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Air particulate pollution exposure associated with impaired cognition via microbiota gut-brain axis: an evidence from rural elderly female in northwest China

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Abstract

This study aimed to reveal harm of exposure to indoor air pollution to cognitive function through “gut-brain-axis” among rural elderly residents. There were 120 participants recruited in rural villages of northwest China from December 2021 to February 2022. The cognitive level was assessed by eight-item ascertain dementia (AD) questionnaire, and indoor air pollution exposure was measured by air quality sensor. Inflammatory cytokines and oxidative stress-related index were detected in blood serum. Fecal samples were collected for gut microbiota analysis. The 120 participants were divided into impaired cognition (AD8) (81/67.5%) and cognition normal (NG) (39/32.5%). And there had more female in AD8 (FAD) (55/67.9%) than NG (FNG) (18/46.2%) (P = 0.003). Exposure of air pollution in FAD was higher than FNG (PM1, PM2.5, PM10, P < 0.001; NO2, P < 0.001; CO, P = 0.014; O3, P = 0.002). The risk of cognitive impairment increases 6.8%, 3.6%, 2.6%, 11%, and 2.4% in female for every 1 μg/m3 increased in exposure of PM1, PM2.5, PM10, NO2, and O3, separately. And GSH-Px and T-SOD in FAD were significantly lower than the FNG group (P = 0.011, P = 0.019). Gut microbiota in FAD is disordered with lower richness and diversity. Relative abundance of core bacteria Faecalibacterium (top 1 genus) in FAD was reduced (13.65% vs 19.81%, P = 0.0235), while Escherichia_Shigella and Akkermansia was increased. Correlation analysis showed Faecalibacterium was negatively correlated with age, and exposure of O3, PM1, PM2.5, and PM10; Akkermansia and Monoglobus were positively correlated with exposure of PM1, PM2.5 and PM10; Escherichia_Shigella was significantly positively correlated with NO2. Indoor air pollution exposure impaired cognitive function in elderly people, especially female, which may cause systemic inflammation, dysbiosis of the gut microbiota, and ultimately leading to early cognitive impairment through the gut-brain axis.

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Data availability

The datasets presented in this study can be found in online repositories. The accession number(s) can be found in the article. And the detail data and materials are available on request.

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Acknowledgements

We acknowledge support from Dr. Jun Wang from Tongchuan Center for Disease Control and Prevention, Shaanxi, China.

Funding

This research was funded by the National Natural Science Foundation of China (No. 82173526; No. 42277422) and the Key Research and Development Project in Shaanxi Province, China (No. 2022ZDLNY01-10).

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Authors and Affiliations

Authors

Contributions

Conceptualization, H. T. and B. H.; methodology, J. Y. and Y. C.; software, Y. C. and S. R. L.; validation, X. X. M., S. J. J., and X. Y. H.; formal analysis, P. L. and L. S.; resources, H. M. X. and B. H.; data curation, P. L.; writing-original draft preparation, J. Y. and Y. C.; writing—review and editing, H. M. X., T. H., and B. H.; visualization, J. L. and S. R. L.; supervision, B. H.; project administration, J. L. and S. R. L.; funding acquisition, B. H. All authors have read and agreed to the published version of the manuscript.

Corresponding author

Correspondence to Bei Han.

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Institutional Review Board statement

The study was conducted in accordance with the Declaration of Helsinki, and approved by the Medical Ethics Committee of Health Science Center, **'an Jiaotong University, China with approval number of 2018-553.

Informed consent

Informed consent was obtained from all subjects involved in the study.

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The authors declare no competing interests.

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Responsible Editor: Lotfi Aleya

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Supplementary information

ESM 1

Figure S1. Alpha diversity analysis in NG and AD8 groups. ACE (A), Chao1 (B), Shannon (C), Simpson(D). *, P<0.05, **, P<0.01. Table S1 The relative abundance compartment between AD and NG groups at genus level. Table S2 The relative abundance compartment between FAD and FNG groups at genus level. Table S3 The core microbiota at the genus level among 120 elderly participants. (DOCX 140 kb)

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Yuan, J., Tan, H., Cheng, Y. et al. Air particulate pollution exposure associated with impaired cognition via microbiota gut-brain axis: an evidence from rural elderly female in northwest China. Environ Sci Pollut Res 31, 6398–6410 (2024). https://doi.org/10.1007/s11356-023-31504-6

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