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Effects of Air Pollutants Exposure on Cardiopulmonary and Metabolic Diseases

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Emerging Chemicals and Human Health
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Abstract

Instead of a local or regional problem, air pollution is considered as a global issue with potential long-distance atmospheric transportation and rendering health implications. In this chapter, we summarize the evidences from epidemiological and experimental studies on the effects of exposure to particulate matter (PM), ozone (O3), sulfur dioxide (SO2), nitrogen oxides (NOx), and carbon monoxide (CO) on respiratory, cardiovascular, and metabolic systems. Based on in vitro and in vivo studies assessing the effects of air pollutants on cardiopulmonary and metabolic diseases, the biological mechanisms underlying these observations are also summarized. Although both personal intervention and government management and controls have been proved to improve air quality and human health, ongoing research is still needed in this area, with the possibility of therapeutic interventions to reduce the impact of environmental air pollution on cardiopulmonary and metabolic disease in the nearest future.

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References

  1. Mills NL, Donaldson K, Hadoke PW et al (2009) Adverse cardiovascular effects of air pollution [J]. Nat Clin Pract Cardiovasc Med 6(1):36–44

    Article  CAS  PubMed  Google Scholar 

  2. Martino D, Prescott S (2011) Epigenetics and prenatal influences on asthma and allergic airways disease [J]. Chest 139(3):640–647

    Article  CAS  PubMed  Google Scholar 

  3. Bahadar H, Mostafalou S, Abdollahi M (2014) Current understandings and perspectives on non-cancer health effects of benzene: a global concern [J]. Toxicol Appl Pharmacol 276(2):83–94

    Article  CAS  PubMed  Google Scholar 

  4. Wang ZL (2013) Association between chronic obstructive pulmonary disease and lung cancer: the missing link [J]. Chin Med J 126(1):154–165

    PubMed  Google Scholar 

  5. Xing YF, Xu YH, Shi MH et al (2016) The impact of pm2.5 on the human respiratory system [J]. J Thorac Dis 8(1):E69–E74

    PubMed  PubMed Central  Google Scholar 

  6. Huang SK, Zhang Q, Qiu Z et al (2015) Mechanistic impact of outdoor air pollution on asthma and allergic diseases [J]. J Thorac Dis 7(1):23–33

    PubMed  PubMed Central  Google Scholar 

  7. Zhang QL, Qiu ZM, Chung KF et al (2015) Link between environmental air pollution and allergic asthma: east meets west [J]. J Thorac Dis 7(1):14–22

    PubMed  PubMed Central  Google Scholar 

  8. Wei J, Li F, Yang J et al (2015) Micrornas as regulators of airborne pollution-induced lung inflammation and carcinogenesis [J]. Arch Toxicol 89(5):677–685

    Article  CAS  PubMed  Google Scholar 

  9. Chen ZH, Wu YF, Wang PL et al (2016) Autophagy is essential for ultrafine particle-induced inflammation and mucus hyperproduction in airway epithelium [J]. Autophagy 12(2):297–311

    Article  CAS  PubMed  Google Scholar 

  10. Guan WJ, Zheng XY, Chung KF et al (2016) Impact of air pollution on the burden of chronic respiratory diseases in China: time for urgent action [J]. Lancet 388(10054):1939–1951

    Article  PubMed  Google Scholar 

  11. Zheng TZ, Niu SR, Lu BY et al (2002) Childhood asthma in Beijing, China: a population-based case-control study [J]. Am J Epidemiol 156(10):977–983

    Article  PubMed  Google Scholar 

  12. Ma YN, Zhao Y, Liu YQ et al (2013) [effects of indoor air pollution on asthma and asthma-related symptoms among children in Shenyang city] [J]. Zhonghua Yu Fang Yi Xue Za Zhi Chin J Prevent Med 47(1):49–54

    Google Scholar 

  13. Zhao Z, Zhang Z, Wang Z et al (2008) Asthmatic symptoms among pupils in relation to winter indoor and outdoor air pollution in schools in Taiyuan, China [J]. Environ Health Perspect 116(1):90–97

    Article  CAS  PubMed  Google Scholar 

  14. Cheng MH, Chen CC, Chiu HF et al (2014) Fine particulate air pollution and hospital admissions for asthma: a case-crossover study in Taipei [J]. J Toxicol Environ Health-Part A-Curr Issues 77(18):1075–1083

    Article  CAS  Google Scholar 

  15. Ko FWS, Tam W, Wong TW et al (2007) Effects of air pollution on asthma hospitalization rates in different age groups in Hong Kong [J]. Clin Exp Allergy 37(9):1312–1319

    Article  CAS  PubMed  Google Scholar 

  16. Rice MB, Ljungman PL, Wilker EH et al (2013) Short-term exposure to air pollution and lung function in the Framingham heart study [J]. Am J Respir Crit Care Med 188(11):1351–1357

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Molter A, Agius RM, De Vocht F et al (2013) Long-term exposure to pm10 and no2 in association with lung volume and airway resistance in the Maas birth cohort [J]. Environ Health Perspect 121(10):1232–1238

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  18. Carosino CM, Bein KJ, Plummer LE et al (2015) Allergic airway inflammation is differentially exacerbated by daytime and nighttime ultrafine and submicron fine ambient particles: Heme oxygenase-1 as an indicator of pm-mediated allergic inflammation [J]. J Toxicol Environ Health-Part a-Curr Issues 78(4):254–266

    Article  CAS  Google Scholar 

  19. Hua J, Yin Y, Peng L et al (2014) Acute effects of black carbon and pm2.5 on children asthma admissions: a time-series study in a Chinese city [J]. Sci Total Environ 481:433–438

    Article  CAS  PubMed  Google Scholar 

  20. Wiegman CH, Li F, Clarke CJ et al (2014) A comprehensive analysis of oxidative stress in the ozone-induced lung inflammation mouse model [J]. Clin Sci 126(5–6):425–440

    Article  CAS  Google Scholar 

  21. Li RJ, Kou XJ, Tian JJ et al (2014) Effect of sulfur dioxide on inflammatory and immune regulation in asthmatic rats [J]. Chemosphere 112:296–304

    Article  CAS  PubMed  Google Scholar 

  22. Jacquemin B, Siroux V, Sanchez M et al (2015) Ambient air pollution and adult asthma incidence in six european cohorts (escape) [J]. Environ Health Perspect 123(6):613–621

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Bang KM (2015) Chronic obstructive pulmonary disease in nonsmokers by occupation and exposure: a brief review [J]. Curr Opin Pulm Med 21(2):149–154

    Article  PubMed  Google Scholar 

  24. Song QK, Christiani DC, Wang XR et al (2014) The global contribution of outdoor air pollution to the incidence, prevalence, mortality and hospital admission for chronic obstructive pulmonary disease: a systematic review and meta-analysis [J]. Int J Environ Res Public Health 11(11):11822–11832

    Article  PubMed  PubMed Central  Google Scholar 

  25. Zhou YM, Zou YM, Li XC et al (2014) Lung function and incidence of chronic obstructive pulmonary disease after improved cooking fuels and kitchen ventilation: A 9-year prospective cohort study [J]. PLoS Med 11(3):e1001621

    Google Scholar 

  26. Downs SH, Schindler C, Liu LJS et al (2007) Reduced exposure to pm10 and attenuated age-related decline in lung function [J]. N Engl J Med 357(23):2338–2347

    Article  CAS  PubMed  Google Scholar 

  27. Burnett RT, Pope CA, Ezzati M et al (2014) An integrated risk function for estimating the global burden of disease attributable to ambient fine particulate matter exposure [J]. Environ Health Perspect 122(4):397–403

    Article  PubMed  PubMed Central  Google Scholar 

  28. Yu XJ, Yang MJ, Zhoua B et al (2015) Characterization of somatic mutations in air pollution-related lung cancer [J]. EBioMedicine 2(6):583–590

    Article  PubMed  PubMed Central  Google Scholar 

  29. Guo YM, Zeng HM, Zheng RS et al (2016) The association between lung cancer incidence and ambient air pollution in China: a spatiotemporal analysis [J]. Environ Res 144:60–65

    Article  CAS  PubMed  Google Scholar 

  30. Downward GS, Hu W, Rothman N et al (2014) Polycyclic aromatic hydrocarbon exposure in household air pollution from solid fuel combustion among the female population of Xuanwei and fuyuan counties, China [J]. Environ Sci Technol 48(24):14632–14641

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Koh DH, Kong HJ, Oh CM et al (2015) Lung cancer risk in professional drivers in Korea: a population-based proportionate cancer incidence ratio study [J]. J Occup Health 57(4):324–330

    Article  CAS  PubMed  Google Scholar 

  32. Zhang WS, Li FT, Gao WY (2017) Traffic-related air pollution and lung cancer: a meta-analysis [J]. Thoracic Cancer 8(5):546–546

    Article  PubMed  PubMed Central  Google Scholar 

  33. Incidence GDI (2017) Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the global burden of disease study 2016 (vol 390, pg 1211, 2017) [J]. Lancet 390(10106):E38–E38

    Article  Google Scholar 

  34. Sidney S, Quesenberry CP, Jaffe MG et al (2016) Recent trends in cardiovascular mortality in the United States and public health goals [J]. JAMA Cardiol 1(5):594–599

    Article  PubMed  Google Scholar 

  35. Dockery DW, Pope CA 3rd, Xu X et al (1993) An association between air pollution and mortality in six U.S. cities [J]. N Engl J Med 329(24):1753–1759

    Article  CAS  PubMed  Google Scholar 

  36. Pope CA 3rd, Thun MJ, Namboodiri MM et al (1995) Particulate air pollution as a predictor of mortality in a prospective study of U.S. adults [J]. Am J Respir Crit Care Med 151(3 Pt 1):669–674

    Article  PubMed  Google Scholar 

  37. Grahame TJ (2009) Does improved exposure information for pm2.5 constituents explain differing results among epidemiological studies? [J]. Inhal Toxicol 21(5):381–393

    Article  CAS  PubMed  Google Scholar 

  38. Peng RD, Chang HH, Bell ML et al (2008) Coarse particulate matter air pollution and hospital admissions for cardiovascular and respiratory diseases among medicare patients [J]. Jama-J Am Med Assoc 299(18):2172–2179

    Article  CAS  Google Scholar 

  39. Liao DP, Creason J, Shy C et al (1999) Daily variation of particulate air pollution and poor cardiac autonomic control in the elderly [J]. Environ Health Perspect 107(7):521–525

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Dominici F, Peng RD, Bell ML et al (2006) Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases [J]. JAMA 295(10):1127–1134

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Analitis A, Katsouyanni K, Dimakopoulou K et al (2016) Short-term effects of ambient particles on cardiovascular and respiratory mortality [J]. Epidemiology 17(2):230–233

    Article  Google Scholar 

  42. Dominici F, Mcdermott A, Daniels M et al (2015) Revised analyses of the national morbidity, mortality, and air pollution study: mortality among residents of 90 cities [J]. J Toxicol Environ Health Part A 68(13–14):1071–1092

    Google Scholar 

  43. Zanobetti A, Canner MJ, Stone PH et al (2004) Ambient pollution and blood pressure in cardiac rehabilitation patients [J]. Circulation 110(15):2184–2189

    Article  PubMed  Google Scholar 

  44. Pope CA 3rd, Muhlestein JB, May HT et al (2006) Ischemic heart disease events triggered by short-term exposure to fine particulate air pollution [J]. Circulation 114(23):2443–2448

    Article  CAS  PubMed  Google Scholar 

  45. Laden F, Schwartz J, Speizer FE et al (2016) Reduction in fine particulate air pollution and mortality – extended follow-up of the Harvard six cities study [J]. Am J Respir Crit Care Med 173(6):667–672

    Article  CAS  Google Scholar 

  46. Pope CA, Burnett RT, Thurston GD et al (2004) Cardiovascular mortality and long-term exposure to particulate air pollution – epidemiological evidence of general pathophysiological pathways of disease [J]. Circulation 109(1):71–77

    Article  PubMed  Google Scholar 

  47. Miller KA, Siscovick DS, Sheppard L et al (2007) Long-term exposure to air pollution and incidence of cardiovascular events in women [J]. N Engl J Med 356(5):447–458

    Article  CAS  PubMed  Google Scholar 

  48. Toren K, Bergdahl IA, Nilsson T et al (2017) Occupational exposure to particulate air pollution and mortality due to ischaemic heart disease and cerebrovascular disease [J]. Occup Environ Med 64(8):515–519

    Article  CAS  Google Scholar 

  49. Dadvand P, Figueras F, Basagana X et al (2013) Ambient air pollution and preeclampsia: a spatiotemporal analysis [J]. Environ Health Perspect 121(11–12):1365–1371

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  50. Brook RD (2008) Cardiovascular effects of air pollution [J]. Clin Sci (London, England: 1979) 115(6):175–187

    Google Scholar 

  51. Ponka A, Virtanen M (1996) Low-level air pollution and hospital admissions for cardiac and cerebrovascular diseases in Helsinki [J]. Am J Public Health 86(9):1273–1280

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Prescott GJ, Cohen GR, Elton RA et al (1998) Urban air pollution and cardiopulmonary ill health: a 14.5 year time series study [J]. Occup Environ Med 55(10):697–704

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Holguin F, Tellez-Rojo MM, Hernandez M et al (2003) Air pollution and heart rate variability among the elderly in Mexico City [J]. Epidemiology 14(5):521–527

    Article  PubMed  Google Scholar 

  54. Srebot V, Gianicolo EA, Rainaldi G et al (2009) Ozone and cardiovascular injury [J]. Cardiovasc Ultrasound 7:30

    Article  PubMed  PubMed Central  Google Scholar 

  55. Brook RD, Franklin B, Cascio W et al (2004) Air pollution and cardiovascular disease – a statement for healthcare professionals from the expert panel on population and prevention science of the american heart association [J]. Circulation 109(21):2655–2671

    Article  PubMed  Google Scholar 

  56. Mar TF, Norris GA, Koenig JQ et al (2000) Associations between air pollution and mortality in phoenix, 1995–1997 [J]. Environ Health Perspect 108(4):347–353

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Wong TW, Lau TS, Yu TS et al (1999) Air pollution and hospital admissions for respiratory and cardiovascular diseases in Hong Kong [J]. Occup Environ Med 56(10):679–683

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Takano H, Yanagisawa R, Inoue K et al (2004) Nitrogen dioxide air pollution near ambient levels is an atherogenic risk primarily in obese subjects: a brief communication [J]. Exp Biol Med 229(4):361–364

    Article  CAS  Google Scholar 

  59. Chen SS, Tang CS, Jin HF et al (2011) Sulfur dioxide acts as a novel endogenous gaseous signaling molecule in the cardiovascular system [J]. Chin Med J 124(12):1901–1905

    CAS  PubMed  Google Scholar 

  60. Sunyer J, Ballester F, Le Tertre A et al (2003) The association of daily sulfur dioxide air pollution levels with hospital admissions for cardiovascular diseases in europe (the aphea-ii study) [J]. Eur Heart J 24(8):752–760

    Article  CAS  PubMed  Google Scholar 

  61. Peters A, Doring A, Wichmann HE et al (1997) Increased plasma viscosity during an air pollution episode: a link to mortality? [J]. Lancet 349(9065):1582–1587

    Article  CAS  PubMed  Google Scholar 

  62. Ayres S M, Giannelli S, Mueller H. Myocardial and systemic responses to carboxyhemoglobin [J]. Annals of the New York Academy of Sciences. 1970, 174(1): 268−+

    Google Scholar 

  63. Naeher LP, Brauer M, Lipsett M et al (2007) Woodsmoke health effects: a review [J]. Inhal Toxicol 19(1):67–106

    Article  CAS  PubMed  Google Scholar 

  64. Boskabady M, Marefati N, Farkhondeh T et al (2018) The effect of environmental lead exposure on human health and the contribution of inflammatory mechanisms, a review [J]. Environ Int 120:404–420

    Article  CAS  PubMed  Google Scholar 

  65. Guariguata L, Whiting DR, Hambleton I et al (2014) Global estimates of diabetes prevalence for 2013 and projections for 2035 [J]. Diabetes Res Clin Pract 103(2):137–149

    Article  CAS  PubMed  Google Scholar 

  66. Brook RD, Jerreft M, Brook JR et al (2008) The relationship between diabetes mellitus and traffic-related air pollution [J]. J Occup Environ Med 50(1):32–38

    Article  CAS  PubMed  Google Scholar 

  67. Kramer U, Herder C, Sugiri D et al (2010) Traffic-related air pollution and incident type 2 diabetes: results from the salia cohort study [J]. Environ Health Perspect 118(9):1273–1279

    Article  PubMed  PubMed Central  Google Scholar 

  68. Pearson JF, Bachireddy C, Shyamprasad S et al (2010) Association between fine particulate matter and diabetes prevalence in the u.S [J]. Diabetes Care 33(10):2196–2201

    Article  PubMed  PubMed Central  Google Scholar 

  69. Dijkema MB, Mallant SF, Gehring U et al (2011) Long-term exposure to traffic-related air pollution and type 2 diabetes prevalence in a cross-sectional screening-study in the Netherlands [J]. Environ Health Global Access Sci Sour 10:76

    CAS  Google Scholar 

  70. Coogan PF, White LF, Jerrett M et al (2012) Air pollution and incidence of hypertension and diabetes mellitus in black women living in los Angeles [J]. Circulation 125(6):767–772

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Andersen ZJ, Raaschou-Nielsen O, Ketzel M et al (2012) Diabetes incidence and long-term exposure to air pollution: a cohort study [J]. Diabetes Care 35(1):92–98

    Article  CAS  PubMed  Google Scholar 

  72. Brook RD, Cakmak S, Turner MC et al (2013) Long-term fine particulate matter exposure and mortality from diabetes in Canada [J]. Diabetes Care 36(10):3313–3320

    Article  PubMed  PubMed Central  Google Scholar 

  73. Dales RE, Cakmak S, Vidal CB et al (2012) Air pollution and hospitalization for acute complications of diabetes in Chile [J]. Environ Int 46:1–5

    Article  CAS  PubMed  Google Scholar 

  74. Eze IC, Schaffner E, Fischer E et al (2014) Long-term air pollution exposure and diabetes in a population-based swiss cohort [J]. Environ Int 70:95–105

    Article  CAS  PubMed  Google Scholar 

  75. Zanobetti A, Luttmann-Gibson H, Horton ES et al (2014) Brachial artery responses to ambient pollution, temperature, and humidity in people with type 2 diabetes: a repeated-measures study [J]. Environ Health Perspect 122(3):242–248

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Robledo CA, Mendola P, Yeung E et al (2015) Preconception and early pregnancy air pollution exposures and risk of gestational diabetes mellitus [J]. Environ Res 137:316–322

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Malmqvist E, Jakobsson K, Tinnerberg H et al (2013) Gestational diabetes and preeclampsia in association with air pollution at levels below current air quality guidelines [J]. Environ Health Perspect 121(4):488–493

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  78. Lin YT, Jung CR, Lee YL et al (2015) Associations between ozone and preterm birth in women who develop gestational diabetes [J]. Am J Epidemiol 181(4):280–287

    Article  PubMed  Google Scholar 

  79. Tamayo T, Rathmann W, Kramer U, et al. (2014) Is particle pollution in outdoor air associated with metabolic control in type 2 diabetes? [J]. PloS One 9(3):e91639

    Google Scholar 

  80. Chuang KJ, Yan YH, Chiu SY et al (2011) Long-term air pollution exposure and risk factors for cardiovascular diseases among the elderly in Taiwan [J]. Occup Environ Med 68(1):64–68

    Article  CAS  PubMed  Google Scholar 

  81. Kim JH, Hong YC (2012) Gstm1, gstt1, and gstp1 polymorphisms and associations between air pollutants and markers of insulin resistance in elderly Koreans [J]. Environ Health Perspect 120(10):1378–1384

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  82. Thiering E, Cyrys J, Kratzsch J et al (2013) Long-term exposure to traffic-related air pollution and insulin resistance in children: results from the giniplus and lisaplus birth cohorts [J]. Diabetologia 56(8):1696–1704

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  83. Collaboration N C D R F (2016) Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants [J]. Lancet 387(10026):1377–1396

    Article  Google Scholar 

  84. Xu Z, Xu X, Zhong M et al (2011) Ambient particulate air pollution induces oxidative stress and alterations of mitochondria and gene expression in brown and white adipose tissues [J]. Part Fibre Toxicol 8:20

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Liu C, Xu X, Bai Y et al (2014) Air pollution-mediated susceptibility to inflammation and insulin resistance: influence of ccr2 pathways in mice [J]. Environ Health Perspect 122(1):17–26

    Article  PubMed  CAS  Google Scholar 

  86. An R, Zhang S, Ji M et al (2018) Impact of ambient air pollution on physical activity among adults: a systematic review and meta-analysis [J]. Perspect Public Health 138(2):111–121

    Article  PubMed  Google Scholar 

  87. Roberts JD, Voss JD, Knight B (2014) The association of ambient air pollution and physical inactivity in the United States [J]. PLoS One 9(3):e90143

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  88. Montane J, Cadavez L, Novials A (2014) Stress and the inflammatory process: a major cause of pancreatic cell death in type 2 diabetes [J]. Diab Metab Syndrome Obes 7:25–34

    CAS  Google Scholar 

  89. Kodavanti UP (2015) Air pollution and insulin resistance: do all roads lead to Rome? [J]. Diabetes 64(3):712–714

    Article  CAS  PubMed  Google Scholar 

  90. Sun Q, Yue P, Deiuliis JA et al (2009) Ambient air pollution exaggerates adipose inflammation and insulin resistance in a mouse model of diet-induced obesity [J]. Circulation 119(4):538–546

    Article  CAS  PubMed  Google Scholar 

  91. Liu C, Fonken LK, Wang A et al (2014) Central ikkbeta inhibition prevents air pollution mediated peripheral inflammation and exaggeration of type ii diabetes [J]. Part Fibre Toxicol 11:53

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  92. Sun Q, Zhang G, Chen R et al (2018) Central ikk2 inhibition ameliorates air pollution-mediated hepatic glucose and lipid metabolism dysfunction in mice with type ii diabetes [J]. Toxicol Sci 164(1):240–249

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Xia, B., Liu, C. (2019). Effects of Air Pollutants Exposure on Cardiopulmonary and Metabolic Diseases. In: Zhang, Y. (eds) Emerging Chemicals and Human Health. Springer, Singapore. https://doi.org/10.1007/978-981-32-9535-3_3

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