Particulate air pollution and circulating biomarkers among type 2 diabetic mellitus patients: The roles of particle size and time windows of exposure

Wang, C; Chen, R; Zhao, Z; Cai, J; Lu, J; Ha, S; Xu, X; Chen, X; Kan, H

HERO ID

3012047

Reference Type

Journal Article

Year

2015

Language

English

PMID

25863184

HERO ID 3012047
In Press No
Year 2015
Title Particulate air pollution and circulating biomarkers among type 2 diabetic mellitus patients: The roles of particle size and time windows of exposure
Authors Wang, C; Chen, R; Zhao, Z; Cai, J; Lu, J; Ha, S; Xu, X; Chen, X; Kan, H
Journal Environmental Research
Volume 140
Page Numbers 112-118
Abstract <strong>BACKGROUND: </strong>Short-term associations between size-fractionated particulate matter (PM) air pollution and circulating biomarkers are not well established, especially among diabetes patients.<br /><br /><strong>METHODS: </strong>We conducted a longitudinal panel study involving 6 repeated measurements of 12 circulating biomarkers among 35 diabetes patients from April to June, 2013 in Shanghai, China. Real-time number and mass concentrations of PM with multiple size fractions between 0.25 and 10 μm were measured. Linear mixed-effect models were used to explore the associations between size-fractionated PM concentrations and blood biomarkers at different time windows.<br /><br /><strong>RESULTS: </strong>Short-term exposure to PM was significantly associated with elevated levels of 5 biomarkers of inflammation, 3 biomarkers of coagulation and 1 vasoconstrictor. The effects varied considerably by particle size and time windows. Overall, PM with smaller size had stronger associations, and the most significant size fractions were 0.25-0.40 μm. Even 2 h exposure to PM can lead to a significant increase in biomarkers. The effects on biomarkers of inflammation and vasoconstriction were restricted to the first 12h after exposure, but the effects on coagulation persisted for 24-72 h. For example, an interquartile range increase in 2h average exposure to PM(0.25-0.40) was associated with 6-20% increase in biomarkers of inflammation, 19-38% in coagulation and 17% in vasoconstriction. PM had a stronger effect among male patients than female patients.<br /><br /><strong>CONCLUSIONS: </strong>Our results provided important evidence on the roles of the size and time windows of exposure in the PM-mediated effects on circulating biomarkers of inflammation, coagulation and vasoconstriction in diabetes patients in China.
Doi 10.1016/j.envres.2015.03.026
Pmid 25863184
Wosid WOS:000357904100013
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword Particulate matter; Type 2 diabetic mellitus; Biomarker; Particle size; Time window; Epidemiology