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Fawzy A, Woo H, Raju S, Belz DC, Putcha N, Williams MS, McCormack MC, Kohler K, Hansel NN. Indoor particulate matter concentrations and air cleaner intervention association with biomarkers in former smokers with COPD. Environ Res 2024; 243:117874. [PMID: 38070852 PMCID: PMC10872275 DOI: 10.1016/j.envres.2023.117874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 12/01/2023] [Accepted: 12/03/2023] [Indexed: 01/11/2024]
Abstract
BACKGROUND Indoor pollutants have been associated with worse clinical outcomes in chronic obstructive pulmonary disease (COPD). Elevated biomarkers are associated with ambient pollution exposure, however the association with indoor pollution remains unclear. METHODS Former smokers with spirometry-confirmed COPD were randomized to portable air cleaner or placebo. Indoor particulate matter (PM2.5, PM10, and ultrafine particles [UFP; PM<0.1]) and biomarkers were measured longitudinally at pre-specified intervals and course PM fraction (PM10-2.5) was calculated. Biomarkers were categorized based on associations with biologic mechanisms: inflammation (white blood cell count, interleukin [IL]-6, IL-8, IL-1β, tumor necrosis factor-α, interferon-γ, serum amyloid A), platelet activation (P-selectin, CD40 ligand [CD40L], 11-dehdydro-thromboxane-B2 [11dTxB2]), endothelial dysfunction (Vascular Cell Adhesion Molecule [VCAM]-1, Intercellular Adhesion Molecule [ICAM]-1), and oxidative stress (thiobarbituric acid reactive substances [TBARS], 8-hydroxydeoxyguanosine, 8-isoprostane). Associations between PM concentrations and each biomarker were analyzed using multivariable linear mixed models. An intention-to-treat analysis was performed to evaluate the air cleaner intervention on the biomarker levels longitudinally. RESULTS Fifty-eight participants were randomized to each group. Finer PM was more strongly associated with higher IL-8 (mean difference per doubling: UFP 13.9% [p = 0.02], PM2.5 6.8% [p = 0.002], PM10-2.5 5.0% [p = 0.02]) while interferon-γ was associated with UFP and IL-1β with PM10-2.5. UFP and PM2.5 were associated with elevated levels of the oxidative stress biomarkers TBARS and 8-isoprostane respectively. For platelet activation markers, UFP was associated with higher 11dTxB2 while PM2.5 was associated with higher P-selectin and CD40L. Pollutants were not associated with biomarkers of endothelial dysfunction. In intention-to-treat analysis there was no association of the air cleaner intervention with any of the biomarkers. DISCUSSION Among former smokers with COPD, elevated levels of indoor air pollutants, particularly ultrafine particles (PM<0.1), were associated with elevated biomarkers of inflammation, platelet activation, and oxidative stress. However, an air cleaner intervention that reduced PM did not significantly reduce biomarker levels.
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Affiliation(s)
- Ashraf Fawzy
- Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA.
| | - Han Woo
- Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA
| | - Sarath Raju
- Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA
| | - Daniel C Belz
- Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA
| | - Nirupama Putcha
- Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA
| | | | - Meredith C McCormack
- Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA; Department of Environmental Health Sciences and Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Kirsten Kohler
- Department of Environmental Health Sciences and Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Nadia N Hansel
- Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA; Department of Environmental Health Sciences and Engineering, Johns Hopkins University, Baltimore, MD, USA
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Hu S, Ye J, Guo Q, Zou S, Zhang W, Zhang D, Zhang Y, Wang S, Su L, Wei Y. Serum lactate dehydrogenase is associated with impaired lung function: NHANES 2011-2012. PLoS One 2023; 18:e0281203. [PMID: 36730242 DOI: 10.1371/journal.pone.0281203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 01/17/2023] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Serum lactate dehydrogenase levels reflect disease status in a variety of organs, but its role in indicating pulmonary function is not yet clear. Therefore, this study explored the correlation between pulmonary function and serum lactate dehydrogenase, and investigated thresholds for changes in pulmonary function indicators in the total population as well as in different strata of the population. METHODS Based on data from the National Health and Nutrition Examination Survey (NHANES) 2011-2012 (n = 3453), univariate and stratified analyses were performed to investigate factors associated with pulmonary function, and multiple regression analysis was used to further investigate the specific relationship with serum lactate dehydrogenase. Smoothed curve fitting, threshold effect and saturation effect analysis were used to explore the threshold level of serum lactate dehydrogenase at the onset of changes in pulmonary function indicators. RESULTS Adjusted smoothed curve fit plots showed a linear relationship between serum lactate dehydrogenase levels and forced vital capacity and forced expiratory volume in one second: for each 1 U/L increase in serum lactate dehydrogenase levels, forced vital capacity decreased by 1.24 mL (95% CI = -2.05, -0.42, P = 0.0030) and forced expiratory volume in one second by 1.11 mL (95% CI = -1.82, -0.39, P = 0.0025). CONCLUSIONS Serum lactate dehydrogenase was negatively and linearly correlated with pulmonary function indices in the total population analyzed. Based on the total population and different population stratifications, this study determined the threshold values of serum lactate dehydrogenase at the onset of decline of pulmonary function in different populations. This provides a new serological monitoring indicator for patients suffering from respiratory diseases and has implications for patients with possible clinical impairment of pulmonary function. However, our cross-sectional study was not able to determine a causal relationship between these two factors, and further research is needed.
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Yeom S, Kim H, Hong T, Jeong K. Analysis of ways to reduce potential health risk from ultrafine and fine particles emitted from 3D printers in the makerspace. Indoor Air 2022; 32:e13053. [PMID: 35622719 DOI: 10.1111/ina.13053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 04/20/2022] [Accepted: 05/06/2022] [Indexed: 06/15/2023]
Abstract
Due to the growing maker culture, maker spaces using multiple fused deposition modeling (FDM)-3D printers have spread around the world. However, the 3D printing process is known to cause the release of ultrafine and fine particles, which may have adverse health effects on occupants. Therefore, this experiment-based study was conducted on FDM-3D printers placed in an actual makerspace by the following three scenarios: the number of operating FDM-3D printers, ventilation, and measurement location to compare the concentrations of ultrafine and fine particles. In addition, the deposited dose in alveolar region for ultrafine and fine particles was predicted using a respiratory deposition model to analyze the potential health risk on occupants. As a result, the scenario-based comparison revealed that if the number of operating 3D printers is reduced by less than half, the potential health risk can be decreased by 34.1%, proper ventilation can reduce potential health risk by 55.5%, and working away from the 3D printer can also reduce potential health risk by up to 27.5%. This study analyzed the potential health risk of multiple FDM-3D printers on users in an actual makerspace, and proposed various improvement measures to reduce the potential health risk of ultrafine and fine particles.
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Affiliation(s)
- Seungkeun Yeom
- Department of Architecture and Architectural Engineering, Yonsei University, Seoul, Republic of Korea
| | - Hakpyeong Kim
- Department of Architecture and Architectural Engineering, Yonsei University, Seoul, Republic of Korea
| | - Taehoon Hong
- Department of Architecture and Architectural Engineering, Yonsei University, Seoul, Republic of Korea
| | - Kwangbok Jeong
- Deep Learning Architecture Research Center, Department of Architectural Engineering, Sejong University, Seoul, Republic of Korea
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Fireman Klein E, Elimeleh Y, Adir Y, Majdoub L, Shteinberg M, Kessel A. COVID-19 Lockdown in Israel: The Environmental Effect on Ultrafine Particle Content in the Airway. IJERPH 2022; 19:5507. [PMID: 35564902 PMCID: PMC9105301 DOI: 10.3390/ijerph19095507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 04/27/2022] [Accepted: 04/28/2022] [Indexed: 02/01/2023]
Abstract
Inhaled ultrafine particle (UFP) content in exhaled breath condensate (EBC) was observed as an airway inflammatory marker and an indicator of exposure to particulate matter (PM). The exceptional decline in air pollution during the COVID-19 lockdown was an opportunity to evaluate the effect of environmental changes on UFP airway content. We collected EBC samples from 30 healthy subjects during the first lockdown due to COVID-19 in Israel (March–April 2020) and compared them to EBC samples retrieved during April–June 2016 from 25 other healthy subjects (controls) living in the same northern Israeli district. All participants underwent EBC collection and blood sampling. Ambient air pollutant levels were collected from the Israeli Ministry of Environmental Protection’s online database. Data were acquired from the monitoring station closest to each subject’s home address, and means were calculated for a duration of 1 month preceding EBC collection. UFP contents were measured in the EBC and blood samples by means of the NanoSight LM20 system. There was a dramatic reduction in NO, NO2, SO2, and O3 levels during lockdown compared to a similar period in 2016 (by 61%, 26%, 50%, and 45%, respectively). The specific NO2 levels were 8.3 ppb for the lockdown group and 11.2 ppb for the controls (p = 0.01). The lockdown group had higher UFP concentrations in EBC and lower UFP concentrations in serum compared to controls (0.58 × 108/mL and 4.3 × 108/mL vs. 0.43 × 108/mL and 6.7 × 108/mL, p = 0.05 and p = 0.03, respectively). In this observational study, reduced levels of air pollution during the COVID-19 lockdown were reflected in increased levels of UFP airway contents. The suggested mechanism is that low airway inflammation levels during lockdown resulted in a decreased UFP translocation to serum. Further studies are needed to confirm this hypothesis.
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Hemmendinger M, Sauvain JJ, Hopf NB, Suárez G, Guseva Canu I. Challenges in Quantifying 8-OHdG and 8-Isoprostane in Exhaled Breath Condensate. Antioxidants (Basel) 2022; 11:antiox11050830. [PMID: 35624694 PMCID: PMC9138069 DOI: 10.3390/antiox11050830] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 04/20/2022] [Accepted: 04/21/2022] [Indexed: 11/21/2022] Open
Abstract
Exhaled breath condensate (EBC) has attracted substantial interest in the last few years, enabling the assessment of airway inflammation with a non-invasive method. Concentrations of 8-Hydroxydesoxyguanosine (8-OHdG) and 8-isoprostane in EBC have been suggested as candidate biomarkers for lung diseases associated with inflammation and oxidative stress. EBC is a diluted biological matrix and consequently, requires highly sensitive chemical analytic methods (picomolar range) for biomarker quantification. We developed a new liquid chromatography coupled to tandem mass spectrometry method to quantify 8-OHdG and 8-isoprostane in EBC simultaneously. We applied this novel biomarker method in EBC obtained from 10 healthy subjects, 7 asthmatic subjects, and 9 subjects with chronic obstructive pulmonary disease. Both biomarkers were below the limit of detection (LOD) despite the good sensitivity of the chemical analytical method (LOD = 0.5 pg/mL for 8-OHdG; 1 pg/mL for 8-isoprostane). This lack of detection might result from factors affecting EBC collections. These findings are in line with methodological concerns already raised regarding the reliability of EBC collection for quantification of 8-OHdG and 8-isoprostane. Precaution is therefore needed when comparing literature results without considering methodological issues relative to EBC collection and analysis. Loss of analyte during EBC collection procedures still needs to be resolved before using these oxidative stress biomarkers in EBC.
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Bhide A, Pali M, Muthukumar S, Prasad S. EBC-SURE (exhaled breath condensate- scanning using rapid electro analytics): A non-faradaic and non-invasive electrochemical assay to screen for pro-inflammatory biomarkers in human breath condensate. Biosens Bioelectron 2022; 206:114117. [PMID: 35247857 DOI: 10.1016/j.bios.2022.114117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 02/10/2022] [Accepted: 02/17/2022] [Indexed: 11/29/2022]
Abstract
The innovation of this work lies in the trace detection of inflammatory biomarkers (IL-6, hs-CRP) in human exhaled breath condensate on the developed EBC-SURE platform as a point-of-care aid for respiratory disorder diagnosis. The unique design of the EBC-SURE leverages non-faradaic electrochemical impedance spectroscopy to capture target-specific biomolecular interactions for highly sensitive biomarker detection. For sensor calibration, EBC-SURE's performance is assessed to measure the response of the sensor to a known concentration by spike and recovery analysis with a recovery error of <20% and an extended dynamic range over 3-log orders. The lowest detection limits for IL-6 and hs-CRP detection in EBC were found to be 3.2 pg/mL and 4 pg/mL respectively. The intra-assay and inter-assay efficacy of EBC-SURE for its usage as a diagnostic device was established through repeatability and reproducibility (over 48 h s) performance testing. The percentage variations (<20%) met the Clinical and Laboratory Standards Institute standards (CLSI) indicating a highly stable performance for robust biomarker detection. EBC-SURE generated highly selective IL-6 and hs-CRP responses in the presence of other non-specific cytokines. Statistical validation methods- Correlation and Bland Altman analysis established the one-to-one agreement between EBC-SURE and the reference method. Correlation analysis generated a Pearson's R value of 0.99 for IL-6 and hs-CRP. Bland-Altman analysis indicated a good agreement between both the methods with all data points confined within the ±2SD limits. We have demonstrated EBC-SURE's ability in detecting inflammatory biomarkers in human breath condensate towards developing a non-invasive technology that can quantify biomarker levels associated with healthy and acute inflammatory conditions.
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Affiliation(s)
- Ashlesha Bhide
- Department of Bioengineering, University of Texas at Dallas, Richardson, TX, 75080, USA
| | - Madhavi Pali
- Department of Bioengineering, University of Texas at Dallas, Richardson, TX, 75080, USA
| | | | - Shalini Prasad
- Department of Bioengineering, University of Texas at Dallas, Richardson, TX, 75080, USA.
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Cao P, Zhang C, Hua DX, Li MD, Lv BB, Fu L, Zhao H. Serum 8-Hydroxy-2'-deoxyguanosine Predicts Severity and Prognosis of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease. Lung 2022; 200:31-39. [PMID: 34982215 DOI: 10.1007/s00408-021-00507-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 12/16/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND Oxidative stress is involved in the pathogenesis of chronic obstructive pulmonary disease (COPD). 8-Hydroxy-2'-deoxyguanosine (8-OHdG) is recognized as a biomarker of oxidative stress and is implicated in several pulmonary diseases. Nonetheless, the role of 8-OHdG remains unclear in COPD patients. This research aimed to evaluate the correlations between serum 8-OHdG on admission and the severity and prognosis of hospitalized COPD patients with acute exacerbation. METHODS A total of 150 COPD hospitalized patients and 150 healthy individuals were recruited. Serum 8-OHdG was measured by ELISA and the length of hospital stay was calculated. The number of acute exacerbations of COPD was tracked within 1 year after this hospitalization. RESULTS The levels of serum 8-OHdG were elevated in COPD patients compared with the control group. Serum 8-OHdG was gradually elevated with decreased pulmonary function in COPD patients. Furthermore, Pearson linear association found that the levels of serum 8-OHdG were inversely correlated with pulmonary function and positively correlated with inflammatory cytokines in COPD patients. In addition, logistic regression analysis revealed that serum 8-OHdG elevation was a risk factor for pulmonary function decline in COPD patients. The length of hospital stay was tracked at this time. Higher serum 8-OHdG on admission increased the length of hospital stay among COPD patients. CONCLUSION Serum 8-OHdG on admission is positively correlated with the severity and adverse prognosis among COPD patients, suggesting that 8-OHdG may be involved in the pathogenesis of COPD. Serum 8-OHdG may be a biomarker to predict the progression of COPD.
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Affiliation(s)
- Peng Cao
- Second Affiliated Hospital, Anhui Medical University, Furong Road no 678, Hefei, 230601, China
| | - Chen Zhang
- Second Affiliated Hospital, Anhui Medical University, Furong Road no 678, Hefei, 230601, China
| | - Dong-Xu Hua
- Second Affiliated Hospital, Anhui Medical University, Furong Road no 678, Hefei, 230601, China
| | - Meng-Die Li
- Second Affiliated Hospital, Anhui Medical University, Furong Road no 678, Hefei, 230601, China
| | - Bian-Bian Lv
- Second Affiliated Hospital, Anhui Medical University, Furong Road no 678, Hefei, 230601, China
| | - Lin Fu
- Second Affiliated Hospital, Anhui Medical University, Furong Road no 678, Hefei, 230601, China.
| | - Hui Zhao
- Second Affiliated Hospital, Anhui Medical University, Furong Road no 678, Hefei, 230601, China.
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Fireman Klein E, Klein I, Ephrat O, Dekel Y, Kessel A, Adir Y. Trajectory of inhaled cadmium ultrafine particles in smokers. BMJ Open Respir Res 2021; 8:8/1/e001000. [PMID: 34845007 PMCID: PMC8633997 DOI: 10.1136/bmjresp-2021-001000] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 11/09/2021] [Indexed: 11/09/2022] Open
Abstract
Introduction Tobacco smoking is a significant source of cadmium exposure among smokers. Most of inhaled heavy metals, including cadmium, are attached to ultrafine particles (UFPs) surface. A low inhaled UFP content in exhaled breath condensate reflects a high inflammatory status of airways. Increased respiratory epithelial permeability and translocation to the circulation is the proposed mechanism. UFP recovered from smokers’ airways have high levels of cadmium compared with the airways of non-smokers. Methods Urine was collected from 22 smokers subjects and 43 non-smokers. Samples were analysed for UFP and cadmium content. UFP were measured in urine samples by means of the NanoSight LM20 system (NanoSight, UK). A Niton XL3 X-ray fluorescence spectrometer analyzer (Thermo Fischer Scientific, Germany) quantified heavy metal contents in the urine samples. Results Smokers had elevated UFP and cadmium content in urine compared with non-smokers (4.6 E8/mL and 20.6 ppm vs 3.4 E8/mL and 18.5 ppm, p=0.05 and p=0.05, respectively). Smokers had elevated levels of lead and rubidium compared with non-smokers (8.9 ppm and 27 ppm vs 7.8 ppm and 2 ppm, p=0.05 and p=0.04, respectively) Discussion We suggest that the trajectory of cadmium-related UFP in smokers begins by its inhalation into the airways. The UFPs induce inflammation and oxidative stress in the small airways, are subsequently translocated from the interstitium to the circulation and are finally detected and secreted in urine
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Affiliation(s)
- Einat Fireman Klein
- B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel .,Pulmonary Division, Lady Davis Carmel Medical Center, Haifa, Israel
| | - Ilan Klein
- B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.,Department of Urology, Lady Davis Carmel Medical Center, Haifa, Israel
| | - Omer Ephrat
- B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.,Department of Urology, Lady Davis Carmel Medical Center, Haifa, Israel
| | - Yoram Dekel
- B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.,Department of Urology, Lady Davis Carmel Medical Center, Haifa, Israel
| | - Aharon Kessel
- B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.,Division of Clinical Immunology and Allergy, Bnai Zion Medical center, Haifa, Israel
| | - Yochai Adir
- B. Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.,Pulmonary Division, Lady Davis Carmel Medical Center, Haifa, Israel
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Galmiche M, Delhomme O, François YN, Millet M. Environmental analysis of polar and non-polar Polycyclic Aromatic Compounds in airborne particulate matter, settled dust and soot: Part I: Sampling and sample preparation. Trends Analyt Chem 2021. [DOI: 10.1016/j.trac.2020.116099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Fireman Klein E, Adir Y, Fireman E, Kessel A. Cigarette-related cadmium and environmental pollution exposure are reflected in airway ultrafine particle content. ERJ Open Res 2020; 6:00361-2019. [PMID: 32963996 PMCID: PMC7487350 DOI: 10.1183/23120541.00361-2019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Accepted: 06/15/2020] [Indexed: 11/05/2022] Open
Abstract
Introduction Particulate matter (PM) and cigarette-related cadmium exposure increases inflammation and smokers' susceptibility to developing lung diseases. The majority of inhaled metals are attached to the surface of ultrafine particles (UFPs). A low inhaled UFP content in exhaled breath condensate (EBC) reflects a high inflammatory status of airways. Methods EBC was collected from 58 COPD patients and 40 healthy smokers and nonsmokers. Participants underwent spirometry, diffusion capacity, EBC and blood sampling. Environmental pollution data were collected from monitoring stations. UFPs were measured in EBC and serum, and cadmium content was quantified. Results Subjects with low UFP concentrations in EBC (<0.18×108·mL-1) had been exposed to higher long-term PM2.5 levels versus subjects with high UFP concentrations in EBC (>0.18×108·mL-1) (21.9 µg·m-3 versus 17.4 µg·m-3, p≤0.001). Long-term PM2.5 exposure levels correlated negatively with UFP concentrations in EBC and positively with UFP concentrations in serum (r=-0.54, p≤0.001 and r=0.23, p=0.04, respectively). Healthy smokers had higher cadmium levels in EBC versus healthy nonsmokers and COPD patients (25.2 ppm versus 23.7 ppm and 23.3 ppm, p=0.02 and p=0.002, respectively). Subjects with low UFP concentrations in EBC also had low cadmium levels in EBC versus subjects with high UFP levels (22.8 ppm versus 24.2 ppm, p=0.004). Conclusions Low UFP concentration in EBC is an indicator of high-level PM exposure. High cadmium levels in EBC among smokers and the association between cadmium and UFP content in EBC among COPD patients indicate cadmium lung toxicity.
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Affiliation(s)
- Einat Fireman Klein
- Pulmonary Division, Carmel Medical Center, Haifa, Israel.,Dept of Internal Medicine B, Bnai-Zion Medical Center, Haifa, Israel.,Affiliated with the Rappaport Faculty of Medicine, Technion - Institute of Technology, Haifa, Israel
| | - Yochai Adir
- Pulmonary Division, Carmel Medical Center, Haifa, Israel.,Affiliated with the Rappaport Faculty of Medicine, Technion - Institute of Technology, Haifa, Israel
| | - Elizabeth Fireman
- The Institute of Pulmonary Diseases, National Laboratory Service for ILD, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.,Dept of Occupational and Environmental Medicine Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Aharon Kessel
- Division of Allergy and Clinical Immunology, Bnai-Zion Medical Center, Haifa, Israel.,Affiliated with the Rappaport Faculty of Medicine, Technion - Institute of Technology, Haifa, Israel
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Hemmendinger M, Wild P, Shoman Y, Graille M, Bergamaschi E, Hopf N, Guseva Canu I. Reference ranges of oxidative stress biomarkers selected for non-invasive biological surveillance of nanotechnology workers: Study protocol and meta-analysis results for 8-OHdG in exhaled breath condensate. Toxicol Lett 2020; 327:41-47. [PMID: 32234358 DOI: 10.1016/j.toxlet.2020.03.021] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 03/24/2020] [Indexed: 01/01/2023]
Abstract
In the field of engineered nanomaterials (ENMs) and other airborne particulate exposure biomonitoring, circulating oxidative stress biomarkers appear promising. These biomarkers could be monitored in different biological matrices. Exhaled breath condensate (EBC) enables their measurements in the respiratory tract, without affecting airway function or creating inflammation. The 8-hydroxy-2-deoxyguanosine (8-OHdG) was found increased in the EBC of ENM-exposed workers. Our objectives were to assess the reference range of 8-OHdG in the EBC and to identify determinants of its inter- and intra-individual variability. The meta-analysis was stratified by analytical method (chemical versus immunochemical analysis) and resulted in a between-study variability over 99 % of the total variability. The between-study variability completely dominated the within-studies variability. By using a mixed model with study ID as a random effect rather than a meta-regression, only smoking was evidenced as a potential determinant of 8-OHdG inter-individual variability, and only when immunochemical analysis was used. To our knowledge, this is the first meta-analysis aimed at estimating reference values for 8-OHdG in the EBC. The estimated values should be considered preliminary, as they are based on a limited number of studies, mostly of moderate to low quality of evidence. Further research is necessary to standardize EBC sampling, storage and analytical methods. Such a standardization would enable a more accurate estimation of the reference ranges of the 8-OHdG and potentially other biomarkers measurable in the EBC, which are essential for a meaningful interpretation of the biomonitoring results.
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Affiliation(s)
- M Hemmendinger
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland.
| | - P Wild
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland; Institut National de Recherche et de Sécurité (INRS), Vandœuvre-lès-Nancy, France
| | - Y Shoman
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland
| | - M Graille
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland
| | - E Bergamaschi
- Laboratory of Toxicology and Industrial Epidemiology, Department of Public Health and Pediatrics, University of Turin, Italy
| | - N Hopf
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland
| | - I Guseva Canu
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland
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