Particulate matter and fungal bioaerosols: co-drivers of respiratory tract diseases
Keywords:
Particulate matter, Fungal bioaerosol, Respiratory tract diseasesAbstract
Introduction: Particulate matter (PM) is a primary indicator of air quality and a key determinant of respiratory morbidity and mortality. Fungal bioaerosols, the biological fraction of airborne PM, are emerging as significant yet insufficiently characterized contributors to air pollution and respiratory disorders. Although research on their prevalence and health effects has expanded in recent years, the mechanistic interactions between airborne fungal bioaerosols and PM
remain poorly understood.
Objective: This systematic review was conducted using reputable databases, such as PubMed and Scopus, followed by comprehensive analysis and synthesis of relevant research findings.
Method: A literature review was conducted using reputable academic databases, including PubMed and Scopus. Relevant studies were systematically analyzed and synthesized.
Results: Airborne PM and fungal bioaerosols are pollutants that frequently co-occur due to their aerodynamic properties, which facilitate deposition in the respiratory tract and penetration into the alveoli, potentially resulting in synergistic effects upon exposure. Both pollutants can induce oxidative stress, inflammation of the respiratory epithelium, and immune system dysfunction, which are associated with reduced lung function, respiratory symptoms accompanied by infections, and may contribute to carcinogenesis. Advances in monitoring technologies, risk
assessment, and air quality management further support the development of effective strategies to reduce exposure to these pollutants.
Conclusion: The complex interplay between airborne PM and fungal bioaerosols plays a pivotal role in the pathogenesis of respiratory diseases. A deeper mechanistic understanding and the development of innovative exposure reduction and prevention strategies are essential to mitigate their health impacts.
References
WHO. Ambient (outdoor) air pollution [Internet]. 2022 [accessed Sep 8, 2024]. Available from: https://www.who.int/news-room/fact sheets/detail/ambient- (outdoor)-air-quality-and-health
Correa-Ochoa MA, Gómez-Marín M, Patiño- López KV, Aguiar D, Franco SA. Characteristic chemical profile of particulate matter (PM2.5) - A comparative study between two periods, case study in Medellín, Colombia. Sustainability. 2025; 17: 5380.
Leikauf GD, Kim SH, Jang AS. Mechanisms of ultrafine particle-induced respiratory health effects. Exp Mol Med. 2020; 52: 329-37.
Al Hallak M, Verdier T, Bertron A, Roques C, Bailly JD. Fungal contamination of building materials and the aerosolization of particles and toxins in indoor air and their associated risks to health: a review. Toxins. 2023; 15: 175.
Li X, Liu D, Yao J. Aerosolization of fungal spores in indoor environments. Sci Total Environ. 2022; 820: 153003.
Nabipur L, Mouawad M, Agrawal DK. Bioaerosols and airway diseases: mechanisms of epithelial dysfunction, immune activation, and strategies for exposure mitigation. Arch Intern Med Res. 2025; 8: 178.
Neo EX, Hasikin K, Mokhtar MI, Lai KW, Azizan MM, Razak SA, et al. Towards integrated air pollution monitoring and health impact assessment using federated learning: a systematic review. Front Public Health. 2022; 10: 851553.
Zwozdziak A, Sówka I, Willak-Janc E, Zwozdziak J, Kwiecińska K, Balińska- Miśkiewicz W. Influence of PM1 and PM2.5 on lung function parameters in healthy schoolchildren-a panel study. Environ Sci Pollut Res. 2016; 23: 23892-901.
Li T, Hu R, Chen Z, Li Q, Huang S, Zhu Z, et al. Fine particulate matter (PM2.5): The culprit for chronic lung diseases in China. Chronic Dis Transl Med. 2018; 4: 176-86.
Kyung SY, Jeong SH. Particulate-matter related respiratory diseases. Tuberc Respir Dis (Seoul). 2020; 83: 116-21.
Romero-Guzmán ET, Reyes-Gutiérrez LR, Romero-Guzmán L, Hernández-Mendoza H, Uría-Gómez LC, Gutiérrez-Reyes J. An overview of bioaerosols suspended in the atmosphere of Metropolitan Zone of Toluca Valley. J Mex Chem Soc. 2021; 65: 214-24.
Ramírez O, Hernández-Guzmán A, Russy-Velandia L, Patiño MC, Morales-Betancourt R. Identification of culturable fungi in particulate matter (PM10) on a university campus in a peri-urban area of Northern South America. Aerobiologia. 2025; 41: 591-608.
Haas D, Ilieva M, Fritz T, Galler H, Habib J, Kriso A, et al. Background concentrations of airborne, culturable fungi and dust particles in urban, rural and mountain regions. Sci Total Environ. 2023; 892: 164700.
Pathomsiriwong W, Aroonsrimorakot S, Taratima W, Maneerattanarungroj P, Reanprayoon P. Exploring airborne fungal contaminations and air quality pollution in nine ancient stone temples, Surin, Thailand. Environ Sci Pollut Res. 2024; 31: 33733-51.
Li X, Wang S, Zhang T, Wang J. Prediction of aerosolized fungal spores by determining respiratory intensity of the growing colony. Aerosol Air Qual Res. 2020; 20: 776-86.
Richardson M, Bowyer P, Sabino R. The human lung and Aspergillus: You are what you breathe in? Med Mycol. 2019; 57: S145-54.
Al-Shaarani AA, Pecoraro L. A review of pathogenic airborne fungi and bacteria: unveiling occurrence, sources, and profound human health implication. Front Microbiol. 2024; 15: 1428415.
Heo KJ, Jeong SB, Lim CE, Lee GW, Lee BU. Diurnal variation in concentration of culturable bacterial and fungal bioaerosols in winter to spring season. Atmosphere. 2023; 14: 537.
Tiengtip R. Quantification identification of bacterial and fungal aerosol contamination in the outpatient department at Thammasat University Hospital. Health Sci J Thai. 2025; 34: 424-33. (in Thai)
Palarach C, Wattanuruk D. Factors related to quantity of airborne fungi and bacteria and health impacts among workers of recycle shops in Tha Khlong Municipality, Pathum Thani Province. Dis Control J. 2023; 49: 790-804. (in Thai)
Harnpicharnchai P, Siriarchawatana P, Pumkaeo P, Likhitrattanapisal S, Mayteeworakoon S, Zhou X, et al. Temporal dynamics in diversity and composition of the air mycobiome and dominant allergenic fungi in the subway environment. eDNA. 2023; 5: 1265-88.
Songnuan W, Bunnag C, Soontrapa K, Pacharn P, Wangthan U, Siriwattanakul U, et al. Airborne fungal spore distribution in Bangkok, Thailand: correlation with meteorological variables and sensitization in allergic rhinitis patients. Aerobiologia. 2018; 34: 513-24.
Zhou H, Zhu S, Li Y, Ren X, Zhu Y, Chen X, et al. Pre-admission fine particulate matter exposure is associated with invasive pulmonary aspergillosis in patients with severe pneumonia, results from two multicenter cohort studies. EBioMedicine. 2025; 121: 105971.
Mosalaei S, Amiri H, Rafiee A, Abbasi A, Baghani AN, Hoseini M. Assessment of fungal bioaerosols and particulate matter characteristics in indoor and outdoor air of veterinary clinics. J Environ Health Sci Eng. 2021; 19: 1773-80.
Ortega-Rosas CI, Meza-Figueroa D, Vidal-Solano JR, González-Grijalva B, Schiavo B. Association of airborne particulate matter with pollen, fungal spores and allergic symptoms in an arid urbanized area. Environ Geochem Health. 2021; 43: 1761-82.
Yan D, Zhang T, Bai JL, Su J, Zhao LL, Wang H, et al. Isolation, characterization, and antimicrobial activity of bacterial and fungal representatives associated with particulate matter during haze and non-haze days. Front Microbiol. 2022; 12: 793037.
Yamamoto N, Bibby K, Qian J, Hospodsky D, Rismani-Yazdi H, Nazaroff WW, et al. Particle-size distributions and seasonal diversity of allergenic and pathogenic fungi in outdoor air. ISME J. 2012; 6: 1801-11.
Qi Y, Chen Y, Yan X, Liu W, Ma L, Liu Y, et al. Co-Exposure of ambient particulate matter and airborne transmission pathogens: the impairment of the upper respiratory systems. Environ Sci Technol. 2022; 56: 15892-901.
Li T, Yu Y, Sun Z, Duan J. A comprehensive understanding of ambient particulate matter and its components on the adverse health effects based from epidemiological and laboratory evidence. Part Fibre Toxicol. 2022; 19: 67.
Isiugo K, Jandarov R, Cox J, Ryan P, Newman N, Grinshpun SA, et al. Indoor particulate matter and lung function in children. Sci Total Environ. 2019; 663: 408-17.
Kamara J, Kishinhi S, Manyele A, Saronga H, Bachwenkizi J. Association between ambient particulate matter and respiratory health among schoolchildren in Dar es Salaam city, Tanzania: a cross-sectional study. BMC Public Health. 2025; 25: 1314.
Siwarom S, Puranitee P, Plitponkarnpim A, Manuyakorn W, Sinitkul R, Vallipakorn SAO. Association of indoor air quality and preschool children’s respiratory symptoms. Asian Pac J Allergy Immunol. 2017; 35: 119-26.
Secondo LE, Sagona JA, Calderón L, Wang Z, Plotnik D, Senick J, et al. Estimating lung deposition of fungal spores using actual airborne spore concentrations and physiological data. Environ Sci Technol. 2021; 55: 1852-63.
Jaggi TK, Agarwal R, Tiew PY, Shah A, Lydon EC, Hage CA, et al. Fungal lung disease. Eur Respir J. 2024; 64. 2400803.
Saiphoklang N, Ruchiwit P, Kanitsap A, Tantiyavarong P, Vatcharavongvan P, Palungrit S, et al. Prevalence of chronic obstructive pulmonary disease and asthma in the community of Pathumthani, Thailand. Diseases. 2025; 13: 130.
Chowdhary A, Agarwal K, Meis JF. Filamentous fungi in respiratory infections. What lies beyond Aspergillosis and Mucormycosis? PLoS Pathog. 2016; 12: e1005491.
Tameeris E, Bohnen AM, Bindels PJ, Elshout G. The effect of allergic rhinitis treatment on asthma control: a systematic review. NPJ Prim Care Respir Med. 2025; 35: 4.
Dai ZY, Li YT, Lin JY, Liu CL, Tsou YA, Lin CD, et al. The effect of fluticasone nasal spray on patients with chronic rhinitis and chronic obstructive pulmonary disease. J Clin Med. 2025; 14: 3637.
Chantaphakul H, Chiewchalermsri C, Mairiang D, Lao-Araya M, Piboonpocanun O, Nanthapisal S, et al. Allergic rhinitis and urticaria burden and antihistamine treatment options in Thailand: A modified Delphi study. J Allergy Clin Immunol Glob. 2025; 4: 100444.
Ito K. Inhaled antifungal therapy: benefits, challenges, and clinical applications. Expert Opin Drug Deliv. 2022; 19: 755-69.
Schwarz C, Mainz JG, Romanowska E, Rosseau S, Schuette H, Martin-Souto L, et al. Respiratory fungal infections in cystic fibrosis: diagnostic and therapeutic challenges. Curr Fungal Infect Rep. 2023; 17: 202-13.
Memon R, Niazi JH, Qureshi A. Biosensors for detection of airborne pathogenic fungal spores: a review. Nanoscale. 2024; 16: 15419-45.
Getnet ME, Dlamini WN, Liao CH, Berekute AK, Chen AF, Sallah-Ud-Din R, et al. Improving hospital air quality with a Nano- Ag/Chitosan-TiO2 filter system and Cloud- Based monitoring. Indoor Air. 2025; 35: 8243815.
Chotigawin R, Kandasamy B, Asa P, Semangoen T, Ajawatanawong P, Phibanchon S, et al. Next-generation ecofriendly hybrid air purifier: Ag/TiO2/PLA biofilm for enhanced bioaerosols removal. Int J Mol Sci. 2025; 26: 4584.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Burapha University

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.