been evaluated by comparing GRIMM monitor PM2.5 measurements with results obtained by the Rupprecht and Patashnick Co. (R&P) filter dynamic measurement system (FDMS). Data were obtained during month-long studies in Rubidoux, CA, in July 2003 and in Fresno, CA, in December 2003. The results indicate that the GRIMM monitor does respond to total PM2.5 mass, including the semi-volatile components, giving results comparable to the FDMS. The data also indicate that the monitor can be used to estimate water content of the fine particles. However, if the inlet to the monitor is heated, then the instrument measures only the nonvolatile material, more comparable to results obtained with a conventional heated filter tapered element oscillating microbalance (TEOM) monitor. A recent modification of the model 180, with a Nafion dryer at the inlet, measures total PM2.5 including the nonvolatile and semi-volatile components, but excluding fine particulate water. Model 180 was in agreement with FDMS data obtained in Lindon, UT, during January through February 2007.

Shelf-life prediction from induction period calorimetric measurements on materials undergoing autocatalytic decomposition

The shelf- or use-life of a material which decomposes by an autocatalytic reaction is shown to be inversely proportional to the rate of heat generation during the induction period of the degradation reaction. Calorimetric measurement of the rate of heat generation during the induction period takes only a few hours. It can often be done at or very near the actual storage or use temperature of the material. Measurements on Lovastatin (2-methylbutanoic acid 1,2,3,7,8,8a-hexahydro-3,7-dimethyl-8-[2-(tetrahydro-4-hydroxy-6-oxo-2H-pyran-2-yl)ethyl]-1-naphthalenylester) are used as an example of this application. Keywords: autocatalytic, calorimetry, oxidation, decomposition, Lovastatin, Mevacor.

PM source apportionment and health effects: 2. An investigation of intermethod variability in associations between source-apportioned fine particle mass and daily mortality in Washington, DC

Source apportionment may be useful in epidemiological investigation of PM health effects, but variations and options in these methods leave uncertainties. An EPA-sponsored workshop investigated source apportionment and health effects analyses by examining the associations between daily mortality and the investigators' estimated source-apportioned PM(2.5) for Washington, DC for 1988-1997. A Poisson Generalized Linear Model (GLM) was used to estimate source-specific relative risks at lags 0-4 days for total non-accidental, cardiovascular, and cardiorespiratory mortality adjusting for weather, seasonal/temporal trends, and day-of-week. Source-related effect estimates and their lagged association patterns were similar across investigators/methods. The varying lag structure of associations across source types, combined with the Wednesday/Saturday sampling frequency made it difficult to compare the source-specific effect sizes in a simple manner. The largest (and most significant) percent excess deaths per 5-95(th) percentile increment of apportioned PM(2.5) for total mortality was for secondary sulfate (variance-weighted mean percent excess mortality=6.7% (95% CI: 1.7, 11.7)), but with a peculiar lag structure (lag 3 day). Primary coal-related PM(2.5) (only three teams) was similarly significantly associated with total mortality with the same 3-day lag as sulfate. Risk estimates for traffic-related PM(2.5), while significant in some cases, were more variable. Soil-related PM showed smaller effect size estimates, but they were more consistently positive at multiple lags. The cardiovascular and cardiorespiratory mortality associations were generally similar to those for total mortality. Alternative weather models generally gave similar patterns, but sometimes affected the lag structure (e.g., for sulfate). Overall, the variations in relative risks across investigators/methods were found to be much smaller than those across estimated source types or across lag days for these data. This consistency suggests the robustness of the source apportionment in health effects analyses, but remaining issues, including accuracy of source apportionment and source-specific sensitivity to weather models, need to be investigated.

Apportionment of primary and secondary organic aerosols in southern California during the 2005 study of organic aerosols in riverside (SOAR-1)

Ambient sampling was conducted in Riverside, California during the 2005 Study of Organic Aerosols in Riverside to characterize the composition and sources of organic aerosol using a variety of state-of-the-art instrumentation and source apportionmenttechniques. The secondary organic aerosol (SOA) mass is estimated by elemental carbon and carbon monoxide tracer methods, water soluble organic carbon content, chemical mass balance of organic molecular markers, and positive matrix factorization of high-resolution aerosol mass spectrometer data. Estimates obtained from each ofthese methods indicate that the organic fraction in ambient aerosol is overwhelmingly secondary in nature during a period of several weeks with moderate ozone concentrations and that SOA is the single largest component of PM1 aerosol in Riverside. Average SOA/OA contributions of 70-90% were observed during midday periods, whereas minimum SOA contributions of approximately 45% were observed during peak morning traffic periods. These results are contraryto previous estimates of SOAthroughout the Los Angeles Basin which reported that, other than during severe photochemical smog episodes, SOA was lower than primary OA. Possible reasons for these differences are discussed.

Vascular function and short-term exposure to fine particulate air pollution

Exposure to fine particulate air pollution has been implicated as a risk factor for cardiopulmonary disease and mortality. Proposed biological pathways imply that particle-induced pulmonary and systemic inflammation play a role in activating the vascular endothelium and altering vascular function. Potential effects of fine particulate pollution on vascular function are explored using controlled chamber exposure and uncontrolled ambient exposure. Research subjects included four panels with a total of 26 healthy nonsmoking young adults. On two study visits, at least 7 days apart, subjects spent 3 hr in a controlled-exposure chamber exposed to 150-200 microg/m3 of fine particles generated from coal or wood combustion and 3 hr in a clean room, with exposure and nonexposure periods alternated between visits. Baseline, postexposure, and post-clean room reactive hyperemia-peripheral arterial tonometry (RH-PAT) was conducted. A microvascular responsiveness index, defined as the log of the RH-PAT ratio, was calculated. There was no contemporaneous vascular response to the few hours of controlled exposure. Declines in vascular response were associated with elevated ambient exposures for the previous 2 days, especially for female subjects. Cumulative exposure to real-life fine particulate pollution may affect vascular function. More research is needed to determine the roles of age and gender, the effect of pollution sources, the importance of cumulative exposure over a few days versus a few hours, and the lag time between exposure and response.