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author:

Wang, Tinggui (Wang, Tinggui.) [1] | Liang, Mengdan (Liang, Mengdan.) [2] | Ye, Xiaoying (Ye, Xiaoying.) [3] | Huang, Xiaoxiao (Huang, Xiaoxiao.) [4] | Chen, Hanbing (Chen, Hanbing.) [5] | He, Xiongkun (He, Xiongkun.) [6] | Xie, Mengying (Xie, Mengying.) [7] | Xie, Xiaowei (Xie, Xiaowei.) [8] | Jiang, Xiannuan (Jiang, Xiannuan.) [9] | Chen, Zhehui (Chen, Zhehui.) [10] | Xie, Baosong (Xie, Baosong.) [11] | Zeng, Yiming (Zeng, Yiming.) [12] | Xie, Xiaoxu (Xie, Xiaoxu.) [13]

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SCIE

Abstract:

Background Limited evidence exists on air pollution's systemic impact on lung function and mediating biomarkers. This study comprehensively evaluated associations between air pollution, COPD and lung function, while exploring biomarker mediation. Methods A prospective analysis of 451 566 UK Biobank participants was conducted. Land use regression models estimated exposure to particulate matter (PM) <= 2.5 mu m (PM2.5), PM <= 10 mu m (PM10), PM with diameters between 2.5 and 10 mu m, reflectance measured on PM2.5 filters and transformed into absorbance (PM2.5 absorbance), nitrogen dioxide (NO2) and nitrogen oxides (NOx). Linear and Cox regression assessed pollution effects on forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), FEV1:FVC ratio, peak expiratory flow (PEF) and COPD incidence. A meta-analysis synthesised results with prior cohorts (PROSPERO: CRD42023411304). Mediation analysis evaluated biomarkers. Results Elevated PM2.5, PM2.5 absorbance, NOx and NO2 correlated with reduced lung function (measured as FEV1, FVC, FEV1:FVC ratio and PEF) and higher COPD risk (hazard ratio: 1.08-1.15). Race-stratified analyses revealed interactions, with White populations showing greater COPD susceptibility. Meta-analysis confirmed air pollution-COPD links. Mediation analyses implicated plasma lipid metabolites, inflammatory cell counts and cytokines as mechanistic intermediaries. Conclusion Air pollution associates with lung function decline and elevated COPD risk, with White populations disproportionately affected. Lipid, inflammatory and haematological biomarkers mediate this relationship. Findings underscore the urgency of air pollution control to mitigate respiratory harm and inform targeted preventive and therapeutic strategies.

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Community:

  • [ 1 ] [Wang, Tinggui]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 2 ] [Liang, Mengdan]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 3 ] [Ye, Xiaoying]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 4 ] [Huang, Xiaoxiao]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 5 ] [Chen, Hanbing]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 6 ] [He, Xiongkun]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 7 ] [Jiang, Xiannuan]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 8 ] [Chen, Zhehui]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 9 ] [Xie, Xiaoxu]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China
  • [ 10 ] [Wang, Tinggui]Xiamen Univ, Zhongshan Hosp, Dept Med Adm, Xiamen, Peoples R China
  • [ 11 ] [Xie, Mengying]Nanchang Univ, Clin Med Sch 2, Nanchang, Peoples R China
  • [ 12 ] [Xie, Xiaowei]Harbin Med Univ, Canc Hosp, Dept Urol, Harbin, Peoples R China
  • [ 13 ] [Xie, Baosong]Fuzhou Univ, Affiliated Prov Hosp, Fujian Prov Hosp, Dept Resp & Crit Care Med, Fuzhou, Peoples R China
  • [ 14 ] [Zeng, Yiming]Fujian Med Univ, Ctr Resp Med Fujian Prov, Dept Pulm & Crit Care Med, Affiliated Hosp 2, Quanzhou, Peoples R China
  • [ 15 ] [Xie, Xiaoxu]Fujian Med Univ, Affiliated Hosp 2, Clin Res Unit, Quanzhou, Peoples R China

Reprint 's Address:

  • [Xie, Xiaoxu]Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Fuzhou, Peoples R China;;[Xie, Xiaoxu]Fujian Med Univ, Affiliated Hosp 2, Clin Res Unit, Quanzhou, Peoples R China

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EUROPEAN RESPIRATORY REVIEW

ISSN: 0905-9180

Year: 2025

Issue: 177

Volume: 34

9 . 0 0 0

JCR@2023

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ESI Highly Cited Papers on the List: 0 Unfold All

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Chinese Cited Count:

30 Days PV: 0

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