Effects of outdoor air pollutants on platelet activation in people with type 2 diabetes

Autor:	Philip K. Hopke, Jan Bausch, David Chalupa, Judith C. Stewart, Mark W. Frampton, Mark J. Utell, David Oakes, Erika L. Little
Rok vydání:	2012
Předmět:	Adult Blood Platelets Male Surface Properties Health Toxicology and Mutagenesis CD40 Ligand Air pollution Down-Regulation Type 2 diabetes Toxicology medicine.disease_cause Article Air pollutants Cell-Derived Microparticles Air Pollution Diabetes mellitus Environmental health Ultrafine particle Humans Medicine Platelet activation Particle Size Air Pollutants Ambient air pollution business.industry Environmental Exposure Middle Aged Platelet Activation medicine.disease Up-Regulation Diabetes Mellitus Type 2 Solubility Cardiovascular Diseases Immunology Female Particulate Matter business Biomarkers
Zdroj:	Inhalation Toxicology. 24:831-838
ISSN:	1091-7691 0895-8378
DOI:	10.3109/08958378.2012.724117
Popis:	Exposure to air pollution is associated with increased morbidity and mortality from cardiovascular disease. We hypothesized that increases in exposure to ambient air pollution are associated with platelet activation and formation of circulating tissue factor-expressing microparticles. We studied 19 subjects with type 2 diabetes, without clinical evidence of cardiovascular disease, who had previously participated in a human clinical study of exposure to ultrafine particles (UFP). Blood was obtained for measurements of platelet activation following an overnight stay in the Clinical Research Center, prior to each of their two pre-exposure visits. Air pollution and meteorological data, including UFP counts, were analyzed for the 5 days prior to the subjects' arrival at the Clinical Research Center. Contrary to expectations, increases in UFP were associated with decreases in surface expression of platelet activation markers. The number of platelet-leukocyte conjugates decreased by -80 (95% confidence interval (CI) -123 to -37, p = 0.001) on the first lag day (20-44 h prior to the blood draw) and by -85 (CI -139 to -31, p = 0.005) on combined lag days 1 to 5, per interquartile range (IQR) increase in UFP particle number (2482). However, levels of soluble CD40L increased 104 (CI 3 to 205, p = 0.04) pg/ml per IQR increase in UFP on lag day 1, a finding consistent with prior platelet activation. We speculate that, in people with diabetes, exposure to UFP activates circulating platelets within hours of exposure, followed by an increase in soluble CD40L and a rebound reduction in circulating platelet surface markers.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::241a398083596f7d2b7f637c4abba96b https://doi.org/10.3109/08958378.2012.724117 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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