Exposure to respirable desert dust entering indoors prompts quick oxidative-stress and inflammatory responses in the airways of chronic heart failure patients

A significant portion of the population is exposed to airborne PM10 levels exceeding WHO guidelines, particularly during desert dust events, which are increasing due to climate change. Cardiovascular mortality has been linked to PM10 exposure, but most studies rely on outdoor air quality data that m...

Descripción completa

Detalles Bibliográficos
Autores: Domínguez-Rodríguez, Alberto, Abreu-González, Pedro, Rodríguez, Sergio, Báez-Ferrer, Néstor, Avanzas, Pablo, López-Darias, Jessica, Belbachir, Ibtissem, Villena-Armas, Gorka, García, M. Isabel, Vilches, Jon, Díaz, Rocío, Hernández-Vaquero, Daniel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:dnet:digitalcsic_::8cbd384243ad872c799d19d161189088
Acceso en línea:http://hdl.handle.net/10261/432310
Access Level:acceso abierto
Palabra clave:Desert dust
PM10
Indoors
Airway inflammation
Heart failure
Climate change
Descripción
Sumario:A significant portion of the population is exposed to airborne PM10 levels exceeding WHO guidelines, particularly during desert dust events, which are increasing due to climate change. Cardiovascular mortality has been linked to PM10 exposure, but most studies rely on outdoor air quality data that may not reflect indoor exposure. This study, DESERT HEART, examines whether indoor PM10 exposure during dust events influences airway inflammation and oxidative stress in 40 patients with stable chronic heart failure (HF). Sputum samples were collected weekly for three weeks, and biomarkers (IL-8, MDA, MMP-9, TGF-ß1, CRP) were analyzed. Indoor PM10 levels were monitored at patients’ homes. Mixed regression models assessed the impact of PM10 ≥ 90 µg/m3 on biomarkers. Analysis of 120 sputum samples and 720 days of air quality data showed that exposure significantly increased biomarker levels on the first day: IL-8 (+ 6.9 ng/gwt, p = 0.032), MDA (+ 1.3 nmol/gwt, p = 0.014), MMP-9 (+ 222.4 ng/gwt, p = 0.09), TGF-ß1 (+ 4.1 ng/gwt, p = 0.058), and CRP (+ 2 ng/gwt, p = 0.02), followed by a sharp decline. These findings suggest that indoor PM10 exposure from desert dust events acutely exacerbates airway inflammation and oxidative stress in HF patients, highlighting the need for targeted interventions.