Composition of PM Affects Acute Vascular Inflammatory and Coagulative Markers - The RAPTES Project

Maciej Strak, Gerard Hoek, Krystal J. Godri, Ilse Gosens, Ian S. Mudway, Rene van Oerle, Henri M. H. Spronk, Flemming R. Cassee, Erik Lebret, Frank J. Kelly, Roy M. Harrison, Bert Brunekreef, Maaike Steenhof, Nicole A. H. Janssen*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

56 Citations (Scopus)

Abstract

Background: Exposure to ambient particulate matter (PM) has been associated with adverse cardiovascular effects in epidemiological studies. Current knowledge of independent effects of individual PM characteristics remains limited.

Methods: Using a semi-experimental design we investigated which PM characteristics were consistently associated with blood biomarkers believed to be predictive of the risk of cardiovascular events. We exposed healthy adult volunteers at 5 different locations chosen to provide PM exposure contrasts with reduced correlations among PM characteristics. Each of the 31 volunteers was exposed for 5 h, exercising intermittently, 3-7 times at different sites from March to October 2009. Extensive on-site exposure characterization included measurements of PM mass and number concentration, elemental-(EC) and organic carbon (OC), trace metals, sulfate, nitrate, and PM oxidative potential (OP). Before and 2 h and 18 h after exposure we measured acute vascular blood biomarkers - C-reactive protein, fibrinogen, platelet counts, von Willebrand Factor, and tissue plasminogen activator/plasminogen activator inhibitor-1 complex. We used two-pollutant models to assess which PM characteristics were most consistently associated with the measured biomarkers.

Results and Conclusion: We found OC, nitrate and sulfate to be most consistently associated with different biomarkers of acute cardiovascular risk. Associations with PM mass concentrations and OP were less consistent, whereas other measured components of the air pollution mixture, including PNC, EC, trace metals and NO2, were not associated with the biomarkers after adjusting for other pollutants.

Original languageEnglish
Article number58944
Number of pages11
JournalPL o S One
Volume8
Issue number3
DOIs
Publication statusPublished - 13 Mar 2013

Keywords

  • TERM EXPOSURE
  • AMERICAN-HEART-ASSOCIATION
  • HEALTHY-VOLUNTEERS
  • PARTICLES
  • COMPONENTS
  • MORTALITY
  • CARDIOVASCULAR-DISEASE
  • DIESEL EXHAUST
  • AIR-POLLUTION
  • AIRBORNE PARTICULATE MATTER

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