The role of oxidative stress in ambient particulate matter-induced lung diseases and its implications in the toxicity of engineered nanoparticles

Article (PDF Available)inFree Radical Biology and Medicine 44(9):1689-99 · June 2008with94 Reads
DOI: 10.1016/j.freeradbiomed.2008.01.028 · Source: PubMed
Abstract
Ambient particulate matter (PM) is an environmental factor that has been associated with increased respiratory morbidity and mortality. The major effect of ambient PM on the pulmonary system is the exacerbation of inflammation, especially in susceptible people. One of the mechanisms by which ambient PM exerts its proinflammatory effects is the generation of oxidative stress by its chemical compounds and metals. Cellular responses to PM-induced oxidative stress include activation of antioxidant defense, inflammation, and toxicity. The proinflammatory effect of PM in the lung is characterized by increased cytokine/chemokine production and adhesion molecule expression. Moreover, there is evidence that ambient PM can act as an adjuvant for allergic sensitization, which raises the possibility that long-term PM exposure may lead to increased prevalence of asthma. In addition to ambient PM, rapid expansion of nanotechnology has introduced the potential that engineered nanoparticles (NP) may also become airborne and may contribute to pulmonary diseases by novel mechanisms that could include oxidant injury. Currently, little is known about the potential adverse health effects of these particles. In this communication, the mechanisms by which particulate pollutants, including ambient PM and engineered NP, exert their adverse effects through the generation of oxidative stress and the impacts of oxidant injury in the respiratory tract will be reviewed. The importance of cellular antioxidant and detoxification pathways in protecting against particle-induced lung damage will also be discussed.
The Role of Reactive Oxygen Species
and Oxidative Stress in Mediating
Particulate Matter Injury
Tian Xia, MD, PhD
a,b
, Michael Kovochich, BS
a,b
,
Andre Nel, MD, PhD
a,b,
*
a
Division of Clinical Immunology and Allergy, Department of Medicine,
University of California Los Angeles, 52-175 CHS, 10833 Le Conte Avenue,
Los Angeles, CA 90095-1680, USA
b
Southern California Particle Center, 650 Charles E. Young Drive South,
Box 951772, Los Angeles, CA 90095-1772, USA
Several plausible mechanisms have been proposed to explain the adverse
health effects of particulate matter (PM) in polluted ambient air [1]. To date,
experimental support has been provided for the role of local and systemic
inflammation, cytokine and chemokine production, increased bone marrow
production of myeloid lineage cells, free oxygen radical production in the
chest, endotoxin-mediated cellular and tissue responses, stimulation of irri-
tant receptors, and covalent modification of key cellular enzymes [1,2]. Best
characterized in humans are the effects of PM on airway inflammation [3].
Several human and animal studies have shown that inhalation of diesel
exhaust particles (DEP), a model particulate pollutant, and concentrated
ambient particles elicit proinflammatory effects, cytokine production, and
enhancement of allergic responses in the upper and lower airways [2–4].
The mechanistic link between the PM exposure an d infl ammation depends
Support for this article provided by US Public Health Service grants U19AI 070453
(UCLA Asthma and Allergic Disease Clinical Research Center), RO1 ES10553 (National
Institute of Environmental and Health Science), RO1 ES15498, RO1 ES13432, and RO1
ES10253 and the US Environmental Protection Agency STAR award (RD-83241301) to the
Southern California Particle Center and Supersite. This work has not been subjected to the
Environmental Protection Agency for peer and policy review and does not necessarily reflect
the views of the agency. No official endorsement should be inferred.
* Corresponding author. Division of Clinical Immunology and Allergy, Department of
Medicine, University of California Los Angeles, 52-175 CHS, 10833 Le Conte Avenue, Los
Angeles, CA 90095-1680.
E-mail address: anel@mednet.ucla.edu (A. Nel).
1526-0046/06/$ - see front matter Ó 2006 Elsevier Inc. All rights reserved.
doi:10.1016/j.coem.2006.07.005 occmed.theclinics.com
Clin Occup Environ Med
5 (4) 817–836
on generation of reactive oxygen species (ROS) and oxidative stress [2,5–7].
Although there is still debate about which particle components are responsible
for ROS generation, there is accumulating evidence that pro-oxidative organic
chemical compounds and transition metals play a role in ROS production
[8,9]. The large reactive surface area of ambient ultrafine particles (UFP)
also may play a role in ROS generation [10]. Target cells such as airway epithe-
lial cells and macrophages also generate ROS in response to particle compo-
nents by involving biologic processes [2,6,8].
ROS are capable of damaging key cellular components. To defend against
this damage, cells use glutathione (GSH) and other high molecular weight an-
tioxidants to inactivate oxygen radicals and protect cellular components
against damage. In the setting of overwhelming ROS production, GSH de-
pletion can induce a state of redox stress (ie, oxidative stress in the cell)
[2,11]. Oxidative stress acts as a trigger that initiates a series of cellular re-
sponses, which can either be protective (eg, induction of antioxidant en-
zymes) or injurious in nature [12]. In this article we discuss the mechanisms
and particle characteristics that contribute to ROS production and oxidative
stress, including the experimental and clinical evidence that oxidative stress
leads to clinically relevant diseas e. Finally, we review the biology of oxidative
stress to explain the pathogenesis of PM-induced adverse health effects.
Evidence that reactive oxygen species and oxidative stress are involved
in particular matter–induced injury
The principal target organs for PM-induced injury are the lung and the car-
diovascular system. Pulmonary effects include small airway inflammation,
which can lead to the exacerbation of asthma and chronic bronchitis, airway
obstruction, and decreased gas exchange [2,13,14]. PM also can interfere with
the clearance and inactivation of bacteria in the lung, which can lead to respi-
ratory tract infection. Ther e is growing awareness that PM is also a cardiovas-
cular risk factor that is involved in heart attacks, stroke, rhythm disturbances,
and sudden death [15]. Emerging evidence suggests that that some of these car-
diovascular effects can be explained by enhanced atherogenesis and by sys-
temic proinflammatory effects that impact the endothelium and blood
coagulation pathways [15]. A common injury mechanism that links cardiovas-
cular and pulmonary adverse health effects is PM-induced inflammation. We
discuss the possibility that these proinflammatory effects constitute an oxida-
tive stress response that is related to the ability of PM to induce ROS genera-
tion in specific airway and vascular target tissue.
In vitro evidence for the ability of PM to induce oxidative stre ss has
emerged from several studies using DEP as a model air pollutant. Exposure
of macrophages and bronchial epithelial cells, two of the principal targets
for PM in the lung, to DEP leads to increased H
2
O
2
and superoxide (O
2
)
production in a time- and dose-dependant manner [16–18]. The kinetics of
ROS generation in macroph ages exhibit two phases, namely an early phase
818 XIA et al
of mostly H
2
O
2
production, followed by a later phase of O
2
production
[16,17]. These phases could reflect different biologic events, as is discussed
later. Intact particles and their methanol extracts can induce ROS produc-
tion, which is accompanied by GSH depletion and induction of oxidative
stress [17–19]. N-acetylcysteine (NAC), a thiol antioxidant, interferes in
these cellular responses [7,20], further substantiating the role of oxidative
stress in PM injury. Studies involving ambient concentrated particles, in-
cluding ambient UFP, show similar effects on ROS production, GSH deple-
tion, and induction of oxidative stress responses [8,21,22].
In vivo evidence for the ability of PM to induce ROS production and
oxidative stress has been provided by using chemiluminescence sensors
[21,22]. Using photomultiplier techniques, researchers demonstrated that
H
2
O
2
production increases in a time- and dose-dependent manner over
the mediastinum of rats receiving concentrated ambient particles [21,22].
This effect was accompanied by decreased heart rate variability and the gen-
eration of thiobarbituric reactive substances in that organ [21,22]. These
effects were inhibited by NAC, which further suggested the importance of ox-
idative stress after PM exposure [21,22]. Another approa ch involv es using
electron spin resonance to detect ROS generation on particles and in biologic
tissue that come into contact with particles [19,23]. This ap proach includes
the detection of oxygen radicals by spin trap markers in the bronchoalveolar
lavage fluid of rats receiving intratracheal DEP [24]. Indirect evidence for the
role of oxidative stress in vivo comes from studies that examine the adjuvant
effects of DEP in a murine mo del of allergic inflammation and asthma [20].
These adjuvant effects include increa sed ovalbumin-specific IgE production
in mice exposed to DEP plus ovalbumin [20]. The thiol antioxidants, NAC
and bucillamine, were found to be effective inhibitors of these pro-oxidative
and adjuvant effects of DEP [20]. Research also has shown that treatment
of mice with DEP increased nitric oxide (NO) production and NO syn-
thase (iNOS) expression [6,25]. NO can combine with O
2
to generate
the peroxynitrite (ONOO
) radical, which can further damage the airway
epithelium [26]. Pretreatment with N-G-monomethyl L-arginine, an iNOS
inhibitor, significantly reduced the airway hyperresponsiveness induced by
DEP [6].
There is limit ed evidence for the production of oxygen radicals and oxi-
dative stress after PM exposure in humans. One study showed increased CO
levels in the exhaled air of human subjects after exposure to DEP, likely
reflecting the induction of heme oxygenase (HO-1) expression as a sensitive
oxidative stress response protein [27]. HO-1 is an enzyme that is responsible
for the catabolism of heme, leading to the generation of CO and biliverdin
as catalytic products of that reaction [28]. NO in the expired air also has
been shown to be a sensitive marker for assessment of inflammatory lung
diseases [29]. Several human studies have shown that various components
of air pollution are associated with increased levels of NO in exhaled air
[30,31].
819ROS AND OXIDATIVE STRESS IN MEDIATING PM INJURY
Particle components, including absorbed particulate matter chemicals,
are responsible for spontaneous particulate matter–induced reactive
oxygen species production
The mechanisms by which ambient PM generates ROS include biologic
events and particle-induced redox chemistry. These events are key to under-
standing disease pathogenesis and PM toxicity. Although there has been
much debate about whether the particles or their absorbed chemicals are re-
sponsible for PM injury, it is our view that the particles and their absorbed
chemicals play important roles in ROS production. This notion is derived
from the observations that PM (1) contains organic and inorganic chemical
compounds that are capable of ROS generation [8,32], (2) can spontane-
ously generate O
2
and hydroxyl radicals (
OH) in the absence of a biologic
catalyst [8,33], and (3) size and reactive surface area are independent phys-
ical variables that influence PM ability to generate oxidative stress and
inflammation in experimental animals (Table 1) [8,10].
Emerging evidence indicates that particle size, surface area, and chemical
composition are the chief characteristics that determine PM health risks [12].
Based on size, PM can be classified into coarse, fine, or ultrafine particles
(Table 1) [10]. Coarse particles, which have an aerodynamic diameter of
2.5 to 10 mm, are mostly derived from soil and sea salts. Fine particles,
which range in diameter from 0.1 to 2.5 mm, and UFP, with diameters
!0.1 mm, are predominantly derived from fossil fuel combustion pr ocesses.
Combustion particles are comprised of a carbonaceous core that consists of
elemental carbon, which is coated with a layer of chemicals, including or-
ganic hydrocarbons, metals, nitrates, and sulfates [11,34] . Although several
chemical components could contribute to particle toxicity, the principal
components that are responsible for ROS production are transition metals
and redox cycling organic chemical compounds [12,18,35].
Table 1
Characterization of different sized particles
Coarse (PM
10
) Fine (PM
2.5
) Ultrafine
Particle size 2.5–10 mm 0.1–2.5 mm !100 nm
Particle number/mass þ þþ þþþ
Surface area þ þþ þþþ
Carbon content (elemental) þ þþ þþþ
Carbon content (organic) þ þþ þþþ
Metals þþþ þþ þ
PAH content þ þþ þþþ
Redox activity (DTT assay) þ þþ þþþ
Abbreviations: DTT, dithiothreitol; PAH, polycyclic aromatic hydrocarbons.
Data from Li N, Sioutas C, Cho A, et al. Ultrafine particulate pollutants induce oxidative
stress and mitochondrial damage. Environ Health Perspect 2003;111(4):455–60; Donaldson K,
Tran CL. Inflammation caused by particles and fibers. Inhal Toxicol 2002;14(1):5–27.
820
XIA et al
Transition metals, such as iron, copper, vanadium, chromium, nickel ,
and cobalt are responsible for the conversion of H
2
O
2
into
OH by the Fen-
ton reaction:
Fe
2þ
þ H
2
O
2
/Fe
3þ
þ
OH þ OH
Catalytically active metals present on PM have been associ ated with oxida-
tive stress in vitro and in vivo [36,37]. Residual oil fly ash contai ns high con-
centrations of transition metals and is often used as a model for the
induction of ROS production and inflammation by transition metals. For
instance, it has been shown that residual oil fly ash can activate mitogen-
activated protein kinases and induce the expression of interleukin-8, interleu-
kin-6, and tumor necrosis factor-a by a chelator-sensitive pathway [35]. The
induction of inflammation in the rat lung and proinflammatory cytokines in
human bronchial epithelial cells by ambient PM also can be reduced by treat-
ment with metal chelators [36]. It is also interesting that the metal content of
ambient PM varies according to particle size and source and may affect its abil-
ity to induce oxidative stress [8].
The discovery of the role of organic PM chemicals in ROS production is an
outgrowth of the observation that methanol extracts made from DEP are
capable of mimicking the pro-oxidative and proinflammatory effects of intact
particles [18,38]. Chemical fractionation of organic DEP extracts by silica gel
chromatography, using the elution principle of increasing polar solvents, has
defined two major chemical groups that contribute to ROS production and
oxidative stress [38,39]. The first is aromatic compounds, including polycyclic
aromatic hydrocarbons (PAHs). PAHs are cyclical compou nds that contain
two to seven phenyl rings (Fig. 1). In the presence of cellular targets, such as
bronchial epithelial cells, PAHs are capable of inducing oxidative stress after
biotransformation by cytochrome P450 1A1, expoxide hydrolase, or dihydro-
diol dehydrogenase [40]. These enzymes convert PAHs to redox cycli ng qui-
nones (see later discussion). Organic DEP extracts have been shown to
induce the expression of cytochrome P450 1A1 in bronchial epithelial cells
and rat lungs [41]. The specific PAH profile of ambie nt PM varies with com-
bustion source (eg, heavy duty and light duty diesel engines preferentially
emit low and high molecular weight PAHs, respectively) [42]. This profile is
of environmental importance because PAHs are semivolat ile substances
that can be released an d repartition to the particle surfaces, depending on
the ring size and environmental temperature [43]. Ambient UFPs, which to
a large extent are derived from diesel exhaust emissions, exhibit a higher
PAH content in the winter versus the summer months, which correlates
with the increased propensity of ambient PM collected in winter months to
generate oxidative stress [43]. Among the ambient particles collected in the
Los Angeles basin, UFPs have a higher PAH content than coarse and fine
particles, which could explain why UFPs have an increased propensity to gen-
erate oxidative stress in epithelial cells and macrophages [8]. Molecular
821ROS AND OXIDATIVE STRESS IN MEDIATING PM INJURY
epidemiologic studies in environm entally exposed populations also have
shown that PAHs are linked to oxidative DNA damage, chromosome aberra-
tions, formation of DNA adducts, and intrauterine growth retardation
[44–46].
The second major class of organ ic chemical compo unds that could con-
tribute to PM-induced ROS production is polar substances, including oxi-
dized forms of PAH (eg, ketones and quinones) [11,38]. The biologic
mechanism by which quino nes contribute to ROS generation is described
in the section on biologic mechanisms.
In addition to providing a backbone for the adsorption of chemi cals, the
particle surface area and size are independent variables that determine ROS
production and excitation of airway inflammation [47,48]. The same particle
characteristics are also important in determining the pro-oxidative and
proinflammatory effects of mineral dust particles and the generation of air-
way inflammation by experimental metal oxide particles [47,48]. There are
several possible ways to explain these findings, including the fact that parti-
cle size is intimately linked to surface area. Table 2 shows the physical char-
acteristics of a cloud of airborne particles of varying size but with a fixed
mass of 10 mg/m
3
[10]. These calculations show that as the particle size
Fig. 1. Representative pro-oxidative organic chemical compounds, PAHs, and quinones. (Mod-
ified from Li N, Hao M, Phalen RF, et al. Particulate air pollutants and asthma: a paradigm for
the role of oxidative stress in PM-induced adverse health effects. Clin Immunol 2003;109(3):254;
with permission.)
822
XIA et al
decreases, the number of particles per unit air volume (1 cc) increases in ex-
ponential fashion, along with an exponential increase in the surface area.
The increase in surface area places a larger number of potentially reactive
chemical groups on the particle surface. This finding is of particular rele-
vance to particles in the nano-size range (ie, UFPs), because the number
of surface molecules is inversely related to the particle size. For instance,
in a particle of 30-nm size, approximately 10% of the molecules are ex-
pressed on the surface, whereas at 10 and 3 nm, the ratios increase to
20% and 50%, respectively. The number of atoms or molecules on the par-
ticle surface determines characteristics such as electron storage and transfer
to molecular dioxygen (O
2
). At this stage it is unknown which chemicals or
molecules are responsible for the formation of particle-associated reactive
surface groups. What is known, however, is that even after organic extrac-
tion, the particulate co re is still able to generate ROS, although in decreased
amounts [49]. One possibility is that transition metals cooperate wi th elec-
trophilic organic chemicals, such as quinone, to generate ROS on the parti-
cle surface [50], as demonstrated in Fig. 2.
Table 2
Particle number and surface area varies with particle size as demonstrated for airborne particles
with a fixed mass concentration of 10 mg/m
3
Particle diameter (mm) Particles/cc in the air Particle surface area (mm
2
/cc)
2 1.2 24
0.5 153 120
0.02 2,400,000 3016
Data from Donaldson K, Tran CL. Inflammation caused by particles and fibers. Inhal
Toxicol 2002;14(1):5–27.
Fig. 2. Hypothetical model for particle-induced ROS production wherein organic chemicals co-
operate with transition metals in the generation of the
OH radical. Quinones can redox cycle
on the particle surface. This reaction involves electron capture by the quinone (Q) to form
a semiquinone. The semiquinone, in turn, transfer the electrons to O
2
molecule to generate
O
2
. Spontaneous dismutation of O
2
can lead to H
2
O
2
production, which in the presence of
ferrous ion on the particle surface can generate
OH through the Fenton reaction.
823
ROS AND OXIDATIVE STRESS IN MEDIATING PM INJURY
Biologic mechanisms of particulate matter–induced reactive oxygen
species generation
The origins of PM-induced ROS in biologic systems and target cells are
from mixed subcellular sources (Fig. 3), including (1) catalytic conversion of
PAHs to quinones by cytochrome P450 1A1 in the endoplasmic reticulum
(Fig. 4), (2) quinone redox cycling by NADPH-dependent P450 reductase
in microsomes (Fig. 4) [19], (3) mitochondrial perturbation leading to elec-
tron leakage in the inner membrane, and (4) NADPH oxidase activation on
the cell membrane or the phagosome of macrophages.
Redox cycling organic chemi cals are a major source of ROS generation in
target tissue, such as bronchial epithelial cells, macrophages, and endothelial
cells [17,51]. Quinones can act as catalysts to produce ROS during cellular
responses to DEP [19]. Quinones are byproducts of diesel combustion and
the enzymatic conversion of PAH in lung tissue [19]. Redox cycling
Fig. 3. Sources of ROS production and their effects on cells. Quinones can redox cycle to pro-
duce ROS in the endoplasmic reticulum under the catalytic influence of NADPH-cytochrome
P450 reductase. Phagocytosis can induce the assembly and activation of NADPH oxidase to
produce superoxide. PM can interfere in electron transduction in the mitochondrial inner mem-
brane and in the perturbation of the PT pore to generate ROS. ROS leads to lipid peroxidation
in the cell membrane and can crosslink protein SH groups and induce redox equilibrium
through a depletion of GSH. Depending on the level of oxidative stress this could induce
Nrf2 release to the nucleus, activation of mitogen-activated protein kinases and NF-kB signal-
ing cascades, or cytotoxicity. Nrf2 interaction with the antioxidant response element leads to the
expression of HO-1 and other phase II enzymes at low level of oxidative stress, whereas mito-
gen-activated protein kinases and NF-kB signaling cascades lead to proinflammatory responses
(eg, cytokine production) at higher levels of oxidative stress. At the highest oxidative stress
level, ROS can lead to opening of mitochondrial PT pore, followed by cytochrome c release,
caspase-3 activation, and apoptosis or necrosis.
824
XIA et al
quinones undergo one-electron reductions by NADPH cytochrome P450 re-
ductase to form semiquinones (Fig. 4). The semiquinones are metastable and
donate electrons to O
2
, leading to the formation of O
2
as a byp roduct [19].In
the process, the original quinones are being regenerated and can contribute to
multiple rounds of O
2
generation (ie, redox cycle). Because of their high con-
tent of organic chemicals, ambient UFPs contribute proportionally more
redox cycling chemicals than larger pa rticles, as demonstrated by the increased
ability of UFPs to generate O
2
in the dithiothreitol assay [8,33]. The dithio-
threitol assay has been developed to measure the content of redox cycling
chemicals present in fresh ambient PM samples collected by particle concen-
trators from ambient air [8,33].
Mitochondria are the main subcellular source of ROS production, even un-
der physiologic conditions [52–54]. Mitochondria catalyze ATP production,
which is linked to the activity of an electron transduction chain that operates
in the inner membrane. This respiratory chain, which derives its electrons from
NADH and FADH
2
, consists of three multiprotein complexes in the inner
membrane: the NADH dehydrogenase complex (I), the cytochrome c reduc-
tase complex (III), and the cytochrome c oxidase complex (IV). The chain
also includes two diffusible molecules, ubiquinone and cytochrome c, which
function as electron transporters between complexes I and III and between
complexes III and IV, respectively. Electrons are transferred in a stepwise
fashion along this chain, moving from a high to a low redox potential, which
ultimately leads to the formation of H
2
O [52–54]. The dissipation in electron
energy during this ‘‘downhill’’ flow is used by the respiratory complexes (I, III,
and IV) to pump protons (H
þ
) from the matrix into the intermembrane space
against a concentration gradient. This event leads to the formation of the
Fig. 4. PAHs can be converted to quinones by cytochrome P450 1A1. Reduction of quinones
by NADPH P450 reductase leads to the formation of semiquinones, which are metastable and
donate their electron to O
2
to form O
2
. In the process, the original quinone is regenerated and
can participate in several additional rounds of redox cycling. (Modified from Li N, Hao M,
Phalen RF, et al. Particulate air pollutants and asthma: a paradigm for the role of oxidative
stress in PM-induced adverse health effects. Clin Immunol 2003;109(3):254; with permission.)
825
ROS AND OXIDATIVE STRESS IN MEDIATING PM INJURY
mitochondrial membrane potential (DJ
m
) [52–54]. Although efficient, this
electron transfer process is not perfect. For instance, during the Q cycle that
operates between complexes I and III, a two-step oxidation occurs in which
ubiquinol is transformed into ubiquinone via an intermediary ubisemiqui-
none. The ubisemiquinone is capable of transferring electrons to molecular
O
2
, leading to the formation of O
2
[52–54].
Organic DEP chemicals are able to interfere in the electron transfer chain
in mitochondria to generate ROS [16,17,39], which includes interference by
polar DEP chemicals, including redox cycling quinones such as 9,10-
phenanathraquinone (see Fig. 1). We have demonstrated that this interfer-
ence takes place between complexes I and III, which suggests that PM
redox cycling chemicals may disrupt the Q cycle at this juncture of the
electron transfer chain [39]. This disruption could favor the accumulation
of ubisemiquinones, thereby contributing to O
2
production in the mito-
chondria [39,55,56].
In addition to the depolarizing effect on the inner membrane, organic
DEP chemicals such as quinones and PAHs can perturb the mitochondrial
permeability transition (PT) pore [39]. The PT pore is a redox-, pH-, cal-
cium-, and DJ
m
-dependent protein complex that plays a pivotal role in
regulating mitochondrial function and controlling apoptosis in cells
[57–59]. DEP chemicals lead to oxidation of vicinal thiol groups that reg-
ulate the open/closed state of the mitochondrial PT pore. This oxidation,
together with PM-induced increases in intracellular free calcium, results
in PT pore opening [39]. The Ca
2þ
dependence is demonstrated by the
ability of cyclosporin A, an inhibitor of the Ca
2þ
-dependant chaperone,
cyclophilin D, to interfere in PM-induced PT pore opening [39]. Redox
cycling quinones, such as phenanathraquinone and naphthoquinone
induce Ca
2þ
-dependent, cyclosporin A sensitive PT pore opening in iso-
lated mitochondria, whereas a non–redox-cycling quinone, 9,10-anthra-
quinone, was inactive [39]. Large-scale PT pore opening decreases
DJ
m
, increases O
2
generation, releases apoptotic factors to the cytosol,
disrupts ATP synthesis, and ultimately could lead to cell death [16,39,53].
Mitochondria have been shown to be a direct subcellular target for
ambient UFP [8,16,39]. Ambient UFP lodge in the mitochondria of tar-
get cells such as macrophages and epithelial cells after their exposure to
an aqueous suspension of UFP [8]. Morphologically, it manifests as dis-
ruption of the mitochondrial integ rity, with disappearance of their cristae.
Functionally, these changes are accompanied by a loss of mitochondrial
membrane potential, decrease in mitochondrial mass, opening of the PT
pore, ROS production, and cell death [8,39]. In contrast, fine and coarse
particles do not lodge in mitochondria but can indirectly affect mitochondrial
function through ROS generation and intracellular calcium flux elsewhere in
the cell [8,12,34]. Why UFPs target the mitochondria is unknown.
NADPH oxidase is a membrane-assembled multi-subunit enzyme complex
in phagocytic cells [60]. The holoenzyme consists of two membrane-bound
826 XIA et al
(gp91
phox
and p22
phox
) and three cytoplasmic subunits (p40
PHOX
,
p47
PHOX
, and p67
PHOX
) and a small GTPase Rac1/2 [60,61]. In its unassem-
bled form under basal cellular conditions, this enzyme is inactive. In the pres-
ence of agonists such as fMLP and opsonized zymosan, however, which
interact with membrane receptors, and stimuli generated in the course of
phagocytosis, NADPH oxidase is assembled and activated in the membrane
[60,61]. The membrane assembly involves recruitment of the NADPH oxidase
cytoplasmic subunits to the membrane, where they interact with gp91
phox
and
p22
phox
. The catalytically active holoenzyme generates large amounts of O
2
[60,61]. Nanosized DEP have been found to selectively damage dopaminergic
neurons through the phagocytic activation of microglial NADPH oxidase and
initiation of an oxidative insult [62]. This effect is decreased in cells collected
from NADPH oxidase deficient (PHOX
/
) mice and by a phagocytic inhib-
itor, cytochalasin D [62].
The biology of oxidative stress explains several particulate matter–induced
adverse health effects
ROS are oxygen molecules that contain unpaired electrons. Fig. 5 depicts
the four-electron transfer that can transform O
2
to H
2
O. In the process, the
addition of one, two, or three electrons can generate O
2
,H
2
O
2
, and
OH re-
active species. ROS readily react with cellular components, such as proteins,
lipids, membranes, and DNA, leading to structural damage [53,54]. ROS
also can deplete cellular GSH, which leads to the accumulation of glutathi-
one disulfide [7,17]. The accompanying decrease in the cellular GSH/gluta-
thione disulfide ratio indicates a state of the redox disequilibrium (ie,
oxidative stress) [8,17]. Oxidative stress acts as a stimulus that can initiate
further cellular responses, thereby contributing to the pathogenesis of
PM-induced disease.
Fig. 5. ROS generation by a chain of electron acquisitions that involve the formation of super-
oxide, H
2
O
2
, the hydroxyl radical, and finally H
2
O. (Modified from Li N, Hao M, Phalen RF,
et al. Particulate air pollutants and asthma: a paradigm for the role of oxidative stress in PM-
induced adverse health effects. Clin Immunol 2003;109(3):251; with permission.)
827
ROS AND OXIDATIVE STRESS IN MEDIATING PM INJURY
Cellular responses to oxidative stress include protective and injurious
events. To explain this apparent paradox, we used biologic and proteome
analyses to explore the evolving series of events in target cells, such as epi-
thelial cells and macrophages during exposure to pro-oxidative PM chemi-
cals [5,7,20,21,38]. This experiment led to the characterization of
a hierarchical oxidative stress model (Table 3), which posits that at a lower
level of oxidative stre ss (Tier 1), cells generate protective antioxidant and de-
toxification enzymes by acting on a genetic response element that requires
the bZIP transcription factor, Nrf2 [7,43]. Nrf2 drives the antioxidant re-
sponse element in the promoter of phase II genes, leading to the expression
of antioxidant and cytoprotective enzymes [63]. Several of these phase II en-
zymes that have been shown to be responsive to DEP, ambient UF P, and
organic DEP extracts in PM target tissue in the lung, including HO-1, glu-
tathione-S-transferase, NADPH quinone oxidoreductase, catalase, superox-
ide dismutase, glutathione peroxidase, and UDP-glucoronosyltransferase
[38,63]. These phase II enzymes protect against oxidative stress injury (Tiers
2 and 3), such that a reduced or compromised Tier 1 response may promote
oxidant PM injury. Clinically, a compromise in Tier 1 responses can occur
because of phase II enzyme polymorphisms in phase II genes or null geno-
types. For instance, the glutathione-S-transferase M1 null genotype predis-
poses atopic people to asthma and to an enhanced allergic inflammatory
response by DEP challenge in the nose [64]. Conversely, the induction of
a phase II response may help people to adapt to a polluted environment
and may explain why only a relatively small number of people in a popula-
tion get sick when confronted with a sudden surge in ambient PM levels [63].
Adaptation can explain why repeated low-dose concentrated ambient
particle exposures fail to elicit persistent lung inflammation [65].
If Tier 1 protection fails, a further increase in oxidative stress could lead
to the generation of proinflammatory (Tier 2) or cytotoxic (Tier 3 ) effects
Table 3
Biology of oxidative stress
Oxidative stress level
Low
High
Tier 1 Tier 2 Tier 3
Cellular
response
Antioxidant defense Inflammation Toxicity
Pathways Nrf2 NF-kB & MAPK
activation
Mitochondrial
perturbation (PT pore)
Biologic Phase II antioxidant
enzymes
Cytokines,
chemokines,
lipid peroxidation
Apoptosis, necrosis
Clinical
relevance
Weakened response
(susceptibility)
Asthma,
adjuvant effects,
atherosclerosis
? Increased ROS
generation? ? epithelial
shedding
828
XIA et al
(Table 3) at the cellular level. Tier 2 responses are linked to the activation of
intracellular signaling pathways that impact cytokine and chemokine gene
promoters [11,32,66] . An example is activation of the mitogen-activated pro-
tein kinase (MAPK) cascades [7] . These cascades are responsible for the ex-
pression and activation of AP-1 transcription factors (eg, c-Jun and c-Fos),
which play a role in the transcriptional activation of proinflammatory genes,
such as the genes that encod for cytokines, chemokines, and adhesion mol-
ecules. Tier 3 responses involve mitochondrial perturbation by pro-oxidative
chemicals [16,18,32,43]. Although the in vivo significance of the mitochon-
drial pa thway is uncertain, it has been demonstrated in tissue culture cells
that PM interference in mitochondrial electron transfer can contribute to
ROS production and the induction of apoptosis [18,32,43]. These effects
can be mimicked by organic DEP extracts and redox cycling quinones
and functionalized aromatic hydrocarbons present in these extracts [39].
Using the strengths of proteomics to find DEP-induced oxidative stress
proteins, the principles of a hierarchical oxidative stress response could be
confirmed in macrophages and epithelial cell cultures [7,32]. Two-di men-
sional gel electrophoresis demonstrated the appearance of O50 newly
expressed proteins, which could be subtracted from the expression profile
by pretreatment of the cells with NAC [7]. At the lowest tier of oxidative
stress (Tier 1), the expression of catalase, superoxide dismutase, and HO-1
confirm the involvement of Nrf2-regulated enzymes that play a role in the
suppression of inflammation through their antioxidant activities [63,66].
This finding was confirmed by showing that DEPs and UFPs increase the
accumulation of Nrf2 in the nucleus, including their ability to activate the
antioxidant response element [63]. The Nrf2 translocation to the nucleus de-
pends on a prolongation of the half-life of this transcription factor by inter-
ference in its proteasomal degradation [63]. Under basal conditions, Nrf2
exhibits a short (approxi mately 15-minute) half-life because it is continu-
ously being shuttled to the 20S proteosome by a chaperone, Keap- 1 [63].
In the presence of electrophilic chemicals, Nrf2 uncouples from Keap-1,
which leads to its withdrawal from the proteasomal degradation pathway
and the accumulation in the cell and the nucleus [63,67]. Phosphoproteome
analysis performed in parallel with cytokine array has confirmed that acti-
vation of the ERK, p38, and Jun kinase cascades are linked to the induction
of proinflammatory responses [32].
Each tier of oxidative stress is sensitive to the effects of the thiol antiox-
idant, NAC [7,16,18]. NAC is capable of quenching oxygen radicals and act-
ing as a precursor to GSH synthesis [7,16]. NAC is capable of covalent
modification of electrophilic chemicals and cellular proteins [7]. These inter-
actions prevent redox cycling of organic PM chemicals and can protect key
cellular cysteine residues against oxidative cross-linking. It is possible, there-
fore, that low levels of oxidative stress may target NAC-protected cysteines
that are involved in the binding of Nrf2 to Keap-1 [63]. Similarly, at Tiers 2
and 3 of the hierarchical oxidative stress response, it is possible that NAC
829ROS AND OXIDATIVE STRESS IN MEDIATING PM INJURY
may protect SH groups that are involved in the inactivation of mitogen-
activated protein kinase phosphatases or in the opening of the mitochon-
drial PT pore [7]. A possible unifying hypothesis to explain the hierarchical
response is that the cysteines that regulate each of these tiers are differen-
tially sensitive to oxidative modification by ROS or electrophilic chemicals.
A key question is whether the hierarchical oxidative stress model is rele-
vant to in vivo disease outcomes in PM-expo sed people. Although it is dif-
ficult to envisage a large -scale oxidative stress response that targets an entire
organ or the intact body, it is probably more practical to think of the tiered
response as a dynamic equilibrium between pro-oxidant and antioxidant
forces at the level of specific tissue targets. For instance, in an individual
who has asthma and suffers from low-grade airway inflammation, a sudden
surge in ambient PM levels could increase particle deposition at airway
bifurcation points. These so-called ‘‘hot spots’’ of deposition are richly
endowed with bronchial epithelial cells, macrophages, and immune cells,
such as antigen-presenting cells and lymphocytes [68]. The ability of the
epithelium, macrophages, and antigen-presenting cells to mount a phase
II response may prevent or suppress a potential chain of immune activating
events that can culminate in IgE switching in B cells because of functional
changes in helper T lymphocytes [20]. The converse also may be true, how-
ever; namely, that abundant ROS generation that pushes the local tissue re-
sponse to Tier 2 may perturb antigen-presenting cell activity and immune
activation to complete the IgE switch. At this point, the committed response
of memo ry T cells and B cells could transfer the immune response to the
entire respiratory mucosa. A focal area in which proinflammatory dominate
anti-inflammatory responses may lead to more generalized effects. Similar
scenarios can be envisaged in the pathophysiology of an atherosclerotic pla-
que, in which pro- and antioxidative influences may determine whether
lipid-laden macrophages undergo apoptosis or whether the overlying endo-
thelium may express adhesion molecules that favor platelet adhesion and
thrombus formation. Both events contribute to fatal heart attacks, which
are epidemiologically associated with a sudden rise in ambient PM levels [15].
The importance of oxidative stress in future research and therapy
for particulate matter–induced adverse health effects
The recognition of the role of oxidative stress in PM-induced adverse
health effects is an important cornerstone for future research. First, it is im-
portant to characterize all the chemical components that play a role in ROS
generation for toxic ologic and regulatory purposes. If PAH and quinone
analyses prove to be accurate predictors of adverse health effects, it may
be important to monitor these substances in ambient air. In this regard,
the high PAH content of UFPs collected in the Los Angeles basin has
been shown to be a good predictor of the ability of these particles to gener-
ate oxidative stress in macrophages and epithelial cells [8]. Even if PAHs are
830 XIA et al
not directly responsible for ROS generation, their assessment could serve as
a proxy for redox cycling chemicals that are responsible for adverse health
effects. Second, the recognition that particle size and reactive surface area
play an important role in predicting pro-oxidative particle effects could
mean that in addition to a mass standard, particle number and surface
area may need to be incorporated into the regulatory assessments. This
addition could be of considerable importance in following PM effe cts in
areas in which vehicular traffic is a major contributor to ambient PM levels,
especially as it pertains to UFP levels. A third consideration is the develop-
ment of in vivo markers for oxidative stress that can be used to look for sub-
clinical PM responses. This consideration is particularly important for
dissecting the apparent disconnect between macroscale epidemiology, which
shows considerable morbidity and mortality caused by ambient PM expo-
sure, and smaller scale exposure studies, which often fail to show significant
health effects. A possible explanation is that only a small percentage (eg,
1%–2%) of individuals is truly sensitive to PM and more likely to be ex-
cluded on a chance basis when selections are made for human exposure
studies. To identify susceptible individuals, it is important to develop in
vivo oxidative stress markers that can be used to identify susceptible people
for study purposes.
Understanding of the role of oxidative stress in disease pathogenesis is
also important from a therapy perspective. Based on our principal hypoth-
eses, namely that (1) oxidative stress is a key mechanism by which PM
impacts allergic inflammation and asthma exacerbation and (2) Nrf2-
mediated antioxidant defense protects against the proinflammatory effects
of PM, we predict that therapeutic interventions that lead to phase II
enzyme express ion could provide a nov el treatment approach for asthma.
Although several types of antioxidants have been tried in patients who
have asthma [69–71], there is no clear consensus that antioxidant therapy
is useful in this disease. In our opinion, previous attempts have been ham-
pered by the lack of appreciation that certain asthmatic subsets (eg, atopic
subjects with a glutathione-S-transferase M1 null genotype [64]) may be
more prone to the adverse biologic effects of oxidative stress. There may
be a lack of appreciation of the redundancy of oxidative stress pathways
once ROS production is already in progress. Initial sources of ROS prod uc-
tion co uld be redox cycling and electrophilic chemicals, which generate ROS
through spontaneous particle-mediated and enzymatic reactions. This could
yield to or be overtaken by additional sources of ROS once tissue inflamma-
tion is involved. We propose that interference in oxidative stress must com-
mence before the initial ROS production by pro-oxidative chemicals to be
effective and prevent the redundant mechanisms that operate once radical
production is in place. Increased expression of phase II enzymes is an attrac-
tive candidate to accomplish the goal of interfering in lung and heart
diseases. Based on the detoxification and antioxidant effects of phase II
enzymes, they could be effective in neutralizing the adverse biologic effects
831ROS AND OXIDATIVE STRESS IN MEDIATING PM INJURY
of redox cycling organic chemi cals by scavenging a wide range of ROS and
detoxifying the inducing chemicals [63]. Phase II enzymes also enhance
GSH synthesis and specialize in the removal of a wide range of ROS [63].
Phase II enzyme expression can be achieved by oral administration of
two chemical compounds, a-lipoic acid (aLA) [72–74] and sulforaphane
[75]. Both compounds function through Nrf2 release and antioxidant re-
sponse elem ent activation. aLA is a disulfide derivative of octanoic acid
that forms an intracellular disulfide bond in its oxidized form. High electron
density that results from special positioning of the two sulfur atoms in the
1,2-dithiolane ring allows aLA to reduce redox-sensitive molecules. aLA
in its reduced form (DHLA) is a strong reductant that is more easily oxi-
dized than monothiols. Exogenously supplied aLA is absorbed, transported
to tissues, and reduced to DHLA. aLA and DHLA are highly reactive
against various ROS in vitro. aLA and DHLA redox also are capable
of regenerating GSH. This action includes Nrf2-mediated expression of
g-glutamylcysteine ligase, the rate-limiting enzyme in GSH synthesis [73].
In a murine asthma model, aLA treatment significantly reduced airway
hyperreactivity, BAL eosinophilia, and airway inflammation [74]. Sulfora-
phane is a ch emical found in foods such as broccoli and is capable of induc-
ing various phase II enzymes, which results in the enhancement of cellular
antioxidant capacity [75]. Sulforaphane induces phase II enzyme expression
by uncoupling Nrf2 from its chaperone, Keap-I, and allowing the transcrip-
tion factor to accumulate in the nucleus [63,75].
Summary
Numerous reports have linked oxidative stress to PM-induced adverse
health effects. ROS production is related to redox cycling organic chemicals
and transition metals bound to the PM surface and may originate from the
particle surface and enzymatically catalyzed reactions in target cells. UFPs
are more toxic than larger ambient particles in the Los Angeles basin, based
on their ab ility to generate ROS. The PM-induced oxidative stress response
at cellular level is a hierarchical event. Oxidative stress responses range from
protective phase II enzyme expression, at low levels of oxidative stress, to
activation of proinflammatory signaling pathways at higher levels of oxida-
tive stress. This dynamic equilibrium may determine who responds to PM,
what type of response is generated, and who could benefit from rational
antioxidant therapy that leads to increased phase II enzyme expression.
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XIA et al
    • "Particulate matter (PM) air pollution exposure is a known risk factor for the induction of inflammatory and oxidative stress responses1234, especially during the pregnancy period when increased levels of oxidative stress can be expected [5]. Mitochondria are the main intracellular source and target of reactive oxygen species (ROS) that are continually generated as by-products of mitochondrial respiration in the electron transport chain [6]. "
    [Show abstract] [Hide abstract] ABSTRACT: Background: Studies emphasize the importance of particulate matter (PM) in the formation of reactive oxygen species and inflammation. We hypothesized that PM exposure during different time windows in pregnancy influences mitochondrial 8-hydroxy-2′-deoxyguanosine (8-OHdG) levels, which is an established biomarker for oxidative stress, in both maternal and foetal blood. Methods: We investigated maternal (n = 224) and cord blood (n = 293) from mother-newborn pairs that were enrolled in the ENVIRONAGE birth cohort. We determined mitochondrial 8-OHdG by quantitative polymerase chain reaction (qPCR). Multivariable regression models were used to assess the association between mitochondrial 8-OHdG with PM10 and PM2.5 exposure over various time windows during pregnancy. Results: In multivariable analysis, PM10 exposure during the entire pregnancy was positively associated with levels of mitochondrial 8-OHdG in maternal blood. For an IQR increment in PM10 exposure an increase of 18.3 % (95 % confidence interval (CI): 5.6 to 33.4 %, p = 0.004) in 8-OHdG was observed. PM10 exposure during the last trimester of pregnancy was positively associated with levels of 8-OHdG (28.1, 95 % CI: 8.6 to 51.2 %, p = 0.004, for an IQR increment in PM10). In a similar way, PM2.5 exposure was significantly associated with an increase of mitochondrial 8-OHdG levels in maternal blood during the entire pregnancy (13.9, 95 % CI: 0.4 to 29.4 %, p = 0.04 for an IQR increment in PM2.5 exposure) and third trimester of pregnancy (28.1, 95 % CI: 3.6 to 58.4 %, p = 0.02 for an IQR increment in PM2.5 exposure). In umbilical cord blood, 8-OHdG levels were significantly associated with PM10 exposure during first and second trimester of pregnancy with respectively an increase of 23.0 % (95 % CI: 5.9 to 42.8 %, p = 0.007) and 16.6 % (95 % CI: 1.8 to 33.5 %, p = 0.03) for an IQR increment in PM10 exposure. Conclusions: We found PM-associated increased mitochondrial oxidative DNA damage during pregnancy in both mothers and their newborns. Accordingly, our study showed that particulate air pollution exposure in early life plays a role in increasing systemic oxidative stress, at the level of the mitochondria, both in mother and foetus.
    Full-text · Article · Dec 2016
    • "Although, healthy individuals may experience temporary symptoms from exposure to elevated levels of particle pollution, people with heart or lung diseases, children and older adults are most likely to be affected by particle pollution exposure (US EPA, 2015). Li et al. (2008) report major effect of ambient PM on pulmonary system as exacerbation of inflammation, especially in susceptible people. van Berlo et al. (2012) indicate that inhalation exposure to particulate matter can lead to or exacerbate various diseases which are not limited to lungs but can extend to the cardiovascular system and other organs and tissues. "
    [Show abstract] [Hide abstract] ABSTRACT: Air pollution from airborne particulates is a global issue that has received some attention due to potential health issues and environmental impacts. Construction activities, agricultural operations, combustion of fossil fuels, and industrial and mining processes are significant sources of particulate pollution. The potential to cause health problems has been linked to size, concentration and chemical composition of suspended particles. Duration of exposure and receptor's susceptibility also determine potential to cause health effects. Particles that are 10 microns in diameter or smaller evade natural defence mechanisms and enter the lungs to cause serious health problems. Particulate matter is also found to reduce visibility, cause environmental and property damage and alter local weather. This paper reviews relevant literature on ambient air particles with specific focus on emission sources, potential threats and mitigation techniques. It is observed in the literature that particle pollution can lead to irritation of eyes, nose and throat; coughing, chest tightness and shortness of breath; reduced lung function; irregular heartbeat, asthma and heart attacks; and premature death in people with heart or lung disease.
    Full-text · Conference Paper · Aug 2016 · Renewable and Sustainable Energy Reviews
    • "These emissions have extremely deleterious effects on human health. Several researchers have reported that the exhaust emissions from vehicles are responsible for respiratory and cardiovascular health problems, and neurodegenerative disorders234 . Moreover, global warming as a consequence of greenhouse gas has an adverse effect on climate change. "
    [Show abstract] [Hide abstract] ABSTRACT: Abatement of pollutant emissions from transport sector is one of the major concerns throughout the globe. One of the main technical challenges for transportation sector is to reduce pollutant emissions from diesel engine and to meet satisfactory engine performance, simultaneously. Different technical changes have been introduced in diesel engine to apply alternative biofuels to reduce pollutant emissions. Blend, fumigation, and emulsion are three different dual fuel engine operation techniques, which have been introduced in diesel engine for biofuel application. In the blend mode, biofuel and diesel are mixed in desired proportions before injecting into cylinder, whereas in fumigation mode, biofuel is injected into intake manifold to mix with the intake fresh air. Emulsion is a process wherein two immiscible substances are mixed together. This study provides a comprehensive review on these three techniques of biofuel injection and their comparative effects on the engine performance and emissions. From these studies, it is found that the effects on engine performance and emission mostly depend on biofuel properties. Increase in break specific fuel consumption (BSFC) is common in each method due to the lower calorific value of biofuels. Brake thermal efficiency (BTE) decreases in blend and fumigation modes, but increases in emulsion mode. Nitrogen oxides (NOx) emissions decrease in fumigation and emulsion modes, but increase in blend mode. Carbon monoxide (CO) and Hydro carbon (HC) emissions increase in fumigation and emulsion modes, but decrease in blend mode. Particulate Matter (PM) emission decreases in all three modes.
    Full-text · Article · Jul 2016
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