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AIR pollution may
cause brain damage similar to Alzheimer's disease, as well as
heart problems, two new studies suggest.
Dogs exposed to air pollution were found to develop damaged
brain cell genes in as little as four weeks, according to
research presented April 15 at the Experimental Biology 2003
conference in San Diego.
The animals were exposed to the highly polluted air in
different parts of Mexico City, and compared against a control
group of dogs kept in less-polluted rural parts of Mexico.
Mexico City is considered one of the worst cities in the world
for air pollution.
More than 200 dogs were involved in the study, which lasted
for more than a year. The dogs in the highly polluted
environment suffered lung and upper respiratory damage, which
let particles enter the central nervous system, leading to
gene and DNA damage in their brain cells. Even dogs less than
1 year old were found to have brain lesions similar to those
of human Alzheimer's patients, the researchers say.
Lead researcher Dr. Lilian Calderon-Garciduenas, of the
University of North Carolina, says exposure to air pollution
causes inflammation in the respiratory tract, which lets tiny
airborne particles and metals enter the central nervous system
and brain. This, in turn, causes oxidative damage and DNA
changes in brain cells.
Air pollution breaks down the vital blood-brain barrier that
usually keeps toxic substances away from the brain, she says.
"This is extremely important," says Calderon-Garciduenas,
"because once you break down the barriers, you have an
entrance for pollutants directly to your brain."
The researchers also found signs of lung damage in children as
young as 4 years old who were raised in Mexico City.
"The same breakdown in the respiratory system we're seeing in
dogs is happening in children and adults in Mexico City,"
Calderon-Garciduenas contends, "and it probably also happens
in cities like Los Angeles."
A separate study presented at the same symposium found a link
between air pollution and heart problems in humans.
Exposure to air pollution raised levels of certain peptides in
the bloodstream that can constrict blood vessels and decrease
blood flow to the heart muscle, the researchers found.
The study was conducted at the Gage Institute of the
University of Toronto, where healthy volunteers were exposed
to air pollution in a laboratory setting. The volunteers were
subjected to air pollution about two to three times the level
normally found in Toronto, which is considered one of North
America's less-polluted major cities.
The study focused on endothelin, a naturally occurring peptide
that plays an important role in blood vessel health.
"If we expose healthy humans to airborne particulates, we can
document a doubling of endothelin in the blood," says Renaud
Vincent, one of the researchers and head of Health Canada's
Inhalation Toxicology and Aerobiology Section.
"We now have at least one mechanism that could plausibly
explain how someone with a heart condition exposed to a low
level of air pollution could die or come down with severe
symptoms, such as congestive heart failure," Vincent says.
Recent epidemiological studies have found higher rates of
death and hospitalization in cities with high levels of air
pollution. Vincent says the culprit appears to be airborne
particulates.
When test subjects breathed polluted air for as little as two
hours, the level of vasoconstrictive peptides in their blood
rose sharply and stayed at abnormally high levels for as long
as 24 hours, even without further exposure. The changes in
peptide levels were proportionate to the concentration of
particles to which the subjects were exposed.
"The picture is starting to come together of why we see these
spikes in mortality associated with air pollution levels,"
says Fred Miller, a researcher with CIIT Centers for Health
Research, an independent, non-profit research organization
based in North Carolina's Research Triangle Park.
"The mortality may be coming about because you have this
exposure, and how well can your system handle this added
stressor?" he says.
Elevated levels of endothelin can reduce blood flow by as much
as 50 percent, particularly in people with atherosclerosis,
high blood pressure and diabetes, Vincent says.
Further study needs to be done on which specific particulates
and their components produce the rise in vasoconstrictive
peptide levels, he says.
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