Inflammation Describes and Explains the Adverse Effects of Aerosol Optical Depth-Particulate Matter on Cardiovascular Outcomes: A Literature Review Since 2012

Main Article Content

John T. Braggio

Abstract

The success of remote sensing methodology to accurately estimate ambient particulate matter (PM) on the earth’s surface has resulted in the increased use of aerosol optical depth (AOD) AOD-PM10, AOD-PM2.5, and AOD-PM1 concentration level fused surfaces in cardiovascular epidemiologic and hypothesis-testing of inflammatory physiologic studies.  AOD-PM fused surfaces have served as proxies for ambient PM monitor measurements in economically developed and developing counties as well as in urban and rural areas.  Since 2012, 45 published studies have evaluated the association between increased AOD-PM concentration level readings and adverse cardiovascular outcomes.  Fifteen surveillance studies used inflammation as a descriptive physiologic mechanism and another 20 investigations used the inflammatory physiologic mechanism to explain how AOD-PM exposure changes the cardiovascular system.  Among the remaining ten studies, nine mentioned another description and one referred to another explanation.  Analyses of the published studies showed: 1) There was 81% agreement between AOD-PM2.5 readings and ambient PM2.5 monitor measurements.  2) Developing countries had higher AOD-PM2.5 readings than developed countries.  3) Descriptive physiologic inflammatory studies found positive associations between higher AOD-PM readings and more acute myocardial infarction, cardiovascular disease, and heart failure outcomes.  4) Higher AOD-PM readings were associated with abnormal blood glucose, c-reactive protein and lipids in studies that cited the inflammatory physiologic mechanism as an explanation.  5) The percentage of specific outcomes increased as the number of identified risk factors also went up only if the AOD-PM2.5 readings were higher and decreased if the AOD-PM2.5 readings were lower.  6) The inflammation description AOD-PM2.5 readings mean (43.4 μg/m3) did not differ from the inflammation explanation AOD-PM2.5 mean (32.0 μg/m3).  Study results were used to update the physiologic inflammatory mechanism as a mediator of the effects of AOD-PM exposure on the cardiovascular system.  The full extent of the adverse effects of AOD-PM exposure on the cardiovascular system only becomes evident when cardiovascular and other pathophysiological changes are also considered and evaluated.  This review paper aims to demonstrate why AOD-PM and cardiovascular system studies are a new and useful source of information about how ambient PM exposure adversely impacts the cardiovascular system in diverse populations in different countries.

Keywords: Aerosol Optical Depth, Particulate Matter, Cardiovascular Disease, Risk Factors, Inflammation

Article Details

How to Cite
BRAGGIO, John T.. Inflammation Describes and Explains the Adverse Effects of Aerosol Optical Depth-Particulate Matter on Cardiovascular Outcomes: A Literature Review Since 2012. Medical Research Archives, [S.l.], v. 11, n. 8, aug. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/4259>. Date accessed: 12 may 2024. doi: https://doi.org/10.18103/mra.v11i8.4259.
Section
Research Articles

References

1. Lee, M.; Koutrakis, P.; Coull, B.; Kloog, I.; Schwartz, J. Acute effect of fine particulate matter on mortality in three Southeastern states from 2007-2011. J Expo Sci Environ Epidemiol 2016, 26, 173-179, doi:10.1038/jes.2015.47.
2. Lee, H.J.; Coull, B.A.; Bell, M.L.; Koutrakis, P. Use of satellite-based aerosol optical depth and spatial clustering to predict ambient PM2.5 concentrations. Environ Res 2012, 118, 8-15, doi:10.1016/j.envres.2012.06.011.
3. EPA (U.S. Environmental Protection Agency). Air Quality System (AQS). Availabe online: https://www.epa.gov/aqs. (accessed on June 11 2023).
4. Rajagopalan, S.; Al-Kindi, S.G.; Brook, R.D. Air Pollution and Cardiovascular Disease: JACC State-of-the-Art Review. Journal of the American College of Cardiology 2018, 72, 2054-2070, doi:10.1016/j.jacc.2018.07.099.
5. Du, Y.; Xu, X.; Chu, M.; Guo, Y.; Wang, J. Air particulate matter and cardiovascular disease: the epidemiological, biomedical and clinical evidence. J Thorac Dis 2016, 8, E8-e19, doi:10.3978/j.issn.2072-1439.2015.11.37.
6. Hamanaka, R.B.; Mutlu, G.M. Particulate Matter Air Pollution: Effects on the Cardiovascular System. Front Endocrinol (Lausanne) 2018, 9, 680, doi:10.3389/fendo.2018.00680.
7. Meo, S.A.; Suraya, F. Effect of environmental air pollution on cardiovascular diseases. Eur Rev Med Pharmacol Sci 2015, 19, 4890-4897.
8. Bourdrel, T.; Bind, M.A.; Béjot, Y.; Morel, O.; Argacha, J.F. Cardiovascular effects of air pollution. Arch Cardiovasc Dis 2017, 110, 634-642, doi:10.1016/j.acvd.2017.05.003.
9. Mannucci, P.M.; Harari, S.; Franchini, M. Novel evidence for a greater burden of ambient air pollution on cardiovascular disease. Haematologica 2019, 104, 2349-2357, doi:10.3324/haematol.2019.225086.
10. Costa, L.G.; Cole, T.B.; Dao, K.; Chang, Y.C.; Garrick, J.M. Developmental impact of air pollution on brain function. Neurochemistry international 2019, 131, 104580, doi:10.1016/j.neuint.2019.104580.
11. Calderón-Garcidueñas, L.; Ayala, A. Air Pollution, Ultrafine Particles, and Your Brain: Are Combustion Nanoparticle Emissions and Engineered Nanoparticles Causing Preventable Fatal Neurodegenerative Diseases and Common Neuropsychiatric Outcomes? Environmental science & technology 2022, 56, 6847-6856, doi:10.1021/acs.est.1c04706.
12. PubMed. Availabe online: https://www.ncbi.nlm.nih.gov/pubmed/ (accessed on June 18 2023).
13. SAS (Statistical Analysis System). Base SAS 9.4 Procedures Guide, Seventh Edition. SAS Institute Inc.: Cary, NC, 2017.
14. SAS (Statistical Analysis System). Base SAS 9.4 Procedures Guide: Statistical Procedures, Sixth Edition. SAS Institute Inc.: Cary, NC, 2016.
15. SAS (Statistical Analysis System). SAS/STAT 15.3 User’s Guide. SAS Institute Inc: Cary, NC, 2023.
16. Liang, F.; Liu, F.; Huang, K.; Yang, X.; Li, J.; Xiao, Q.; Chen, J.; Liu, X.; Cao, J.; Shen, C., et al. Long-Term Exposure to Fine Particulate Matter and Cardiovascular Disease in China. Journal of the American College of Cardiology 2020, 75, 707-717, doi:10.1016/j.jacc.2019.12.031.
17. Liu, C.; Chan, K.H.; Lv, J.; Lam, H.; Newell, K.; Meng, X.; Liu, Y.; Chen, R.; Kartsonaki, C.; Wright, N., et al. Long-Term Exposure to Ambient Fine Particulate Matter and Incidence of Major Cardiovascular Diseases: A Prospective Study of 0.5 Million Adults in China. Environmental science & technology 2022, 56, 13200-13211, doi:10.1021/acs.est.2c03084.
18. Jalali, S.; Karbakhsh, M.; Momeni, M.; Taheri, M.; Amini, S.; Mansourian, M.; Sarrafzadegan, N. Long-term exposure to PM(2.5) and cardiovascular disease incidence and mortality in an Eastern Mediterranean country: findings based on a 15-year cohort study. Environmental health : a global access science source 2021, 20, 112, doi:10.1186/s12940-021-00797-w.
19. Stafoggia, M.; Renzi, M.; Forastiere, F.; Ljungman, P.; Davoli, M.; De' Donato, F.; Gariazzo, C.; Michelozzi, P.; Scortichini, M.; Solimini, A., et al. Short-term effects of particulate matter on cardiovascular morbidity in Italy: a national analysis. European journal of preventive cardiology 2022, 29, 1202-1211, doi:10.1093/eurjpc/zwaa084.
20. Madrigano, J.; Kloog, I.; Goldberg, R.; Coull, B.A.; Mittleman, M.A.; Schwartz, J. Long-term exposure to PM2.5 and incidence of acute myocardial infarction. Environmental health perspectives 2013, 121, 192-196, doi:10.1289/ehp.1205284.
21. McGuinn, L.A.; Ward-Caviness, C.K.; Neas, L.M.; Schneider, A.; Diaz-Sanchez, D.; Cascio, W.E.; Kraus, W.E.; Hauser, E.; Dowdy, E.; Haynes, C., et al. Association between satellite-based estimates of long-term PM2.5 exposure and coronary artery disease. Environ Res 2016, 145, 9-17, doi:10.1016/j.envres.2015.10.026.
22. Weber, S.A.; Insaf, T.Z.; Hall, E.S.; Talbot, T.O.; Huff, A.K. Assessing the impact of fine particulate matter (PM2.5) on respiratory-cardiovascular chronic diseases in the New York City Metropolitan area using Hierarchical Bayesian Model estimates. Environ Res 2016, 151, 399-409, doi:10.1016/j.envres.2016.07.012.
23. Braggio, J.T.; Hall, E.S.; Weber, S.A.; Huff, A.K. Contribution of Satellite-Derived Aerosol Optical Depth PM2.5 Bayesian Concentration Surfaces to Respiratory-Cardiovascular Chronic Disease Hospitalizations in Baltimore, Maryland. Atmosphere (Basel) 2020, 11, 209, doi:10.3390/atmos11020209.
24. Liu, L.; Zhang, Y.; Yang, Z.; Luo, S.; Zhang, Y. Long-term exposure to fine particulate constituents and cardiovascular diseases in Chinese adults. J Hazard Mater 2021, 416, 126051, doi:10.1016/j.jhazmat.2021.126051.
25. Kloog, I.; Coull, B.A.; Zanobetti, A.; Koutrakis, P.; Schwartz, J.D. Acute and chronic effects of particles on hospital admissions in New-England. PLoS One 2012, 7, e34664, doi:10.1371/journal.pone.0034664.
26. Kloog, I.; Nordio, F.; Zanobetti, A.; Coull, B.A.; Koutrakis, P.; Schwartz, J.D. Short term effects of particle exposure on hospital admissions in the Mid-Atlantic states: a population estimate. PLoS One 2014, 9, e88578, doi:10.1371/journal.pone.0088578.
27. Valdez, R.B.; Al-Hamdan, M.Z.; Tabatabai, M.; Hood, D.B.; Im, W.; Wilus, D.; Nori-Sarma, A.; Ramesh, A.; Donneyong, M.M.; Langston, M.A., et al. Association of Cardiovascular Disease and Long-Term Exposure to Fine Particulate Matter (PM2.5) in the Southeastern United States. Atmosphere 2021, 12, 947.
28. Zhang, Z.; Dong, B.; Li, S.; Chen, G.; Yang, Z.; Dong, Y.; Wang, Z.; Ma, J.; Guo, Y. Exposure to ambient particulate matter air pollution, blood pressure and hypertension in children and adolescents: A national cross-sectional study in China. Environment international 2019, 128, 103-108, doi:10.1016/j.envint.2019.04.036.
29. Huang, K.; Yang, X.; Liang, F.; Liu, F.; Li, J.; Xiao, Q.; Chen, J.; Liu, X.; Cao, J.; Shen, C., et al. Long-Term Exposure to Fine Particulate Matter and Hypertension Incidence in China. Hypertension 2019, 73, 1195-1201, doi:10.1161/hypertensionaha.119.12666.
30. Lin, J.; Zheng, H.; Xia, P.; Cheng, X.; Wu, W.; Li, Y.; Ma, C.; Zhu, G.; Xu, T.; Zheng, Y., et al. Long-term ambient PM(2.5) exposure associated with cardiovascular risk factors in Chinese less educated population. BMC public health 2021, 21, 2241, doi:10.1186/s12889-021-12163-z.
31. Lin, Z.; Chen, S.; Liu, F.; Li, J.; Cao, J.; Huang, K.; Liang, F.; Chen, J.; Li, H.; Huang, J., et al. The association of long-term ambient fine particulate matter exposure with blood pressure among Chinese adults. Environmental pollution (Barking, Essex : 1987) 2023, 316, 120598, doi:10.1016/j.envpol.2022.120598.
32. Zhang, Z.; Guo, C.; Lau, A.K.H.; Chan, T.C.; Chuang, Y.C.; Lin, C.; Jiang, W.K.; Yeoh, E.K.; Tam, T.; Woo, K.S., et al. Long-Term Exposure to Fine Particulate Matter, Blood Pressure, and Incident Hypertension in Taiwanese Adults. Environmental health perspectives 2018, 126, 017008, doi:10.1289/ehp2466.
33. Bo, Y.; Guo, C.; Lin, C.; Chang, L.Y.; Chan, T.C.; Huang, B.; Lee, K.P.; Tam, T.; Lau, A.K.H.; Lao, X.Q., et al. Dynamic Changes in Long-Term Exposure to Ambient Particulate Matter and Incidence of Hypertension in Adults. Hypertension 2019, 74, 669-677, doi:10.1161/hypertensionaha.119.13212.
34. Wallwork, R.S.; Colicino, E.; Zhong, J.; Kloog, I.; Coull, B.A.; Vokonas, P.; Schwartz, J.D.; Baccarelli, A.A. Ambient Fine Particulate Matter, Outdoor Temperature, and Risk of Metabolic Syndrome. Am J Epidemiol 2017, 185, 30-39, doi:10.1093/aje/kww157.
35. Yitshak Sade, M.; Novack, V.; Ifergane, G.; Horev, A.; Kloog, I. Air Pollution and Ischemic Stroke Among Young Adults. Stroke 2015, 46, 3348-3353, doi:10.1161/strokeaha.115.010992.
36. Yang, B.Y.; Guo, Y.; Morawska, L.; Bloom, M.S.; Markevych, I.; Heinrich, J.; Dharmage, S.C.; Knibbs, L.D.; Lin, S.; Yim, S.H., et al. Ambient PM(1) air pollution and cardiovascular disease prevalence: Insights from the 33 Communities Chinese Health Study. Environment international 2019, 123, 310-317, doi:10.1016/j.envint.2018.12.012.
37. Siregar, S.; Idiawati, N.; Pan, W.C.; Yu, K.P. Association between satellite-based estimates of long-term PM(2.5) exposure and cardiovascular disease: evidence from the Indonesian Family Life Survey. Environmental science and pollution research international 2022, 29, 21156-21165, doi:10.1007/s11356-021-17318-4.
38. Tapia, V.; Steenland, K.; Sarnat, S.E.; Vu, B.; Liu, Y.; Sanchez-Ccoyllo, O.; Vasquez, V.; Gonzales, G.F. Time-series analysis of ambient PM2.5 and cardiorespiratory emergency room visits in Lima, Peru during 2010-2016. J Expo Sci Environ Epidemiol 2020, 30, 680-688, doi:10.1038/s41370-019-0189-3.
39. Rojas-Rueda, D.; Alsufyani, W.; Herbst, C.; AlBalawi, S.; Alsukait, R.; Alomran, M. Ambient particulate matter burden of disease in the Kingdom of Saudi Arabia. Environ Res 2021, 197, 111036, doi:10.1016/j.envres.2021.111036.
40. Xu, H.; Yang, T.; Guo, B.; Silang, Y.; Dai, Y.; Baima, K.; Gao, Y.; Tang, S.; Wei, J.; Jiang, Y., et al. Increased allostatic load associated with ambient air pollution acting as a stressor: Cross-sectional evidence from the China multi-ethnic cohort study. The Science of the total environment 2022, 831, 155658, doi:10.1016/j.scitotenv.2022.155658.
41. Guo, Y.L.; Ampon, R.D.; Hanigan, I.C.; Knibbs, L.D.; Geromboux, C.; Su, T.C.; Negishi, K.; Poulos, L.; Morgan, G.G.; Marks, G.B., et al. Relationship between life-time exposure to ambient fine particulate matter and carotid artery intima-media thickness in Australian children aged 11-12 years. Environmental pollution (Barking, Essex : 1987) 2021, 291, 118072, doi:10.1016/j.envpol.2021.118072.
42. Woo, K.S.; Chook, P.; Hu, Y.J.; Lao, X.Q.; Lin, C.Q.; Lee, P.; Kwok, C.; Wei, A.N.; Guo, D.S.; Yin, Y.H., et al. The impact of particulate matter air pollution (PM2.5) on atherosclerosis in modernizing China: a report from the CATHAY study. International journal of epidemiology 2021, 50, 578-588, doi:10.1093/ije/dyaa235.
43. Yitshak Sade, M.; Kloog, I.; Liberty, I.F.; Schwartz, J.; Novack, V. The Association Between Air Pollution Exposure and Glucose and Lipids Levels. The Journal of clinical endocrinology and metabolism 2016, 101, 2460-2467, doi:10.1210/jc.2016-1378.
44. Peng, C.; Bind, M.C.; Colicino, E.; Kloog, I.; Byun, H.M.; Cantone, L.; Trevisi, L.; Zhong, J.; Brennan, K.; Dereix, A.E., et al. Particulate Air Pollution and Fasting Blood Glucose in Nondiabetic Individuals: Associations and Epigenetic Mediation in the Normative Aging Study, 2000-2011. Environmental health perspectives 2016, 124, 1715-1721, doi:10.1289/ehp183.
45. Li, Q.; Wang, Y.Y.; Guo, Y.; Zhou, H.; Wang, Q.M.; Shen, H.P.; Zhang, Y.P.; Yan, D.H.; Li, S.; Chen, G., et al. Association between airborne particulate matter and renal function: An analysis of 2.5 million young adults. Environment international 2021, 147, 106348, doi:10.1016/j.envint.2020.106348
46. Luo, C.; Ouyang, Y.; Shi, S.; Li, G.; Zhao, Z.; Luo, H.; Xu, F.; Shao, L.; Chen, Z.; Yu, S., et al. Particulate matter of air pollution may increase risk of kidney failure in IgA nephropathy. Kidney Int 2022, 102, 1382-1391, doi:10.1016/j.kint.2022.08.020.
47. Bowe, B.; Xie, Y.; Li, T.; Yan, Y.; Xian, H.; Al-Aly, Z. Particulate Matter Air Pollution and the Risk of Incident CKD and Progression to ESRD. J Am Soc Nephrol 2018, 29, 218-230, doi:10.1681/asn.2017030253.
48. Elbarbary, M.; Oganesyan, A.; Honda, T.; Morgan, G.; Guo, Y.; Guo, Y.; Negin, J. Systemic Inflammation (C-Reactive Protein) in Older Chinese Adults Is Associated with Long-Term Exposure to Ambient Air Pollution. International journal of environmental research and public health 2021, 18, doi:10.3390/ijerph18063258.
49. Zhang, Z.; Chang, L.Y.; Lau, A.K.H.; Chan, T.C.; Chieh Chuang, Y.; Chan, J.; Lin, C.; Kai Jiang, W.; Dear, K.; Zee, B.C.Y., et al. Satellite-based estimates of long-term exposure to fine particulate matter are associated with C-reactive protein in 30 034 Taiwanese adults. International journal of epidemiology 2017, 46, 1126-1136, doi:10.1093/ije/dyx069.
50. Zeng, Y.Q.; Chan, S.H.T.; Guo, C.; Chang, L.Y.; Bo, Y.; Lin, C.; Yu, Z.; Lau, A.K.H.; Tam, T.; Lao, X.Q. Habitual exercise, chronic exposure to fine particulate matter and high-sensitivity C reactive protein in Asian adults. Occup Environ Med 2022, 79, 557-565, doi:10.1136/oemed-2022-108328.
51. Liang, F.; Yang, X.; Liu, F.; Li, J.; Xiao, Q.; Chen, J.; Liu, X.; Cao, J.; Shen, C.; Yu, L., et al. Long-term exposure to ambient fine particulate matter and incidence of diabetes in China: A cohort study. Environment international 2019, 126, 568-575, doi:10.1016/j.envint.2019.02.069.
52. Chilian-Herrera, O.L.; Tamayo-Ortiz, M.; Texcalac-Sangrador, J.L.; Rothenberg, S.J.; López-Ridaura, R.; Romero-Martínez, M.; Wright, R.O.; Just, A.C.; Kloog, I.; Bautista-Arredondo, L.F., et al. PM(2.5) exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area. BMC public health 2021, 21, 2087, doi:10.1186/s12889-021-12112-w.
53. Wang, L.; Chen, G.; Pan, Y.; Xia, J.; Chen, L.; Zhang, X.; Silang, Y.; Chen, J.; Xu, H.; Zeng, C., et al. Association of long-term exposure to ambient air pollutants with blood lipids in Chinese adults: The China Multi-Ethnic Cohort study. Environ Res 2021, 197, 111174, doi:10.1016/j.envres.2021.111174.
54. Mao, S.; Li, S.; Wang, C.; Liu, Y.; Li, N.; Liu, F.; Huang, S.; Liu, S.; Lu, Y.; Mao, Z., et al. Is long-term PM(1) exposure associated with blood lipids and dyslipidemias in a Chinese rural population? Environment international 2020, 138, 105637, doi:10.1016/j.envint.2020.105637.
55. McGuinn, L.A.; Coull, B.A.; Kloog, I.; Just, A.C.; Tamayo-Ortiz, M.; Osorio-Yáñez, C.; Baccarelli, A.A.; Wright, R.J.; Téllez-Rojo, M.M.; Wright, R.O. Fine particulate matter exposure and lipid levels among children in Mexico city. Environ Epidemiol 2020, 4, e088, doi:10.1097/ee9.0000000000000088.
56. Mehta, A.J.; Zanobetti, A.; Bind, M.A.; Kloog, I.; Koutrakis, P.; Sparrow, D.; Vokonas, P.S.; Schwartz, J.D. Long-Term Exposure to Ambient Fine Particulate Matter and Renal Function in Older Men: The Veterans Administration Normative Aging Study. Environmental health perspectives 2016, 124, 1353-1360, doi:10.1289/ehp.1510269.
57. McGuinn, L.A.; Schneider, A.; McGarrah, R.W.; Ward-Caviness, C.; Neas, L.M.; Di, Q.; Schwartz, J.; Hauser, E.R.; Kraus, W.E.; Cascio, W.E., et al. Association of long-term PM(2.5) exposure with traditional and novel lipid measures related to cardiovascular disease risk. Environment international 2019, 122, 193-200, doi:10.1016/j.envint.2018.11.001.
58. Zhang, Z.; Chan, T.C.; Guo, C.; Chang, L.Y.; Lin, C.; Chuang, Y.C.; Jiang, W.K.; Ho, K.F.; Tam, T.; Woo, K.S., et al. Long-term exposure to ambient particulate matter (PM(2.5)) is associated with platelet counts in adults. Environmental pollution (Barking, Essex : 1987) 2018, 240, 432-439 , doi:10.1016/j.envpol.2018.04.123.
59. Huang, S.; Zhang, X.; Liu, Z.; Liang, F.; Li, J.; Huang, K.; Yang, X.; Chen, J.; Liu, X.; Cao, J., et al. Long-term impacts of ambient fine particulate matter exposure on overweight or obesity in Chinese adults: The China-PAR project. Environ Res 2021, 201, 111611, doi:10.1016/j.envres.2021.111611.
60. Hassan, L.; Pecht, T.; Goldstein, N.; Haim, Y.; Kloog, I.; Yarza, S.; Sarov, B.; Novack, V. The effects of ambient particulate matter on human adipose tissue. J Toxicol Environ Health A 2019, 82, 564-576, doi:10.1080/15287394.2019.1634381.
61. Shkirkova, K.; Lamorie-Foote, K.; Connor, M.; Patel, A.; Barisano, G.; Baertsch, H.; Liu, Q.; Morgan, T.E.; Sioutas, C.; Mack, W.J. Effects of ambient particulate matter on vascular tissue: a review. Journal of toxicology and environmental health. Part B, Critical reviews 2020, 23, 319-350, doi:10.1080/10937404.2020.1822971.
62. Lederer, A.M.; Fredriksen, P.M.; Nkeh-Chungag, B.N.; Everson, F.; Strijdom, H.; De Boever, P.; Goswami, N. Cardiovascular effects of air pollution: current evidence from animal and human studies. American journal of physiology. Heart and circulatory physiology 2021, 320, H1417-h1439, doi:10.1152/ajpheart.00706.2020.
63. Niemann, B.; Rohrbach, S.; Miller, M.R.; Newby, D.E.; Fuster, V.; Kovacic, J.C. Oxidative Stress and Cardiovascular Risk: Obesity, Diabetes, Smoking, and Pollution: Part 3 of a 3-Part Series. Journal of the American College of Cardiology 2017, 70, 230-251, doi:10.1016/j.jacc.2017.05.043.
64. Han, S.; Zhang, F.; Yu, H.; Wei, J.; Xue, L.; Duan, Z.; Niu, Z. Systemic inflammation accelerates the adverse effects of air pollution on metabolic syndrome: Findings from the China health and Retirement Longitudinal Study (CHARLS). Environ Res 2022, 215, 114340, doi:10.1016/j.envres.2022.114340.
65. Pinkerton, K.E.; Chen, C.Y.; Mack, S.M.; Upadhyay, P.; Wu, C.W.; Yuan, W. Cardiopulmonary Health Effects of Airborne Particulate Matter: Correlating Animal Toxicology to Human Epidemiology. Toxicologic pathology 2019, 47, 954-961, doi:10.1177/0192623319879091.
66. Rao, X.; Zhong, J.; Brook, R.D.; Rajagopalan, S. Effect of Particulate Matter Air Pollution on Cardiovascular Oxidative Stress Pathways. Antioxid Redox Signal 2018, 28, 797-818, doi:10.1089/ars.2017.7394.
67. Münzel, T.; Camici, G.G.; Maack, C.; Bonetti, N.R.; Fuster, V.; Kovacic, J.C. Impact of Oxidative Stress on the Heart and Vasculature: Part 2 of a 3-Part Series. Journal of the American College of Cardiology 2017, 70, 212-229, doi:https://doi.org/10.1016/j.jacc.2017.05.035.
68. Li, R.S., X; Li ,Q; Yang, S;. Environmental pollutants and diabetic kidney disease (DKD). Medical Research Archives 2018, 6, 11.
69. Du, X.; Zhang, Y.; Liu, C.; Fang, J.; Zhao, F.; Chen, C.; Du, P.; Wang, Q.; Wang, J.; Shi, W., et al. Fine particulate matter constituents and sub-clinical outcomes of cardiovascular diseases: A multi-center study in China. The Science of the total environment 2021, 759, 143555, doi:10.1016/j.scitotenv.2020.143555.
70. Burgan, O.; Smargiassi, A.; Perron, S.; Kosatsky, T. Cardiovascular effects of sub-daily levels of ambient fine particles: a systematic review. Environmental health : a global access science source 2010, 9, 26, doi:10.1186/1476-069X-9-26.