4.4 Review

The Impact of Air Pollution on Neurodegenerative Diseases

Journal

THERAPEUTIC DRUG MONITORING
Volume 43, Issue 1, Pages 69-78

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/FTD.0000000000000818

Keywords

PM2 .5; Alzheimer' s disease; Parkinson' s disease; oxidative stress and neuroinflammation

Funding

  1. National Natural Science Foundation of China [21777099, 81501085]
  2. Shanghai-Top Level high education initiative at Shanghai Jiao Tong University School of Medicine [16GWZY18]

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The development of industrialization has led to more harmful ambient pollutants, with studies showing a close relationship between PM2.5 and neurodegenerative diseases like AD and PD. PM2.5 can enter the central nervous system through the blood-brain barrier and olfactory neurons, triggering inflammation and oxidative stress, leading to neurotoxicity. Inflammatory markers like IL-1 beta play a crucial role in neurodegenerative diseases associated with PM2.5.
Background: With the development of industrialization in human society, ambient pollutants are becoming more harmful to human health. Epidemiological and toxicological studies indicate that a close relationship exists between particulate matter with a diameter <= 2.5 mu m (PM2.5) and neurodegenerative diseases such as Alzheimer's disease (AD) and Parkinson's disease (PD). To further confirm the relationship, we focus on possible relevant mechanisms of oxidative stress and neuroinflammation underlying the association between PM2.5 and neurodegenerative diseases in the review. Methods: A literature search was performed on the studies about PM2.5 and neurodegenerative diseases via PubMed. A total of 113 articles published were selected, and 31 studies were included. Results: PM2.5 can enter the central nervous system through 2 main pathways, the blood-brain barrier and olfactory neurons. The inflammatory response and oxidative stress are 2 primary mechanisms via which PM2.5 leads to toxicity in the brain. PM2.5 abnormally activates microglia, inducing the neuroinflammatory process. Inflammatory markers such as IL-1 beta play an essential role in neurodegenerative diseases such as AD and PD. Moreover, the association between lipid mechanism disorders related to PM2.5 and neurodegenerative diseases has been gaining momentum. Conclusions: In conclusion, PM2.5 could significantly increase the risk of neurological disorders, such as AD and PD. Furthermore, any policy aimed at reducing air-polluting emissions and increasing air quality would be protective in human beings.

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