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Traffic Source Exposures and Health: Studies from the Harvard EPA Particle Center.
John J. Godleski, MDDepartment of Environmental Health
Deputy Director, Harvard EPA Particle Center
Society for Risk AnalysisNew England Chapter
Novel Exposure Scenarios to Define the Health Effects of
Particle Sources
Petros Koutrakis, PI: Center DirectorJohn Godleski, Deputy Director
Harvard UniversityUniversity of Toronto
University of Michigan Brigham & Women’s Hospital
Veteran’s Administration
Harvard/EPA PM Center
Center Strategy• A multi-faceted exposure approach
encompassing ambient, Concentrated Ambient Particles (CAPs), and specific-source exposures
• Assessing a large array of biological responses, in humans and animals, focusing on pulmonary and cardiovascular outcomes
Center Projects and Cores
• P1: Normative Aging Study (Yrs 1-5)• P2: Human CAPs Study (Yrs 1-5)• P3: Animal CAPs Study (Yrs 1-2.5)• P4: TERESA Study (Yrs 2.5-5)• C1: Administrative Core (Yrs 1-5)• C2: Particle Technology Core (Yrs 1-5)• C3: Biostatistical Core (Yrs 1-5)
Project 1 Cardiovascular Responses in the Normative Aging Study: Exploring the Pathways of Particle Toxicity PI: Joel Schwartz
Project 2 Cardiovascular Toxicity of Concentrated Ambient Fine, Ultrafine and Coarse Particles in Controlled Human Exposures PI: Frances Silverman
Project 3 Assessing Toxicity of Local and Transported Particles Using Animal Models Exposed to CAPs PI: John Godleski
Project 4 Toxicological Evaluation of Realistic Emission Source Aerosol (TERESA): Investigation of Vehicular Emissions PIs: Petros Koutrakis and John Godleski
Study Design Project 4• A mixture of primary particles and gases from a vehicular
traffic source will be studied.• These emissions will also undergo photochemical
oxidation to form secondary PM derived from traffic emissions.
• A large tunnel in the Northeast will be used as the source of primary emissions
• Exposure scenarios will be assessed vs filtered air controls:– Primary gas and particle emissions – Primary plus secondary particles – Secondary particles formed in the absence of primary particles
SAMPLINGSYSTEM
MOBILEREACTION
LABORATORY
MOBILEEXPOSURE
LABORATORY
VENTILATIONSHAFT
SECONDARY AEROSOL
VENT.SHAFT
EXHAUST
Figure 1. The TERESA Source-Specific Emission Exposure System (SEES)
The TERESA Photochemical Reaction Simulation System
Chamber 1 Chamber 2 DiffusionDenuder
Dilution
AnimalExposure
UV 340 Lights
UV 340 Lights
Room Fluorescent
Lights
Room Fluorescent
Lights
Chamber 1 Chamber 2 DiffusionDenuder
Dilution
AnimalExposure
UV 340 Lights
UV 340 Lights
Room Fluorescent
Lights
Room Fluorescent
Lights
AIR OUT
CLEAN AIR IN
FROMREACTION CHAMBER
AIR OUTCLEAN AIR IN
TO SAMPLING MANIFOLD AND
EXPOSURE CHAMBERS
MICRO-POROUS TEFLON (GAS DIFFUSION) MEMBRANES
GASES
ONLY
PARTICLES AND GASES
GASES
ONLY
Parallel Plate Diffusion Denuder
Ruiz et al, Environmental Science & Technology 2006: 40(16): 5058-5063.
Biological Outcomes• Sprague Dawley Rats will be studied.
Biological measurements will include:– pulmonary, systemic, and cardiovascular
effects– continuous measurements of blood pressure
and pulmonary function
• Selected scenarios will be further investigated using animal models of disease to assess susceptibility
•Many necessary preliminary studies have been completed in preparation for these tunnel studies. •On site inspection of our mobile laboratory by the Harvard Medical Area Standing Committee on Animals was just completed in the past two weeks.
•Animal exposures to these atmospheres are just beginning.
Status of Project 4 Experiments
Integration of Center Projects 1-3in Relationship to Blood Pressure
Mechanisms and Outcomes
The studies in the literature on blood pressure changes as an outcome in
relationship to ambient air pollution have been inconsistent.
From Project 1
Environmental Health Perspectives 2009: 117:1767–1772.
Black Carbon was significantly associated with increases in systolic and diastolic blood pressure, but PM2.5 was not.
There was no associated effect modification by genevariants related to oxidative stress. Mordukhovich et al Environmental Health Perspectives 2009: 117:1767–1772
From Project 2
Hypertension 2009: 54: 659-667
Harvard Ambient Fine Particle Concentrator
University of Toronto location is an urban setting alonga heavily traveled street – Concentrator inlet is about 25’ from the street
Brook et al Hypertension 2009: 54: 659-667
Brook et al Hypertension 2009: 54: 659-667
CAPs + Ozone
CAPs Alone
Brook et al Hypertension 2009: 54: 659-667
From Project 3
Environmental Health Perspectives 2009: 117(3): 361-366.
CAPs:• PM2.5
• Concentration is ~30x ambient
• Composition issame as ambient
Harvard Ambient Particle Concentrator
Godleski et al HEI Report 91,2000Inlet about 75 meters from Huntington Ave.
Systolic and Diastolic Blood Pressure increased Significantly with CAPs exposure over 6 hours
Bartoli et al. Environmental Health Perspectives 2009: 117(3): 361-366.
Bartoli et al . Environmental Health Perspectives 2009: 117(3): 361-366.
Caps
Filter Air
Rat studies of Blood pressure over 5 hours of exposure
Dias tolic P res s ure C omparis on B etween B as eline, S ham, and C AP s E xpos ures
40
50
60
70
80
90
100
110
0 1 2 3 4 5
mm
Hg
2/11/2005-B aseline
2/14/2005-S HAM
3/8/2005-C AP s
Hours of Exposure
Barorecptor Reflex Sensitivity (BRS) – A potential mechanism
• Baroreceptors (or baroceptors) in the body detect the pressure of blood flowing through them, and send messages to the central nervous system to increase or decrease total peripheral resistance and cardiac output.
• Baroreceptor reflex is one of the body's homeostatic mechanisms for maintaining blood pressure. It provides a negative feedback loop in which an elevated blood pressure reflexively causes blood pressure to decrease; similarly, decreased blood pressure depresses the baroreflex, causing blood pressure to rise
BRS Studies
• We evaluated pre- and post-exposure BRS following intravenous injection of phenylepherine (10µg/kg), Heart rate and BP after the injection of agonist are plotted to determine whether the BRS set point has changed.
Bartoli et al . Environmental Health Perspectives 2009: 117(3): 361-366.
BRS Interpretation
• The findings suggest a compensatory response takes place during the exposure.
Alpha Adrenergic Blockers Prevent CAPs Effect on Blood Pressure
Bartoli et al . Environmental Health Perspectives 2009: 117(3): 361-366.
Summary• In all studies of our Center, blood pressure increased
significantly, and associations were strongest with markers of urban traffic.
• The timing of measuring blood pressure in relationship to exposure is important in assessing the magnitude of change.
• Homeostatic mechanisms control increases in blood pressure and limit the amount of change during longer exposures.
• The sympathetic nervous system plays a role in the change in blood pressure with exposure.