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气候变化和沙尘暴时代的肺部健康。

Lung health in era of climate change and dust storms.

机构信息

Division of Pulmonary and Critical Care, University of Miami, Miami, FL, United States.

Department of Medicine, University of Medicine, Miami, FL, United States.

出版信息

Environ Res. 2018 May;163:36-42. doi: 10.1016/j.envres.2018.02.001. Epub 2018 Feb 6.

Abstract

Dust storms are strong winds which lead to particle exposure over extensive areas. These storms influence air quality on both a local and global scale which lead to both short and long-term effects. The frequency of dust storms has been on the rise during the last decade. Forecasts suggest that their incidence will increase as a response to the effects of climate change and anthropogenic activities. Elderly people, young children, and individuals with chronic cardiopulmonary diseases are at the greatest risk for health effects of dust storms. A wide variety of infectious and non-infectious diseases have been associated with dust exposure. Influenza A virus, pulmonary coccidioidomycosis, bacterial pneumonia, and meningococcal meningitis are a few examples of dust-related infectious diseases. Among non-infectious diseases, chronic obstructive pulmonary disease, asthma, sarcoidosis and pulmonary fibrosis have been associated with dust contact. Here, we review two molecular mechanisms of dust induced lung disease for asthma and sarcoidosis. We can also then further understand the mechanisms by which dust particles disturb airway epithelial and immune cells.

摘要

沙尘暴是导致粒子暴露在广阔区域的强风。这些风暴影响着局部和全球范围内的空气质量,导致短期和长期的影响。在过去十年中,沙尘暴的频率一直在上升。预测表明,随着气候变化和人为活动的影响,其发生率将会增加。老年人、幼儿和患有慢性心肺疾病的人患沙尘暴健康影响的风险最大。各种各样的传染病和非传染性疾病都与灰尘暴露有关。甲型流感病毒、肺球孢子菌病、细菌性肺炎和脑膜炎球菌性脑膜炎就是与灰尘有关的传染病的几个例子。在非传染性疾病中,慢性阻塞性肺疾病、哮喘、结节病和肺纤维化都与灰尘接触有关。在这里,我们回顾了哮喘和结节病两种由灰尘引起的肺病的分子机制。我们也可以进一步了解灰尘颗粒干扰气道上皮细胞和免疫细胞的机制。

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