Associations between ambient particulate matter exposure and platelet counts are inconsistent in previous studies, and study on the effect of long-term exposure especially in Asian populations is limited. We explored the associations between long-term PM2.5 (particulate matter < 2.5 μm) exposure and platelet counts using a prospective cohort study in Northeast China. We used a logistic regression model to analyze the effects of different PM2.5 increments and platelet count elevation. Mixed linear models were used to analyze the association between PM2.5 concentration and platelet counts. Interaction and sub-group analyses were also conducted. Results showed that every 1 μg/m3 increment of PM2.5 exposure was associated with 0.29% (95%CI: 0.25–0.32%) increase in platelet counts and 10% (95%CI: 8–12%) higher risk of platelet elevation. Effects of long-term PM2.5 exposure on platelet elevation were stronger in male participants, of Han ethnicity, and without diabetes. Long-term PM2.5 exposure would increase platelet counts in adults in Northeast area of China, which might add more evidence to the potential biological mechanisms responsible for the effect of air pollution exposure on cardiovascular disease.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Tax calculation will be finalised during checkout.
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
Tax calculation will be finalised during checkout.
Date and materials will be provided under formal request.
Abudesimu A, Liu F, Siti D, Adi D, Fu Z, Ma X, Xie X, Yang Y, Li X, Ma Y (2018) An assessment of platelet parameters in different ethnic groups with hypertension subtypes and associated risk factors in Xinjiang, China[J]. Clin Exp Hypertens 40(6):574–581
Allen N, Barrett TJ, Guo Y, Nardi M, Ramkhelawon B, Rockman CB, Hochman JS, Berger JS (2019) Circulating monocyte-platelet aggregates are a robust marker of platelet activity in cardiovascular disease[J]. Atherosclerosis 282:11–18
Becerra AZ, Georas S, Brenna JT, Hopke PK, Kane C, Chalupa D, Frampton MW, Block R, Rich DQ (2016) Increases in ambient particulate matter air pollution, acute changes in platelet function, and effect modification by aspirin and omega-3 fatty acids: a panel study[J]. J Toxicol Environ Health A 79(6):287–298
Biino G, Santimone I, Minelli C, Sorice R, Frongia B, Traglia M, Ulivi S, di Castelnuovo A, Gögele M, Nutile T, Francavilla M, Sala C, Pirastu N, Cerletti C, Iacoviello L, Gasparini P, Toniolo D, Ciullo M, Pramstaller P, Pirastu M, de Gaetano G, Balduini CL (2013) Age-and sex-related variations in platelet count in Italy: a proposal of reference ranges based on 40987 subjects’ data. PLoS One 8:e54289
Brook RD, Rajagopalan S, Pope CA 3rd et al (2010) Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American Heart Association. Circulation 12:2331–2378
Dabass A, Talbott EO, Venkat A et al (2016) Association of exposure to particulate matter PM2.5 air pollution and biomarkers of cardiovascular disease risk in adult NHANES participants (2001-2008). Int J Hyg Environ Health 219:301–310
Delfino RJ, Staimer N, Tjoa T, Gillen DL, Polidori A, Arhami M, Kleinman MT, Vaziri ND, Longhurst J, Sioutas C (2009) Air pollution exposures and circulating biomarkers of effect in a susceptible population: clues to potential causal component mixtures and mechanisms. Environ Health Perspect 117:1232–1238
Dinmohammadi H, Pirdel Z, Salarilak L, Hoylaerts M, Nejatbakhsh R, Biglari A, Jacquemin M, Shahani T (2019) Pure ultra-fine carbon particles do not exert pro-coagulation and inflammatory effects on microvascular endothelial cells[J]. Environ Sci Pollut Res Int 26(1):991–999
Frampton MW, Bausch J, Chalupa D, Hopke PK, Little EL, Oakes D, Stewart JC, Utell MJ (2012) Effects of outdoor air pollutants on platelet activation in people with type 2 diabetes[J]. Inhal Toxicol 24(12):831–838
Guo H, Chang Z, Wu J, Li W (2019) Air pollution and lung cancer incidence in China: who are faced with a greater effect?[J]. Environ Int 132:105077
Hajat A, Allison M, Diez-Roux AV, Jenny NS, Jorgensen NW, Szpiro AA, Vedal S, Kaufman JD (2015) Long-term exposure to air pollution and markers of inflammation, coagulation, and endothelial activation: a repeat-measures analysis in the Multi-Ethnic Study of Atherosclerosis (MESA). Epidemiology 26:310–320
Hamanaka RB, Mutlu GM (2018) Particulate matter air pollution: effects on the cardiovascular system[J]. Front Endocrinol (Lausanne) 9:680
Jacobs L, Emmerechts J, Mathieu C, Hoylaerts MF, Fierens F, Hoet PH, Nemery B, Nawrot TS (2010) Air pollution related prothrombotic changes in persons with diabetes. Environ Health Perspect 118:191–196
Li H, Chen R, Cai J, Cui X, Huang N, Kan H (2018) Short-term exposure to fine particulate air pollution and genome-wide DNA methylation: a randomized, double-blind, crossover trial[J]. Environ Int 120:130–136
Liang S, Zhao T, Hu H, Shi Y, Xu Q, Miller MR, Duan J, Sun Z (2019) Repeat dose exposure of PM2.5 triggers the disseminated intravascular coagulation (DIC) in SD rats[J]. Sci Total Environ 663:245–253
McFadyen JD, Schaff M, Peter K (2018) Current and future antiplatelet therapies: emphasis on preserving haemostasis[J]. Nat Rev Cardiol 15(3):181–191
Mills NL, Törnqvist H, Robinson SD et al (2007) Air pollution and atherothrombosis[J]. Inhal Toxicol 19 Suppl 1:81–89
Pergoli L, Cantone L, Favero C, Angelici L, Iodice S, Pinatel E, Hoxha M, Dioni L, Letizia M, Albetti B, Tarantini L, Rota F, Bertazzi PA, Tirelli AS, Dolo V, Cattaneo A, Vigna L, Battaglia C, Carugno M, Bonzini M, Pesatori AC, Bollati V (2017) Extracellular vesicle-packaged miRNA release after short-term exposure to particulate matter is associated with increased coagulation. Part Fibre Toxicol 14(1):32
Pope CR, Turner MC, Burnett RT et al (2015) Relationships between fine particulate air pollution, cardiometabolic disorders, and cardiovascular mortality[J]. Circ Res 116(1):108–115
Poursafa P, Kelishadi R (2010) Air pollution, platelet activation and atherosclerosis. Inflamm Allergy Drug Targets 9:387–392
Robertson S, Miller MR (2018) Ambient air pollution and thrombosis[J]. Part Fibre Toxicol 15(1):1
Rudel RA, Perovich LJ (2009) Endocrine disrupting chemicals in indoor and outdoor air. Atmos Environ 43:170–181
Sharma K, Lee HH, Gong DS et al (2019) Fine air pollution particles induce endothelial senescence via redox-sensitive activation of local angiotensin system[J]. Environ Pollut 252(Pt A):317–329
Solomon A, Smyth E, Mitha N et al (2013) Induction of platelet aggregation after a direct physical interaction with diesel exhaust particles[J]. J Thromb Haemost 11(2):325–334
Tabor CM, Shaw CA, Robertson S et al (2016) Platelet activation independent of pulmonary inflammation contributes to diesel exhaust particulate-induced promotion of arterial thrombosis[J]. Part Fibre Toxicol 13:6
Viehmann A, Hertel S, Fuks K, Eisele L, Moebus S, Möhlenkamp S, Nonnemacher M, Jakobs H, Erbel R, Jöckel KH, Hoffmann B, Heinz Nixdorf Recall Investigator Group (2015) Long-term residential exposure to urban air pollution, and repeated measures of systemic blood markers of inflammation and coagulation[J]. Occup Environ Med 72(9):656–663
Wu G, Zhou Y, Li L, Zhong Z, Li H, Li H, Yu M, Shen W, Ni H (2017) Platelet immunology in China: research and clinical applications[J]. Transfus Med Rev 31(2):118–125
Wu S, Deng F, Wei H, Huang J, Wang H, Shima M, Wang X, Qin Y, Zheng C, Hao Y, Guo X (2012) Chemical constituents of ambient particulate air pollution and biomarkers of inflammation, coagulation and homocysteine in healthy adults: a prospective panel study. Part Fibre Toxicol 9:49
Zhang H, Zhao Y (2019) Land use regression for spatial distribution of urban particulate matter (PM(10)) and sulfur dioxide (SO(2)) in a heavily polluted city in Northeast China[J]. Environ Monit Assess 191(12):712
Zhang Z, Chan TC, Guo C, Chang LY, Lin C, Chuang YC, Jiang WK, Ho KF, Tam T, Woo KS, Lau AKH, Lao XQ (2018a) Long-term exposure to ambient particulate matter PM2.5 is associated with platelet counts in adults[J]. Environ Pollut 240:432–439
Zhang Z, Hoek G, Chang L, Chan TC, Guo C, Chuang YC, Chan J, Lin C, Jiang WK, Guo Y, Vermeulen R, Yeoh EK, Tam T, Lau AKH, Griffiths S, Lao XQ (2018b) Particulate matter air pollution, physical activity and systemic inflammation in Taiwanese adults. Int J Hyg Environ Health 221:41–47
Zhang HH, Xia Y, Chang Q et al (2021) Dietary patterns and associations between air pollution and gestational diabetes mellitus. Environ Int 147:106347
We thank the participants of the cohort for their kind cooperation and all cohort team workers for their hard work. We thank the Bureau of Meteorology and the Environmental Protection Bureau for providing original data of daily pollutant concentrations.
This work was supported by the National Key R&D Project of China (grant number 2017YFC0907401, 2017) and 345 Talent Project of Shengjing Hospital of China Medical University.
Ethics approval and consent to participate
The protocol of this study was approved by the Institutional Review Board of Shengjing Hospital of China Medical University in 2017 (No. 2017PS190K). All the participants in this study consent to participate in the cohort and signed informed consent approved by Review Board.
Consent for publication
The authors declare no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Responsible Editor: Lotfi Aleya
About this article
Cite this article
Hehua, Z., Qing, C. & Yuhong, Z. Association between ambient particulate matter exposure and platelet counts in adults: a retrospective cohort study. Environ Sci Pollut Res (2021). https://doi.org/10.1007/s11356-021-12865-2
- Ambient particulate matter
- Air pollution
- Platelet counts
- Cohort study