Domestic incense use and lung cancer in Asia: a review

Characteristics of fine particles from incense burning at temple premises of Kathmandu Valley, Nepal

The impact of incense burning on ambient air quality was investigated by measuring the concentrations of fine particles (PM2.5), elemental carbon (EC), organic carbon (OC), and their oxidative potential (OP) at three temple premises in Kathmandu Valley, Nepal. These temples, namely, Bajrabarahi, Bagalamukhi, and Bhadrakali, are located in three distinct environments: forest, residential, and roadside, respectively. During the incense burning event days, the PM2.5 concentration at Bhadrakali (431.4 μgm-3) was significantly higher than that measured at the Bagalamukhi (135.2 μgm-3) and Bajrabarahi (84.7 μgm-3) temple premises. This observation is consistent with the fact that Bhadrakali Temple had the highest intensity of incense burning. Additionally, the temple premises were also influenced by vehicular emissions from transportation facilities. Carbonaceous aerosols significantly increased during incense burning events, indicating that incense burning contributes significantly to the formation of primary and secondary OC. Moreover, the OP of PM2.5 during the incense burning event days was higher compared to non-event days (p < 0.05), suggesting an elevated health risk due to the increased concentration and toxicity of fine particles. These findings highlight the substantial impact of incense burning on air quality in temple premises, emphasizing the need to implement effective strategies to mitigate the associated health risks.

The impact of high background particle concentration on the spatiotemporal distribution of Serratia marcescens bioaerosol

Airborne transmission is a well-established mode of dissemination for infectious diseases, particularly in closed environments. However, previous research has often overlooked the potential impact of background particle concentration on bioaerosol characteristics. We compared the spatial and temporal distributions of bioaerosols under two levels of background particle concentration: heavily polluted (150-250 μg/m3) and excellent (0-35 μg/m3) in a typical ward. Serratia marcescens bioaerosol was adopted as a bioaerosol tracer, and the bioaerosol concentrations were quantified using six-stage Andersen cascade impactors. The results showed a significant reduction (over at least 62.9%) in bioaerosol concentration under heavily polluted levels compared to excellent levels at all sampling points. The temporal analysis also revealed that the decay rate of bioaerosols was higher (at least 0.654 min-1) under heavily polluted levels compared to excellent levels. These findings suggest that background particles can facilitate bioaerosol removal, contradicting the assumption made in previous research that background particle has no effect on bioaerosol characteristics. Furthermore, we observed differences in the size distribution of bioaerosols between the two levels of background particle concentration. The average bioaerosols size under heavily polluted levels was found to be higher than that under excellent levels, and the average particle size under heavily polluted levels gradually increased with time. In conclusion, these results highlight the importance of considering background particle concentration in future research on bioaerosol characteristics.

Auramine O, an incense smoke ingredient, promotes lung cancer malignancy

Burning incense to worship deities is a popular religious ritual in large parts of Asia, and is a popular custom affecting more than 1.5 billion adherents. Due to incomplete combustion, burning incense has been well recognized to generate airborne hazards to human health. However, the correlation between burning incense and lung cancer in epidemiological studies remains controversy. Therefore, we speculated that some unknown materials in incense smoke are involved in the initiation or progression of lung cancer. Based on this hypothesis, we identified a major compound auramine O (AuO) from the water-soluble fraction of incense burned condensate using mass spectrometry. AuO is commonly used in incense manufacture as a colorant. Due to thermostable, AuO released from burned incenses becomes an unexpected air pollutant. AuO is classified as a Group 2B chemical by the International Agency of Research on Cancer (IARC), however, the damage of AuO to the respiratory system remains elusive. Our study revealed that AuO has no apparent effect on malignant transformation; but, it dramatically promotes lung cancer malignancy. AuO accumulates in the nucleus and induces the autophagy activity in lung tumor cells. AuO significantly enhances migration and invasive abilities and the in vitro and in vivo stemness features of lung tumor cells through activating the expression of aldehyde dehydrogenase family 1 member A1 (ALDH1A1), and ALDH1A1 knockdown attenuates AuO-induced autophagy activity and blocks AuO-induced lung tumor malignancy. In conclusion, we found that AuO, an ingredient of incense smoke, significantly increases the metastatic abilities and stemness characters of lung tumor cells through the activation of ALDH1A1, which is known to be associated with poor outcome and progression of lung cancer. For public health, reducing or avoiding the use of AuO in incense is recommended.