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Air Pollution and Diet: Potential Interacting Exposures in Asthma.

Current allergy and asthma reports
September 1, 2023
Emily Brigham et al. (3 authors)
Journal ArticleReviewHuman StudyAnimal Study
Study Details

Study Goal

The researchers aimed to explore the potential of dietary components, including antioxidants, to mitigate air pollution-induced inflammatory responses in asthma.

Results Summary

The study suggests that antioxidants, along with other dietary components like fiber and omega-3 fatty acids, may help buffer against air pollution-induced lung inflammation, particularly by influencing neutrophil recruitment and activation. Murine models showed compelling results, but further human studies are needed.

Population

Asthma patients, with a focus on susceptibility to air pollution.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
diet modification
decrease
pollutant-induced lung injury
-
-
is a potential target opportunity to protect against
#1
diet
decrease
the inflammatory response in the airways
-
-
suggest the potential to modify
#2
diet
decrease
neutrophil recruitment and function
-
-
suggest the potential for impacts on
#3
dietary components (including fiber, antioxidants, and omega-3 fatty acids)
decrease
the inflammatory response to air pollution in the lung
Murine models
-
provide compelling results in regard to the potential to buffer against
#4
Abstract

PURPOSE OF REVIEW: To provide a review of emerging literature describing the impact of diet on the respiratory response to air pollution in asthma. RECENT FINDINGS: Asthma phenotyping (observable characteristics) and endotyping (mechanistic pathways) have increased the specificity of diagnostic and treatment pathways and opened the doors to the identification of subphenotypes with enhanced susceptibility to exposures and interventions. Mechanisms underlying the airway immune response to air pollution are still being defined but include oxidative stress, inflammation, and activation of adaptive and innate immune responses, with genetic susceptibility highlighted. Of these, neutrophil recruitment and activation appear prominent; however, understanding neutrophil function in response to pollutant exposures is a research gap. Diet may play a role in asthma pathogenesis and morbidity; therefore, diet modification is a potential target opportunity to protect against pollutant-induced lung injury. In particular, in vivo and in vitro data suggest the potential for diet to modify the inflammatory response in the airways, including impacts on neutrophil recruitment and function. Murine models provide compelling results in regard to the potential for dietary components (including fiber, antioxidants, and omega-3 fatty acids) to buffer against the inflammatory response to air pollution in the lung. Precision lifestyle approaches to asthma management and respiratory protection in the context of air pollution exposures may evolve to include diet, pending the results of further epidemiologic and causal investigation and with neutrophil recruitment and activation as a candidate mechanism.

Medical Subject Headings (MeSH)
HumansMiceAnimalsAir PollutantsAsthmaAir PollutionLungDietEnvironmental Exposure
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year3.0
Relative Citation Ratio1.42
NIH Percentile63.3%
Research Impact Scores
APT Score0.25
Weight Score1.36
Normalized Score0.66
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