室外空气污染、血管周围空间形态与青春期前认知。

Jessica Morrel, Kirthana Sukumaran, Carinna Torgerson, Michael Rosario, Haoyu Lan, Joel Schwartz, Jiu-Chiuan Chen, Jeiran Choupan, Megan M Herting
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引用次数: 0

摘要

背景:环境空气污染暴露与儿童大脑结构差异和认知能力低下有关;然而,其毒性机制尚不清楚。血管周围间隙(PVS)是脑废物清除的关键,可能在空气污染的神经毒性中发挥作用。本研究探讨了空气污染暴露、PVS形态和青春期前认知之间的关系。方法:我们分析了6949名9-10岁参与者的青少年大脑认知发展研究(ABCD)的横断面数据。利用映射到居住地址的时空模型估算了PM 2.5、o3、no2和15 PM 2.5组分的年平均暴露量。PVS计数和体积来自T1w和T2w MRI,认知能力使用NIH工具箱评分进行估计。线性混合效应模型检验了空气污染、pv和认知之间的独立关联;加权分位数和回归评估了pm2.5混合物的共暴露效应。研究结果:线性模型显示,在一些地区,暴露于Zn、nh4 +和Br与PVS计数呈正相关。五个关键区域较高的PVS计数与NIH工具箱多个领域较差的认知表现相关。较高的Ca、Zn和nh4 +暴露与较差的认知相关(P FDR < 0.01)。较高的额叶PVS计数介导了锌暴露与较差的总认知能力之间的关系(P < 0.01)。共暴露模型显示,PM 2.5混合物与较高的时间和扣带PVS计数、较差的工作记忆和结晶智力相关(P < 0.01)。解释:室外空气污染与更高的PVS计数和认知能力下降有关,这表明大脑清除可能是一种将污染与青春期前神经发育损害联系起来的新机制。本工作由美国国立卫生研究院(NIH)国家环境卫生科学研究所(NIEHS)(资助号:R01ES032295和R01ES031074[至MMH]; T32ES013678[至JM]; P30ES07048[至JM和MAR]; 3p30es00002 - 55s[至MAR]),国家精神卫生研究所(NIMH)(资助RF1MH123223[至JC]),国家神经疾病和中风研究所(资助R01NS128486[至JC])和EPA资助(资助号:83587201和83544101[至JS])支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outdoor Air Pollution, Perivascular Space Morphology, and Cognition in Preadolescence.

Background: Ambient air pollution exposure is associated with structural brain differences and poorer cognition in children; however, mechanisms of toxicity remain unclear. Perivascular spaces (PVS), key for brain waste clearance, may play a role in the neurotoxicity of air pollution. This study explored associations between air pollution exposure, PVS morphology, and cognition in preadolescents.

Methods: We analyzed cross-sectional Adolescent Brain Cognitive DevelopmentSM (ABCD) Study® data from 6,949 9-10-year-old participants. Annual average exposures to PM2.5, O3, NO2, and 15 PM2.5 components were estimated using spatiotemporal models mapped to residential addresses. PVS count and volume were derived from T1w and T2w MRI, and cognition was estimated using NIH Toolbox scores. Linear mixed-effects models examined independent associations between air pollution, PVS, and cognition; weighted quantile sum regression assessed co-exposure effects of PM2.5 mixtures.

Findings: Linear models revealed that exposures to Zn, NH4 +, and Br were positively associated with PVS count in several regions. Higher PVS count in five key regions was associated with poorer cognitive performance across several NIH Toolbox domains. Higher Ca, Zn, and NH4 + exposures were associated with poorer cognition (PFDR < 0.01). Higher frontal lobe PVS count mediated the association between Zn exposure and poorer total cognition (P < 0.01). Co-exposure models revealed that PM2.5 mixtures were associated with higher temporal and cingulate PVS count, and poorer working memory and crystallized intelligence (P < 0.01).

Interpretation: Outdoor air pollution was associated with higher PVS count and reduced cognition, suggesting that brain clearance may be a novel mechanism linking pollution to neurodevelopmental harm in preadolescents.

Funding: This work was supported by the National Institutes of Health (NIH) National Institute of Environmental Health Sciences (NIEHS) (Grant Nos. R01ES032295 and R01ES031074 [to MMH]; T32ES013678 [to JM]; P30ES07048 [to JM and MAR]; 3P30ES000002-55S [to MAR]), National Institute of Mental Health (NIMH) (Grant RF1MH123223 [to JC]), National Institute of Neurological Disorders and Stroke (Grant R01NS128486 [to JC]), and EPA grants (Grant Nos. 83587201 and 83544101 [to JS]).

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