Airborne environmental injuries and human health.

The concept that the environment in which we live can have detrimental effects on our health has existed for centuries. Obvious examples of substances that can cause human diseases include infectious agents, poisons, chemicals and other noxious agents, drugs, and physical stimuli such as bright lights and loud sounds. Some less obvious agents can include allergens, nontangible agents such as colorless, odorless gases and aerosolized toxins. In recent decades, humans have developed various new materials and compounds. Additionally, we are now producing known compounds, and even naturally occurring substances, in vastly increased amounts. Many of these substances are generally believed to threaten the health of our environment. However, there is also a considerable amount of hype and exaggeration regarding some of these agents (e.g., mold) that is unsubstantiated. This article extensively reviews the data on a large number of airborne-related illnesses and attempted to place scientific reality in the context of clinical medicine

Antiviral Agents From Fungi: Diversity, Mechanisms and Potential Applications

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Gene Expression Analysis of a Murine Model with Pulmonary Vascular Remodeling Compared to End-Stage IPAH Lungs

BACKGROUND: Idiopathic pulmonary arterial hypertension (IPAH) continues to be one of the most serious intractable diseases that might start with activation of several triggers representing the genetic susceptibility of a patient. To elucidate what essentially contributes to the onset and progression of IPAH, we investigated factors playing an important role in IPAH by searching discrepant or controversial expression patterns between our murine model and those previously published for human IPAH. We employed the mouse model, which induced muscularization of pulmonary artery leading to hypertension by repeated intratracheal injection of Stachybotrys chartarum, a member of nonpathogenic and ubiquitous fungus in our envelopment. METHODS: Microarray assays with ontology and pathway analyses were performed with the lungs of mice. A comparison was made of the expression patterns of biological pathways between our model and those published for IPAH. RESULTS: Some pathways in our model showed the same expression patterns in IPAH, which included bone morphogenetic protein (BMP) signaling with down-regulation of BMP receptor type 2, activin-like kinase type 1, and endoglin. On the other hand, both Wnt/planar cell polarity (PCP) signaling and its downstream Rho/ROCK signaling were found alone to be activated in IPAH and not in our model. CONCLUSIONS: Activation of Wnt/PCP signaling, in upstream positions of the pathway, found alone in lungs from end stage IPAH may play essential roles in the pathogenesis of the disease

Mycotoxins and indoor environment : Aerosolization of mycotoxins during development of toxigenic species and development of tools for monitoring in habitats

Mycotoxins are secondary metabolites produced by many fungal species. Health effects induced by the ingestion of these substances are well documented and some mycotoxins are now regulated for their maximum tolerable levels in foods. However, other routes of exposure to these contaminants are possible. Thus, if irritating or allergenic reactions related to the inhalation of fungal spores or mycelial fragments have been demonstrated, inhalation of mycotoxins is also suspected to be causing certain respiratory disorders or certain pathologies. Indeed, mycotoxins can be found in spores but also on finer particles which are easily aerosolized and therefore likely to be inhaled. However, data on the hazard associated with human exposure to mycotoxins by inhalation are still very fragmented. In this context, our main objective was to characterize the aerosolization of mycotoxins during the colonization of different materials encountered in indoor environments by toxinogenic molds. First we studied growth and production of mycotoxins during the colonization of building materials (wallpaper, painted fiberglass wallpaper, vinyl wallpaper, fir, fiberglass) by three fungal species of interest: Aspergillus versicolor, Penicillium brevicompactum, Stachybotrys chartarum. These species were chosen because of their frequent presence in indoor environments and their diverse mycelial organization. In addition, these three species produce different toxins: sterigmatocystin, mycophenolic acid and macrocyclic trichothecenes for A. versicolor, P. brevicompactum and S. chartarum, respectively. These studies have shown that, during their development on tested materials, three species produce mycotoxins. The most favorable material for fungal development and toxinogenesis is wallpaper. Mycophenolic acid, sterigmatocystin and macrocyclic trichothecenes can thus be produced at levels of 1.8, 112.1 and 27.8 mg/m2, respectively, on this material. These toxins can then be partially aerosolized. We have shown that aerosolization depends on species and their mycelial structure, but also on culture conditions and airflow. This transfer to air is nevertheless observed after aeraulic solicitations which can be easily encountered in indoor environments because theycorrespond to the movement of people in a room (0.3 m/s), speed of air in ceiling diffusers (2 m/s), slamming doors or air drafts when opening windows(6 m/s). P. brevicompactum showed to be the easiest to aerosolize. The major part of the aerosols’ toxic charge is found in particles whose size corresponds to that of spores or mycelial fragments. However, for macrocyclic trichothecenes, toxins were also found in particles smaller than spores, which could easily be inhaled by occupants and penetrate deep into the respiratory tract. In order to better characterize the actual hazard associated with inhalation of these compounds, cytotoxicity studies have been performed using lung cells and comparing with results observed on digestive cells. Pulmonary toxicity is comparable to that observed in digestive cells. Macrocyclic trichothecenes are much more toxic than other tested toxins with IC50 in order of ng/ml. In parallel, we analyzed the VOCs specifically produced during active mycotoxinogenesis in order to identify potential biomarkers of the actual production of mycotoxins that could be used as tools for monitoring of indoor environments. Unfortunately, this approach has not, for the moment, led to the identification of specific targets. In the end, we evaluated the persistence of these contaminants during application of bleach, the most frequently used decontamination process. We have shown that a normal cleaning procedure allows only partial removal of mold

Does exposure science support the concern over indoor air quality?

The purpose of this thesis is to examine the growing concern over indoor air quality (IAQ) and determine if such concern is warranted. The first questions that steer this effort include: Does scientific research substantiate a causal link between IAQ contaminants and human health? In addition, which indoor air contaminants appear to present the greatest health risks? These questions were answered primarily by reviewing exposure science based criteria that have been developed by federal and state agencies and then comparing these criteria to nominal concentrations that have been measured in the workplace. The second purpose of this thesis was to answer this secondary question: Collectively, through the development of suggested response protocols, and individually, through actual response methods, are IAQ professionals focusing on conditions that present the greatest health risks? This question was answered by reviewing the recommended protocols established by standard-setting organizations. In addition, IAQ professionals were questioned about their specific practices. The study concluded that there is a valid concern over IAQ for some substances. The highest levels of risk are generally associated with exposures to volatile organic compounds including formaldehyde and 1,4-dichlorobenzene. The research indicated a lack of exposure science for broad mixtures of indoor air contaminants, which are typical in the workplace. The risk associated with typical mixtures is unknown but may be additive and possibly synergistic. High levels of risk are also associated with radon exposure; however, this radioactive material is rarely the focus of IAQ sampling or improvement by IAQ professionals because of its latent, non-acute effects. The research indicated that much of the effort promoted by standard-setting organizations and implemented by IAQ professionals does result in overall risk reduction but often does not specifically target the highest risk elements of indoor air

The role of macrocyclic trichothecene mycotoxins in the nasal toxicity of mice exposed to Stachybotrys chartarum

Thesis (M.S.)--Michigan State University. Comparative Medicine and Integrative Biology, 2009Includes bibliographical reference