国家颗粒成分毒性(NPACT)倡议:颗粒物质成分对健康影响的综合流行病学和毒理学研究。

Morton Lippmann, Lung-Chi Chen, Terry Gordon, Kazuhiko Ito, George D Thurston
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引用次数: 0

摘要

颗粒物(PM*)是一种环境空气标准污染物,是化学成分的复杂混合物;颗粒大小从纳米大小的分子簇到大到无法吸入肺部的灰尘颗粒不等。虽然颗粒成分被认为会影响PM暴露带来的健康风险,但我们目前基于健康的PM空气质量标准仅限于(1)PM2.5(空气动力学直径2.5微米或更小的颗粒)的质量浓度,这主要归因于燃烧产物;(2) PM10(10微米或更小),其中包括较大尺寸的机械产生的粉尘。这两种颗粒大小都受到国家环境空气质量标准(NAAQS)的管制,两者都与过高的死亡率和发病率有关。我们进行了四项研究,作为HEI综合国家颗粒成分毒性(NPACT)倡议研究计划的一部分。自1999年以来,由美国环境保护署(U.S. Environmental Protection Agency)管理的化学物种网络(CSN);美国环保局(EPA)每隔3天或6天例行收集一次空气监测数据,以检测PM2.5多种成分的浓度。来自CSN的数据使我们能够对短期发病率和死亡率进行有限的时间序列流行病学研究(Ito研究);以及对长期平均污染物浓度与年死亡率之间关系的研究(瑟斯顿研究)。这两项研究都阐明了PM2.5化学成分和污染源相关混合物作为潜在致病因素的作用。我们还对载脂蛋白e缺乏(ApoE(-/-))小鼠(动脉粥样硬化小鼠模型)进行了一系列为期6个月的亚慢性吸入暴露研究(6小时/天,5天/周),PM2.5浓度(名义上)为环境空气(cap)的10倍(名义上)。CAPs研究在美国五个不同的空域进行;我们测量了PM2.5、黑碳(BC)和16种元素成分的日质量浓度,以确定它们的来源及其在引发短期和长期健康相关反应中的作用。此外,我们还从相同的五个空气棚中收集了粗(PM10-2.5)、细(PM2.5-0.2)和超细(PM0.2)颗粒的样本。等量的这些样品被给予体外细胞和小鼠肺(通过吸入),以确定它们的比较急性效应(Gordon研究)。这四项互补研究的结果以及总体综合分析为指导未来的研究和帮助确定对急性和慢性健康最有害的PM成分的更有针对性的排放控制提供了基础。因此,应用在这项工作中获得的知识可能有助于优化未来PM排放控制的公共健康效益。在纽约大学进行的每项NPACT研究的设计都以我们的科学假设为指导,这些假设基于我们对背景文献的回顾和我们在开展环境PM与健康相关反应之间关联研究方面的经验。这些假设指导了这四项研究的发展和开展。假设1。粗颗粒物、细颗粒物和超细颗粒物都能产生引起公共卫生关注的急性健康影响,但影响可能因颗粒物大小和组成而异。(适用于所有研究。)假设2。长期接触PM2.5与慢性健康影响密切相关。(适用于研究1和研究4。)假设3。我们近年来发展和完善的源解析技术为确定环境空气中主要类别的PM源和对各种急性和慢性健康影响影响最大的特定化学成分提供了有用的基础。(适用于所有研究。)假设4。在总体人群中的敏感亚组和这些人群的动物模型中,可以最好地看到环境中PM暴露对健康的影响。(适用于研究1、3和4。)总体而言,研究表明,PM的毒性是由粒径范围,地理位置,来源类别和季节的复杂相互作用驱动的。这些发现表明,与某些类别来源有关的PM成分是造成观察到的不良健康影响的原因。最重要的是,相关成分和来源类别因评估的健康相关终点而异。在所有研究中,化石燃料燃烧源类别与PM2.5暴露的短期和长期不利影响最为一致。残油燃烧源和交通源类别的成分与短期影响关系最为密切;而来自煤炭燃烧类别的成分与长期影响的关系更密切。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
National Particle Component Toxicity (NPACT) Initiative: integrated epidemiologic and toxicologic studies of the health effects of particulate matter components.

Particulate matter (PM*), an ambient air criteria pollutant, is a complex mixture of chemical components; particle sizes range from nanometer-sized molecular clusters to dust particles that are too large to be aspirated into the lungs. Although particle composition is believed to affect health risks from PM exposure, our current health-based air quality standards for PM are limited to (1) the mass concentrations of PM2.5 (particles 2.5 microm or smaller in aerodynamic diameter), which are largely attributable to combustion products; and (2) PM10 (10 microm or smaller), which includes larger-sized mechanically generated dusts. Both of these particle size fractions are regulated under the National Ambient Air Quality Standards (NAAQS) and both have been associated with excess mortality and morbidity. We conducted four studies as part of HEI's integrated National Particle Component Toxicity (NPACT) Initiative research program. Since 1999, the Chemical Speciation Network (CSN), managed by the U.S. Environmental Protection Agency (U.S; EPA), has routinely gathered air monitoring data every third or sixth day for the concentrations of numerous components of PM2.5. Data from the CSN enabled us to conduct a limited time-series epidemiologic study of short-term morbidity and mortality (Ito study); and a study of the associations between long-term average pollutant concentrations and annual mortality (Thurston study). Both have illuminated the roles of PM2.5 chemical components and source-related mixtures as potentially causal agents. We also conducted a series of 6-month subchronic inhalation exposure studies (6 hours/day, 5 days/week) of PM2.5 concentrated (nominally) 10 x from ambient air (CAPs) with apolipoprotein E-deficient (ApoE(-/-)) mice (a mouse model of atherosclerosis) (Chen study). The CAPs studies were conducted in five different U.S. airsheds; we measured the daily mass concentrations of PM2.5, black carbon (BC), and 16 elemental components in order to identify their sources and their roles in eliciting both short- and long-term health-related responses. In addition, from the same five air-sheds we collected samples of coarse (PM10-2.5), fine (PM2.5-0.2), and ultrafine (PM0.2) particles. Aliquots of these samples were administered to cells in vitro and to mouse lungs in vivo (by aspiration) in order to determine their comparative acute effects (Gordon Study). The results of these four complementary studies, and the overall integrative analyses, provide a basis for guiding future research and for helping to determine more targeted emission controls for the PM components most hazardous to acute and chronic health. Application of the knowledge gained in this work may therefore contribute to an optimization of the public health benefits of future PM emission controls. The design of each NPACT study conducted at NYU was guided by our scientific hypotheses, which were based on our reviews of the background literature and our experience in conducting studies of associations between ambient PM and health-related responses. These hypotheses guided the development and conduct of the four studies. Hypothesis 1. Coarse, fine, and ultrafine PM are each capable of producing acute health effects of public health concern, but the effects may differ according to particle size and composition. (Applies to all studies.) Hypothesis 2. Long-term PM2.5 exposures are closely associated with chronic health effects. (Applies to studies 1 and 4.) Hypothesis 3. The source-apportionment techniques that we have developed and refined in recent years provide a useful basis for identifying major categories of sources of PM in ambient air and specific chemical components that have the greatest impacts on a variety of acute and chronic health effects. (Applies to all studies.) Hypothesis 4. The health effects due to ambient PM exposures can best be seen in sensitive subgroups within overall human populations and in animal models of such populations. (Applies to studies 1, 3, and 4.) Overall, the studies have demonstrated that the toxicity of PM is driven by a complex interaction of particle size range, geographic location, source category, and season. These findings suggest that the components of PM--associated with certain categories of sources--are responsible for the observed adverse health effects. Most importantly, the responsible components and source categories vary with the health-related endpoints being assessed. Across all studies, fossil-fuel combustion source categories were most consistently associated with both short- and long-term adverse effects of PM2.5 exposure. The components that originate from the Residual Oil Combustion and Traffic source categories were most closely associated with short-term effects; and components from the Coal Combustion category were more closely associated with long-term effects.

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