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Review Article

Health effects of concentrated ambient air particulate matter (CAPs) and its components

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Pages 865-913 | Received 20 Apr 2009, Accepted 31 Aug 2009, Published online: 28 Oct 2009
 

Abstract

We review literature that provides insights on health-related effects observed in laboratory-based inhalation studies in humans and laboratory animals using concentrated ambient air particulate matter (CAPs) in the fine, thoracic coarse, and ultrafine size ranges. The CAPs studies are highly informative on the health effects of ambient air particulate matter (PM) because they represent realistic PM exposure mixtures. When PM components are also analyzed and regressed against the effects, they can sometimes be used to identify influential individual components or source-related mixtures responsible for the effects. Such CAPs inhalation studies are analogous to epidemiological studies of human populations for which both health-related effects were observed and PM composition data were available for multi-pollutant regression analyses or source apportionment. Various acute and chronic health-related effects have occurred in short- and long-term CAPs inhalation studies in the cardiovascular, nervous, hepatic, and pulmonary systems, as well as changes in markers of the metabolic syndrome, and many correspond to effects associated with ambient air PM exposures in epidemiological studies. In addition, many CAPs studies have been conducted in coordination with in vitro studies that have identified biomarkers indicative of the underlying biological mechanisms that account for the responses.

Acknowledgments

The extensive literature summarized in this critical review includes a considerable number of papers that were described previously in a review of metal toxicology in Inhalation Toxicology (CitationChen & Lippmann, 2009), as well as descriptive material on a 2004 CAPs Workshop (Lippmann et al., 2005). We also acknowledge the presubmission review comments and suggestions made by our friends and colleagues: John Bachmann, William F. McDonnell Jr., and Terry Gordon.

Declaration of interest: The authors acknowledge the support they received from a Center Grant (ES 00260) from the National Institute of Environmental Health Sciences (NIEHS), a research grant from NIEHS (R01 ES015495), and a research grant from the Health Effects Institute. One of the authors, M.L., is currently serving on a US EPA Clean Air Scientific Advisory Committee Panel on Particulate Matter that is reviewing the science, including research findings on CAPs, under-girding potential revision of the National Ambient Air Quality Standards for Particulate Matter. The authors prepared this review during the normal course of their emplyment as noted on the cover page, and have sole responsibility for the writing and content of the paper.

Glossary
8-oxodG=

8-hydropxydeoxyguanosine

A-II=

angiotensin II

ABS=

absorbance (of light by BC on a sampling filter)

AHR=

airway hyperresponsiveness

ApoE−/−=

apolipoprotein A deficient (knockout) mouse

BAD=

brachial artery diameter

BAL=

bronchoalveolar lavage

BALF=

bronchoalveolar lavage fluid

BC=

black carbon, a.k.a. soot, measured as light absorbance by, or reflectance of, a sampling filter

BP=

blood pressure

Br=

bromine

CA=

California

CAPs=

concentrated ambient air particles/concentrated ambient air particulate matter

Cd=

cadmium

CDP=

concentrated diesel particles

CFA=

coal fly ash

CHD=

coronary heart disease

CI=

confidence interval

CO=

carbon monoxide

COPD=

chronic obstructive pulmonary disease

CPZ=

capsazepine

Cr=

chromium

CRP=

C-reactive protein

Cu=

copper

CYP=

cytochrome P450 isoenzyme

DEG=

Diesel exhaust gases

DEP=

Diesel exhaust particles

EC=

elemental carbon

ECG=

electrocardiogram or electrocardiographic

ED=

emergency department

eNO=

exhaled nitric oxide

eNOS=

endothelial nitric oxide synthase

EPA=

Environmental Protection Agency

EST=

environmental tobacco smoke

ET-A=

endothelin A

FA=

filtered air

Fe=

iron

FEV1=

forced expiratory volume in 1 s

FMD=

flow-mediated dilatation

FVC=

forced vital capacity

GFAP=

glial fibrillary acidic protein

GPx-1=

glutathione peroxidase 1

HDL=

high-density lipoprotein

HEI=

Health Effects Institute

HO-1=

heme oxygenase-1

HR=

heart rate

HRV=

heart rate variability

HSPH=

Harvard School of Public Health

IgE=

immunoglobulin E

IgG1=

immunoglobulin G1

IL-1=

interleuken-1

IL-13=

interleuken-13 is a cytokine secreted by many cell types, but especially T-helper type 2 (Th2) cells[1], that is an important mediator of allergic inflammation and disease.

IL-5=

interleuken-5

IL-6=

interleuken-6 is an interleukin that acts as both a proinflammatory and anti-inflammatory cytokine. It is secreted by T cells and macrophages to stimulate immune response to trauma, especially burns or other tissue damage leading to inflammation.

IL-8=

interleuken-8 is a chemokine (ability to induce directed chemotaxis in nearby responsive cells) produced by macrophages and other cell types such as epithelial cells.

iNOS=

inducible nitric oxide synthase

IT=

intratracheal

JNK=

c-Jun amino-terminal kinase

K=

potassium

LDH=

lactate dehydrogenase

LYM=

lymphocyte

MA=

Massachusetts

MCT=

monocrotaline

MEF=

mid-expiratory flow rate

MESA=

Multi-Ethnic Study of Atherosclerosis

MI=

myocardial infarction

MMAD=

mass median aerodynamic diameter

mRNA=

messenger RNA

MS=

metabolic syndrome

NAC=

N-Acetylcystine

NADPH=

nicotinamide adenine dinucleotide phosphate

NAFLD=

nonalcoholic fatty liver disease

NC=

North Carolina

NF-κB=

nuclear factor kappa B

NHANES III=

Third National Health and Nutritional Examination Survey

Ni=

nickel

NIST=

National Institute of Science and Technology

NMD=

nitroglycerin-mediated dilatation

NMMAPS=

National Morbidity and Mortality Air Pollution Study

NO2=

nitric dioxide

NY=

New York

NYC=

New York City

NYU=

New York University

O3=

ozone

OC=

organic carbon

OVA=

ovalbumin

P450 1B1=

cytochrome P4501B1 isoenzyme

PAH=

polynuclear aromatic hydrocarbon

PC=

total particle counts

Pdur=

P duration, time interval between the beginning and the end of the P-wave

PEF=

peak expiratory flow rate

PM=

particulate matter

PM0.18=

PM with diameters <0.18 μm, a practical pseudo-ultrafine aerosol

PM10=

PM with aerodynamic diameters <10 μm

PM10-2.5=

PM with aerodynamic diameters between 2.5 and 10 μm, a.k.a. coarse thoracic PM

PM2.5=

PM with aerodynamic diameters <2.5 μm, a.k.a. fine PM

PMN=

polymorphonuclear leukocyte, neutrophil

PON-1=

paraoxonase-1

PP=

pulse pressure

PPAR-γ=

peroxisome proliferator-activated receptor gamma

ppb=

parts per billion

Pt=

platinum

QT interval=

interval between Q- and T-waves of a normal ECG tracing

R-R interval=

interval between two adjacent R waves of a normal ECG tracing

RBC=

red blood cell

RMSSD=

root mean square of the standard deviation of normal to normal beat

ROFA=

residual oil fly ash

ROS=

reactive oxygen species

RR=

relative risk

RTP=

Research Triangle Park

RTp=

time interval between the peak of the R-wave and the peak of the T-wave

SBP=

systolic blood pressure

SD=

Sprague-Dawley (rat)

SDNN=

standard deviation of normal to normal beat

SEARCH=

Southeastern Aerosol Research and Characterization

SH=

spontaneously hypertensive (rat)

SHR=

spontaneously hypertensive rat

SO2=

sulfur dioxide

SO42−=

sulfate ion

SOA=

secondary organic aerosol

SOD=

superoxide dismutase

SRM=

Standard Reference Material

SS=

sidestream smoke

ST segment=

in ECG tracing, ST segment starts at the J point (junction between the QRS complex and ST segment) and ends at the beginning of the T-wave

T-wave=

T-wave of ECG tracing. It connects the QRS complex and the T-wave.

TBARS=

thiobarbituric reactive substances

TF=

tissue factor

TNF=

tumor necrosis factor

Tpe=

time interval between the peak of the T-wave and the end of the T-wave

TSP=

total suspended particles

UBM=

ultrasound biomicroscopy

μCB=

ultrafine carbon black

UFP=

ultrafine particles, usually defined as PM with diameters <0.1 μm

UPR=

unfolded protein response

USC=

University of Southern California

V=

vanadium

vWF=

von Willebrand factor

WBC=

white blood cell

WDE=

whole diesel exhaust

WKY=

Wistar-Kyoto (rat), usually used as control for the SHR

XRF=

x-ray fluorescence

Zn=

zinc

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