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健康成年人个人暴露于细颗粒物对唾液和尿液中炎症及氧化应激生物标志物的急性影响。

Acute effects of personal exposure to fine particulate matter on salivary and urinary biomarkers of inflammation and oxidative stress in healthy adults.

作者信息

Zhu Xinlei, Chen Chen, Zhang Bo, Ge Yihui, Wang Weidong, Cai Jing, Kan Haidong

机构信息

School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, 200032, China.

Shanghai Huangpu Center for Disease Prevention and Control, Shanghai, 200001, China.

出版信息

Chemosphere. 2021 Jun;272:129906. doi: 10.1016/j.chemosphere.2021.129906. Epub 2021 Feb 8.

Abstract

Non-invasive bio-samples, such as saliva and urine, are promising tools for assessment of inflammation and oxidative stress biomarkers. Few studies have investigated potential responses of those biomarkers towards short-term PM exposure. We conducted a longitudinal study with 4 repeated examinations among 40 healthy, nonsmoking adults in Shanghai, China. Personal samplings were performed for PM exposure assessment. Then, five biomarkers, including C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), alpha-1 antitrypsin (A1AT) in saliva and 8-Iso-Prostaglanding F (8-iso-PGF), total antioxidant capacity (TAC) in urine, were measured. We fitted linear mixed-effect models to evaluate short-term effect of personal PM exposure on salivary and urinary biomarkers, adjusting for potential confounders of meteorology, sociodemographic characteristics and biomarker detection. We also explored sensitive time windows of exposure for different biomarkers. We found robust associations of salivary CRP, TNF-α, and urinary 8-iso-PGF with PM exposure, and responses of salivary inflammatory markers occurred more acutely than urinary oxidative stress markers. For instance, a 10 μg/m increase in PM was associated with an elevation of 5.49% (95% CI: 1.17%, 9.99%) in CRP and 7.05% (95% CI: 1.29%, 13.13%) in TNF-α both at lag 12 h, and 6.97% (95% CI: 1.33%, 12.92%) in 8-iso-PGF at lag 01 d. Based on non-invasive samples, this study provided evidence on effect of PM exposure on responses of systematic inflammation and oxidative stress. Sub-daily (6-12 h) and daily (≥24 h) period after PM exposure might be sensitive time window to detect the responses of salivary (i.e. CRP, TNF) and urinary biomarkers (i.e. 8-iso-PGF), respectively.

摘要

唾液和尿液等非侵入性生物样本是评估炎症和氧化应激生物标志物的有前景的工具。很少有研究调查这些生物标志物对短期颗粒物(PM)暴露的潜在反应。我们在中国上海对40名健康、不吸烟的成年人进行了一项纵向研究,进行了4次重复检查。进行个人采样以评估PM暴露。然后,测量了五种生物标志物,包括唾液中的C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、α-1抗胰蛋白酶(A1AT)以及尿液中的8-异前列腺素F(8-iso-PGF)、总抗氧化能力(TAC)。我们拟合线性混合效应模型以评估个人PM暴露对唾液和尿液生物标志物的短期影响,并对气象、社会人口学特征和生物标志物检测等潜在混杂因素进行了调整。我们还探索了不同生物标志物的敏感暴露时间窗。我们发现唾液CRP、TNF-α和尿液8-iso-PGF与PM暴露之间存在显著关联,并且唾液炎症标志物的反应比尿液氧化应激标志物出现得更迅速。例如,PM每增加10μg/m³,在滞后12小时时,CRP升高5.49%(95%置信区间:1.17%,9.99%),TNF-α升高7.05%(95%置信区间:1.29%,13.13%);在滞后1天(24小时)时,8-iso-PGF升高6.97%(95%置信区间:1.33%,12.92%)。基于非侵入性样本,本研究提供了PM暴露对全身炎症和氧化应激反应影响的证据。PM暴露后的亚日(6 - 12小时)和每日(≥24小时)时间段可能分别是检测唾液(即CRP、TNF)和尿液生物标志物(即8-iso-PGF)反应的敏感时间窗。

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