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| ID | Type | Description | Link |
|---|---|---|---|
| 5R01ES013611-09 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Environmental Protection Agency (EPA) | FED |
| National Institute of Environmental Health Sciences (NIEHS) | NIH |
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This study is focused on the pathophysiology underlying the association between exposure to particulate pollutants and risk for/response to viral infection. The investigators hypothesize that exposure to wood smoke particles (WSP) enhances influenza virus-induced granulocyte and NK cell activation, via hyaluronic acid-mediated effects on IFNg production. Oxidant stress and viral replication may also be affected. As an NIH funded ViCTER project, the purpose of the study is also to test novel assays of granulocyte activation (Doershuk lab) and lipid mediator activation (Albritton lab) which have not previously been used in this type of research.
Healthy, nonsmoking adults age 18-40 years will be recruited. This is a randomized, placebo controlled study comparing NLF granulocyte responses to LAIV administered after either WSP or clean air, in normal healthy volunteers. Subjects receive either WSP or placebo (clean air), followed by a standardized dose of LAIV and serial post-infection sampling of nasal lavage fluids, nasal biopsy and blood
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Wood smoke | Active Comparator | The dose of WSP to be used (500 µg/m3 for 2 hours) is based on prior studies which indicate the exposure is well tolerated, and is similar to that found in some indoor exposures in homes heated by wood burning (24-26). The route of administration (breathing air containing WSP at rest, nasally) is intended to mimic natural exposures. |
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| clean air | Placebo Comparator | Chapel Hill air which has been filtered to remove ambient air pollutants. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| wood smoke | Other |
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| clean air |
| Measure | Description | Time Frame |
|---|---|---|
| IL-13 | Change in IL-13 and ECP in nasal lavage fluids (NLF) compared to pre-virus baseline | 1-21 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Terry Noah, MD | University of North Carolina, Chapel Hill | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| center for envionmental medicine asthma an lung biology at the EPA | Chapel Hill | North Carolina | 27599 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30360637 | Derived | Rebuli ME, Speen AM, Martin EM, Addo KA, Pawlak EA, Glista-Baker E, Robinette C, Zhou H, Noah TL, Jaspers I. Wood Smoke Exposure Alters Human Inflammatory Responses to Viral Infection in a Sex-Specific Manner. A Randomized, Placebo-controlled Study. Am J Respir Crit Care Med. 2019 Apr 15;199(8):996-1007. doi: 10.1164/rccm.201807-1287OC. |
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| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
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| ID | Term |
|---|---|
| D004780 | Environment, Controlled |
| ID | Term |
|---|---|
| D004777 | Environment |
| D004778 | Environment and Public Health |
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| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |