“…However, the continuous exposure of the NMB to large amounts of airborne particles, including PM, can alter the bacterial community composition towards an unstable one that might not be able to resist pathogen overgrowth and to maintain the physiological cross-talk existing with the host, resulting in an alteration of the immune state.According to these above-mentioned considerations, we recently reported that PM10 and PM2.5 levels of the 3rd day preceding sampling (Day 3) were inversely associated with the majority of analyzed bacterial taxa, except for the Moraxella genus. Moreover, two clearly different taxonomical profiles were recognized within the analyzed population, identifying two groups: one characterized by an even community and another widely dominated by the Moraxella genus [24]. Therefore, according to the relative abundance of the Moraxella genus, we stratified the enrolled subjects into the Mor− and Mor+ groups (the Moraxella genus's cut-off was ≤25% and >25%, respectively), which were characterized by a heterogeneous and an unbalanced NMB, respectively.The aim of the present study was to evaluate the possible role of NMB in determining plasmatic EV secretion level differences in response to short-term PM exposure levels in a stratified healthy population characterized by two distinct NMB profiles.…”