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Markers of Inflammation and Coagulation After Long-Term Exposure to Coarse Particulate Matter: A Cross-Sectional Analysis from the Multi-Ethnic Study of Atherosclerosis



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  • Personal Author:
  • Description:
    Background: Toxicological research suggests that coarse particles (PM10-2.5) are inflammatory, but responses are complex and may be best summarized by multiple inflammatory markers. Few human studies have investigated associations with PM10-2.5 and, of those, none have explored long-term exposures. Here we examine long-term associations with inflammation and coagulation in the Multi-Ethnic Study of Atherosclerosis. Methods: Participants included 3,295 adults (45-84 years of age) from three metropolitan areas. Site-specific spatial models were used to estimate 5-year concentrations of PM10-2.5 mass and copper, zinc, phosphorus, silicon, and endotoxin found in PM10-2.5. Outcomes included interleukin-6, C-reactive protein, fibrinogen, total homocysteine, D-dimer, factor VIII, plasmin-antiplasmin complex, and inflammation and coagulation scores. We used multivariable regression with multiply imputed data to estimate associations while controlling for potential confounders, including co-pollutants such as fine particulate matter. Results: Some limited evidence was found of relationships between inflammation and coagulation and PM10-2.5. Endotoxin was the PM10-2.5 component most strongly associated with inflammation, with an interquartile range (IQR) increase (0.08 EU/m3) associated with 0.15 (95% CI: 0.01, 0.28; p = 0.03) and 0.08 (95% CI: -0.07, 0.23; p = 0.28) higher inflammation scores before and after control for city, respectively. Copper was the component with the strongest association with coagulation, with a 4-ng/m3 increase associated with 0.19 (95% CI: 0.08, 0.30; p = 0.0008) and 0.12 (95% CI: -0.05, 0.30; p = 0.16) unit higher coagulation scores before and after city adjustment, respectively. Conclusions: Our cross-sectional analysis provided some evidence that long-term PM10-2.5 exposure was associated with inflammation and coagulation, but associations were modest and depended on particle composition. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    0091-6765
  • Document Type:
  • Funding:
  • Genre:
  • Place as Subject:
  • CIO:
  • Topic:
  • Location:
  • Volume:
    123
  • Issue:
    6
  • NIOSHTIC Number:
    nn:20054807
  • Citation:
    Environ Health Perspect 2015 Jun; 123(6):541-548
  • Contact Point Address:
    S.D. Adar, 1415 Washington Heights, SPHII-5539, Ann Arbor, MI 48109 USA
  • Email:
    sadar@umich.edu
  • Federal Fiscal Year:
    2015
  • Performing Organization:
    University of Washington
  • Peer Reviewed:
    True
  • Start Date:
    20050701
  • Source Full Name:
    Environmental Health Perspectives
  • End Date:
    20250630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:5bb50ba7989ac0eed80fa8c641ebc8809ad6cf64cd739fd61c9fbaadf2910465070aedfb13bd3cad51408f7bbd6b9f846b9753e7d3a9b083fcf80ecea6386c6c
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  • File Type:
    Filetype[PDF - 274.38 KB ]
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