New cardiology study of the Mainz University Medical Center continues to show that night-time noise is particularly harmful to vessels and brain
In a recent study, scientists at the Department of Cardiology at the University Medical Center of Johannes Gutenberg University Mainz (JGU) have identified an enzyme responsible for aircraft-related vascular damage. The researchers were also able to show that night-time noise has a particularly harmful effect and thus demand that night-time sleep be protected from noise. With the current study, the scientists around Professor Thomas Münzel, Director of Cardiology I at the Department of Cardiology, and Professor Andreas Daiber, Head of Molecular Cardiology at the Department of Cardiology, consistently pursue the field of noise research and can announce another breakthrough. The new study is published in the European Heart Journal, the world’s most renowned cardiology journal.
Aircraft noise leads to an increased development of cardiovascular diseases in the long term, as a series of precursor studies has now shown unequivocally. In 2013, the research group of Professor Thomas Münzel succeeded in demonstrating that simulated nocturnal noise increases the stress hormone epinephrine, reduces sleep quality, and damages the vascular system, called endothelial dysfunction. Further studies on a newly developed animal model showed last year that aircraft noise leads to a significant increase in stress hormones, a vascular dysfunction, increased oxidative stress, and inflammatory processes in the vessels as well as a marked change in the expression of genes in the vessel wall.
“With this new study, we can demonstrate for the first time that ‘night-time noise’, i.e., noise during the sleep phase of the mice, and not the noise during the waking phase is responsible for vascular dysfunction,” stated Münzel and Daiber. “We can also show that the elimination of the enzyme phagocytic NADPH oxidase, which is located mainly in inflammatory cells, completely avoids aircraft noise-induced negative effects on vessels and brain.” This enzyme was also in the focus of the scientists in the last study. The current investigations finally prove its central role and provide also proof that the negative aircraft noise effects are mediated by this enzyme.
The scientists now also examined the effects of aircraft noise on the brain. The focus was on neuronal nitric oxide (NO) synthase, an important enzyme in the brain. Responsible for learning and memory, this enzyme is down-regulated by aircraft noise and its function is impaired. This new finding may explain the described cognitive developmental disorders in children after exposure to aircraft noise.
Another finding is that the transcription factor FoxO3 plays a central role in noise-induced vascular and brain damage. The consequence of the observed down-regulation of this transcription factor by night-time noise leads to a defective gene expression network that controls cellular events as a function of circadian rhythm. Disturbance of the circadian rhythm can lead to sleep disorders and subsequently to more cardiovascular, mental, and metabolic disorders. To this end, the scientists came to this recognition through extensive genetic analysis by means of Next Generation Sequencing (NGS) and by demonstrating a prevention of the aforementioned vascular damage by treatment with the FoxO3 activator Bepridil.
According to the study initiators, these results represent a further breakthrough in noise research. “With our findings, especially with regard to night-time noise, we can now explain clinical results, e.g., according to the so-called HYENA study, where night-time noise in particular can trigger high blood pressure. The finding that the elimination of the enzyme phagocytic NADPH oxidase completely prevents vascular damage may enable us to develop drug strategies to reduce the negative effects of aircraft noise for our body,” both scientists commented.
The authors conclude from their findings that it must be an important goal to protect the night’s sleep from noise and in particular to implement the legally defined night’s sleep from 10 o’clock at night to 6 o’clock in the morning.
The study received support from Stiftung Mainzer Herz (to S. Steven and A. Daiber), the Mainz University Medical Center (to A. Daiber), the German Foundation for Heart Research (to S. Kröller-Schön), and the Boehringer Ingelheim Foundation in the “New and neglected cardiovascular risk factors” project (to T. Münzel, S. Steven and A. Daiber).
Swenja Kröller-Schön, Andreas Daiber, Sebastian Steven, Matthias Oelze, Katie Frenis, Sanela Kalinovic, Axel Heimann, Frank P. Schmidt, Antonio Pinto, Miroslava Kvandova, Ksenija Vujacic-Mirski, Konstantina Filippou, Markus Dudek, Markus Bosmann, Matthias Klein, Tobias Bopp, Philipp Wild, Katrin Frauenknecht, Omar Hahad, Axel Methner, Erwin R. Schmidt, Steffen Rapp, Hanke Mollnau, Thomas Münzel
“Crucial role for Nox2 and sleep deprivation in aircraft noise-induced vascular and cerebral oxidative stress, inflammation and gene regulation”
Mainz University Medical Center