血浆中Aβ40水平升高与世贸中心空气污染物暴露的严重程度有关:神经生物标志物的横断面研究。

Alissa Barber,Ryan Chacon,Frank D Mann,Minos Kritikos,Jaymie Meliker,Pei-Fen Kuan,Melissa A Carr,Xiaohua Yang,Sean A P Clouston,Benjamin J Luft
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摘要

世界贸易中心(WTC)救援人员在救援和恢复工作中更严重地暴露于空气污染中,血浆中β-淀粉样蛋白(Aβ)的循环水平升高。2019年提取905名世贸中心(WTC)应答者的血浆,进行速冻,并使用单分子分析测量Aβ两种亚型(Aβ40、Aβ42)、磷酸化tau-181、胶质纤维酸性蛋白和神经丝光的循环水平。血浆数据与人口统计学、血容量、载脂蛋白-ε4状态和医疗结果以及亚样本中基于神经成像的皮质厚度测量相关联。淀粉样蛋白的形成使用Aβ40的观察/预期水平的比值进行测量,并标记为归一化Aβ40。斯皮尔曼函数用于检验相关性;使用广义线性模型来检验多变量调整的关联。世贸中心(WTC)响应者的平均年龄为55.98岁,73.9%至少完成了一些大学教育。观察到的Aβ40水平比预期值高24.61%,与严重接触的WTC应答者相比,轻度接触的WTC应答者的Aβ40水平较低(17.26%比44.48%,P = 0.005)。校正协变量后,结果仍具有统计学意义(校正血容量比= 1.11 [1.02-1.22]p = 0.019)。在血清学中,标准化的a β40水平与磷酸化tau-181、a β42、胶质纤维酸性蛋白和神经丝光的较高测量值相关,并且在亚样本(n = 70)中,与皮质厚度减少相关(rho = -0.29, p = 0.020)。淀粉样蛋白生成增加可能是长期严重暴露于神经毒性空气污染物的人的神经病理反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increased levels of Aβ40 in plasma is associated with severity of exposure to airborne pollutants at the World Trade Center: A cross-sectional study of neurological biomarkers.
World Trade Center (WTC) responders who were more severely exposed to the airborne pollution while working in rescue and recovery work would have heightened circulating levels of β-Amyloid (Aβ) levels in plasma. Plasma for 905 World Trade Center (WTC) responders was retrieved in 2019 and flash frozen and assayed using single molecule analysis to measure circulating levels of two subtypes of Aβ (Aβ40, Aβ42), alongside phosphorylated tau-181, glial fibrillary acidic protein, and neurofilament-light. Plasma data were linked to demographics, blood volume, apolipoprotein-ε4 status, and medical outcomes as well as, in a subsample, with neuroimaging-based measures of cortical thickness. Amyloidogenesis was measured using the ratio of observed/expected levels of Aβ40 and labeled Normalized Aβ40. Spearman's rho was used to examine correlations; generalized linear modeling was used to examine multivariable-adjusted associations. The average age of World Trade Center (WTC) responders was 55.98 years, and 73.9% had completed at least some college. Observed Aβ40 levels were 24.61% higher than expected values, and lower in minimally exposed WTC responders as compared to severely exposed WTC responders (17.26 versus 44.48%, P = 0.005). Results remained statistically significant upon adjusting for covariates (adjusted blood volume ratio = 1.11 [1.02-1.22] p = 0.019). Normalized Aβ40 levels were associated with higher measures of phosphorylated tau-181, Aβ42, glial fibrillary acidic protein, and neurofilament-light in serology as well as, in a subsample (n = 70), with reduced cortical thickness (rho = -0.29, p = 0.020). Increased amyloidogenesis may be a neuropathological response in people who are severely and chronically exposed to neurotoxic air pollutants.
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