Kobos Lisa, Shannahan Jonathan
School of Health Sciences, College of Human and Health Sciences, Purdue University, West Lafayette, IN 47907, USA.
Exp Biol Med (Maywood). 2021 Apr;246(7):822-834. doi: 10.1177/1535370220983275. Epub 2021 Jan 19.
Particulate matter is a significant public health issue in the United States and globally. Inhalation of particulate matter is associated with a number of systemic and organ-specific adverse health outcomes, with the pulmonary and cardiovascular systems being particularly vulnerable. Certain subpopulations are well-recognized as being more susceptible to inhalation exposures, such as the elderly and those with pre-existing respiratory disease. Metabolic syndrome is becoming increasingly prevalent in our society and has known adverse effects on the heart, lungs, and vascular systems. The limited evaluations of individuals with metabolic syndromehave demonstrated that theymay compose a sensitive subpopulation to particulate exposures. However, the toxicological mechanisms responsible for this increased vulnerability are not fully understood. This review evaluates the currently available literature regarding how the response of an individual's pulmonary and cardiovascular systems is influenced by metabolic syndrome and metabolic syndrome-associated conditions such as hypertension, dyslipidemia, and diabetes. Further, we will discuss potential therapeutic agents and targets for the alleviation and treatment of particulate-matter induced metabolic illness. The information reviewed here may contribute to the understanding of metabolic illness as a risk factor for particulate matter exposure and further the development of therapeutic approaches to treat vulnerable subpopulations, such as those with metabolic diseases.
颗粒物在美国乃至全球都是一个重大的公共卫生问题。吸入颗粒物与一系列全身性和特定器官的不良健康后果相关,其中肺部和心血管系统尤为脆弱。某些亚人群被公认为更容易受到吸入暴露的影响,例如老年人和患有既往呼吸系统疾病的人。代谢综合征在我们的社会中越来越普遍,并且已知会对心脏、肺部和血管系统产生不良影响。对患有代谢综合征的个体的有限评估表明,他们可能构成对颗粒物暴露敏感的亚人群。然而,导致这种易感性增加的毒理学机制尚未完全了解。本综述评估了目前关于代谢综合征以及与代谢综合征相关的疾病(如高血压、血脂异常和糖尿病)如何影响个体的肺部和心血管系统反应的现有文献。此外,我们将讨论用于缓解和治疗颗粒物诱发的代谢性疾病的潜在治疗药物和靶点。此处综述的信息可能有助于理解代谢性疾病作为颗粒物暴露的风险因素,并进一步推动针对诸如患有代谢性疾病的脆弱亚人群的治疗方法的发展。