The primary hypothesis of the study is that in healthy elderly subjects experimental exposure to air pollutants increases sympathetic nervous system activity compared with sham (clean air) exposure. The secondary hypothesis of the study is that combined experimental exposure to air pollutants (particles + ozone) increases sympathetic nervous system activity to a greater extent than does the exposure to particles alone.
In a randomized, double-blind, and cross-over fashion, the participants will be exposed to clean air, ultrafine particles, or ultrafine particles and ozone in an exposure chamber. The investigators will determine blood pressure, heart rate, respiration as well as cardiac output and directly record sympathetic vasomotor tone using the microneurography technique. To elucidate the underlying mechanisms through which particles and ozone affect the autonomic nervous system, the investigators will assess the local and systemic inflammatory response as well as the changes in neurotrophic factors in sputum and blood. In addition, the activation of inflammatory cells in sputum and blood will be analyzed at different points in time after exposures. Changes in sympathetic activity will be correlated with the degree of airway inflammation and oxidative stress assessed in induced sputum and blood. This study will provide important insight in the mechanisms through which air pollution, particularly ultrafine particle exposure, increases cardiovascular risk in human subjects and generate a human model for mechanistic and therapeutic studies.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
30
exposure to ultrafine particles
exposure to ultrafine particles and ozone
Exposure to clean air.
Hannover Medical School
Hanover, Germany
RECRUITINGMuscle sympathetic nerve activity (MSNA)
Change of sympathetic vasoconstrictor nerve activity directed to skeletal muscle expressed as sympathetic bursts per minute. The primary hypothesis of the study is that in healthy elderly subjects experimental exposure to air pollutants increases sympathetic nervous system activity compared with sham (clean air) exposure.
Time frame: 2.5 hours after exposure to clean air, to ultrafine particles, or to a combination of ultrafine particles and ozone
MSNA burst incidence
Change of MSNA expressed as bursts/100 heart beats.
Time frame: 2.5 hours after exposure to clean air, to ultrafine particles, or to a combination of ultrafine particles and ozone
total MSNA
Change of MSNA expressed as burst area/min.
Time frame: 2.5 hours after exposure to clean air, to ultrafine particles, or to a combination of ultrafine particles and ozone
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