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Air pollution is a global environmental and health concern, contributing to onset and deterioration of respiratory and cardiovascular diseases. As climate change and dependence on diminishing fossil fuel supplies have taken center stage in political and scientific debates, renewable carbon-neutral fuels like biodiesel receive increasing attention. The most common biodiesel within the European Union, rapeseed oil methyl ester (RME) is perceived to be a "green fuel", as it is sustainable and of biological origin, and therefore is often predicted to be less harmful to human health. Whilst replacing petrodiesel with biodiesel may have advantageous ecological impacts, consequences to respiratory health remained largely unexplored.
The purpose of the current study is to evaluate whether inhalation of 100% RME biodiesel exhaust would result in an acute airway inflammatory response in healthy human subjects, as shown previously following exposure to petrodiesel exhaust.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Filtered air exposure | Sham Comparator | One hour exposure to filtered air during intermittent exercise in controlled chamber, 6 hours after exposure bronchoscopy is performed. |
|
| Biodiesel exhaust exposure | Experimental | One hour exposure to biodiesel exhaust (generated at same running conditions as earlier studies with diesel exhaust at approximate particle matter concentration 300 mcg/m3) during intermittent exercise in controlled chamber. Six hours after exposure bronchoscopy is performed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bronchoscopy | Other | The bronchoscopy procedure was performed six hours after completion of the exposure session, with sampling of endobronchial mucosal biopsies, bronchial wash and bronchoalveolar lavage performed under topical anaesthesia. |
| Measure | Description | Time Frame |
|---|---|---|
| Cytokines in Bronchial wash (BW) | Bronchial wash (BW) collected by bronchoscopy will be analyzed for cytokines (%). | 6 hours |
| Cell counts in Bronchial Wash | Bronchial wash (BW) collected by bronchoscopy will be analyzed for inflammatory cell counts (cells/ml). | 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Oxylipin Metabolomic profiling | Metabolomic testing done with mass spectrometry on blood samples, BW and BAL. | Baseline, 2 hours, 6 hours, 24 hours |
| Inflammation in bronchoalveolar lavage (BAL) |
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Inclusion Criteria:
Normal ECG
Normal Lung function
Normal Blood samples
Exclusion Criteria:
Smoking
Pre-existing metabolomic, respiratory and cardiovascular disease
Exposure to high levels of pollutants in occupation
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| Name | Affiliation | Role |
|---|---|---|
| Jenny A Bosson, MD, PhD | Umeå University | Principal Investigator |
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| ID | Term |
|---|---|
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D001999 | Bronchoscopy |
| ID | Term |
|---|---|
| D003948 | Diagnostic Techniques, Respiratory System |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D004724 | Endoscopy |
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BAL collected by bronchoscopy will be analyzed for inflammatory markers, such as cell counts (cells/ml).
| 6 hour |
| Inflammation in endomucosal biopsies | Biopsies collected by bronchoscopy will be analyzed for inflammatory markers, such as cell counts (cells/mm2). | 6 hours |
| D003949 | Diagnostic Techniques, Surgical |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D013510 | Pulmonary Surgical Procedures |
| D019616 | Thoracic Surgical Procedures |