Scottish Daily Mail

Revealed, how diesel pollution causes heart attacks and strokes

- By Kate Foster and Colin Fernandez

POLLUTION from diesel engines triggers heart attacks and strokes by entering the bloodstrea­m and inflaming damaged blood vessels, a study shows.

Nanopartic­les – many times smaller than the width of a human hair – have long been associated with heart disease, but how inhaled particles affect blood vessels has remained a mystery. Now, scientists have found evidence that the nanopartic­les can travel from the lungs into the bloodstrea­m and accumulate in parts of the heart or in blood vessels already suffering from inflammati­on – which they may aggravate further.

By inflaming arteries and veins, the particles can contribute to fatal blockages. Air pollution, especially from traffic, is estimated to cause between 29,000 and 52,000 deaths a year in the UK.

Scientists have long suspected that fine particles travel from the lungs into the bloodstrea­m, but evidence has been difficult to collect. Researcher­s at the University of Edinburgh and the National Institute for Public Health and the Environmen­t in Holland tracked inhaled gold nanopartic­les, which do not cause health problems to volunteers. Carbon nanopartic­les from diesel exhaust can’t be tracked.

In the British Heart Foundation-funded study, published in the journal ACS Nano, 14 healthy volunteers and 12 surgical patients inhaled gold nanopartic­les. Within just 24 hours, the nanopartic­les were detected in blood and urine. The particles were still detectable three months later.

In a further study, stroke patients with blockages in their carotid arteries – the major artery in the neck – about to undergo surgery were asked to breathe in a quantity of the nanopartic­les.

When the fatty ‘plaques’ blocking the artery were removed, they were found to have accumulate­d large numbers of nanopartic­les – high-

‘Serious health consequenc­es’

lighting how they end up in diseased areas. Lead researcher Dr Mark Miller, from the University of Edinburgh, said: ‘We show that gold nanopartic­les can get into the blood and that these particles appear to preferenti­ally accumulate at sites of disease.

‘These findings suggest that ultra-fine nanopartic­les in air pollution may well do the same thing. They will enter the blood and accumulate at sites of vascular disease. It doesn’t take large amounts of these particles. If they reach these susceptibl­e areas it can have serious health consequenc­es.’

The UK Government will ask the High Court today for permission to delay publishing its draft plan for tackling air pollution until after the June 8 election.

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