Long-term effects of elemental composition of particulate matter on inflammatory blood markers in European cohorts

Regina Hampel, Annette Peters, Rob Beelen, Bert Brunekreef, Josef Cyrys, Ulf de Faire, Kees de Hoogh, Kateryna Fuks, Barbara Hoffmann, Anke Hüls, Medea Imboden, Aleksandra Jedynska, Ingeborg Kooter, Wolfgang Koenig, Nino Künzli, Karin Leander, Patrik Magnusson, Satu Männistö, Johanna Penell, Göran PershagenHarish Phuleria, Nicole Probst-Hensch, Noreen Pundt, Emmanuel Schaffner, Tamara Schikowski, Dorothea Sugiri, Pekka Tiittanen, Ming-Yi Tsai, Meng Wang, Kathrin Wolf, Timo Lanki, ESCAPE TRANSPHORM study groups

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    BACKGROUND: Epidemiological studies have associated long-term exposure to ambient particulate matter with increased mortality from cardiovascular and respiratory disorders. Systemic inflammation is a plausible biological mechanism behind this association. However, it is unclear how the chemical composition of PM affects inflammatory responses.

    OBJECTIVES: To investigate the association between long-term exposure to elemental components of PM and the inflammatory blood markers high-sensitivity C-reactive protein (hsCRP) and fibrinogen as part of the European ESCAPE and TRANSPHORM multi-center projects.

    METHODS: In total, 21,558 hsCRP measurements and 17,428 fibrinogen measurements from cross-sections of five and four cohort studies were available, respectively. Residential long-term concentrations of particulate matter <10μm (PM10) and <2.5μm (PM2.5) in diameter and selected elemental components (copper, iron, potassium, nickel, sulfur, silicon, vanadium, zinc) were estimated based on land-use regression models. Associations between components and inflammatory markers were estimated using linear regression models for each cohort separately. Cohort-specific results were combined using random effects meta-analysis. As a sensitivity analysis the models were additionally adjusted for PM mass.

    RESULTS: A 5ng/m(3) increase in PM2.5 copper and a 500ng/m(3) increase in PM10 iron were associated with a 6.3% [0.7; 12.3%] and 3.6% [0.3; 7.1%] increase in hsCRP, respectively. These associations between components and fibrinogen were slightly weaker. A 10ng/m(3) increase in PM2.5 zinc was associated with a 1.2% [0.1; 2.4%] increase in fibrinogen; confidence intervals widened when additionally adjusting for PM2.5.

    CONCLUSIONS: Long-term exposure to transition metals within ambient particulate matter, originating from traffic and industry, may be related to chronic systemic inflammation providing a link to long-term health effects of particulate matter.

    Original languageEnglish
    Pages (from-to)76-84
    Number of pages9
    JournalEnvironment international
    Volume82
    DOIs
    Publication statusPublished - Sept 2015

    Keywords

    • Long-term exposure
    • Particulate matter
    • Elemental components
    • Inflammation
    • ESCAPE
    • TRANSPHORM

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