This study builds on
an ongoing prospective cohort study of children
in 12 California communities to assess the
hypotheses that 1) dietary intake of fruits,
vegetables and antioxidants; and 2) polymorphisms
in genes involved in lung defenses (GSTM1,
GSTT1, GSTP1, MPO, TNFa) affect children's
susceptibility for slow lung function growth
and increased occurrence of respiratory
illnesses from chronic exposure to ozone
(O3), nitrogen dioxide (NO2), and respirable
particles (PM10 and PM2.5 ). These hypotheses
are based on a mechanistic model that chronic
respiratory effects from oxidant air pollutants
(O3, NO2) and particulates (PM10 and PM2.5)
are caused by chronically increased oxidative
stress and repeated pathologic inflammatory
responses. The effects of O3, NO2, PM10
and PM2.5 are mediated by interacting self-enhancing
processes of oxidative, radical, and enzymatic
attack on the lung and a pathologic inflammatory
response that produce ongoing tissue damage,
decreased ventilatory capacity, and altered
immune function. Determinants of susceptibility
modulate lung defenses to these insults.
We have received funding from NIEHS and
EPA to recruit 2500 active participants
and 500 former participants from the ongoing
study, to collect a dietary assessment using
a validated food frequency questionnaire,
to validate medical histories, and to collect
biologic samples for genotyping. We have
also received funding from the NHLBI to
recruit an additional 3000 participants
into the study, and to expand the focus
to studies of asthma and air pollution.
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