Summary
Epidemiological studies indicate that elderly persons are particularly susceptible
to the cardiovascular health complications of air pollution, but pathophysiological
mechanisms behind the increased susceptibility remain unclear. Therefore, we investigated
how continuous traffic-related air pollution exposure affects haemostasis parameters
in young and old mice. Young (10 weeks) and old (20 months) mice were placed in an
urban roadside tunnel or in a clean environment for 25 or 26 days and markers of inflammation
and endothelial cells or blood platelet activation were measured, respectively. Plasma
microvesicles and pro/ anticoagulant factors were analysed, and thrombin generation
analysis was performed. Despite elevated macrophage carbon load, tunnel mice showed
no overt pulmonary or systemic inflammation, yet manifested reduced pulmonary thrombomudulin
expression and elevated endothelial von Willebrand factor (VWF) expression in lung
capillaries. In young mice, soluble P-selectin (sP-sel) increased with exposure and
correlated with soluble E-selectin and VWF. Baseline plasma factor VIII (FVIII), sP-sel
and VWF were higher in old mice, but did not pronouncedly increase further with exposure.
Traffic-related air pollution markedly raised red blood cell and blood platelet numbers
in young and old mice and procoagulant blood platelet-derived microvesicle numbers
in old animals. Changes in coagulation factors and thrombin generation were mild or
absent. Hence, continuous traffic-related air pollution did not trigger overt lung
inflammation, yet modified pulmonary endothelial cell function and enhanced platelet
activity. In old mice, subchronic exposure to polluted air raised platelet numbers,
VWF, sP-sel and microvesicles to the highest values presently recorded, collectively
substantiating a further elevation of thrombogenicity, already high at old age.
Keywords
Air pollution - haemostasis - microvesicles - endothelium - blood platelets