The oxidative potential of PM2.5 exposures from indoor and outdoor sources in rural China.

ABSTRACT

BACKGROUND: Airborne particulate matter (PM) is a widespread environmental exposure and leading health risk factor. The health effects of PM may be mediated by its oxidative potential; however, the combustion and non-combustion sources and components of PM responsible for its oxidative potential are poorly understood, particularly in low- and middle-income rural settings where coal and biomass burning for cooking and heating contribute to PM exposure. METHODS: We measured 24-h personal exposures to fine particulate matter (PM2.5) of 20 rural women in northern (Inner Mongolia) and southern (Sichuan) Chinese provinces who used solid fuels (i.e., coal, biomass). PM2.5 exposures were characterized for mass, black carbon, water-soluble organic carbon, major water-soluble ions, and 47 elements. The oxidative potential of PM2.5 exposures was measured using acellular (dithiothreitol-based) and cellular (macrophage-based) assays. We performed factor and correlation analyses using the chemical components of PM2.5 to identify sources of exposure to PM2.5 and their chemical markers. Associations between oxidative potential and chemical markers for major sources of PM2.5 exposure were assessed using linear regression models. RESULTS: Women's geometric mean PM2.5 exposures were 249µgm(-3) (range 53.9-767) and 83.9µgm(-3) (range 73.1-95.5) in Inner Mongolia and Sichuan, respectively. Dust, biomass combustion, and coal combustion were identified as the major sources of exposure to PM2.5. Markers for dust (iron, aluminum) were significantly associated with intrinsic oxidative potential [e.g., one interquartile range increase in iron (ppm) was associated with an 85.5% (95% CI 21.5, 149) increase in cellular oxidative potential (µgZymosanmg(-1))], whereas markers for coal (arsenic, non-sulfate sulfur) and biomass (black carbon, cadmium) combustion were not associated with oxidative potential. CONCLUSIONS: Dust was largely responsible for the intrinsic oxidative potential of PM2.5 exposures of rural Chinese women, whereas biomass and coal combustion were not significantly associated with intrinsic oxidative potential.