1. Environmental Fe, Ti, Al, Cu, Hg, Bi, and Si Nanoparticles in the Atrioventricular Conduction Axis and the Associated Ultrastructural Damage in Young Urbanites: Cardiac Arrhythmias Caused by Anthropogenic, Industrial, E-Waste, and Indoor Nanoparticles
- Author
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Rafael Reynoso-Robles, Rafael Brito-Aguilar, José Luis Rodríguez-López, Carlos Gayosso-Chávez, H. G. Silva-Pereyra, Beatriz Pérez-Guillé, Gladis Judith Labrada-Delgado, Partha Sarathi Mukherjee, Ricardo Delgado-Chávez, Rosa Eugenia Soriano-Rosales, Lilian Calderón-Garcidueñas, Miguel Angel Jiménez-Bravo Luna, and Angélica González-Maciel
- Subjects
Tachycardia ,Purkinje fibers ,Industrial Waste ,010501 environmental sciences ,01 natural sciences ,Sarcomere ,Electronic Waste ,Lipofuscin ,medicine ,Humans ,Tachycardia, Atrioventricular Nodal Reentry ,Environmental Chemistry ,Mexico ,Cell damage ,Aged ,0105 earth and related environmental sciences ,Titanium ,Chemistry ,Gap junction ,Arrhythmias, Cardiac ,Mercury ,General Chemistry ,medicine.disease ,Atrioventricular node ,medicine.anatomical_structure ,Transmission electron microscopy ,Atrioventricular Node ,cardiovascular system ,Biophysics ,Nanoparticles ,medicine.symptom - Abstract
Air pollution exposure is a risk factor for arrhythmia. The atrioventricular (AV) conduction axis is key for the passage of electrical signals to ventricles. We investigated whether environmental nanoparticles (NPs) reach the AV axis and whether they are associated with ultrastructural cell damage. Here, we demonstrate the detection of the shape, size, and composition of NPs by transmission electron microscopy (TEM) and energy-dispersive X-ray spectrometry (EDX) in 10 subjects from Metropolitan Mexico City (MMC) with a mean age of 25.3 ± 5.9 and a 71-year-old subject without cardiac pathology. We found that in every case, Fe, Ti, Al, Hg, Cu, Bi, and/or Si spherical or acicular NPs with a mean size of 36 ± 17 nm were present in the AV axis in situ, freely and as conglomerates, within the mitochondria, sarcomeres, lysosomes, lipofuscin, and/or intercalated disks and gap junctions of Purkinje and transitional cells, telocytes, macrophages, endothelium, and adjacent atrial and ventricular fibers. Erythrocytes were found to transfer NPs to the endothelium. Purkinje fibers with increased lysosomal activity and totally disordered myofilaments and fragmented Z-disks exhibited NP conglomerates in association with gap junctions and intercalated disks. AV conduction axis pathology caused by environmental NPs is a plausible and modifiable risk factor for understanding common arrhythmias and reentrant tachycardia. Anthropogenic, industrial, e-waste, and indoor NPs reach pacemaker regions, thereby increasing potential mechanisms that disrupt the electrical impulse pathways of the heart. The cardiotoxic, oxidative, and abnormal electric performance effects of NPs in pacemaker locations warrant extensive research. Cardiac arrhythmias associated with nanoparticle effects could be preventable.
- Published
- 2021
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