J Bartra,1 J Mullol,2
A del Cuvillo,3 I Dávila,4 M
Ferrer,5 I Jáuregui,6 J Montoro,7
J Sastre,8 A Valero1 |
1 Allergy Unit. Service of Pneumology
and Respiratory Allergy, Hospital Clínic (ICT),
Barcelona, Spain
2 Rhinology Unit, ENT Service (ICEMEQ), Hospital Clínic,
Barcelona, Spain
3 Clínica Dr. Lobatón, Cádiz, Spain
4 Service of Immunoallergy, Hospital Clínico, Salamanca,
Spain
5 Department of Allergology, Clínica Universitaria de
Navarra, Pamplona, Spain
6 Service of Allergy, Hospital de Basurto, Bilbao, Spain
7 Allergy Unit, Hospital La Plana, Villarreal
(Castellón), Spain
8 Service of Allergy, Fundación Jiménez Díaz, Madrid,
Spain |
Abstract |
It is well known
that the prevalence
of allergic diseases
has increased in
recent decades in
the industrialized
world. Exposure to
environmental
pollutants may
partially account
for this increased
prevalence. In
effect, air
pollution is a
growing public
health problem. In
Europe, the main
source of air
pollution due to
particles in
suspension is
represented by motor
vehicles -
particularly those
that use diesel
fuel. Diesel exhaust
particles (DEPs) are
composed of a carbon
core upon which high-molecular
weight organic
chemical components
and heavy metals
deposit. Over 80% of
all DEPs are in the
ultrafi ne particle
range (< 0.1 μm in
diameter).
Air pollutants not
only have a direct
or indirect effect
upon the individual,
but also exert
important actions
upon aeroallergens.
Pollen in heavily
polluted zones can
express a larger
amount of proteins
described as being
allergenic. Through
physical contact
with the pollen
particles, DEPs can
disrupt the former,
leading to the
release of
paucimicronic
particles and
transporting them by
air - thus
facilitating their
penetration of the
human airways.
Climate change in
part gives rise to
variations in the
temperature pattern
characterizing the
different seasons of
the year. Thus,
plants may vary
their pollination
calendar, advancing
and prolonging their
pollination period.
In addition, in the
presence of high CO2
concentrations and
temperatures, plants
increase their
pollen output.
Climate change may
also lead to the
extinction of
species, and to the
consolidation of
non-native species -
with the subsequent
risk of allergic
sensitization among
the exposed human
population.
In conclusion, there
is suffi cient
scientifi c evidence
on the effect of air
pollution upon
allergens,
increasing exposure
to the latter, their
concentration and/or
biological
allergenic activity.
Key words:
Allergen. Climate
change. Air
pollution. Diesel
exhaust particles.
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