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Regular Article| Volume 95, ISSUE 7, P606-611, July 2001

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The role of outdoor air pollution and climatic changes on the rising trends in respiratory allergy

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      Abstract

      Evidence suggests that allergic respiratory diseases such as hay fever and bronchial asthma have become more common world-wide in the last two decades, and the reasons for this increase are still largely unknown. A major responsible factor could be outdoor air pollution, derived from cars and other vehicles. Studies have demonstrated that urbanization and high levels of vehicle emissions and westernized lifestyle is correlated with the increasing frequency of pollen-induced respiratory allergy. People who live in urban areas tend to be more affected by pollen-induced respiratory allergy than those from of rural areas.
      Pollen allergy has been one of the most frequent models used to study the interrelationship between air pollution and respiratory allergic diseases. Pollen grains or plant-derived paucimicronic components carry allergens that can produce allergic symptoms. They may also interact with air pollution (particulate matter, ozone) in producing these effects. There is evidence that air pollutants may promote airway sensitization by modulating the allergenicity of airborne allergens. Furthermore, airway mucosal damage and impaired mucociliary clearance induced by air pollution may facilitate the access of inhaled allergens to the cells of the immune system. In addition, vegetation reacts with air pollution and environmental conditions and influence the plant allergenicity. Several factors influence this interaction, including type of air pollutants, plant species, nutrient balance, climatic factors, degree of airway sensitization and hyperresponsiveness of exposed subjects.

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      References

      References

      1. Environ. 1994; 36: 5-37
      2. Am J Respir Crit Care Med. 1996; 153: 3-50
        • Lebowitz MD
        Epidemiological studies of the respiratory effects of air pollution.
        Eur Respir J. 1996; 9: 1029-1054
        • Gielen MH
        • Van der Zee SC
        • Van Eijenen JH
        • Van Steen CJ
        • Brunekreef B
        Acute effects of summer air pollution on respiratory health of asthmatic children.
        Am J Respir Crit Care Med. 1997; 155: 2105-2108
        • Viegi G
        • Enarson DA
        Human health effects of air pollution from mobile sources in Europe.
        Int J Tuberc Lung Dis. 1998; 2: 947-967
        • Burney P
        Air pollution and asthma: the dog that doesn't always bark.
        Lancet. 1999; 353: 859-860
        • Boezen HM
        • van der Zee SC
        • Postma DS
        Effects of ambient air pollution on upper and lower respiratory symptoms and peak expiratory flow in children.
        Lancet. 1999; 353: 874-878
        • Koenig JQ
        Air pollution and asthma.
        J Allergy Clin Immunol. 1999; 104: 717-722
      3. Eur Respir J. 1996; 9: 687-695
        • Burney P GJ
        Evidence for an increase in atopic diseases and possible causes.
        Clin Exp Allergy. 1993; 23: 484-492
        • Dockery DW
        • Pope CA
        • Xu X
        • Spengler JD
        An association between air pollution and mortality in six US cities.
        New Engl J Med. 1993; 329: 1753-1759
        • Schenker M
        Air pollution and mortality.
        New Engl J Med. 1993; 329: 1807-1808
        • D'Amato G
        • Liccardi G
        Environmental injury of airways and allergic respiratory diseases.
        Pulm Pharmacol Ther. 1998; 11: 369-374
        • Devalia JL
        • Rusznak C
        • Davies RJ
        Allergen/irritant interaction-its role in sensitization and allergic disease.
        Allergy. 1998; 53: 335-345
        • D'Amato G
        • Spieksma F TM
        • Liccardi G
        Pollen-related allergy in Europe. Position paper of the European Academy of Allergology and Clinical Immunology.
        Allergy. 1998; 53: 567-578
        • D'Amato G
        Urban air pollution and plant-derived respiratory allergy.
        Clin Exp Allergy. 2000; 30: 628-636
        • Busse WW
        • Reed CE
        • Hoehne JH
        Where is the allergic reaction in ragweed asthma? II. Demonstration of ragweed antigen in airborne particles smaller than pollen.
        J Allergy Clin Immunol. 1972; 50: 289-293
        • Solomon WR
        • Burge HA
        • Muilenberg ML
        Allergen carriage by atmospheric aerosol. I. Ragweed pollen determinants in smaller micronic fraction.
        J Allergy Clin Immunol. 1983; 72: 443-447
        • Spieksma F ThM
        • Nikkels BH
        • Dijkman JH
        Seasonal appearance of grass pollen allergen in natural, paucimicronic aerosol of various size fractions. Relationship with airborne grass-pollen concentration.
        Clin Exp Allergy. 1995; 25: 234-239
        • D'Amato G
        • De Palma R
        • Verga A
        Antigenic activity of non pollen parts (leaves and stems) of allergenic plants.
        Ann Allergy. 1991; 67: 421-424
        • Knox RB
        Grass pollen, thunderstorms and asthma.
        Clin Exp Allergy. 1993; 23: 354-359
        • Behrendt H
        • Becker WM
        • Friedrichs KH
        • Darson V
        • Tomingas R
        Interaction between aeroallergens and airborne particulate matter.
        Int Arch Allergy Immunol. 1992; 99: 425-428
        • D'Amato G
        Outdoor air pollution, climatic changes and pollenosis.
        in: D'Amato G Bonini S Bousquet J Durham SR Platts-Mills T AE Pollenosis 2000: (Global Approach). JGC Editions, Naples2001: 91-96
        • Emberlin J
        The effects of air pollution on allergenic plants.
        Eur Respir Rev. 1998; 53: 164-167
      4. Hjelmeroos, M, Schumacker, M, van Hage-Hamster, V, Variations in birch pollen (Betula verrucosa) allergens between different trees in view of both the provenance and air pollution, 1994

        • Emberlin J
        • Savage M
        • Jones S
        Annual variations in grass pollen seasons in London 1961–1990, trends and forecast models.
        Clin Exp Allergy. 1993; 23: 911-918
        • Knox RB
        • Suphioglu C
        • Taylor P
        Major grass pollen allergen Lol p1 binds to diesel exhaust particles: implications of asthma and air pollution.
        Clin Exp Allergy. 1997; 27: 246-251
        • Takafuji S.
        • Suzuki S
        • Koizumi K
        Diesel exhaust particulates inoculated by the nasal route have an adjuvant activity for IgE production in mice.
        J Allergy Clin Immunol. 1987; 79: 639-645
        • Nel AE
        • Diaz-Sanchez D
        • Ng D
        • Hiura T
        • Saxon A
        Enhancement of allergic inflammation by the interaction between diesel exhaust particles and the immune system.
        J Allergy Clin Immunol. 1998; 102: 539-554
        • Diaz-Sanchez D
        • Tsien A
        • Fleming J
        • Saxon A
        Combined diesel exhaust particulate and ragweed allergen challenge markedly enhances human in vivo nasal ragweed-specific IgE and skews cytokine production to a T helper cell 2-type pattern.
        J Immunol. 1997; 158: 2406-2413
        • Graham DE
        • Koren HS
        Biomarkers of inflammation in ozone-exposed humans. Comparison of the nasal and bronchoalveolar lavage.
        Am Rev Respir Dis. 1990; 142: 152-156
        • Seltzer J
        • Bigby BG
        • Stulborg M
        O3induced change in bronchial reactivity in methacholine and airway inflammation in humans.
        J Appl Physiol. 1986; 60: 1321-1326
        • Koren HS
        • Devlin RB
        • Graham DE
        Ozone-induced inflammation in the lower airways of human subjects.
        Am Rev Respir Dis. 1989; 139: 407-415
        • Molfino NA
        • Wright SC
        • Katz I
        Effect of low concentration of ozone on inhaled allergen responses in asthmatic subjects.
        Lancet. 1991; 338: 199-203
        • Jorres R
        • Nowak D
        • Magnussen H
        Effect of ozone exposure on allergen responsiveness in subjects with asthma or rhinitis.
        Am J Resp Crit Care Med. 1996; 153: 56-64
        • Kehrl HR
        • Peden DB
        • Ball B
        • Folinsbee LJ
        • Horstrom D
        Increased specific airway reactivity of persons with mild allergic asthma after 76 hours of exposure to 0.16 ppm ozone.
        J Allergy Clin Immunol. 1999; 104: 1198-1204
      5. J Epidemiol Comm Health. 1996; 50: S2-S80
        • Roemer W
        • Hoek G
        • Brunekreef B
        PM10 elemental composition and acute respiratory health effects in European children (PEACE project).
        Eur Respir J. 2000; 15: 553-559
        • Seaton
        • MacNee W
        • Donaldson K
        • Godden K
        Particulate air pollution and acute health effects.
        Lancet. 1995; 345: 176-178
        • Smith KR
        • Aust AE
        Mobilization of iron from urban particulates leads to generation of reactive oxygen species in vitro abd induction of ferritin synthesis in human lung epithelial cells.
        Chem Res Toxicol. 1997; 10: 828-834
        • Ghio AJ
        • Hatch GE
        Lavage phospholipid concentration after silica instillation in the rat is associated with complexed (Fe3+) on the dust surface.
        Am J Respir Cell Mol Biol. 1993; 8: 403-407
        • Donaldson K
        • Brown DM
        • Mitchell C
        Free radical activity of PM10: iron mediated generation of hydroxyl radicals.
        Environ Health Perspect. 1997; 105: 1285-1289
        • Costa DL
        • Dreher KL
        Bioavailable transition metals in particulate matter mediate cardiopulmonary injury in healthy and compromised animal models.
        Environ Health Perspect. 1997; 105: 1053-1060
        • Dreher KL
        • Jaskot RH
        • Lehmann JR
        Soluble transition metals mediate residual oil fly ash induced acute lung injury.
        J Toxicol Environ Health. 1997; 50: 285-305
        • Costa DL
        • Lehmann JR
        • Winsett D
        • McGee J
        • Ghio A
        Pulmonary toxicity of Utah valley PM: are empirical indices of adverse health effects coherent with the epidemiology?.
        Am J Respir Crit Care Med. 1998; 152: A880
        • Emberlin J
        • Mullins J
        • Corden J
        The trend to earlier birch pollen seasons in the UK: a biotic response to changes in weather conditions?.
        Grana. 1997; 36: 29-33
        • Celenza A
        • Fothergill J
        • Kupek E
        • Shaw RJ
        Thunderstorms associated asthma: A detailed analysis of environmental factors.
        BMJ. 1996; 312: 604-607
        • Garty BZ
        • Kosman E
        • Ganor E
        Emergency room visits of asthmatic children, relation to air pollution, weather, and airborne allergens.
        Ann Allergy Asthma Immunol. 1998; 81: 563-570
        • Romieu I
        • Meneses F
        • Ruiz S
        Effect of air pollution on the respiratory health of asthmatic children living in Mexico City.
        Am J Respir Crit Care Med. 1996; 154: 300-307
        • Thurston GD
        • Gwynn RC
        Ozone and asthma mortality/hospital admissions in New York City.
        Am J Respir Crit Care Med. 1997; 155: A426
        • Peden DB
        • Setzer RW
        • Devlin RB
        Ozone exposure has both a priming effect on allergen induced responses as well as an intrinsic inflammatory action in the nasal airways of perennial allergic asthmatics.
        Am J Respir Crit Care Med. 1995; 151: 1336-1345
        • D'Amato G
        • Ruffilli A
        • Ortolani C
        Allergenic significance of Parietaria (pellitory-of-the-wall) pollen.
        in: D'Amato G Spieksma F Bonini S Allergenic pollen and pollinosis in Europe. Blackwell Scientific Publications, Oxford1991: 113-118
        • D'Amato G
        • Liccardi G
        Pollen-related allergy in the European Mediterranean area.
        Clin Exp Allergy. 1994; 24: 210-219
        • Pope CA
        • Thun MJ
        • Namboodiri MM
        Particulate air pollution as a predictor of mortality in a prospective study of US-adults.
        Am J Respir Crit Care Med. 1995; 151: 669-674
        • Abbey DE
        • Nishino N
        • McDonnel WF
        Long-term inhalable particles and other air pollutants related to mortality in nonsmokers.
        Am J Respir Crit Care Med. 1999; 159: 373-382