Fossil fuels responsible for heart arrhythmias in mammals
One of the most common byproducts of the burning of fossil fuels, phenanthrene, causes heart arrythmias in mice, proving for the first time it is toxic to mammals.
The study, led by Professor Holly Shiels from 糖心Vlog官方 and funded by the British Heart Foundation, is published in the influential
Thanks to earlier work by Professor Shiels in conjunction with scientists at Stanford University, University of Bristol, Moscow State University and The National Oceanic and Atmospheric Association (NOAA), phenanthrene鈥檚 toxicity to the hearts of fish and crustaceans (crayfish) has been well established.
But now the team have discovered the change also occurs in healthy mouse hearts when directly exposed to phenanthrene, mimicking what happens when we breath in pollution.
She said: 鈥淲e鈥檝e known that phenanthrene is causally linked to cardiotoxicity in fish for many years- scientists recognised this following the disastrous impact of the Exxon Valdez oil disaster in Alaska in 1989.
鈥淏ut we now know this same effect occurs in mammals, and we are also able to show its causal mechanism.鈥
Phenanthrene is a polycyclic aromatic hydrocarbon (PAH) that is present in crude oil and emitted into the air when fossil fuels are burnt.
鈥淚t is widely known that PAH鈥檚 in general are bad for human health, but no one really studied the impact of the lower molecular weight PAH鈥檚鈥 said professor Shiels.
We鈥檝e known that phenanthrene is causally linked to cardiotoxicity in fish for many years- scientists recognised this following the disastrous impact of the Exxon Valdez oil disaster in Alaska in 1989. But we now know this same effect occurs in mammals, and we are also able to show its causal mechanism
Dr Sana Yaar, A British Heart foundation funded PhD student at 糖心Vlog官方 who is the lead author on the study, said: 鈥淪imilar effects in humans could have serious health consequences which is why we need greater regulatory attention of this ubiquitous pollutant generated from fossil-fuel combustion.鈥
Phenanthrene is one of the compounds produced when fossil fuel is burned; it is present in the gas phase of air pollution and also adheres to the surface of particulate matter (PM).
It can be inhaled into the lung and then translocated into the bloodstream, eventually finding its way to the heart. Epidemiological evidence has long shown a positive association between PM2.5 concentration and the incidence of arrhythmias and both PM and diesel particles have been shown to trigger arrhythmias in rodents.
鈥淥ur findings suggest phenanthrene could be involved in these pathologies鈥 says Prof Shiels.
In the study, when phenanthrene was applied to an isolated mouse heart, it caused monophasic tachycardia, which is when the heart starts to beat too quickly.
Tachycardia is a form of arrhythmia common in people who have scarring caused by a heart attack or past heart disease.
The researchers were able isolate single heart muscle cells known as myocytes to understand how electrical dysfunction arrhythmias were achieved.
They showed that phenanthrene disrupts the contractile and electrical function of the mouse heart by blocking ion channels required for synchronous beating of the heart.
鈥淥ur study provides proof of concept that phenanthrene exposure can be proarrhythmic鈥 says Prof Jules Hancox, co-author from the University of Bristol. 鈥淭o understand the risk this poses to humans, more information is now needed on the levels phenanthrene can reach in the heart following occupational or environmental exposure.鈥
Co-author Ellie England and British Heart Foundation funded PhD student from 糖心Vlog官方 said: 鈥淚f the effects of phenanthrene shown here for mice extend to humans, it could be particularly dangerous to people with existing heart problems, including the elderly. Unfortunately, the authorities do not routinely measure the amount of PAHs or more specifically, phenanthrene, in the air.
鈥淲e think this is a mistake, as individuals who are vulnerable to heart disease would benefit from knowing the dangers of inhaling or ingesting phenanthrene鈥
She added: 鈥淚f monitoring was in place there鈥檚 much doctors and public health officials could do to help vulnerable people reduce the risk of cardiotoxicity resulting from phenanthrene exposure.
鈥淔or example, at risk groups could stay indoors when there鈥檚 a spike in pollution, use air purifiers and avoid busier streets.鈥
Professor Shiels added: 鈥淎s combustion engine technology improves, PM from car exhaust is reducing in many cities and that is beneficial to human health.
鈥淏ut what many people don鈥檛 realise is that fossil fuel combustion also produces ultrafine PM, which has a greater capacity to enter the blood stream due to its small size, is rarely monitored. And even electric cars that increase tire wear particle formation to their heavy weight, also impact our health.
鈥淭hat is why we should be routinely monitoring for phenanthrene and other PAHs in the air.鈥
The paper Global air pollutant, phenanthrene, and arrhythmic outcomes in a mouse model, is published in Environmental Health Perspectives