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. 2022 Jul 19;19(14):8771. doi: 10.3390/ijerph19148771

Table 6.

The effect of pharmacological interventions on inflammation, oxidative stress, blood parameters, and hemostatic changes under particulate matter condition: Evidence from in vivo and clinical studies.

Models Exposure Intervention Results Interpretation References
Inflammation and Oxidative Stress Coagulation and Adhesion Molecules Blood Parameters
Male mice
(C57BL/6)
8–12 wk-old
Intratracheal instillation of urban PM (SRM1649a)
200 µg/animal
Evaluated at 24 h after exposure
Pretreated with
# Vesicular monoamine transporter: Reserpine (chemical sympathectomy)
# Propranolol
3 mg/kg IP q 8 h
for 48 h
↓ NE in BALF, BAT, adrenal gland, lung
↓ IL-6 in BALF
↓ IL-6 in BALF
↓ plasma TAT complexes
↓ plasma TAT complexes
↑ thrombotic occlusion time
Blocking of the sympathetic nervous system and β2AR signaling alleviated IL-6 release, lung inflammation, and reduced thrombosis. [44]
Male mice
C57Bl6/j
8–12 wk-old
Inhalation exposure to concentrated ambient particles (CAPs) from
downtown Chicago
for 8 h/d for 3 d
Evaluated at 24 h after exposure
Pretreated with TNF-α inhibitor, Etanercept
10 mg/kg IP.
3 days before, and on the first day of exposure to CAPs
↓ PAI-1/18s mRNA Blocking TNF-α could promote normal fibrinolytic function, but not alter the PM-induced clotting formation. [56]
Intratracheal instillation of urban PM (SRM1649a)
200 µg/animal
Evaluate at 24 h after exposure
Pretreated with TNF-α inhibitor, Etanercept
10 mg/kg IP.
3 days before, and on the first day of exposure to PM
↔ Bleeding time
↔ PT, ↔ PTT
↔ TAT complexes
↓ PAI-1/18s mRNA
↓ PAI-1 in BALF
Hamsters
100–110 g
Intratracheal instillation of DEP (SRM 1650)
50 µg/animal
For 1, 3, 6, 24 h after exposure
Pretreated with Antihistamine: Diphenhydramine IP 30 mg/kg for 1 h BALF
↓ cell count, PMN influx
↓ histamine
plasma
↓ histamine
↓ thrombus formation
↑ PFA100 closure time
Pretreatment with diphenhydramine reduced the effects of DEP-induced pulmonary inflammation and peripheral thrombosis. [67]
Hamsters
(Pfd Gold)
100–110 g
Intratracheal instillation of
DEP (SRM 1650)
50 µg/animal
Evaluation at 24 h after exposure
# Pretreated dexamethasone IP
5 mg/kg
# Pretreated dexamethasone IT
0.1 or 0.5 mg/kg
# Pretreated Sodium Cromoglycate IP
40 mg/kg
for 1 h
# Dexamethasone IP:
↓ BALF cell count, PMN
↓ BALF and plasma histamine
# Dexamethasone IT (0.5 mg/kg):
↓ BALF cell count, PMN
↓ BALF histamine
↔ plasma histamine
# Sodium cromoglycate:
↓ BALF cell count, PMN
↓ BALF and plasma histamine
# Dexamethasone IP:
↓ thrombus formation
# Dexamethasone IT (0.5 mg/kg):
↓ thrombus formation
# Sodium cromoglycate:
↑ PFA100 closure time
Dexamethasone prevented PM-induced lung inflammation, histamine release, and thrombosis.
Anti-inflammatory pretreatment also helped prevent PM-induced histamine release and reduced the prothrombotic state.
[68]
Male TO mice
(HsdOla: TO)
30–35 g
Intratracheal instillation of DEP (SRM 2975)
15 µg/animal on day 0, 2, 4, 6
Evaluation at 48 h after the last exposure
Pretreated with Curcumin (200 µl)
oral gavage for 1 h
BALF:
↓ PMN, macrophages
↓ TNF-α
↔ IL-6
Plasma:
↓ CRP
↓ TNF-α
↔ IL-6
↑ thrombotic occlusion time
↓ D-dimer
↓ PAI-1
↔ VWF
↑ Platelet Curcumin pretreatment prevented DEP-induced inflammation and promoted fibrinolytic activity, which diminished the prothrombotic state. [66]
Male TO mice
(HsdOla: TO)
30–35 g
Intratracheal instillation of DEP (SRM 2975)
30 µg/animal
Evaluation at 4, and 18 h after exposure
Pretreated with anti-inflammatory agent: Thymoquinone IP
6 mg/kg for 1 and 24 h
BALF
↓ PMN, macrophages
↓ IL-6
↓ total protein
Plasma
↓ IL-6
↑ superoxide dismutase
↑ thrombotic occlusion time ↓ WBC
↑ Platelets
Thymoquinone pretreatment significantly prevented DEP-induced inflammatory response, oxidative stress, and thrombosis. [48]
Male TO mice Intratracheal instillation of DEP
1 mg/kg
Evaluation at 24 h after exposure
Emodin (antioxidant/anti-inflammation) IP
4 mg/kg twice,
1 h before, and 7 h after exposure
↓ TNF-α
↓ IL-1β
↑ superoxide dismutase
↓ glutathione reductase
↑ thrombotic occlusion time ↓ Hb, Hct, RBC
↓ WBC
Administration of antioxidants prevented DEP-induced inflammatory response, oxidative stress, and thrombotic complications. [47]
DM type II patients
(N = 30)
Mean age 56.5 y
Acute exposure to ambient PM in Rochester, NY, USA
Evaluated the PM level at 1, 12, 24, 48, 96 h
8 wk sequential therapy with
# ASA 81 mg/d for 7 d
# Fish oil 4 g/d for 28 d
# Combined for 7 d
# ASA, and/or fish oil:
↔ TBXB2
↔ ADP-, and collagen-induced platelet aggregation
ASA/fish oil blunted the effect of pollution on platelet function and TBXB2. [78]

ADP: adenosine diphosphate, BAL: bronchoalveolar lavage, BALF: bronchoalveolar lavage fluid, BAT: brown adipose tissue, β2AR: adrenergic receptor beta-2, CAPs: concentrated ambient particles, CRP: C-reactive protein, d: days, DEP: diesel exhaust particles, DM: diabetes mellitus, h: hours, Hb: hemoglobin, Hct: hematocrit, IL-1β: interleukin-1β, IL-6: interleukin-6, IL-10: interleukin-10, IL-12: interleukin-12, IFN-γ: interferon-γ, IP: intraperitoneal injection, IT: intratracheally instillation, MCP-1: monocyte chemoattractant protein-1, mRNA: messenger ribonucleic acid, NE: norepinephrine, PAI-1: plasminogen activator inhibitor-1, PFA100: platelet function analyzer-100, PM: particulate matter, PM10: particulate matter in diameter <10 µm, PMN: polymorphonuclear cells, PT: prothrombin time, PTT: partial thromboplastin time, RBC: red blood cells, SRM: standard reference material, TAT: thrombin-antithrombin complexes, TBXB2: thromboxane B2, TF: tissue factor, TNF-α: tumor necrotic factor-α, TO mice: Tuck-Ordinary mice, VWF: von Willebrand factor, WBC: white blood cells, wk: weeks, WT mice: wide type mice, y: years.