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空气污染物对呼吸道病毒感染的传播和严重程度的影响。

Effects of air pollutants on the transmission and severity of respiratory viral infections.

机构信息

Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorens 21, 43201, Reus, Catalonia, Spain.

Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorens 21, 43201, Reus, Catalonia, Spain; Departament d'Enginyeria Química, Universitat Rovira i Virgili, Avd. Països Catalans 26, 43007, Tarragona, Catalonia, Spain.

出版信息

Environ Res. 2020 Aug;187:109650. doi: 10.1016/j.envres.2020.109650. Epub 2020 May 11.

Abstract

Particulate matter, sulfur dioxide, nitrogen oxides, ozone, carbon monoxide, volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs) are among the outdoor air pollutants that are major factors in diseases, causing especially adverse respiratory effects in humans. On the other hand, the role of respiratory viruses in the pathogenesis of severe respiratory infections is an issue of great importance. The present literature review was aimed at assessing the potential effects of air pollutants on the transmission and severity of respiratory viral infections. We have reviewed the scientific literature regarding the association of outdoor air pollution and respiratory viruses on respiratory diseases. Evidence supports a clear association between air concentrations of some pollutants and human respiratory viruses interacting to adversely affect the respiratory system. Given the undoubted importance and topicality of the subject, we have paid special attention to the association between air pollutants and the transmission and severity of the effects caused by the coronavirus named SARS-CoV-2, which causes the COVID-19. Although to date, and by obvious reasons, the number of studies on this issue are still scarce, most results indicate that chronic exposure to air pollutants delays/complicates recovery of patients of COVID-19 and leads to more severe and lethal forms of this disease. This deserves immediate and in-depth experimental investigations.

摘要

颗粒物、二氧化硫、氮氧化物、臭氧、一氧化碳、挥发性有机化合物(VOCs)和多环芳烃(PAHs)是主要致病因素的室外空气污染物之一,尤其会对人类的呼吸产生不良影响。另一方面,呼吸道病毒在严重呼吸道感染发病机制中的作用是一个非常重要的问题。本文献综述旨在评估空气污染物对呼吸道病毒传播和严重程度的潜在影响。我们回顾了关于室外空气污染和呼吸道病毒与呼吸道疾病关系的科学文献。有证据表明,一些污染物的空气浓度与人类呼吸道病毒之间存在明显的关联,它们相互作用对呼吸系统产生不利影响。鉴于该主题的重要性和时效性,我们特别关注了空气污染物与冠状病毒 SARS-CoV-2 传播和作用严重程度之间的关联,SARS-CoV-2 引发了 COVID-19。尽管到目前为止,由于明显的原因,关于这个问题的研究数量仍然很少,但大多数结果表明,慢性暴露于空气污染物会使 COVID-19 患者的康复延迟/复杂化,并导致这种疾病更严重和致命的形式。这值得立即进行深入的实验研究。

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