Adherence of traffic-related particles to human red blood cells in vivo

Jonathan Grigg, David Wertheim, Simon Crust, Emanuel Jeldes, Rodger Duffin, Barbara A. Maher, Norrice Liu

Research output: Contribution to journalArticlepeer-review

Abstract

Background: There is indirect evidence that inhaled traffic-related particulate matter (PM) penetrates into the human circulation. Since nanoparticles readily adhere to red blood cells (RBCs) in vitro, we sought to determine whether a mechanism of systemic transport of translocated trafficrelated particles is via adherence to RBCs in vivo.

Methods: Adult volunteers were exposed to traffic-related emissions from a main road for 1 h. Volunteers were also exposed to emissions wearing a FFP2 mask. Exposure to black carbon PM was assessed by portable aethalometer. The mean area (μm2) of adherent black PM per RBC was determined from unstained blood smears from 3000 cells by light microscopy. Particle composition was determined by scanning transmission electron microscopy and energy dispersive x-ray analyses. The capacity of diesel exhaust particles (DEP) to adhere to human RBCs in vitro was determined, and RBCs were examined after intratracheal instillation of DEP to a mouse model.

Results: Exposure to traffic-related emissions increased personal black carbon PM (n=12, p=0.001 vs. baseline). Exposure increased the area of particles adherent to RBCs (p<0.001 vs. baseline), and this was reduced by wearing a FFP2 mask (p=0.002 vs. no mask). Traffic exposure increased the abundance of metal-bearing nanoparticles associated with RBCs. Diesel exhaust particles adhered to RBCs in vitro in a dose-dependent manner. Particles were found adherent to circulating RBCs after intratracheal diesel exhaust particles.

Conclusion: Adhesion of traffic-related PM to RBCs is a systemic transport mechanism. Quantification of particles on RBCs is a putative practical biomarker of inhaled dose.
Original languageEnglish
Pages (from-to)00767-2025
JournalERJ Open Research
DOIs
Publication statusE-pub ahead of print - 11 Sept 2025

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