Primary Outcome Measures:
- Glutathione [ Time Frame: pre exposure, 3 hr post exposure ] [ Designated as safety issue: No ]
- Ascorbate [ Time Frame: Pre-exposure, 3 hrs post-exposure ] [ Designated as safety issue: No ]
- Nitrate Nitrite [ Time Frame: Pre-exposure, 1.5 hr, 3, 6, 12, 22 hr post-exposure initiation ] [ Designated as safety issue: No ]
- F2Isoprostanes [ Time Frame: Pre-exposure, 1.5 hr, 3, 6, 12, 22 hr post-exposure initiation ] [ Designated as safety issue: No ]
- Heart Rate Variability [ Time Frame: Pre-exposure, 1.5 hr, 3, 6, 12, 22 hr post-exposure initiation ] [ Designated as safety issue: No ]
- Flow Mediated Dilation [ Time Frame: Pre-exposure, immediate post-exposure ] [ Designated as safety issue: No ]
- Brachial Artery Reactivity [ Time Frame: Pre-exposure, immediate post-exposure ] [ Designated as safety issue: No ]
Intervention Details:
Drug: Nacetylcysteine, ascorbate
NAC: 600mg twice daily for the day prior to exposure and 1x pre-exposure Ascorbate: 500mg twice daily for 7 days prior to exposure
OBJECTIVES Evidence of the cardiovascular health effects of both acute and chronic exposure to ambient fine particulate matter (PM) has continued to accumulate in epidemiologic and experimental studies, without a demonstrated coherent pathophysiologic explanation. At the same time, the role of endothelial homeostasis in the development and triggering of cardiovascular disease has become more clear and compelling. Importantly, oxidative stress has emerged as a potential link between these two developments: Oxidative stress is known to play a role in endothelial dysfunction and is exerted by components of PM, especially of PM from combustion products. Based on this we propose an overall hypothesis: Inhalation of combustion-derived particles impact cardiovascular health by impairing endothelial function, through mechanisms mediated by increased oxidative stress.
Diesel exhaust particulate (DEP), an important contributor to ambient fine PM, has been demonstrated to exert oxidative stress in experimental systems. We propose a series of experiments to explore whether human exposure to DEP results in alteration of endothelial homeostasis and evidence of oxidative stress, and whether an antioxidant regimen can blunt the effects on endothelial function.
The objectives of this proposed research are to address the following specific hypotheses:
- Human exposure to inhaled DEP (at concentrations approximating 0, 100, 200 μg PM2.5/m3) results in concentration-related alteration of endothelial homeostasis, as reflected in ultrasonographic measurement of the brachial artery, plasma markers of endothelial homeostasis (endothelin-1, ICAM-1, e-selectin, nitric oxide metabolites nitrate [NO3-] and nitrite [NO2-], IL-6, and TNF-α), and markers of thrombosis associated with endothelial activation or injury (plasminogen activator inhibitor-1 [PAI-1], Von Willebrand's factor [VWF], and D-dimer).
- Human exposure to inhaled DEP at 200 µg PM2.5/m3 results in evidence of systemic oxidative stress as assessed by markers in plasma and urine (isoprostane F-2α).
- Reduction in oxidant stress by ascorbate and N-acetylcysteine supplementation blunts the effect of inhaled DEP on endothelial function, as determined by ultrasonographic assessment of the brachial artery, plasma markers of endothelial homeostasis, or markers of thrombosis associated with endothelial activation.
Purpose
