对空气污染物的高暴露加快了原发性淋巴细胞疾病的进展
Jonathan P Troost1, Jennifer D'Souza2, Miatta Buxton2
1Michigan Institute for Clinical & Health Research, University of Michigan, Ann Arbor Michigan, USA.
Kidney international reports
|August 19, 2024
概括
空气污染,特别是细颗粒物 (PM2.5) 和黑碳 (BC),在患有原发性结核病的患者中加速病的进展. 接触这些污染物也与系统性炎症标志物增加有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 环境健康 环境健康
- 流行病学 流行病学
背景情况:
- 导致病进展的环境因素尚未完全理解.
- 初级质细胞病变是病的重要原因之一.
研究的目的:
- 调查住房空气污染暴露与患有原发性结核病的患者病进展之间的关联.
- 探索潜在的分子机制,将空气污染与病进展联系起来.
主要方法:
- 利用了来自瘤综合征研究网络 (NEPTUNE) 和CureGlomerulonephropathy (CureGN) 队列的数据.
- 采用Cox比例危险模型来评估PM2.5,黑碳 (BC) 和硫酸盐暴露对病进展的影响 (≥40%的eGFR下降或衰竭).
- 测量了血清瘤坏死因子 (TNF) 和脏组织的转录性炎症通路激活作为生物标志物.
主要成果:
- 在对两个队列的综合分析中,更高的PM2.5和BC暴露与病进展的风险增加有关.
- 硫酸盐和PM2.5暴露与血清TNF和白素-1β水平升高相关.
- 硫酸盐暴露与脏组织中TNF和JAK-STAT信号通路的激活有关.
结论:
- 对PM2.5和BC的高暴露与原发性结核病中脏疾病进展的加速有关.
- 暴露于空气污染可能会通过全身炎症和炎症通路的激活促进病的进展.
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