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大气颗粒物粒径分组对心肺系统的比较影响

Comparative cardiopulmonary effects of size-fractionated airborne particulate matter.

机构信息

Division of Occupational and Environmental Health, Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.

出版信息

Inhal Toxicol. 2012 Feb;24(3):161-71. doi: 10.3109/08958378.2011.650235. Epub 2012 Feb 23.

Abstract

CONTEXT

Strong epidemiological evidence exists linking particulate matter (PM) exposures with hospital admissions of individuals for cardiopulmonary symptoms. The PM size is important in influencing the extent of infiltration into the respiratory tract and systemic circulation and directs the differential physiological impacts.

OBJECTIVE

To investigate the differential effects of the quasi-ultrafine (PM(0.2)), fine (PM(0.15-2.5)), and coarse PM (PM(2.5-10)) size fractions on pulmonary and cardiac function.

METHODS

Female BALB/c mice were exposed to HEPA-filtered laboratory air or concentrated coarse, fine, or quasi-ultrafine PM using Harvard Ambient Particle Concentrators in conjunction with our nose-only exposure system. These exposures were conducted as part of the "Health Effects of Aerosols in Toronto (HEAT)" campaign. Following a 4 h exposure, mice underwent assessment of respiratory function and recording of electrocardiograms using the flexiVent® system.

RESULTS

Exposure to coarse and fine PM resulted in a significant reduction in quasistatic compliance of the lung. Baseline total respiratory resistance and maximum responsiveness to methacholine were augmented after coarse PM exposures but were not affected by quasi-ultrafine PM exposures. In contrast, quasi-ultrafine PM alone had a significant effect on heart rate and in reducing heart rate variability.

CONCLUSION

These findings indicate that coarse and fine PM influence lung function and airways responsiveness, while ultrafine PM can perturb cardiac function. This study supports the hypothesis that coarse and fine PM exerts its predominant physiologic effects at the site of deposition in the airways, whereas ultrafine PM likely crosses the alveolar epithelial barrier into the systemic circulation to affect cardiovascular function.

摘要

背景

大量流行病学证据表明,颗粒物(PM)暴露与心肺症状患者的住院治疗有关。PM 粒径在影响其向呼吸道和全身循环的渗透程度方面起着重要作用,并决定了不同的生理影响。

目的

研究准超细(PM(0.2))、细(PM(0.15-2.5))和粗 PM(PM(2.5-10))粒径分数对肺和心脏功能的差异影响。

方法

雌性 BALB/c 小鼠使用 Harvard 环境粒子浓缩器结合我们的鼻腔暴露系统,暴露于 HEPA 过滤的实验室空气或浓缩的粗、细或准超细 PM 中。这些暴露是“多伦多气溶胶健康影响(HEAT)”运动的一部分。暴露 4 小时后,使用 flexiVent®系统评估小鼠的呼吸功能并记录心电图。

结果

暴露于粗和细 PM 会导致肺的准静态顺应性显著降低。粗 PM 暴露后,总呼吸阻力和对乙酰甲胆碱的最大反应性显著增加,但准超细 PM 暴露不受影响。相比之下,仅准超细 PM 就对心率和降低心率变异性有显著影响。

结论

这些发现表明,粗和细 PM 影响肺功能和气道反应性,而超细 PM 可能会干扰心脏功能。本研究支持以下假设,即粗和细 PM 在气道沉积部位发挥其主要生理作用,而超细 PM 可能穿过肺泡上皮屏障进入全身循环,从而影响心血管功能。

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