1
|
Chen T, Shi S, Li X, Zhou L, Yu Y, Cai Y, Wang J, Kan H, Xu Y, Huang C, Tan Y, Meng X, Zhao Z. Improved ambient air quality is associated with decreased prevalence of childhood asthma and infancy shortly after weaning is a sensitive exposure window. Allergy 2024; 79:1166-1179. [PMID: 37458141 DOI: 10.1111/all.15815] [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: 11/16/2022] [Revised: 04/30/2023] [Accepted: 05/22/2023] [Indexed: 07/18/2023]
Abstract
BACKGROUND The urban ambient air quality has been largely improved in the past decade. It is unknown whether childhood asthma prevalence is still increasing in ever top-ranking city of Shanghai, whether the improved air quality is beneficial for children's asthma and what time window of exposure plays critical roles. METHODS Using a repeat cross-sectional design, we analyzed the association between early life exposure to particles and wheezing/asthma in each individual and combined surveys in 2011 and 2019, respectively, in 11,825 preschool children in Shanghai. RESULTS A significantly lower prevalence of doctor-diagnosed asthma (DDA) (6.6% vs. 10.5%, p < 0.001) and wheezing (10.5% vs. 23.2%, p < 0.001) was observed in 2019 compared to 2011. Exposure to fine particulate matter (PM2.5), coarse particles (PM2.5-10) and inhalable particles (PM10) was decreased in 2019 by 6.3%, 35.4%, and 44.7% in uterus and 24.3%, 20.2%, and 31.8% in infancy, respectively. Multilevel log-binomial regression analysis showed exposure in infancy had independent association with wheezing/DDA adjusting for exposure in uterus. For each interquartile range (IQR) increase of infancy PM2.5, PM2.5-10 and PM10 exposure, the odds ratios were 1.39 (95% confidence interval (CI): 1.24-1.56), 1.51 (95% CI:1.15-1.98) and 1.53 (95% CI:1.27-1.85) for DDA, respectively. The distributed lag non-linear model showed the sensitive exposure window (SEW) was 5.5-11 months after birth. Stratified analysis showed the SEWs were at or shortly after weaning, but only in those with <6 months of exclusive breastfeeding. CONCLUSIONS Improved ambient PM benefits in decreasing childhood asthma prevalence. We firstly reported the finding of SEW to PM at or closely after weaning on childhood asthma.
Collapse
Affiliation(s)
- Tianyi Chen
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
| | - Su Shi
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
| | - Xinyue Li
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
| | - Lu Zhou
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
| | - Yongfu Yu
- Department of Biostatistics, School of Public Health, and the Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China
| | - Yunfei Cai
- Department of General Management and Statistics, Shanghai Environment Monitoring Center, Shanghai, China
| | - Jing Wang
- Pudong New Area Center for Disease Control and Prevention, Shanghai, China
| | - Haidong Kan
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
- Typhoon Institute/CMA, Shanghai Key Laboratory of Meteorology and Health IRDR International Center of Excellence on Risk Interconnectivity and Governance on Weather/Climate Extremes Impact and Public Health WMO/IGAC MAP-AQ Asian Office Shanghai, Fudan University, Shanghai, China
| | - Yanyi Xu
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
- Typhoon Institute/CMA, Shanghai Key Laboratory of Meteorology and Health IRDR International Center of Excellence on Risk Interconnectivity and Governance on Weather/Climate Extremes Impact and Public Health WMO/IGAC MAP-AQ Asian Office Shanghai, Fudan University, Shanghai, China
| | - Chen Huang
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Yongqiang Tan
- Department of Pediatrics, Chongming Hospital Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai, China
| | - Xia Meng
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
- Typhoon Institute/CMA, Shanghai Key Laboratory of Meteorology and Health IRDR International Center of Excellence on Risk Interconnectivity and Governance on Weather/Climate Extremes Impact and Public Health WMO/IGAC MAP-AQ Asian Office Shanghai, Fudan University, Shanghai, China
| | - Zhuohui Zhao
- Department of Environmental Health, School of Public Health, the Key Laboratory of Public Health Safety of the Ministry of Education, and NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China
- Typhoon Institute/CMA, Shanghai Key Laboratory of Meteorology and Health IRDR International Center of Excellence on Risk Interconnectivity and Governance on Weather/Climate Extremes Impact and Public Health WMO/IGAC MAP-AQ Asian Office Shanghai, Fudan University, Shanghai, China
| |
Collapse
|
2
|
Vicente ED, Figueiredo D, Gonçalves C, Lopes I, Oliveira H, Kováts N, Pinheiro T, Alves CA. In vitro toxicity of indoor and outdoor PM 10 from residential wood combustion. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 782:146820. [PMID: 33839666 DOI: 10.1016/j.scitotenv.2021.146820] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 03/24/2021] [Accepted: 03/25/2021] [Indexed: 05/05/2023]
Abstract
Particulate matter with aerodynamic diameter < 10 μm (PM10) was collected, indoors and outdoors, when wood burning appliances (open fireplace and woodstove) were in operation. The PM10 ecotoxicity was assessed with the Vibrio fischeri bioluminescence inhibition assay, while the cytotoxicity was evaluated by the WST-8 and lactate dehydrogenase (LDH) release assays using A549 cells. Extracts of PM10-bound polycyclic aromatic hydrocarbons (PAH) were tested for their mutagenicity through the TA98 and TA100 Ames test. The bioluminescent inhibition assay revealed that indoor particles released from the fireplace were the most toxic. Indoors, the reduction in A549 cell metabolic activity was over two times higher for the fireplace in comparison with the woodstove (32 ± 3.2% and 72 ± 7.6% at the highest dose, respectively). Indoor particles from the fireplace were found to induce greater cytotoxicity than the corresponding outdoor samples. Combined WST-8 and LDH results suggest that PM10 exposure induce apoptotic cell death pathway in which the cell membrane integrity is maintained. Indoor and outdoor samples lacked direct and indirect mutagenic activity in any of the tester strains. For indoor-generated PM10, organic carbon and PAH were significantly correlated with cell viability and bioluminescence reduction, suggesting a role of organic compounds in toxicity.
Collapse
Affiliation(s)
- Estela D Vicente
- Centre for Environmental and Marine Studies, Department of Environment and Planning, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - Daniela Figueiredo
- Centre for Environmental and Marine Studies, Department of Environment and Planning, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Cátia Gonçalves
- Centre for Environmental and Marine Studies, Department of Environment and Planning, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Isabel Lopes
- Centre for Environmental and Marine Studies, Department of Biology, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Helena Oliveira
- Department of Biology and CESAM, Laboratory of Biotechnology and Cytomics, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Nora Kováts
- Centre for Environmental Sciences, University of Pannonia, Egyetem str. 10, 8200 Veszprém, Hungary
| | - Teresa Pinheiro
- Instituto de Bioengenharia e Biociências, Departamento de Engenharia e Ciências Nucleares, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, Portugal
| | - Célia A Alves
- Centre for Environmental and Marine Studies, Department of Environment and Planning, University of Aveiro, 3810-193 Aveiro, Portugal
| |
Collapse
|
3
|
Air pollution and lung function in children. J Allergy Clin Immunol 2021; 148:1-14. [PMID: 34238501 DOI: 10.1016/j.jaci.2021.05.006] [Citation(s) in RCA: 45] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 03/30/2021] [Accepted: 05/06/2021] [Indexed: 11/21/2022]
Abstract
In this narrative review, we summarize the literature and provide updates on recent studies of air pollution exposures and child lung function and lung function growth. We include exposures to outdoor air pollutants that are monitored and regulated through air quality standards, and air pollutants that are not routinely monitored or directly regulated, including wildfires, indoor biomass and coal burning, gas and wood stove use, and volatile organic compounds. Included is a more systematic review of the recent literature on long-term air pollution and child lung function because this is an indicator of future adult respiratory health and exposure assessment tools have improved dramatically in recent years. We present "summary observations" and "knowledge gaps." We end by discussing what is known about what can be done at the individual/household, local/regional, and national levels to overcome structural impediments, reduce air pollution exposures, and improve child lung function. We found a large literature on adverse air pollution effects on children's lung function level and growth; however, many questions remain. Important areas needing further research include whether early-life effects are fixed or reversible; and what are windows of increased susceptibility, long-term effects of repeated wildfire events, and effects of air quality interventions.
Collapse
|
4
|
Li Z, Wu Y, Chen HP, Zhu C, Dong L, Wang Y, Liu H, Xu X, Zhou J, Wu Y, Li W, Ying S, Shen H, Chen ZH. MTOR Suppresses Environmental Particle-Induced Inflammatory Response in Macrophages. THE JOURNAL OF IMMUNOLOGY 2018; 200:2826-2834. [PMID: 29563176 DOI: 10.4049/jimmunol.1701471] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Accepted: 02/21/2018] [Indexed: 11/19/2022]
Abstract
Increasing toxicological and epidemiological studies have demonstrated that ambient particulate matter (PM) could cause adverse health effects including inflammation in the lung. Alveolar macrophages represent a major type of innate immune responses to foreign substances. However, the detailed mechanisms of inflammatory responses induced by PM exposure in macrophages are still unclear. We observed that coarse PM treatment rapidly activated mechanistic target of rapamycin (MTOR) in mouse alveolar macrophages in vivo, and in cultured mouse bone marrow-derived macrophages, mouse peritoneal macrophages, and RAW264.7 cells. Pharmacological inhibition or genetic knockdown of MTOR in bone marrow-derived macrophages leads to an amplified cytokine production upon PM exposure, and mice with specific knockdown of MTOR or ras homolog enriched in brain in myeloid cells exhibit significantly aggregated airway inflammation. Mechanistically, PM activated MTOR through modulation of ERK, AKT serine/threonine kinase 1, and tuberous sclerosis complex signals, whereas MTOR deficiency further enhanced the PM-induced necroptosis and activation of subsequent NF κ light-chain-enhancer of activated B cells (NFKB) signaling. Inhibition of necroptosis or NFKB pathways significantly ameliorated PM-induced inflammatory response in MTOR-deficient macrophages. The present study thus demonstrates that MTOR serves as an early adaptive signal that suppresses the PM-induced necroptosis, NFKB activation, and inflammatory response in lung macrophages, and suggests that activation of MTOR or inhibition of necroptosis in macrophages may represent novel therapeutic strategies for PM-related airway disorders.
Collapse
Affiliation(s)
- Zhouyang Li
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Yinfang Wu
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Hai-Pin Chen
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Chen Zhu
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Lingling Dong
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Yong Wang
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Huiwen Liu
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Xuchen Xu
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Jiesen Zhou
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Yanping Wu
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Wen Li
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Songmin Ying
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| | - Huahao Shen
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and .,State Key Laboratory of Respiratory Disease, Guangzhou 510120, China
| | - Zhi-Hua Chen
- Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Zhejiang Province, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and
| |
Collapse
|