Synthesis of Harvard Environmental Protection Agency (EPA) Center studies on traffic-related particulate pollution and cardiovascular outcomes in the Greater Boston Area

Research progress of different components of PM2.5 and ischemic stroke

PM2.5 is a nonhomogeneous mixture of complex components produced from multiple sources, and different components of this mixture have different chemical and biological toxicities, which results in the fact that the toxicity and hazards of PM2.5 may vary even for the same mass of PM2.5. Previous studies on PM2.5 and ischemic stroke have reached different or even opposing conclusions, and considering the heterogeneity of PM2.5 has led researchers to focus on the health effects of specific PM2.5 components. However, due to the complexity of PM2.5 constituents, assessing the association between exposure to specific PM2.5 constituents and ischemic stroke presents significant challenges. Therefore, this paper reviews and analyzes studies related to PM2.5 and its different components and ischemic stroke, aiming to understand the composition of PM2.5 and identify its harmful components, elucidate their relationship with ischemic stroke, and thus provide some insights and considerations for studying the biological mechanisms by which they affect ischemic stroke and for the prevention and treatment of ischemic stroke associated with different components of PM2.5.

Using Distributed Lag Non-Linear Models to Estimate Exposure Lag-Response Associations between Long-Term Air Pollution Exposure and Incidence of Cardiovascular Disease

Long-term air pollution exposure increases the risk for cardiovascular disease, but little is known about the temporal relationships between exposure and health outcomes. This study aims to estimate the exposure-lag response between air pollution exposure and risk for ischemic heart disease (IHD) and stroke incidence by applying distributed lag non-linear models (DLNMs). Annual mean concentrations of particles with aerodynamic diameter less than 2.5 µm (PM_2.5) and black carbon (BC) were estimated for participants in five Swedish cohorts using dispersion models. Simultaneous estimates of exposure lags 1-10 years using DLNMs were compared with separate year specific (single lag) estimates and estimates for lag 1-5- and 6-10-years using moving average exposure. The DLNM estimated no exposure lag-response between PM_2.5 total, BC, and IHD. However, for PM_2.5 from local sources, a 20% risk increase per 1 µg/m³ for 1-year lag was estimated. A risk increase for stroke was suggested in relation to lags 2-4-year PM_2.5 and BC, and also lags 8-9-years BC. No associations were shown in single lag models. Increased risk estimates for stroke in relation to lag 1-5- and 6-10-years BC moving averages were observed. Estimates generally supported a greater contribution to increased risk from exposure windows closer in time to incident IHD and incident stroke.

Reducing particulates in indoor air can improve the circulation and cardiorespiratory health of old people: A randomized, double-blind crossover trial of air filtration

Exposure to indoor air particulate pollution increases respiratory and cardiovascular morbidity and mortality, especially in the elderly. To assess a short-term, indoor air filtration's potential benefit on circulatory and cardiopulmonary health among healthy older people, a randomized, double-blind crossover trial was conducted with 24 healthy residents of an aged-care center in Chongqing, China in 2020. Each room received a high-efficiency particulate air filter air purifier and a placebo air purifier for two days. Fifteen circulatory system biomarkers of inflammation, coagulation, and oxidative stress; lung function; blood pressure (BP); heart rate (HR) and fractional exhaled nitric oxide (FeNO) were measured end of each two days. Indoor air particulate pollution was monitored throughout the study period. Linear mixed-effect models were used to associate health outcome variables with indoor particles. This intervention study demonstrated that air filtration was associated with significantly decreased concentrations of inflammatory and coagulation biomarkers, but not of biomarkers of oxidative stress and lung function. Just 48 h of air filtration can improve the cardiopulmonary health of the elderly. Air purifiers may be a public health measure that can be taken to improve circulatory and cardiopulmonary health among older people.

The impact of solar activity on ambient ultrafine particle concentrations: An analysis based on 19-year measurements in Boston, USA

Solar radiation plays a major role in atmospheric photochemistry, contributing to the formation and growth of ultrafine particles (PN). PN affect global Earth's radiation balance, climate system, and human health. However, the impact of solar activity on ambient PN remains unclear. In this study, we investigated the associations between daily ambient PN concentrations [particle number (PN)/cm³] and solar radio flux [solar activity index (F_10.7 in sfu)] as a solar activity parameter, shortwave solar radiation (SWR), daylight time (DL), cosmic ray-induced ionization (CRII), and air pollution [PM_2.5, black carbon (BC) and SO₂] over a 19-year period in Boston, MA. We used generalized additive models adjusted for local environmental conditions. We found that F_10.7 was the strongest predictor for daily PN concentrations over all time lags (0-28 days of lags) and seasons. The effects were higher in winter and fall. In winter, an interquartile (IQR) of 60 sfu F_10.7 corresponded to an increase of 5770 PN/cm³ in the day of PN collection. In fall, an IQR of 75.5 sfu F_10.7 was associated with an increase of 5429 PN/cm³. The effects of F_10.7 on PN concentrations were slightly greater when the models were adjusted for air pollution. In summer, ambient PN concentrations were statistically significantly associated with F_10.7, SWR, and BC, with the strongest association found for PN and BC in the day of PN collection. Unlike the effects of F_10.7, SWR and local pollutants on PN concentrations, DL and CRII were negatively associated with ambient PN in the analyses. These findings suggest that solar activity may have a significant impact on daily ambient PN concentrations that affect the Earth's climate system and human health.

Ambient PM2.5 species and ultrafine particle exposure and their differential metabolomic signatures

BACKGROUND

The metabolomic signatures of short- and long-term exposure to PM_2.5 have been reported and linked to inflammation and oxidative stress. However, little is known about the relative contribution of the specific PM_2.5 species (hence sources) that drive these metabolomic signatures.

OBJECTIVES

We aimed to determine the relative contribution of the different species of PM_2.5 exposure to the perturbed metabolic pathways related to changes in the plasma metabolome.

METHODS

We performed mass-spectrometry based metabolomic profiling of plasma samples among men from the Normative Aging Study to identify metabolic pathways associated with PM_2.5 species. The exposure windows included short-term (one, seven-, and thirty-day moving average) and long-term (one year moving average). We used linear mixed-effect regression with subject-specific intercepts while simultaneously adjusting for PM_2.5, NO₂, O₃, temperature, relative humidity, and covariates and correcting for multiple testing. We also used independent component analysis (ICA) to examine the relative contribution of patterns of PM_2.5 species.

RESULTS

Between 2000 and 2016, 456 men provided 648 blood samples, in which 1158 metabolites were quantified. We chose 305 metabolites for the short-term and 288 metabolites for the long-term exposure in this analysis that were significantly associated (p-value < 0.01) with PM_2.5 to include in our PM_2.5 species analysis. On average, men were 75.0 years old and their body mass index was 27.7 kg/m². Only 3% were current smokers. In the adjusted models, ultrafine particles (UFPs) were the most significant species of short-term PM_2.5 exposure followed by nickel, vanadium, potassium, silicon, and aluminum. Black carbon, vanadium, zinc, nickel, iron, copper, and selenium were the significant species of long-term PM_2.5 exposure. We identified several metabolic pathways perturbed with PM_2.5 species including glycerophospholipid, sphingolipid, and glutathione. These pathways are involved in inflammation, oxidative stress, immunity, and nucleic acid damage and repair. Results were overlapped with the ICA.

CONCLUSIONS

We identified several significant perturbed plasma metabolites and metabolic pathways associated with exposure to PM_2.5 species. These species are associated with traffic, fuel oil, and wood smoke. This is the largest study to report a metabolomic signature of PM_2.5 species' exposure and the first to use ICA.

Geographical Variation of COPD Mortality and Related Risk Factors in Jiading District, Shanghai

Background: Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in China. Although numerous studies have been conducted to determine the risk factors for COPD mortality such as ambient air pollution, the results are not fully consistent.

Methods: This study included mortality analysis and a case-control design by using the data extracted from the Mortality Registration System in Jiading District, Shanghai. Traditional logistic regression, geographically weighted logistic regression (GWLR), and spatial scan statistical analysis were performed to explore the geographic variation of COPD mortality and the possible influencing factors.

Results: Traditional logistic regression showed that extreme lower temperature in the month prior to death, shorter distance to highway, lower GDP level were associated with increased COPD mortality. GWRL model further demonstrated obvious geographical discrepancies for the above associations. We additionally identified a significant cluster of low COPD mortality (OR = 0.36, P = 0.002) in the southwest region of Jiading District with a radius of 3.55 km by using the Bernoulli model. The geographical variation in age-standardized mortality rate for COPD in Jiading District was explained to a certain degree by these factors.

Conclusion: The risk of COPD mortality in Jiading District showed obvious geographical variation, which were partially explained by the geographical variations in effects of the extreme low temperature in the month prior to death, residential proximity to highway, and GDP level.

Long-term impact of PM2.5 mass and sulfur reductions on ultrafine particle trends in Boston, MA from 1999 to 2018

Ultrafine particles (UFPs) pose a human health risk as they can penetrate deep into the respiratory system. The Harvard supersite in Boston, MA provides one of the longest time series of UFP concentrations. This study examined the hypothesis that long-term reductions in PM_2.5 mass and sulfur have influenced UFP trends by limiting the ability of UFPs to coagulate onto the accumulation mode via polydisperse coagulation with larger particles. The study used Generalized Additive Models (GAMs) to assess whether changes in PM_2.5 mass and sulfur concentrations resulted in smaller than expected (assuming no change in PM_2.5 mass or sulfur) decreases in daily UFP trends over the 20-year period from 1999 to 2018. The impact of PM_2.5 mass and sulfur changes were represented as UFP penalties. Bootstrapping was applied to calculate standard errors for the different trend and penalty estimates. Results showed that PM_2.5 mass and sulfur concentrations declined significantly over the study period. The analysis found an estimated 7.3% (95% CI: 3.5, 11.1%) UFP penalty due to long-term PM_2.5 mass trends, and a 9.9% (95% CI: 6.2, 13.7%) UFP penalty due to long-term sulfur trends. Findings from this study suggest that future UFP control efforts should account for the role of PM_2.5 mass and sulfur changes.

IMPLICATIONS

Using one of the longest available time series of UFP concentrations (1999 to 2018), this study examined the hypothesis that long-term trends of PM_2.5 mass and sulfur concentrations have an impact on UFP trends. We found that PM_2.5 mass and sulfur reductions had a small but significant impact, i.e., penalty, on UFP trends. Improved understanding of the impact of PM_2.5 mass and sulfur concentrations on UFP trends can inform future air quality control efforts.