School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Division of Infection, Immunity and Respiratory Medicine, University of Manchester, 2nd Floor Education and Research Centre, Wythenshawe Hospital, Southmoor Rd., Manchester M23 9LT, UK.
Int J Environ Res Public Health. 2024 Feb 29;21(3):0. doi: 10.3390/ijerph21030284.
Over the past decade, our understanding of the impact of air pollution on short- and long-term population health has advanced considerably, focusing on adverse effects on cardiovascular and respiratory systems. There is, however, increasing evidence that air pollution exposures affect cognitive function, particularly in susceptible groups. Our study seeks to assess and hazard rank the cognitive effects of prevalent indoor and outdoor pollutants through a single-centre investigation on the cognitive functioning of healthy human volunteers aged 50 and above with a familial predisposition to dementia. Participants will all undertake five sequential controlled exposures. The sources of the air pollution exposures are wood smoke, diesel exhaust, cleaning products, and cooking emissions, with clean air serving as the control. Pre- and post-exposure spirometry, nasal lavage, blood sampling, and cognitive assessments will be performed. Repeated testing pre and post exposure to controlled levels of pollutants will allow for the identification of acute changes in functioning as well as the detection of peripheral markers of neuroinflammation and neuronal toxicity. This comprehensive approach enables the identification of the most hazardous components in indoor and outdoor air pollutants and further understanding of the pathways contributing to neurodegenerative diseases. The results of this project have the potential to facilitate greater refinement in policy, emphasizing health-relevant pollutants and providing details to aid mitigation against pollutant-associated health risks.
在过去的十年中,我们对空气污染对短期和长期人口健康影响的理解有了很大的进展,重点关注对心血管和呼吸系统的不利影响。然而,越来越多的证据表明,空气污染暴露会影响认知功能,特别是在易感人群中。我们的研究旨在通过对 50 岁及以上、有痴呆家族倾向的健康志愿者的认知功能进行单中心研究,评估和危害评估常见室内和室外污染物的认知影响。参与者将全部进行五次连续的受控暴露。空气污染暴露源为木烟、柴油废气、清洁产品和烹饪排放物,以清洁空气作为对照。在暴露前后进行肺功能检查、鼻灌洗、血液采样和认知评估。在受控水平的污染物暴露前后进行重复测试,将能够识别功能的急性变化,并检测神经炎症和神经元毒性的外周标志物。这种综合方法能够识别室内和室外空气污染物中最危险的成分,并进一步了解导致神经退行性疾病的途径。该项目的结果有可能促进政策的进一步细化,强调与健康相关的污染物,并提供详细信息,以帮助减轻与污染物相关的健康风险。
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