A Population-Based Cohort Study of Respiratory Disease and Long-Term Exposure to Iron and Copper in Fine Particulate Air Pollution and Their Combined Impact on Reactive Oxygen Species Generation in Human Lungs

2021 ◽  
Vol 55 (6) ◽  
pp. 3807-3818
Author(s):  
Zilong Zhang ◽  
Scott Weichenthal ◽  
Jeffrey C. Kwong ◽  
Richard T. Burnett ◽  
Marianne Hatzopoulou ◽  
...  
Author(s):  
Zilong Zhang ◽  
Scott Weichenthal ◽  
Jeffrey C Kwong ◽  
Richard T Burnett ◽  
Marianne Hatzopoulou ◽  
...  

Abstract Background Exposure to fine particulate (PM2.5) air pollution is associated with increased cardiovascular disease (CVD), but less is known about its specific components, such as metals originating from non-tailpipe emissions. We investigated the associations of long-term exposure to metal components [iron (Fe) and copper (Cu)] in PM2.5 with CVD incidence. Methods We conducted a population-based cohort study in Toronto, Canada. Exposures to Fe and Cu in PM2.5 and their combined impact on the concentration of reactive oxygen species (ROS) in lung fluid were estimated using land use regression models. Incidence of acute myocardial infarction (AMI), congestive heart failure (CHF) and CVD death was ascertained using health administrative datasets. We used mixed-effects Cox regression models to examine the associations between the exposures and health outcomes. A series of sensitivity analyses were conducted, including indirect adjustment for individual-level cardiovascular risk factors (e.g. smoking), and adjustment for PM2.5 and nitrogen dioxide (NO2). Results In single-pollutant models, we found positive associations between the three exposures and all three outcomes, with the strongest associations detected for the estimated ROS. The associations of AMI and CHF were sensitive to indirect adjustment, but remained robust for CVD death in all sensitivity analyses. In multi-pollutant models, the associations of the three exposures generally remained unaltered. Interestingly, adjustment for ROS did not substantially change the associations between PM2.5 and CVD, but attenuated the associations of NO2. Conclusions Long-term exposure to Fe and Cu in PM2.5 and their combined impact on ROS were consistently associated with increased CVD death.


2014 ◽  
Vol 24 (1) ◽  
pp. 6
Author(s):  
R. Beelen ◽  
O. Raaschou-Nielsen ◽  
M. Stafoggia ◽  
Z.J. Andersen ◽  
G. Weinmayr ◽  
...  

Medicine ◽  
2016 ◽  
Vol 95 (18) ◽  
pp. e3543 ◽  
Author(s):  
Chit-Ming Wong ◽  
Hilda Tsang ◽  
Hak-Kan Lai ◽  
Thuan-Quoc Thach ◽  
G. Neil Thomas ◽  
...  

2010 ◽  
Vol 118 (3) ◽  
pp. 363-369 ◽  
Author(s):  
Bart Ostro ◽  
Michael Lipsett ◽  
Peggy Reynolds ◽  
Debbie Goldberg ◽  
Andrew Hertz ◽  
...  

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