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. 2010 Nov 10;4(1):79–93. doi: 10.1007/s11869-010-0101-8

Table 3.

Mechanisms mediating PM-induced proatherogenic effects. In vitro and experimental animal evidence

Mechanisms Indicators References
Evidence in cellular and/or animal studies
Oxidative stress in systemic tissues Increased liver peroxidation and upregulation of antioxidant genes in liver (Gong et al. 2007; Araujo et al. 2008)
Alteration of circulating lipoproteins Oxidative modification of LDL (Soares et al. 2009)
Generation of dysfunctional HDL (Araujo et al. 2008)
Vascular prooxidant effects Increased ROS production in ECs and macrophages (Goldsmith et al. 1998; Hiura et al. 1999; Soukup et al. 2000; Bai et al. 2001; Lee and Kang 2002; Hirano et al. 2003; Li et al. 2004; Li et al. 2006; Chio et al. 2007; Li et al. 2010; Montiel-Davalos et al. 2010)
Upregulation of antioxidant genes in ECs and macrophages (Hirano et al. 2003; Li et al. 2004; Gong et al. 2007; Li et al. 2010)
Activation of NADPH oxidase in ECs and macrophages (Beck-Speier et al. 2005; Li et al. 2006; Mo et al. 2009)
Induction of electron leaks in mitochondrial electron transport complexes in ECs (Li et al. 2006)
Increased ROS in vessels with atherosclerotic plaques (Sun et al. 2005; Ying et al. 2009a)
Vascular proinflammatory effects Greater proinflammatory cytokine production in ECs and macrophages (Alfaro-Moreno et al. 2002; Fujii et al. 2002; Jimenez et al. 2002; Amakawa et al. 2003; Osornio-Vargas et al. 2003; Pozzi et al. 2003; Brown et al. 2004; Becker et al. 2005a; Ishii et al. 2005; Imrich et al. 2007; Li et al. 2010)
Increased expression of cell adhesion molecules in ECs (Li et al. 2010)
Greater monocyte adhesion to ECs (Li et al. 2010)
Monocyte migration and recruitment in atherosclerotic vessels (Yatera et al. 2008)
Activation of NF-kB in ECs and macrophages (Mondal et al. 2000; Montiel-Davalos et al. 2010)
Activation of MAPK in ECs and macropages (Hiura et al. 1999; Sumanasekera et al. 2007; Mo et al. 2009)
Activation of ERK1/2 pathways in ECs and macrophages (Beck-Speier et al. 2005; Mo et al. 2009)
Increased proinflammatory cytokines in circulating blood (Mutlu et al. 2007; Tamagawa et al. 2008)
Vascular toxic effects Decrease in viability of ECs and macrophages (Hiura et al. 1999; Bai et al. 2001; Lee and Kang 2002)
Increased in ECs and macrophages (Hiura et al. 1999; Lee and Kang 2002; Montiel-Davalos et al. 2010)
Increase in EC permeability and/or upregulation of genes involved in EC permeability (Nadadur et al. 2009; Wang et al. 2010)
Antiproliferative effects in ECs (Yamawaki and Iwai 2006)
Evidence in humans Subclinical measures
Systemic inflammation Elevated circulating pro-inflammatory biomarkers/mediators (figrinogen, CRP, TNF-α, IL 1-ß, IL-6, IL-7, GM-CSF, ICAM-1) (Ibald-Mulli et al. 2001; van Eeden et al. 2001; Pope et al. 2004; Riediker et al. 2004; Analitis et al. 2006; Peters et al. 2006; Zeka et al. 2006; Chuang et al. 2007; O’Neill et al. 2007; Ruckerl et al. 2007)
Systemic oxidative stress Increased biomarkers of lipid, protein or DNA oxidation (Sorensen et al. 2003; Vinzents et al. 2005; Brauner et al. 2007)
Elevated plasma homocysteine (Baccarelli et al. 2007; Park et al. 2008)
Inhibition of oxidative response by w-3 PUFA (Romieu et al. 2008)
Systemic hypertension Elevated systemic diastolic and/or systolic blood pressure (Ibald-Mulli et al. 2001; Lippmann et al. 2003; Choi et al. 2007; Chuang et al. 2007; Diez Roux et al. 2008; Dvonch et al. 2009; Zanobetti and Schwartz 2009)
Elevated endothelin-1 levels (Peters et al. 2006)

CRP C-reactive protein, ECs endothelial cells, ET-1 endothelin 1, GM-CSF granulocyte macrophage colony-stimulating factor, ICAM-1 intercellular adhesion molecular 1; IL interleulin, PUFA polyunsaturated fatty acids, ROS reactive oxygen species, TNF-α tumor necrosis factor α