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Acute effects of air pollution on lupus nephritis in patients with systemic lupus erythematosus: A multicenter panel study in China

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单位: [1]Nantong Univ, Res Ctr Intelligent Informat Technol, Nantong, Peoples R China [2]Nantong Res Inst Adv Commun Technol, Nantong, Peoples R China [3]Second Mil Med Univ, Changzheng Hosp, Dept Rheumatol & Immunol, Shanghai, Peoples R China [4]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Rheumatol, South Campus, Shanghai, Peoples R China [5]China Meteorol Adm, Natl Meteorol Ctr, Beijing, Peoples R China [6]Cent South Univ, Xiangya Hosp, Dept Rheumatol, Changsha, Peoples R China [7]Sichuan Univ, West China Hosp, Dept Rheumatol, Chengdu, Peoples R China [8]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Rheumatol & Immunol, Wuhan, Peoples R China [9]Nanjing Univ Med Sch, Affiliated Drum Tower Hosp, Dept Rheumatol & Immunol, Nanjing, Peoples R China [10]Nanjing Med Univ, Dept Rheumatol, Affiliated Hosp 1, Nanjing, Peoples R China [11]Zhejiang Univ, Affiliated Hosp 1, Coll Med, Div Rheumatol, Hangzhou, Peoples R China [12]China Med Univ, Dept Rheumatol & Immunol, Hosp 1, Shenyang, Peoples R China [13]Peking Univ Shenzhen Hosp, Dept Rheumatol & Immunol, Shenzhen, Peoples R China [14]Second Mil Med Univ, Shanghai Changhai Hosp, Dept Rheumatol & Immunol, Shanghai, Peoples R China [15]Zhejiang Univ, Sch Med, Dept Rheumatol, Affiliated Hosp 2, Hangzhou, Peoples R China [16]Dalian Med Univ, Affiliated Hosp 2, Dept Rheumatol, Dalian, Peoples R China [17]Chinese Acad Sci, Inst Atmospher Phys, State Key Lab Atmospher Boundary Layer Phys & Atm, Beijing, Peoples R China [18]Nantong Univ, Med Sch, Dept Med Informat, Nantong, Peoples R China [19]Tsinghua Univ, Sch Clin Med, Beijing, Peoples R China [20]Tsinghua Univ, Peking Tsinghua Ctr Life Sci, Beijing, Peoples R China
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关键词: Systemic lupus erythematosus Lupus nephritis Acute effects Air pollution

摘要:
Air pollution may trigger systemic lupus erythematosus (SLE). However, few studies have investigated the associations between air pollution and complications of SLE, such as lupus nephritis (LN). In this study, multicenter longitudinal data from 13 hospitals in China, including 8552 SLE patients with 24,762 visits, were used. Based on the generalized estimating equation (GEE) model, we assessed the associations of LN occurrence with short-term exposures to different air pollutants including particulate matter with an aerodynamic diameter < 2.5 Im (PM2.5), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone (O-3). We identified 2672 LN patients, and about half of them were from east China. Our results based on the entire data set showed that PM2.5 and NO2 were risk factors for LN within one month after exposure, with odds ratio of 1.16 (95% confidence interval (CI), 1.08-1.19) at lag 18 day and 1.19 (95% CI, 1.12-1.26) at lag 16 day relative to an interquartile range (IQR) increase in PM2.5 and NO2, respectively. This positive association between LN and NO2 was also observed for south, west, and east China. In addition, we found that the short term exposure to CO and O-3 was not generally associated with LN. Finally, the negative associations of LN with SO2 were found for the entire region and east China. Our results implied that SLE patients may gain the health benefits of air quality improvement in China. Our work also provided evidence that short-term variations in air pollution may trigger LN, and further studies are needed to confirm these findings and the potential pathogenic mechanisms should be explored.

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出版当年[2020]版:
大类 | 2 区 环境科学与生态学
小类 | 2 区 环境科学 2 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 2 区 环境科学与生态学
小类 | 2 区 环境科学 2 区 公共卫生、环境卫生与职业卫生
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出版当年[2019]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q1 ENVIRONMENTAL SCIENCES
最新[2023]版:
Q1 ENVIRONMENTAL SCIENCES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]Nantong Univ, Res Ctr Intelligent Informat Technol, Nantong, Peoples R China [2]Nantong Res Inst Adv Commun Technol, Nantong, Peoples R China
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通讯机构: [1]Nantong Univ, Res Ctr Intelligent Informat Technol, Nantong, Peoples R China [2]Nantong Res Inst Adv Commun Technol, Nantong, Peoples R China [3]Second Mil Med Univ, Changzheng Hosp, Dept Rheumatol & Immunol, Shanghai, Peoples R China [18]Nantong Univ, Med Sch, Dept Med Informat, Nantong, Peoples R China [19]Tsinghua Univ, Sch Clin Med, Beijing, Peoples R China [20]Tsinghua Univ, Peking Tsinghua Ctr Life Sci, Beijing, Peoples R China
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