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Dietary antioxidants and environmental stress

Published online by Cambridge University Press:  07 March 2007

Frank J. Kelly*
Affiliation:
Lung Biology, School of Health & Life Sciences, King's College, London, 150 Stamford Street, London, SE1 9NN, UK
*
Corresponding author: Professor Frank J. Kelly, fax +44 20 7848 3891, email frank.kelly@kcl.ac.uk
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Abstract

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Air is one of our most important natural resources; however, it is also in the front line for receiving environmental pollution. Air quality decreased markedly following the industrial revolution, but it was not until the great London Smog in 1952 that air quality made it onto the political agenda. The introduction of the Clean Air Act in 1956 led to dramatic decreases in black smoke and SO2 concentrations over the next two decades, as domestic and industrial coal-burning activities ceased. However, as these improvements progressed, a new threat to public health was being released into the air in ever-increasing quantities. Rapid motorisation of society from the 1960s onwards has led to the increased release of atmospheric pollutants such as tiny particles (particulate matter of &10 μm in aerodynamic diameter) and oxides of N, and the generation of the secondary pollutant O3. These primary and secondary traffic-related pollutants have all proved to be major risks factors to public health. Recently, oxidative stress has been identified as a unifying feature underlying the toxic actions of these pollutants. Fortunately, the surface of the lung is covered with a thin layer of fluid containing a range of antioxidants that appear to provide the first line of defence against oxidant pollutants. As diet is the only source of antioxidant micronutrients, a plausible link now exists between the sensitivity to air pollution and the quality of the food eaten. However, many questions remain unanswered in relation to inter-individual sensitivity to ambient air pollution, and extent to which this sensitivity is modified by airway antioxidant defences.

Type
Symposium on ‘Micronutrient interactions and public health’
Copyright
Copyright © The Nutrition Society 2004

References

Abbey, DE, Nishino, N, McDonnell, WF, Burchette, RJ, Knutsen, SF, Lawrence Beeson, W & Yang, JX (1999) Long-term inhalable particles and other air pollutants related to mortality in nonsmokers. American Journal of Respiratory and Critical Care Medicine 159, 373382.Google Scholar
Aris, RM, Christian, D, Hearne, PQ, Kerr, K, Finkbeiner, WE & Balmes, JR (1993) Ozone-induced airway inflammation in human subjects as determined by airway lavage and biopsy. American Review of Respiratory Disease 148, 13631372.Google Scholar
Avissar, N, Finkelstein, JN, Horowitz, S, Willey, JC, Coy, E, Frampton, MW, Watkins, RH, Khullar, P, Xu, YL & Cohen, HJ (1996) Extracellular glutathione peroxidase in human lung epithelial lining fluid and in lung cells. American Journal of Physiology 270, L173L182.Google ScholarPubMed
Blomberg, A, Mudway, IS, Nordenhall, C, Hedenstrom, H, Kelly, FJ, Frew, AJ, Holgate, ST & Sandstrom, T (1999) Ozone-induced lung function decrements do not correlate with early airway inflammatory or antioxidant responses. European Respiratory Journal 13, 14181428.Google Scholar
Britton, JR, Pavord, ID, Richards, KA, Knox, AJ, Wisniewski, AF, Lewis, SA, Tattersfield, AE & Weiss, ST (1995) Dietary antioxidant vitamin intake and lung function in the general population. American Journal of Respiratory and Critical Care Medicine 151, 13831387.Google Scholar
Brown, RK & Kelly, FJ (1994) Role of free radicals in the pathogenesis of cystic fibrosis. Thorax 49, 738742.CrossRefGoogle ScholarPubMed
Brown, RK, Wyatt, H, Price, JF & Kelly, FJ (1996) Pulmonary dysfunction in cystic fibrosis is associated with oxidative stress. European Respiratory Journal 9, 334339.Google Scholar
Bye, AM, Muller, DPR, Wilson, J, Wright, VM & Mearns, MB (1985) Symptomatic vitamin E deficiency in cystic fibrosis. Archives of Disease in Childhood 60, 162164.Google ScholarPubMed
Cantin, AM, North, SL, Hubbard, RC & Crystal, RG (1987) Normal alveolar epithelial lining fluid contains high levels of glutathione. Journal of Applied Physiology 63, 152157.CrossRefGoogle ScholarPubMed
Chatham, MD, Eppler, JH Jr, Sauder, LR, Green, D & Kulle, TJ (1987) Evaluation of the effects of vitamin C on ozone-induced bronchoconstriction in normal subjects. Annals of the New York Academy of Sciences 498, 269279.Google ScholarPubMed
Cook, DG, Carey, IM, Whincup, PH, Papacosta, O, Chirico, S, Bruckdorfer, KR, Walker, M (1997) Effect of fresh fruit consumption on lung function and wheeze in children. Thorax 52, 628633.Google Scholar
Devlin, RB, McDonnell, WF, Mann, R, Becker, S, House, DE, Schreinemachers, D & Koren, HS (1991) Exposure of humans to ambient levels of ozone for 6·6 hours causes cellular and biochemical changes in the lung. American Journal of Respiratory Cell and Molecular Biology 4, 7281.CrossRefGoogle ScholarPubMed
Dockery, DW (2001) Epidemiologic evidence of cardiovascular effects of particulate air pollution. Environmental Health Perspectives 109, Suppl. 4, 483486.Google ScholarPubMed
Dockery, DW, Pope, CA, Xu, X, Spengler, JD, Ware, JH, Fay, ME, Ferris, BG, Speizer, FE, Pope, AC 3rd, Ferris, BG Jr & Pope, AC (1993) An association between air pollution and mortality in six US cities. New England Journal of Medicine 329, 17531759.Google Scholar
Gilliland, FD, Berhane, KT, Yu-Fen, Li, Gauderman, J, McConnell, R, Peters, J (2003) Children's lung function and antioxidant vitamin, fruit juice and vegetable intake. American Journal of Epidimology 158, 576584.Google Scholar
Grievink, L, Jansen, SM, van't Veer, P & Brunekreef, B (1998) Acute effects of ozone on pulmonary function of cyclists receiving antioxidant supplements. Occupational and Environmental Medicine 55, 1317.Google Scholar
Grievink, L, Smit, HA, Ocké, MC, Van't Veer, P & Kromhout, D (1998) Dietary intake of antioxidant (pro)-vitamins, respiratory symptoms and pulmonary function: The MORGEN study. Thorax 53, 166171.Google Scholar
Grievink, L, Zijlstra, AG, Ke, X & Brunekreef, B (1999) Double-blind intervention trial on modulation of ozone effects on pulmonary function by antioxidant supplements. American Journal of Epidemiology 149, 306314.Google Scholar
Homnick, DN, Cox, JH, Deloof, MJ & Ringer, TV (1993) Carotenoid levels in normal children and in children with cystic fibrosis. Journal of Pediatrics 122, 703707.Google Scholar
Kafoury, RM, Pryor, WA, Squadrito, GL, Salgo, MG, Zou, X & Friedman, M (1999) Induction of inflammatory mediators in human airway epithelial cells by lipid ozonation products. American Journal of Respiratory and Critical Care Medicine 160, 19341942.CrossRefGoogle ScholarPubMed
Kelly, FJ (2003) Oxidative stress; its role in air pollution and adverse health effects. Occupational and Environmental Medicine 60, 612616.CrossRefGoogle ScholarPubMed
Kelly, FJ, Mudway, I, Krishna, MT & Holgate, ST (1995) The free radical basis of air pollution: focus on ozone. Respiratory Medicine 89, 647656.Google Scholar
Koren, HS, Devlin, RB, Graham, DE, Mann, R, McGee, MP, Horstman, DH, et al. (1989) Ozone-induced inflammation in the lower airways of human subjects. American Review of Respiratory Disease 139, 407415.Google Scholar
Lepage, G, Champagne, J, Ronco, N, Lamarre, A, Osberg, I, Sokol, R & Roy, CC (1996) Supplementation with carotenoids corrects increased lipid peroxidation in children with cystic fibrosis. American Journal of Clinical Nutrition 64, 8793.Google Scholar
Medinsky, MA & Bond, JA (2001) Sites and mechanisms for uptake of gases and vapors in the respiratory tract. Toxicology 160, 165172.Google Scholar
Miedema, I, Feskens, EJM, Heederik, D & Kromhout, D (1993) Dietary determinations of long term incidence of chronic non-specific lung disease. The Zutphen study. American Journal of Epidemiology 138, 3745.Google Scholar
Morabia, AA, Soreenson, A, Kumanyika, SK, Abbey, H, Cohen, BH & Chee, E (1989) Vitamin A, cigarette smoking, and airway obstruction. American Review of Respiratory Disease 140, 13121316.Google Scholar
Mudway, I, Blomberg, A, Helleday, R, Frew, A, Sandstrom, T, Kelly, FJ (2000) Supplementation with vitamin C does not influence lung function in healthy subjects. European Respiratory Journal 16, 116s.Google Scholar
Mudway, IS, Kelly, FJ (2000) Ozone and the lung: a sensitive issue. Molecular Aspects of Medicine 21, 148.CrossRefGoogle Scholar
Mudway, IS, Stenfors, N, Blomberg, A, Helleday, R, Dunster, C, Marklund, SL, Frew, AJ, Sandstrom, T, Kelly, FJ (2001) Differences in basal airway antioxidant concentrations are not predictive of individual responsiveness to ozone: a comparison of healthy and mild asthmatic subjects. Free Radical Biology and Medicine 31, 962974.CrossRefGoogle Scholar
Ness, AR, Khaw, KT, Bingham, S & Day, NE (1996) Vitamin C status and respiratory function. European Journal of Clinical Nutrition 50, 573579.Google ScholarPubMed
Peden, DB, Hohman, R, Brown, ME, Mason, RT, Berkebile, C, Fales, HM & Kaliner, MA (1990) Uric acid is a major antioxidant in human nasal airway secretions. Proceedings of the National Academy of Sciences USA 87, 76387642.Google Scholar
Pope, CA, Burnett, RT, Thun, MJ, Calle, EE, Krewski, D, Ito, K & Thurston, GD (2002) Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution. Journal of the American Medical Association 287, 11321141.Google Scholar
Pope, CA, Thun, MJ, Namboodiri, MM, Dockery, DW, Evans, JS, Speizer, FE, Heath, CW, Pope, CA 3rd & Heath, CW Jr (1995) Particulate air pollution as a predictor of mortality in a prospective study of US adults. American Journal of Respiratory and Critical Care Medicine 151, 669674.CrossRefGoogle Scholar
Pryor, WA (1994) Mechanisms of radical formation from reactions of ozone with target molecules in the lung. Free Radical Biology and Medicine 17, 451465.Google Scholar
Pryor, WA, Squadrito, GL & Friedman, M (1995) A new mechanism for the toxicity of ozone. Toxicology Letters 8283, 287293.Google Scholar
Romieu, I, Meneses, F, Ramirez, M, Ruiz, S, Perez, R, Sienra, JJ, Gerber, M, Grievink, L, Dekker, R, Walda, I & Brunekreef, B (1998) Antioxidant supplementation and respiratory functions among workers exposed to high levels of ozone. American Journal of Respiratory and Critical Care Medicine 158, 226232.CrossRefGoogle ScholarPubMed
Samet, JM, Dominici, F, Curriero, FC, Coursac, I & Zeger, SL (2000) Fine particulate air pollution and mortality in 20 U.S. cities, 1987–1994. New England Journal of Medicine 343, 17421749.CrossRefGoogle ScholarPubMed
Samet, JM, Hatch, GE, Horstman, D, Steck-Scott, S, Arab, L, Bromberg, PA, Levine, M, McDonnell, WF & Devlin, RB (2001) Effect of antioxidant supplementation on ozone-induced lung injury in human subjects. American Journal of Respiratory and Critical Care Medicine 164, 819825.Google Scholar
Sandstrom, T, Stjernberg, N, Eklund, A, Ledin, MC, Bjermer, L, Kolmodin-Hedman, B, Lindstrom, K, Rosenhall, L & Angstrom, T (1991) Inflammatory cell response in bronchoalveolar lavage fluid after nitrogen dioxide exposure of healthy subjects: a dose-response study. European Respiratory Journal 3, 332339.Google Scholar
Schelegle, ES, Siefkin, AD & McDonald, RJ (1991) Time course of ozone-induced neutrophilia in normal humans. American Review of Respiratory Disease 143, 13531358.Google Scholar
Schwartz, J & Weiss, ST (1990) Dietary factors and their relation to respiratory symptoms. The second National Health and Nutrition Examination Survey. American Journal of Epidemiology 132, 6776.Google Scholar
Schwartz, J & Weiss, ST (1994) Relationship between dietary vitamin C intake and pulmonary function in the First National Health and Nutrition Examination Survey (NHANES I). American Journal of Clinical Nutrition 59, 110114.CrossRefGoogle ScholarPubMed
Sies, H (1991) Oxidative stress II. Oxidants and Antioxidants, pp. 1 – 23 London Academic Press.Google Scholar
Strachan, DP, Cox, BD, Erzinclioglu, SW, Walters, E & Whichelow, MJ (1991) Ventilatory function and winter fresh fruit consumption in a random sample of British adults. Thorax 46, 624629.Google Scholar
Taylor, JC, Madison, R & Kosinka, D (1986) Is antioxidant deficiency related to chronic obstructive disease. American Review of Respiratory Disease 134, 285289.Google Scholar
Tockman, MS, Khoury, MJ & Cohen, BH (1986) Milk drinking and possible protection of the respiratory epithelium. Journal of Chronic Diseases 39, 207209.Google Scholar
Trenga, CA, Koenig, JQ & Williams, PV (2001) Dietary antioxidants and ozone-induced bronchial hyperresponsiveness in adults with asthma. Archives of Environmental Health 56, 242249.CrossRefGoogle ScholarPubMed
UK Parliament (1956) Clean Air Act 1956. London H. M. Stationery Office.Google Scholar
van der Vliet, A, O'Neill, CA, Cross, CE, Koostra, JM, Volz, WG, Halliwell, B & Louie, S (1999) Determination of low-molecular-mass antioxidant concentrations in human respiratory tract lining fluids. American Journal of Physiology 276, L289L296.Google ScholarPubMed
Winklhofer-Roob, BM, Puhl, H, Khoschsorur, G, van't Hof, MA, Esterbauer, H & Shmerling, DH (1995) Enhanced resistance to oxidation low density lipoproteins and decreased lipid peroxide formation during beta-carotene supplementation in cystic fibrosis. Free Radical Biology and Medicine 18, 849859.Google Scholar
Wood, LG, Fitzgerald, DA, Lee, AK & Garg, ML (2002) Improved antioxidant and fatty acid status of patients with cystic fibrosis after antioxidant supplementation is linked to improved lung function. American Journal of Clinical Nutrition 77, 150159.Google Scholar