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Effect of pollutants in rhinitis

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Abstract

Allergic rhinitis is a very common disease worldwide and is influenced by both genetic and environmental factors. Exposure to environmental allergens is the most significant environmental factor in development and exacerbation of allergic rhinitis. However, air pollutants that are not allergens may affect allergic inflammation in the nasal airway. The nasal airway possesses a number of defense mechanisms to deal with environmental irritants. This article examines the effect of ozone and particulate air pollution on TH2-type inflammation in the airway and how nasal defenses protect the upper and lower airway from adverse effects of pollutants.

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References and Recommended Reading

  1. Togias A: Unique mechanistic features of allergic rhinitis. J Allergy Clin Immunol 2000, 105:S599-S604.

    Article  PubMed  CAS  Google Scholar 

  2. Health effects of outdoor air pollution: Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society. Am J Respir Crit Care Med 1996, 153:3–50.

    Google Scholar 

  3. Nathan RA, Meltzer EO, Seiner JC, Storms W: Prevalence of allergic rhinitis in the United States. J Allergy Clin Immunol 1997, 99:S808-S814.

    Article  Google Scholar 

  4. Weiss KB, Sullivan SD: The health economics of asthma and rhinitis: I: assessing the economic impact. J Allergy Clin Immunol 2001, 107:3–8.

    Article  PubMed  CAS  Google Scholar 

  5. Weiss ST: Environmental risk factors in childhood asthma. Clin Exp Allergy 1998, 28(suppl 5):29–34.

    Article  PubMed  Google Scholar 

  6. Holgate ST: Genetic and environmental interaction in allergy and asthma. J Allergy Clin Immunol 1999, 104:1139–1146.

    Article  PubMed  CAS  Google Scholar 

  7. Peden DB: Controlled exposures of asthmatics to air pollutants. In Air Pollution and Health. Edited by Holgate S, Koren H, Samet J. London: Academic Press; 1999:865–880. This is a review of the effect of air pollutants on airway inflammation as demonstrated by human challenge studies. Included is discussion of inflammatory effects of ozone, diesel exhaust, and other pollutants in the upper and lower airway.

    Google Scholar 

  8. Durham SR: Mechanisms of mucosal inflammation in the nose and lungs. Clin Exp Allergy 1998, 28(suppl 2):11–16.

    PubMed  Google Scholar 

  9. Lippmann M, Maynard RL: Air quality guidelines and standards. In Air Pollution and Health. Edited by Holgate ST, Samet JM, Koren HS, Maynard RL. San Diego: Academic Press; 1999:983–1017.

    Google Scholar 

  10. National ambient air quality standard for ozone final rule. Washington DC: US Congress; 1997. [Fed Reg 62:38856-38896.]

  11. Graham DE, Koren HS: Biomarkers of inflammation in ozone-exposed humans: comparison of the nasal and bronchoalveolar lavage. Am Rev Respir Dis 1990, 142:152–156.

    PubMed  CAS  Google Scholar 

  12. Koren HS, Hatch GE, Graham DE: Nasal lavage as a tool in assessing acute inflammation in response to inhaled pollutants. Toxicology 1990, 60:15–25.

    Article  PubMed  CAS  Google Scholar 

  13. Bascom R, Naclerio RM, Fitzgerald TK, et al.: Effect of ozone inhalation on the response to nasal challenge with antigen of allergic subjects. Am Rev Respir Dis 1990, 142:594–601.

    PubMed  CAS  Google Scholar 

  14. Peden DB, Setzer RW Jr, Devlin RB: Ozone exposure has both a priming effect on allergen-induced responses and an intrinsic inflammatory action in the airways of perennially allergic asthmatics. Am J Respir Criti Care Med 1995,151:1336–1345.

    CAS  Google Scholar 

  15. Michelson PH, Dailey L, Devlin RB, Peden DB: Ozone effects on the immediate phase response to allergen in the nasal airways of allergic asthmatics. Otolaryngol Head Neck Surg 1999, 120:225–232.

    Article  PubMed  CAS  Google Scholar 

  16. McBride DE, Koenig JQ, Luchtel DL, et al.: Inflammatory effects of ozone in the upper airways of subjects with asthma. Am J Respir Crit Care Med 1994, 149:1192–1197.

    PubMed  CAS  Google Scholar 

  17. Kopp MV, Ulmer C, Ihorst G, et al.: Upper airway inflammation in children exposed to ambient ozone and potential signs of adaptation. Eur Respir J 1999, 14:854–861. This paper demonstrates that ozone induces nasal inflammation in children in "real-life" settings associated with natural exposure to ozone, not in experimental challenge.

    Article  PubMed  CAS  Google Scholar 

  18. Calderon-Garciduenas L, Rodriguez-Alcaraz A, Garcia R, et al.: Nasal inflammatory responses in children exposed to a polluted urban atmosphere. J Toxicol Environ Health 1995, 45:427–437.

    Article  PubMed  CAS  Google Scholar 

  19. Calderon-Garciduenas L, Delgado R, Calderon-Garciduenas A, et al.: Malignant neoplasms of the nasal cavity and paranasal sinuses: a series of 256 patients in Mexico City and Monterrey: is air pollution the missing link? Otolaryngol Head Neck Surg 2000, 122:499–508.

    Article  PubMed  CAS  Google Scholar 

  20. Calderon-Garciduenas L, Wen-Wang L, Zhang YJ, et al.: 8- hydroxy-2′-deoxyguanosine, a major mutagenic oxidative DNA lesion, and DNA strand breaks in nasal respiratory epithelium of children exposed to urban pollution. Environ Health Perspect 1999, 107:469–474.

    Article  PubMed  CAS  Google Scholar 

  21. Wang Z, Larsson K, Palmberg L, et al.: Inhalation of swine dust induces cytokine release in the upper and lower airways. Eur Respir J 1997, 10:381–387.

    Article  PubMed  CAS  Google Scholar 

  22. Teeuw KB, Vandenbroucke-Grauls CM, Verhoef J: Airborne gram-negative bacteria and endotoxin in sick building syndrome: a study in Dutch governmental office buildings. Arch Intern Med 1994, 154:2339–2345.

    Article  PubMed  CAS  Google Scholar 

  23. Bonner JC, Rice AB, Lindroos PM, et al.: Induction of the lung myofibroblast PDGF receptor system by urban ambient particles from Mexico City. Am J Respir Cell Mol Biol 1998, 19:672–680. This article identifies endotoxin as a component of ambient air particles.

    PubMed  CAS  Google Scholar 

  24. Michel O, Kips J, Duchateau J, et al.: Severity of asthma is related to endotoxin in house dust. Am J Respir Crit Care Med 1996, 154:1641–1646.

    PubMed  CAS  Google Scholar 

  25. Martin TR: Recognition of bacterial endotoxin in the lungs. Am J Respir Cell Mol Biol 2000, 23:128–132.

    PubMed  CAS  Google Scholar 

  26. Dubin W, Martin TR, Swoveland P, et al.: Asthma and endotoxin: lipopolysaccharide-binding protein and soluble CD14 in bronchoalveolar compartment. Am J Physiol 1996, 270:L736-L744.

    PubMed  CAS  Google Scholar 

  27. Virchow JC, Julius P, Mattys H, et al.: CD14 expression and soluble CD14 after segmental allergen provocation in atopic asthma. Eur Respir J 1998, 11:317–323. This is an important demonstration of the ability of allergen exposure to upregulate response to endotoxin, a stimulus that does not activate inflammation via IgE.

    Article  PubMed  CAS  Google Scholar 

  28. Peden DB, Tucker K, Murphy P, et al.: Eosinophil influx to the nasal airway after local, low-level LPS challenge in humans. J Allergy Clin Immunol 1999, 104:388–394.

    Article  PubMed  CAS  Google Scholar 

  29. Eldridge MW, Peden DB: Allergen provocation augments endotoxin-induced nasal inflammation in subjects with atopic asthma. J Allergy Clin Immunol 2000, 105:475–481. This report describes the ability of allergen-induced inflammation to enhance response to endotoxin, which is found in particles, suggesting that nasal atopy may be a risk factor in enhancing response to a pollutant.

    Article  PubMed  CAS  Google Scholar 

  30. Diaz-Sanchez D, Dotson AR, Takenaka H, Saxon A: Diesel exhaust particles induce local IgE production in vivo and alter the pattern of IgE messenger RNA isoforms. J Clin Invest 1994, 94:1417–1425.

    Article  PubMed  CAS  Google Scholar 

  31. Diaz-Sanchez D, Tsien A, Fleming J, Saxon A: Combined diesel exhaust particulate and ragweed allergen challenge markedly enhances human in vivo nasal ragweed-specific IgE and skews cytokine production to a T helper cell 2-type pattern. J Immunol 1997, 158:2406–2413.

    PubMed  CAS  Google Scholar 

  32. Fujieda S, Diaz-Sanchez D, Saxon A: Combined nasal challenge with diesel exhaust particles and allergen induces in vivo IgE isotype switching. Am J Respir Cell Mol Biol 1998, 19:507–512.

    PubMed  CAS  Google Scholar 

  33. Wang M, Saxon A, Diaz-Sanchez D: Early IL-4 production driving Th2 differentiation in a human in vivo allergic model is mast cell derived. Clin Immunol 1999, 90:47–54.

    Article  PubMed  CAS  Google Scholar 

  34. Diaz-Sanchez D, Penichet-Garcia M, Saxon A: Diesel exhaust particles directly induce activated mast cells to degranulate and increase histamine levels and symptom severity. J Allergy Clin Immunol 2000, 106:1140–1146. This report demonstrates that DEPs can directly augment mast cell degranulation in vivo. This has not been observed in humans with other agents.

    Article  PubMed  CAS  Google Scholar 

  35. Diaz-Sanchez D, Tsien A, Fleming J, Saxon A: Effect of topical fluticasone propionate on the mucosal allergic response induced by ragweed allergen and diesel exhaust particle challenge. Clin Immunol 1999, 90:313–322.

    Article  PubMed  CAS  Google Scholar 

  36. Diaz-Sanchez D, Garcia MP, Wang M, et al.: Nasal challenge with diesel exhaust particles can induce sensitization to a neoallergen in the human mucosa. J Allergy Clin Immunol 1999, 104:1183–1188. This report demonstrates more directly that DEPs promote an IgEtype response to a neoantigen, suggesting that DEPs contribute to development of allergy not only simple exacerbation of allergic inflammation.

    Article  PubMed  CAS  Google Scholar 

  37. Diaz-Sanchez D: The role of diesel exhaust particles and their associated polyaromatic hydrocarbons in the induction of allergic airway disease. Allergy 1999, 52(suppl 38):52–56. This review discusses the effect of specific compounds found in diesel exhaust that impact IgE switch mechanisms.

    Google Scholar 

  38. Peden D, Hohman R, Brown ME, et al.: Uric acid is a major antioxidant in human nasal airway secretions. Proc Natl Acad Sci U S A 1990, 87:7638–7642.

    Article  PubMed  CAS  Google Scholar 

  39. Peden DB, Swiersz M, Ohkubo K, et al.: Nasal secretion of the ozone scavenger uric acid. Am Rev Respir Dis 1993, 148:455–461.

    PubMed  CAS  Google Scholar 

  40. Linn WS, Shamoo DA, Spier CE, et al.: Respiratory effects of 0.75 ppm sulfur dioxide in exercising asthmatics: influence of upper-respiratory defenses. Environ Res 1983, 30:340–348.

    Article  PubMed  CAS  Google Scholar 

  41. Mudway IS, Blomberg A, Frew AJ, et al.: Antioxidant consumption and repletion kinetics in nasal lavage fluid following exposure of healthy human volunteers to ozone. Eur Respir J 1999, 13:1429–1438.

    Article  PubMed  CAS  Google Scholar 

  42. Ohashi Y, Nakai Y, Kihara S, et al.: Ciliary activity in patients with nasal allergies. Arch Otorhinolaryngol 1985, 242:141–147.

    Article  PubMed  CAS  Google Scholar 

  43. Harkema JR, Morgan KT, Gross EA, et al.: Consequences of prolonged inhalation of ozone on F344/N rats: collaborative studies: part VII: effects on the nasal mucociliary apparatus. Res Rep Health Eff Inst 1994, 65:3–34.

    Google Scholar 

  44. Cho HY, Hotchkiss JA, Bennett CB, Harkema JR: Neutrophildependent and neutrophil-independent alterations in the nasal epithelium of ozone-exposed rats. Am J Respir Crit Care Med 2000, 162:629–636.

    PubMed  CAS  Google Scholar 

  45. Wang JH, Devalia JL, Duddle JM, et al.: Effect of six-hour exposure to nitrogen dioxide on early-phase nasal response to allergen challenge in patients with a history of seasonal allergic rhinitis. J Allergy Clin Immunol 1995, 96:669–676.

    Article  PubMed  CAS  Google Scholar 

  46. Corren J: The relationship between allergic rhinitis and bronchial asthma. Curr Opin Pulm Med 1999, 5:35–37.

    Article  PubMed  CAS  Google Scholar 

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Peden, D.B. Effect of pollutants in rhinitis. Curr Allergy Asthma Rep 1, 242–246 (2001). https://doi.org/10.1007/s11882-001-0011-9

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  • DOI: https://doi.org/10.1007/s11882-001-0011-9

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