“…These include localized effects such as bronchoconstriction and increased airway resistance, [ 23,50,51 ] pulmonary inflammation, [ 23,52–59 ] and oxidative stress, [ 50,55,60 ] DNA methylation in bronchial biopsies or blood cells, [ 61,62 ] and exacerbation of allergic responses [ 63 ] as well as reductions in parameters related to exercise capacity. [ 64 ] Systemic effects have also been analyzed such as inflammation [ 52,65–67 ] and oxidative stress, [ 68–70 ] increased levels of circulating oxidized lipoprotein receptors, [ 71 ] increased blood pressure, [ 72 ] impaired vascular function (arterial contraction), [ 73,74 ] reduced vasodilator responses, [ 75–79 ] increased arterial stiffening, [ 80 ] promotion of blood clotting, [ 69,81 ] and increased cardiac ischaemia [ 82 ] ( Figure ). Experiments that removed the particulate fraction of DE using experimental filtering or exhaust particle traps [ 83,84 ] demonstrated that it was the particulate constituents of DE that drive cardiovascular impairments.…”