Composition of PM Affects Acute Vascular Inflammatory and Coagulative Markers - The RAPTES Project

Research output: Contribution to journalArticlepeer-review


  • M. Strak
  • I. Gosens
  • F.R. Cassee
  • E. Lebret
  • N.A.H. Janssen
  • G. Hoek
  • B. Brunekreef
  • M. Steenhof
  • K.J. Godri
  • I.S. Mudway
  • F.J. Kelly
  • R. van Oerle
  • H.M.H. Spronk

External organisations

  • King's College London
  • Utrecht University
  • National Institute for Public Health and the Environment (RIVM)
  • University Medical Centre Utrecht
  • Maastricht University Medical Center
  • Department of Environmental Sciences / Center of Excellence in Environmental Studies, King Abdulaziz University, PO Box 80203, Jeddah, 21589, Saudi Arabia


Background: Exposure to ambient particulate matter (PM) has been associated with adverse cardiovascular effects in epidemiological studies. Current knowledge of independent effects of individual PM characteristics remains limited. Methods: Using a semi-experimental design we investigated which PM characteristics were consistently associated with blood biomarkers believed to be predictive of the risk of cardiovascular events. We exposed healthy adult volunteers at 5 different locations chosen to provide PM exposure contrasts with reduced correlations among PM characteristics. Each of the 31 volunteers was exposed for 5 h, exercising intermittently, 3-7 times at different sites from March to October 2009. Extensive on-site exposure characterization included measurements of PM mass and number concentration, elemental- (EC) and organic carbon (OC), trace metals, sulfate, nitrate, and PM oxidative potential (OP). Before and 2 h and 18 h after exposure we measured acute vascular blood biomarkers - C-reactive protein, fibrinogen, platelet counts, von Willebrand Factor, and tissue plasminogen activator/plasminogen activator inhibitor-1 complex. We used two-pollutant models to assess which PM characteristics were most consistently associated with the measured biomarkers. Results and Conclusion: We found OC, nitrate and sulfate to be most consistently associated with different biomarkers of acute cardiovascular risk. Associations with PM mass concentrations and OP were less consistent, whereas other measured components of the air pollution mixture, including PNC, EC, trace metals and NO, were not associated with the biomarkers after adjusting for other pollutants.


Original languageEnglish
JournalPLoS ONE
Issue number3
Publication statusPublished - 13 Mar 2013