%0 Journal Article %T Indoor and Outdoor Exposure to Ultrafine, Fine and Microbiologically Derived Particulate Matter Related to Cardiovascular and Respiratory Effects in a Panel of Elderly Urban Citizens %A Dorina Gabriela Karottki %A Michal Spilak %A Marie Frederiksen %A Zorana Jovanovic Andersen %A Anne Mette Madsen %A Matthias Ketzel %A Andreas Massling %A Lars Gunnarsen %A Peter Mller %A Steffen Loft %J International Journal of Environmental Research and Public Health %P 1667-1686 %D 2015 %I MDPI AG %R 10.3390/ijerph120201667 %X To explore associations of exposure to ambient and indoor air particulate and bio-aerosol pollutants with cardiovascular and respiratory disease markers, we utilized seven repeated measurements from 48 elderly subjects participating in a 4-week home air filtration study. Microvascular function (MVF), lung function, blood leukocyte counts, monocyte adhesion molecule expression, C-reactive protein, Clara cell protein (CC16) and surfactant protein-D (SPD) were examined in relation to exposure preceding each measurement. Exposure assessment included 48-h urban background monitoring of PM 10, PM 2.5 and particle number concentration (PNC), weekly measurements of PM 2.5 in living- and bedroom, 24-h measurements of indoor PNC three times, and bio-aerosol components in settled dust on a 2-week basis. Statistically significant inverse associations included: MVF with outdoor PNC; granulocyte counts with PM 2.5; CD31 expression with dust fungi; SPD with dust endotoxin. Significant positive associations included: MVF with dust bacteria; monocyte expression of CD11 with PM 2.5 in the bedroom and dust bacteria and endotoxin, CD31 expression with dust serine protease; serum CC16 with dust NAGase. Multiple comparisons demand cautious interpretation of results, which suggest that outdoor PNC have adverse effects on MVF, and outdoor and indoor PM 2.5 and bio-aerosols are associated with markers of inflammation and lung cell integrity. %K ultrafine particles %K indoor air pollution %K ambient air pollution %K PM2.5 %K bioaerosols %K microvascular function %K lung function %K inflammation %U http://www.mdpi.com/1660-4601/12/2/1667