TABLE 1

Experimental models for investigating the influence of particulate matter with a diameter ≤2.5 μm (PM2.5) on bacterial infections

Experimental platformPathogenImmune responseReference
PM2.5 suppresses immune response and exacerbates bacterial infection
 Sprague–Dawley ratsListeria monocytogenesExposure to diesel exhaust particles decreased the production of macrophage-derived antimicrobial oxidants in response to Listeria[113]
 BALB/c miceStreptococcus pneumoniaeSoluble components of concentrated ambient particles inhibit the internalisation of Streptococcus pneumoniae by macrophages[114]
 A549 cellsStreptococcus pneumoniaePM2.5 stimulates Streptococcus pneumoniae to adhere to respiratory epithelial cells[115]
 Sprague–Dawley ratsKlebsiella pneumoniaePM2.5 impairs the bronchial ciliary system and the interaction of cytokines, increasing susceptibility to bacterial infection[80]
 Wistar ratsStaphylococcus aureusPM2.5 downregulates macrophage phagocytosis and reduces pulmonary natural killer cells[76]
 Clinical study (a systemic review)Mycobacterium tuberculosisPM2.5 suppresses immune defence, increasing an individual's susceptibility to development of active TB and TB-related mortality[78]
 CD1, C57BL/6 and BALB/c miceStreptococcus pneumoniaePM loading of macrophages is associated with reduced phagocytic killing activity and promotes inflammation in the context of bacterial challenge[75]
 RAW 264.7 cells and BALB/c miceStreptococcus pneumoniaePM2.5 impedes the macrophage function to exacerbate bacterial infection[59]
 C57BL/6 micePseudomonas aeruginosaPM2.5 and Pseudomonas aeruginosa synergistically dampen alveolar macrophage function and induce inflammation through the mTOR pathway[77]
PM2.5 enhances immune response and promotes inflammation
 Clinical study (a systemic review)Mycoplasma pneumoniaeThe induction of oxidative stress mechanisms and the modulation of the host immune system are attributed to the interaction between PM2.5-associated metal complexes and Mycoplasma pneumoniae This interaction is assumed to occur through the TLRs and/or NF-κB pathway[116]
 RAW 264.7 cells and BALB/c micePseudomonas aeruginosaCo-stimulation with PM2.5 and Pseudomonas aeruginosa increases the expression of IL-8, IL-6 and TNF-α, leading to severe inflammation[79]

IL: interleukin; mTOR: mammalian target of rapamycin; TB: tuberculosis; TLR: Toll-like receptor; TNF-α: tumour necrosis factor-α.