Associations of Ozone Exposure with Serum Biomarkers in Acute Myocardial Infarction Patients in Taiyuan, China: The Mediating Role of Metabolites.

Environment & Health Pub Date : 2024-09-26 eCollection Date: 2025-01-17 DOI:10.1021/envhealth.4c00122
Hong Cheng, Shengchun Wang, Jiyuan Shao, Huiyu Gao, Ying Wang, Furong Deng, Hui Du, Jingyi Liu, Xia Du, Xin Zhang
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Abstract

Abundant epidemiological studies have conclusively demonstrated the effects of short-term ozone (O3) exposure on the incidence and mortality of cardiovascular diseases. However, the mechanism of its influence remains unverified. This study aimed to assess the impact of O3 on metabolomic-based biomarkers in acute myocardial infarction (AMI) patients. Accurate biomarkers for AMI were identified by combining serum biomarkers with metabolomics. A total of 137 volunteers were recruited, including 79 AMI patients and 58 healthy participants, from March to April 2023 in Taiyuan, China. Linear regression models were applied to analyze the associations of serum biomarkers and metabolites with O3. Mediation analyses were also conducted to assess the impact of metabolites, acting as mediators, on the associations between O3 and biomarkers. We found that O3 at lag2 captured the most remarkable effects. Metabolomic analysis revealed a substantial association between O3 (lag2) and 43 metabolites. Pathway analysis revealed that these metabolites primarily participate in the tricarboxylic acid cycle, arginine biosynthesis, and histidine metabolism. These findings suggest that O3 is an important factor in examining the metabolic mechanisms of cardiovascular disease, highlighting the importance of mitigating O3 to further protect AMI patients.

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太原市急性心肌梗死患者臭氧暴露与血清生物标志物的关系:代谢物的中介作用。
大量流行病学研究已经确凿地证明了短期臭氧暴露对心血管疾病发病率和死亡率的影响。然而,其影响机制仍未得到证实。本研究旨在评估O3对急性心肌梗死(AMI)患者代谢组学生物标志物的影响。通过将血清生物标志物与代谢组学相结合,鉴定出AMI的准确生物标志物。该研究于2023年3月至4月在中国太原共招募了137名志愿者,其中包括79名AMI患者和58名健康参与者。采用线性回归模型分析血清生物标志物和代谢物与O3的关系。还进行了中介分析,以评估代谢物作为中介物对O3和生物标志物之间关联的影响。我们发现O3在lag2处的效果最显著。代谢组学分析显示O3 (lag2)与43种代谢物之间存在实质性关联。途径分析显示,这些代谢物主要参与三羧酸循环、精氨酸生物合成和组氨酸代谢。这些发现表明,O3是研究心血管疾病代谢机制的一个重要因素,强调了降低O3对进一步保护AMI患者的重要性。
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来源期刊
Environment & Health
Environment & Health 环境科学、健康科学-
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期刊介绍: Environment & Health a peer-reviewed open access journal is committed to exploring the relationship between the environment and human health.As a premier journal for multidisciplinary research Environment & Health reports the health consequences for individuals and communities of changing and hazardous environmental factors. In supporting the UN Sustainable Development Goals the journal aims to help formulate policies to create a healthier world.Topics of interest include but are not limited to:Air water and soil pollutionExposomicsEnvironmental epidemiologyInnovative analytical methodology and instrumentation (multi-omics non-target analysis effect-directed analysis high-throughput screening etc.)Environmental toxicology (endocrine disrupting effect neurotoxicity alternative toxicology computational toxicology epigenetic toxicology etc.)Environmental microbiology pathogen and environmental transmission mechanisms of diseasesEnvironmental modeling bioinformatics and artificial intelligenceEmerging contaminants (including plastics engineered nanomaterials etc.)Climate change and related health effectHealth impacts of energy evolution and carbon neutralizationFood and drinking water safetyOccupational exposure and medicineInnovations in environmental technologies for better healthPolicies and international relations concerned with environmental health
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