Season and size of urban particulate matter differentially affect cytotoxicity and human immune responses to Mycobacterium tuberculosis.

Exposure to air pollution particulate matter (PM) and tuberculosis (TB) are two of the leading global public health challenges affecting low and middle income countries. An estimated 4.26 million premature deaths are attributable to household air pollution and an additional 4.1 million to outdoor air pollution annually. Mycobacterium tuberculosis (M.tb) infects a large proportion of the world's population with the risk for TB development increasing during immunosuppressing conditions. There is strong evidence that such immunosuppressive conditions develop during household air pollution exposure, which increases rates of TB development. Exposure to urban air pollution has been shown to alter the outcome of TB therapy. Here we examined whether in vitro exposure to urban air pollution PM alters human immune responses to M.tb. PM2.5 and PM10 (aerodynamic diameters <2.5µm, <10µm) were collected monthly from rainy, cold-dry and warm-dry seasons in Iztapalapa, a highly populated TB-endemic municipality of Mexico City with elevated outdoor air pollution levels. We evaluated the effects of seasonality and size of PM on cytotoxicity and antimycobacterial host immunity in human peripheral blood mononuclear cells (PBMC) from interferon gamma (IFN-γ) release assay (IGRA)+ and IGRA- healthy study subjects. PM10 from cold-dry and warm-dry seasons induced the highest cytotoxicity in PBMC. With the exception of PM2.5 from the cold-dry season, pre-exposure to all seasonal PM reduced M.tb phagocytosis by PBMC. Furthermore, M.tb-induced IFN-γ production was suppressed in PM2.5 and PM10-pre-exposed PBMC from IGRA+ subjects. This observation coincides with the reduced expression of M.tb-induced T-bet, a transcription factor regulating IFN-γ expression in T cells. Pre-exposure to PM10 compared to PM2.5 led to greater loss of M.tb growth control. Exposure to PM2.5 and PM10 collected in different seasons differentially impairs M.tb-induced human host immunity, suggesting biological mechanisms underlying altered M.tb infection and TB treatment outcomes during air pollution exposures.

Air pollution particulate matter alters antimycobacterial respiratory epithelium innate immunity.

Inhalation exposure to indoor air pollutants and cigarette smoke increases the risk of developing tuberculosis (TB). Whether exposure to ambient air pollution particulate matter (PM) alters protective human host immune responses against Mycobacterium tuberculosis has been little studied. Here, we examined the effect of PM from Iztapalapa, a municipality of Mexico City, with aerodynamic diameters below 2.5 µm (PM2.5) and 10 µm (PM10) on innate antimycobacterial immune responses in human alveolar type II epithelial cells of the A549 cell line. Exposure to PM2.5 or PM10 deregulated the ability of the A549 cells to express the antimicrobial peptides human ß-defensin 2 (HBD-2) and HBD-3 upon infection with M. tuberculosis and increased intracellular M. tuberculosis growth (as measured by CFU count). The observed modulation of antibacterial responsiveness by PM exposure was associated with the induction of senescence in PM-exposed A549 cells and was unrelated to PM-mediated loss of cell viability. Thus, the induction of senescence and downregulation of HBD-2 and HBD-3 expression in respiratory PM-exposed epithelial cells leading to enhanced M. tuberculosis growth represent mechanisms by which exposure to air pollution PM may increase the risk of M. tuberculosis infection and the development of TB.

Fine particle receptor modeling in the atmosphere of Mexico City.

Source apportionment analyses were carried out by means of receptor modeling techniques to determine the contribution of major fine particulate matter (PM2.5) sources found at six sites in Mexico City. Thirty-six source profiles were determined within Mexico City to establish the fingerprints of particulate matter sources. Additionally, the profiles under the same source category were averaged using cluster analysis and the fingerprints of 10 sources were included. Before application of the chemical mass balance (CMB), several tests were carried out to determine the best combination of source profiles and species used for the fitting. CMB results showed significant spatial variations in source contributions among the six sites that are influenced by local soil types and land use. On average, 24-hr PM2.5 concentrations were dominated by mobile source emissions (45%), followed by secondary inorganic aerosols (16%) and geological material (17%). Industrial emissions representing oil combustion and incineration contributed less than 5%, and their contribution was higher at the industrial areas of Tlalnepantla (11%) and Xalostoc (8%). Other sources such as cooking, biomass burning, and oil fuel combustion were identified at lower levels. A second receptor model (principal component analysis, [PCA]) was subsequently applied to three of the monitoring sites for comparison purposes. Although differences were obtained between source contributions, results evidence the advantages of the combined use of different receptor modeling techniques for source apportionment, given the complementary nature of their results. Further research is needed in this direction to reach a better agreement between the estimated source contributions to the particulate matter mass.

Relationship between indoor, outdoor, and personal fine particle concentrations for individuals with COPD and predictors of indoor-outdoor ratio in Mexico city.

Personal exposure and indoor and outdoor exposure to PM(10) and PM(2.5) of 38 individuals with chronic obstructive pulmonary disease (COPD) was characterized from February through November 2000. All participants lived in Mexico City and were selected based on their area of residence southeast (n=15), downtown (n=15), and southwest (n=8). Participants were monitored at home using personal PM(2.5) monitoring devices. Indoor and outdoor levels of PM(10) and PM(2.5) were measured using MiniVol samplers. Concurrent individual exposure measurements, indoor and outdoor levels of PM(2.5), which averaged 38.4 (SD 21.4), 30.6 (SD 15.8), and 30.5 mug/m(3) (SD 19.4), respectively. Indoor PM(2.5) concentrations explained 40% of the variability of personal exposure. In addition, the factors that most affected personal exposure were regular indoor contact with animals, mold, cooking activities, and aerosol use, indicating that internal sources may largely affect individual exposure.

Analysis of PM2.5 and PM10 in the atmosphere of Mexico City during 2000-2002.

During the last 10 years, high atmospheric concentrations of airborne particles recorded in the Mexico City metropolitan area have caused concern because of their potential harmful effects on human health. Four monitoring campaigns have been carried out in the Mexico City metropolitan area during 2000-2002 at three sites: (1) Xalostoc, located in an industrial region; (2) La Merced, located in a commercial area; and (3) Pedregal, located in a residential area. Results of gravimetric and chemical analyses of 330 samples of particulate matter (PM) with an aerodynamic diameter less than 2.5 microm (PM2.5) and PM with an aerodynamic diameter less than 10 microm (PM10) indicate that (1) PM2.5/PM10 average ratios were 0.42, 0.46, and 0.52 for Xalostoc, La Merced, and Pedregal, respectively; (2) the highest PM2.5 and PM10 concentrations were found at the industrial site; (3) PM2.5 and PM10 concentrations were lower at nighttime; (4) PM2.5 and PM10 spatial averages concentrations were 35 and 76 microg/m3, respectively; and (5) when the PM2.5 standard was exceeded, nitrate, sulfate, ammonium, organic carbon, and elemental carbon concentrations were high. Twenty-four hour averaged PM2.5 concentrations in Mexico City and Sao Paulo were similar to those recorded in the 1980s in Los Angeles. PM10 concentrations were comparable in Sao Paulo and Mexico City but 3-fold lower than those found in Santiago.

Air pollution and heart rate variability among the elderly in Mexico City.

BACKGROUND: Suspended particles and ozone have been associated with varying degrees of cardiac autonomic dysfunction. METHODS: In Mexico City, residents from a nursing home underwent heart rate variability analysis every other day for 3 months. Indoor and outdoor PM2.5 (particulate matter less than 2.5 mm in diameter) were measured daily at the nursing home. Levels of ozone and other atmospheric pollutants were obtained from a nearby automated monitoring station. RESULTS: Of the initial 42 screened participants, 34 (81%) were followed during the study period. The 24-hour average levels of indoor PM2.5 ranged from 15 to 67 micro g/m3, and outdoor PM2.5 ranged from 9 to 87 micro g/m3. Daily 1-hour maximum ozone levels ranged from 47 to 228 ppb. After adjusting for age and heart rate, we observed a strong decrease in the high frequency component of heart rate variability and the average 24-hour concentrations of PM2.5. Participants with hypertension had considerably larger reductions in their HF-HRV (high frequency-heart rate variability) component in relation to both ozone and PM2.5 exposure. CONCLUSIONS: Our results suggest that ambient levels of PM2.5 and ozone can reduce the high-frequency component of heart rate variability in elderly subjects living in Mexico City and that subjects with underlying hypertension are particularly susceptible to this effect.

Spatial differences in outdoor PM10 mass and aerosol composition in Mexico City.

Twenty-five MiniVol samplers were operated throughout the Mexico City metropolitan region from February 22 through March 22, 1997, to evaluate the variability of PM10 concentrations and composition. The highest PM10 concentrations were found in neighborhoods with unpaved or dirty roads, and elements related to crustal material were the main cause of differences from nearby (<200 m) monitors that were not adjacent to the roadbed. SO4(2-) concentrations were homogeneous across the city. SO4(2-) measured at the city boundaries was about two-thirds of the concentrations measured within the urbanized area, indicating that most SO4(2-) is of regional origin. Elemental carbon (EC) and organic carbon (OC) concentrations were highly variable, with higher concentrations in areas that had high diesel traffic and older vehicles. Spatial correlations among PM10 concentrations were high, even though absolute concentrations were variable, indicating a common effect of meteorology on the concentration or dispersion of local emissions.

Chemical composition of PM2.5 and PM10 in Mexico City during winter 1997.

PM2.5 and PM10 were measured over 24-h intervals at six core sites and at 25 satellite sites in and around Mexico City from 23 February to 22 March 1997. In addition, four 6-h samples were taken each day at three of the core sites. Sampling locations were selected to represent regional, central city, commercial, residential, and industrial portions of the city. Mass and light transmission concentrations were determined on all of the samples, while elements, ions and carbon were measured on approximately two-thirds of the samples. PM10 concentrations were highly variable, with almost three-fold differences between the highest and lowest concentrations. Fugitive dust was the major cause of PM10 differences, although carbon concentrations were also highly variable among the sampling sites. Approximately 50% of PM10 was in the PM2.5 fraction. The majority of PM mass was comprised of carbon, sulfate, nitrate, ammonium and crustal components, but in different proportions on different days and at different sites. The largest fine-particle components were carbonaceous aerosols, constituting approximately 50% of PM2.5 mass, followed by approximately 30% secondary inorganic aerosols and approximately 15% geological material. Geological material is the largest component of PM10, constituting approximately 50% of PM10 mass, followed by approximately 32% carbonaceous aerosols and approximately 17% secondary inorganic aerosols. Sulfate concentrations were twice as high as nitrate concentrations. Sulfate and nitrate were present as ammonium sulfate and ammonium nitrate. Approximately two-thirds of the ammonium sulfate measured in urban areas appears to have been transported from regions outside of the study domain, rather than formed from emissions in the urban area. Diurnal variations are apparent, with two-fold increases in concentration from night-time to daytime. Morning samples had the highest PM2.5 and PM10 mass, secondary inorganic aerosols and carbon concentrations, probably due to a shallow surface inversion and rush-hour traffic.