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Lung Function and Short-Term Ambient Air Pollution Exposure: Differential Impacts of Omega-3 and Omega-6 Fatty Acids

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Rationale: Exposure to air pollution is associated with adverse respiratory effects. Omega-3 polyunsaturated fatty acids (n-3 FA) appear to attenuate the health effects to air pollution. Objective: This panel study evaluated whether n-3 FA intake and blood levels of omega-6 polyunsaturated fatty acids (n-6 FA) can modulate the associations between respiratory effects and short-term exposure to ambient air pollution in healthy adults. Methods: Sixty-two healthy adults were enrolled into either high or low n-3 groups based on n-3 FA intake and erythrocytes n-3 FA concentrations. Low and high n-6 groups were dichotomized on blood n-6 FA levels. Participants underwent 3-5 testing sessions separated by at least seven days. At each session, FVC, FEV1, plasma markers of inflammation (IL-6) and oxidative stress (ox-LDL) were measured. Associations between ambient ozone and fine particulate matter (PM2.5) levels and lung function and blood markers were assessed using mixed-effects models stratified by fatty acids levels. Results: Average concentrations of ozone (40.8±11.1 ppb) and PM2.5 (10.2±4.1 µg/m3) were below national ambient air quality standards during the study period. FVC was positively associated with ozone at lag0 in the high n-3 group while the association was null in the low n-3 group [for an IQR increase in ozone, 1.8%(95% CI:0.5–3.2) vs. 0.0%(95% CI:-1.4–1.5)]; however, the association shifted to negative at lag4 [-1.9%(95% CI:-3.2– -0.5) vs. 0.2%(95% CI:-1.2–1.5)] and lag5 [-1.2%(95% CI:-2.4–0.0) vs. 0.9%(-0.4–2.3)]. A similar pattern was observed in the low n-6 group compared to the high n-6 group [lag0:1.7%(95% CI:0.3–3.0) vs. 0.5%(95% CI:-0.9–2.0) and lag4:-1.4%(95% CI:-2.8–0.0) vs. -0.5%(95% CI:-1.8–0.9)]. The associations between FEV1 and ozone and between FVC and PM2.5 also followed a similar pattern. Elevated ozone levels were associated with an immediate decrease in ox-LDL in the high n-3 group atlag0 [-12.3%(95% CI:-24.8–0.1)] while no change in the low n-3 group [-7.5%(95% CI: -21.4–6.5)], and a delayed increase in IL-6 in the high n-3 group compared with the low n-3 group [lag4: 66.9%(95% CI:27.9–106.0) vs. 8.9%(95% CI:-31.8–49.6), lag5: 58.2%(95% CI:22.4–94.1) vs. -7.4%(95% CI:-48.8–34.0), and lag6: 45.8%(95% CI:8.7–82.9) vs. -8.5%(95% CI:-49.7–32.6)]. Conclusions: We observed lag-dependent associations between short-term ambient air pollutants and lung function that were differentially modulated by n-3 and n-6 FAs, suggesting that n-3 and n-6 FAs counteract the respiratory response to low levels of ambient air pollution in healthy adults. Clinical trial registered with ClinicalTrials.gov (NCT02921048)

Impact/Purpose

We conducted a panel study to evaluate whether personal choice of n-3 FA intake and red blood cells (RBC) levels of omega-6 fatty acids (n-6 FA) could modulate the effects of short-term exposure to ambient air pollution on lung function in healthy adults. This study demonstrated that associations between short-term ambient air pollutants exposure and lung function were differentially impacted by n-3 and n-6 FA over a course of few days, suggesting that n-3 and n-6 FA counteract the response to ambient air pollution exposure. These findings imply that the benefit of n-3 FA on the respiratory system may be compromised by exposure to air pollution over time in healthy adults.

Citation

Tong, H., S. Zhang, W. Shen, H. Chen, C. Salazar, A. Schneider, A. Rappold, D. Diaz-Sanchez, R. Devlin, AND J. Samet. Lung Function and Short-Term Ambient Air Pollution Exposure: Differential Impacts of Omega-3 and Omega-6 Fatty Acids. American Thoracic Society, New York, NY, 19(4):583-593, (2022). [DOI: 10.1513/AnnalsATS.202107-767OC]

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DOI: Lung Function and Short-Term Ambient Air Pollution Exposure: Differential Impacts of Omega-3 and Omega-6 Fatty Acids
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Last updated on November 13, 2024
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