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Qian Y, Cai C, Sun M, Lv D, Zhao Y. Analyses of Factors Associated with Acute Exacerbations of Chronic Obstructive Pulmonary Disease: A Review. Int J Chron Obstruct Pulmon Dis 2023; 18:2707-2723. [PMID: 38034468 PMCID: PMC10683659 DOI: 10.2147/copd.s433183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 11/09/2023] [Indexed: 12/02/2023] Open
Abstract
Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) is the exacerbation of a range of respiratory symptoms during the stable phase of chronic obstructive pulmonary disease (COPD). AECOPD is thus a dangerous stage and key event in the course of COPD, as its deterioration and frequency seriously affects the quality of life of patients and shortens their survival. Acute exacerbations occur and develop due to many factors such as infection, tobacco smoke inhalation, air pollution, comorbidities, airflow limitation, various biomarkers, history of previous deterioration, natural killer cell abnormalities, immunoglobulin G deficiency, genetics, abnormal muscle and nutritional status, negative psychology, and seasonal temperature changes. There is relatively limited research on the impact of the role of standardized management on the alleviation of AECOPD. However, with the establishment of relevant prevention and management systems and the promotion of artificial intelligence technology and Internet medical approaches, long-term effective and standardized management of COPD patients may help to achieve the quality of life and disease prognosis in COPD patients and reduce the risk of AE.
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Affiliation(s)
- Yang Qian
- The First Affiliated Hospital of Ningbo University, Ningbo, People’s Republic of China
| | - Chenting Cai
- The First Affiliated Hospital of Ningbo University, Ningbo, People’s Republic of China
| | - Mengqing Sun
- The First Affiliated Hospital of Ningbo University, Ningbo, People’s Republic of China
| | - Dan Lv
- The First Affiliated Hospital of Ningbo University, Ningbo, People’s Republic of China
| | - Yun Zhao
- The First Affiliated Hospital of Ningbo University, Ningbo, People’s Republic of China
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Bai J, Tang L, Luo Y, Han Z, Li C, Sun Y, Sun Q, Lu J, Qiu H, Zhao Z, Huo T, Xiong W, Zhang Q. Vitamin B complex blocks the dust fall PM 2 .5 -induced acute lung injury through DNA methylation in rats. ENVIRONMENTAL TOXICOLOGY 2023; 38:403-414. [PMID: 36282901 DOI: 10.1002/tox.23689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 10/09/2022] [Accepted: 10/13/2022] [Indexed: 06/16/2023]
Abstract
This study aimed to explore whether vitamin B complex (folic acid, B6 , and B12 ) could avert DNA methylation changes associated with inflammation induced by acute PM2.5 exposure. Sprague-Dawley rats were administered by gavage with different concentrations of vitamin B complex once a day for 28 days, and then by intratracheal instillation with saline or PM2.5 once every 2 days for three times. Vitamin B continued to be taken during the PM2.5 exposure. Rats were sacrificed 24 h after the last exposure. The results showed that vitamin B complex could block the pathological changes and injury in lungs induced by PM2.5 . Meanwhile, vitamin B complex could prevent the abnormal DNA methylation of IL-4 and IFN-γ to antagonize the imbalance of IL-4/IFN-γ associated with inflammation. It was further found that vitamin B complex could regulate DNA methyltransferases (DNMTs) and increase the S-adenosylmethionine (SAM)/S-Adenosyl-L-homocysteine (SAH) ratio to reverse the hypomethylation of genomic DNA and the abnormal DNA methylation of IL-4 and IFN-γ. In conclusion, vitamin B complex has a protective effect on acute lung injury by attenuating abnormal DNA methylation induced by PM2.5 in rats. This study may provide a new insight into the physiological function of vitamin B to prevent the health effects induced by PM2.5 .
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Affiliation(s)
- Jun Bai
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Lanlan Tang
- School of Public Health, Southwest Medical University, Luzhou, China
- Chengdu Jintang Municipal Center for Disease Control and Prevention, Chengdu, China
| | - Yajun Luo
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Zhixia Han
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Chenwen Li
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Yaochuan Sun
- State Key Laboratory of Coal Mine Disaster Dynamics and Control, Chongqing University, Chongqing, China
| | - Qian Sun
- Luzhou Ecological Environment Monitoring Center of Sichuan Province, Luzhou, China
| | - Ji Lu
- School of Pharmacy, Southwest Medical University, Luzhou, China
| | - Hao Qiu
- School of Pharmacy, Southwest Medical University, Luzhou, China
| | - Zhenhu Zhao
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Tingting Huo
- School of Environmental and Resource, Southwest University of Science and Technology, Mianyang, China
| | - Wei Xiong
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Qingbi Zhang
- School of Public Health, Southwest Medical University, Luzhou, China
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Zhou X, Li C, Gao Y, Zhou C, Huang L, Zhang X. Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China. Rev Saude Publica 2022; 56:46. [PMID: 35703601 PMCID: PMC9165633 DOI: 10.11606/s1518-8787.2022056004324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 12/27/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To evaluate the relationship between ambient air pollutants and chronic obstructive pulmonary disease in relatively low-polluted areas in China. METHODS Atmospheric pollutants levels and meteorological data were obtained from January 2016 to December 2020. The medical database including daily hospital admissions for chronic obstructive pulmonary disease (ICD10: J44) was derived from the First Affiliated Hospital of Gannan Medical University. The generalized additive model was used to analyze the percentage change with 95% confidence interval in daily hospital admissions for chronic obstructive pulmonary disease associated with a 10 µg/m3 increase in atmospheric pollutants levels. RESULTS In total, occurred 4,980 chronic obstructive pulmonary disease hospital admissions (not including emergency department visits) during 2016-2020. The mean concentrations of daily PM2.5, PM10, SO2, NO2, O3, and CO were 37.5 μg/m3, 60.1 μg/m3, 18.7 μg/m3, 23.5 μg/m3, 70.0 μg/m3, and 1.2 mg/m3 in Ganzhou. Each 10 µg/m3 increment of PM2.5, PM10, NO2, and O3 were significantly associated with 2.8% (95%CI: 1.0-4.7), 1.3% (95%CI: 0.3-2.4), 2.8% (95%CI: 0.4-5.4), and 1.5% (95%CI: 0.2-2.7) elevation in daily chronic obstructive pulmonary disease hospital admissions. The estimates of delayed effects of PM2.5, PM10, NO2, and O3 were observed at lag6, lag6, lag8, lag1, respectively. The health effects of particulate pollutants (PM2.5 and PM10) may be independent of other pollutants. The adverse effects of air pollutants were more evident in the warm season (May-Oct) than in the cold season (Nov-Apr). CONCLUSION Our study demonstrated that elevated concentrations of atmospheric pollutant (PM2.5, PM10, NO2, and O3), especially particulate pollutants, can be associated with increased daily count of hospital admissions for chronic obstructive pulmonary disease , which may promote further understanding of the potential hazards of relatively low levels of air pollution on chronic obstructive pulmonary disease and other respiratory disorders.
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Affiliation(s)
- Xingye Zhou
- Gannan Medical University. School of Public Health and Health Management. Ganzhou, China
| | - Chenwei Li
- Gannan Medical University. School of Public Health and Health Management. Ganzhou, China
| | - Yanfang Gao
- Gannan Medical University. School of Public Health and Health Management. Ganzhou, China
| | - Chuanfei Zhou
- Gannan Medical University. School of Public Health and Health Management. Ganzhou, China
| | - Lei Huang
- Gannan Medical University. School of Public Health and Health Management. Ganzhou, China
| | - Xiaokang Zhang
- Gannan Medical University. School of Public Health and Health Management. Ganzhou, China
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Li N, Ma J, Ji K, Wang L. Association of PM2.5 and PM10 with Acute Exacerbation of Chronic Obstructive Pulmonary Disease at lag0 to lag7: A Systematic Review and Meta-Analysis. COPD 2022; 19:243-254. [PMID: 35616887 DOI: 10.1080/15412555.2022.2070062] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This study aimed to conduct a meta-analysis to investigate whether short-term exposure to fine (PM2.5) and coarse (PM10) particulate matter was associated with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) hospitalization, emergency room visit, and outpatient visit at different lag values. PubMed, Embase, and the Cochrane Library were searched for relevant papers published up to March 2021. For studies reporting results per 1-µg/m3 increase in PM2.5, the results were recalculated as per 10-µg/m3 increase. We manually calculated the RRs for these two studies and transferred the RRs to estimate 10 µg/m3 increases in PM2.5. Automation tools were initially used to remove ineligible studies. Two reviewers independently screened the remaining records and retrieved reports. Twenty-six studies (28 datasets; 7,018,419 patients) were included. There was a significant association between PM2.5 and AECOPD events on lag0 (ES = 1.01, 95%CI: 1.01-1.02, p < 0.001; I2=88.6%, Pheterogeneity<0.001), lag1 (ES = 1.00, 95%CI: 1.00-1.01, p < 0.001; I2=82.5%, Pheterogeneity<0.001), lag2 (ES = 1.01, 95%CI: 1.01-1.01, p < 0.001; I2=90.6%, Pheterogeneity<0.001), lag3 (ES = 1.01, 95%CI: 1.00-1.01, p < 0.001; I2=88.9%, Pheterogeneity<0.001), lag4 (ES = 1.00, 95%CI: 1.00-1.01, p < 0.001; I2=83.7%, Pheterogeneity<0.001), and lag7 (ES = 1.00, 95%CI: 1.00-1.00, p < 0.001; I2=0.0%, Pheterogeneity=0.743). The subgroup analyses showed that PM2.5 influenced the rates of hospitalization, emergency room visits, and outpatient visits. Similar trends were observed with PM10. The risk of AECOPD events (hospitalization, emergency room visit, and outpatient visit) was significantly increased with a 10-µg/m3 increment in PM2.5 and PM10 from lag0 to lag7.List Of Abbreviations: particulate matter (PM2.5 and PM10); acute exacerbation of chronic obstructive pulmonary disease (AECOPD); Chronic obstructive pulmonary disease (COPD); Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA); Effect sizes [48]; confidence intervals (CIs).
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Affiliation(s)
- Niuniu Li
- Department of Respiration, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China
| | - Jianling Ma
- Department of Respiration, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China
| | - Kun Ji
- Department of Respiration, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China
| | - Liyun Wang
- Department of Respiration, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China
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Effect of high-level fine particulate matter and its interaction with meteorological factors on AECOPD in Shijiazhuang, China. Sci Rep 2022; 12:8711. [PMID: 35610290 PMCID: PMC9130147 DOI: 10.1038/s41598-022-12791-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/16/2022] [Indexed: 11/15/2022] Open
Abstract
Epidemiological evidence of the effect of high-level air pollution and its interaction with meteorological factors on the risk of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is limited. Daily data on AECOPD cases, air pollutants and meteorological factors were collected from 2015 to 2018 in Shijiazhuang. A distributed lag non-linear model (DLNM) was used to explore the lag and cumulative effect of PM2.5 on the risk of AECOPD. The effect of the interaction between PM2.5 and meteorological factors on AECOPD was estimated by a generalized additive model (GAM) and a stratification model. A total of 4766 patients with AECOPD were enrolled. After controlling for confounders, each 10 μg/m3 increase in PM2.5 led to a 5.8% increase in the risk of AECOPD on day lag 0. The cumulative effect of PM2.5 on AECOPD risk showed an increasing trend after 3 days. Similar results were observed in both smoking and non-smoking patients. There was an interaction between PM2.5 and meteorological factors, and the risk of AECOPD was higher in cold and lower humidity conditions than in other conditions. High-level PM2.5 exposure is positively associated with the risk of AECOPD onset, and the effect of PM2.5 can be modified by the temperature and relative humidity. Public health guidelines should pay close attention to AECOPD risk under the condition of high-level PM2.5 with low temperature or low humidity.
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Jin JQ, Han D, Tian Q, Chen ZY, Ye YS, Lin QX, Ou CQ, Li L. Individual exposure to ambient PM 2.5 and hospital admissions for COPD in 110 hospitals: a case-crossover study in Guangzhou, China. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:11699-11706. [PMID: 34545525 PMCID: PMC8794997 DOI: 10.1007/s11356-021-16539-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 09/10/2021] [Indexed: 05/22/2023]
Abstract
Few studies have evaluated the short-term association between hospital admissions and individual exposure to ambient particulate matter (PM2.5). Particularly, no studies focused on hospital admissions for chronic obstructive pulmonary disease (COPD) at the individual level. We assessed the short-term effects of PM2.5 on hospitalization admissions for COPD in Guangzhou, China, during 2014-2015, based on satellite-derived estimates of ambient PM2.5 concentrations at a 1-km resolution near the residential address as individual-level exposure for each patient. Around 40,002 patients with COPD admitted to 110 hospitals were included in this study. A time-stratified case-crossover design with conditional logistic regression models was applied to assess the effects of PM2.5 based on a 1-km grid data of aerosol optical depth provided by the National Aeronautics and Space Administration on hospital admissions for COPD. Further, we performed stratified analyses by individual demographic characteristics and season of hospital admission. Around 10 μg/m3 increase in individual-level PM2.5 was associated with an increase of 1.6% (95% confidence interval [CI]: 0.6%, 2.7%) in hospitalization for COPD at a lag of 0-5 days. The impact of PM2.5 on hospitalization for COPD was greater significantly in males and patients admitted in summer. Our study strengthened the evidence for the adverse effect of PM2.5 based on satellite-based individual-level exposure data.
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Affiliation(s)
- Jie-Qi Jin
- National Clinical Research Center for Kidney Disease, State Key Laboratory of Organ Failure Research, Department of Biostatistics, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, 510515, China
| | - Dong Han
- National Clinical Research Center for Kidney Disease, State Key Laboratory of Organ Failure Research, Department of Biostatistics, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, 510515, China
- The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China
| | - Qi Tian
- Guangzhou Health Technology Identification & Human Resources Assessment Center, Guangzhou, 510080, China
| | - Zhao-Yue Chen
- National Clinical Research Center for Kidney Disease, State Key Laboratory of Organ Failure Research, Department of Biostatistics, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, 510515, China
| | - Yun-Shao Ye
- Guangzhou Health Technology Identification & Human Resources Assessment Center, Guangzhou, 510080, China
| | - Qiao-Xuan Lin
- Guangzhou Health Technology Identification & Human Resources Assessment Center, Guangzhou, 510080, China
| | - Chun-Quan Ou
- National Clinical Research Center for Kidney Disease, State Key Laboratory of Organ Failure Research, Department of Biostatistics, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, 510515, China
| | - Li Li
- National Clinical Research Center for Kidney Disease, State Key Laboratory of Organ Failure Research, Department of Biostatistics, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, 510515, China.
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Global Alliance against Chronic Respiratory Diseases symposium on air pollution: overview and highlights. Chin Med J (Engl) 2021; 133:1546-1551. [PMID: 32568871 PMCID: PMC7386358 DOI: 10.1097/cm9.0000000000000877] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
A 1-day symposium before the annual meeting of the Global Alliance against Chronic Respiratory Diseases, gathered authorities and researchers from around the world to discuss the impact of air pollution on human and planetary health. Air quality is a high priority for Global Alliance against Chronic Respiratory Diseases and China, the host country. This article presents a summary, commentary, and amplification of the 17 presentations. Air pollution is closely linked with global warming and harms most body systems even at levels below international standards. Information about the genetic, cellular, and metabolic effects of exposure to air pollution is important for better understanding of individual responses and even potential therapeutic mediation. Reducing air pollution at its source leads to prompt and important benefits and should be the first priority for political and public action.
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Wang YS, Chang LC, Chang FJ. Explore Regional PM2.5 Features and Compositions Causing Health Effects in Taiwan. ENVIRONMENTAL MANAGEMENT 2021; 67:176-191. [PMID: 33201258 DOI: 10.1007/s00267-020-01391-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 10/28/2020] [Indexed: 06/11/2023]
Abstract
Chemical compositions of atmospheric fine particles like PM2.5 prove harmful to human health, particularly to cardiopulmonary functions. Multifaceted health effects of PM2.5 have raised broader, stronger concerns in recent years, calling for comprehensive environmental health-risk assessments to offer new insights into air-pollution control. However, there have been few studies adopting local air-quality-monitoring datasets or local coefficients related to PM2.5 health-risk assessment. This study aims to assess health effects caused by PM2.5 concentrations and metal toxicity using epidemiological and toxicological methods based on long-term (2007-2017) hourly monitoring datasets of PM2.5 concentrations in four cities of Taiwan. The results indicated that (1) PM2.5 concentrations and hazardous substances varied substantially from region to region, (2) PM2.5 concentrations significantly decreased after 2013, which benefited mainly from two actions against air pollution, i.e., implementing air-pollution-control strategies and raising air-quality standards for certain emission sources, and (3) under the condition of low PM2.5 concentrations, high health risks occurred in eastern Taiwan on account of toxic substances adsorbed on PM2.5 surface. It appears that under the condition of low PM2.5 concentrations, the results of epidemiological and toxicological health-risk assessments may not agree with each other. This raises a warning that air-pollution control needs to consider toxic substances adsorbed in PM2.5 and region-oriented control strategies are desirable. We hope that our findings and the proposed transferable methodology can call on domestic and foreign authorities to review current air-pollution-control policies with an outlook on the toxicity of PM2.5.
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Affiliation(s)
- Yi-Shin Wang
- Department of Bioenvironmental Systems Engineering, National Taiwan University, Taipei, 10617, Taiwan
| | - Li-Chiu Chang
- Department of Water Resources and Environmental Engineering, Tamkang University, New Taipei City, 25137, Taiwan
| | - Fi-John Chang
- Department of Bioenvironmental Systems Engineering, National Taiwan University, Taipei, 10617, Taiwan.
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Arias-Pérez RD, Taborda NA, Gómez DM, Narvaez JF, Porras J, Hernandez JC. Inflammatory effects of particulate matter air pollution. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2020; 27:42390-42404. [PMID: 32870429 DOI: 10.1007/s11356-020-10574-w] [Citation(s) in RCA: 110] [Impact Index Per Article: 27.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 08/19/2020] [Indexed: 05/05/2023]
Abstract
Air pollution is an important cause of non-communicable diseases globally with particulate matter (PM) as one of the main air pollutants. PM is composed of microscopic particles that contain a mixture of chemicals and biological elements that can be harmful to human health. The aerodynamic diameter of PM facilitates their deposition when inhaled. For instance, coarse PM having a diameter of < 10 μm is deposited mainly in the large conducting airways, but PM of < 2.5 μm can cross the alveolar-capillary barrier, traveling to other organs within the body. Epidemiological studies have shown the association between PM exposure and risk of disease, namely those of the respiratory system such as lung cancer, asthma, and chronic obstructive pulmonary disease (COPD). However, cardiovascular and neurological diseases have also been reported, including hypertension, atherosclerosis, acute myocardial infarction, stroke, loss of cognitive function, anxiety, and Parkinson's and Alzheimer's diseases. Inflammation is a common hallmark in the pathogenesis of many of these diseases associated with exposure to a variety of air pollutants, including PM. This review focuses on the main effects of PM on human health, with an emphasis on the role of inflammation.
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Affiliation(s)
- Rubén D Arias-Pérez
- Grupo de Investigaciones Biomédicas Uniremington, Programa de Medicina, Facultad de Ciencias de la Salud, Corporación Universitaria Remington, Medellín, Colombia
| | - Natalia A Taborda
- Grupo de Investigaciones Biomédicas Uniremington, Programa de Medicina, Facultad de Ciencias de la Salud, Corporación Universitaria Remington, Medellín, Colombia
- Grupo Inmunovirología, Facultad de Medicina, Universidad de Antioquia, UdeA, Calle 70 No. 52-21, Medellín, Colombia
| | - Diana M Gómez
- Infettare, Facultad de Medicina, Universidad Cooperativa de Colombia, Medellín, Colombia
| | - Jhon Fredy Narvaez
- Grupo de Investigaciones Ingeniar, Facultad de Ingenierías, Corporación Universitaria Remington, Medellín, Colombia
| | - Jazmín Porras
- Grupo de Investigaciones Biomédicas Uniremington, Programa de Medicina, Facultad de Ciencias de la Salud, Corporación Universitaria Remington, Medellín, Colombia
| | - Juan C Hernandez
- Infettare, Facultad de Medicina, Universidad Cooperativa de Colombia, Medellín, Colombia.
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Chen S, Wu S. Deep learning for identifying environmental risk factors of acute respiratory diseases in Beijing, China: implications for population with different age and gender. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2020; 30:435-446. [PMID: 30929473 DOI: 10.1080/09603123.2019.1597836] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 03/18/2019] [Indexed: 06/09/2023]
Abstract
This study focuses on identifying environmental health risk factors related to acute respiratory diseases using deep learning method. Based on respiratory disease data, air pollution data and meteorological environmental data, cross-domain risk factors of acute respiratory diseases were identified in Beijing, China. We conducted age and gender stratified deep neural network models in air pollution epidemiology. We ranked risk factors of respiratory diseases in stratified populations and conducted quantitative comparison. People ≥50 years were more sensitive to PM2.5 pollution than <50 years people, especially women ≥50 years. Compared with women, both men ≥50 years and <50 years were more susceptible to PM10. Young women <50 years were more sensitive to general air pollutants such as SO2 and NO2 than <50 years young men. Meteorological factors such as wind speed and precipitation could promote the diffusion of fine particulate matter and general air pollutants (SO2, NO2, etc.), which could help to reduce the incidence of acute respiratory diseases. This study represents a quantitative analysis of environmental health risk factors identification related to acute respiratory diseases based on deep neural network method. The results of this study could help people to improve their awareness of acute respiratory diseases prevention.
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Affiliation(s)
- Songjing Chen
- Medical Information Innovation Research Center, Institute of Medical Information and Library, Chinese Academy of Medical Sciences/Peking Union Medical College , Beijing, China
| | - Sizhu Wu
- Medical Information Innovation Research Center, Institute of Medical Information and Library, Chinese Academy of Medical Sciences/Peking Union Medical College , Beijing, China
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Bergmann S, Li B, Pilot E, Chen R, Wang B, Yang J. Effect modification of the short-term effects of air pollution on morbidity by season: A systematic review and meta-analysis. THE SCIENCE OF THE TOTAL ENVIRONMENT 2020; 716:136985. [PMID: 32044481 DOI: 10.1016/j.scitotenv.2020.136985] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Revised: 01/15/2020] [Accepted: 01/27/2020] [Indexed: 06/10/2023]
Abstract
Studies of the health effects of air pollution have traditionally controlled for ambient temperature as a confounder, and vice versa. However, season might be an important factor contributing to adverse health effects of air pollution. Given the current inconsistencies in results of previous studies on the effect modification of air pollution on morbidity by season, a systematic review and meta-analysis was conducted to synthesize the current evidence on effects of season on air pollution and morbidity. The electronic databases including PubMed, Web of Science, Embase, CNKI, and Wanfang were used to identify papers published up to the 30st of November in 2019. We identified 4284 articles, after screening, eighty papers met the inclusion criteria. Significant effect modification of CO, O3, SO2 and NO2 on morbidity by season was observed, with corresponding ratio of relative risk of 1.0009 (95% CI: 1.0001-1.0018), 1.0080 (95% CI: 1.0021-1.0138), 0.9828 (95% CI: 0.9697-0.9962) and 0.9896 (95% CI: 0.9824-0.9968), respectively. Season significantly modified the effect of CO on pneumonia, the effect of SO2 on cardiovascular disease, the effect of PM10 on stroke, and the effect of O3 on stroke, asthma and pneumonia. The effect modifications of air pollution by season were similar among males and females, while the effect estimates seem to be higher among children under 18 years old and the elderly aged 75 or over. Further research is needed to better understand the mechanisms underlying the seasonal variance of the effect of air pollutants on morbidity.
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Affiliation(s)
- Stéphanie Bergmann
- Institute for Environmental and Climate Research, Jinan University, Guangzhou 511443, China; Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
| | - Bixia Li
- Institute for Environmental and Climate Research, Jinan University, Guangzhou 511443, China
| | - Eva Pilot
- Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
| | - Renchao Chen
- Institute for Environmental and Climate Research, Jinan University, Guangzhou 511443, China
| | - Boguang Wang
- Institute for Environmental and Climate Research, Jinan University, Guangzhou 511443, China; Guangdong-Hongkong-Macau Joint Laboratory of Collaborative Innovation for Environmental Quality, Guangzhou, 511443, China
| | - Jun Yang
- Institute for Environmental and Climate Research, Jinan University, Guangzhou 511443, China; Guangdong-Hongkong-Macau Joint Laboratory of Collaborative Innovation for Environmental Quality, Guangzhou, 511443, China.
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12
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Chi R, Li H, Wang Q, Zhai Q, Wang D, Wu M, Liu Q, Wu S, Ma Q, Deng F, Guo X. Association of emergency room visits for respiratory diseases with sources of ambient PM 2.5. J Environ Sci (China) 2019; 86:154-163. [PMID: 31787180 DOI: 10.1016/j.jes.2019.05.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 05/13/2019] [Accepted: 05/13/2019] [Indexed: 06/10/2023]
Abstract
Previous studies have reported associations of short-term exposure to different sources of ambient fine particulate matter (PM2.5) and increased mortality or hospitalizations for respiratory diseases. Few studies, however, have focused on the short-term effects of source-specific PM2.5 on emergency room visits (ERVs) of respiratory diseases. Source apportionment for PM2.5 was performed with Positive Matrix Factorization (PMF) and generalized additive model was applied to estimate associations between source-specific PM2.5 and respiratory disease ERVs. The association of PM2.5 and total respiratory ERVs was found on lag4 (RR = 1.011, 95%CI: 1.002, 1.020) per interquartile range (76 μg/m3) increase. We found PM2.5 to be significantly associated with asthma, bronchitis and chronic obstructive pulmonary disease (COPD) ERVs, with the strongest effects on lag5 (RR = 1.072, 95%CI: 1.024, 1.119), lag4 (RR = 1.104, 95%CI: 1.032, 1.176) and lag3 (RR = 1.091, 95%CI: 1.047, 1.135), respectively. The estimated effects of PM2.5 changed little after adjusting for different air pollutants. Six primary PM2.5 sources were identified using PMF analysis, including dust/soil (6.7%), industry emission (4.5%), secondary aerosols (30.3%), metal processing (3.2%), coal combustion (37.5%) and traffic-related source (17.8%). Some of the sources were identified to have effects on ERVs of total respiratory diseases (dust/soil, secondary aerosols, metal processing, coal combustion and traffic-related source), bronchitis ERVs (dust/soil) and COPD ERVs (traffic-related source, industry emission and secondary aerosols). Different sources of PM2.5 contribute to increased risk of respiratory ERVs to different extents, which may provide potential implications for the decision making of air quality related policies, rational emission control and public health welfare.
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Affiliation(s)
- Rui Chi
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, China
| | - Hongyu Li
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, China
| | - Qian Wang
- Chinese Academy for Environmental Planning, Beijing 100012, China
| | - Qiangrong Zhai
- Emergency Department, Peking University Third Hospital, Beijing 100191, China
| | - Daidai Wang
- Emergency Department, Peking University Third Hospital, Beijing 100191, China
| | - Meng Wu
- Emergency Department, Peking University Third Hospital, Beijing 100191, China
| | - Qichen Liu
- Beijing Center for Disease Control and Prevention, Beijing 100013, China
| | - Shaowei Wu
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, China
| | - Qingbian Ma
- Emergency Department, Peking University Third Hospital, Beijing 100191, China.
| | - Furong Deng
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, China
| | - Xinbiao Guo
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100191, China.
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Abstract
OBJECTIVE Exposure to airborne particulate matter (PM) is estimated to cause millions of premature deaths annually. This work conveys known routes of exposure to PM and resultant health effects. METHODS A review of available literature. RESULTS Estimates for daily PM exposure are provided. Known mechanisms by which insoluble particles are transported and removed from the body are discussed. Biological effects of PM, including immune response, cytotoxicity, and mutagenicity, are reported. Epidemiological studies that outline the systemic health effects of PM are presented. CONCLUSION While the integrated, per capita, exposure of PM for a large fraction of the first-world may be less than 1 mg per day, links between several syndromes, including attention deficit hyperactivity disorder (ADHD), autism, loss of cognitive function, anxiety, asthma, chronic obstructive pulmonary disease (COPD), hypertension, stroke, and PM exposure have been suggested. This article reviews and summarizes such links reported in the literature.
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Tao S, Zhang H, Xue L, Jiang X, Wang H, Li B, Tian H, Zhang Z. Vitamin D protects against particles-caused lung injury through induction of autophagy in an Nrf2-dependent manner. ENVIRONMENTAL TOXICOLOGY 2019; 34:594-609. [PMID: 30698894 DOI: 10.1002/tox.22726] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Revised: 01/05/2019] [Accepted: 01/13/2019] [Indexed: 06/09/2023]
Abstract
Fine particulate matter is a well-known air pollutant threatening public health. Studies have confirmed long-term exposure to the particles could decrease the pulmonary function, induce asthma exacerbation, and chronic obstructive pulmonary disease, as well as increase the incidence and mortality of lung cancer. A clinical study has explored that the prevalence and risks of vitamin D (VD) deficiency in various chronic disease and toxins induced tissue damage. Our current study aimed to explore the mechanism and further therapeutic potential of VD administration to ameliorate fine particles exposure induced pulmonary damage in vivo and in vitro. To elucidate the effects and mechanisms of VD in particles-induced pulmonary damage, a murine model was established with fine particles intratracheal instillation along with VD intramuscular injection. Our study demonstrated that treatment with VD attenuated particles-induced pulmonary damage and promoted tissue repair by repressing of TGFβ1 signaling pathway and upregulation of MMP9 expression. VD treatment could also regulate the autophagy-related signals along with activation of Nrf2 transcription factor. Furthermore, the results from the in vitro study demonstrated that VD protected against particles-induced cells' damage through the induction of autophagy in an Nrf2-dependent manner. VD treatment caused the degradation of P62 and its bound Keap1, which decreased the Nrf2 ubiquitination and increasing its protein stability. Our work explored a novel potential mechanism in the protection of VD in particles-induced pulmonary injury and tissue repair, and could further bring insights into exploring antifine particles exposure caused inflammation among other natural products and contributes to inflammation disease medical therapies.
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Affiliation(s)
- Shasha Tao
- Department of Endocrinology and Nephrology, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, China
- Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Disease, School of Public Health, Soochow University, Suzhou, China
| | - Hong Zhang
- Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Disease, School of Public Health, Soochow University, Suzhou, China
| | - Lian Xue
- Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Disease, School of Public Health, Soochow University, Suzhou, China
| | - Xiaoyan Jiang
- Department of Endocrinology and Nephrology, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, China
| | - Hongyan Wang
- Department of Endocrinology and Nephrology, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing, China
| | - Bingyan Li
- Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Disease, School of Public Health, Soochow University, Suzhou, China
| | - Hailin Tian
- Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Disease, School of Public Health, Soochow University, Suzhou, China
| | - Zengli Zhang
- Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Disease, School of Public Health, Soochow University, Suzhou, China
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15
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Zhou T, Hu Y, Wang Y, Sun C, Zhong Y, Liao J, Wang G. Fine particulate matter (PM 2.5) aggravates apoptosis of cigarette-inflamed bronchial epithelium in vivo and vitro. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2019; 248:1-9. [PMID: 30763815 DOI: 10.1016/j.envpol.2018.11.054] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 11/14/2018] [Accepted: 11/17/2018] [Indexed: 06/09/2023]
Abstract
Fine particulate matter (PM2.5) is an essential risk factor of chronic obstructive pulmonary disease (COPD). Recent studies showed weak association between PM2.5 and COPD incidence, but smokers who exposed to higher PM2.5 concentration had more opportunity to gain COPD. Cigarette smoking is the most important risk factor of COPD. Thus, we hypothesized: the role of PM2.5 played on cigarette-inflamed airways was more significant than normal airways. The study firstly established an animal model of C57BL/6J mice with cigarette smoke exposure and PM2.5 orotracheal administration. After calculating pathological scores, mean linear intercept and mean alveolar area, we found PM2.5 aggravated pathological injury of cigarette-inflamed lungs, but the injury on normal lungs was not significant. Meanwhile, inflammatory factors as T-bet, IFN-γ and IL-1α were tested using qRT-PCR and ELISA. The results showed PM2.5 aggravated inflammation of cigarette-inflamed lungs, but the effect on normal lungs was not significant. The most important pathogenesis of COPD is abnormal apoptosis in airway epithelium, due to oxidative stress following long-term exposure to cigarette smoke. Then, apoptotic responses were detected in lungs. TUNEL analysis demonstrated that PM2.5 promoted DNA fragmentation of cigarette-inflamed lungs, but the effect on normal lungs was not significant. Western-blot and immunohistochemistry showed caspase activated significantly in PM2.5-cigarette smoke exposed lungs and activated caspase 3 located mainly on bronchial epithelium. Next, human bronchial epithelial cells were cultured treated with cigarette smoke solution (CSS) with or without PM2.5. Z-VAD-FMK, a pan-caspase inhibitor, was used to suppress the activation of caspases. After analyzing cell viability, DNA fragmentation, mitochondrial activities and caspase activities, the results clarified that PM2.5 aggravated apoptosis in cigarette-inflamed bronchial epithelial cells and the responses could be suppressed by Z-VAD-FMK. Our results gave a new idea about the mechanism of PM2.5 on COPD and inferred cigarette-inflamed airways were more vulnerable to PM2.5 than normal airways.
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Affiliation(s)
- Tianyu Zhou
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| | - Yan Hu
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| | - Yunxia Wang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| | - Chao Sun
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| | - Yijue Zhong
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| | - Jiping Liao
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
| | - Guangfa Wang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
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16
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Sun Q, Liu C, Chen R, Wang C, Li J, Sun J, Kan H, Cao J, Bai H. Association of fine particulate matter on acute exacerbation of chronic obstructive pulmonary disease in Yancheng, China. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 650:1665-1670. [PMID: 30273725 DOI: 10.1016/j.scitotenv.2018.09.278] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Revised: 09/08/2018] [Accepted: 09/21/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Epidemiological evidence on the association between short-term exposure to fine particulate matter (PM2.5) air pollution and acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is limited in China. OBJECTIVES To explore the associations between PM2.5 and AECOPD in Yancheng, China from 2015 to 2017. METHODS In this time-series study, we used a generalized linear model with quasi-Poisson regression to investigate the association between PM2.5 and AECOPD admitted in two major hospitals in Yancheng. We tested the robustness of the associations using two-pollutant models and examined the potential effect modification by age, gender and season via stratification analyses. Lastly, we fitted the concentration-response curves. RESULTS We identified a total of 4761 AECOPD inpatients during the study period. The average daily-mean PM2.5 concentration was 45.2 μg/m3. Each 10 μg/m3 increase in PM2.5 concentration on the concurrent day of the onset of AECOPD was associated with a 1.05% (95% confidence interval: 0.14%, 1.96%) increase in AECOPD. The association was robust to the adjustment of ozone, but not to sulfur dioxide, nitrogen dioxide, and carbon monoxide. The association was larger in females, elderly patients, and was restricted within the cold season, but all between-group differences were insignificant. The concentration-response relationship curves were generally linear but flatted at concentrations over 40 μg/m3. CONCLUSIONS This study demonstrated a higher risk of AECOPD associated with present-day PM2.5 exposure in a Chinese city. We further provided important information on lag patterns, susceptible subgroups, sensitive seasons, as well as the characteristics of the concentration-response relationship curves.
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Affiliation(s)
- Qian Sun
- Department of Respiratory Medicine, the First People's Hospital of Yancheng, the Fourth Affiliated Hospital of Nantong University, Jiangsu Province 224006, China
| | - Cong Liu
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China
| | - Renjie Chen
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China
| | - Can Wang
- Department of Respiratory Medicine, the First People's Hospital of Yancheng, the Fourth Affiliated Hospital of Nantong University, Jiangsu Province 224006, China
| | - Jiading Li
- Department of Cardiology, Yancheng Hospital Affiliated to Xuzhou Medical University and the First People's Hospital of Yancheng, Jiangsu Province 224006, China
| | - Jian Sun
- Department of Respiratory Medicine, the First People's Hospital of Yancheng, the Fourth Affiliated Hospital of Nantong University, Jiangsu Province 224006, China
| | - Haidong Kan
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China
| | - Jingyan Cao
- Department of Cardiology, Yancheng Hospital Affiliated to Xuzhou Medical University and the First People's Hospital of Yancheng, Jiangsu Province 224006, China
| | - Hongjian Bai
- Department of Respiratory Medicine, the First People's Hospital of Yancheng, the Fourth Affiliated Hospital of Nantong University, Jiangsu Province 224006, China.
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17
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Zhang H, Xue L, Li B, Tian H, Zhang Z, Tao S. Therapeutic potential of bixin in PM2.5 particles-induced lung injury in an Nrf2-dependent manner. Free Radic Biol Med 2018; 126:166-176. [PMID: 30120979 DOI: 10.1016/j.freeradbiomed.2018.08.015] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 08/12/2018] [Accepted: 08/13/2018] [Indexed: 12/15/2022]
Abstract
Fine particulate matter (PM 2.5) is a well-known air pollutant threatening public health. Studies has confirmed that long-term exposure to the particles could reduce the pulmonary function, cause exacerbation of asthma and chronic obstructive pulmonary disease, and increase incidence and mortality of lung cancer. Bixin is a natural compound that is widely used as a food additive. Our previous studies demonstrated that bixin i.p. administration could protect against particles intratracheal exposure (56 days)-induced lung injury in an Nrf2-dependent manner. But the detail mechanisms are still unclarified. Our current study aimed to explore the further therapeutic potential and mechanism of bixin to slow the progression of lung injury and inflammation in vivo and in vitro. The results from the in vivo study showed that bixin treatment attenuated the accumulation of inflammatory cells, decreased the levels of tissue apoptosis, and increase the ability of cell proliferation. Besides that, bixin also could regulate the expression of MMP9, TGFβ1, and its downstream Fibronectin (FN), along with activation of Nrf2 signals. In vitro experiments in human bronchial epithelial cells demonstrated that Nrf2 activated by bixin contributes to tissue repair by alleviating oxidative stress, increasing proliferation and migration, decreasing apoptosis, which may be partially through modulating the expression of MMP9, TGFβ1, and FN. This study provides convincing experimental evidences that bixin could be used therapeutically to promote tissue repair and improve pulmonary injury induced by particles exposure.
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Affiliation(s)
- Hong Zhang
- School of Public Health, Medical College of Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, China
| | - Lian Xue
- School of Public Health, Medical College of Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, China
| | - Bingyan Li
- Medical College of Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, China
| | - Hailin Tian
- School of Public Health, Medical College of Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, China
| | - Zengli Zhang
- School of Public Health, Medical College of Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, China
| | - Shasha Tao
- Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Disease, School of Public Health, Soochow University, Suzhou 215123, China; School of Public Health, Medical College of Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, China.
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18
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Effects of Fine Particulate Matter on Pseudomonas aeruginosa Adhesion and Biofilm Formation In Vitro. BIOMED RESEARCH INTERNATIONAL 2018; 2018:6287932. [PMID: 30069474 PMCID: PMC6057421 DOI: 10.1155/2018/6287932] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Revised: 05/09/2018] [Accepted: 05/31/2018] [Indexed: 11/21/2022]
Abstract
Respiratory infections of Pseudomonas aeruginosa are a major cause of mortality and morbidity for hospitalized patients. Fine particulate matter (FPM) is known to have interactions with some bacterial infection in the respiratory system. In this report, we investigate the effect of different concentration of FPM on P. aeruginosa attachment and biofilm formation using in vitro cell culture systems. P. aeruginosa were cultured to form mature biofilms on hydroxyapatite-coated peg and the number of bacteria in the biofilms was enumerated. Morphology of biofilm was imaged with scanning electron microscopy and confocal laser scanning microscopy. Bacterial affinity change to the cell membrane was evaluated with attached colony counting and fluorescence microscopy images. Alteration of bacterial surface hydrophobicity and S100A4 protein concentration were explored as mechanisms of P. aeruginosa adhesion to human cells. There were a concentration-dependent increase of thickness and surface roughness of biofilm mass. P. aeruginosa adherence to respiratory epithelial cells was increased after FPM treatment. Bacterial surface hydrophobicity and S1000A4 protein concentration were increased with proportionally the dose of FPM in media. FPM in the airway could enhance both the adhesion of P. aeruginosa to epithelial cells and biofilm formation. Bacterial surface hydrophobicity and human cell plasma membrane injury are associated with binding of P. aeruginosa on airway epithelial cells and biofilm formation.
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Sun XW, Chen PL, Ren L, Lin YN, Zhou JP, Ni L, Li QY. The cumulative effect of air pollutants on the acute exacerbation of COPD in Shanghai, China. THE SCIENCE OF THE TOTAL ENVIRONMENT 2018; 622-623:875-881. [PMID: 29227938 DOI: 10.1016/j.scitotenv.2017.12.042] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 12/03/2017] [Accepted: 12/04/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Epidemiologic studies have shown the effect of air pollutants on acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, little is known regarding the dose-response relationship. This study aimed to investigate the cumulative effect of air pollutants on AECOPD. METHODS We collected 101 patients with AECOPD from November 2010 through August 2011 in Shanghai. Multiple logistic regression was used to estimate associations between air pollutants and AECOPD. Poisson regression was then applied to determine the cumulative effect of air pollutants including particulate matter 10 (PM10), PM2.5, nitrogen dioxide (NO2), sulphur dioxide (SO2) and ozone (O3) on AECOPD, of which the seasonal variation was further explored. RESULTS The monthly episodes of AECOPD were associated with the concentrations of PM2.5 (r=0.884, p<0.05) and NO2 (r=0.763, p<0.05). The cutoff value of PM2.5 and NO2 for predicting AECOPD was 83.0μg/m3 and 53.5μg/m3, respectively. It showed that per 10μg/m3 increment in PM2.5 increased the relative risks (RR) for AECOPD was 1.09 with 3days cumulative effect in cold season, whereas 7days in warm season. The RR for AECOPD for per 10μg/m3 increment in NO2 was 1.07, with a 5-day cumulative effect without seasonal variation. CONCLUSIONS High consecutive levels of PM2.5 and NO2 increase the risk of developing AECOPD. Cumulative effect of PM2.5 and NO2 appears before the exacerbation onset. These gradations were more evident in the PM2.5 during different seasons.
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Affiliation(s)
- Xian Wen Sun
- Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Pei Li Chen
- Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Lei Ren
- Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; Department of Respiratory Medicine, Shanghai Jing'an Geriatric Hospital, Shanghai 200040, China
| | - Ying Ni Lin
- Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Jian Ping Zhou
- Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Lei Ni
- Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
| | - Qing Yun Li
- Department of Respiratory Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
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Hwang SL, Chi MC, Guo SE, Lin YC, Chou CT, Lin CM. Seasonal variation and source apportionment of PM 2.5-bound trace elements at a coastal area in southwestern Taiwan. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:9101-9113. [PMID: 29335875 DOI: 10.1007/s11356-017-1144-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 12/26/2017] [Indexed: 05/13/2023]
Abstract
The aim of this study is to investigate the seasonal variations and source apportionment on atmospheric fine particulate matter (PM2.5) mass and associated trace element concentrations at a coastal area, in Chiayi County of southwestern Taiwan. Particle measurements were conducted in 2015. Twenty-three trace elements in PM2.5 were analyzed using inductively coupled plasma mass spectrometry (ICP-MS). Multiple approaches of the enrichment factor (EF) analysis and positive matrix fraction (PMF) model were used to identify potential sources of PM2.5-bound trace elements. Daily mean concentration of PM2.5 in cold season (25.41 μg m-3) was higher than that in hot season (13.10 μg m-3). The trace elements contributed 11.02 and 10.74% in total PM2.5 mass concentrations in cold season and hot season, respectively. The results of EF analysis confirmed that Sb, Mo, and Cd were the top three anthropogenic trace elements in the PM2.5; furthermore, carcinogenic elements (Cr, Ni, and As) and other trace elements (Na, K, V, Cu, Zn, Sr, Sn, Ba, and Pb) were attributable to anthropogenic emissions in both cold and hot seasons; however, highly enriched Li and Mn were observed only in cold season. The PMF model identified four main sources: iron and steel industry, soil and road dust, coal combustion, and traffic-related emission. Each of these sources has an annual mean contribution of 8.2, 27.5, 11.2, and 53.1%, respectively, to PM2.5. The relative dominance of each identified source varies with changing seasons. The highest contributions occurred in cold season for iron and steel industry (66.2%), in hot season for traffic-related emission (58.4%), soil and road dust (22.0%), and coal combustion (2.8%). These findings revealed that the PM2.5 mass concentration, PM2.5-bound trace element concentrations, and their contributions were various by seasons.
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Affiliation(s)
- Su-Lun Hwang
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Puzi City, 613, Chiayi County, Taiwan.
- Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Puzi City, 613, Chiayi County, Taiwan.
- Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital Chiayi Branch, Puzi City, 613, Chiayi County, Taiwan.
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, No. 2 Sec. W., Jiapu Rd., Puzi City, 61363, Chiayi County, Taiwan, Republic of China.
| | - Miao-Ching Chi
- Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Puzi City, 613, Chiayi County, Taiwan
- Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi Campus, Puzi City, 613, Chiayi County, Taiwan
| | - Su-Er Guo
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Puzi City, 613, Chiayi County, Taiwan
- Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Puzi City, 613, Chiayi County, Taiwan
| | - Yu-Ching Lin
- Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital Chiayi Branch, Puzi City, 613, Chiayi County, Taiwan
- Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi Campus, Puzi City, 613, Chiayi County, Taiwan
- Department of Respiratory Care, Chang Gung University, Taoyuan, 333, Taiwan
| | - Chiang-Ting Chou
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Puzi City, 613, Chiayi County, Taiwan
- Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Puzi City, 613, Chiayi County, Taiwan
| | - Chieh-Mo Lin
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Puzi City, 613, Chiayi County, Taiwan
- Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital Chiayi Branch, Puzi City, 613, Chiayi County, Taiwan
- Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan
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Hwang SL, Lin YC, Lin CM, Hsiao KY. Effects of fine particulate matter and its constituents on emergency room visits for asthma in southern Taiwan during 2008-2010: a population-based study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2017; 24:15012-15021. [PMID: 28488152 DOI: 10.1007/s11356-017-9121-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Accepted: 04/26/2017] [Indexed: 06/07/2023]
Abstract
This population-based study evaluated the short-term association between fine particulate matter (PM2.5) concentrations and its constituents and hospital emergency room visits (ERVs) for asthma in southern Taiwan during the period 2008-2010. Data on hospital ERVs for asthma and ambient PM2.5 levels and its constituents were obtained from the National Health Insurance Research database and the Environmental Protection Administration, respectively. The quasi-Poisson generalized additive model was used to explore the associations between PM2.5 and hospital ERVs for asthma. During the study period, the average daily number of ERVs for asthma and mean 24-h average level of PM2.5 was 20.0 and 39.4 μg m-3, respectively. The estimated effects of PM2.5 on asthma ERVs fluctuated with increasing tendencies after adjusting for O3 and attenuating tendencies after adjusting for NO2, SO2, and CO. Children were more susceptible than other age groups to the effects of PM2.5 exposure on asthma ERVs, with the relative risks (RRs) for every 10 μg m-3 increase in PM2.5 being 1.016 [95% confidence interval (CI) = 1.002-1.030] and 1.018 (95% CI = 1.002-1.034), respectively, at a lag 0 day (i.e., no lag days) and lag 0-1 days. The effect of PM2.5 concentrations on asthma ERVs was similar in male and female. Furthermore, asthma ERVs was significantly associated with concentrations of nitrate (NO3-), with the RR for each 1 μg m-3 increase in NO3- concentrations being 1.004 (95% CI = 1.001-1.007) at lag 0 day. In conclusion, both PM2.5 concentrations and its chemical constituents are associated with ERVs for asthma; moreover, children were more susceptible to the effects of PM2.5 in southern Taiwan. PM2.5 constituent, nitrate, is more closely related to ERVs for asthma.
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Affiliation(s)
- Su-Lun Hwang
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Taiwan No. 2, W., Jiapu Rd., Puzi City, Chiayi County, 61363, Taiwan (Republic of China).
- Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Chiayi County, 613, Taiwan.
- Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital Chiayi Branch, Chiayi County, 613, Taiwan.
| | - Yu-Ching Lin
- Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital Chiayi Branch, Chiayi County, 613, Taiwan
- Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County, 613, Taiwan
- Department of Respiratory Care, Chang Gung University, Taoyuan, 333, Taiwan
| | - Chieh-Mo Lin
- Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Taiwan No. 2, W., Jiapu Rd., Puzi City, Chiayi County, 61363, Taiwan (Republic of China)
- Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County, 613, Taiwan
- Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan
| | - Kuang-Yu Hsiao
- Department of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi Branch, Chiayi County, 613, Taiwan
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