Abstract
Vascular changes occur early in the development of obstructive airways disease. However, the vascular remodeling and dysfunction due to World Trade Center-Particulate Matter (WTC-PM) exposure are not well described and are therefore the focus of this investigation. C57Bl/6 female mice oropharyngeally aspirated 200 µg of WTC-PM53 or phosphate-buffered saline (PBS) (controls). 24-hours (24-hrs) and 1-Month (1-M) after exposure, echocardiography, micro-positron emission tomography(µ-PET), collagen quantification, lung metabolomics, assessment of antioxidant potential and soluble-receptor for advanced glycation end products (sRAGE) in bronchoalveolar lavage(BAL) and plasma were performed. 24-hrs post-exposure, there was a significant reduction in (1) Pulmonary artery(PA) flow-velocity and pulmonary ejection time(PET) (2) Pulmonary acceleration time(PAT) and PAT/PET, while (3) Aortic ejection time(AET) and velocity time integral(VTI) were increased, and (4) Aortic acceleration time (AAT)/AET, cardiac output and stroke volume were decreased compared to controls. 1-M post-exposure, there was also significant reduction of right ventricular diameter as right ventricle free wall thickness was increased and an increase in tricuspid E, A peaks and an elevated E/A. The pulmonary and cardiac standard uptake value and volume 1-M post-exposure was significantly elevated after PM-exposure. Similarly, α-smooth muscle actin(α-SMA) expression, aortic collagen deposition was elevated 1-M after PM exposure. In assessment of the metabolome, prominent subpathways included advanced glycation end products (AGEs), phosphatidylcholines, sphingolipids, saturated/unsaturated fatty acids, eicosanoids, and phospholipids. BAL superoxide dismutase(SOD), plasma total-antioxidant capacity activity, and sRAGE (BAL and plasma) were elevated after 24-hrs. PM exposure and associated vascular disease are a global health burden. Our study shows persistent WTC-Cardiorespiratory and Vascular Dysfunction (WTC-CaRVD), inflammatory changes and attenuation of antioxidant potential after PM exposure. Early detection of vascular disease is crucial to preventing cardiovascular deaths and future work will focus on further identification of bioactive therapeutic targets.
Highlights
Vascular changes occur early in the development of obstructive airways disease
We have demonstrated a murine model of World Trade Center (WTC)-LI, characterized by airway hyperreactivity and forced expiratory volume in 1 second (FEV1) loss, 24-hrs after World Trade Center-Particulate Matter (WTC-particulate matter (PM)) exposure[16,18]
Our present study demonstrates that PM-exposed mice had significantly elevated soluble-receptor for advanced glycation end products (sRAGE) in BAL and plasma which is in line with our prior findings that RAGE is pivotal to WTC-PM lung injury[16]
Summary
Vascular changes occur early in the development of obstructive airways disease. The vascular remodeling and dysfunction due to World Trade Center-Particulate Matter (WTC-PM) exposure are not well described and are the focus of this investigation. Epidemiologic studies demonstrate associations between PM exposure and development of lung and cardiovascular disease(CVD)[1,2]. Evidence of WTC-Cardiorespiratory and Vascular Dysfunction(WTC-CaRVD) includes CVD risk factors, such as metabolic syndrome and pulmonary artery(PA)/aorta(A) ratio association with WTC-lung disease[8,9]. Cardiovascular biomarkers such as Apolipoprotein (Apo)-AII, soluble receptor for advanced glycation end-products(sRAGE) and soluble Vascular Cell Adhesion Molecule expressed shortly after WTC-PM exposure predict WTC-LI11,15–17
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