Abstract

More than a third of the world’s population relies on solid fuels for cooking and heating, with major health consequences. Although solid fuel combustion emissions are known to increase the prevalence of illnesses such as chronic obstructive pulmonary disease and lung cancer, however, their effect on the eyes is underexplored. This study assesses the acute toxicity of solid fuel combustion emissions on healthy ocular cells and a cancer cell line. Three healthy ocular cell lines (corneal, lens, and retinal epithelial cells) and a cancer cell line (Chinese hamster ovary cells) were exposed to liquid and gas phase emissions from applewood and coal combustion. Following the exposure, real-time cell attachment behavior was monitored for at least 120 hours with electrical cell impedance spectroscopy. The viability of the cells, amount of apoptotic cells, and generation of reactive oxygen species (ROS) were quantified with MTT, ApoTox-Glo, and ROS-Glo H2O2 assays, respectively. The results showed that coal emissions compromised the viability of ocular cells more than applewood emissions. Interestingly, the cancer cells, although their viability was not compromised, generated 1.7 to 2.7 times more ROS than healthy cells. This acute exposure study provides compelling proof that biomass combustion emissions compromise the viability of ocular cells and increase ROS generation. The increased ROS generation was fatal for ocular cells, but it promoted the growth of cancer cells.

Highlights

  • Epidemiological studies have investigated associations between stove emissions and different health indicators, such as cardiovascular risk, hypertension, and lung function[3,4,6,7,8]

  • No significant difference was observed for the biocompatibility of corneal and lens epithelial cells exposed to the emissions from the two fuels (Fig. 3A)

  • Our results showed that retinal pigment epithelial (RPE) cells can cope well with oxidative stress (Fig. 3C)

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Summary

Introduction

Epidemiological studies have investigated associations between stove emissions and different health indicators, such as cardiovascular risk, hypertension, and lung function[3,4,6,7,8]. Unlike corneal and lens epithelial cells, retinal cells can cope well with oxidative stress due to their unique ROS handling capacity, an evolutionary mechanism for tolerating light exposure[16]. In view of this information, and because biomass and coal combustion is a repetitive daily activity for women, especially in developing countries[22,23,24,25,26], there are clear motives to investigate the effect of biomass and coal combustion smoke at the cellular level first. This is the first evaluation of the in-vitro toxicity of biomass and coal combustion emissions on the eye

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