Air pollution harming brains of urban kids

Children living in cities are at an increased risk of developing brain inflammation and neurodegenerative changes, including Alzheimer's or Parkinson's disease due to air pollution, scientists say.

A new study has found when air particulate matter and their components such as metals are inhaled or swallowed, they pass through damaged barriers, including respiratory, gastrointestinal and the blood-brain barriers and can result in long-lasting harmful effects.

Professor Lilian Calderon-Garciduenas from the University of Montana, and her team compared 58 serum and cerebrospinal fluid samples from a control group living in a low-pollution city and matched them by age, gender, socioeconomic status, education and education levels achieved by their parents to 81 children living in Mexico City.

The results found that the children living in Mexico City had significantly higher serum and cerebrospinal fluid levels of auto-antibodies against key tight-junction and neural proteins, as well as combustion-related metals.

"We asked why a clinically healthy kid is making auto-antibodies against their own brain components," she said.

"That is indicative of damage to barriers that keep antigens and neurotoxins away from the brain. Brain auto-antibodies are one of the features in the brains of people who have neuroinflammatory diseases like multiple sclerosis," said Calderon-Garciduenas.

The breakdown of the blood-brain barrier and the presence of autoantibodies to important brain proteins will contribute to the neuroinflammation observed in urban children and raises the question of what role air pollution plays in a 400 per cent increase of MS cases in Mexico City, making it one of the main diagnoses for neurology referrals, she said.

Calderon-Garciduenas noted there is a need for a longitudinal follow-up study to determine if there is a relationship between the cognition deficits and brain MRI alterations previously reported in Mexico City children, and their autoimmune responses. But what is clear is that the kids are suffering from immune dysregulation.

Once there is a breakdown in the blood-brain barrier, not only will particulate matter enter the body but it also opens the door to harmful neurotoxins, bacteria and viruses.

"The barriers are there for a reason. They are there to protect you, but once they are broken the expected results are not good," Calderon-Garciduenas said.

The results of constant exposure to air pollution and the constant damage to all barriers eventually result in significant consequences later in life.

She explained that the autoimmune responses are potentially contributing to the neuro-inflammatory and Alzheimer's and Parkinson's pathology they are observing in young urban children.

The findings were published in the Journal of Alzheimer's Disease.

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