Pompeu Fabra University, Barcelona, Catalonia, Spain.
MRI Research Unit, Department of Radiology, Hospital del Mar, Barcelona, Spain.
Curr Environ Health Rep. 2018 Sep;5(3):351-364. doi: 10.1007/s40572-018-0209-9.
An emerging body of evidence has raised concern regarding the potentially harmful effects of inhaled pollutants on the central nervous system during the last decade. In the general population, traffic-related air pollution (TRAP) exposure has been associated with adverse effects on cognitive, behavior, and psychomotor development in children, and with cognitive decline and higher risk of dementia in the elderly. Recently, studies have interfaced environmental epidemiology with magnetic resonance imaging to investigate in vivo the effects of TRAP on the human brain. The aim of this systematic review was to describe and synthesize the findings from these studies. The bibliographic search was carried out in PubMed with ad hoc keywords.
The selected studies revealed that cerebral white matter, cortical gray matter, and basal ganglia might be the targets of TRAP. The detected brain damages could be involved in cognition changes. The effect of TRAP on cognition appears to be biologically plausible. Interfacing environmental epidemiology and neuroimaging is an emerging field with room for improvement. Future studies, together with inputs from experimental findings, should provide more relevant and detailed knowledge about the nature of the relationship between TRAP exposure and cognitive, behavior, and psychomotor disorders observed in the general population.
目的综述:在过去十年中,越来越多的证据表明吸入污染物对中枢神经系统可能产生有害影响,引起了人们的关注。在一般人群中,与交通相关的空气污染(TRAP)暴露与儿童认知、行为和运动发育的不良影响以及老年人认知能力下降和痴呆风险增加有关。最近,研究将环境流行病学与磁共振成像相结合,研究 TRAP 对人类大脑的体内影响。本系统综述的目的是描述和综合这些研究的结果。使用特定的关键词在 PubMed 中进行了文献检索。
最近的发现:所选研究表明,脑白质、皮质灰质和基底节可能是 TRAP 的靶点。检测到的脑损伤可能与认知变化有关。TRAP 对认知的影响似乎具有生物学合理性。将环境流行病学与神经影像学相结合是一个新兴领域,还有改进的空间。未来的研究以及实验结果的投入,应该为 TRAP 暴露与一般人群中观察到的认知、行为和运动障碍之间的关系的性质提供更相关和更详细的知识。