Ambient Air Pollution and Daily Pediatric Hospitalizations for Asthma (5 pp)

Background, Aim and Scope A series of severe air pollution episodes in Europe and North America prior to 1960 have focused scientific and regulatory attention on the adverse effects of air pollution on human health. As a consequence of significant reductions in ambient air pollution levels in the intervening years, scientists and public health officials have become more concerned with the potential health effects of exposure to routine concentrations of air pollution. Several recent time series studies conducted world-wide have found relatively low levels of air pollutants that are below national standards were associated with adverse effects on mortality and morbidity. This study examined the effects of ambient air pollution indicators on the daily rate of pediatric hospital admissions for asthma in the Oklahoma City Metropolitan area from 2001-2003. Results: Negative binomial regression analysis revealed significant relationships between the total number of hospitalizations per day and the one-hour maximum NO2 level, the proportion of susceptible children < 5 years old, and the ratio of temperature to humidity. Discussion: This study of the total number of children aged ≤ 14 years old experiencing hospitalizations on a daily basis in the Oklahoma City area from 2001-2003 underscores factors other than ambient air pollution, especially when concentrations are low, affect hospitalizations for pediatric asthma. For example, information related to indoor air quality, health care, family history, and exposure to environmental tobacco smoke and other irritants are not obtainable. Yet, those factors are risk drivers for asthma. Similarly, health privacy requirements prevented obtaining data on physiological factors specific to each child such as differentials in airways functional capacity or other impairments influenced asthma exacerbation. This makes calculating relative risk inappropriate. Conclusions: Although ambient air pollution concentrations and meteorological conditions influence pediatric asthma hospitalizations, they are not the major predictors in the Oklahoma City metropolitan area. This is consistent with other research that finds limited effects associated with low levels for concentrations of the criteria pollutants.     

The effect of outdoor air pollutants and greenness on allergic rhinitis incidence rates: a cross-sectional study in Seoul,Korea

Air pollution poses a serious threat to human health in Asia. This study analyzes the association of air pollutants and greenness with incidence rates of allergic rhinitis in Seoul at the administrative district level to gain insight into district-level urban policies to improve public health. A spatial regression model is constructed to investigate the correlation between allergic rhinitis incidence rates and five air pollutants measured at 128 air pollution monitoring stations around Seoul: sulfur dioxide (SO₂), particulate matter less than 10 μm (PM₁₀), ozone (O₃), nitrogen dioxide (NO₂), and carbon monoxide (CO). The allergic rhinitis incidence data are derived from the National Health Insurance Service’s database that includes the number of allergic rhinitis-related clinic visits by the patients over 20 years of age and living in Seoul. A kriging geostatistical interpolation was used to estimate average air pollution level of 423 administrative districts. To assess pollen concentrations that can affect allergic rhinitis, the average normalized difference vegetation index (NDVI) is measured based on the urban greenness. The model, controlling for built environment and socio-economic attributes, identifies the possibility of a weak association between allergic rhinitis incidence rates and carbon monoxide levels. The NDVI value is negatively correlated with allergic rhinitis incidence rates, implying a complicated aspect in relation to the effect of urban greenness.     

全氟辛烷磺酸对哮喘小鼠炎症反应的影响

探讨全氟辛烷磺酸(perfluorooctane sulfonate,PFOS)暴露对哮喘小鼠Th1/Th2炎症反应的影响。选择36只雄性C57BL/6J小鼠,随机分为6组:对照组、卵清蛋白(ovalbumin,OVA)单独致敏组、PFOS染毒组(0.1、1、5、10 mg·kg~(-1)·d~(-1) PFOS+OVA致敏),每组6只。染毒和诱发哮喘后第26天收集肺泡灌洗液(BALF)进行有核细胞总数和嗜酸性粒细胞计数;用Luminex技术测定BALF中细胞因子白细胞介素-5(interleukin-5,IL-5)、白细胞介素-4(interleukin-4,IL-4)和γ干扰素(interferon-γ,IFN-γ)水平;肺组织切片染色观察其病理变化。随PFOS暴露浓度的增加,嗜酸粒细胞总数呈上升趋势(P0.05),IL-5/IFN-γ比值增加(P0.05);其中10 mg·kg~(-1)·d-1PFOS+OVA组BALF中的白细胞总数显著高于OVA单独组(P0.05),IL-4水平及IL-4/IFN-γ比值显著高于OVA单独组(P0.05),且与单独OVA组相比小鼠气道粘膜及粘膜下层厚度更厚,炎症细胞浸润更明显,PAS染色阳性的气道上皮细胞明显更高。PFOS能加重哮喘小鼠肺部的炎症反应并诱导Th2型细胞因子的表达。     

Effects of Combined Exposure to Formaldehyde and PM2.5 on the Brain of Balb/c Mice Asthma Model

Epidemiological studies have shown that there is a link between asthma and brain damage,but toxicological studies have not fully confirmed yet,especially the effects of asthma on the brain. In this study,at first,we explore the effects of asthma on the brain through the establishment of an allergic asthma model. Then PM_(2.5),a typical outdoor air pollutant and formaldehyde,a typical indoor air pollutant were selected to be closer to the true environment and find whether there is any synergism between them. In this study,an ovalbumin( OVA)-sensitized mice asthma model was established. 30 male Balb/c mice were randomly divided into 5 groups:( 1) saline control group,( 2) OVA-sensitized group,( 3) OVA-combined with formaldehyde exposure group,( 4) OVA-combined with PM_(2.5) exposure group,( 5) Combination of OVA,formaldehyde and PM_(2.5) exposure group. The mice were inhaled with formaldehyde or/and instilled with PM_(2.5) from day 1 to 18. The mice asthma model was developed by OVA sensitization and challenge. The mice were sensitized with OVA+Al( OH)3( 5 mg OVA and 175 mg Al( OH)3 in 30 m L saline each time) or saline( 30 m L saline each time) by intraperitoneal injection on day 1,7 and 14.This was then followed by an aerosol challenge in 1% OVA( 30 min·d~(-1)) from day 19 to 25( 7 times) using an ultrasonic nebulizer. On the 26 th day,the organ coefficient of mice brain was counted,then the contents of oxidative stress of mice brain were measured,including reactive oxygen species( ROS),glutathione( GSH) and malondialdehyde( MDA),and the concentrations of NF-κB and interleukin-1β( IL-1β) were detected by using ELISA kits.Detection of interleukin-6( IL-6) was made with immunohistochemical method. Histological assay for brain was also conducted. In our results,all the OVA treated groups showed a significant increase of ROS and a significant decrease of GSH contents when compared with the control group. Except OVA-sensitized group,other OVA treated groups also showed a significant increase of MDA contents when compared with the control group,and MDA contents of OVA-sensitized group showed significant change when compared to the combined exposure group. In ROS and GSH,combined exposure showed some joint effect compared with single exposure. When OVA was applied in combination with formaldehyde and PM_(2.5),NF-κB was activated. And all the OVA treated groups showed increased levels of IL-1β and IL-6 compared with the control group. And the combined exposure showed an aggravated effect when compared with OVA-sensitized group. Histopathological observation of the hippocampus in mice brain clearly showed the difference of eosin( EO) stained neurons in the combined exposure group compared with the control group and OVA-sensitized group. The pyramidal neurons of the mice with allergic asthma exposed to formaldehyde and/or PM_(2.5) had been reduced in number,the cells were swollen and the dendrites had disappeared. Allergic asthma can cause damage to the brain through oxidative stress. Exposure to formaldehyde and PM_(2.5) will increase the damage caused by allergic asthma to the brain,which may be mediated by oxidative stress and NF-κB activation.This promotes the release of the inflammatory factors,resulting in increased inflammation.