Fine Particulate Air Pollution and the Progression of Carotid Intima-Medial Thickness: A Prospective Cohort Study from the Multi-Ethnic Study of Atherosclerosis and Air Pollution

Background

Fine particulate matter (PM_2.5) has been linked to cardiovascular disease, possibly via accelerated atherosclerosis. We examined associations between the progression of the intima-medial thickness (IMT) of the common carotid artery, as an indicator of atherosclerosis, and long-term PM_2.5 concentrations in participants from the Multi-Ethnic Study of Atherosclerosis (MESA).

Methods and Results

MESA, a prospective cohort study, enrolled 6,814 participants at the baseline exam (2000–2002), with 5,660 (83%) of those participants completing two ultrasound examinations between 2000 and 2005 (mean follow-up: 2.5 years). PM_2.5 was estimated over the year preceding baseline and between ultrasounds using a spatio-temporal model. Cross-sectional and longitudinal associations were examined using mixed models adjusted for confounders including age, sex, race/ethnicity, smoking, and socio-economic indicators. Among 5,362 participants (5% of participants had missing data) with a mean annual progression of 14 µm/y, 2.5 µg/m³ higher levels of residential PM_2.5 during the follow-up period were associated with 5.0 µm/y (95% CI 2.6 to 7.4 µm/y) greater IMT progressions among persons in the same metropolitan area. Although significant associations were not found with IMT progression without adjustment for metropolitan area (0.4 µm/y [95% CI −0.4 to 1.2 µm/y] per 2.5 µg/m³), all of the six areas showed positive associations. Greater reductions in PM_2.5 over follow-up for a fixed baseline PM_2.5 were also associated with slowed IMT progression (−2.8 µm/y [95% CI −1.6 to −3.9 µm/y] per 1 µg/m³ reduction). Study limitations include the use of a surrogate measure of atherosclerosis, some loss to follow-up, and the lack of estimates for air pollution concentrations prior to 1999.

Conclusions

This early analysis from MESA suggests that higher long-term PM_2.5 concentrations are associated with increased IMT progression and that greater reductions in PM_2.5 are related to slower IMT progression. These findings, even over a relatively short follow-up period, add to the limited literature on air pollution and the progression of atherosclerotic processes in humans. If confirmed by future analyses of the full 10 years of follow-up in this cohort, these findings will help to explain associations between long-term PM_2.5 concentrations and clinical cardiovascular events. Please see later in the article for the Editors'' Summary     

Deletion of P399_E401 in NADPH cytochrome P450 oxidoreductase results in partial mixed oxidase deficiency

P450 oxidoreductase (POR) is the electron donor for all microsomal P450s including steroidogenic enzymes CYP17A1, CYP19A1 and CYP21A2. We found a novel POR mutation P399_E401del in two unrelated Turkish patients with 46,XX disorder of sexual development. Recombinant POR proteins were produced in yeast and tested for their ability to support steroid metabolizing P450 activities. In comparison to wild-type POR, the P399_E401del protein was found to decrease catalytic efficiency of 21-hydroxylation of progesterone by 68%, 17α-hydroxylation of progesterone by 76%, 17,20-lyase action on 17OH-pregnenolone by 69%, aromatization of androstenedione by 85% and cytochrome c reduction activity by 80%. Protein structure analysis of the three amino acid deletion P399_E401 revealed reduced stability and flexibility of the mutant. In conclusion, P399_E401del is a novel mutation in POR that provides valuable genotype–phenotype and structure–function correlation for mutations in a different region of POR compared to previous studies. Characterization of P399_E401del provides further insight into specificity of different P450s for interaction with POR as well as nature of metabolic disruptions caused by more pronounced effect on specific P450s like CYP17A1 and aromatase.     

Morphometric studies of Leydig cells in chinchillas (Chinchilla lanigera) during high and low fertility seasons

The aim of this study was to examine morphometric data of Leydig cells of 10 male chinchillas. Testes, cut into 5-microm thick sections, were stained using the p.a.S. and Masson's methods. Some 3800 Leydig cells have been evaluated. Their dimensions, as well as the diameters of their nuclei and the distances of the nuclei from the boundaries of the cells, have been measured. The areas of the surface and volumes of the nuclei of Leydig cells have been calculated, as well as the areas of the surface of the Leydig cells themselves. The following data have been obtained. The Nuclei of Leydig Cells. The largest diameters: longer cells - 12 microm; shorter cells - 10 microm. Mean diameters: longer cells - 5.67 +/- 3.44 microm, shorter cells - 4.45 +/- 3.44 microm. The largest surface area - 120 microm2, the mean surface area - 28.27 +/- 11.21 microm2. The largest volume - 1200 microm3, the mean volume of nucleus - 171.8 +/- 65.82 microm3. Mean distances of Leydig cell nuclei from the opposite boundaries of the cells amounted to 1.29 +/- 1.41 microm, 4.24 +/- 2.39 microm, 4.09 +/- 2.23 microm, 6.12 +/- 2.33 microm. Leydig cells. The largest diameters: longer cells - 24 microm, shorter cells - 22 microm. Mean dimensions: longer cells - 13.86 +/- 2.76 microm, shorter cells - 10.89 +/- 2.44 microm. The largest area of surface - 528 microm2, the mean area of surface - 155.44 +/- 59.78 microm2. Morphometric analysis confirmed cytologic observations that the shape of the nuclei of Leydig cells is somewhat ellipsoidal. The nuclei are located off-centre and are not situated in the greatest agglomeration of cytoplasm. The shape of Leydig cells is irregular. The obtained results may provide insight on the infertility of chinchilla males, as well as in research on the annual cyclic fertility of these animals. They may be put to use in practice for the purpose of improving breeding of this species.     

Diet quality affects allergic peritonitis in mice

Reasons for the increased prevalence of allergies observed in recent decades remain elusive. Here, we used a murine model to investigate the effect of nutrition on ovalbumin-induced allergic peritonitis. Compared to the organs of mice kept on a standard diet, mice exposed to a low quality diet during the growth period showed a decrease in the mass of metabolic (liver and heart) and, to a much larger extent, in lymphatic (thymus and spleen) organs, but not in testes or intestine mass. Moreover, diet manipulation affected the number ofpolymorphonuclear granulocytes as well as mast cell number and/or their responsiveness. During allergic peritonitis, mast cells from animals kept on the standard diet reacted to an allergen with degranulation, while the reaction in mice kept on the low quality diet was significantly weaker. However, the immunomodulators of this process remain unidentified as diet quality affected neither anti-ovalbumin IgE level nor synthesis/release of anti-inflammatory IL-10. Further work is needed to identify underlying immunomodulators.     

Cdk2 loss accelerates precursor differentiation and remyelination in the adult central nervous system

The specific functions of intrinsic regulators of oligodendrocyte progenitor cell (OPC) division are poorly understood. Type 2 cyclin-dependent kinase (Cdk2) controls cell cycle progression of OPCs, but whether it acts during myelination and repair of demyelinating lesions remains unexplored. Here, we took advantage of a viable Cdk2(-/-) mutant mouse to investigate the function of this cell cycle regulator in OPC proliferation and differentiation in normal and pathological conditions. During central nervous system (CNS) development, Cdk2 loss does not affect OPC cell cycle, oligodendrocyte cell numbers, or myelination. However, in response to CNS demyelination, it clearly alters adult OPC renewal, cell cycle exit, and differentiation. Importantly, Cdk2 loss accelerates CNS remyelination of demyelinated axons. Thus, Cdk2 is dispensable for myelination but is important for adult OPC renewal, and could be one of the underlying mechanisms that drive adult progenitors to differentiate and thus regenerate myelin.     

Assessment of essential oils activity used in liquid or volatile phase against biofilm cultures of Staphylococcus aureus and Candida albicans. The methodological study

Biofilm formation is a significant factor in chronic infections with fungal and bacterial pathogens. Due to the high drug resistance of biofilm populations and the frequent failures of chemotherapy i such infections, it seems necessary to take recourse to unconventional treatment methods involving e.g. the use of some phytocompounds such as essential oils or their components. In order to evaluate the effect of their action on the microbial biomass a variety of techniques are used. However, there is still a need to develop new tests or modifications of these known, for the biofilm viability assessment. They should be adapted to the physico-chemical nature of the tested compounds and should decrease the risk ofbiofilm damage during staining procedure. We described a test assessing the effect of essential oils on bacterial and fungal biofilm formed on the membrane of cell culture inserts. The proposed model provides a minimal violation of the biofilm integrity during the test. It allows easily explore the activity of essential oil volatile fraction and is useful in determination of the kinetics of their action. Using this test it is also easy to examine the relationship between antimicrobial activity and the cytotoxic effect, known as the biocompatibility index (BI, biocompatibility index). Moreover, it allows qualitative and quantitative analysis of metabolic products, released into the growth medium from biofilm's cells. In successively repeated experiments high reproducibility of results has been obtained, thus the developed methodology seems to be useful in our future studies in this field.     

Metabolism of bradykinin in aorta of hypertensive rats

Alterations in the formation and metabolism of bradykinin (Bk) are hypothesized to play a role in the pathophysiology of hypertension, atherosclerosis and vascular complications of diabetes. However, despite its prominent role in cardiovascular regulation, studies on bradykinin have been limited by various difficulties in accurate measurements of this peptide in biological samples. In this study, using the LC-ESI-MS method we estimated the conversion of exogenous Bk to its main metabolites - Bk-(1-5) and Bk-(1-7) - in endothelial cell culture and in fragments of aorta of normotensive (WKY) and hypertensive rats (SHR). The effects of angiotensin converting enzyme (ACE) and neutral endopeptidase (NEP) inhibitors were more pronounced in SHR: perindoprilat inhibited Bk-(1-5) formation by 49 % and 76 % in WKY and SHR rats, respectively, and tiorphan tended to decrease formation of Bk-(1-5) in both groups of animals. The degradation of bradykinin and generation of both metabolites were significantly higher in the aorta of SHR rats than in WKY controls. Our results show that even in relatively early hypertension (in 4-month old SHR rats) inactivation of Bk by aorta wall is enhanced.