Current
understanding of the health risks and adverse effects upon
exposure to fine particles is premised on the direct association of
particles with target organs, particularly the lung; however, fine-particle
exposure has also been found to have detrimental effects on sealed
cavities distant to the portal-of-entry, such as joints. Moreover,
the fundamental toxicological issues have been ascribed to the direct
toxic mechanisms, in particular, oxidative stress and proinflammatory
responses, without exploring the indirect mechanisms, such as compensated,
adaptive, and secondary effects. In this Review, we recapitulate the
current findings regarding the detrimental effects of fine-particle
exposure on joints, the surrounding cells, and microenvironment, as
well as their deteriorating impact on the progression of arthritis.
We also elaborate the likely molecular mechanisms underlying the particle-induced
detrimental influence on joints, not limited to direct toxicity, but
also considering the other indirect mechanisms. Because of the similarities
between fine air particles and engineered nanomaterials, we compare
the toxicities of engineered nanomaterials to those of fine air particles.
Arthritis and joint injuries are prevalent, particularly in the elderly
population. Considering the severity of global exposure to fine particles
and limited studies assessing the detrimental effects of fine-particle
exposure on joints and arthritis, this Review aims to appeal to a
broad interest and to promote more research efforts in this field.