Ultrafine particle features associated with pro-inflammatory and oxidative responses: Implications for health studies

Suspected detrimental health effects associated with ultrafine particles (UFPs) are impressive. However, epidemiological evidence is still limited. This is potentially due to challenges related to UFP exposure assessment and the lack of consensus on a standard methodology for UFPs. It is imperative to focus future health studies on those UFP metrics more likely to represent health effects. This is the purpose of this paper, where we extend the results obtained during the CARE ("Carbonaceous Aerosol in Rome and Environs") experiment started in 2017 in Rome. The major purpose is to investigate features of airborne UFPs associated with pro-inflammatory and oxidative responses. Aerosol chemical, microphysical, and optical properties were measured, together with the oxidative potential, at temporal scales relevant for UFPs (minutes to hours). The biological responses were obtained using both in-vivo and in-vitro tests carried out directly under environmental conditions. Findings indicate that caution should be taken when assessing health-relevant exposure to UFPs through the conventional metrics like total particle number concentration and PM2.5 and Black Carbon (BC) mass concentration. Conversely, we recommend adding to these, a UFP source apportionment analysis and indicators for both ultrafine black carbon and the size of particles providing most of the total surface area to available toxic molecules.