Abstract
In this review, we identified 15 studies in children and 10 studies in adults that assessed the association between long-term exposure to air pollution and incident asthma and that conducted stratified analyses to explore potential susceptibility factors. Overall, adult never-/former smokers seem to be at higher risk of incident asthma due to air pollution. Children without atopy and children from low socioeconomic status families also seem to be at higher risk of incident asthma due to air pollution. While interaction between air pollution and genes involved in the response to oxidative stress pathways have been explored, results are somewhat inconsistent and in need of replication. To evaluate interactions, large sample sizes are necessary, and much more research, including data pooling from existing studies, is needed to further explore susceptibility factors for asthma incidence due to long-term air pollution exposure.
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References
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Pope CA. Cardiovascular mortality and long-term exposure to particulate air pollution: epidemiological evidence of general pathophysiological pathways of disease. Circulation. 2003;109:71–7. doi:10.1161/01.CIR.0000108927.80044.7F.
Hamra GB, Laden F, Cohen AJ, Raaschou-Nielsen O, Brauer M, Loomis D. Lung cancer and exposure to nitrogen dioxide and traffic: a systematic review and meta-analysis. Environ Health Perspect. 2015;123:1107–12. doi:10.1289/ehp.1408882.
Pedersen M, Giorgis-Allemand L, Bernard C, Aguilera I, Andersen A-MN, Ballester F, et al. Ambient air pollution and low birthweight: a European cohort study (ESCAPE). Lancet Respir Me. 2013;1:695–704. doi:10.1016/S2213-2600(13)70192-9.
Sacks JD, Stanek LW, Luben TJ, Johns DO, Buckley BJ, Brown JS, et al. Particulate matter–induced health effects: who is susceptible? Environ Health Perspect. 2010;119:446–54. doi:10.1289/ehp.1002255.
Sunyer J, Spix C, Quénel P, Ponce-de-León A, Pönka A, Barumandzadeh T, et al. Urban air pollution and emergency admissions for asthma in four European cities: the APHEA Project. Thorax. 1997;52:760–5. doi:10.1136/thx.52.9.760.
Faustini A, Stafoggia M, Cappai G, Forastiere F. Short-term effects of air pollution in a cohort of patients with chronic obstructive pulmonary disease. Epidemiology. 2012;23:861–79. doi:10.1097/EDE.0b013e31826767c2.
Clougherty JE, Kubzansky LD. A framework for examining social stress and susceptibility to air pollution in respiratory health. Environ Health Perspect. 2009;117:1351–8. doi:10.1289/ehp.0900612.
Zheng X, Ding H, Jiang L, Chen S, Zheng J, Qiu M, et al. Association between air pollutants and asthma emergency room visits and hospital admissions in time series studies: a systematic review and meta-analysis. PLoS One. 2015;10, e0138146. doi:10.1371/journal.pone.0138146.
Jacquemin B, Schikowski T, Carsin A, Hansell A, Krämer U, Sunyer J, et al. The role of air pollution in adult-onset asthma: A review of the current evidence. Semin Respir Crit Care Med. 2012;33:606–19. doi:10.1055/s-0032-1325191.
Anderson HR, Favarato G, Atkinson RW. Long-term exposure to air pollution and the incidence of asthma: meta-analysis of cohort studies. Air Qual Atmos Heal. 2013;6:47–56. doi:10.1007/s11869-011-0144-5.
Pierse N, Rushton L, Harris RS, Kuehni CE, Silverman M, Grigg J. Locally generated particulate pollution and respiratory symptoms in young children. Thorax. 2006;61:216–20. doi:10.1136/thx.2004.036418.
Clougherty JE, Levy JI, Kubzansky LD, Ryan PB, Suglia SF, Canner MJ, et al. Synergistic effects of traffic-related air pollution and exposure to violence on urban asthma etiology. Environ Health Perspect. 2007;115:1140–6. doi:10.1289/ehp.9863.
Nordling E, Berglind N, Melén E, Emenius G, Hallberg J, Nyberg F, et al. Traffic-related air pollution and childhood respiratory symptoms, function and allergies. Epidemiology. 2008;19:401–8. doi:10.1097/EDE.0b013e31816a1ce3.
Oftedal B, Nystad W, Brunekreef B, Nafstad P. Long-term traffic-related exposures and asthma onset in schoolchildren in Oslo, Norway. Environ Health Perspect. 2009;117:839–44. doi:10.1289/ehp.11491.
Shankardass K, McConnell R, Jerrett M, Milam J, Richardson J, Berhane K. Parental stress increases the effect of traffic-related air pollution on childhood asthma incidence. Proc Natl Acad Sci U S A. 2009;106:12406–11. doi:10.1073/pnas.0812910106.
Gehring U, Wijga AH, Brauer M, Fischer P, De Jongste JC, Kerkhof M, et al. Traffic-related air pollution and the development of asthma and allergies during the first 8 years of life. Am J Respir Crit Care Med. 2010;181:596–603. doi:10.1164/rccm.200906-0858OC.
Carlsten C, Dybuncio A, Becker A, Chan-Yeung M, Brauer M. Traffic-related air pollution and incident asthma in a high-risk birth cohort. Occup Environ Med. 2011;68:291–5. doi:10.1136/oem.2010.055152.
Nishimura KK, Galanter JM, Roth LA, Oh SS, Thakur N, Nguyen EA, et al. Early-Life air pollution and asthma risk in minority children the GALA II and SAGE II studies. Am J Respir Crit Care Med. 2013;188:309–18. doi:10.1164/rccm.201302-0264OC.
Hsu H-HL, Chiu Y-HM, Coull BA, et al. Prenatal particulate air pollution and asthma onset in urban children: identifying sensitive windows and sex differences. Am J Respir Crit Care Med. 2015;1:150715082344002. doi:10.1164/rccm.201504-0658OC. This paper provides a nice and complete study on the effect of air pollution on incident asthma in children, with data-driven approach to select window of exposure. This paper reported a stronger susceptibility in boys for mid-gestation exposure.
Modig L, Järvholm B, Rönnmark E, Nyström L, Lundbäck B, Andersson C, et al. Vehicle exhaust exposure in an incident case-control study of adult asthma. Eur Respir J Off J Eur Soc Clin Respir Physiol. 2006;28:75–81. doi:10.1183/09031936.06.00071505.
Castro-Giner F, Künzli N, Jacquemin B, Forsberg B, De Cid R, Sunyer J, et al. Traffic-related air pollution, oxidative stress genes, and asthma (ECHRS). Environ Health Perspect. 2009;117:1919–24. doi:10.1289/ehp.0900589.
Jacquemin B, Sunyer J, Forsberg B, Aguilera I, Briggs D, García-Esteban R, et al. Home outdoor NO2 and new onset of self-reported asthma in adults. Epidemiology. 2009;20:119–26. doi:10.1097/EDE.0b013e3181886e76.
Jacquemin B, Sunyer J, Forsberge B, Aguilera I, Bouso L, Briggs D, et al. Association between modelled traffic-related air pollution and asthma score in the ECRHS. Eur Respir J. 2009;34:834–42. doi:10.1183/09031936.00138208.
Künzli N, Bridevaux P-O, Liu L-JS, Garcia-Esteban R, Schindler C, Gerbase MW, et al. Traffic-related air pollution correlates with adult-onset asthma among never-smokers. Thorax. 2009;64:664–70. doi:10.1136/thx.2008.110031.
Young MT, Sandler DP, DeRoo LA, Vedal S, Kaufman JD, London SJ. Ambient air pollution exposure and incident adult asthma in a nationwide cohort of US women. Am J Respir Crit Care Med. 2014;190:914–21. doi:10.1164/rccm.201403-0525OC.
Jacquemin B, Siroux V, Sanchez M, et al. Ambient air pollution and adult asthma incidence in six European cohorts (ESCAPE). Environ Health Perspect. 2015;123:613–21. doi:10.1289/ehp.1408206. This meta-analysis provides a complete study of the association between incident asthma and air pollution in six European cohorts with several stratified analyses on different susceptibility factors.
Gruzieva O, Bergström A, Hulchiy O, Kull I, Lind T, Melén E, et al. Exposure to air pollution from traffic and childhood asthma until 12 years of age. Epidemiology. 2013;24:54–61. doi:10.1097/EDE.0b013e318276c1ea.
Modig L, Torén K, Janson C, Jarvholm B, Forsberg B. Vehicle exhaust outside the home and onset of asthma among adults. Eur Respir J. 2009;33:1261–7. doi:10.1183/09031936.00101108.
Zmirou D, Gauvin S, Pin I, Momas I, Sahraoui F, Just J, et al. Traffic related air pollution and incidence of childhood asthma: results of the Vesta case-control study. J Epidemiol Community Health. 2004;58:18–23. doi:10.1136/jech.58.1.18.
Shima M, Nitta Y, Adachi M. Traffic-related air pollution and respiratory symptoms in children living along trunk roads in Chiba Prefecture, Japan. J Epidemiol. 2003; 13:108–119. http://cat.inist.fr/?aModele=afficheN&cpsidt=14773739.
Islam T, McConnell R, Gauderman WJ, Avol E, Peters JM, Gilliland FD. ozone, oxidant defense genes, and risk of asthma during adolescence. Am J Respir Crit Care Med. 2008;177:388–95. doi:10.1164/rccm.200706-863OC.
Islam T, Berhane K, McConnell R, Gauderman WJ, Avol E, Peters JM, et al. Glutathione-S-transferase (GST) P1, GSTM1, exercise, ozone and asthma incidence in school children. Thorax. 2009;64:197–202. doi:10.1136/thx.2008.099366.
Greer JR, Abbey DE, Burchette RJ. Asthma related to occupational and ambient air pollutants in nonsmokers. J Occup Med. 1993; 35:909–15. http://www.ncbi.nlm.nih.gov/pubmed/8229343.
McDonnell WF, Abbey DE, Nishino N, Lebowitz MD. Long-term ambient ozone concentration and the incidence of asthma in nonsmoking adults: the AHSMOG Study. Environ Res. 1999;80:110–21. doi:10.1006/enrs.1998.3894.
Clark NA, Demers PA, Karr CJ, Koehoorn M, Lencar C, Tamburic L, et al. Effect of early life exposure to air pollution on development of childhood asthma. Environ Health Perspect. 2010;118:284–90. doi:10.1289/ehp.0900916.
Vieira SE. The health burden of pollution: the impact of prenatal exposure to air pollutants. Int J Chron Obstruct Pulmon Dis. 2015;10:1111–21. doi:10.2147/COPD.S40214.
Simoni M, Baldacci S, Maio S, Cerrai S, Sarno G, Viegi G. Adverse effects of outdoor pollution in the elderly. J Thorac Dis. 2015;7:34–45. doi:10.3978/j.issn.2072-1439.2014.12.10.
Clougherty JE. A growing role for gender analysis in air pollution epidemiology. Environ Health Perspect. 2009;118:167–76. doi:10.1289/ehp.0900994.
Turner MC, Cohen A, Jerrett M, Gapstur SM, Diver WR, Pope CA, et al. Interactions between cigarette smoking and fine particulate matter in the risk of lung cancer mortality in cancer prevention study II. Am J Epidemiol. 2014;180:1145–9. doi:10.1093/aje/kwu275.
Janson C, Kalm-Stephens P, Foucard T, Alving K, Nordvall SL. Risk factors associated with allergic and non-allergic asthma in adolescents. Clin Respir J. 2007;1:16–22. doi:10.1111/j.1752-699X.2007.00001.x.
Schikowski T, Schaffner E, Meier F, Phuleria HC, Vierkötter A, Schindler C, et al. Improved air quality and attenuated lung function decline: Modification by obesity in the SAPALDIA cohort. Environ Health Perspect. 2013;121:1034–9. doi:10.1289/ehp.1206145.
Adam M, Schikowski T, Carsin AE, Cai Y, Jacquemin B, Sanchez M, et al. Adult lung function and long-term air pollution exposure. ESCAPE: a multicentre cohort study and meta-analysis. Eur Respir J. 2015;45:38–50. doi:10.1183/09031936.00130014.
Camargo CA, Weiss ST, Zhang S, Willett WC, Speizer FE. Prospective study of body mass index, weight change, and risk of adult-onset asthma in women. Arch Intern Med. 1999; 159:2582–8. http://www.ncbi.nlm.nih.gov/pubmed/10573048.
Morales E, Garcia-Esteban R, Asensio de la Cruz O, Basterrechea M, Lertxundi A, Martinez López de Dicastillo MD, et al. Intrauterine and early postnatal exposure to outdoor air pollution and lung function at preschool age. Thorax. 2015;70:64–73. doi:10.1136/thoraxjnl-2014-205413.
Coogan PF, Castro-Webb N, Yu J, O’Connor GT, Palmer JR, Rosenberg L. Active and passive smoking and the incidence of asthma in the Black Women’s Health Study. Am J Respir Crit Care Med. 2015;191:168–76. doi:10.1164/rccm.201406-1108OC.
Neidell MJ. Air pollution, health, and socio-economic status: the effect of outdoor air quality on childhood asthma. J Health Econ. 2004;23:1209–36. doi:10.1016/j.jhealeco.2004.05.002.
Forastiere F, Stafoggia M, Tasco C, Picciotto S, Agabiti N, Cesaroni G, et al. Socioeconomic status, particulate air pollution, and daily mortality: differential exposure or differential susceptibility. Am J Ind Med. 2007;50:208–16. doi:10.1002/ajim.20368.
Hajat A, Diez-Roux AV, Adar SD, Auchincloss AH, Lovasi GS, O’Neill MS, et al. Air pollution and individual and neighborhood socioeconomic status: evidence from the Multi-Ethnic Study of Atherosclerosis (MESA). Environ Health Perspect. 2013;121:1325–33. doi:10.1289/ehp.1206337.
Oosterlee A, Drijver M, Lebret E, Brunekreef B. Chronic respiratory symptoms in children and adults living along streets with high traffic density. Occup Environ Med. 1996;53:241–7. doi:10.1136/oem.53.4.241.
McConnell R, Berhane K, Yao L, Jerrett M, Lurmann F, Gilliland F, et al. Traffic, susceptibility, and childhood asthma. Environ Health Perspect. 2006;114:766–72. doi:10.1289/ehp.8594.
Dell SD, Jerrett M, Beckerman B, Brook JR, Foty RG, Gilbert NL, et al. Presence of other allergic disease modifies the effect of early childhood traffic-related air pollution exposure on asthma prevalence. Environ Int. 2014;65:83–92. doi:10.1016/j.envint.2014.01.002.
Downs SH, Schindler C, Liu L-JS, Keidel D, Bayer-Oglesby L, Brutsche MH, et al. Reduced exposure to PM10 and attenuated age-related decline in lung function. N Engl J Med. 2007;357:2338–47. doi:10.1056/NEJMoa073625.
Rosenlund M, Forastiere F, Porta D, De Sario M, Badaloni C, Perucci CA. Traffic-related air pollution in relation to respiratory symptoms, allergic sensitisation and lung function in schoolchildren. Thorax. 2009;64:573–80. doi:10.1136/thx.2007.094953.
Uphoff E, Cabieses B, Pinart M, Valdés M, Antó JM, Wright J. A systematic review of socioeconomic position in relation to asthma and allergic diseases. Eur Respir J. 2015;46:364–74. doi:10.1183/09031936.00114514.
Hajat A, Hsia C, O’Neill MS. Socioeconomic disparities and air pollution exposure: a global review. Curr Environ Health Rep. 2015. doi:10.1007/s40572-015-0069-5.
Romieu I, Sienra-Monge JJ, Ramírez-Aguilar M, Téllez-Rojo MM, Moreno-Macías H, Reyes-Ruiz NI, et al. Antioxidant supplementation and lung functions among children with asthma exposed to high levels of air pollutants. Am J Respir Crit Care Med. 2002;166:703–9. doi:10.1164/rccm.2112074.
Eckel SP, Louis TA, Chaves PHM, Fried LP, Margolis AHG, Fried LP, et al. Modification of the association between ambient air pollution and lung function by frailty status among older adults in the Cardiovascular Health Study. Am J Epidemiol. 2012;176:214–23. doi:10.1093/aje/kws001.
Guarnieri M, Balmes JR. Outdoor air pollution and asthma. Lancet. 2014;383:1581–92. doi:10.1016/S0140-6736(14)60617-6. This review provides a complete overview of the association between air pollution and asthma in general, covering the association itself but also several others issues such as biological mechanism or risk modifiers.
Liu C, Maity A, Lin X, Wright RO, Christiani DC. Design and analysis issues in gene and environment studies. Environ Health. 2012;11:93. doi:10.1186/1476-069X-11-93.
Rava M, Ahmed I, Demenais F, Sanchez M, Tubert-Bitter P, Nadif R. Selection of genes for gene-environment interaction studies: a candidate pathway-based strategy using asthma as an example. Environ Health. 2013;12:56. doi:10.1186/1476-069X-12-56.
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Emilie Burte, Rachel Nadif and Bénédicte Jacquemin declare that they have no conflict of interest.
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Burte, E., Nadif, R. & Jacquemin, B. Susceptibility Factors Relevant for the Association Between Long-Term Air Pollution Exposure and Incident Asthma. Curr Envir Health Rpt 3, 23–39 (2016). https://doi.org/10.1007/s40572-016-0084-1
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DOI: https://doi.org/10.1007/s40572-016-0084-1