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Zhang X, Bai F, Ni H, Chen S, Fu D, Ren H, Hu B. Correlation of neutrophil percentage-to-albumin ratio with lung function in American adults: a population study. BMC Pulm Med 2025; 25:86. [PMID: 39984929 PMCID: PMC11846293 DOI: 10.1186/s12890-025-03537-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2024] [Accepted: 01/29/2025] [Indexed: 02/23/2025] Open
Abstract
BACKGROUND Chronic respiratory diseases pose a significant threat to global health, underscoring the urgent need for effective preventative and therapeutic interventions. The neutrophil-to-albumin ratio (NPAR), an emerging biomarker for inflammation and nutritional status, has shown promising associations with respiratory health, necessitating an investigation into its potential for predicting lung function decline. OBJECTIVE This study aimed to delineate the relationship between the NPAR and pulmonary function within a sample of the American adult population and assess the viability of the NPAR as a prognostic indicator for compromised lung function. METHODS With data available from the National Health and Nutrition Examination Survey (NHANES) for the years 2007 to 2012, 10,055 American adults who met the exclusion criteria were included in the current study. Multivariate linear regression, smoothed curve fitting, and subgroup analyses were applied to evaluate the associations observed between the NPAR and lung function indicators. RESULTS Even after accounting for all potential confounding factors, a significant inverse relationship persisted between the NPAR and key lung function indicators, including forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and peak expiratory flow rate (PEF). This association remained robust even after potential confounding factors were considered. Subgroup analysis revealed that the negative correlation was more pronounced in certain demographic groups, such as young individuals, males, and current smokers. The study also revealed an "N-shaped" relationship between the NPAR and fractional exhaled nitric oxide (FENO), suggesting that the NPAR may play a role in promoting airway inflammation. CONCLUSIONS A significant correlation between the NPAR and the decline in lung function among American adults was revealed in this research, emphasizing the potential clinical relevance of the NPAR as a respiratory health biomarker, as well as the importance of considering systemic inflammation in the management and prevention of respiratory disorders.
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Affiliation(s)
- Xiaolin Zhang
- Department of Geriatrics, Beilun District People's Hospital, Beilun Branch of the First Affiliated Hospital, School of Medicine, Zhejiang University, Ningbo, Zhejiang, 315800, China
| | - Fan Bai
- Department of Geriatrics, Beilun District People's Hospital, Beilun Branch of the First Affiliated Hospital, School of Medicine, Zhejiang University, Ningbo, Zhejiang, 315800, China
| | - Haibin Ni
- Department of Geriatrics, Beilun District People's Hospital, Beilun Branch of the First Affiliated Hospital, School of Medicine, Zhejiang University, Ningbo, Zhejiang, 315800, China
| | - Shiyuan Chen
- Department of Geriatrics, Beilun District People's Hospital, Beilun Branch of the First Affiliated Hospital, School of Medicine, Zhejiang University, Ningbo, Zhejiang, 315800, China
| | - Dan Fu
- Department of Geriatrics, Beilun District People's Hospital, Beilun Branch of the First Affiliated Hospital, School of Medicine, Zhejiang University, Ningbo, Zhejiang, 315800, China
| | - Haiyan Ren
- Department of Geriatrics, Beilun District People's Hospital, Beilun Branch of the First Affiliated Hospital, School of Medicine, Zhejiang University, Ningbo, Zhejiang, 315800, China
| | - Bin Hu
- Department of Geriatrics, Beilun District People's Hospital, Beilun Branch of the First Affiliated Hospital, School of Medicine, Zhejiang University, Ningbo, Zhejiang, 315800, China.
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2
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Castellanos JA, Cornett CG, Gonzalez DH, Li L, Luna K, Middlekauff HR, Gupta R, Jordan MC, Rünger D, Zhu Y, Shao XM, Roos KP, Araujo JA. Electronic cigarettes alter cardiac rhythm and heart rate variability hyperacutely in mice. Toxicol Appl Pharmacol 2025; 495:117174. [PMID: 39608730 DOI: 10.1016/j.taap.2024.117174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2024] [Revised: 11/21/2024] [Accepted: 11/23/2024] [Indexed: 11/30/2024]
Abstract
AIMS There has been an unprecedented rise in electronic cigarette (EC) usage likely because of its perception of being safer than smoking. Recent studies show that EC exposures impact heart rate (HR) and heart rate variability (HRV), but how they are affected by the timing and frequency of exposures remain unclear. We examined the electrocardiographic (EKG) effects induced by brief EC exposures over time, their relation to EC aerosol particle and mass concentrations, and potential to promote prooxidative effects in the lungs. METHODS & RESULTS Six 10-week-old C57BL/6J mice, implanted with telemetry devices to monitor EKG activity continuously, were exposed once per week for three weeks to two EC exposures, each lasting 15-min followed by 45-min post-exposure periods. Filtered air (primary) and PBS aerosol (secondary) were used as controls. After combining weeks, EC aerosol induced bradycardia and increased time domain parameters during EC exposures with significant reductions in the post-exposure periods. Log-transformed frequency domain parameters were significantly elevated during and after exposures (p < 0.001). HRV changes occurred within minutes with similar trends observed in particle number and mass concentrations of EC aerosol. HR and HRV varied by week and parameter, with Week 2 and 3 effects overshadowing those in Week 1. ECs induced prooxidative effects in the lungs as evidenced by elevated potential for hydroxyl radical generation in bronchoalveolar lavage fluid of exposed mice (p = 0.003). CONCLUSION Short-term EC exposures altered murine HR and HRV within minutes during and after exposures, effects that were modulated by the timing and frequency of EC exposures.
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Affiliation(s)
- Jocelyn A Castellanos
- Division of Cardiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America; Department of Environmental Health Sciences, Fielding School of Public Health at University of California Los Angeles, Los Angeles, California, United States of America
| | - Carson G Cornett
- Division of Cardiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America
| | - David H Gonzalez
- Division of Cardiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America; Environmental and Molecular Toxicology Interdepartmental Program, University of California Los Angeles, Los Angeles, California, United States of America
| | - Liqiao Li
- Department of Environmental Health Sciences, Fielding School of Public Health at University of California Los Angeles, Los Angeles, California, United States of America
| | - Karla Luna
- Division of Cardiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America
| | - Holly R Middlekauff
- Division of Cardiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America; Department of Physiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America
| | - Rajat Gupta
- Division of Cardiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America; Environmental and Molecular Toxicology Interdepartmental Program, University of California Los Angeles, Los Angeles, California, United States of America
| | - Maria C Jordan
- Department of Physiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America
| | - Dennis Rünger
- Department of Medicine, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America
| | - Yifang Zhu
- Department of Environmental Health Sciences, Fielding School of Public Health at University of California Los Angeles, Los Angeles, California, United States of America
| | - Xuesi M Shao
- Department of Neurobiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America
| | - Kenneth P Roos
- Department of Physiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America
| | - Jesus A Araujo
- Division of Cardiology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, United States of America; Department of Environmental Health Sciences, Fielding School of Public Health at University of California Los Angeles, Los Angeles, California, United States of America; Environmental and Molecular Toxicology Interdepartmental Program, University of California Los Angeles, Los Angeles, California, United States of America; Molecular Biology Institute, University of California Los Angeles, Los Angeles, California, United States of America.
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3
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Dragoev SG. Lipid Peroxidation in Muscle Foods: Impact on Quality, Safety and Human Health. Foods 2024; 13:797. [PMID: 38472909 DOI: 10.3390/foods13050797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Revised: 02/07/2024] [Accepted: 02/13/2024] [Indexed: 03/14/2024] Open
Abstract
The issue of lipid changes in muscle foods under the action of atmospheric oxygen has captured the attention of researchers for over a century. Lipid oxidative processes initiate during the slaughtering of animals and persist throughout subsequent technological processing and storage of the finished product. The oxidation of lipids in muscle foods is a phenomenon extensively deliberated in the scientific community, acknowledged as one of the pivotal factors affecting their quality, safety, and human health. This review delves into the nature of lipid oxidation in muscle foods, highlighting mechanisms of free radical initiation and the propagation of oxidative processes. Special attention is given to the natural antioxidant protective system and dietary factors influencing the stability of muscle lipids. The review traces mechanisms inhibiting oxidative processes, exploring how changes in lipid oxidative substrates, prooxidant activity, and the antioxidant protective system play a role. A critical review of the oxidative stability and safety of meat products is provided. The impact of oxidative processes on the quality of muscle foods, including flavour, aroma, taste, colour, and texture, is scrutinised. Additionally, the review monitors the effect of oxidised muscle foods on human health, particularly in relation to the autooxidation of cholesterol. Associations with coronary cardiovascular disease, brain stroke, and carcinogenesis linked to oxidative stress, and various infections are discussed. Further studies are also needed to formulate appropriate technological solutions to reduce the risk of chemical hazards caused by the initiation and development of lipid peroxidation processes in muscle foods.
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Affiliation(s)
- Stefan G Dragoev
- Department of Meat and Fish Technology, Technological Faculty, University of Food Technologies, 26 Maritza Blvd., 4002 Plovdiv, Bulgaria
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Lelieveld S, Lelieveld J, Mishra A, Daiber A, Pozzer A, Pöschl U, Berkemeier T. Endogenous Nitric Oxide Can Enhance Oxidative Stress Caused by Air Pollutants and Explain Higher Susceptibility of Individuals with Inflammatory Disorders. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2024; 58:1823-1831. [PMID: 38235527 PMCID: PMC10832043 DOI: 10.1021/acs.est.3c07010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 11/22/2023] [Accepted: 01/07/2024] [Indexed: 01/19/2024]
Abstract
Air pollution causes morbidity and excess mortality. In the epithelial lining fluid of the respiratory tract, air pollutants trigger a chemical reaction sequence that causes the formation of noxious hydroxyl radicals that drive oxidative stress. For hitherto unknown reasons, individuals with pre-existing inflammatory disorders are particularly susceptible to air pollution. Through detailed multiphase chemical kinetic analysis, we show that the commonly elevated concentrations of endogenous nitric oxide in diseased individuals can increase the production of hydroxyl radicals via peroxynitrite formation. Our findings offer a molecular rationale of how adverse health effects and oxidative stress caused by air pollutants may be exacerbated by inflammatory disorders.
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Affiliation(s)
- Steven Lelieveld
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, Mainz 55128, Germany
| | - Jos Lelieveld
- Atmospheric
Chemistry Department, Max Planck Institute
for Chemistry, Mainz 55128, Germany
- Climate and Atmosphere
Research Center, the Cyprus Institute, Nicosia 2121, Cyprus
| | - Ashmi Mishra
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, Mainz 55128, Germany
| | - Andreas Daiber
- Department
of Cardiology, University Medical Center
of the Johannes Gutenberg University, Mainz 55131, Germany
- German
Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz 55131, Germany
| | - Andrea Pozzer
- Atmospheric
Chemistry Department, Max Planck Institute
for Chemistry, Mainz 55128, Germany
- Climate and Atmosphere
Research Center, the Cyprus Institute, Nicosia 2121, Cyprus
| | - Ulrich Pöschl
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, Mainz 55128, Germany
| | - Thomas Berkemeier
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, Mainz 55128, Germany
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5
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Follicular Fluid Components in Reduced Ovarian Reserve, Endometriosis, and Idiopathic Infertility. Int J Mol Sci 2023; 24:ijms24032589. [PMID: 36768912 PMCID: PMC9916781 DOI: 10.3390/ijms24032589] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 01/22/2023] [Accepted: 01/23/2023] [Indexed: 01/31/2023] Open
Abstract
Follicular fluid (FF) molecules, and their increase or decrease, can contribute to appropriate follicular growth and oocyte maturation, thus being related to female infertility conditions. In this paper, we studied the changes and the relationships of some biochemical components, hormones, antioxidant enzymes, F2-Isoprostanes (F2-IsoPs), and resolvin (Rv) D1 in the FF of infertile women with different reproductive conditions such as endometriosis, reduced ovarian reserve, and idiopathic infertility during assisted reproductive techniques (ART). In the whole population, positive correlations between albumin (ALB)/iron (Fe), ALB/beta-2-microglobulin (B2MG), and F2-IsoPs/RvD1 were detected in the FF. In FF from aged women, increased levels of follicle stimulating hormone (FSH) and reduced anti-Müllerian hormone (AMH) levels were associated with a worse oocyte quality. The negative ART outcome was influenced by patient age and AMH, B2MG, and FSH levels. Moreover, the reduced ovarian reserve condition was characterised by a significant decrease in oocyte number and quality, AMH amount, and lactate dehydrogenase (LDH) activity, as well as by an increase in age and FSH levels. In the presence of endometriosis, high levels of MDA and RvD1 were detected in FF, with a decrease in luteinising hormone (LH). Finally, among the molecules examined, none characterised the condition of idiopathic infertility. These data could support the identification of new FF markers in different reproductive disorders, suggesting the need for personalised therapeutic approaches and optimised ART outcomes. In particular, the evaluation of resolvins and lipid mediators in FF could be a promising field of investigation with which to understand the entity of oxidative stress and inflammation in some female infertility conditions.
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6
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Shen J, Taghvaee S, La C, Oroumiyeh F, Liu J, Jerrett M, Weichenthal S, Del Rosario I, Shafer MM, Ritz B, Zhu Y, Paulson SE. Aerosol Oxidative Potential in the Greater Los Angeles Area: Source Apportionment and Associations with Socioeconomic Position. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2022; 56:17795-17804. [PMID: 36472388 PMCID: PMC9775201 DOI: 10.1021/acs.est.2c02788] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 11/16/2022] [Accepted: 11/17/2022] [Indexed: 06/17/2023]
Abstract
Oxidative potential (OP) has been proposed as a possible integrated metric for particles smaller than 2.5 μm in diameter (PM2.5) to evaluate adverse health outcomes associated with particulate air pollution exposure. Here, we investigate how OP depends on sources and chemical composition and how OP varies by land use type and neighborhood socioeconomic position in the Los Angeles area. We measured OH formation (OPOH), dithiothreitol loss (OPDTT), black carbon, and 52 metals and elements for 54 total PM2.5 samples collected in September 2019 and February 2020. The Positive Matrix Factorization source apportionment model identified four sources contributing to volume-normalized OPOH: vehicular exhaust, brake and tire wear, soil and road dust, and mixed secondary and marine. Exhaust emissions contributed 42% of OPOH, followed by 21% from brake and tire wear. Similar results were observed for the OPDTT source apportionment. Furthermore, by linking measured PM2.5 and OP with census tract level socioeconomic and health outcome data provided by CalEnviroScreen, we found that the most disadvantaged neighborhoods were exposed to both the most toxic particles and the highest particle concentrations. OPOH exhibited the largest inverse social gradients, followed by OPDTT and PM2.5 mass. Finally, OPOH was the metric most strongly correlated with adverse health outcome indicators.
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Affiliation(s)
- Jiaqi Shen
- Department
of Atmospheric & Oceanic Sciences, University
of California, Los Angeles, California 90095, United States
| | - Sina Taghvaee
- Department
of Atmospheric & Oceanic Sciences, University
of California, Los Angeles, California 90095, United States
| | - Chris La
- Department
of Atmospheric & Oceanic Sciences, University
of California, Los Angeles, California 90095, United States
| | - Farzan Oroumiyeh
- Department
of Environmental Health Sciences, Jonathan and Karin Fielding School
of Public Health, University of California, Los Angeles, California 90095, United States
| | - Jonathan Liu
- Department
of Environmental Health Sciences, Jonathan and Karin Fielding School
of Public Health, University of California, Los Angeles, California 90095, United States
| | - Michael Jerrett
- Department
of Environmental Health Sciences, Jonathan and Karin Fielding School
of Public Health, University of California, Los Angeles, California 90095, United States
| | - Scott Weichenthal
- Department
of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec H3A 1A2, Canada
| | - Irish Del Rosario
- Department
of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California 90095, United States
| | - Martin M. Shafer
- Environmental
Chemistry and Technology Program, University
of Wisconsin−Madison, Madison, Wisconsin 53706, United States
| | - Beate Ritz
- Department
of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California 90095, United States
| | - Yifang Zhu
- Department
of Environmental Health Sciences, Jonathan and Karin Fielding School
of Public Health, University of California, Los Angeles, California 90095, United States
| | - Suzanne E. Paulson
- Department
of Atmospheric & Oceanic Sciences, University
of California, Los Angeles, California 90095, United States
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7
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Lelieveld S, Wilson J, Dovrou E, Mishra A, Lakey PSJ, Shiraiwa M, Pöschl U, Berkemeier T. Hydroxyl Radical Production by Air Pollutants in Epithelial Lining Fluid Governed by Interconversion and Scavenging of Reactive Oxygen Species. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2021; 55:14069-14079. [PMID: 34609853 PMCID: PMC8529872 DOI: 10.1021/acs.est.1c03875] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Revised: 09/06/2021] [Accepted: 09/17/2021] [Indexed: 06/02/2023]
Abstract
Air pollution is a major risk factor for human health. Chemical reactions in the epithelial lining fluid (ELF) of the human respiratory tract result in the formation of reactive oxygen species (ROS), which can lead to oxidative stress and adverse health effects. We use kinetic modeling to quantify the effects of fine particulate matter (PM2.5), ozone (O3), and nitrogen dioxide (NO2) on ROS formation, interconversion, and reactivity, and discuss different chemical metrics for oxidative stress, such as cumulative production of ROS and hydrogen peroxide (H2O2) to hydroxyl radical (OH) conversion. All three air pollutants produce ROS that accumulate in the ELF as H2O2, which serves as reservoir for radical species. At low PM2.5 concentrations (<10 μg m-3), we find that less than 4% of all produced H2O2 is converted into highly reactive OH, while the rest is intercepted by antioxidants and enzymes that serve as ROS buffering agents. At elevated PM2.5 concentrations (>10 μg m-3), however, Fenton chemistry overwhelms the ROS buffering effect and leads to a tipping point in H2O2 fate, causing a strong nonlinear increase in OH production. This shift in ROS chemistry and the enhanced OH production provide a tentative mechanistic explanation for how the inhalation of PM2.5 induces oxidative stress and adverse health effects.
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Affiliation(s)
- Steven Lelieveld
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, 55128 Mainz, Germany
| | - Jake Wilson
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, 55128 Mainz, Germany
| | - Eleni Dovrou
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, 55128 Mainz, Germany
| | - Ashmi Mishra
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, 55128 Mainz, Germany
| | - Pascale S. J. Lakey
- Department
of Chemistry, University of California,
Irvine, Irvine, California 92697, United States
| | - Manabu Shiraiwa
- Department
of Chemistry, University of California,
Irvine, Irvine, California 92697, United States
| | - Ulrich Pöschl
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, 55128 Mainz, Germany
| | - Thomas Berkemeier
- Multiphase
Chemistry Department, Max Planck Institute
for Chemistry, 55128 Mainz, Germany
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