“…These studies have demonstrated that PM 10 fractions collected from Puerto Rican urban areas (e.g., Guaynabo, Salinas) contained higher concentrations of ENX and TMET, respectively (e.g., Cd, Cu, Fe, Ni, Hg, Pb and V) than extracts collected from rural coastal regions (e.g., Fajardo) and were significantly toxic to in vitro systems [12,22,62]. Subsequent work also demonstrated that PM 2.5 fractions collected from indoor areas contained higher concentrations of these metals than PM samples obtained from outdoor areas, causing significant release of pro-inflammatory cytokines in vitro [64-68]. These results suggest that PM 2.5 and PM 10 fractions and some of their constituents (e.g., ENX and TMET) present at different Puerto Rican locations (urban and rural areas) may play a key role in the exacerbation of certain respiratory diseases (e.g.…”