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Krittanawong C, Qadeer YK, Hayes RB, Wang Z, Thurston GD, Virani S, Lavie CJ. PM 2.5 and cardiovascular diseases: State-of-the-Art review. INTERNATIONAL JOURNAL OF CARDIOLOGY. CARDIOVASCULAR RISK AND PREVENTION 2023; 19:200217. [PMID: 37869561 PMCID: PMC10585625 DOI: 10.1016/j.ijcrp.2023.200217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 09/09/2023] [Accepted: 09/20/2023] [Indexed: 10/24/2023]
Abstract
Air pollution, especially exposure to particulate matter 2.5 (PM2.5), has been associated with an increase in morbidity and mortality around the world. Specifically, it seems that PM2.5 promotes the development of cardiovascular risk factors such as hypertension and atherosclerosis, while being associated with an increased risk of cardiovascular diseases, including myocardial infarction (MI), stroke, heart failure, and arrhythmias. In this review, we seek to elucidate the pathophysiological mechanisms by which exposure to PM2.5 can result in adverse cardiovascular outcomes, in addition to understanding the link between exposure to PM2.5 and cardiovascular events. It is hypothesized that PM2.5 functions via 3 mechanisms: increased oxidative stress, activation of the inflammatory pathway of the immune system, and stimulation of the autonomic nervous system which ultimately promote endothelial dysfunction, atherosclerosis, and systemic inflammation that can thus lead to cardiovascular events. It is important to note that the various cardiovascular associations of PM2.5 differ regarding the duration of exposure (short vs long) to PM2.5, the source of PM2.5, and regulations regarding air pollution in the area where PM2.5 is prominent. Current strategies to reduce PM2.5 exposure include personal strategies such as avoiding high PM2.5 areas such as highways or wearing masks outdoors, to governmental policies restricting the amount of PM2.5 produced by organizations. This review, by highlighting the significant impact between PM2.5 exposure and cardiovascular health will hopefully bring awareness and produce significant change regarding dealing with PM2.5 levels worldwide.
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Affiliation(s)
| | | | - Richard B. Hayes
- Division of Epidemiology, Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA
| | - Zhen Wang
- Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA
- Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| | - George D. Thurston
- Department of Environmental Medicine, New York University School of Medicine, Tuxedo, New York, USA
| | - Salim Virani
- Section of Cardiology, Baylor College of Medicine, Houston, TX, USA
- The Aga Khan University, Karachi, Pakistan
| | - Carl J. Lavie
- John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, LA, USA
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Predictive and Preventive Mucosal Communications in Particulate Matter Exposure-Linked Renal Distress. J Pers Med 2021; 11:jpm11020118. [PMID: 33670188 PMCID: PMC7916923 DOI: 10.3390/jpm11020118] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 02/04/2021] [Accepted: 02/08/2021] [Indexed: 12/25/2022] Open
Abstract
Despite research into the epidemiological link between exposure to particulate matter (PM) and renal disorder, there is limited information available on the etiological complexity and molecular mechanisms. Among the early responsive tissues to PM exposure, the mucosal barrier of the airway and alimentary tract may be a crucial source of pathologic mediators leading to inflammatory renal diseases, including chronic kidney disease (CKD). Given that harmful responses and products in mucosa exposed to PM may enter the circulation and cause adverse outcomes in the kidney, the aim of the present review was to address the impact of PM exposure on the mucosal barrier and the vicious feedback cycle in the mucosal environment. In addition to the PM-induced alteration of mucosal barrier integrity, the microbial community has a pivotal role in the xenobiotic metabolism and individual susceptibility to PM toxicity. The dysbiosis-induced deleterious metabolites of PM and nutrients are introduced systemically via a disrupted mucosal barrier, contributing to renal injuries and pathologic severity. In contrast, the progress of mucosa-associated renal disease is counteracted by endogenous protective responses in the mucosa. Along with direct elimination of the toxic mediators, modulators of the mucosal microbial community should provide a promising platform for mucosa-based personalized interventions against renal disorders caused by air pollution.
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Mazuryk O, Stochel G, Brindell M. Variations in Reactive Oxygen Species Generation by Urban Airborne Particulate Matter in Lung Epithelial Cells-Impact of Inorganic Fraction. Front Chem 2021; 8:581752. [PMID: 33392147 PMCID: PMC7773840 DOI: 10.3389/fchem.2020.581752] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Accepted: 11/03/2020] [Indexed: 11/23/2022] Open
Abstract
Air pollution is associated with numerous negative effects on human health. The toxicity of organic components of air pollution is well-recognized, while the impact of their inorganic counterparts in the overall toxicity is still a matter of various discussions. The influence of airborne particulate matter (PM) and their inorganic components on biological function of human alveolar-like epithelial cells (A549) was investigated in vitro. A novel treatment protocol based on covering culture plates with PM allowed increasing the studied pollutant concentrations and prolonging their incubation time without cell exposure on physical suffocation and mechanical disturbance. PM decreased the viability of A549 cells and disrupted their mitochondrial membrane potential and calcium homeostasis. For the first time, the difference in the reactive oxygen species (ROS) profiles generated by organic and inorganic counterparts of PM was shown. Singlet oxygen generation was observed only after treatment of cells with inorganic fraction of PM, while hydrogen peroxide, hydroxyl radical, and superoxide anion radical were induced after exposure of A549 cells to both PM and their inorganic fraction.
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Affiliation(s)
- Olga Mazuryk
- Faculty of Chemistry, Jagiellonian University, Kraków, Poland
| | - Grazyna Stochel
- Faculty of Chemistry, Jagiellonian University, Kraków, Poland
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Mazidi M, Speakman JR. Impact of Obesity and Ozone on the Association Between Particulate Air Pollution and Cardiovascular Disease and Stroke Mortality Among US Adults. J Am Heart Assoc 2018; 7:JAHA.117.008006. [PMID: 29848499 PMCID: PMC6015356 DOI: 10.1161/jaha.117.008006] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background Cardiovascular diseases (CVDs) and stroke are the highest and third highest causes of death, respectively, in the whole United States. It is well established that both long‐ and short‐term exposure to particulate air pollution (particulate matter with diameters <2.5 μm [PM2.5]) increases the risks of both CVD and stroke mortality. Methods and Results We combined county‐level data for CVD and stroke mortality, and prevalence of hypertension and obesity, with spatial patterns of PM2.5 and ozone in a cross‐sectional ecological study. We found significant positive associations between both CVD (β=15.4, P<0.001) and stroke (β=2.7, P<0.001) mortality with PM2.5. Ozone had significant link with just CVD (β=1372.1, P<0.001). Once poverty, ethnicity, and education were taken into account, there were still significant positive associations between PM2.5 and both CVD (β=1.2, P<0.001) and stroke (β=1.1, P<0.001) mortality. Moreover, the association between CVD and ozone remained after adjustment for these factors (β=21.8, P<0.001). PM2.5 and ozone were independent risk factors. The impact of PM2.5 on CVD and stroke mortality was strongly dependent on the prevalence of obesity. Hypertension partially mediated the associations of PM2.5 and mortality from CVD and stroke. Conclusions There was a spatial association between PM2.5 exposure and the leading causes of death and disability in United States. The effect of PM2.5 was considerably greater in areas where obesity is more prevalent. Hypertension is a possible mediator of the association of PM2.5 and both CVD and stroke.
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Affiliation(s)
- Mohsen Mazidi
- State Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Chaoyang Beijing, China.,University of the Chinese Academy of Sciences, Beijing, China
| | - John R Speakman
- State Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Chaoyang Beijing, China .,Institute of Biological and Environmental Science, University of Aberdeen, Scotland, United Kingdom
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Deweirdt J, Quignard JF, Crobeddu B, Baeza-Squiban A, Sciare J, Courtois A, Lacomme S, Gontier E, Muller B, Savineau JP, Marthan R, Guibert C, Baudrimont I. Involvement of oxidative stress and calcium signaling in airborne particulate matter - induced damages in human pulmonary artery endothelial cells. Toxicol In Vitro 2017; 45:340-350. [PMID: 28688989 DOI: 10.1016/j.tiv.2017.07.001] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2017] [Revised: 06/19/2017] [Accepted: 07/04/2017] [Indexed: 11/30/2022]
Abstract
Recent studies have revealed that particulate matter (PM) exert deleterious effects on vascular function. Pulmonary artery endothelial cells (HPAEC), which are involved in the vasomotricity regulation, can be a direct target of inhaled particles. Modifications in calcium homeostasis and oxidative stress are critical events involved in the physiopathology of vascular diseases. The objectives of this study were to assess the effects of PM2.5 on oxidative stress and calcium signaling in HPAEC. Different endpoints were studied, (i) intrinsic and intracellular production of reactive oxygen species (ROS) by the H2DCF-DA probe, (ii) intrinsic, intracellular and mitochondrial production of superoxide anion (O2-) by electronic paramagnetic resonance spectroscopy and MitoSOX probe, (iii) reactive nitrosative species (RNS) production by Griess reaction, and (vi) calcium signaling by the Fluo-4 probe. In acellular conditions, PM2.5 leads to an intrinsic free radical production (ROS, O2-) and a 4h-exposure to PM2.5 (5-15μg/cm2), induced, in HPAEC, an increase of RNS, of global ROS and of cytoplasmic and mitochondrial O2- levels. The basal intracellular calcium ion level [Ca2+]i was also increased after 4h-exposure to PM2.5 and a pre-treatment with superoxide dismutase and catalase significantly reduced this response. This study provides evidence that the alteration of intracellular calcium homeostasis induced by PM2.5 is closely correlated to an increase of oxidative stress.
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Affiliation(s)
- J Deweirdt
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France
| | - J F Quignard
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France
| | - B Crobeddu
- Université Paris Diderot, Sorbonne Paris Cité, Unit of Functional and Adaptive Biology (BFA) UMR 8251 CNRS, F-75205 Paris, France
| | - A Baeza-Squiban
- Université Paris Diderot, Sorbonne Paris Cité, Unit of Functional and Adaptive Biology (BFA) UMR 8251 CNRS, F-75205 Paris, France
| | - J Sciare
- Laboratoire des Sciences du Climat et de l'Environnement (LSCE), CEA-CNRS, Centre de Saclay, F-91190 Gif sur Yvette, France; Energy Environment Water Research Center, The Cyprus Institute, 2121 Nicosia, Cyprus
| | - A Courtois
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Centre Hospitalier Universitaire de Bordeaux, Centre AntiPoison et de Toxicovigilance d'Aquitaine et de Poitou Charente et Service d'Exploration Fonctionnelle Respiratoire, Place Amélie Raba Léon, Bordeaux F-33076, France
| | - S Lacomme
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Bordeaux Imaging Center UMS 3420 CNRS - US4 INSERM, Pôle d'imagerie électronique, 146, rue Léo Saignat, Bordeaux F-33076, France
| | - E Gontier
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Bordeaux Imaging Center UMS 3420 CNRS - US4 INSERM, Pôle d'imagerie électronique, 146, rue Léo Saignat, Bordeaux F-33076, France
| | - B Muller
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France
| | - J P Savineau
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France
| | - R Marthan
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Centre Hospitalier Universitaire de Bordeaux, Centre AntiPoison et de Toxicovigilance d'Aquitaine et de Poitou Charente et Service d'Exploration Fonctionnelle Respiratoire, Place Amélie Raba Léon, Bordeaux F-33076, France
| | - C Guibert
- Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France
| | - I Baudrimont
- Université de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France; Inserm U1045, Centre de Recherche Cardio-Thoracique de Bordeaux, 146, rue Léo Saignat, Bordeaux F-33076, France.
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Yang L, Wang WC, Lung SCC, Sun Z, Chen C, Chen JK, Zou Q, Lin YH, Lin CH. Polycyclic aromatic hydrocarbons are associated with increased risk of chronic obstructive pulmonary disease during haze events in China. THE SCIENCE OF THE TOTAL ENVIRONMENT 2017; 574:1649-1658. [PMID: 27614859 DOI: 10.1016/j.scitotenv.2016.08.211] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2016] [Revised: 07/28/2016] [Accepted: 08/31/2016] [Indexed: 06/06/2023]
Abstract
Although exposure to particulate matter with a diameter of <2.5μm (PM2.5) is associated with chronic obstructive pulmonary disease (COPD), the major components of PM2.5 in COPD pathogenesis are controversial. Here we employed the human lung epithelial cell line BEAS-2B to elucidate the association between COPD and the organic and water-soluble components of PM2.5. We found that the PM2.5 organic extract was a potential major risk factor for pulmonary epithelial barrier dysfunction through the depletion of proteins from the zonula occludens. This extract induced severe oxidative stress that increased DNA damage and the production of proinflammatory cytokines by BEAS-2B cells as well as decreased α1-antitrypsin expression, suggesting a mechanism that increases the risk of COPD. These effects were mainly mediated by polycyclic aromatic hydrocarbons (PAHs) through the aryl hydrocarbon receptor pathway. PAHs with high benzo(a)pyrene (BaP)-equivalent concentrations, but not major PAH components, have an increased risk of causing COPD, suggesting that BaP-equivalent concentrations represent a PM2.5-induced COPD risk metric, which may contribute to provide a rationale for the remediation of air pollution.
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Affiliation(s)
- Lingyan Yang
- Key Laboratory of Nano-Bio Interface, Division of Nanobiomedicine, Suzhou Institute of Nano-Tech and Nano-Bionics, Chinese Academy of Sciences, Suzhou 215123, China
| | - Wen-Cheng Wang
- Research Center for Environmental Changes, Academia Sinica, Taipei 11529, Taiwan
| | | | - Zhelin Sun
- Key Laboratory of Nano-Bio Interface, Division of Nanobiomedicine, Suzhou Institute of Nano-Tech and Nano-Bionics, Chinese Academy of Sciences, Suzhou 215123, China
| | - Chongjun Chen
- School of Environmental Science and Engineering, Suzhou University of Science and Technology, Suzhou 215009, China
| | - Jen-Kun Chen
- Institute of Biomedical Engineering & Nanomedicine, National Health Research Institutes, Miaoli 35053, Taiwan
| | - Qiang Zou
- Suzhou Environmental Monitor Center, Suzhou 215004, China
| | - Yu-Hsin Lin
- Department of Food and Beverage Management, Taipei College of Maritime Technology, Taipei 11174, Taiwan
| | - Chia-Hua Lin
- Department of Biotechnology, National Formosa University, Yunlin 63208, Taiwan.
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Barrier M, Bégorre MA, Baudrimont I, Dubois M, Freund-Michel V, Marthan R, Savineau JP, Muller B, Courtois A. Involvement of Heme Oxygenase-1 in particulate matter-induced impairment of NO-dependent relaxation in rat intralobar pulmonary arteries. Toxicol In Vitro 2016; 32:205-11. [DOI: 10.1016/j.tiv.2016.01.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2015] [Revised: 12/06/2015] [Accepted: 01/07/2016] [Indexed: 12/12/2022]
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Du Y, Xu X, Chu M, Guo Y, Wang J. Air particulate matter and cardiovascular disease: the epidemiological, biomedical and clinical evidence. J Thorac Dis 2016; 8:E8-E19. [PMID: 26904258 DOI: 10.3978/j.issn.2072-1439.2015.11.37] [Citation(s) in RCA: 159] [Impact Index Per Article: 19.9] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Air pollution is now becoming an independent risk factor for cardiovascular morbidity and mortality. Numerous epidemiological, biomedical and clinical studies indicate that ambient particulate matter (PM) in air pollution is strongly associated with increased cardiovascular disease such as myocardial infarction (MI), cardiac arrhythmias, ischemic stroke, vascular dysfunction, hypertension and atherosclerosis. The molecular mechanisms for PM-caused cardiovascular disease include directly toxicity to cardiovascular system or indirectly injury by inducing systemic inflammation and oxidative stress in peripheral circulation. Here, we review the linking between PM exposure and the occurrence of cardiovascular disease and discussed the possible underlying mechanisms for the observed PM induced increases in cardiovascular morbidity and mortality.
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Affiliation(s)
- Yixing Du
- 1 Department of Gerontology, 2 Department of Neurology, 3 Department of Thoracic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Xiaohan Xu
- 1 Department of Gerontology, 2 Department of Neurology, 3 Department of Thoracic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Ming Chu
- 1 Department of Gerontology, 2 Department of Neurology, 3 Department of Thoracic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Yan Guo
- 1 Department of Gerontology, 2 Department of Neurology, 3 Department of Thoracic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - Junhong Wang
- 1 Department of Gerontology, 2 Department of Neurology, 3 Department of Thoracic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
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