PAULO HILARIO NASCIMENTO SALDIVA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Patologia, Faculdade de Medicina - Docente
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina
LIM/05 - Laboratório de Poluição Atmosférica Experimental, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina
LIM/05 - Laboratório de Poluição Atmosférica Experimental, Hospital das Clínicas, Faculdade de Medicina - Líder
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- Residual oil fly ash worsens pulmonary hyperreactivity in chronic allergic mice(2011) AVILA, Mariana Barcellos; MAZZOLI-ROCHA, Flavia; MAGALHAES, Clarissa Bichara; SALDIVA, Paulo Hilario Nascimento; CARVALHO, Alysson Roncally; FAFFE, Debora Souza; ZIN, Walter AraujoBALB/c mice received saline (SAL groups) or ovalbumin (OVA groups) intraperitoneally (days 1, 3, 5, 7, 9, 11 and 13). After 27 days, a burst of intratracheal OVA or SAL (days 40, 43 and 46) was performed. Animals were then divided into four groups (N = 8, each) and intranasally instilled with saline (SAL-SAL and OVA-SAL) or residual oil fly ash (SAL-ROFA and OVA-ROFA). 24h later, total, initial and difference resistances (Rtot, Rinit, Rdiff) and static elastance (Est) were measured. Lung responsiveness to methacholine was assessed as slope and sensitivity of Est, Rtot, Rinit, and Rdiff. Lung morphometry (collapsed and normal areas and bronchoconstriction index) and cellularity (polymorphonuclear, mononuclear and mast cells) were determined. OVA or ROFA similarly impaired lung mechanics and increased the amount of polymorphonuclear cells and collapsed areas. OVA-ROFA showed even higher hyperresponsiveness, bronchoconstriction and mast cell infiltration. Thus, we concluded that ROFA exposure may add an extra burden to hyperresponsive lungs.
- Association between maternal exposure to air pollution before conception and sex determination in the city of Sao Paulo(2020) CARVALHO, Mariana Azevedo; HETTFLEISCH, Karen; RODRIGUES, Agatha S.; BENACHI, Alexandra; VIEIRA, Sandra Elisabete; SALDIVA, Silvia R. D. M.; SALDIVA, Paulo Hilario N.; FRANCISCO, Rossana Pulcineli Vieira; BERNARDES, Lisandra SteinIt has been widely demonstrated that air pollution can affect human health and that some pollutant gases can have negative impacts on female fertility rates and cause adverse obstetric outcomes, such as premature birth and low birth weight. Few studies have evaluated the impact of maternal exposure to urban air pollution on the number of female births. To evaluate the association between maternal exposure to air pollution during the year before conception and sex determination. This was a prospective study using low-risk pregnant women living in Sao Paulo, Brazil. The pollutants were measured by a fixed station during a 1-year period before conception. Sex was confirmed after birth. We used multiple logistic regression models to evaluate the association between the pollutants and the sex determination and to estimate the odds ratio (OR) and the 95% confidence interval (CI) of being female based on a quantitative increase in pollutant concentration. We evaluated 371 patients. Elevated exposure to nitrogen dioxide (NO2) and particulate matter lower than 10 mu m (PM10) prior to conception were associated with increased odds of being female. Each unit increase of NO(2)exposure increased the odds of being female by 8% (OR = 1.08, 95% CI = 1.02, 1.15,p = 0.008), and each unit increase of PM(10)increased the odds of being female by 14% (OR = 1.14, 95% CI 1.02 to 1.28,p = 0.021). In Sao Paulo, maternal exposure to pollutants was significantly associated with the odds of being female.
- Subchronic air pollution exposure increases highly palatable food intake, modulates caloric efficiency and induces lipoperoxidation(2018) SILVEIRA, Caroline Gamalho da; DOMENICO, Marlise Di; SALDIVA, Paulo Hilario Nascimento; RHODEN, Claudia RamosThe investigation of the relationship between air pollution and obesity has captured the interest of researchers. However, the mechanism regarding the association between air pollution exposure and metabolic diseases and obesity still remains unclear. We aimed to investigate the effects of subchronic ROFA exposure on consumption and preference for highly palatable food and its interference on biochemical, lipid and oxidative stress parameters in rats. Male Wistar rats were divided in groups: control, ROFA, chocolate and ROFA+chocolate. Rats were exposed to ROFA during 18weeks and to palatable food in the last 30days. Food consumption, caloric intake and caloric efficiency, body mass gain, abdominal fat deposition, glucose and lipid profile were measured. Thiobarbituric acid reactive substances (TBARS), catalase (CAT) and superoxide dismutase (SOD) activity were assessed in lungs, heart, pancreas and hypothalamus. Chocolate intake was higher in the first and second weeks in rats exposed to ROFA while the standard chow intake was smaller in second and third weeks. The amount of kilocalories derived from chocolate was higher in the animals exposed to ROFA in all weeks. The caloric intake and body mass gain were not different among groups. Triglycerides, total cholesterol and HDL were higher in chocolate exposed rats. The TBARS was higher in lung and heart in ROFA group and in hypothalamus in ROFA+chocolate group. There were no significant differences in glucose, LDL and antioxidant enzymes. These findings indicate that subcronic air pollution exposure can modulate metabolic effects of subacute exposure to chocolate in adulthood.
- Assessment and Valuation of Public Health Impacts from Gradual Biodiesel Implementation in the Transport Energy Matrix in Brazil(2018) VORMITTAG, Evangelina M. P. A.; RODRIGUES, Cristina Guimaraes; ANDRE, Paulo Afonso de; SALDIVA, Paulo Hilario NascimentoCarbon dioxide from fossil fuels and industrial processes accounted for approximately 78% of the total increase in greenhouse gas emissions from 1970-2010. The economic advantages of reducing fossil fuel combustion and improving air quality, including a reduction in chronic diseases and their associated health care costs, and the economic opportunities associated with the development of alternative energy sources are undoubtedly one of the main initiatives to be defined by governments in the sphere of public health. The objective of this study is to estimate the impact of the addition of different levels of biodiesel to diesel for automotive use on public health, considering changes in the ambient concentration of fine particles. Considering the two most populous metropolitan areas in Brazil, Sao Paulo and Rio de Janeiro, for a period of 11 years (2015-2025), by increasing the percentage of biodiesel to 20% (B20), it is estimated that there would be 13,000 fewer deaths and a gain generated from the avoided lost productivity of more than US$ 816 million. A total of 28,000 hospitalizations through the public health system would be avoided, generating a cost savings of US$ 25 million Against the backdrop of a lack of policies and initiatives to combat air pollution, the magnitude of the results points to the importance of such a study in guiding the decisions of government officials with regard to how a city intervention-the addition of biodiesel to improve air quality-will bring a consequent benefit in the area of health.
- Associations of maternal personal exposure to air pollution on fetal weight and fetoplacental Doppler: A prospective cohort study(2016) CARVALHO, Mariana A.; BERNARDES, Lisandra S.; HETTFLEISCH, Karen; PASTRO, Luciana D. M.; VIEIRA, Sandra E.; SALDIVA, Silvia R. D. M.; SALDIVA, Paulo H. N.; FRANCISCO, Rossana P. V.We determined the influence of maternal air pollution exposure during each trimester of pregnancy on fetal and birth weight and fetoplacental hemodynamics. In total, 366 women with singleton pregnancies were prospectively followed in the city of Sao Paulo, Brazil. Nitrogen dioxide (NO2) and ozone (O-3) were measured during each trimester using passive personal samplers. We evaluated fetal weight and Doppler velocimetry data from the umbilical, middle cerebral, and uterine arteries in the 3rd trimester, and birth weight. Multivariate analysis was performed, controlling for known determinants of fetal weight. Exposure to higher levels of O-3 during the 2nd trimester was associated with higher umbilical artery pulsatility indices (PIs) [p = 0.013; beta = 0.017: standard error (SE) = 0.007]. Exposure to higher levels of O-3 during the 3rd trimester was associated with lower umbilical artery PIs (p = 0.011; beta = 0.021; SE = 0.008). Our results suggest that in the environment of Sao Paulo, 03 may affects placental vascular resistance.
conferenceObject Effects of Reducing Exposure to Air Pollution With a Filter on Exercise: A Randomized, Prospective, Double-Blind, Controlled Study of Heart Failure(2015) VIEIRA, Jefferson L.; GUIMARAES, Guilherme V.; ANDRE, Paulo A. de; SALDIVA, Paulo H.; BOCCHI, Edimar A.- Reliability of reflectance measures in passive filters(2014) ANDRE, Carmen Diva Saldiva de; ANDRE, Paulo Afonso de; ROCHA, Francisco Marcelo; SALDIVA, Paulo Hilario Nascimento; OLIVEIRA, Regiani Carvalho de; SINGER, Julio M.Measurements of optical reflectance in passive filters impregnated with a reactive chemical solution may be transformed to ozone concentrations via a calibration curve and constitute a low cost alternative for environmental monitoring, mainly to estimate human exposure. Given the possibility of errors caused by exposure bias, it is common to consider sets of m filters exposed during a certain period to estimate the latent reflectance on n different sample occasions at a certain location. Mixed models with sample occasions as random effects are useful to analyze data obtained under such setups. The intra-class correlation coefficient of the mean of the m measurements is an indicator of the reliability of the latent reflectance estimates. Our objective is to determine m in order to obtain a pre-specified reliability of the estimates, taking possible outliers into account. To illustrate the procedure, we consider an experiment conducted at the Laboratory of Experimental Air Pollution, University of Sao Paulo, Brazil (LPAE/FMUSP), where sets of m = 3 filters were exposed during 7 days on n = 9 different occasions at a certain location. The results show that the reliability of the latent reflectance estimates for each occasion obtained under homoskedasticity is k(m) = 0.74. A residual analysis suggests that the within-occasion variance for two of the occasions should be different from the others. A refined model with two within-occasion variance components was considered, yielding k(m) = 0.56 for these occasions and k(m) = 0.87 for the remaining ones. To guarantee that all estimates have a reliability of at least 80% we require measurements on m = 10 filters on each occasion. (C) 2014 The Authors.
- Occupational effect of sugarcane biomass burning on the conjunctival mucin profile of harvest workers and residents of an adjacent town - A Brazilian panel study(2020) MATSUDA, Monique; BRAGA, Alfesio L. F.; MARQUEZINI, Monica Valeria; MONTEIRO, Mario L. R.; SALDIVA, Paulo H. N.; SANTOS, Ubiratan dePre-harvest burning of sugarcane fields produces large amounts of air pollutants which are known to cause health problems, including ocular surface abnormalities. In this study, we evaluated the effect of biomass burning on mucus quality and mucin gene expression (MUC1, MUC5AC, MUC16) in the conjunctiva of sugarcane workers (SWs) and residents of an adjacent town (RTs). Impression cytology samples of the inferior tarsal and bulbar conjunctiva of 78 SWs and 32 RTs were collected before (T1) and immediately after (T2) a 6-month harvest period. The neutral, acid and total mucus content of goblet cells was determined by PAS and AB staining. The levels of MUC5AC, MUC1 and MUC16 mRNA in the conjunctiva were measured by real-time PCR. Compared to RTs, SWs had higher levels of bulbar acid mucus and MUC16 mRNA and tarsal MUC5AC mRNA at T2 and lower levels of neutral mucus at T1 and T2. In the SW group, MUC1 mRNA levels were higher at T2 than at T1, but the levels of neutral and acid mucus were similar. In the RT group, acid mucus decreased and neutral mucus increased in the bulbar and tarsal conjunctiva at T2. In conclusion, our findings show that sugarcane harvesting is associated with abnormalities in mucus quality and content and changes in mucin mRNA levels on the ocular surface. This may help explain the ocular inflammatory signs and symptoms observed in subjects exposed to air pollutants and high temperatures from sugarcane biomass burning.
- Ambient levels of air pollution induce clinical worsening of blepharitis(2012) MALERBI, Fernando Korn; MARTINS, Lourdes Conceicao; SALDIVA, Paulo Hilario Nascimento; BRAGA, Alfesio Luis FerreiraBackground: Even though air pollutants exposure is associated with changes in the ocular surface and tear film, its relationship to the clinical course of blepharitis, a common eyelid disease, had not yet been investigated. Our objective was to investigate the correlation between air pollution and acute manifestations of blepharitis. Method: We recorded all cases of changes in the eyelids and ocular surface, and rated clinical findings on a scale from zero (normal) to two (severe alterations). Daily values of carbon monoxide, particulate matter smaller than 10 mu m in diameter and nitrogen dioxide concentrations and meteorological variables (temperature and relative humidity) in the vicinity of the medical service were obtained. Specific linear regression models for each outcome were constructed including pollutants as independent variables (single pollutant models). Temperature and humidity were included as confounding variables. Results: increases of 28.8 mu g/m(3) in the concentration of particulate matter and 1.1 ppm in the concentration of CO were associated with increases in cases of blepharitis on the day of exposure (5 cases, 95% CI: 1-10 and 6 cases, 95% CI: 1-12, respectively). Conclusion: Exposure to usual air pollutants concentrations present in large cities affects, in a consistent manner, the eyes of residents contributing to the increasing incidence of diseases of the eyelid margin.
conferenceObject Influence of exposure to concentrated urban air particles on the respiratory system of (LDLr-/-) mice(2014) MAUAD, Thais; ALEMANY, Adair; VERAS, Mariana; JUNIOR, Gabriel Ribeiro; COSTA, Natalia; CATANOZI, Sergio; ABDALLA, Dulcineia; SALDIVA, Paulo