1.Occupational respiratory allergies and climate change: Emerging risks for the modern workplace.
Journal of Medicine University of Santo Tomas 2026;10(1):1934-1944
Occupational allergies and respiratory health issues are an increasing concern across various industries, significantly impacting worker productivity, well-being and long-term health outcomes. These health problems are primarily triggered by exposure to airborne allergens such as pollen, mold and chemical irritants commonly found in workplace environments. Climate change exacerbates these issues by altering environmental conditions that influence allergen distribution and intensity. Rising temperatures, increased humidity, worsening air pollution and extreme weather events contribute to prolonged pollen seasons, greater mold proliferation, increased volatile organic compound (VOC) emissions and heightened respiratory health risks among workers. VOCs are chemical pollutants emitted from a range of indoor and outdoor sources, further aggravating air quality in workplace environments.
An emerging concern is the relationship between climate change and thunderstorm asthma, a phenomenon where allergens are dispersed during thunderstorms, leading to acute asthma events. Ongoing research continues to examine how environmental changes contribute to the frequency and intensity of asthma-related health issues, particularly in occupational settings.
Both outdoor and indoor workers face distinct challenges due to climate-driven changes in allergen exposure. Agricultural, forestry and construction workers are especially vulnerable to longer pollen seasons and higher concentrations of air pollutants. In contrast, office, healthcare and industrial workers face increased exposure to indoor allergens due to poor ventilation, rising VOC concentrations and other environmental stressors. Low-income workers, older adults and those in developing countries face disproportionate risks due to limited access to healthcare and protective measures.
This viewpoint article explores the relationship between climate change and occupational respiratory allergies, emphasizing the need for effective workplace adaptation strategies such as improving ventilation systems, using air filtration technology and creating allergen-free zones. It also examines the socioeconomic barriers to implementing these measures, mental health impacts of occupational allergies (including stress, anxiety and absenteeism) and the emergence of new allergens due to changing environmental conditions. Furthermore, technological solutions such as AI-driven air quality monitoring systems and wearable sensors hold promise in mitigating allergen exposure by providing real-time data, enabling proactive health measures and supporting policy development to protect worker health. Addressing these challenges is critical to ensuring workers’ health, well-being and productivity in the face of ongoing climate change.
Volatile Organic Compounds ; Ventilation ; Weights And Measures ; Environmental Pollutants ; Developing Countries ; Occupational Groups ; Mental Health ; Hypersensitivity
2.Molecular mechanisms of microbial mercury resistance and their prospective applications in remediation of mercury-contaminated soils.
Di WANG ; Huan LUO ; Xiaojun SHI ; Zhenlun LI ; Ying MA
Chinese Journal of Biotechnology 2025;41(4):1323-1339
Mercury (Hg)-contaminated soil poses a significant threat to the environment and human health. Hg-resistant microorganisms have the ability to survive under the stress of inorganic and organic Hg and effectively reduce Hg levels and toxicity. Compared to physical and chemical remediation methods, microbial remediation technologies have garnered increasing attention in recent years due to their lower cost, remarkable efficacy, and minimal environmental impact. This paper systematically elucidates the molecular mechanisms of Hg resistance in microbes, with a focus on their potential applications in phytoremediation of Hg-contaminated soils through plant-microbe interactions. Furthermore, it highlights the critical role of microbes in enhancing the effectiveness of transgenic plants for Hg remediation, aiming to provide a theoretical foundation and scientific basis for the bioremediation of Hg-contaminated soils.
Mercury/toxicity*
;
Biodegradation, Environmental
;
Soil Pollutants/isolation & purification*
;
Soil Microbiology
;
Plants, Genetically Modified/metabolism*
;
Bacteria/genetics*
3.Rhizosphere bacterial metabolism of plants growing in landfill cover soil regulates biodegradation of chlorobenzene.
Shangjie CHEN ; Li DONG ; Juan XIONG ; Baozhong MOU ; Zhilin XING ; Tiantao ZHAO
Chinese Journal of Biotechnology 2025;41(6):2451-2466
The regulation of rhizosphere bacterial community structure and metabolism by plants in municipal solid waste landfills is a key to enhancing the biodegradation of chlorobenzene (CB). In this study, we employed biodiversity and metabolomics methods to systematically analyze the mechanisms of different plant species in regulating the rhizosphere bacterial community structure and metabolic features and then improved the methane (CH4) oxidation and CB degradation capacity. The results showed that the rhizosphere soil of Rumex acetosa exhibited the highest CH4 oxidation and CB degradation capacity of 0.08 g/(kg·h) and 1.72×10-6 g/(L·h), respectively, followed by the rhizosphere soil of Amaranthus spinosus L., with the rhizosphere soil of Broussonetia papyrifera showing the weakest activity. Rumex acetosa promoted the colonization of Methylocaldum in the rhizosphere, and the small-molecule organic amine, such as triethylamine and N-methyl-aniline, secreted from the roots of this plant enhanced the tricarboxylic acid cycle and nicotinamide metabolism, thereby increasing microbial activity and improving CH4 and CB degradation efficiency. Conversely, cinnamic acid and its derivatives secreted by Broussonetia papyrifera acted as autotoxins, inhibiting microbial activity and exacerbating the negative effects of salt stress on key microbes such as methanotrophs. This study probed into the mechanisms of typical plants growing in landfill cover soil in regulating bacterial ecological functions, offering theoretical support and practical guidance for the plant-microbe joint control of landfill gas pollution.
Biodegradation, Environmental
;
Rhizosphere
;
Soil Microbiology
;
Waste Disposal Facilities
;
Chlorobenzenes/metabolism*
;
Bacteria/metabolism*
;
Soil Pollutants/metabolism*
;
Methane/metabolism*
;
Plant Roots/microbiology*
;
Amaranthus/microbiology*
;
Soil
4.Serratia marcescens TF-1 for biodegradation of chlorobenzene contaminants in soil and its application in in-situ remediation of chemical industrial sites.
Fang GOU ; Yunchun SHI ; Hao CHEN ; Wenting FU ; Liangjie LI ; Zhilin XING ; Jiangfeng GUO
Chinese Journal of Biotechnology 2025;41(6):2483-2497
Chlorobenzene contaminants (CBs) pose a threat to the eco-environment, and functional strains hold considerable potential for the remediation of CB-contaminated sites. To deeply explore the application potential of functional bacteria in the in-situ bioremediation of CBs, this study focused on the biodegradation characteristics and degradation kinetics of CB and 1, 2-dichlorobenzene (1, 2-DCB) in soil by the isolated strain Serratia marcescens TF-1. Additionally, an in-situ remediation trial was conducted with this strain at a chemical industrial site. Batch serum bottle experiments showed that the degradation rate of CB at the concentrations ranging from 20 to 200 mg/L by TF-1 was 0.22-0.66 mol/(gcell·h), following the Haldane model, with the optimal concentration at 23.12 mg/L. The results from simulated soil degradation experiments indicated that the combined use of TF-1 and sodium succinate (SS) significantly enhanced the degradation of CBs, with the maximum degradation rate of CB reaching 0.104 d-1 and a half-life of 6.66 d. For 1, 2-DCB, the maximum degradation rate constant was 0.068 7 d-1, with a half-life of 10.087 d. The in-situ remediation results at the chemically contaminated site demonstrated that the introduction of bacterial inoculant and SS significantly improved the removal of CBs, achieving the removal rates of 84.2%-100% after 10 d. CB, 1, 4-dichlorobenzene (1, 4-DCB), and benzo[a]pyrene were completely removed. Microbial diversity analysis revealed that the in-situ remediation facilitated the colonization of TF-1 and the enrichment of indigenous nitrogen-fixing Azoarcus, which may have played a key role in the degradation process. This study provides a theoretical basis and practical experience for the in situ bioremediation of CBs-contaminated sites.
Chlorobenzenes/isolation & purification*
;
Biodegradation, Environmental
;
Soil Pollutants/isolation & purification*
;
Serratia marcescens/metabolism*
;
Industrial Waste
;
Soil Microbiology
5.Climate change, air pollution and chronic respiratory diseases: understanding risk factors and the need for adaptive strategies.
Jiayu XU ; Zekang SU ; Chenchen LIU ; Yuxuan NIE ; Liangliang CUI
Environmental Health and Preventive Medicine 2025;30():7-7
Under the background of climate change, the escalating air pollution and extreme weather events have been identified as risk factors for chronic respiratory diseases (CRD), causing serious public health burden worldwide. This review aims to summarize the effects of changed atmospheric environment caused by climate change on CRD. Results indicated an increased risk of CRD (mainly COPD, asthma) associated with environmental factors, such as air pollutants, adverse meteorological conditions, extreme temperatures, sandstorms, wildfire, and atmospheric allergens. Furthermore, this association can be modified by factors such as socioeconomic status, adaptability, individual behavior, medical services. Potential pathophysiological mechanisms linking climate change and increased risk of CRD involved pulmonary inflammation, immune disorders, oxidative stress. Notably, the elderly, children, impoverished groups and people in regions with limited adaptability are more sensitive to respiratory health risks caused by climate change. This review provides a reference for understanding risk factors of CRD in the context of climate change, and calls for the necessity of adaptive strategies. Further interdisciplinary research and global collaboration are needed in the future to enhance adaptability and address climate health inequality.
Climate Change
;
Humans
;
Air Pollution/adverse effects*
;
Risk Factors
;
Respiratory Tract Diseases/etiology*
;
Chronic Disease
;
Air Pollutants/adverse effects*
;
Environmental Exposure/adverse effects*
6.Lead exposure promotes NF2-wildtype meningioma cell proliferation through the Merlin-Hippo signaling pathway.
Nenghua ZHANG ; Xiaohua SHEN ; Yunnong YU ; Long XU ; Zheng WANG ; Jia ZHU
Environmental Health and Preventive Medicine 2025;30():8-8
BACKGROUND:
Lead is a persistent inorganic environmental pollutant with global implication for human health. Among the diseases associated with lead exposure, the damage to the central nervous system has received considerable attention. It has been reported that long-term lead exposure increases the risk of meningioma; however, the underlying mechanism remains poorly understood. Clinical studies have indicated that loss-of-function and mutations in the neurofibromin-2 (NF2) gene play a crucial role in promoting meningioma formation.
METHODS:
The effect of Pb on meningioma were tested in-vitro and in-vivo. Two human meningioma cell lines were used in this study, including NF2-wildtype IOMM-Lee cell and NF2-null CH157-MN cell. Cell viability, cell cycle and cell size were examined after Pb exposure. The expression of Merlin, mammalian sterile 20-like kinases 1 and 2 (MST1/2) and Yes-associated protein (YAP) from these two meningioma cells were analyzed by Western blot. A xenograft mouse model was constructed by subcutaneous injection of IOMM-Lee meningioma cells.
RESULTS:
This study demonstrated that treatment with lead induce dose-dependent proliferation in IOMM-Lee cell (with an EC50 value of 19.6 µM). Moreover, IOMM-Lee cell exhibited augmented cell size in conjunction with elevated levels of phosphorylated histone H3, indicative of altered cell cycle progression resulting from lead exposure. However, no significant change was observed in the CH157-MN cell. Additionally, the Merlin-Hippo signaling pathway was inactivated with decreased Merlin and phosphorylation levels of MST1/2 and YAP, leading to increased YAP nuclear translocation in IOMM-Lee cells. However, there was no change in the Merlin-Hippo signaling pathway in CH157-MN cells after lead treatment. The administration of Pb resulted in an acceleration of the subcutaneous IOMM-Lee meningioma xenograft growth in mice.
CONCLUSIONS
Overall, the current study elucidates the potential mechanism by which lead exposure promotes the proliferation of meningioma with NF2 expression for the first time.
Meningioma/genetics*
;
Neurofibromin 2/genetics*
;
Humans
;
Cell Proliferation/drug effects*
;
Animals
;
Signal Transduction/drug effects*
;
Mice
;
Hippo Signaling Pathway
;
Lead/adverse effects*
;
Cell Line, Tumor
;
Protein Serine-Threonine Kinases/genetics*
;
Meningeal Neoplasms
;
Environmental Pollutants/adverse effects*
;
Female
7.Serum protein α-klotho mediates the association between lead, mercury, and kidney function in middle-aged and elderly populations.
Lin JIANG ; Tingting GUO ; Xin ZHONG ; Yini CAI ; Wanyu YANG ; Jun ZHANG
Environmental Health and Preventive Medicine 2025;30():10-10
BACKGROUND:
Heavy metals are significant risk factors for kidney function. Numerous studies have shown that exposure to heavy metals negatively correlates with kidney function through oxidative stress pathways, and serum α-klotho is linked to oxidative stress. However, the role of α-klotho in the relationship between blood lead, mercury, and kidney function remains unclear.
METHOD:
This study evaluated the mediating role of alpha-klotho in the relationship between lead, mercury and renal function, using data from the 2007-2016 National Health and Nutrition Examination Survey (NHANES) in U.S. adults aged 40-79. The sample included 11,032 participants, with blood lead, mercury, α-klotho, and other relevant covariates measured. Inductively coupled plasma mass spectrometry was used to assess blood lead and mercury levels, and enzyme-linked immunosorbent assay (ELISA) was employed to measure serum α-klotho. Kidney function was evaluated using estimated glomerular filtration rate (eGFR) based on creatinine levels. Multivariable linear regression was conducted to analyze the relationships between blood lead, mercury, α-klotho, and eGFR. A mediation analysis model was used to assess whether α-klotho influenced these associations.
RESULTS:
We observed a significant association between blood lead and eGFR. Mediation analysis revealed that α-klotho accounted for 12.76% of the relationship between serum lead and eGFR in the NHANES population. Subgroup analysis showed that α-klotho mediated 12.43%, 6.87%, 21.50% and 5.44% of the relationship between blood lead and eGFR in women, middle-aged adults (40-59 years old), without cardiovascular disease and hypertension, respectively. However, α-klotho did not mediate the relationship between blood mercury and eGFR in terms of gender or age. This newly identified pathway may provide valuable insights for the prevention and treatment mechanisms related to kidney function impairment.
CONCLUSION
We found that blood lead was associated with renal function. According to the results of subgroup analysis, for blood lead, serum α-klotho mediated the association in females, middle aged 60-79 years. The relationship between blood mercury and renal function was not clinically significant, and serum α-Klotho mediated the relationship between blood mercury and renal function without significant clinical significance.
Humans
;
Middle Aged
;
Lead/blood*
;
Female
;
Klotho Proteins
;
Male
;
Aged
;
Adult
;
Mercury/blood*
;
Glomerular Filtration Rate
;
Nutrition Surveys
;
United States
;
Kidney/physiology*
;
Glucuronidase/blood*
;
Environmental Pollutants/blood*
8.Impacts of short-term exposure to ambient air pollutants on outpatient visits for respiratory diseases in children: a time series study in Yichang, China.
Lu CHEN ; Zhongcheng YANG ; Yingdong CHEN ; Wenhan WANG ; Chen SHAO ; Lanfang CHEN ; Xiaoyan MING ; Qiuju ZHANG
Environmental Health and Preventive Medicine 2025;30():16-16
BACKGROUND:
There is growing evidence that the occurrence and severity of respiratory diseases in children are related to the concentration of air pollutants. Nonetheless, evidence regarding the association between short-term exposure to air pollution and outpatient visits for respiratory diseases in children remains limited. Outpatients cover a wide range of disease severity, including both severe and mild cases, some of which may need to be transferred to inpatient treatment. This study aimed to quantitatively evaluate the impact of short-term ambient air pollution exposure on outpatient visits for respiratory conditions in children.
METHODS:
This study employed data of the Second People's Hospital of Yichang from January 1, 2016 to December 31, 2023, to conduct a time series analysis. The DLNM approach was integrated with a generalized additive model to examine the daily outpatient visits of pediatric patients with respiratory illnesses in hospital, alongside air pollution data obtained from monitoring stations. Adjustments were made for long-term trends, meteorological variables, and other influencing factors.
RESULTS:
A nonlinear association was identified between PM2.5, PM10, O3, NO2, SO2, CO levels and the daily outpatient visits for respiratory diseases among children. All six pollutants exhibit a hysteresis impact, with varying durations ranging from 4 to 6 days. The risks associated with air pollutants differ across various categories of children's respiratory diseases; notably, O3 and CO do not show statistical significance concerning the risk of chronic respiratory conditions. Furthermore, the results of infectious respiratory diseases were similar with those of respiratory diseases.
CONCLUSIONS
Our results indicated that short-term exposure to air pollutants may contribute to an increased incidence of outpatient visits for respiratory illnesses among children, and controlling air pollution is important to protect children's health.
Humans
;
China/epidemiology*
;
Air Pollutants/analysis*
;
Respiratory Tract Diseases/chemically induced*
;
Child
;
Child, Preschool
;
Environmental Exposure/adverse effects*
;
Air Pollution/analysis*
;
Infant
;
Male
;
Particulate Matter/adverse effects*
;
Female
;
Ambulatory Care/statistics & numerical data*
;
Outpatients/statistics & numerical data*
;
Adolescent
;
Infant, Newborn
9.Air pollution and adult hospital admissions for ischemic stroke: a time-series analysis in Inner Mongolia, China.
Sen FENG ; Chunhua LI ; Yujing JIN ; Haibo WANG ; Ruying WANG ; Zakaria Ahmed MOHAMED ; Yulong ZHANG ; Yan YAO
Environmental Health and Preventive Medicine 2025;30():29-29
BACKGROUND:
Previous studies have demonstrated that short-term exposure to ambient particulate matter elevates the risk of ischemic stroke in major urban areas of various countries. However, there is a notable gap in research focusing on remote areas inhabited by ethnic minorities and the cumulative effects of air pollutants. Our study conducted in the area aims to explore the potential association between ischemic stroke and air pollutants and contribute to improving health outcomes among the community.
METHODS:
This retrospective observational study was conducted at the Xing'an League People's Hospital in Inner Mongolia. The medical records of 4,288 patients admitted for IS between November 1, 2019, and October 31, 2020, were reviewed. Data on demographics (age and sex), air pollutants (PM10, PM2.5, NO2, NO, CO, and O3), and meteorological factors (daily average temperature, daily average wind speed, and daily average atmosphere pressure) were collected and analyzed. The statistical analysis included descriptive statistics, Poisson distribution analysis to evaluate the adverse effects of atmospheric pollutants on daily hospitalizations, and subgroup analysis to determine whether gender and age could modify the impact on hospitalizations.
RESULTS:
A substantial correlation was revealed in single-day lags model. The peak delayed effects of PM10, PM2.5, SO2, and NO2 were observed at lag8 (PM10 (OR = 1.016, 95%CI 1.002, 1.030), PM2.5 (OR = 1.027, 95%CI 1.007, 1.048), SO2 (OR = 1.153, 95%CI 1.040, 279) and NO2 (OR = 1.054, 95%CI 1.005, 1.105)) while males exhibited a consistent trend from lag0 to lag8 (PM10 (OR = 1.035, 95%CI 1.018, 1.053), PM2.5 (OR = 1.056, 95%CI 1.030, 1.082), SO2 (OR = 1.220, 95%CI 1.072, 1.389), NO2 (OR = 1.126, 95%CI 1.061, 1.120), CO (OR = 10.059, 95%CI 1.697, 59.638) and O3 (OR = 0.972, 95%CI 0.946, 0.999)). When gender and age were considered, a positive impact was also observed after three days cumulative effect in males.
CONCLUSIONS
There is a significant cumulative effect of exposure to air pollution on IS hospital admissions, especially the males and patients under the age of 65. Our results also suggested that a notable association between CO and NO2 in two-pollutant models.
Humans
;
Male
;
Female
;
Air Pollution/analysis*
;
China/epidemiology*
;
Retrospective Studies
;
Middle Aged
;
Air Pollutants/analysis*
;
Aged
;
Particulate Matter/analysis*
;
Hospitalization/statistics & numerical data*
;
Adult
;
Ischemic Stroke/chemically induced*
;
Environmental Exposure/adverse effects*
;
Aged, 80 and over
10.Epidemiological studies on the health impact of air pollution in Japan: their contribution to the improvement of ambient air quality.
Environmental Health and Preventive Medicine 2025;30():30-30
In Japan, during the high economic growth period (1950-1960s), air pollution due to sulfur dioxide (SO2) and dust derived from large-scale factories and power plants was apparent in many industrial districts, and it caused serious health problems such as the so-called "Yokkaichi Asthma." Many epidemiological studies have revealed the relationship between air pollution and respiratory diseases, and have provided scientific evidence for the regulatory control of air pollution. The concentration of SO2 has markedly decreased since the 1970s, and its adverse health effects have improved. In contrast, increased automobile traffic has caused considerable traffic-related air pollution, including nitrogen oxides (NOx) and particulate matter (PM). Epidemiological studies in Chiba and Tokyo revealed that the prevalence and incidence of asthma were significantly higher among individuals living in roadside areas than among those living in other areas. Large-scale epidemiological studies conducted in urban districts have revealed an association between traffic-related air pollution and the onset of asthma in schoolchildren and persistence of asthmatic symptoms in preschool children. Thereafter, the concentrations of NOx and PM gradually decreased due to the control measures based on the Automobile NOx/PM Law enforced in 2001. Thus, epidemiological studies have contributed to a reduction in air pollution caused by automobile exhaust emissions. Recently, the adverse health effects of ambient fine PM (PM2.5) and ozone (O3) at ground level have become an international concern. Our epidemiological studies showed that short-term exposure to considerably low concentrations of PM2.5 and O3 was associated with a decrease in pulmonary function among asthmatic children and increased airway inflammation in healthy adolescents. The effects of exposure to PM2.5 during pregnancy and early childhood on children's development have also been reported. These air pollutants consist of not only emissions from primary sources but also secondary formations in the atmosphere. They are affected by climate change and spread worldwide. Air quality control measures and climate change adaptation and mitigation strategies are synergistic, and will have co-benefits on human health. Therefore, global efforts are required to protect populations from the health risks posed by these air pollutants.
Japan/epidemiology*
;
Humans
;
Air Pollution/analysis*
;
Air Pollutants/adverse effects*
;
Particulate Matter/adverse effects*
;
Asthma/chemically induced*
;
Vehicle Emissions
;
Epidemiologic Studies
;
Environmental Exposure/adverse effects*
;
Sulfur Dioxide/analysis*


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