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Karim N, Hod R, Wahab MIA, Ahmad N. Projecting non-communicable diseases attributable to air pollution in the climate change era: a systematic review. BMJ Open 2024; 14:e079826. [PMID: 38719294 PMCID: PMC11086555 DOI: 10.1136/bmjopen-2023-079826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 04/16/2024] [Indexed: 05/12/2024] Open
Abstract
OBJECTIVES Climate change is a major global issue with significant consequences, including effects on air quality and human well-being. This review investigated the projection of non-communicable diseases (NCDs) attributable to air pollution under different climate change scenarios. DESIGN This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 flow checklist. A population-exposure-outcome framework was established. Population referred to the general global population of all ages, the exposure of interest was air pollution and its projection, and the outcome was the occurrence of NCDs attributable to air pollution and burden of disease (BoD) based on the health indices of mortality, morbidity, disability-adjusted life years, years of life lost and years lived with disability. DATA SOURCES The Web of Science, Ovid MEDLINE and EBSCOhost databases were searched for articles published from 2005 to 2023. ELIGIBILITY CRITERIA FOR SELECTING STUDIES The eligible articles were evaluated using the modified scale of a checklist for assessing the quality of ecological studies. DATA EXTRACTION AND SYNTHESIS Two reviewers searched, screened and selected the included studies independently using standardised methods. The risk of bias was assessed using the modified scale of a checklist for ecological studies. The results were summarised based on the projection of the BoD of NCDs attributable to air pollution. RESULTS This review included 11 studies from various countries. Most studies specifically investigated various air pollutants, specifically particulate matter <2.5 µm (PM2.5), nitrogen oxides and ozone. The studies used coupled-air quality and climate modelling approaches, and mainly projected health effects using the concentration-response function model. The NCDs attributable to air pollution included cardiovascular disease (CVD), respiratory disease, stroke, ischaemic heart disease, coronary heart disease and lower respiratory infections. Notably, the BoD of NCDs attributable to air pollution was projected to decrease in a scenario that promotes reduced air pollution, carbon emissions and land use and sustainable socioeconomics. Contrastingly, the BoD of NCDs was projected to increase in a scenario involving increasing population numbers, social deprivation and an ageing population. CONCLUSION The included studies widely reported increased premature mortality, CVD and respiratory disease attributable to PM2.5. Future NCD projection studies should consider emission and population changes in projecting the BoD of NCDs attributable to air pollution in the climate change era. PROSPERO REGISTRATION NUMBER CRD42023435288.
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Affiliation(s)
- Norhafizah Karim
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala lumpur, Malaysia
| | - Rozita Hod
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala lumpur, Malaysia
| | - Muhammad Ikram A Wahab
- Center of Toxicology and Health Risk Studies (CORE), Universiti Kebangsaan Malaysia Fakulti Sains Kesihatan, Kuala Lumpur, Wilayah Persekutuan, Malaysia
| | - Norfazilah Ahmad
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala lumpur, Malaysia
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Marchewka WM, Bryniarski KL, Marchewka JM, Popiołek I, Dębski G, Badacz R, Marchewka I, Podolec-Szczepara N, Jasiewicz-Honkisz B, Mikołajczyk TP, Guzik TJ. Sex-specific associations between the environmental exposures and low-grade inflammation and increased blood pressure in young, healthy subjects. Sci Rep 2024; 14:9588. [PMID: 38670971 PMCID: PMC11053153 DOI: 10.1038/s41598-024-59078-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 04/07/2024] [Indexed: 04/28/2024] Open
Abstract
Long-term exposures to environmental factors including airborne as well as noise pollutants, are associated with cardiovascular risk. However, the influence of environmental pollution on the young population is controversial. Accordingly, we aimed to investigate the relationships between long-term exposures to different environmental factors and major cardiovascular and inflammatory parameters and biomarkers in young, healthy subjects. Representative sample of permanent residents of two cities differing in air and noise pollution levels, aged 15-21 years, were recruited. Krakow and Lublin, both located in southern Poland, were chosen in relation to their similarities in demographic and geopolitical characteristics, but differences in air pollution (higher in Krakow) and noise parameters (higher in Lublin). A total of 576 subjects were studied: 292 in Krakow and 284 in Lublin. All subjects underwent health questionnaire, blood pressure measurements and biomarker determinations. Inflammatory biomarkers, such as CRP, hs-CRP, fibrinogen as well as homocysteine were all significantly higher in subjects living in Krakow as opposed to subjects living in Lublin (for hsCRP: 0.52 (0.32-0.98) mg/l vs. 0.35 (0.22-0.67) mg/l; p < 0.001). Increased inflammatory biomarker levels were observed in Krakow in both male and female young adults. Interestingly, significant differences were observed in blood pressure between male and female subjects. Males from Krakow had significantly higher mean systolic blood pressure (127.7 ± 10.4 mm/Hg vs. 122.4 ± 13.0 mm/Hg; p = 0.001), pulse pressure (58.7 ± 8.9 mm/Hg vs. 51.4 ± 12.3 mm/Hg; p < 0.001) and lower heart rate (p < 0.001) as compared to males living in Lublin. This was not observed in young adult females. Long-term exposure to environmental factors related to the place of residence can significantly influence inflammatory and cardiovascular parameters, even in young individuals. Interestingly, among otherwise healthy young adults, blood pressure differences exhibited significant variations based on biological sex.
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Affiliation(s)
- Wojciech M Marchewka
- Department of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Skarbowa 1, 31-121, Krakow, Poland
- Department of Radiology and Imaging Science, 5th Military Hospital, Krakow, Poland
| | - Krzysztof L Bryniarski
- Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- Department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Jakub M Marchewka
- Department of Physiotherapy, University of Physical Education, Krakow, Poland
- Department of Orthopedics and Trauma Surgery, 5th Military Hospital, Krakow, Poland
| | - Iwona Popiołek
- Department of Toxicology and Environmental Diseases, Jagiellonian University Medical College, Krakow, Poland
| | - Grzegorz Dębski
- Department of Radiology and Imaging Science, 5th Military Hospital, Krakow, Poland
| | - Rafał Badacz
- Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
| | - Ida Marchewka
- Department of Ophthalmology, Ludwik Rydygier Memorial Specialized Hospital, Krakow, Poland
| | | | - Barbara Jasiewicz-Honkisz
- Department of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Skarbowa 1, 31-121, Krakow, Poland
| | - Tomasz P Mikołajczyk
- Department of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Skarbowa 1, 31-121, Krakow, Poland
- Center for Medical Genomics OMICRON, Jagiellonian University Medical College, Krakow, Poland
| | - Tomasz J Guzik
- Department of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Skarbowa 1, 31-121, Krakow, Poland.
- Center for Medical Genomics OMICRON, Jagiellonian University Medical College, Krakow, Poland.
- BHF Centre for Research Excellence, Centre for Cardiovascular Sciences, The University of Edinburgh, Edinburgh, UK.
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3
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Chan CC, Lin LY, Lai CH, Chuang KJ, Wu MT, Pan CH. Association of Particulate Matter from Cooking Oil Fumes with Heart Rate Variability and Oxidative Stress. Antioxidants (Basel) 2021; 10:antiox10081323. [PMID: 34439570 PMCID: PMC8389278 DOI: 10.3390/antiox10081323] [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: 06/29/2021] [Revised: 08/06/2021] [Accepted: 08/12/2021] [Indexed: 11/16/2022] Open
Abstract
Many studies have reported various cardiovascular autonomic responses to ambient particulate matter (PM) pollution, but few have reported such responses to occupational PM exposures. Even fewer have demonstrated a relationship between PM pollution and oxidative stress in humans. This panel study evaluates the association between occupational exposure to PM in cooking oil fumes (COFs), and changes in both heart rate variability (HRV) and oxidative stress responses in 54 male Chinese cooks. Linear mixed-effects regression models were adopted to estimate the strength of the association between PM and HRV. Participants’ pre- and post-workshift urine samples were analyzed for 8-hydroxy-2′-deoxyguanosine (8-OHdG) and malondialdehyde (MDA). Exposure to PM in COFs from 15 min to 2 h were associated with a decrease in HRV and an increase in heart rate among cooks. The urinary 8-OHdG levels of cooks were significantly elevated after workshift exposure to COFs. The levels of PM2.5, PM1.0, and particulate benzo(a)pyrene in COFs were all positively correlated with cross-workshift urinary 8-OHdG levels. Furthermore, the levels of benzo(a)pyrene in COFs were positively correlated with cross-workshift urinary MDA levels. The effects of COFs on HRV were independent of cross-workshift urinary 8-OHdG levels. Exposure to COFs leads to disturbed autonomic function and an increased risk of oxidative DNA injury among cooks in Chinese restaurants.
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Affiliation(s)
- Chang-Chuan Chan
- Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Taipei 10055, Taiwan;
| | - Lian-Yu Lin
- Department of Internal Medicine, College of Medicine, National Taiwan University Hospital, Taipei 10050, Taiwan;
| | - Ching-Huang Lai
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan;
| | - Kai-Jen Chuang
- School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11490, Taiwan;
- Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11490, Taiwan
| | - Ming-Tsang Wu
- Department of Public Health, College of Health Sciences, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 80787, Taiwan;
- Research Center for Environmental Medicine, Kaohsiung Medical University, 100 ShihChuan 1st Road, Kaohsiung 87087, Taiwan
- Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100, Tzyou 1st Road, Kaohsiung 80787, Taiwan
- Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80787, Taiwan
| | - Chih-Hong Pan
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan;
- Institute of Labor, Occupational Safety and Health, Ministry of Labor, New Taipei City 22143, Taiwan
- Correspondence: ; Tel.: +886-226-607-600 (ext. 7662); Fax: +886-226-607-731
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Reddy RC, Devaranavadagi B, Yendigeri SM, Bagali S, Kulkarni RV, Das KK. Effect of L-Ascorbic Acid on Nickel-Induced Alteration of Cardiovascular Pathophysiology in Wistar Rats. Biol Trace Elem Res 2020; 195:178-186. [PMID: 31338802 DOI: 10.1007/s12011-019-01829-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Accepted: 07/10/2019] [Indexed: 12/14/2022]
Abstract
Nickel, a widely used heavy metal is suspected as a cardiotoxic element. The aim of the present study was to assess the possible protective role of l-ascorbic acid on nickel-induced alterations of cardiovascular pathophysiology in male albino rats. Twenty-four albino rats (b.wt. 170-250 g) were randomized into four groups: control; l-ascorbic acid (50 mg/100 g b.wt., orally); NiSO4 (2.0 mg/100 g b.wt., i.p.); NiSO4 with l-ascorbic acid. Cardiovascular electrophysiology, serum and cardiac tissue malondialdehyde (MDA), nitric oxide (NO), ascorbic acid, serum α-tocopherol and serum vascular endothelial growth factor (VEGF) were evaluated. Histopathology of cardiac and aortic tissues was also assessed. NiSO4-treated rats showed a significant increase in heart rate, LF/HF ratio and blood pressure (SBP, DBP and MAP). A significant increase of serum MDA, NO and VEGF in NiSO4 treatment with a concomitant decrease of serum ascorbic acid and α-tocopherol as compared to their respective controls were also observed. Simultaneous supplementation of l-ascorbic acid with NiSO4 significantly decreased LF/HF ratio, BP and oxidative stress parameters, whereas ascorbic acid and α-tocopherol concentration was found to be increased. Histopathology of cardiac and aortic tissues showed nickel-induced focal myocardial hypertrophy and degeneration in cardiac tissue with focal aneurism in aortic tissues. Supplementation with l-ascorbic showed a protective action in both cardiac and aortic tissues. Results indicated the possible beneficial effect of l-ascorbic acid on nickel-induced alteration of the cardiovascular pathophysiology in experimental rats.
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Affiliation(s)
- R Chandramouli Reddy
- Department of Biochemistry, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, Karnataka, 586103, India
- Laboratory of Vascular Physiology and Medicine, Department of Physiology, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, Karnataka, 586103, India
| | - Basavaraj Devaranavadagi
- Department of Biochemistry, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, Karnataka, 586103, India
| | - Saeed M Yendigeri
- Department of Pathology, Al-Ameen Medical College, Vijayapura, Karnataka, 586108, India
| | - Shrilaxmi Bagali
- Laboratory of Vascular Physiology and Medicine, Department of Physiology, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, Karnataka, 586103, India
| | - Raghavendra V Kulkarni
- Department of Pharmaceutics & Pharmaceutical Technology, BLDEA's SSM College of Pharmacy & Research Centre, BLDE University Campus, Vijayapura, 586103, India
| | - Kusal K Das
- Laboratory of Vascular Physiology and Medicine, Department of Physiology, Shri B. M. Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, Karnataka, 586103, India.
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Hussain L, Awan IA, Aziz W, Saeed S, Ali A, Zeeshan F, Kwak KS. Detecting Congestive Heart Failure by Extracting Multimodal Features and Employing Machine Learning Techniques. BIOMED RESEARCH INTERNATIONAL 2020; 2020:4281243. [PMID: 32149106 PMCID: PMC7049402 DOI: 10.1155/2020/4281243] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 12/21/2019] [Accepted: 01/20/2020] [Indexed: 01/11/2023]
Abstract
The adaptability of heart to external and internal stimuli is reflected by the heart rate variability (HRV). Reduced HRV can be a predictor of negative cardiovascular outcomes. Based on the nonlinear, nonstationary, and highly complex dynamics of the controlling mechanism of the cardiovascular system, linear HRV measures have limited capability to accurately analyze the underlying dynamics. In this study, we propose an automated system to analyze HRV signals by extracting multimodal features to capture temporal, spectral, and complex dynamics. Robust machine learning techniques, such as support vector machine (SVM) with its kernel (linear, Gaussian, radial base function, and polynomial), decision tree (DT), k-nearest neighbor (KNN), and ensemble classifiers, were employed to evaluate the detection performance. Performance was evaluated in terms of specificity, sensitivity, positive predictive value (PPV), negative predictive value (NPV), and area under the receiver operating characteristic curve (AUC). The highest performance was obtained using SVM linear kernel (TA = 93.1%, AUC = 0.97, 95% CI [lower bound = 0.04, upper bound = 0.89]), followed by ensemble subspace discriminant (TA = 91.4%, AUC = 0.96, 95% CI [lower bound 0.07, upper bound = 0.81]) and SVM medium Gaussian kernel (TA = 90.5%, AUC = 0.95, 95% CI [lower bound = 0.07, upper bound = 0.86]). The results reveal that the proposed approach can provide an effective and computationally efficient tool for automatic detection of congestive heart failure patients.
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Affiliation(s)
- Lal Hussain
- Department of Computer Science & IT, The University of Azad Jammu and Kashmir, City Campus, 13100 Muzaffarabad, Azad Kashmir, Pakistan
| | - Imtiaz Ahmed Awan
- Department of Computer Science & IT, The University of Azad Jammu and Kashmir, City Campus, 13100 Muzaffarabad, Azad Kashmir, Pakistan
| | - Wajid Aziz
- Department of Computer Science & IT, The University of Azad Jammu and Kashmir, City Campus, 13100 Muzaffarabad, Azad Kashmir, Pakistan
- College of Computer Sciences and Engineering, University of Jeddah, Jeddah 21959, Saudi Arabia
| | - Sharjil Saeed
- Department of Computer Science & IT, The University of Azad Jammu and Kashmir, City Campus, 13100 Muzaffarabad, Azad Kashmir, Pakistan
| | - Amjad Ali
- Department of Computer Science, COMSATS University Islamabad, Lahore Campus, Lahore, Pakistan
| | - Farukh Zeeshan
- Department of Computer Science, COMSATS University Islamabad, Lahore Campus, Lahore, Pakistan
| | - Kyung Sup Kwak
- Department of Information and Communication Engineering, Inha University, Incheon, Republic of Korea
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Pinkerton KE, Chen CY, Mack SM, Upadhyay P, Wu CW, Yuan W. Cardiopulmonary Health Effects of Airborne Particulate Matter: Correlating Animal Toxicology to Human Epidemiology. Toxicol Pathol 2019; 47:954-961. [PMID: 31645209 DOI: 10.1177/0192623319879091] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The effects of particulate matter (PM) on cardiopulmonary health have been studied extensively over the past three decades. Particulate matter is the primary criteria air pollutant most commonly associated with adverse health effects on the cardiovascular and respiratory systems. The mechanisms by which PM exerts its effects are thought to be due to a variety of factors which may include, but are not limited to, concentration, duration of exposure, and age of exposed persons. Adverse effects of PM are strongly driven by their physicochemical properties, sites of deposition, and interactions with cells of the respiratory and cardiovascular systems. The direct translocation of particles, as well as neural and local inflammatory events, are primary drivers for the observed cardiopulmonary health effects. In this review, toxicological studies in animals, and clinical and epidemiological studies in humans are examined to demonstrate the importance of using all three approaches to better define potential mechanisms driving health outcomes upon exposure to airborne PM of diverse physicochemical compositions.
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Affiliation(s)
- Kent E Pinkerton
- Center for Health and the Environment, University of California, Davis, USA
| | - Chao-Yin Chen
- Department of Pharmacology, University of California, Davis, USA
| | - Savannah M Mack
- Center for Health and the Environment, University of California, Davis, USA
| | - Priya Upadhyay
- Center for Health and the Environment, University of California, Davis, USA
| | - Ching-Wen Wu
- Center for Health and the Environment, University of California, Davis, USA
| | - Wanjun Yuan
- Center for Health and the Environment, University of California, Davis, USA.,College of Environmental & Resource Sciences, Shanxi University, Taiyuan, Shanxi, China
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Schraufnagel DE, Balmes JR, Cowl CT, De Matteis S, Jung SH, Mortimer K, Perez-Padilla R, Rice MB, Riojas-Rodriguez H, Sood A, Thurston GD, To T, Vanker A, Wuebbles DJ. Air Pollution and Noncommunicable Diseases: A Review by the Forum of International Respiratory Societies' Environmental Committee, Part 2: Air Pollution and Organ Systems. Chest 2019; 155:417-426. [PMID: 30419237 PMCID: PMC6904854 DOI: 10.1016/j.chest.2018.10.041] [Citation(s) in RCA: 361] [Impact Index Per Article: 72.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 10/28/2018] [Accepted: 10/31/2018] [Indexed: 12/30/2022] Open
Abstract
Although air pollution is well known to be harmful to the lung and airways, it can also damage most other organ systems of the body. It is estimated that about 500,000 lung cancer deaths and 1.6 million COPD deaths can be attributed to air pollution, but air pollution may also account for 19% of all cardiovascular deaths and 21% of all stroke deaths. Air pollution has been linked to other malignancies, such as bladder cancer and childhood leukemia. Lung development in childhood is stymied with exposure to air pollutants, and poor lung development in children predicts lung impairment in adults. Air pollution is associated with reduced cognitive function and increased risk of dementia. Particulate matter in the air (particulate matter with an aerodynamic diameter < 2.5 μm) is associated with delayed psychomotor development and lower child intelligence. Studies link air pollution with diabetes mellitus prevalence, morbidity, and mortality. Pollution affects the immune system and is associated with allergic rhinitis, allergic sensitization, and autoimmunity. It is also associated with osteoporosis and bone fractures, conjunctivitis, dry eye disease, blepharitis, inflammatory bowel disease, increased intravascular coagulation, and decreased glomerular filtration rate. Atopic and urticarial skin disease, acne, and skin aging are linked to air pollution. Air pollution is controllable and, therefore, many of these adverse health effects can be prevented.
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Affiliation(s)
- Dean E Schraufnagel
- Pulmonary, Critical Care, Sleep and Allergy, University of Illinois at Chicago, Chicago, IL.
| | - John R Balmes
- Department of Medicine, University of California, San Francisco, Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA
| | - Clayton T Cowl
- Divisions of Preventive, Occupational, and Aerospace Medicine and Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN
| | - Sara De Matteis
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
| | - Soon-Hee Jung
- Department of Pathology, Wonju Colleage of Medicine, Yonsei University, Seoul, South Korea
| | - Kevin Mortimer
- Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| | | | - Mary B Rice
- Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | | | - Akshay Sood
- Pulmonary, Critical Care, and Sleep Medicine, University of New Mexico School of Medicine, Albuquerque, NM
| | - George D Thurston
- Departments of Environmental Medicine and Population Health, New York University School of Medicine, New York, NY
| | - Teresa To
- The Hospital for Sick Children, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Anessa Vanker
- Department of Paediatrics and Child Health & MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa
| | - Donald J Wuebbles
- School of Earth, Society, and Environment, Department of Atmospheric Sciences, University of Illinois, Urbana, IL
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Sun H, Liang M, Zheng N. An easily ignored factor for CAN-fine particulate exposure [Letter]. Diabetes Metab Syndr Obes 2019; 12:1275-1276. [PMID: 31534354 PMCID: PMC6682317 DOI: 10.2147/dmso.s219070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 07/16/2019] [Indexed: 11/23/2022] Open
Affiliation(s)
- Hua Sun
- Department of Endocrinology, The Affiliated Hospital of Beihua University, Jilin City, Jilin132011, People’s Republic of China
| | - Man Liang
- Department of Forensic Science, Tongji Medical College, Huazhong University of Science and Technology, Wuhan430030, Hubei, People’s Republic of China
| | - Na Zheng
- Department of Pathology, Health Science Center, Shen Zhen University, Shenzhen, Guangdong518066, People’s Republic of China
- Correspondence: Na ZhengDepartment of Pathology, Health Science Center, Shen Zhen University, Shenzhen518055, Shenzhen, People’s Republic of ChinaTel +86 1 831 644 8015Email
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Zhu J, Zhu LWS, Yang JH, Xu YL, Wang C, Li ZY, Mao W, Lu DZ. Proteomic analysis of human umbilical vein endothelial cells exposed to PM2.5. J Zhejiang Univ Sci B 2018. [DOI: 10.1631/jzus.b1700103] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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10
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Tobaldini E, Bollati V, Prado M, Fiorelli EM, Pecis M, Bissolotti G, Albetti B, Cantone L, Favero C, Cogliati C, Carrer P, Baccarelli A, Bertazzi PA, Montano N. Acute particulate matter affects cardiovascular autonomic modulation and IFN-γ methylation in healthy volunteers. ENVIRONMENTAL RESEARCH 2018; 161:97-103. [PMID: 29102669 DOI: 10.1016/j.envres.2017.10.036] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Revised: 10/18/2017] [Accepted: 10/23/2017] [Indexed: 05/09/2023]
Abstract
AIMS Air particulate matter (PM) is associated with increased cardiovascular morbidity and mortality. Altered autonomic functions play a key role in PM-induced cardiovascular disease. However, previous studies have not address the impact of PM on sympathetic and parasympathetic control of heart function, independently, and using controlled conditions, i.e., increasing titration of PM of known composition, in absence of other potential confounding factors. To fill this gap, here we used symbolic analysis that is capable of detecting non-mutual changes of the two autonomic branches, thus considering them as independent, and concentrations of PM as they could be measured at peak levels in Milan during a polluted winter day. METHODS AND RESULTS In this randomized, cross-over study, we enrolled 12 healthy subjects who underwent two random sessions: inhalation of filtered air mixture or inhalation of filtered air containing particulate mixture (PM 10, PM 2.5, PM 1.0 and PM 0.5µm). ECG and respiration for autonomic analysis and blood sample for DNA Methylation were collected at baseline (T1), after air exposure (T2) and after 2h (T3). Spectral and symbolic analysis of heart rate variability (HRV) were performed for autonomic control of cardiac function, while alterations in DNA methylation of candidate genes were used to index pro-inflammatory modifications. In the PM expose group, autonomic analysis revealed a significant decrease of 2UV%, index of parasympathetic modulation (14% vs 9%, p = 0.0309), while DNA analysis showed a significant increase of interferon γ (IFN- γ) methylation, from T1 to T3. In a mixed model using T1, T2 and T3, fine and ultrafine PM fractions showed significant associations with IFN- γ methylation and parasympathetic modulation. CONCLUSIONS Our study shows, for the first time, that in healthy subjects, acute exposure to PM affects parasympathetic control of heart function and it increases methylation of a pro-inflammatory gene (i.e. methylation of interferon γ). Thus, our study suggests that, even in absence of other co-factors and in otherwise healthy individuals, PM per se is sufficient to trigger parasympathetic dysautonomia, independently from changes in sympathetic control, and inflammation, in a dose-dependent manner.
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Affiliation(s)
- Eleonora Tobaldini
- Department of Internal Medicine, Fondazione IRCSS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
| | - Valentina Bollati
- EPIGET - Epidemiology, Epigenetics and Toxicology Lab, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
| | - Marta Prado
- Department of Internal Medicine, Fondazione IRCSS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
| | - Elisa M Fiorelli
- Department of Internal Medicine, Fondazione IRCSS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
| | - Marica Pecis
- Division of Pneumology, L. Sacco Hospital, ASST FBF-Sacco, University of Milan, Milan, Italy.
| | | | - Benedetta Albetti
- EPIGET - Epidemiology, Epigenetics and Toxicology Lab, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
| | - Laura Cantone
- EPIGET - Epidemiology, Epigenetics and Toxicology Lab, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
| | - Chiara Favero
- EPIGET - Epidemiology, Epigenetics and Toxicology Lab, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
| | - Chiara Cogliati
- Department of Internal Medicine, L. Sacco Hospital, ASST FBF-Sacco, University of Milan, Milan, Italy.
| | - Paolo Carrer
- Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, Italy.
| | - Andrea Baccarelli
- Mailman School of Public Health, Columbia University, New York, USA.
| | - Pier Alberto Bertazzi
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
| | - Nicola Montano
- Department of Internal Medicine, Fondazione IRCSS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
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Liu Z, Xie M, Tian K, Gao P. GIS-based analysis of population exposure to PM 2.5 air pollution-A case study of Beijing. J Environ Sci (China) 2017; 59:48-53. [PMID: 28888238 DOI: 10.1016/j.jes.2017.02.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 02/18/2017] [Accepted: 02/20/2017] [Indexed: 06/07/2023]
Abstract
PM2.5, formally defined as particulate matter with diameter less than 2.5μm, is one of most harmful air pollutants threatening human health. Numerous epidemiological studies have shown that both short-term and long-term exposures to PM2.5 are strongly linked with respiratory diseases. In this study, various types of spatio-temporal data were collected and used to estimate the spatio-temporal variation of PM2.5 exposure in Beijing in 2014. The seasonal and daily variation of the population-weighted exposure level (PWEL) in 2014 was estimated and compared. The results show that the population exposure to ambient air pollution differs significantly in the four seasons, and the exposure levels in winter and spring are notably higher than the other seasons; the exposure level changes greatly from North to South, and each sub-district maintains similarity to neighboring sub-districts.
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Affiliation(s)
- Zhao Liu
- Institute of Geospatial Information, Dep. of Civil Eng., Tsinghua Univ., Beijing 100084, China
| | - Meihui Xie
- Institute of Geospatial Information, Dep. of Civil Eng., Tsinghua Univ., Beijing 100084, China.
| | - Kun Tian
- Institute of Geospatial Information, Dep. of Civil Eng., Tsinghua Univ., Beijing 100084, China
| | - Peichao Gao
- Institute of Geospatial Information, Dep. of Civil Eng., Tsinghua Univ., Beijing 100084, China
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12
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Are the Associations of Cardiac Acceleration and Deceleration Capacities With Fine Metal Particulate in Welders Mediated by Inflammation? J Occup Environ Med 2017; 58:232-7. [PMID: 26949872 DOI: 10.1097/jom.0000000000000674] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this study was to investigate whether associations of acceleration capacity (AC) and deceleration capacity (DC) with metal-PM2.5 are mediated by inflammation. METHODS We obtained PM2.5, C-reactive protein, interleukin (IL)-6, 8, and 10, and electrocardiograms to compute AC and DC, from 45 male welders. Mediation analyses were performed using linear mixed models to assess associations between PM2.5 exposure, inflammatory mediator, and AC or DC, controlling for covariates. RESULTS The proportion of total effect of PM2.5 on AC or DC (indirect effect) mediated through IL-6 on AC was 4% at most. Controlling for IL-6 (direct effect), a 1 mg/m increase of PM2.5 was associated with a decrease of 2.16 (95% confidence interval -0.36 to 4.69) msec in AC and a decrease of 2.51 (95% confidence interval -0.90 to 5.93) msec in DC. CONCLUSION IL-6 may be mediating the effect of metal particulates on AC.
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Long-Term Metal PM2.5 Exposures Decrease Cardiac Acceleration and Deceleration Capacities in Welders. J Occup Environ Med 2017; 58:227-31. [PMID: 26949871 DOI: 10.1097/jom.0000000000000661] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The aim of the study was to clarify whether long-term metal particulates affect cardiac acceleration capacity (AC), deceleration capacity (DC), or both. METHODS We calculated chronic exposure index (CEI) for PM2.5 over the work life of 50 boilermakers and obtained their resting AC and DC. Linear regression was used to assess the associations between CEI PM2.5 exposure and each of AC and DC, controlling for age, acute effects of welding exposure, and diurnal variation. RESULTS Mean (standard deviation) CEI for PM2.5 exposure was 1.6 (2.4) mg/m-work years and ranged from 0.001 to 14.6 mg/m-work years. In our fully adjusted models, a 1 mg/m-work year increase in CEI for PM2.5 was associated with a decrease of 1.03 (95% confidence interval: 0.10, 1.96) ms resting AC, and a decrease of 0.67 (95% confidence interval: -0.14, 1.49) ms resting DC. CONCLUSIONS Long-term metal particulate exposures decrease cardiac accelerations and decelerations.
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14
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Buteau S, Goldberg MS. A structured review of panel studies used to investigate associations between ambient air pollution and heart rate variability. ENVIRONMENTAL RESEARCH 2016; 148:207-247. [PMID: 27085495 DOI: 10.1016/j.envres.2016.03.013] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Revised: 03/04/2016] [Accepted: 03/08/2016] [Indexed: 05/25/2023]
Abstract
INTRODUCTION Dysfunction of the autonomic nervous system is one of the postulated pathways linking short-term exposure to air pollution to adverse cardiovascular outcomes. A hypothesis is that exposure to air pollution decreases heart rate variability, a recognized independent predictor of poorer cardiovascular prognosis. METHODS We conducted a structured review of panel studies published between 1946 and July 2015 of the association between ambient air pollution and parameters of heart rate variability reflecting autonomic nervous function. We focused on exposure to mass concentrations of fine particles (PM2.5), nitrogen dioxide (NO2), and ozone (O3), and four commonly used indices of heart rate variability (HRV): standard deviation of all normal-to-normal intervals (SDNN); root mean square of successive differences in adjacent normal-to-normal intervals (RMSSD); high frequency power (HF); and low frequency power (LF). We searched bibliographic databases and references of identified articles and abstracted characteristics of their design and conduct, and synthesized the quantitative findings in graphic form according to health condition of the study population and the functional form of the HRV indices used in the regression analyses. RESULTS A total of 33 panel studies were included: 31, 12, and 13 studies were used to investigate ambient exposure to PM2.5, NO2 and O3, respectively. We found substantial variation across studies in terms of design characteristics and statistical methodologies, and we identified some studies that may have had methodological and statistical issues. Because many panel studies were not comparable to each other, meta-analyses were not generally possible, although we were able to pool the results obtained amongst older adults who had cardiovascular disease for the 24-h average concentrations of PM2.5 prior to the heart rate variability measurements. In studies of PM2.5 among older adults with cardiovascular disease, logarithmic transformations of the HRV indices were used in ten studies. Negative associations across all HRV indices were found in 60-86% of these studies for periods of exposures ranging from 5-min to 5-days. The pooled percent changes for an increase of 10μg/m(3) in the 24-h prior to the measurements of HRV were: -2.11% for SDNN (95% confidence interval (95%CI): -4.00, -0.23%), -3.29% for RMSSD (95%CI: -6.32, -0.25%), -4.76% for LF (95%CI: -12.10, 2.58%), and -1.74% for HF (95%CI: -7.79, 4.31%). No transformations were used in seven studies of PM2.5 among older adults with cardiovascular disease, and we found for absolute differences pooled changes in the HRV indices, for an increase of 10μg/m(3), of -0.31ms for SDNN (95%CI: -1.02, 0.41ms) and -1.22ms for RMSSD (95%CI: -2.37; -0.07ms). For gaseous pollutants, negative associations over periods of exposure ranging from 5-min or to 5-days prior to the heart rate variability measurements were reported in 71-83% of studies of NO2 and 57-100% of studies of O3, depending of the indices of heart rate variability. However, many of these studies had statistical or methodological issues, and in the few studies without these issues the confidence intervals were relatively wide and mostly included the null. CONCLUSIONS AND DISCUSSION We were not persuaded by the results that there was an association between PM2.5 and any of the four indices of heart rate variability. For NO2 and O3 the number of high-quality studies was insufficient to draw any definite conclusions. Further panel studies with improved design and methodologies are needed to help establish or refute an association between ambient exposure to air pollution and heart rate variability.
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Affiliation(s)
- Stephane Buteau
- Department of Medicine, McGill University, Montreal, Quebec, Canada; Institut national de sante publique du Quebec (INSPQ), Montreal, Quebec, Canada.
| | - Mark S Goldberg
- Department of Medicine, McGill University, Montreal, Quebec, Canada; Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Quebec, Canada
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Calderón-Garcidueñas L, Franco-Lira M, Torres-Jardón R, Henriquez-Roldán C, Barragán-Mejía G, Valencia-Salazar G, González-Maciel A, Reynoso-Robles R, Villarreal-Calderón R, Reed W. Pediatric Respiratory and Systemic Effects of Chronic Air Pollution Exposure: Nose, Lung, Heart, and Brain Pathology. Toxicol Pathol 2016; 35:154-62. [PMID: 17325984 DOI: 10.1080/01926230601059985] [Citation(s) in RCA: 106] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Exposures to particulate matter and gaseous air pollutants have been associated with respiratory tract inflammation, disruption of the nasal respiratory and olfactory barriers, systemic inflammation, production of mediators of inflammation capable of reaching the brain and systemic circulation of particulate matter. Mexico City (MC) residents are exposed to significant amounts of ozone, particulate matter and associated lipopolysaccharides. MC dogs exhibit brain inflammation and an acceleration of Alzheimer’s-like pathology, suggesting that the brain is adversely affected by air pollutants. MC children, adolescents and adults have a significant upregulation of cyclooxygenase-2 (COX2) and interleukin-1β (IL-1β) in olfactory bulb and frontal cortex, as well as neuronal and astrocytic accumulation of the 42 amino acid form of β-amyloid peptide (Aβ42), including diffuse amyloid plaques in frontal cortex. The pathogenesis of Alzheimer’s disease (AD) is characterized by brain inflammation and the accumulation of Aβ42, which precede the appearance of neuritic plaques and neurofibrillary tangles, the pathological hallmarks of AD. Our findings of nasal barrier disruption, systemic inflammation, and the upregulation of COX2 and IL-1β expression and Aβ42 accumulation in brain suggests that sustained exposures to significant concentrations of air pollutants such as particulate matter could be a risk factor for AD and other neurodegenerative diseases.
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Ding H, Ji H, Tang L, Zhang A, Guo X, Li C, Gao Y, Briki M. Heavy metals in the gold mine soil of the upstream area of a metropolitan drinking water source. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2016; 23:2831-47. [PMID: 26452659 DOI: 10.1007/s11356-015-5479-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 09/21/2015] [Indexed: 05/15/2023]
Abstract
Pinggu District is adjacent to the county of Miyun, which contains the largest drinking water source of Beijing (Miyun Reservoir). The Wanzhuang gold field and tailing deposits are located in Pinggu, threatening Beijing's drinking water security. In this study, soil samples were collected from the surface of the mining area and the tailings piles and analyzed for physical and chemical properties, as well as heavy metal contents and particle size fraction to study the relationship between degree of pollution degree and particle size. Most metal concentrations in the gold mine soil samples exceeded the background levels in Beijing. The spatial distribution of As, Cd, Cu, Pb, and Zn was the same, while that of Cr and Ni was relatively similar. Trace element concentrations increased in larger particles, decreased in the 50-74 μm size fraction, and were lowest in the <2 μm size fraction. Multivariate analysis showed that Cu, Cd, Zn, and Pb originated from anthropogenic sources, while Cr, Ni, and Sc were of natural origin. The geo-accumulation index indicated serious Pb, As, and Cd pollution, but moderate to no Ni, Cr, and Hg pollution. The Tucker 3 model revealed three factors for particle fractions, metals, and samples. There were two factors in model A and three factors for both the metals and samples (models B and C, respectively). The potential ecological risk index shows that most of the study areas have very high potential ecological risk, a small portion has high potential ecological risk, and only a few sampling points on the perimeter have moderate ecological risk, with higher risk closer to the mining area.
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Affiliation(s)
- Huaijian Ding
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China
| | - Hongbing Ji
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China.
- State Key Laboratory of Environmental Geochemistry, Institute of Geochemistry, Chinese Academy of Sciences, Guiyang, 550002, People's Republic of China.
| | - Lei Tang
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China
- Beijing Geological Engineering Design and Research Institute, Beijing, 101500, People's Republic of China
| | - Aixing Zhang
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China
| | - Xinyue Guo
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China
| | - Cai Li
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China
| | - Yang Gao
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China
| | - Mergem Briki
- Civil and Environmental Engineering School, University of Science and Technology Beijing, Xueyuan Road No.30, Haidian District, Beijing, 100083, People's Republic of China
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Umukoro PE, Cavallari JM, Fang SC, Lu C, Lin X, Mittleman MA, Christiani DC. Short-term metal particulate exposures decrease cardiac acceleration and deceleration capacities in welders: a repeated-measures panel study. Occup Environ Med 2015; 73:91-6. [PMID: 26644456 PMCID: PMC4752641 DOI: 10.1136/oemed-2015-103052] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 10/20/2015] [Indexed: 11/04/2022]
Abstract
OBJECTIVE Acceleration (AC) and deceleration (DC) capacities measure heart rate variability during speeding up and slowing down of the heart, respectively. We investigated associations between AC and DC with occupational short-term metal PM2.5 exposures. METHODS A panel of 48 male welders had particulate matter less than 2.5 microns in diameter (PM2.5) exposure measurements over 4-6 h repeated over 5 sampling periods between January 2010 and June 2012. We simultaneously obtained continuous recordings of digital ECG using a Holter monitor. We analysed ECG data in the time domain to obtain hourly AC and DC. Linear mixed models were used to assess the associations between hourly PM2.5 exposure and each of hourly AC and DC, controlling for age, smoking status, active smoking, exposure to secondhand smoke, season/time of day when ECG reading was obtained and baseline AC or DC. We also ran lagged exposure response models for each successive hour up to 3 h after onset of exposure. RESULTS Mean (SD) shift PM2.5 exposure during welding was 0.47 (0.43) mg/m(3). Significant exposure-response associations were found for AC and DC with increased PM2.5 exposure. In our adjusted models without any lag between exposure and response, a 1 mg/m(3) increase of PM2.5 was associated with a decrease of 1.46 (95% CI 1.00 to 1.92) ms in AC and a decrease of 1.00 (95% CI 0.53 to 1.46) ms in DC. The effect of PM2.5 on AC and DC was maximal immediately postexposure and lasted 1 h following exposure. CONCLUSIONS There are short-term effects of metal particulates on AC and DC.
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Affiliation(s)
- Peter E Umukoro
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Jennifer M Cavallari
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA Department of Community Medicine and Health Care, University of Connecticut Health Center, Farmington, Connecticut, USA
| | - Shona C Fang
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Chensheng Lu
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Xihong Lin
- Department of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Murray A Mittleman
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA Cardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts, USA
| | - David C Christiani
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA Pulmonary and Critical Care Unit, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts, USA
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Abstract
The body responds to environmental stressors by triggering autonomic reflexes in the pulmonary receptors, baroreceptors, and chemoreceptors to maintain homeostasis. Numerous studies have shown that exposure to various gases and airborne particles can alter the functional outcome of these reflexes, particularly with respect to the cardiovascular system. Modulation of autonomic neural input to the heart and vasculature following direct activation of sensory nerves in the respiratory system, elicitation of oxidative stress and inflammation, or through other mechanisms is one of the primary ways that exposure to air pollution affects normal cardiovascular function. Any homeostatic process that utilizes the autonomic nervous system to regulate organ function might be affected. Thus, air pollution and other inhaled environmental irritants have the potential to alter both local airway function and baro- and chemoreflex responses, which modulate autonomic control of blood pressure and detect concentrations of key gases in the body. While each of these reflex pathways causes distinct responses, the systems are heavily integrated and communicate through overlapping regions of the brainstem to cause global effects. This short review summarizes the function of major pulmonary sensory receptors, baroreceptors, and carotid body chemoreceptors and discusses the impacts of air pollution exposure on these systems.
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Mirowsky J, Gordon T. Noninvasive effects measurements for air pollution human studies: methods, analysis, and implications. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2015; 25:354-80. [PMID: 25605444 PMCID: PMC6659729 DOI: 10.1038/jes.2014.93] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Revised: 09/26/2014] [Accepted: 11/05/2014] [Indexed: 05/09/2023]
Abstract
Human exposure studies, compared with cell and animal models, are heavily relied upon to study the associations between health effects in humans and air pollutant inhalation. Human studies vary in exposure methodology, with some work conducted in controlled settings, whereas other studies are conducted in ambient environments. Human studies can also vary in the health metrics explored, as there exists a myriad of health effect end points commonly measured. In this review, we compiled mini reviews of the most commonly used noninvasive health effect end points that are suitable for panel studies of air pollution, broken into cardiovascular end points, respiratory end points, and biomarkers of effect from biological specimens. Pertinent information regarding each health end point and the suggested methods for mobile collection in the field are assessed. In addition, the clinical implications for each health end point are summarized, along with the factors identified that can modify each measurement. Finally, the important research findings regarding each health end point and air pollutant exposures were reviewed. It appeared that most of the adverse health effects end points explored were found to positively correlate with pollutant levels, although differences in study design, pollutants measured, and study population were found to influence the magnitude of these effects. Thus, this review is intended to act as a guide for researchers interested in conducting human exposure studies of air pollutants while in the field, although there can be a wider application for using these end points in many epidemiological study designs.
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Affiliation(s)
- Jaime Mirowsky
- Department of Environmental Medicine, New York University School of Medicine, Nelson Institute of Environmental Medicine, Tuxedo, New York, USA
| | - Terry Gordon
- Department of Environmental Medicine, New York University School of Medicine, Nelson Institute of Environmental Medicine, Tuxedo, New York, USA
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20
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Farraj AK, Walsh L, Haykal-Coates N, Malik F, McGee J, Winsett D, Duvall R, Kovalcik K, Cascio WE, Higuchi M, Hazari MS. Cardiac effects of seasonal ambient particulate matter and ozone co-exposure in rats. Part Fibre Toxicol 2015; 12:12. [PMID: 25944145 PMCID: PMC4419498 DOI: 10.1186/s12989-015-0087-3] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Accepted: 03/26/2015] [Indexed: 12/28/2022] Open
Abstract
Background The potential for seasonal differences in the physicochemical characteristics of ambient particulate matter (PM) to modify interactive effects with gaseous pollutants has not been thoroughly examined. The purpose of this study was to compare cardiac responses in conscious hypertensive rats co-exposed to concentrated ambient particulates (CAPs) and ozone (O3) in Durham, NC during the summer and winter, and to analyze responses based on particle mass and chemistry. Methods Rats were exposed once for 4 hrs by whole-body inhalation to fine CAPs alone (target concentration: 150 μg/m3), O3 (0.2 ppm) alone, CAPs plus O3, or filtered air during summer 2011 and winter 2012. Telemetered electrocardiographic (ECG) data from implanted biosensors were analyzed for heart rate (HR), ECG parameters, heart rate variability (HRV), and spontaneous arrhythmia. The sensitivity to triggering of arrhythmia was measured in a separate cohort one day after exposure using intravenously administered aconitine. PM elemental composition and organic and elemental carbon fractions were analyzed by high-resolution inductively coupled plasma–mass spectrometry and thermo-optical pyrolytic vaporization, respectively. Particulate sources were inferred from elemental analysis using a chemical mass balance model. Results Seasonal differences in CAPs composition were most evident in particle mass concentrations (summer, 171 μg/m3; winter, 85 μg/m3), size (summer, 324 nm; winter, 125 nm), organic:elemental carbon ratios (summer, 16.6; winter, 9.7), and sulfate levels (summer, 49.1 μg/m3; winter, 16.8 μg/m3). Enrichment of metals in winter PM resulted in equivalent summer and winter metal exposure concentrations. Source apportionment analysis showed enrichment for anthropogenic and marine salt sources during winter exposures compared to summer exposures, although only 4% of the total PM mass was attributed to marine salt sources. Single pollutant cardiovascular effects with CAPs and O3 were present during both summer and winter exposures, with evidence for unique effects of co-exposures and associated changes in autonomic tone. Conclusions These findings provide evidence for a pronounced effect of season on PM mass, size, composition, and contributing sources, and exposure-induced cardiovascular responses. Although there was inconsistency in biological responses, some cardiovascular responses were evident only in the co-exposure group during both seasons despite variability in PM physicochemical composition. These findings suggest that a single ambient PM metric alone is not sufficient to predict potential for interactive health effects with other air pollutants. Electronic supplementary material The online version of this article (doi:10.1186/s12989-015-0087-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Aimen K Farraj
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Leon Walsh
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Najwa Haykal-Coates
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Fatiha Malik
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - John McGee
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Darrell Winsett
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Rachelle Duvall
- Human Exposure and Atmospheric Sciences Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Kasey Kovalcik
- Human Exposure and Atmospheric Sciences Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Wayne E Cascio
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Mark Higuchi
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
| | - Mehdi S Hazari
- Environmental Public Health Division, US EPA, 109 TW Alexander Drive, Research Triangle Park, Durham, NC, 27711, USA.
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Peters A, Hampel R, Cyrys J, Breitner S, Geruschkat U, Kraus U, Zareba W, Schneider A. Elevated particle number concentrations induce immediate changes in heart rate variability: a panel study in individuals with impaired glucose metabolism or diabetes. Part Fibre Toxicol 2015; 12:7. [PMID: 25888845 PMCID: PMC4379544 DOI: 10.1186/s12989-015-0083-7] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 02/17/2015] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND The health effects of short-term exposure to ambient ultrafine particles in micro-environments are still under investigation. METHODS Sixty-four individuals with type 2 diabetes and impaired glucose tolerance recorded ambulatory electrocardiograms over five to six hours on 191 occasions in a panel study in Augsburg, Germany. Personal exposure to particle number concentrations (PNC) was monitored for each individual on 5-minute basis concurrently and particulate matter with an aerodynamic diameter<2.5 μm (PM2.5) was acquired from a central monitoring site on an hourly basis. RESULTS More than 11,000 5-minute intervals were available for heart rate and measures of heart rate variability including SDNN (standard deviation of NN intervals). A concurrent decrease in 5-minute SDNN of -0.56% (95% confidence limits (CI): -1.02%; -0.09%) and a 5-minute delayed increase in heart rate of 0.23 % (95% CI: 0.11%; 0.36%) was observed with an increase in personal PNC of 16,000 per cm3 in additive mixed models. Models evaluating the association of concurrent 5-minute personal PNC and of 1-hour PM2.5 showed independent effects on SDNN. CONCLUSION The data suggest that freshly emitted ultrafine particles and aged fine particulate matter are both associated with changes in cardiac function in individuals with type 2 diabetes and impaired glucose tolerance in urban areas.
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Affiliation(s)
- Annette Peters
- Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, 87564, Neuherberg, Germany. .,German Center for Diabetes Research (DZD e.V.), Neuherberg, Germany.
| | - Regina Hampel
- Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, 87564, Neuherberg, Germany.
| | - Josef Cyrys
- Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, 87564, Neuherberg, Germany. .,University of Augsburg, Environmental Science Center, Augsburg, Germany.
| | - Susanne Breitner
- Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, 87564, Neuherberg, Germany.
| | - Uta Geruschkat
- Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, 87564, Neuherberg, Germany.
| | - Ute Kraus
- Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, 87564, Neuherberg, Germany.
| | - Wojciech Zareba
- Cardiology Division, University of Rochester Medical Center, Rochester, NY, USA.
| | - Alexandra Schneider
- Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, 87564, Neuherberg, Germany.
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Farraj AK, Haykal-Coates N, Winsett DW, Gilmour MI, King C, Krantz QT, Richards J, Hazari MS. Comparative electrocardiographic, autonomic and systemic inflammatory responses to soy biodiesel and petroleum diesel emissions in rats. Inhal Toxicol 2015; 27:564-75. [PMID: 26514784 DOI: 10.3109/08958378.2015.1057884] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Revised: 05/08/2015] [Accepted: 05/30/2015] [Indexed: 01/23/2023]
Abstract
CONTEXT Biodiesel fuel represents an alternative to high particulate matter (PM)-emitting petroleum-based diesel fuels, yet uncertainty remains regarding potential biodiesel combustion emission health impacts. OBJECTIVE The purpose of this study was to compare cardiovascular responses to pure and blended biodiesel fuel emissions relative to petroleum diesel exhaust (DE). MATERIALS AND METHODS Spontaneously hypertensive rats were exposed for 4 h per day for four days via whole body inhalation to combustion emissions (based on PM concentrations 50, 150 or 500 μg/m(3) or filtered air) from pure (B100) or blended (B20) soy biodiesel, or to pure petroleum DE (B0). Electrocardiogram (ECG) and heart rate variability (HRV, an index of autonomic balance) were monitored before, during and after exposure while pulmonary and systemic inflammation were assessed one day after the final exposure. ECG and HRV data and inflammatory data were statistically analyzed using a linear mixed model for repeated measures and an analysis of variance, respectively. RESULTS B100 and B0, but not B20, increased HRV during all exposure days at the highest concentration indicating increased parasympathetic tone. Electrocardiographic data were mixed. B100 and B0, but not B20, caused significant changes in one or more of the following: serum C-reactive protein, total protein, low density lipoprotein (LDL) and high density lipoprotein (HDL) cholesterol, and blood urea nitrogen (BUN) and plasma angiotensin converting enzyme (ACE) and fibrinogen. DISCUSSION AND CONCLUSIONS Although responses to emissions from all fuels were mixed and relatively mild, some findings point to a reduced cardiovascular impact of blended biodiesel fuel emissions.
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Affiliation(s)
- A K Farraj
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
| | - N Haykal-Coates
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
| | - D W Winsett
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
| | - M I Gilmour
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
| | - C King
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
| | - Q T Krantz
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
| | - J Richards
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
| | - M S Hazari
- a Environmental Public Health Division, NHEERL, US Environmental Protection Agency , Research Triangle Park , NC , USA
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Li Q, Ji H, Qin F, Tang L, Guo X, Feng J. Sources and the distribution of heavy metals in the particle size of soil polluted by gold mining upstream of Miyun Reservoir, Beijing: implications for assessing the potential risks. ENVIRONMENTAL MONITORING AND ASSESSMENT 2014; 186:6605-6626. [PMID: 24952421 DOI: 10.1007/s10661-014-3877-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2013] [Accepted: 06/11/2014] [Indexed: 06/03/2023]
Abstract
Mining has been carried out upstream of Miyun Reservoir, Beijing, for several decades, and has caused metal emissions to the environment, threatening human health. We conducted a soil survey to assess metal contamination in this area and to determine distribution of heavy metals in the particle size. We attempted to determine the possible sources of the metals and the significance of metals in the fine particle fractions to soil risk assessments. Thirty-four soil samples were collected, and eight samples were partitioned into seven size fractions. Most of the metal concentrations in the soils were higher than the background levels in Beijing, and the metal concentrations and total organic matter (TOC) contents generally increased as the particle size decreased. Each metal except Hg significantly positively correlated with the TOC. The metals in the coarse-grained soils were mainly derived from parent materials, but the metals in the fine fractions were mostly anthropogenic. Statistical analyses showed that there were three metal sources: Cd, Cu, Hg, Pb, and Zn had anthropogenic sources; Co, Cr, Ni, and V had mixed anthropogenic and natural sources; and As and Be had natural sources. The trace metals were primarily in the clay and fine silt fractions, and they might pose health risks through the inhalation of resuspended soil particles (PM10 and PM2.5). The elevated accumulation factors, enrichment factors, and ecological risk indices for the metals in the fine fractions suggest that risk assessments should be based on the fine particle size.
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Affiliation(s)
- Qian Li
- Civil and Environmental and Engineering School, University of Science and Technology Beijing, Beijing, 100083, China
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24
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Nyhan M, McNabola A, Misstear B. Comparison of particulate matter dose and acute heart rate variability response in cyclists, pedestrians, bus and train passengers. THE SCIENCE OF THE TOTAL ENVIRONMENT 2014; 468-469:821-31. [PMID: 24076503 DOI: 10.1016/j.scitotenv.2013.08.096] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2013] [Revised: 08/22/2013] [Accepted: 08/28/2013] [Indexed: 05/04/2023]
Abstract
Exposure to airborne particulate matter (PM) has been linked to cardiovascular morbidity and mortality. Heart rate variability (HRV) is a measure of the change in cardiac autonomic function, and consistent links between PM exposure and decreased HRV have been documented in studies. This study quantitatively assesses the acute relative variation of HRV with predicted PM dose in the lungs of commuters. Personal PM exposure, HR and HRV were monitored in 32 young healthy cyclists, pedestrians, bus and train passengers. Inhaled and lung deposited PM doses were determined using a numerical model of the human respiratory tract which accounted for varying ventilation rates between subjects and during commutes. Linear mixed models were used to examine air pollution dose and HRV response relationships in 122 commutes sampled. Elevated PM2.5 and PM10 inhaled and lung deposited doses were significantly (p<0.05) associated with decreased HRV indices. Percent declines in SDNN (standard deviation of normal RR intervals) relative to resting, due to an inter-quartile range increase in PM10 lung deposited dose were stronger in cyclists (-6.4%, 95% CI: -11.7, -1.3) and pedestrians (-5.8%, 95% CI: -11.3, -0.5), in comparison to bus (-3.2%, 95% CI: -6.4, -0.1) and train (-1.8%, -7.5, 3.8) passengers. A similar trend was observed in the case of PM2.5 lung deposited dose and results for rMSSD (the square root of the squared differences of successive normal RR intervals) followed similar trends to SDNN. Inhaled and lung deposited doses accounting for varying ventilation rates between modes, individuals and during commutes have been neglected in other studies relating PM to HRV. The findings here indicate that exercise whilst commuting has an influence on inhaled PM and PM lung deposited dose, and these were significantly associated with acute declines in HRV, especially in pedestrians and cyclists.
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Affiliation(s)
- Marguerite Nyhan
- Civil, Structural and Environmental Engineering Department, Trinity College Dublin, Ireland.
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25
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Snow SJ, De Vizcaya-Ruiz A, Osornio-Vargas A, Thomas RF, Schladweiler MC, McGee J, Kodavanti UP. The effect of composition, size, and solubility on acute pulmonary injury in rats following exposure to Mexico city ambient particulate matter samples. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2014; 77:1164-82. [PMID: 25119738 DOI: 10.1080/15287394.2014.917445] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Particulate matter (PM)-associated metals can contribute to adverse cardiopulmonary effects following exposure to air pollution. The aim of this study was to investigate how variation in the composition and size of ambient PM collected from two distinct regions in Mexico City relates to toxicity differences. Male Wistar Kyoto rats (14 wk) were intratracheally instilled with chemically characterized PM10 and PM2.5 from the north and PM10 from the south of Mexico City (3 mg/kg). Both water-soluble and acid-leachable fractions contained several metals, with levels generally higher in PM10 South. The insoluble and total, but not soluble, fractions of all PM induced pulmonary damage that was indicated by significant increases in neutrophilic inflammation, and several lung injury biomarkers including total protein, albumin, lactate dehydrogenase activity, and γ-glutamyl transferase activity 24 and 72 h postexposure. PM10 North and PM2.5 North also significantly decreased levels of the antioxidant ascorbic acid. Elevation in lung mRNA biomarkers of inflammation (tumor necrosis factor [TNF]-α and macrophage inflammatory protein [MIP]-2), oxidative stress (heme oxygenase [HO]-1, lectin-like oxidized low-density lipoprotein receptor [LOX]-1, and inducibile nitric oxide synthase [iNOS]), and thrombosis (tissue factor [TF] and plasminogen activator inhibitor [PAI]-1), as well as reduced levels of fibrinolytic protein tissue plasminogen activator (tPA), further indicated pulmonary injury following PM exposure. These responses were more pronounced with PM10 South (PM10 South > PM10 North > PM2.5 North), which contained higher levels of redox-active transition metals that may have contributed to specific differences in selected lung gene markers. These findings provide evidence that surface chemistry of the PM core and not the water-soluble fraction played an important role in regulating in vivo pulmonary toxicity responses to Mexico City PM.
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Affiliation(s)
- Samantha J Snow
- a Curriculum in Toxicology , University of North Carolina at Chapel Hill School of Medicine , Chapel Hill , North Carolina , USA
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26
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Abstract
The air quality in Beijing, especially its PM2.5 level, has become of increasing public concern because of its importance and sensitivity related to health risks. A set of monitored PM2.5 data from 31 stations, released for the first time by the Beijing Environmental Protection Bureau, covering 37 days during autumn 2012, was processed using spatial interpolation and overlay analysis. Following analyses of these data, a distribution map of cumulative exceedance days of PM2.5 and a temporal variation map of PM2.5 for Beijing have been drawn. Computational and analytical results show periodic and directional trends of PM2.5 spreading and congregating in space, which reveals the regulation of PM2.5 overexposure on a discontinuous medium-term scale. With regard to the cumulative effect of PM2.5 on the human body, the harm from lower intensity overexposure in the medium term, and higher overexposure in the short term, are both obvious. Therefore, data of population distribution were integrated into the aforementioned PM2.5 spatial spectrum map. A spatial statistical analysis revealed the patterns of PM2.5 gross exposure and exposure probability of residents in the Beijing urban area. The methods and conclusions of this research reveal relationships between long-term overexposure to PM2.5 and people living in high-exposure areas of Beijing, during the autumn of 2012.
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Shields KN, Cavallari JM, Hunt MJO, Lazo M, Molina M, Molina L, Holguin F. Traffic-related air pollution exposures and changes in heart rate variability in Mexico City: a panel study. Environ Health 2013; 12:7. [PMID: 23327098 PMCID: PMC3639920 DOI: 10.1186/1476-069x-12-7] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Accepted: 12/10/2012] [Indexed: 05/09/2023]
Abstract
BACKGROUND While air pollution exposures have been linked to cardiovascular outcomes, the contribution from acute gas and particle traffic-related pollutants remains unclear. Using a panel study design with repeated measures, we examined associations between personal exposures to traffic-related air pollutants in Mexico City and changes in heart rate variability (HRV) in a population of researchers aged 22 to 56 years. METHODS Participants were monitored for approximately 9.5 hours for eight days while operating a mobile laboratory van designed to characterize traffic pollutants while driving in traffic and "chasing" diesel buses. We examined the association between HRV parameters (standard deviation of normal-to-normal intervals (SDNN), power in high frequency (HF) and low frequency (LF), and the LF/HF ratio) and the 5-minute maximum (or average in the case of PM(2.5)) and 30-, 60-, and 90-minute moving averages of air pollutants (PM(2.5), O(3), CO, CO(2), NO(2), NO(x), and formaldehyde) using single- and two-pollutant linear mixed-effects models. RESULTS Short-term exposure to traffic-related emissions was associated with statistically significant acute changes in HRV. Gaseous pollutants - particularly ozone - were associated with reductions in time and frequency domain components (α = 0.05), while significant positive associations were observed between PM(2.5) and SDNN, HF, and LF. For ozone and formaldehyde, negative associations typically increased in magnitude and significance with increasing averaging periods. The associations for CO, CO(2), NO(2), and NO(x) were similar with statistically significant associations observed for SDNN, but not HF or LF. In contrast, PM(2.5) increased these HRV parameters. CONCLUSIONS Results revealed an association between traffic-related PM exposures and acute changes in HRV in a middle-aged population when PM exposures were relatively low (14 μg/m(3)) and demonstrate heterogeneity in the effects of different pollutants, with declines in HRV - especially HF - with ozone and formaldehyde exposures, and increases in HRV with PM(2.5) exposure. Given that exposure to traffic-related emissions is associated with increased risk of cardiovascular morbidity and mortality, understanding the mechanisms by which traffic-related emissions can cause cardiovascular disease has significant public health relevance.
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Affiliation(s)
- Kyra Naumoff Shields
- Department of Environmental and Occupational Health, University of Pittsburgh, Bridgeside Point I, 100 Technology Drive, Suite 350, Pittsburgh, PA, 15219, USA
| | - Jennifer M Cavallari
- Division of Occupational and Environmental Medicine, University of Connecticut Health Center, 270 Farmington Ave., The Exchange, Suite 262, Farmington, Ct. 06032-6210, USA
| | - Megan J Olson Hunt
- Department of Biostatistics, University of Pittsburgh, 130 DeSoto Street, Pittsburgh, PA, 15261, USA
| | - Mariana Lazo
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, W6508, Baltimore, Maryland, 21205, USA
| | - Mario Molina
- Department of Chemistry and Biochemistry, University of San Diego, Science & Technology 374, 5998 Alcala Park, San Diego, CA, 92110, USA
| | - Luisa Molina
- Department of Earth, Atmospheric and Planetary Sciences Cambridge, Massachusetts Institute of Technology, MA 02139, 9500 Gilman Dr., MCO332, La Jolla, CA, 92093-0332, USA
| | - Fernando Holguin
- Montefiore Hospital, University of Pittsburgh Medical Center, 3459 Fifth Avenue, Pittsburgh, PA, 15213, USA
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Pieters N, Plusquin M, Cox B, Kicinski M, Vangronsveld J, Nawrot TS. An epidemiological appraisal of the association between heart rate variability and particulate air pollution: a meta-analysis. Heart 2012; 98:1127-35. [PMID: 22628541 PMCID: PMC3392690 DOI: 10.1136/heartjnl-2011-301505] [Citation(s) in RCA: 123] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Objective Studies on the association between short-term exposure to ambient air pollution and heart rate variability (HRV) suggest that particulate matter (PM) exposure is associated with reductions in measures of HRV, but there is heterogeneity in the nature and magnitude of this association between studies. The authors performed a meta-analysis to determine how consistent this association is. Data source The authors searched the Pubmed citation database and Web of Knowledge to identify studies on HRV and PM. Study selection Of the epidemiologic studies reviewed, 29 provided sufficient details to be considered. The meta-analysis included 18667 subjects recruited from the population in surveys, studies from patient groups, and from occupationally exposed groups. Data extraction Two investigators read all papers and computerised all relevant information. Results The authors computed pooled estimates from a random-effects model. In the combined studies, an increase of 10 μg/m3 in PM2.5 was associated with significant reductions in the time-domain measurements, including low frequency (−1.66%, 95% CI −2.58% to −0.74%) and high frequency (−2.44%, 95% CI −3.76% to −1.12%) and in frequency-domain measurements, for SDNN (−0.12%, 95% CI −0.22% to −0.03%) and for rMSSD (−2.18%, 95% CI −3.33% to −1.03%). Funnel plots suggested that no publication bias was present and a sensitivity analysis confirmed the robustness of our combined estimates. Conclusion The meta-analysis supports an inverse relationship between HRV, a marker for a worse cardiovascular prognosis, and particulate air pollution.
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Affiliation(s)
- Nicky Pieters
- Hasselt University, Agoralaan Gebouw D, Diepenbeek, Belgium
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29
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Weichenthal S, Kulka R, Dubeau A, Martin C, Wang D, Dales R. Traffic-related air pollution and acute changes in heart rate variability and respiratory function in urban cyclists. ENVIRONMENTAL HEALTH PERSPECTIVES 2011; 119:1373-8. [PMID: 21672679 PMCID: PMC3230442 DOI: 10.1289/ehp.1003321] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2010] [Accepted: 06/14/2011] [Indexed: 05/03/2023]
Abstract
BACKGROUND Few studies have examined the acute health effects of air pollution exposures experienced while cycling in traffic. OBJECTIVES We conducted a crossover study to examine the relationship between traffic pollution and acute changes in heart rate variability. We also collected spirometry and exhaled nitric oxide measures. METHODS Forty-two healthy adults cycled for 1 hr on high- and low-traffic routes as well as indoors. Health measures were collected before cycling and 1-4 hr after the start of cycling. Ultrafine particles (UFPs; ≤ 0.1 μm in aerodynamic diameter), particulate matter ≤ 2.5 μm in aerodynamic diameter (PM2.5), black carbon, and volatile organic compounds were measured along each cycling route, and ambient nitrogen dioxide (NO2) and ozone (O3) levels were recorded from a fixed-site monitor. Mixed-effects models were used to estimate associations between air pollutants and changes in health outcome measures relative to precycling baseline values. RESULTS An interquartile range increase in UFP levels (18,200/cm3) was associated with a significant decrease in high-frequency power 4 hr after the start of cycling [β = -224 msec2; 95% confidence interval (CI), -386 to -63 msec2]. Ambient NO2 levels were inversely associated with the standard deviation of normal-to-normal (NN) intervals (β = -10 msec; 95% CI, -20 to -0.34 msec) and positively associated with the ratio of low-frequency to high-frequency power (β = 1.4; 95% CI, 0.35 to 2.5) 2 hr after the start of cycling. We also observed significant inverse associations between ambient O3 levels and the root mean square of successive differences in adjacent NN intervals 3 hr after the start of cycling. CONCLUSIONS Short-term exposures to traffic pollution may contribute to altered autonomic modulation of the heart in the hours immediately after cycling.
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Bell ML, Ebisu K, Peng RD. Community-level spatial heterogeneity of chemical constituent levels of fine particulates and implications for epidemiological research. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2011; 21:372-84. [PMID: 20664652 PMCID: PMC3176331 DOI: 10.1038/jes.2010.24] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2009] [Accepted: 03/10/2010] [Indexed: 05/19/2023]
Abstract
Studies of the health impacts of airborne particulates' chemical constituents typically assume spatial homogeneity and estimate exposure from ambient monitors. However, factors such as local sources may cause spatially heterogeneous pollution levels. This work examines the degree to which constituent levels vary within communities and whether exposure misclassification is introduced by spatial homogeneity assumptions. Analysis considered PM(2.5) elemental carbon (EC), organic carbon matter, ammonium, sulfate, nitrate, silicon, and sodium ion (Na(+)) for the United States, 1999-2007. Pearson correlations and coefficients of divergence were calculated and compared to distances among monitors. Linear modeling related correlations to distance between monitors, long-term constituent levels, and population density. Spatial heterogeneity was present for all constituents, yet lower for ammonium, sulfate, and nitrate. Lower correlations were associated with higher distance between monitors, especially for nitrate and sulfate, and with lower long-term levels, especially for sulfate and Na(+). Analysis of colocated monitors revealed measurement error for all constituents, especially EC and Na(+). Exposure misclassification may be introduced into epidemiological studies of PM(2.5) constituents due to spatial variability, and is affected by constituent type and level. When assessing health effects of PM constituents, new methods are needed for estimating exposure and accounting for exposure error induced by spatial variability.
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Affiliation(s)
- Michelle L Bell
- School of Forestry & Environmental Studies, Yale University, New Haven, Connecticut 06511, USA.
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31
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Wu S, Deng F, Niu J, Huang Q, Liu Y, Guo X. The relationship between traffic-related air pollutants and cardiac autonomic function in a panel of healthy adults: a further analysis with existing data. Inhal Toxicol 2011; 23:289-303. [DOI: 10.3109/08958378.2011.568976] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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32
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Chow DC, Grandinetti A, Fernandez E, Sutton AJ, Elias T, Brooks B, Tam EK. Is volcanic air pollution associated with decreased heart-rate variability? HEART ASIA 2010; 2:36-41. [PMID: 21546995 DOI: 10.1136/ha.2009.001172] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
OBJECTIVES: To determine the autonomic cardiovascular control among residents of Hawaii who are exposed to varying levels of volcanic air pollution (vog), which consists largely of sulfur dioxide (SO(2)) and acid aerosols. METHODS: In a cross-sectional study between April 2006 and June 2008, the authors measured cardiovagal autonomic function by heart-rate variability (HRV) in 72 healthy individuals who lived in four exposure zones on Hawaii Island: vog-free (n=18); episodic exposure to SO(2) >200 ppb and acid aerosol (n=19); chronic exposure to SO(2) ≥30 ppb and acid aerosol (n=15); and chronic exposure to acid aerosols (n=20). Individuals with diabetes or heart disease, or who had smoked in the preceding month were excluded. HRV was measured in all subjects during rest, paced breathing and active standing (Ewing manoeuvre). HRV was analysed in time and frequency domains and compared between the four exposure zones. RESULTS: There were no significant differences between exposure zones in HRV, in either time or frequency domains, even after adjustment for age, gender, ethnicity and body mass index. There was no significant HRV change in three individuals in whom HRV was measured before and during an exposure to combined SO(2) 100-250 ppb and concentration of respirable particles of diameter ≥2.5 μ (PM(2.5)) >500 μg/m(3). Age was significantly correlated with time-domain parameters during paced breathing and the Ewing manoeuvre. CONCLUSIONS: This study of healthy individuals found no appreciable effects of vog on the autonomic nervous system.
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Affiliation(s)
- Dominic C Chow
- Department of Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
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Wu CF, Kuo IC, Su TC, Li YR, Lin LY, Chan CC, Hsu SC. Effects of personal exposure to particulate matter and ozone on arterial stiffness and heart rate variability in healthy adults. Am J Epidemiol 2010; 171:1299-309. [PMID: 20507901 DOI: 10.1093/aje/kwq060] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The effects on heart rate variability (HRV) and arterial stiffness from exposure to ambient particulate matter and ozone have not been studied simultaneously. The aim of this study was to analyze these effects with refined exposure estimates from personal measurements of ozone and size-resolved particulate matter mass concentrations. The authors recruited 17 mail carriers in a panel study in Taipei County, Taiwan, during February-March, 2007, and each subject was followed for 5-6 days. Personal ozone and size-fractionated particulate matter exposures were monitored during working hours while carriers delivered mail outdoors. Cardiovascular effects were evaluated with heart rate variability (HRV) indices and an arterial stiffness index, the cardio-ankle vascular index (CAVI). The authors used linear mixed models to examine the association between personal exposure data and the HRV index and CAVI. They found that an interquartile range increase in personal exposure to ozone and particulate matter of between 1.0 and 2.5 microm was associated with a 4.8% and 2.5% increase in CAVI, respectively, in the single-pollutant models. In contrast, the personal exposure data showed no significant effects on HRV. In 2-pollutant models, personal ozone exposure remained significantly associated with the CAVI measurements. The study results indicate that vascular function may be more sensitive to air pollutants than the autonomic balance.
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Affiliation(s)
- Chang-fu Wu
- Department of Public Health, National Taiwan University, Taipei, Taiwan.
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Burgan O, Smargiassi A, Perron S, Kosatsky T. Cardiovascular effects of sub-daily levels of ambient fine particles: a systematic review. Environ Health 2010; 9:26. [PMID: 20550697 PMCID: PMC2895599 DOI: 10.1186/1476-069x-9-26] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2010] [Accepted: 06/15/2010] [Indexed: 05/20/2023]
Abstract
BACKGROUND While the effects of daily fine particulate exposure (PM) have been well reviewed, the epidemiological and physiological evidence of cardiovascular effects associated to sub-daily exposures has not. We performed a theoretical model-driven systematic non-meta-analytical literature review to document the association between PM sub-daily exposures (< or =6 hours) and arrhythmia, ischemia and myocardial infarction (MI) as well as the likely mechanisms by which sub-daily PM exposures might induce these acute cardiovascular effects. This review was motivated by the assessment of the risk of exposure to elevated sub-daily levels of PM during fireworks displays. METHODS Medline and Elsevier's EMBase were consulted for the years 1996-2008. Search keywords covered potential cardiovascular effects, the pollutant of interest and the short duration of the exposure. Only epidemiological and experimental studies of adult humans (age > 18 yrs) published in English were reviewed. Information on design, population and PM exposure characteristics, and presence of an association with selected cardiovascular effects or physiological assessments was extracted from retrieved articles. RESULTS Of 231 articles identified, 49 were reviewed. Of these, 17 addressed the relationship between sub-daily exposures to PM and cardiovascular effects: five assessed ST-segment depression indicating ischemia, eight assessed arrhythmia or fibrillation and five considered MI. Epidemiologic studies suggest that exposure to sub-daily levels of PM is associated with MI and ischemic events in the elderly. Epidemiological studies of sub-daily exposures suggest a plausible biological mechanism involving the autonomic nervous system while experimental studies suggest that vasomotor dysfunction may also relate to the occurrence of MI and ischemic events. CONCLUSIONS Future studies should clarify associations between cardiovascular effects of sub-daily PM exposure with PM size fraction and concurrent gaseous pollutant exposures. Experimental studies appear more promising for elucidating the physiological mechanisms, time courses and causes than epidemiological studies which employ central pollution monitors for measuring effects and for assessing their time course. Although further studies are needed to strengthen the evidence, given that exposure to sub-daily high levels of PM (for a few hours) is frequent and given the suggestive evidence that sub-daily PM exposures are associated with the occurrence of cardiovascular effects, we recommend that persons with cardiovascular diseases avoid such situations.
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Affiliation(s)
- Omar Burgan
- Département de santé environnementale et santé au travail, Université de Montréal, Canada
| | - Audrey Smargiassi
- Département de santé environnementale et santé au travail, Université de Montréal, Canada
- Institut National de Santé Publique du Québec (INSPQ), 1301 Sherbrooke Est, Montréal (Québec), H2L 1M3, Canada
| | - Stéphane Perron
- Direction de Santé Publique de l'Agence de la Santé et des Services Sociaux de Montréal, Canada
| | - Tom Kosatsky
- British Columbia Center for Disease Control, Canada
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35
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Brook RD, Rajagopalan S, Pope CA, Brook JR, Bhatnagar A, Diez-Roux AV, Holguin F, Hong Y, Luepker RV, Mittleman MA, Peters A, Siscovick D, Smith SC, Whitsel L, Kaufman JD. Particulate matter air pollution and cardiovascular disease: An update to the scientific statement from the American Heart Association. Circulation 2010; 121:2331-78. [PMID: 20458016 DOI: 10.1161/cir.0b013e3181dbece1] [Citation(s) in RCA: 3800] [Impact Index Per Article: 271.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
In 2004, the first American Heart Association scientific statement on "Air Pollution and Cardiovascular Disease" concluded that exposure to particulate matter (PM) air pollution contributes to cardiovascular morbidity and mortality. In the interim, numerous studies have expanded our understanding of this association and further elucidated the physiological and molecular mechanisms involved. The main objective of this updated American Heart Association scientific statement is to provide a comprehensive review of the new evidence linking PM exposure with cardiovascular disease, with a specific focus on highlighting the clinical implications for researchers and healthcare providers. The writing group also sought to provide expert consensus opinions on many aspects of the current state of science and updated suggestions for areas of future research. On the basis of the findings of this review, several new conclusions were reached, including the following: Exposure to PM <2.5 microm in diameter (PM(2.5)) over a few hours to weeks can trigger cardiovascular disease-related mortality and nonfatal events; longer-term exposure (eg, a few years) increases the risk for cardiovascular mortality to an even greater extent than exposures over a few days and reduces life expectancy within more highly exposed segments of the population by several months to a few years; reductions in PM levels are associated with decreases in cardiovascular mortality within a time frame as short as a few years; and many credible pathological mechanisms have been elucidated that lend biological plausibility to these findings. It is the opinion of the writing group that the overall evidence is consistent with a causal relationship between PM(2.5) exposure and cardiovascular morbidity and mortality. This body of evidence has grown and been strengthened substantially since the first American Heart Association scientific statement was published. Finally, PM(2.5) exposure is deemed a modifiable factor that contributes to cardiovascular morbidity and mortality.
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Farraj AK, Hazari MS, Haykal-Coates N, Lamb C, Winsett DW, Ge Y, Ledbetter AD, Carll AP, Bruno M, Ghio A, Costa DL. ST depression, arrhythmia, vagal dominance, and reduced cardiac micro-RNA in particulate-exposed rats. Am J Respir Cell Mol Biol 2010; 44:185-96. [PMID: 20378750 DOI: 10.1165/rcmb.2009-0456oc] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Recently, investigators demonstrated associations between fine particulate matter (PM)-associated metals and adverse health effects. Residual oil fly ash (ROFA), a waste product of fossil fuel combustion from boilers, is rich in the transition metals Fe, Ni, and V, and when released as a fugitive particle, is an important contributor to ambient fine particulate air pollution. We hypothesized that a single-inhalation exposure to transition metal-rich PM will cause concentration-dependent cardiovascular toxicity in spontaneously hypertensive (SH) rats. Rats implanted with telemeters to monitor heart rate and electrocardiogram were exposed once by nose-only inhalation for 4 hours to 3.5 mg/m(3), 1.0 mg/m(3), or 0.45 mg/m(3) of a synthetic PM (dried salt solution), similar in composition to a well-studied ROFA sample consisting of Fe, Ni, and V. Exposure to the highest concentration of PM decreased T-wave amplitude and area, caused ST depression, reduced heart rate (HR), and increased nonconducted P-wave arrhythmias. These changes were accompanied by increased pulmonary inflammation, lung resistance, and vagal tone, as indicated by changes in markers of HR variability (increased root of the mean of squared differences of adjacent RR intervals [RMSSD], low frequency [LF], high frequency [HF], and decreased LF/HF), and attenuated myocardial micro-RNA (RNA segments that suppress translation by targeting messenger RNA) expression. The low and intermediate concentrations of PM had less effect on the inflammatory, HR variability, and micro-RNA endpoints, but still caused significant reductions in HR. In addition, the intermediate concentration caused ST depression and increased QRS area, whereas the low concentration increased the T-wave parameters. Thus, PM-induced cardiac dysfunction is mediated by multiple mechanisms that may be dependent on PM concentration and myocardial vulnerability (this abstract does not reflect the policy of the United States Environmental Protection Agency).
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Affiliation(s)
- Aimen K Farraj
- Environmental Public Health Division, United States Environmental Protection Agency, Research Triangle Park, NC 27711, USA.
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Ramos-Bonilla JP, Breysse PN, Dominici F, Geyh A, Tankersley CG. Ambient air pollution alters heart rate regulation in aged mice. Inhal Toxicol 2010; 22:330-9. [DOI: 10.3109/08958370903349365] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Wu S, Deng F, Niu J, Huang Q, Liu Y, Guo X. Association of heart rate variability in taxi drivers with marked changes in particulate air pollution in Beijing in 2008. ENVIRONMENTAL HEALTH PERSPECTIVES 2010; 118:87-91. [PMID: 20056565 PMCID: PMC2831973 DOI: 10.1289/ehp.0900818] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2009] [Accepted: 09/15/2009] [Indexed: 05/03/2023]
Abstract
BACKGROUND Heart rate variability (HRV), a marker of cardiac autonomic function, has been -associated with particulate matter (PM) air pollution, especially in older patients and those with cardio-vascular diseases. However, the effect of PM exposure on cardiac autonomic function in young, healthy adults has received less attention. OBJECTIVES We evaluated the relationship between exposure to traffic-related PM with an aerodynamic diameter <or= 2.5 microm (PM2.5) and HRV in a highly exposed panel of taxi drivers. METHODS Continuous measurements of personal exposure to PM2.5 and ambulatory electrocardiogram monitoring were conducted on 11 young healthy taxi drivers for a 12-hr work shift during their work time (09002100 hr) before, during, and after the Beijing 2008 Olympic Games. Mixed-effects regression models were used to estimate associations between PM2.5 exposure and percent changes in 5-min HRV indices after combining data from the three time periods and controlling for potentially confounding variables. RESULTS Personal exposures of taxi drivers to PM2.5 changed markedly across the three time -periods. The standard deviation of normal-to-normal (SDNN) intervals decreased by 2.2% [95% confidence interval (CI), 3.8% to 0.6%] with an interquartile range (IQR; 69.5 microg/m3) increase in the 30-min PM2.5 moving average, whereas the low-frequency and high-frequency powers decreased by 4.2% (95% CI, 9.0% to 0.8%) and 6.2% (95% CI, 10.7% to 1.5%), respectively, in association with an IQR increase in the 2-hr PM2.5 moving average. CONCLUSIONS Marked changes in traffic-related PM2.5 exposure were associated with altered cardiac autonomic function in young healthy adults.
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Affiliation(s)
- Shaowei Wu
- Peking University School of Public Health, Beijing, China
| | - Furong Deng
- Peking University School of Public Health, Beijing, China
| | - Jie Niu
- Peking University Third Hospital, Beijing, China
| | | | - Youcheng Liu
- University of Kentucky College of Public Health, Lexington, Kentucky, USA
| | - Xinbiao Guo
- Peking University School of Public Health, Beijing, China
- Address correspondence to X. Guo, Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, 38 Xueyuan Rd., Beijing 100191, China. Telephone: 86-10-82801176. Fax: 86-10-62375580. E-mail:
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Fan ZT, Meng Q, Weisel C, Laumbach R, Ohman-Strickland P, Shalat S, Hernandez MZ, Black K. Acute exposure to elevated PM2.5 generated by traffic and cardiopulmonary health effects in healthy older adults. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2009; 19:525-33. [PMID: 18841167 PMCID: PMC4035692 DOI: 10.1038/jes.2008.46] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2008] [Accepted: 07/06/2008] [Indexed: 05/20/2023]
Abstract
There are evidences for exposure to vehicular emissions and adverse cardiopulmonary health effects. This study attempted to further explore these effects on elderly. This study monitored personal PM(2.5) concentrations and ambulatory electrocardiograms continuously for 24 h on 1 working day in 3 separate weeks for 11 school crossing guards. Spirometry was also performed before and after the morning shift. The traffic at each work location was video recorded during one of the three morning shifts. The increases in the average personal PM(2.5) concentrations (baseline PM(2.5) was subtracted) of 1.2-87 and 1.1-98 microg/m(3) were observed during the 1-h morning (DeltaPM(2.5-ave-m)) and afternoon shift (DeltaPM(2.5-ave-a)), respectively. Traffic count was not a significant predictor of the DeltaPM(2.5-ave-m) (P=0.78). Mean heart rate variability (HRV), measured as 5-min standard deviation of normal-to-normal (SDNN) beats during the 10-min rest periods, decreased 18-26% (P<0.02) 15 min, 2 and 4 h after the morning shift, but changes in SDNN (DeltaSDNN) were insignificant post-afternoon exposure (-0.3 to -7% with P>0.53). DeltaSDNN were negatively associated with DeltaPM(2.5-ave-m), with the strongest association at 2 h after the morning shift (P<0.01) but insignificant 4 h after the morning exposure. The peak PM(2.5) concentration (DeltaPM(2.5-peak), baseline PM(2.5) was subtracted) was not a significant predictor for DeltaSDNN, and no clear effect of PM(2.5) exposure on heart rate was observed. There was no effect of PM exposure on lung function (P>0.16), either. In conclusion, acute exposure to the PM(2.5) resulting from mobile sources can cause acute decline in HRV in healthy older adults, suggesting one of the biological mechanisms for the adverse cardiovascular health effects associated with traffic-related air pollution. Traffic count may not be an appropriate surrogate measure of acute personal exposure to vehicular emission in traffic congested areas.
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Affiliation(s)
- Zhihua Tina Fan
- Environmental and Occupational Health Sciences Institute, Piscataway, New Jersey 08854, USA.
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Farraj AK, Haykal-Coates N, Winsett DW, Hazari MS, Carll AP, Rowan WH, Ledbetter AD, Cascio WE, Costa DL. Increased non-conducted P-wave arrhythmias after a single oil fly ash inhalation exposure in hypertensive rats. ENVIRONMENTAL HEALTH PERSPECTIVES 2009; 117:709-15. [PMID: 19479011 PMCID: PMC2685831 DOI: 10.1289/ehp.0800129] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2008] [Accepted: 12/31/2008] [Indexed: 05/08/2023]
Abstract
BACKGROUND Exposure to combustion-derived fine particulate matter (PM) is associated with increased cardiovascular morbidity and mortality especially in individuals with cardiovascular disease, including hypertension. PM inhalation causes several adverse changes in cardiac function that are reflected in the electrocardiogram (ECG), including altered cardiac rhythm, myocardial ischemia, and reduced heart rate variability (HRV). The sensitivity and reliability of ECG-derived parameters as indicators of the cardiovascular toxicity of PM in rats are unclear. OBJECTIVE We hypothesized that spontaneously hypertensive (SH) rats are more susceptible to the development of PM-induced arrhythmia, altered ECG morphology, and reduced HRV than are Wistar Kyoto (WKY) rats, a related strain with normal blood pressure. METHODS We exposed rats once by nose-only inhalation for 4 hr to residual oil fly ash (ROFA), an emission source particle rich in transition metals, or to air and then sacrificed them 1 or 48 hr later. RESULTS ROFA-exposed SH rats developed non-conducted P-wave arrhythmias but no changes in ECG morphology or HRV. We found no ECG effects in ROFA-exposed WKY rats. ROFA-exposed SH rats also had greater pulmonary injury, neutrophil infiltration, and serum C-reactive protein than did ROFA-exposed WKY rats. CONCLUSIONS These results suggest that cardiac arrhythmias may be an early sensitive indicator of the propensity for PM inhalation to modify cardiovascular function.
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Affiliation(s)
- Aimen K Farraj
- Experimental Toxicology Division, National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina 27711, USA.
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Fang SC, Cavallari JM, Eisen EA, Chen JC, Mittleman MA, Christiani DC. Vascular function, inflammation, and variations in cardiac autonomic responses to particulate matter among welders. Am J Epidemiol 2009; 169:848-56. [PMID: 19153215 DOI: 10.1093/aje/kwn405] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Patients with health conditions associated with impaired vascular function and inflammation may be more susceptible to the adverse health effects of fine particulate (particulate matter with a mass median aerodynamic diameter of </=2.5 mum (PM(2.5))) exposure. In 2006, the authors conducted a panel study to investigate directly whether vascular function and inflammation (assessed by C-reactive protein) modify PM(2.5)-associated reductions in heart rate variability among 23 young male workers (mean age, 40 years) from Massachusetts. Concurrent 24-hour ambulatory electrocardiogram and personal PM(2.5) exposure information was collected over a total of 36 person-days, including either or both welding and nonwelding days. Linear mixed models were used to examine the 5-minute standard deviation of normal-to-normal intervals (SDNN) in relation to the moving PM(2.5) averages in the preceding 1-4 hours. C-reactive protein levels and 3 measures of vascular function (augmentation index, mean arterial pressure, and pulse pressure) were determined at baseline. The authors observed an inverse association between the 1-hour PM(2.5) and 5-minute SDNN. Greater SDNN declines were observed among those with C-reactive protein (P(interaction) < 0.001) and augmentation index (P = 0.06) values at or above the 75th percentile and pulse pressure values below the 75th percentile (P < 0.001). Systemic inflammation and poorer vascular function appear to aggravate particle-related declines in heart rate variability among workers.
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Bente M, Sklorz M, Streibel T, Zimmermann R. Thermal Desorption−Multiphoton Ionization Time-of-Flight Mass Spectrometry of Individual Aerosol Particles: A Simplified Approach for Online Single-Particle Analysis of Polycyclic Aromatic Hydrocarbons and Their Derivatives. Anal Chem 2009; 81:2525-36. [DOI: 10.1021/ac802296f] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Matthias Bente
- Institut für Ökologische Chemie, Helmholtz Zentrum München, 85764 Neuherberg, Germany, Lehrstuhl für Analytische Chemie/Massenspektrometrie-Zentrum, Institut für Chemie, Universität Rostock, 18051 Rostock, Germany, and Bayerisches Institut für Angewandte Umweltforschung and -technik GmbH (BIfA), Kompetenzbereich Prozesstechnik und Chemische Analytik, 86167 Augsburg, Germany
| | - Martin Sklorz
- Institut für Ökologische Chemie, Helmholtz Zentrum München, 85764 Neuherberg, Germany, Lehrstuhl für Analytische Chemie/Massenspektrometrie-Zentrum, Institut für Chemie, Universität Rostock, 18051 Rostock, Germany, and Bayerisches Institut für Angewandte Umweltforschung and -technik GmbH (BIfA), Kompetenzbereich Prozesstechnik und Chemische Analytik, 86167 Augsburg, Germany
| | - Thorsten Streibel
- Institut für Ökologische Chemie, Helmholtz Zentrum München, 85764 Neuherberg, Germany, Lehrstuhl für Analytische Chemie/Massenspektrometrie-Zentrum, Institut für Chemie, Universität Rostock, 18051 Rostock, Germany, and Bayerisches Institut für Angewandte Umweltforschung and -technik GmbH (BIfA), Kompetenzbereich Prozesstechnik und Chemische Analytik, 86167 Augsburg, Germany
| | - Ralf Zimmermann
- Institut für Ökologische Chemie, Helmholtz Zentrum München, 85764 Neuherberg, Germany, Lehrstuhl für Analytische Chemie/Massenspektrometrie-Zentrum, Institut für Chemie, Universität Rostock, 18051 Rostock, Germany, and Bayerisches Institut für Angewandte Umweltforschung and -technik GmbH (BIfA), Kompetenzbereich Prozesstechnik und Chemische Analytik, 86167 Augsburg, Germany
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Rankin J, Chadwick T, Natarajan M, Howel D, Pearce MS, Pless-Mulloli T. Maternal exposure to ambient air pollutants and risk of congenital anomalies. ENVIRONMENTAL RESEARCH 2009; 109:181-7. [PMID: 19135190 DOI: 10.1016/j.envres.2008.11.007] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Revised: 10/30/2008] [Accepted: 11/17/2008] [Indexed: 05/21/2023]
Abstract
Studies have suggested an association between maternal exposure to ambient air pollution and risk of congenital anomaly. The aim of this study is to investigate the association between exposure to black smoke (BS; particulate matter with aerodynamic diameter <4 microg/m(3)) and sulphur dioxide (SO(2)) during the first trimester of pregnancy and risk of congenital anomalies. We used a case-control study design among deliveries to mothers resident in the UK Northern health region during 1985-1990. Case data were ascertained from the population-based Northern Congenital Abnormality Survey and control data from national data on all births. Data on BS and SO(2) from ambient air monitoring stations were used to average the total pollutant exposure during the first trimester of pregnancy over the daily readings from all monitors within 10 km of the mother's residence. Logistic regression models estimated the association via odds ratios. A significant but weak positive association was found between nervous system anomalies and BS (OR=1.10 per increase of 1000 microg/m(3) total BS; 95% CI: 1.03, 1.18), but not with other anomaly subtypes. For SO(2), a significant negative association was found with congenital heart disease combined and patent ductus arteriosus: OR significantly <1 for all quartiles relative to the first quartile. The relationship between SO(2) levels and other anomaly subtypes was less clear cut: there were either no significant associations or a suggestion of a U-shaped relationship (OR significantly <1 for moderate compared to lowest levels, but not with high SO(2) levels). Overall, maternal exposure to BS and SO(2) in the Northern region had limited impact on congenital anomaly risk. Studies with detailed exposure assessment are needed to further investigate this relationship.
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Affiliation(s)
- Judith Rankin
- Institute of Health and Society, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK.
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McKone TE, Ryan PB, Ozkaynak H. Exposure information in environmental health research: current opportunities and future directions for particulate matter, ozone, and toxic air pollutants. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2009; 19:30-44. [PMID: 18385670 DOI: 10.1038/jes.2008.3] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2007] [Accepted: 01/04/2008] [Indexed: 05/26/2023]
Abstract
Understanding and quantifying outdoor and indoor sources of human exposure are essential but often not adequately addressed in health effect studies for air pollution. Air pollution epidemiology, risk assessment, health tracking, and accountability assessments are examples of health effect studies that require but often lack adequate exposure information. Recent advances in exposure modeling along with better information on time-activity and exposure factor data provide us with unique opportunities to improve the assignment of exposures for both future and ongoing studies linking air pollution to health impacts. In September 2006, scientists from the US Environmental Protection Agency and the Centers for Disease Control and Prevention along with scientists from the academic community and state health departments convened a symposium on air pollution exposure and health to identify, evaluate, and improve current approaches for linking air pollution exposures to disease. This manuscript presents the key issues, challenges, and recommendations identified by the exposure working group, who used case studies of particulate matter, ozone, and toxic air-pollutant exposure to evaluate health effects for air pollution. One of the overarching lessons of this workshop is that obtaining better exposure information for these different health effect studies requires both goal setting for what is needed and mapping out the transition pathway from current capabilities for meeting these goals. Meeting our long-term goals requires definition of incremental steps that provide useful information for the interim and move us toward our long-term goals. Another overarching theme among the three different pollutants and the different health study approaches is the need for integration among alternate exposure-assessment approaches. For example, different groups may advocate exposure indicators, biomonitoring, mapping methods (GIS), modeling, environmental media monitoring, and/or personal exposure modeling. However, emerging research reveals that the greatest progress comes from integration among two or more of these efforts.
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Affiliation(s)
- Thomas E McKone
- Lawrence Berkeley National Laboratory, Berkeley, California 95720, USA.
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Cárdenas M, Vallejo M, Romano-Riquer P, Ruiz-Velasco S, Ferreira-Vidal AD, Hermosillo AG. Personal exposure to PM2.5 air pollution and heart rate variability in subjects with positive or negative head-up tilt test. ENVIRONMENTAL RESEARCH 2008; 108:1-6. [PMID: 18550050 DOI: 10.1016/j.envres.2008.04.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2007] [Revised: 02/20/2008] [Accepted: 04/21/2008] [Indexed: 05/26/2023]
Abstract
Particulate matter air pollution has been related to an increase in cardiopulmonary morbidity and mortality especially in susceptible subjects with a known cardiopulmonary disease. Recent studies suggest that PM(2.5) air pollution was associated with changes in heart rate variability (HRV). The purpose of this study was to identify and compare changes in HRV in positive or negative head-up tilt (HUT) participants. Fifty two subjects, 31 women and 21 men, 20-40 years old, underwent PM(2.5) personal monitoring and Holter-ECG monitoring in supine and orthostatic position, during active standing, in indoor and outdoor environments. All measurements were made between 8 and 11 AM in the same geographical location (southeast of Mexico City). Frequency domain indexes were estimated in absolute (ms(2)) and in normalized units (nu) (low frequencies (LF), high frequencies (HF) and low/high frequency ratio (LF/HF)) in 5 min periods by standard methods. Data were transformed into natural logarithmic scale (ln). Comparisons were made between genders and positive and negative HUT subjects. LF were larger and HF were smaller in negative HUT males. Multivariate analysis with GEE models, adjusted for each index, showed a significant decrease of HRV (LFln -0.194 95% CI, -0.4509, 0.0627, and HFln -0.298 95% CI, -0.5553, -0.0401) associated to an increase in PM(2.5) air pollution in positive and negative HUT subjects which was larger for HFln in outdoor environments. PM(2.5) air pollution was associated with changes in HRV in positive and negative HUT subjects without cardiopulmonary disease.
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Affiliation(s)
- Manuel Cárdenas
- Department of Electrocardiology, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano No. 1, Col Sección XVI, Tlalpan 14080, México
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Ajmone-Marsan F, Biasioli M, Kralj T, Grcman H, Davidson CM, Hursthouse AS, Madrid L, Rodrigues S. Metals in particle-size fractions of the soils of five European cities. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2008; 152:73-81. [PMID: 17602808 DOI: 10.1016/j.envpol.2007.05.020] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2007] [Revised: 05/09/2007] [Accepted: 05/11/2007] [Indexed: 05/16/2023]
Abstract
Soils from Aveiro, Glasgow, Ljubljana, Sevilla and Torino have been investigated in view of their potential for translocation of potentially toxic elements (PTE) to the atmosphere. Soils were partitioned into five size fractions and Cr, Cu, Ni, Pb and Zn were measured in the fractions and the whole soil. All PTE concentrated in the <10 microm fraction. Cr and Ni concentrated also in the coarse fraction, indicating a lithogenic contribution. An accumulation factor (AF) was calculated for the <2 and <10 microm fraction. The AF values indicate that the accumulation in the finer fractions is higher where the overall contamination is lower. AF for Cr and Ni are particularly low in Glasgow and Torino. An inverse relationship was found between the AF of some metals and the percentage of <10 microm particles that could be of use in risk assessment or remediation practices.
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Affiliation(s)
- F Ajmone-Marsan
- DIVAPRA, Chimica Agraria, Università di Torino, Via Leonardo da Vinci, 44, 10095 Grugliasco, TO, Italy.
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Rowan WH, Campen MJ, Wichers LB, Watkinson WP. Heart rate variability in rodents: uses and caveats in toxicological studies. Cardiovasc Toxicol 2007; 7:28-51. [PMID: 17646680 DOI: 10.1007/s12012-007-0004-6] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/1999] [Revised: 11/30/1999] [Accepted: 11/30/1999] [Indexed: 01/04/2023]
Abstract
Heart rate variability (HRV) is a measure of cardiac pacing dynamics that has recently garnered a great deal of interest in environmental health studies. While the use of these measures has become popular, much uncertainty remains in the interpretation of results, both in terms of human and animal research. In humans, HRV endpoints, specifically chronic alterations in baseline HRV patterns, have been reasonably well characterized as prognostic indicators of adverse outcomes for a variety of diseases. However, such information is lacking for reversible HRV changes that may be induced by short-term exposures to environmental toxicants. Furthermore, there are minimal substantive data, either acute or chronic, regarding the pathological interpretation or prognostic value of toxicant-induced changes in HRV in rodents. The present report summarizes the physiological and clinical aspects of HRV, the methodological processes for obtaining these endpoints, and previous human and animal studies in the field of environmental health. Furthermore, we include a discussion of important caveats and recommendations for the interpretation of HRV data in animal research.
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Affiliation(s)
- William H Rowan
- Pulmonary Toxicology Branch, Experimental Toxicology Division, National Health and Environmental Effects Research Laboratory, Office of Research and Development, U.S. Environmental Protection Agency, Research Triangle Park, NC 27711, USA
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Cavallari JM, Eisen EA, Chen JC, Fang SC, Dobson CB, Schwartz J, Christiani DC. Night heart rate variability and particulate exposures among boilermaker construction workers. ENVIRONMENTAL HEALTH PERSPECTIVES 2007; 115:1046-51. [PMID: 17637921 PMCID: PMC1913585 DOI: 10.1289/ehp.10019] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2006] [Accepted: 04/05/2007] [Indexed: 05/08/2023]
Abstract
BACKGROUND Although studies have documented the association between heart rate variability (HRV) and ambient particulate exposures, the association between HRV, especially at night, and metal-rich, occupational particulate exposures remains unclear. OBJECTIVE Our goal in this study was to investigate the association between long-duration HRV, including nighttime HRV, and occupational PM(2.5) exposures. METHODS We used 24-hr ambulatory electrocardiograms (ECGs) to monitor 36 male boilermaker welders (mean age of 41 years) over a workday and nonworkday. ECGs were analyzed for HRV in the time domain; rMSSD (square root of the mean squared differences of successive intervals), SDNN (SD of normal-to-normal intervals over entire recording), and SDNN(i) (SDNN for all 5-min segments) were summarized over 24-hr, day (0730-2130 hours), and night (0000-0700 hours) periods. PM(2.5) (particulate matter with an aerodynamic diameter </= 2.5 microm) exposures were monitored over the workday, and 8-hr time-weighted average concentrations were calculated. We used linear regression to assess the associations between HRV and workday particulate exposures. Matched measurements from a nonworkday were used to control for individual cardiac risk factors. RESULTS Mean (+/- SD) PM(2.5) exposure was 0.73 +/- 0.50 mg/m(3) and ranged from 0.04 to 2.70 mg/m(3). We observed a consistent inverse exposure-response relationship, with a decrease in all HRV measures with increased PM(2.5) exposure. However, the decrease was most pronounced at night, where a 1-mg/m(3) increase in PM(2.5) was associated with a change of -8.32 [95% confidence interval (CI), -16.29 to -0.35] msec nighttime rMSSD, -14.77 (95% CI, -31.52 to 1.97) msec nighttime SDNN, and -8.37 (95% CI, -17.93 to 1.20) msec nighttime SDNN(i), after adjusting for nonworking nighttime HRV, age, and smoking. CONCLUSION Metal-rich particulate exposures were associated with decreased long-duration HRV, especially at night. Further research is needed to elucidate which particulate metal constituent is responsible for decreased HRV.
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Affiliation(s)
- Jennifer M. Cavallari
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
| | - Ellen A. Eisen
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
| | - Jiu-Chiuan Chen
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
- Department of Epidemiology, UNC School of Public Health, Chapel Hill, North Carolina, USA
| | - Shona C. Fang
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
| | - Christine B. Dobson
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
| | - Joel Schwartz
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
| | - David C. Christiani
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
- Harvard Medical School, Boston, Massachusetts, USA
- Massachusetts General Hospital, Boston, Massachusetts, USA
- Address correspondence to D.C. Christiani, Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, 665 Huntington Ave., SPH1-1402, Boston, MA 02115 USA. Telephone: (617) 432-3323. Fax: (617) 432-3441. E-mail:
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Chen JC, Stone PH, Verrier RL, Nearing BD, MacCallum G, Kim JY, Herrick RF, You J, Zhou H, Christiani DC. Personal Coronary Risk Profiles Modify Autonomic Nervous System Responses to Air Pollution. J Occup Environ Med 2006; 48:1133-42. [PMID: 17099449 DOI: 10.1097/01.jom.0000245675.85924.7e] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE We investigated whether PM2.5-mediated autonomic modulation depends on individual coronary risk profiles. METHODS Five-minute average heart rate (HR) and heart rate variability (HRV, including standard deviation of normal-to-normal intervals [SDNN], square root of the mean squared differences of successive NN intervals [rMSSD], high frequency [HF]) were measured from 24-hour ambulatory electrocardiograms, and personal PM(2.5) exposures were monitored in a prospective study of 10 male boilermakers (aged 34.3 +/- 8.1 years). We used the Framingham score to classify individuals into low (score = 1-3) and high (score = 5-6) risk categories. Mixed-effect models were used for statistical analyses. RESULTS Each 1-mg/m(3) increase in the preceding 4-hour moving average PM(2.5) was associated with HR increase (5.3 beats/min) and HRV reduction (11.7%, confidence interval [CI] = 6.2-17.1% for SDNN; 11.1%, CI = 3.1-19.1% for rMSSD; 16.6%, CI = 1.5-31.7% for HF). Greater responses (2- to 4-fold differences) were observed in high-risk subjects than in low-risk subjects. CONCLUSIONS Our study suggests that adverse autonomic responses to metal particulate are aggravated in workers with higher coronary risk profiles.
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Affiliation(s)
- Jiu-Chiuan Chen
- Harvard School of Public Health, 655 Huntington Avenue, Boston, MA 02115, USA
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