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Biomass Smoke–Associated Lung Diseases

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Abstract

Purpose of Review

The aim of our review is to describe biomass-related lung diseases and their different phenotypes, associations, challenges in diagnosis, and treatment options.

Recent Findings

People over 60 years and exposed to high biomass smoke had higher odds of having respiratory morbidity. Approximately 30% of biomass smoke–exposed individuals have pulmonary function testing abnormalities. Biomass exposure increases the risk of developing COPD. Indacaterol and tiotropium may be recommended as a first line of treatment for biomass associated COPD. Liquid petroleum gas, improving cookstoves, or improving indoor ventilation can improve lung function.

Summary

Three billion worldwide are exposed to biomass fuel, predominantly in rural areas, leading to a large disease burden. Biomass-associated lung diseases can vary from increased respiratory infections, asthma, COPD, bronchiectasis, right middle lobe syndrome, and interstitial lung disease.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Torres-Duque C, Maldonado D, Perez-Padilla R, Ezzati M, Viegi G, Forum of International Respiratory Studies Task Force on Health Effects of Biomass E. Biomass fuels and respiratory diseases: a review of the evidence. Proc Am Thorac Soc. 2008;5(5):577–90.

  2. Assad NA, Balmes J, Mehta S, Cheema U, Sood A. Chronic obstructive pulmonary disease secondary to household air pollution. Semin Respir Crit Care Med. 2015;36(3):408–21.

    Article  PubMed  Google Scholar 

  3. Kodgule R, Salvi S. Exposure to biomass smoke as a cause for airway disease in women and children. Curr Opin Allergy Clin Immunol. 2012;12(1):82–90.

    Article  CAS  PubMed  Google Scholar 

  4. Puthumana JS, Ngaage LM, Borrelli MR, Rada EM, Caffrey J, Rasko Y. Risk factors for cooking-related burn injuries in children, WHO Global Burn Registry. Bull World Health Organ. 2021;99(6):439–45.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Assad NA, Kapoor V, Sood A. Biomass smoke exposure and chronic lung disease. Curr Opin Pulm Med. 2016;22(2):150–7.

    Article  CAS  PubMed  Google Scholar 

  6. Lim WY, Seow A. Biomass fuels and lung cancer. Respirology. 2012;17(1):20–31.

    Article  PubMed  Google Scholar 

  7. Yang IA, Jenkins CR, Salvi SS. Chronic obstructive pulmonary disease in never-smokers: risk factors, pathogenesis, and implications for prevention and treatment. Lancet Respir Med. 2022;10(5):497–511.

    Article  CAS  PubMed  Google Scholar 

  8. Ramirez-Venegas A, Velazquez-Uncal M, Perez-Hernandez R, Guzman-Bouilloud NE, Falfan-Valencia R, Mayar-Maya ME, et al. Prevalence of COPD and respiratory symptoms associated with biomass smoke exposure in a suburban area. Int J Chron Obstruct Pulmon Dis. 2018;13:1727–34.

    Article  PubMed  PubMed Central  Google Scholar 

  9. • Wankar RL, Deo DS. Impact of biomass fuels on the respiratory functions of women in Rural India. J Family Med Prim Care. 2022;11(11):7212–6. Women aged above 60 and a high exposure index of biomass fuels exposure were more likely to develop respiratory symptoms.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Balcan B, Akan S, Ozsancak Ugurlu A, Ceyhan B. Altered pulmonary functions due to biomass smoke in a rural population of Turkish women: a descriptive study. Tuberk Toraks. 2018;66(2):122–9.

    Article  PubMed  Google Scholar 

  11. Salvi SS, Barnes PJ. Chronic obstructive pulmonary disease in non-smokers. Lancet. 2009;374(9691):733–43.

    Article  PubMed  Google Scholar 

  12. Gordon SB, Bruce NG, Grigg J, Hibberd PL, Kurmi OP, Lam KB, et al. Respiratory risks from household air pollution in low and middle income countries. Lancet Respir Med. 2014;2(10):823–60.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Davidson CI, Lin SF, Osborn JF, Pandey MR, Rasmussen RA, Khalil MA. Indoor and outdoor air pollution in the Himalayas. Environ Sci Technol. 1986;20(6):561–7.

    Article  CAS  PubMed  Google Scholar 

  14. Sood A, Petersen H, Blanchette CM, Meek P, Picchi MA, Belinsky SA, et al. Wood smoke exposure and gene promoter methylation are associated with increased risk for COPD in smokers. Am J Respir Crit Care Med. 2010;182(9):1098–104.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Sana A, Somda SMA, Meda N, Bouland C. Chronic obstructive pulmonary disease associated with biomass fuel use in women: a systematic review and meta-analysis. BMJ Open Respir Res. 2018;5(1): e000246.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Capistrano SJ, van Reyk D, Chen H, Oliver BG. Evidence of Biomass Smoke Exposure as a Causative Factor for the Development of COPD. Toxics. 2017;5(4).

  17. Sood A. Indoor fuel exposure and the lung in both developing and developed countries: an update. Clin Chest Med. 2012;33(4):649–65.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Mall MA. Role of cilia, mucus, and airway surface liquid in mucociliary dysfunction: lessons from mouse models. J Aerosol Med Pulm Drug Deliv. 2008;21(1):13–24.

    Article  CAS  PubMed  Google Scholar 

  19. Priscilla J, Padmavathi R, Ghosh S, Paul P, Ramadoss S, Balakrishnan K, et al. Evaluation of mucociliary clearance among women using biomass and clean fuel in a periurban area of Chennai: A preliminary study. Lung India. 2011;28(1):30–3.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Mondal NK, Mukherjee B, Das D, Ray MR. Micronucleus formation, DNA damage and repair in premenopausal women chronically exposed to high level of indoor air pollution from biomass fuel use in rural India. Mutat Res. 2010;697(1–2):47–54.

    Article  CAS  PubMed  Google Scholar 

  21. Dilger M, Orasche J, Zimmermann R, Paur HR, Diabate S, Weiss C. Toxicity of wood smoke particles in human A549 lung epithelial cells: the role of PAHs, soot and zinc. Arch Toxicol. 2016;90(12):3029–44.

    Article  CAS  PubMed  Google Scholar 

  22. de Oliveira AN, Vessoni AT, Quinet A, Fortunato RS, Kajitani GS, Peixoto MS, et al. Biomass burning in the Amazon region causes DNA damage and cell death in human lung cells. Sci Rep. 2017;7(1):10937.

    Article  Google Scholar 

  23. Krimmer D, Ichimaru Y, Burgess J, Black J, Oliver B. Exposure to biomass smoke extract enhances fibronectin release from fibroblasts. PLoS ONE. 2013;8(12): e83938.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Gunbatar H, Sertogullarindan B, Ozbay B, Avcu S, Bulut G, Kosem M. Chronic effects of environmental biomass smoke on lung histopathology in Turkish non-smoking women: a case series. Arh Hig Rada Toksikol. 2012;63(3):357–65.

    Article  PubMed  Google Scholar 

  25. Bharti JN, Soudamini AB, Kaushal D. Scary black nodes. Diagn Cytopathol. 2021;49(8):E286–90.

    Article  PubMed  Google Scholar 

  26. Morgan BW, Grigsby MR, Siddharthan T, Chowdhury M, Rubinstein A, Gutierrez L, et al. Epidemiology and risk factors of asthma-chronic obstructive pulmonary disease overlap in low- and middle-income countries. J Allergy Clin Immunol. 2019;143(4):1598–606.

    Article  PubMed  Google Scholar 

  27. • Mitra P, Chakraborty D, Nayek S, Kundu S, Mishra D, Dan U, et al. Biomass using tribal women exhibited respiratory symptoms, hypertensive risks and abnormal pulmonary function. Chemosphere. 2023;311(Pt 1). Approximately 30% of biomass smoke exposed women developed abnormal pulmonary function testing.

  28. Oluwole O, Arinola GO, Huo D, Olopade CO. Household biomass fuel use, asthma symptoms severity, and asthma underdiagnosis in rural schoolchildren in Nigeria: a cross-sectional observational study. BMC Pulm Med. 2017;17(1):3.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Oluwole O, Arinola GO, Huo D, Olopade CO. Biomass fuel exposure and asthma symptoms among rural school children in Nigeria. J Asthma. 2017;54(4):347–56.

    Article  PubMed  Google Scholar 

  30. • Abebe Y, Ali A, Kumie A, Haile T, Tamire M, Addissie A. Determinants of asthma in Ethiopia: age and sex matched case control study with special reference to household fuel exposure and housing characteristics. Asthma Res Pract. 2021;7(1):14. Biomass fuels increase the odds of developing asthma.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Po JY, FitzGerald JM, Carlsten C. Respiratory disease associated with solid biomass fuel exposure in rural women and children: systematic review and meta-analysis. Thorax. 2011;66(3):232–9.

    Article  PubMed  Google Scholar 

  32. • Pathak U, Gupta NC, Suri JC. Risk of COPD due to indoor air pollution from biomass cooking fuel: a systematic review and meta-analysis. Int J Environ Health Res. 2020;30(1):75–88. Strong evidence generated by a meta-analysis of 73,122 patients, showing that biomass smoke exposure increased the risk of COPD.

    Article  PubMed  Google Scholar 

  33. Ramirez-Venegas A, Torres-Duque CA, Guzman-Bouilloud NE, Gonzalez-Garcia M, Sansores RH. SMALLa AIRWAY DISEASE IN COPD ASSOCIATED TO BIOMASS EXPOSURE. Rev Invest Clin. 2019;71(1):70–8.

    CAS  PubMed  Google Scholar 

  34. Zhao D, Zhou Y, Jiang C, Zhao Z, He F, Ran P. Small airway disease: A different phenotype of early stage COPD associated with biomass smoke exposure. Respirology. 2018;23(2):198–205.

    Article  PubMed  Google Scholar 

  35. Chen J, Jiang C, Zheng Y, Zhao D, Wu F, Zhao Z, et al. Lung Features in Individuals with Biomass Smoke Exposure Characterized by CT Scan and Changes in Pulmonary Function. Int J Chron Obstruct Pulmon Dis. 2021;16:2575–84.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Meneghini AC, Koenigkam-Santos M, Pereira MC, Tonidandel PR, Terra-Filho J, Cunha FQ, et al. Biomass smoke COPD has less tomographic abnormalities but worse hypoxemia compared with tobacco COPD. Braz J Med Biol Res. 2019;52(5): e8233.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Sansores RH, Paulin-Prado P, Robles-Hernandez R, Montiel-Lopez F, Bautista-Felix NE, Guzman-Bouilloud NE, et al. Clinical and microbiological characteristics and inflammatory profile during an exacerbation of COPD due to biomass exposure. A comparison with COPD due to tobacco exposure. Respir Med. 2022;204:107010.

  38. Jindal SK, Aggarwal AN, Jindal A, Talwar D, Dhar R, Singh N, et al. COPD exacerbation rates are higher in non-smoker patients in India. Int J Tuberc Lung Dis. 2020;24(12):1272–8.

    Article  CAS  PubMed  Google Scholar 

  39. Golpe R, Mengual-Macenlle N, Sanjuan-Lopez P, Cano-Jimenez E, Castro-Anon O, Perez-de-Llano LA. Prognostic Indices and Mortality Prediction in COPD Caused by Biomass Smoke Exposure. Lung. 2015;193(4):497–503.

    Article  CAS  PubMed  Google Scholar 

  40. Mekov E, Nunez A, Sin DD, Ichinose M, Rhee CK, Maselli DJ, et al. Update on Asthma-COPD Overlap (ACO): A Narrative Review. Int J Chron Obstruct Pulmon Dis. 2021;16:1783–99.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Smith KR, Samet JM, Romieu I, Bruce N. Indoor air pollution in developing countries and acute lower respiratory infections in children. Thorax. 2000;55(6):518–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. McCarthy CE, Duffney PF, Nogales A, Post CM, Lawrence BP, Martinez-Sobrido L, et al. Dung biomass smoke exposure impairs resolution of inflammatory responses to influenza infection. Toxicol Appl Pharmacol. 2022;450: 116160.

    Article  CAS  PubMed  Google Scholar 

  43. Mirsadraee M. Anthracosis of the lungs: etiology, clinical manifestations and diagnosis: a review. Tanaffos. 2014;13(4):1–13.

    PubMed  PubMed Central  Google Scholar 

  44. Shah A, Kunal S, Gothi R. Bronchial anthracofibrosis: The spectrum of radiological appearances. Indian J Radiol Imaging. 2018;28(3):333–41.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Gupta A, Shah A. Bronchial anthracofibrosis: an emerging pulmonary disease due to biomass fuel exposure. Int J Tuberc Lung Dis. 2011;15(5):602–12.

    Article  CAS  PubMed  Google Scholar 

  46. Xu Y, Xu W, Liu Y, Tian X, Xu K, Shi J, et al. Pulmonary hypertension associated with combined fibrosing mediastinitis and bronchial anthracofibrosis: A retrospective analysis in a single Chinese hospital. Clin Respir J. 2018;12(3):1134–40.

    Article  PubMed  Google Scholar 

  47. Singh N, Singh S. Interstitial Lung Diseases and Air Pollution: Narrative Review of Literature. Pulm Ther. 2021;7(1):89–100.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Kunal S, Pilaniya V, Shah A. Bronchial anthracofibrosis with interstitial lung disease: an association yet to be highlighted. BMJ Case Rep. 2016;2016.

  49. Rabbani U, Sahito A, Nafees AA, Kazi A, Fatmi Z. Pulmonary Tuberculosis Is Associated With Biomass Fuel Use Among Rural Women in Pakistan: An Age- and Residence-Matched Case-Control Study. Asia Pac J Public Health. 2017;29(3):211–8.

    Article  PubMed  Google Scholar 

  50. Lin HH, Suk CW, Lo HL, Huang RY, Enarson DA, Chiang CY. Indoor air pollution from solid fuel and tuberculosis: a systematic review and meta-analysis. Int J Tuberc Lung Dis. 2014;18(5):613–21.

    Article  PubMed  Google Scholar 

  51. Mirsadraee MH, Asnashari AK, Attaran DM. Tuberculosis in patients with anthracosis of lung underlying mechanism or superimposed disease. Iran Red Crescent Med J. 2011;13(9):670–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Mortazavi-Moghaddam SG, Saadatjoo SA. Bronchial anthracotic change in South khorasan province (iran), emphasizing its association with tuberculosis. Iran J Med Sci. 2014;39(5):418–23.

    PubMed  PubMed Central  Google Scholar 

  53. Kim HJ, Kim SD, Shin DW, Bae SH, Kim AL, Kim JN, et al. Relationship between bronchial anthracofibrosis and endobronchial tuberculosis. Korean J Intern Med. 2013;28(3):330–8.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Woldesemayat EM, Datiko DG, Lindtjorn B. Use of biomass fuel in households is not a risk factor for pulmonary tuberculosis in South Ethiopia. Int J Tuberc Lung Dis. 2014;18(1):67–72.

    Article  CAS  PubMed  Google Scholar 

  55. Park HJ, Park SH, Im SA, Kim YK, Lee KY. CT differentiation of anthracofibrosis from endobronchial tuberculosis. AJR Am J Roentgenol. 2008;191(1):247–51.

    Article  PubMed  Google Scholar 

  56. Bruce N, Dherani M, Liu R, Hosgood HD 3rd, Sapkota A, Smith KR, et al. Does household use of biomass fuel cause lung cancer? A systematic review and evaluation of the evidence for the GBD 2010 study. Thorax. 2015;70(5):433–41.

    Article  PubMed  Google Scholar 

  57. Raspanti GA, Hashibe M, Siwakoti B, Wei M, Thakur BK, Pun CB, et al. Household air pollution and lung cancer risk among never-smokers in Nepal. Environ Res. 2016;147:141–5.

    Article  CAS  PubMed  Google Scholar 

  58. Zhong L, Goldberg MS, Gao YT, Jin F. Lung cancer and indoor air pollution arising from Chinese-style cooking among nonsmoking women living in Shanghai. China Epidemiology. 1999;10(5):488–94.

    Article  CAS  PubMed  Google Scholar 

  59. • Baez-Saldana R, Canseco-Raymundo A, Ixcot-Mejia B, Juarez-Verdugo I, Escobar-Rojas A, Rumbo-Nava U, et al. Case-control study about magnitude of exposure to wood smoke and risk of developing lung cancer. Eur J Cancer Prev. 2021;30(6):462–8. Increased cumulative biomass smoke exposure, increases the odds of developing lung cancer.

  60. Wen Cheng Y, Lee H. Environmental exposure and lung cancer among nonsmokers: an example of Taiwanese female lung cancer. J Environ Sci Health C Environ Carcinog Ecotoxicol Rev. 2003;21(1):1–28.

    Article  PubMed  Google Scholar 

  61. Prasad R, Srivastava AN, Verma SK. Clinico-pathological Profile of Bronchogenic Carcinoma Among Females in North India. Indian J Chest Dis Allied Sci. 2015;57(3):161–3.

    Article  CAS  PubMed  Google Scholar 

  62. Subramanian J, Govindan R. Lung cancer in never smokers: a review. J Clin Oncol. 2007;25(5):561–70.

    Article  PubMed  Google Scholar 

  63. Kim HY, Im JG, Goo JM, Kim JY, Han SK, Lee JK, et al. Bronchial anthracofibrosis (inflammatory bronchial stenosis with anthracotic pigmentation): CT findings. AJR Am J Roentgenol. 2000;174(2):523–7.

    Article  CAS  PubMed  Google Scholar 

  64. Pilaniya V, Kunal S, Shah A. Occurrence of bronchial anthracofibrosis in respiratory symptomatics with exposure to biomass fuel smoke. Adv Respir Med. 2017;85(3):127–35.

    Article  PubMed  Google Scholar 

  65. Kahkouee S, Pourghorban R, Bitarafan M, Najafizadeh K, Makki SS. Imaging Findings of Isolated Bronchial Anthracofibrosis: A Computed Tomography Analysis of Patients With Bronchoscopic and Histologic Confirmation. Arch Bronconeumol. 2015;51(7):322–7.

    Article  PubMed  Google Scholar 

  66. Das A, Bhalla AS, Naranje P. Biomass Fuel Exposure and Lungs: Unraveling the Imaging Conundrum. Curr Probl Diagn Radiol. 2021;50(2):200–10.

    Article  PubMed  Google Scholar 

  67. Kunal S, Pilaniya V, Shah A. The co-occurrence of bronchial anthracofibrosis and interstitial lung disease. Arch Bronconeumol. 2017;53(4):218–9.

    Article  PubMed  Google Scholar 

  68. Hewitt RJ, Wright C, Adeboyeku D, Ornadel D, Berry M, Wickremasinghe M, et al. Primary nodal anthracosis identified by EBUS-TBNA as a cause of FDG PET/CT positive mediastinal lymphadenopathy. Respir Med Case Rep. 2013;10:48–52.

    PubMed  PubMed Central  Google Scholar 

  69. Kizhakke Puliyakote AS, Stapleton EM, Durairaj K, Karuppusamy K, Kathiresan GB, Shanmugam K, et al. Imaging-based assessment of lung function in a population cooking indoors with biomass fuel: a pilot study. J Appl Physiol (1985). 2023;134(3):710–21.

  70. Mukherjee S, Roychoudhury S, Siddique S, Banerjee M, Bhattacharya P, Lahiri T, et al. Respiratory symptoms, lung function decrement and chronic obstructive pulmonary disease in pre-menopausal Indian women exposed to biomass smoke. Inhal Toxicol. 2014;26(14):866–72.

    Article  CAS  PubMed  Google Scholar 

  71. Pathak U, Kumar R, Suri TM, Suri JC, Gupta NC, Pathak S. Impact of biomass fuel exposure from traditional stoves on lung functions in adult women of a rural Indian village. Lung India. 2019;36(5):376–83.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Balcan B, Akan S, Ugurlu AO, Handemir BO, Ceyhan BB, Ozkaya S. Effects of biomass smoke on pulmonary functions: a case control study. Int J Chron Obstruct Pulmon Dis. 2016;11:1615–22.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Garg A, Bagri S, Choudhary P, Singh DK, Gupta MB, Gaur SN. The adverse effects of solid biomass fuel exposure on lung functions in non-smoking female population. J Family Med Prim Care. 2022;11(6):2499–502.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Ahmed S, Chowdhury MAH, Kader SB, Shahriar MH, Begum BA, Eunus M, et al. Personal exposure to household air pollution and lung function in rural Bangladesh: A population-based cross-sectional study. Int J Environ Health Res. 2022:1–13.

  75. Stapleton EM, Kizhakke Puliyakote A, Metwali N, Jeronimo M, Thornell IM, Manges RB, et al. Lung function of primary cooks using LPG or biomass and the effect of particulate matter on airway epithelial barrier integrity. Environ Res. 2020;189: 109888.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Schraufnagel DE, Balmes JR, De Matteis S, Hoffman B, Kim WJ, Perez-Padilla R, et al. Health Benefits of Air Pollution Reduction. Ann Am Thorac Soc. 2019;16(12):1478–87.

    Article  PubMed  Google Scholar 

  77. Zhou Y, Zou Y, Li X, Chen S, Zhao Z, He F, et al. Lung function and incidence of chronic obstructive pulmonary disease after improved cooking fuels and kitchen ventilation: a 9-year prospective cohort study. PLoS Med. 2014;11(3): e1001621.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Accinelli RA, Llanos O, Lopez LM, Pino MI, Bravo YA, Salinas V, et al. Adherence to reduced-polluting biomass fuel stoves improves respiratory and sleep symptoms in children. BMC Pediatr. 2014;14:12.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Ramirez-Venegas A, Velazquez-Uncal M, Aranda-Chavez A, Guzman-Bouilloud NE, Mayar-Maya ME, Perez Lara-Albisua JL, et al. Bronchodilators for hyperinflation in COPD associated with biomass smoke: clinical trial. Int J Chron Obstruct Pulmon Dis. 2019;14:1753–62.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Salahuddin, M., Khan, D.A., Ayub, S. et al. Biomass Smoke–Associated Lung Diseases. Curr Pulmonol Rep 12, 151–161 (2023). https://doi.org/10.1007/s13665-023-00318-9

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