Low-level exposure to ambient particulate matter is associated with systemic inflammation in ischemic heart disease patients.
ABSTRACT Short-term exposure to ambient air pollution is associated with increased cardiovascular mortality and morbidity. This adverse health effect is suggested to be mediated by inflammatory processes. The purpose of this study was to determine if low levels of particulate matter, typical for smaller cities, are associated with acute systemic inflammation. Fifty-two elderly individuals with ischemic heart disease were followed for six months with biweekly clinical visits in the city of Kotka, Finland. Blood samples were collected for the determination of inflammatory markers interleukin (IL)-1β, IL-6, IL-8, IL-12, interferon (IFN)γ, C-reactive protein (CRP), fibrinogen, myeloperoxidase and white blood cell count. Particle number concentration and fine particle (particles with aerodynamic diameters <2.5 μm (PM(2.5))) as well as thoracic particle (particles with aerodynamic diameters <10 μm (PM(10))) mass concentration were measured daily at a fixed outdoor measurement site. Light-absorbance of PM(2.5) filter samples, an indicator of combustion derived particles, was measured with a smoke-stain reflectometer. In addition, personal exposure to PM(2.5) was measured with portable photometers. During the study period, wildfires in Eastern Europe led to a 12-day air pollution episode, which was excluded from the main analyses. Average ambient PM(2.5) concentration was 8.7 μg/m(3). Of the studied pollutants, PM(2.5) and absorbance were most strongly associated with increased levels of inflammatory markers; most notably with C-reactive protein and IL-12 within a few days of exposure. There was also some evidence of an effect of particulate air pollution on fibrinogen and myeloperoxidase. The concentration of IL-12 was considerably (227%) higher during than before the forest fire episode. These findings show that even low levels of particulate air pollution from urban sources are associated with acute systemic inflammation. Also particles from wildfires may exhibit pro-inflammatory effects.
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ABSTRACT: Emissions from the fuel combustion in the energy production are causes of concern due to associated health risks, but little information is available on the impact of residential fuel burning on indoor air quality, where most of the human exposure occurs. In this complex study, concentrations of size-segregated particulate matter (PM), monocyclic and polycyclic aromatic compounds (MAHs and PAHs) at indoor and outdoor sites in six urban homes in the city of Kaunas, Lithuania, were determined over winter and summer sampling campaigns, specifically targeting the impact of the local fuel burning to the indoor air quality. PM levels observed in Kaunas during winter measurement campaign were higher compared to those in many other European settlements utilizing biomass for energy production. The particle size distribution analysis revealed that the major part of the PM mass in winter period consisted of fine particles (PM2.5). Both MAH and PAH levels were higher in winter. The indoor to outdoor ratios (I/O) of MAHs and PAHs revealed specific patterns depending on the presence of emissions sources indoors. Irrespectively of the season, I/O values were <1, suggesting that in case of the absence of an indoor pollution, the dominant source of organic compounds was from the outdoor environment. In homes with no PAH source inside, the I/O ratio equalled ranged from 0.05 to 0.36, suggesting the penetrated portion of outdoor combustion particles to the indoor air.Atmospheric Environment 11/2014; 97:83–93. · 3.11 Impact Factor
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ABSTRACT: Wildfires take a heavy toll on human health worldwide. Climate change may increase the risk of wildfire frequency. Therefore, in view of adapted preventive actions, there is an urgent need to further understand the health effects and public awareness of wildfires. We conducted a systematic review of non-accidental health impacts of wildfire and incorporated lessons learned from recent experiences. Based on the literature, various studies have established the relationship between one of the major components of wildfire, particulate matter (particles with diameter less than 10 µm (PM10) and less than 2.5 µm (PM2.5)) and cardiorespiratory symptoms in terms of Emergency Rooms visits and hospital admissions. Associations between wildfire emissions and various subclinical effects have also been established. However, few relationships between wildfire emissions and mortality have been observed. Certain segments of the population may be particularly vulnerable to smoke-related health risks. Among them, people with pre-existing cardiopulmonary conditions, the elderly, smokers and, for professional reasons, firefighters. Potential action mechanisms have been highlighted. Overall, more research is needed to better understand health impact of wildfire exposure.International journal of environmental research and public health. 01/2014; 11(11):11772-11804.
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ABSTRACT: Nicorandil is able to protect the cardiomyocytes from ischemic damage, but clear benefits of nicorandil in all-cause mortality and cardiovascular events were not consistently reported in patients with ischemic heart disease (IHD).International Journal of Cardiology 08/2014; · 6.18 Impact Factor