Abstract
Using data collected before, during, and after the 2008 Summer Olympic Games in Beijing, this study examines associations between biomarkers of blood coagulation (vWF, sCD62P and sCD40L), pulmonary inflammation (EBC pH, EBC nitrite, and eNO), and systemic oxidative stress (urinary 8-OHdG) with sources of air pollution identified utilizing principal component analysis and with concentrations of three aldehydes of health concern. Associations between the biomarkers and the air pollution source types and aldehydes were examined using a linear mixed effects model, regressing through seven lag days and controlling for ambient temperature, relative humidity, gender, and day of week for the biomarker measurements. The biomarkers for pulmonary inflammation, particularly EBC pH and eNO, were most consistently associated with vehicle and industrial combustion, oil combustion, and vegetative burning. The biomarkers for blood coagulation, particularly vWF and sCD62p, were most consistently associated with oil combustion. Systemic oxidative stress biomarker (8-OHdG) was most consistently associated with vehicle and industrial combustion. The associations of the biomarkers were generally not significant or consistent with secondary formation of pollutants and with the aldehydes. The findings support policies to control anthropogenic pollution sources rather than natural soil or road dust from a cardio-respiratory health standpoint.
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References
Altemose B, Gong J, Kipen H, Meng Q, Robson MG, Zhang J et al. Aldehydes in relation to air pollution sources: a case study around the Beijing Olympics. Atmos Environ 2015; 109: 61–69.
Mar T, Norris G, Koenig J, Larson T . Associations between air pollution and mortality in Phoenix, 1995-1997. Environ Health Perspect 2000; 108: 347–353.
Hedley AJ, Wong CM, Thach TQ, Ma S, Lam TH, Anderson HR . Cardiorespiratory and all-cause mortality after restrictions on sulphur content of fuel in Hong Kong: an intervention study. Lancet 2002; 360: 1646–1652.
Friedman MS, Powell KE, Hutwagner L, Graham LM, Teague WG . Impact of changes in transportation and commuting behaviors during the 1996 Summer Olympic Games in Atlanta on air quality and childhood asthma. JAMA 2001; 285: 897–905.
Heinrich J, Hoelscher B, Wichmann HE . Decline of ambient air pollution and respiratory symptoms in children. Am J Respir Crit Care Med 2000; 161: 1930–1936.
Frye C, Hoelscher B, Cyrys J, Wjst M, Wichmann HE, Heinrich J . Association of lung function with declining ambient air pollution. Environ Health Perspect 2003; 111: 383–387.
Schwartz J . Air pollution and daily mortality in Birmingham, Alabama. Am J Epidemiol 1993; 137: 1136–1146.
Schwartz J . What are people dying of on high air pollution days? Environ Res 1994; 64: 26–35.
Ostro B . Fine particulates air pollution and mortality in two Southern California countries. Environ Res 1995; 70: 98–104.
Wordley J, Walters S, Ayres J . Short term variations in hospital admissions and mortality and particulates air pollution. Occup Environ Med 1997; 54: 108–116.
Zmirou D, Schwartz J, Saez M, Zanobetti A, Wojtyniak B, Touloumi G et al. Time-series analysis of air pollution and cause-specific mortality. Epidemiology 1998; 9: 495–503.
Wellenius GA, Schwartz J, Mittleman MA . Particulate air pollution and hospital admissions for congestive heart failure in seven United States cities. Am J Cardiol 2006; 97: 404–408.
Wellenius GA, Bateson TF, Mittleman MA, Schwartz J . Particulate air pollution and the rate of hospitalization for congestive heart failure among medicare beneficiaries in Pittsburgh, Pennsylvania. Am J Epidemiol 2005a; 161: 1030–1036.
Symons JM, Wang L, Guallar E, Howell E, Dominici F, Schwab M et al. A case-crossover study of fine particulate matter air pollution and onset of congestive heart failure symptom exacerbation leading to hospitalization. Am J Epidemiol 2006; 164: 421–433.
Ballester R, Tenias J, Perez-Hoyos S . Air pollution and emergency hospital admissions for cardiovascular diseases in Valencia, Spain. J Epidemiol Community Health 2001; 55: 57–65.
Metzger KB, Tolbert PE, Klein M, Peel JL, Flanders WD, Todd K et al. Ambient air pollution and cardiovascular emergency department visits. Epidemiology 2004; 15: 46–56.
Moolgavkar SH . Air pollution and hospital admissions for diseases of the circulatory system in three U.S. metropolitan areas. J Air Waste Manag Assoc 2000; 50: 1199–1206.
Linn WS, Szlachcic Y, Gong H, Jr, Kinney PL, Berhane KT . Air pollution and daily hospital admissions in metropolitan Los Angeles. Environ Health Perspect 2000; 108: 427–434.
Tsai SS, Goggins WB, Chiu HF, Yang CY . Evidence for an association between air pollution and daily stroke admissions in Kaohsiung, Taiwan. Stroke 2003; 34: 2612–2616.
Wellenius GA, Schwartz J, Mittleman MA . Air pollution and hospital admissions for ischemic and hemorrhagic stroke among medicare beneficiaries. Stroke 2005; 36: 2549–2553.
Vedal S, Rich K, Brauer M, White R, Petkau J . Air pollution and cardiac arrhythmias in patients with implantable cardioverter defibrillators. Inhal Toxicol 2004; 16: 353–362.
Rich KE, Petkau J, Vedal S, Brauer M . A case-crossover analysis of particulate air pollution and cardiac arrhythmia in patients with implantable cardioverter defibrillators. Inhal Toxicol 2004; 16: 363–372.
Peters A, Liu E, Verrier RL, Schwartz J, Gold DR, Mittleman M et al. Air pollution and incidence of cardiac arrhythmia. Epidemiology 2000; 11: 11–17.
Dockery DW, Luttmann-Gibson H, Rich DQ, Link MS, Mittleman MA, Gold DR et al. Association of air pollution with increased incidence of ventricular tachyarrhythmias recorded by implanted cardioverter defibrillators. Environ Health Perspect 2005; 113: 670–674.
Dockery DW, Luttmann-Gibson H, Rich DQ, Link MS, Schwartz JD, Gold DR et al Particulate air pollution and nonfatal cardiac events. Part II. Association of air pollution with confirmed arrhythmias recorded by implanted defibrillators. Health Effects Institute Research Report 124. Particulate air pollution and nonfatal cardiac events. 2005.
Rich DQ, Schwartz J, Mittleman MA, Link M, Luttmann-Gibson H, Catalano PJ et al. Association of short-term ambient air pollution concentrations and ventricular arrhythmias. Am J Epidemiol 2005; 161: 1123–1132.
Rich DQ, Kim MH, Turner JR, Mittleman MA, Schwartz J, Catalano PJ et al. Association of ventricular arrhythmias detected by implantable cardioverter defibrillator and ambient air pollutants in Saint Louis, Missouri. Occup Environ Med 2006; 63: 591–596.
Sarnat S, Suh H, Coull B, Schwartz J, Stone P, Gold D . Ambient particulate air pollution and cardiac arrhythmia in a panel of older adults in Steubenville, Ohio. Occup Environ Med 2006; 63: 700–706.
Peters A, Dockery DW, Muller JE, Mittleman MA . Increased particulate air pollution and the triggering of myocardial infarction. Circulation 2001; 103: 2810–2815.
D'Ippoliti D, Forastiere F, Ancona C, Agabiti N, Fusco D, Michelozzi P et al. Air pollution and myocardial infarction in Rome: a case-crossover analysis. Epidemiology 2003; 14: 528–535.
Forastiere F, Stafoggia M, Picciotto S, Bellader T, D’Ippoliti D, Lanki T et al. A case-crossover analysis of out-of-hospital coronary deaths and air pollution in Rome, Italy. Am J Respir Crit Care Med 2005; 172: 1549–1555.
Sharovsky R, Cesar LA, Ramires JA . Temperature, air pollution, and mortality from myocardial infarction in Sao Paulo, Brazil. Braz J Med Biol Res 2004; 37: 1651–1657.
Peters A, von Klot S, Heier M, Trentinaglia I, Cyrys J, Hörmann A et al. Particular air pollution and nonfatal cardiac events. Part 1 air pollution, personal activities and onset of myocardial infraction in a case-crossover study. Res Rep Health Eff Inst 2005; 124: 15–82.
Zanobetti A, Schwartz J . The effect of particulate air pollution on emergency admissions for myocardial infarction: a multicity case-crossover analysis. Environ Health Perspect 2005; 113: 978–982.
Rich DQ, Kipen H, Zhang J, Kamat L, Wislon A, Kostis J . Triggering of transmural infarctions, but not nontransmural infarctions, by ambient fine particles. Environ Health Perspect 2010; 118: 1229–1234.
Liao D, Creason J, Shy C, Williams R, Watts R, Zweidinger R . Daily variations of particulate air pollution and poor cardiac autonomic control in the elderly. Environ Health Perspect 1999; 107: 521–525.
Sullivan JH, Schreuder AB, Trenga CA, Liu SL, Larson TV, Koenig JQ et al. Association between short term exposure to fine particulate matter and heart rate variability in older subjects with and without heart disease. Thorax 2005; 60: 462–466.
Creason J, Neas L, Walsh D, Williams R, Sheldon L, Liao D et al. Particulate matter and heart rate variability among elderly retirees: the Baltimore 1998 PM study. J Exp Analysis Environ Epidemiol 2001; 11: 116–122.
Devlin RB, Ghio AJ, Kerhl H, Sanders G, Cascio W . Elderly human exposed to concentrated air pollution particles have decreased heart rate variability. Eur Respir J 2003; 21: 76s–80s.
Holguin F, Tellez-Rojo MM, Hernandez M, Cortez M, Chow JC, Watson JG et al. Air pollution and heart rate variability among the elderly in Mexico City. Epidemiol 2003; 14: 521–527.
Schwartz J, Litonjua A, Suh H, Verrier M, Zanobetti A, Syring M et al. Traffic related pollution and heart rate variability in a panel of elderly subjects. Thorax 2005; 60: 455–461.
Magari SR, Hauser R, Schwartz J, Williams PL, Christiani DC . 2001 Association of heart rate variability with occupational and environmental exposure to particulate air pollution. Mayo Clin Proc 2001; 104: 986–991.
Riediker M, Cascio WE, Griggs TR, Herbst MC, Bromberg PA, Neas L et al. Particulate matter exposure in cars is associated with cardiovascular effects in healthy young men. Am J Res Crit Care Med 2004; 169: 934–940.
Luttmann-Gibson H, Huh HH, Coull BA, Dockery DW, Sarnat SE, Schwartz J et al. Short-term effects of air pollution on heart rate variability in senior adults in Steubenville, Ohio. J Occup Environ Med 2006; 48: 780–788.
Timonen KL, Vanninen E, De Hartog J, Ibald-Mulli A, Brunekreef B, Gold DR et al. Effects of ultrafine and fine particulate and gaseous air pollution on cardiac autonomic control in subjects with coronary artery disease: the ULTRA study. J Exp Sci Environ Epidemiol 2006; 16: 332–341.
Pope CA, III, Verrier RL, Lovett ED, Larson AC, Raizenne ME, Kanner RE et al. Heart rate variability associated with particulate air pollution. Am Heart J 1999; 138: 890–899.
Pope CA, III, Hansen ML, Long RW, Nielsen KR, Eatough NL, Wilson WE et al. Ambient particulate air pollution, heart rate variability, and blood markers of inflammation in a panel of elderly subjects. Environ Health Perspect 2004; 112: 339–345.
Gold DR, Litonjua A, Schwartz J, Lovett E, Larson A, Nearing B et al. Ambient air pollution and heart rate variability. Circulation 2000; 101: 1267–1273.
Seaton A, Soutar A, Crawford V, Elton R, McNerlan S, Cherrie J et al. Particulate air pollution and the blood. Thorax 1999; 54: 1027–1032.
Seaton A, MacNee W, Donaldson K, Godden D . Particulate air pollution and acute health effects. Lancet 1995; 345: 176–178.
Kipen H, Gandhi S, Rich D, Ohman-Strickland P, Laumbach R, Fan Z et al. Acute decreases in proteasome pathway activity after inhalation of fresh diesel exhaust or secondary organic aerosol. Environ Health Perspect 2011; 119: 658–663.
Jacobs L, Emmerechts J, Mathieu C, Hoylaerts MF, Fierens F, Hoet PH et al. Air pollution–related prothrombotic changes in persons with diabetes. Environ Health Perspect 2010; 118: 191–196.
Huang W, Wang G, Lu S, Kipen H, Wang Y, Hu M et al. Inflammatory and oxidative stress responses of health young adults to changes in air quality during the Beijing Olympics. Am J Resp Crit Care Med 2012; 186: 1150–1159.
Barregard L, Sallsten G, Gustafson P, Andersson L, Johansson L, Stigendal L et al. Experimental exposure to wood-smoke particles in healthy humans: effects on markers of inflammation, coagulation, and lipid peroxidation. Inhal Toxicol 2006; 18: 845–853.
Mills NL, Tomqvist H, Gonzalez MC, Vink E, Robinson SD, Soderberg S et al. Ischemic and thrombotic effects of dilute diesel-exhaust inhalation in men with coronary heart disease. N Engl J Med 2007; 357: 1075–1082.
Demirbag R, Yilmaz R, Erel O, Gultekin U, Asci D, Elbasan Z . The relationship between potency of oxidative stress and severity of dilated cardiomyopathy. Can J Cardiol 2005; 21: 851–855.
Vassalle C, Petrozzi L, Botto N, Andreassi MG, Zucchelli GC . Oxidative stress and its association with coronary artery disease and different atherogenic risk factors. J Intern Med 2004; 256: 308–315.
Botto N, Masetti S, Petrozzi L, Vassalle C, Manfredi S, Andreassi M et al. Elevated levels of oxidative DNA damage in patients with coronary artery disease. Coron Artery Dis 2002; 13: 269–274.
Rich DQ, Kipen HM, Huang W, Wang G, Wang Y, Zhu P et al. Association between changes in air pollution levels during the Beijing Olympics and biomarkers of inflammation and thrombosis in healthy young adults. JAMA 2012; 307: 2068–2078.
Gong J, Zhu T, Kipen H, Wang G, Hu M, Ohman-Strickland P et al. Malondialdehyde in exhaled breath condensate and urine as a biomarker of air pollution induced oxidative stress. J Expos Sci Environ Epidemiol 2013; 23: 322–327.
Zhang J, Zhu T, Kipen H, Wang G, Huang W, Rich D et al. Cardiorespiratory biomarker responses in healthy young adults to drastic air quality changes surrounding the 2008 Beijing Olympics. Res Rep Health Eff Inst 2013; 174: 5–174.
Huang W, Wang G, Lu SE, Kipen H, Wang Y, Hu M et al. Inflammatory and oxidative stress responses of healthy young adults to changes in air quality during the Beijing Olympics. Am J Respir Crit Care Med 2012; 186: 1150–1159.
Paget-Brown AO, Ngamtrakulpanit L, Smith A, Bunyan D, Hom S, Nguyen A et al. Normative data for pH exhaled breath condensate. Chest 2006; 129: 426–430.
Acknowledgements
We thank the HEART study team for their effort in sample and data collection and previous data analyses. The HEART study was originally funded in part by a grant from HEI (#4760-RPFA05-3) and a grant from NIEHS (#1R01 ES0158640), as well NIEHS P30 Center Grant ES005022. Dr. Zhu was partly funded by Beijing EPA (OITC-G08026056). However, the opinions expressed in this manuscript are solely of the authors and do not necessarily reflects those of the funding agencies.
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Altemose, B., Robson, M., Kipen, H. et al. Association of air pollution sources and aldehydes with biomarkers of blood coagulation, pulmonary inflammation, and systemic oxidative stress. J Expo Sci Environ Epidemiol 27, 244–250 (2017). https://doi.org/10.1038/jes.2016.38
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DOI: https://doi.org/10.1038/jes.2016.38
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