Oxidative stress is characterized by an excessive and prolonged formation of oxidants, causing an accumulating load of irreversible oxidative modifications of proteins, lipids, and nucleic acids that compromise cell integrity. This competes with the concept of redox regulation, combining the regulatory influence of nitric oxide (•NO), superoxide (O2•―), and their derivatives on redox-sensitive signaling pathways in the cell. The transition from redox regulation to oxidative stress is not only determined by the absolute amount of oxidants formed, but also by the respective intracellular site of formation, by the capacity of the defense machinery of the respective cell type, and by the ratio between •NO and O2•― that determines the nature of secondary radical species formed. Equimolar and concomitant fluxes of •NO and O2•―, for instance, favor the formation of the oxidant peroxynitrite making O2•― an antagonist of •NO as well as an inhibitor of prostacyclin synthesis, while an excess of •NO over O2•― supports the formation of nitrosating species. Secondary •NO-derived species hence not only define cellular targets affected but also the nature of posttranslational modifications. A profound knowledge of redox regulation and the conditions supporting its fluent transition into oxidative stress is hence of outermost importance in molecular cardiovascular medicine. The present overview therefore aims to determine the spectrum of •NO-derived reactive species and the cellular conditions characteristic for reversible modifications and their modulation of cellular targets in redox regulation. The second objective is to define preconditions in cardiovascular cells culminating in an expenditure of the cellular antioxidant system and an accumulation of irreversible modifications that compromise cellular functions to a point of no return.

The World Health Organization (WHO) estimates that noise pollution leads to the loss of 1.6 million healthy life years annually in Western Europe alone, primarily due to night-time noise exposure which disrupts sleep and triggers stress responses. This study investigates the adverse health effects of aircraft noise on the brain-heart-vessel axis, combining cardiovascular and neuropsychiatric approaches. We aim to characterize the functional and biochemical consequences of both short-term and long-term noise exposure utilizing an established mouse model. Behavioural changes in exposed mice, including cognition, anxiety, depression, and social behaviour were assessed alongside cardiovascular parameters such as blood pressure, endothelial function tests, and analyses of oxidative stress and inflammation markers. Short-term noise exposure did not lead to any significant differences in the behaviour of the noise-exposed mice, whereas long-term noise-exposure leads to reduced social interaction and working memory as behavioural markers of depression. Functional cardiovascular parameters point to hypertension and impaired endothelial function in both short-term and long-term noise exposure, as well as oxidative stress and inflammation. These findings underscore previously reported cardiovascular impact of noise exposure while adding the suspected behavioural changes and metabolic markers of the affected brain-heart axis. The observed behavioural changes and cardiovascular impairments emphasize the complex interplay between environmental stressors and health, suggesting that long-term noise exposure can have profound effects on both mental and cardiovascular health. This study provides a comprehensive framework for future research aimed at reducing the adverse effects of noise pollution on the brain-heart-vessel axis.

Particulate matter (PM) is well recognized as the major contributor to the air pollution disease burden. Presently, the data pointing to the direct effects of PM on the cardiovascular health are numerous, but the mitigation strategies are still at the level of reduction of exposure. In the present study, we used a mouse model of real-life PM2.5 exposure treated with either a statin (atorvastatin) or an ACE inhibitor (captopril) in order to observe the potentially protective effects of cardiovascular drug treatment on the underlying mechanisms of detrimental, PM2.5-induced, cardiovascular effects. Captopril treatment mitigated the PM2.5-induced blood pressure while both drugs reduced selected markers of oxidative stress in the vasculature and heart. Both drugs were successful in mitigating the vascular oxidative stress by reducing the activation of the NADPH oxidase enzyme. In addition, both drugs were able to reverse the PM2.5-induced increase in vascular endothelin-1. The treatment also reduced the level of 3-NT positive proteins in the lung and mitigated the effects on dysregulated eNOS expression. Drugs did not mitigate the inflammatory response in the lung and in circulation with only captopril reducing the pulmonary IL-6, but not CD68 expression. In summary, ACE inhibitors can potentially mitigate the effects of PM2.5 on the vascular function and oxidative stress by lowering blood pressure and statins have a known antioxidant effect, e.g. via inhibition of NADPH oxidase. Our present data provide novel insights into possible mitigation strategies for PM2.5-induced cardiovascular disease. Since statins and ACE inhibitors represent first-line therapies for cardiovascular disease, CVD patients, e.g. with coronary artery disease, ischemic heart disease, and hypertension representing highly vulnerable groups for air pollution health effects, may benefit from pre-established therapies with these drugs to prevent additive cardiovascular damage by PM2.5 exposure.

Particulate matter (PM) air pollution presents a major environmental and public health challenge because of its non-uniform size distribution and chemical composition. Air quality regulations generally categorize particulate matter (PM) size into PM10, PM2.5, and ultrafine particles (UFPs) with aerodynamic diameters smaller than 10, 2.5, and 0.1 µm, respectively. We examined the differential impact of particle size per se on selected organ systems using a custom whole-body mouse exposure system using synthetic PM (SPM). The micrometer-sized SPM accumulated in the lungs as the primary entry organ, while ultrafine SPM showed less accumulation, implying a transition into circulation. Micro SPM-exposed mice exhibited inflammation and NADPH oxidase-derived oxidative stress in the lungs. Ultrafine SPM-exposed mice did not show oxidative stress in the lungs but rather at the brain, heart, and vasculature levels. Endothelial dysfunction and blood pressure increase were more pronounced in ultrafine SPM exposed mice, supported by increased endothelin-1 and decreased endothelial nitric oxide synthase expression, enhancing constriction and reducing vasodilation. To derive a preliminary estimate of the cardiovascular disease burden of UFPs in humans, we used new high-resolution exposure data at a global scale, and applied hazard ratios from an epidemiological cohort study. We derived a UFP-associated incidence of 419 (95% CI 78–712) thousand cardiovascular disease cases per year in the European Union and 5.6 (95% CI 1.1–9.3) million globally. This work provides novel insights into the different toxicological profiles of inhaled ultrafine particles and public health consequences of exposure, guiding future studies.