Curriculum in Toxicology and Environmental Medicine, University of North Carolina -Chapel Hill, Chapel Hill, NC, 27599, USA.
Gillings School of Global Public Health and School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Cardiovasc Toxicol. 2024 Sep;24(9):852-869. doi: 10.1007/s12012-024-09897-8. Epub 2024 Jul 24.
Although it is well established that wildfire smoke exposure can increase cardiovascular morbidity and mortality, the combined effects of non-chemical stressors and wildfire smoke remains understudied. Housing is a non-chemical stressor that is a major determinant of cardiovascular health, however, disparities in neighborhood and social status have exacerbated the cardiovascular health gaps within the United States. Further, pre-existing cardiovascular morbidities, such as atherosclerosis, can worsen the response to wildfire smoke exposures. This represents a potentially hazardous interaction between inadequate housing and stress, cardiovascular morbidities, and worsened responses to wildfire smoke exposures. The purpose of this study was to examine the effects of enriched (EH) versus depleted (DH) housing on pulmonary and cardiovascular responses to a single flaming eucalyptus wildfire smoke (WS) exposure in male and female apolipoprotein E (ApoE) knockout mice, which develop an atherosclerosis-like phenotype. The results of this study show that cardiopulmonary responses to WS exposure occur in a sex-specific manner. EH blunts adverse WS-induced ventilatory responses, specifically an increase in tidal volume (TV), expiratory time (Te), and relaxation time (RT) after a WS exposure, but only in females. EH also blunted an increase in isovolumic relaxation time (IVRT) and the myocardial performance index (MPI) 1-week after exposures, also only in females. Our results suggest that housing alters the cardiovascular response to a single WS exposure, and that DH might cause increased susceptibility to environmental exposures that manifest in altered ventilation patterns and diastolic dysfunction in a sex-specific manner.
尽管已经证实,野火烟雾暴露会增加心血管发病率和死亡率,但非化学应激源与野火烟雾的综合影响仍有待研究。住房是一种非化学应激源,是心血管健康的主要决定因素,然而,邻里和社会地位的差异加剧了美国国内心血管健康差距。此外,预先存在的心血管疾病,如动脉粥样硬化,可能会使对野火烟雾暴露的反应恶化。这代表了住房和压力不足、心血管疾病以及对野火烟雾暴露反应恶化之间的潜在危险相互作用。本研究的目的是研究丰富(EH)和匮乏(DH)住房对雄性和雌性载脂蛋白 E(ApoE)基因敲除小鼠单一桉树野火烟雾(WS)暴露后肺和心血管反应的影响,这些小鼠会发展出动脉粥样硬化样表型。本研究的结果表明,WS 暴露对心肺的影响具有性别特异性。EH 减轻了 WS 引起的通气反应的不良影响,特别是在 WS 暴露后潮气量(TV)、呼气时间(Te)和松弛时间(RT)增加,仅在雌性中发生。EH 还减轻了等容松弛时间(IVRT)和心肌做功指数(MPI)在暴露后 1 周的增加,也仅在雌性中发生。我们的研究结果表明,住房改变了对单次 WS 暴露的心血管反应,DH 可能会增加对环境暴露的易感性,表现为通气模式改变和舒张功能障碍具有性别特异性。