Air pollution exposure is a public health emergency, which attributes globally to an estimated seven million deaths on a yearly basis We are all exposed to air pollutants, varying from ambient air pollution hanging over cities to dust inside the home. It is a mixture of airborne particulate matter and gases that can be subdivided into three categories based on particle diameter. The smallest category called PM₀.₁ is the most abundant. A fraction of the particles included in this category might enter the blood stream spreading to other parts of the body. As air pollutants can enter the body via the lungs and gut, growing evidence links its exposure to gastrointestinal and respiratory impairments and diseases, like asthma, rhinitis, respiratory tract infections, Crohn's disease, ulcerative colitis, and abdominal pain. It has become evident that there exists a crosstalk between the respiratory and gastrointestinal tracts, commonly referred to as the gut-lung axis. Via microbial secretions, metabolites, immune mediators and lipid profiles, these two separate organ systems can influence each other. Well-known immunomodulators and gut health stimulators are probiotics, prebiotics, together called synbiotics. They might combat air pollution-induced systemic inflammation and oxidative stress by optimizing the microbiota composition and microbial metabolites, thereby stimulating anti-inflammatory pathways and strengthening mucosal and epithelial barriers. Although clinical studies investigating the role of probiotics, prebiotics, and synbiotics in an air pollution setting are lacking, these interventions show promising health promoting effects by affecting the gastrointestinal- and respiratory tract. This review summarizes the current data on how air pollution can affect the gut-lung axis and might impact gut and lung health. It will further elaborate on the potential role of probiotics, prebiotics and synbiotics on the gut-lung axis, and gut and lung health.

Ibuprofen (IBU), as a commonly used non-steroidal anti-inflammatory drug (NSAID) and pharmaceutical and personal care product (PPCP), is frequently prescribed by doctors to relieve pain. It is widely released into environmental water and soil in the form of chiral enantiomers by the urination and defecation of humans or animals and by sewage discharge from wastewater treatment plants. This study focused on the alteration of metabolism in the adult zebrafish (Danio rerio) brain after exposure to R-(-)-/S-(+)-/rac-IBU at 5 μg L−1 for 28 days. A total of 45 potential biomarkers and related pathways, including amino acids and their derivatives, purine and its derivatives, nucleotides and other metabolites, were observed with untargeted metabolomics. To validate the metabolic disorders induced by IBU, 22 amino acids and 3 antioxidant enzymes were selected to be quantitated and determined using targeted metabolomics and enzyme assay. Stereoselective changes were observed in the 45 identified biomarkers from the untargeted metabolomics analysis. The 22 amino acids quantitated in targeted metabolomics and 3 antioxidant enzymes determined in enzyme assay also showed stereoselective changes after R-(-)-/S-(+)-/rac-IBU exposure. Results showed that even at a low concentration of R-(-)-/S-(+)-/rac-IBU, disorders in metabolism and antioxidant defense systems were still induced with stereoselectivity. Our study may enable a better understanding of the risks of chiral PPCPs in aquatic organisms in the environment.

Environment can be affected by a variety of micropollutants. In this paper, we develop a system to assess the toxicity on an environmental sample, based on the expression of a nanoluciferase under the control of the STB5 promotor in a yeast. The STB5 gene encodes for a transcription factor involved in a pleiotropic drug resistance and in the oxidative stress response. The response of the modified yeast was assessed using 42 micropollutants belonging to different families (antibiotics, pain killers, hormones, plasticizers, pesticides, etc.). Among them, 26 induced an increase of the bioluminescence for concentration ranges from pg.L⁻¹ to ng.L⁻¹. Surprisingly, for concentrations higher than 100 ng.L⁻¹, no response can be observed, suggesting that other mechanisms are involved when the stress increases. Analyzing the different responses obtained, we highlighted six nonmonotonic types of responses. The type of response seems to be independent of the properties of the compounds (polarity, toxicology, molecular weight) and of their family. In conclusion, we highlighted that a cellular response exists for very low exposition to environmental concentration of micropollutants and that it was necessary to explore the cellular mechanisms involved at very low concentration to provide a better risk assessment.

A contingent valuation study is conducted in three locations in Turkey using a total of 1362 observations to elicit willingness to pay (WTP) to avoid the acute respiratory illness (three days of severe coughing and throat pain). This is the first research of this kind in Turkey, and also one of a few studies conducted in developing countries. Median WTPs are estimated as 65, 51, and 83 PPP-adjusted 2012 USD for Afsin-Elbistan, Kutahya-Tavsanli and Ankara, respectively. Income elasticities of WTP are derived as 0.8 for Afsin-Elbistan and tested statistically indifferent from 1.0 for Kutahya-Tavsanli, and Ankara, and are found to be greater than the cases in existing studies conducted both in developed and developing countries. We also find that 60 to 90 percent of WTP are devoted for avoiding pain and discomfort/restricted activity days, and much less weights are given for avoiding possible financial losses. As for the determinants of WTP, university graduates, those who have experienced coughing within one month, have spent out-of-pocket medical expenses and actually lost some part of their income due the last experienced minor symptoms are willing to pay more to avoid the future acute respiratory illness while women and the household using coal as the main source of home-heating are willing to pay less in one or more study areas. New air quality standard for PM10 (transition from 150 μg/m3 to 40 μg/m3 by 2019) causes the reductions in minor respiratory symptoms by 11, 8, and 4.4 per person, and the resulting welfare gains are calculated as 157 million, 123 million, and 1464 million PPP-adjusted 2012 USD for Afsin-Elbistan, Kutahya-Tavsanli and Ankara, respectively.

Open landfilling is a common practice of waste dumping in developing countries, generating a range of environmental and public health hazards. In this study, we determined the distribution, composition and exposure risk of the size-segregated fungal and bacterial bioaerosols in an open landfill site in Dehradun, India. Bioaerosol and particulate matter (PM) measurements were carried out using a six-stage viable Andersen Cascade Impactor and a Wide Range Aerosol Spectrometer, respectively. Pearson correlation analysis was used to determine the relation of bioaerosol concentration with meteorological parameters and PM. The mean concentration of fungal and bacterial aerosols was observed to be 4582.75 ± 1358.25 CFU/m3 and 3609.53 ± 1000.28 CFU/m3, respectively. The bioaerosol composition showed the predominance of potential pathogens including Aspergillus (25.42%), Penicillium (20.34%), Cladosporium (15.25%), Alternaria (13.56%); and gram-negative Bacillus (21.15%), Streptobacillus (17.31%), Coccus (13.46%). Also, an inhalation risk assessment was conducted for the age-specific predictions of bioaerosol and PM deposition in human airways using a multiple path particle dosimetry model. For bioaerosols, maximum submicron depositions in the pulmonary region were observed in adults, while for PM, in children and infants. Finally, to identify the bioaerosol exposure caused respiratory disorders, a questionnaire-based health survey was conducted among the exposed population around the landfill site. The chi-square test showed significantly higher respiratory complaints in females for cold, cough, chest pain and chest tightness than in males. This work highlights the role of bioaerosols and PM in human health disorders in occupational environments associated with waste management.

Onosma bracteata Wall. (Boraginaceae), commonly known as “gaozaban” is a highly valuable medicinal herb, useful in the treatment of body swellings, abdominal pain, eye-related problems, fever, and urinary calculi. The present study was performed to investigate the antioxidant properties of extract/fractions, viz. ethanol (Obeth) extract, hexane (Obhex) fraction, chloroform (Obcl) fraction, ethyl acetate (Obea) fraction, butanol (Obbu) fraction, and aqueous (Obaq) fraction isolated from O. bracteata. Obea fraction showed stronger free radical quenching ability in various antioxidant assays, as compared to the other fractions. Obea fraction with effective free radical-scavenging properties was further evaluated for the antiproliferative activity against human osteosarcoma MG-63, human neuroblastoma IMR-32, and human lung cancer A549 cell lines using MTT assay. Obea fraction showed strong cytotoxicity with GI₅₀ value of 88.56, 101.61, and 112.7 μg/ml towards MG-63, IMR-32, and A549 cells respectively. Mechanistic studies revealed that Obea fraction in osteosarcoma MG-63 cells increased reactive oxygen species (ROS) level and reduced mitochondrial membrane potential. In the presence of Obea, the cells were found to be arrested in the G₀/G₁ phase in a dose-dependent manner which is also confirmed by the enhancement in the early apoptotic cell population in flow cytometer analysis. Western blotting demonstrated the decrease in expression of p-NFκB, COX-2, p-Akt, and Bcl-xL, whereas upregulation was observed in the expression of GSK-3β, p53, caspase-3, and caspase-9 proteins. RT-qPCR studies revealed downregulation of Bcl-2, cyclin E, CDK2, and mortalin gene expression and upregulation in the expression of p53 genes. The antioxidant and cytotoxic potential of Obea was attributed to the presence of catechin, kaempferol, onosmin A, and epicatechin, as revealed by HPLC analysis. This is the first report regarding the antiproliferative potential of O. bracteata against osteosarcoma.

Vetiver has a broad history of traditional medicinal uses, but only a handful of research article has reported its utility in treating diseases. But unfortunately, no work has been reported on the anti-inflammatory activity of its plant extract and inflammatory-linked diseases. Hence, the present review focuses on investigating the several presumptions which can be put forward to explain its anti-inflammatory property. Thus, for ensuring the same, all the databases like science direct, PubMed, book chapters, and other authenticated papers were thoroughly studied to present a connection between inflammation and the plant potential. After gaining enough knowledge on pathogenesis of inflammation, it has been observed that the release of mediators from the arachidonic acid metabolism pathway and generation of oxidative and nitrogen species are presented as the main reason for the occurrence of inflammation condition. The stimulation of antioxidant enzyme system network by the plant extract reduces the level of oxidative stress, creating a balance between oxidant and antioxidant system. Moreover, its antimicrobial activity will prevent the biological source of stimulation towards injury and the CNS depressant effect will subside the pain of inflammation. Amalgamating all the factors together, the plant can be utilized as anti-inflammatory can be and also can be proved as a beneficial perspective in the treatment of inflammation-linked disorders.

The aim of this study was to assess probabilistic human health risk due to ethnobotanical usage of Avicennia officinalis, Porteresia coarctata and Acanthus ilicifolius. The study was conducted at the tannery outfall near Sundarban (Ramsar wetland, India) mangrove ecosystem affected by potentially toxic elements (Cd, Cr, Cu, Hg, Mn, Ni, Pb, and Zn). Total metal concentrations (mg kg⁻¹) were considerably higher in the polluted rhizosphere namely, Cd (1.05–1.97), Cu (36.3–38.6), Cr (144–184), Hg (0.04–0.19), Mn (163–184), Ni (37.7–46.4), Pb (20–36.6), and Zn (97–104). Ecological risk index indicated low to moderate ecological risk in this site, whereas the ecological risk factor showed high potential ecological risk due to Cd pollution. BCR Sequential extraction of metals showed more exchangeable fraction of Cd (47–55%), Cr (9–13%), Hg (11–13%), and Pb (11–15%), at the polluted site. Mercury, though present in trace amount in sediment, showed the highest bioaccumulation in all the three plants. Among the toxic trio, Hg showed the highest bioaccumulation in A. officinalis, Cd in P. coarctata but Pb has the lowest bioaccumulation potential in all the three species. Occasional fruit consumption of A. officinalis and dermal application of leaf, bark of A. officinalis (antimicrobial), A. ilicifolius (anti-inflammatory, pain reliever when applied on wounds) indicated negligible human health risk. However, long-term consumption of P. coarctata (wild rice variety) seeds posed health risk (THQ>1) both in adults and children age groups. This study concludes that nature of ethnobotanical use and metal contamination levels of the mangrove rhizosphere can impact human health. The transfer process of potentially toxic elements from rhizosphere to plants to human body should be considered while planing pollution mitigation measures. Graphical Abstract

Pharmaceutically active compounds are gradually increasing in different environments such as surface waters, groundwater, and soil. Paracetamol is a pharmaceutical used as a pain reliever and antipyretic. In this study, paracetamol removal was investigated using manganese oxide octahedral molecular sieves (OMS-2) and persulfate. In the first stage of the study, OMS-2 was produced in a laboratory, and then paracetamol removal was investigated in OMS-2 only, persulfate only, and a combination of OMS-2/PS. When using 5 mM persulfate and 0.1 g/L OMS-2, the paracetamol removal efficiency increased to 99.5%. The use of OMS-2 with persulfate resulted in faster and more effective removal of paracetamol compared with OMS-2 only and persulfate only. In another stage of the study, the effects of reaction temperature and pH were investigated. For this purpose, the pH was changed in the range of 2–8, while the temperature was examined at 20, 30, and 40 °C. A high rate of paracetamol removal occurred at all pH and temperature values tested. Paracetamol removal was investigated at different OMS-2 and persulfate concentrations, optimum OMS-2 amount was determined as 0.1 g/L, and optimum persulfate dosage was 20 mM. The reusability of the OMS-2 catalyst was investigated, showing a decrease in removal efficiency with each cycle. In the later stages of the study, free radical quenching studies, the effect of humic acid and inorganic anions and the characterization of the synthesized OMS-2 were performed.

Balneotherapy (BT) is one of the most commonly used non-pharmacologic complementary therapies for different rheumatic diseases. Its beneficial properties probably derived from a combination of mechanical, thermal, and chemical effects, but the exact mechanism of action is not elucidated. This review aimed at summarizing the current knowledge about the effects of BT, and identifying its possible mechanism of action in different rheumatic diseases. Pubmed and Scopus were used to perform a search of the literature to extract articles including terms related to BT and rheumatic diseases published in the period from 2010 to 2021. We selected pre-clinical studies, randomized controlled trials, and clinical trials. The results of clinical studies confirmed the beneficial properties on different mediators and factors of inflammation, oxidative stress, cartilage metabolism, and humoral and cellular immune responses in patients affected by chronic degenerative musculoskeletal disorders. The data derived from OA and RA-induced murine models revealed the efficacy of different BT treatments in decreasing pain, inflammation, and improving mobility, as well as in reducing the expression of matrix-degrading enzymes and markers of oxidative stress damage. Different in vitro studies analyzed the potential effect of a mineral water, as a whole, or of a mineral element, demonstrating their anti-inflammatory, antioxidant, and chondroprotective properties in OA cartilage, synoviocytes and chondrocytes, and osteoblast and osteoclast cultures. The presented data are promising and confirm BT as an effective complementary approach in the management of several low-grade inflammation, degenerative, and stress-related pathologies, as rheumatic diseases.