How environmental exposures affect lung health: from viral infections to air pollution

SynAir-G has continued to investigate how environmental exposures affect the lungs using in vitro research methods, including studies with human nasal epithelial cells. This research aims to better understand how environmental factors induce inflammatory responses and interact with respiratory conditions such as asthma. As environmental exposures rarely act in isolation, understanding the interactions and potential synergies between different exposures and underlying lung conditions is essential for developing more targeted approaches to prevention and care.

From viral triggers of asthma exacerbations…

The Rhinovirus (RV) is one of the most common causes of the common cold, and also a major trigger of asthma exacerbations. However, the timing and progression of the epithelial responses underlying these exacerbations are not yet fully understood.

To investigate this, the SynAir-G WP4 team studied the temporal response to RV infection in primary human nasal epithelial cells (hNECs) obtained from donors with and without asthma. The cells were monitored at multiple time points following infection to understand how their responses developed over time.

The findings showed that the infection persisted for at least 48 hours and triggered a broad range of responses in the epithelial cells, including antiviral, inflammatory, and stress-related pathways. In particular, interferon-associated responses, which support antiviral defense through signalling by interferon (IFN) proteins, showed clear time-dependent regulation. IFN-λ-related gene expression increased early after infection, while downstream interferon-stimulated genes remained elevated at later time points. Other inflammatory mediators also displayed distinct patterns over time.

These findings show that the epithelial response to RV infection is highly dynamic and evolves throughout the course of infection, rather than occurring as one uniform event, highlighting the importance of studying RV infection at multiple time points.

The research also measured oxidative stress using the DCFDA assay, which assesses intracellular reactive oxygen species (ROS). The results showed increased ROS levels in the epithelial cells following RV infection. This is particularly relevant because oxidative stress can influence inflammatory signalling, epithelial barrier integrity, and antiviral defense.

Taken together, these findings highlight how different biological responses, including antiviral defense, inflammation, and oxidative stress, can occur simultaneously and interact with one another. A better understanding of these processes may help clarify how viral respiratory infections contribute to inflammation and asthma exacerbations, supporting the development of more targeted approaches to protecting people living with asthma and other airway diseases.

… to the impact of air pollution

In a related line of research, the SynAir-G team exposed nasal epithelial cells to another environmental trigger: particulate matter (PM). This air pollutant primarily originates from outdoor sources such as traffic, industry, and agriculture, but can also enter buildings and contribute significantly to indoor air pollution. Both healthy and asthmatic nasal epithelial cells were exposed.

The team conducted a multiplex ELISA analysis of the epithelial cell culture supernatants. This technique measures the proteins released by the cells into the surrounding liquid and helps understand the reaction of the epithelial cells in response to a stimulus like PM.

The analysis revealed a significant increase in the release of cytokine proteins, which are involved in immune regulation and inflammatory signalling. Notably, epithelial cells from donors with asthma secreted significantly higher levels of pro-inflammatory cytokines than cells from healthy control donors. These findings suggest that epithelial cells from people with asthma may display an exaggerated inflammatory response to PM exposure. This provides further insight into how air pollution could contribute to airway inflammation and potentially worsen respiratory symptoms in people living with asthma.

Next Steps

This in-vitro research further highlights the importance of investigating how environmental exposures, including viral infections and air pollution, affect the respiratory system. These exposures can trigger multiple interconnected responses in airway epithelial cells, which may differ in people living with respiratory diseases and potentially contribute to disease worsening. Understanding these mechanisms is particularly important for protecting vulnerable populations.

The research reinforces the importance of clean air, particularly for people living with asthma and allergic respiratory diseases. By continuing to investigate these mechanisms, SynAir-G aims to contribute to the development of targeted interventions and innovative solutions, while supporting greater awareness and evidence-based policy action to protect respiratory health.

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34th International Conference on Information Systems Development: SynAir-G at ISD2026 in Prague

On 2-4 September 2026, SynAir-G partner Lulea University of Technology (LTU) presented at the 34th International Conference on Information Systems Development (ISD 2026) in Prague, showcasing SynAir-G’s research on user-driven Information Systems Development, end-user engagement and Living Lab-based field testing.

The SynAir-G research entitled “User-Driven Information Systems Development in Living Lab Contexts: Evidence from the SynAir-G Case” was presented by Abdolrasoul Habibipour from LTU at the conference during two interactive poster sessions. The research examines the SynAir-G digital sentinel system from an Information Systems Development and Living Lab perspective, focusing particularly on how stakeholder engagement, field testing, and real-life experimentation contributed to the iterative development of the system. The study highlights how engagement with children, teachers, research coordinators, and other stakeholders informed usability, system requirements, design decisions, and system evolution.

Presenting the work at ISD 2026 Conference provided an opportunity to disseminate SynAir-G results to the international Information Systems research community, involving 250-300 researchers, and to discuss how experiences from the project can contribute to research on user-driven and participatory development of digital systems.

The paper is accepted as a short poster paper and will be published open access in the ISD 2026 Proceedings in the Association for Information Systems (AIS) eLibrary. The conference proceedings will also be submitted for indexing in Scopus, Google Scholar, DBLP, Semantic Scholar, and Web of Science/Conference Proceedings Citation Index.

Please find the poster and the short poster paper under the Publications section of the SynAir-G website!

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SynAir-G presents at ICB2026

 SynAir-G proudly presented its latest results on bioaerosol monitoring at the 2026 International Congress of Biometeorology, held at the University of Novi Sad, Faculty of Sciences, Serbia, from 13–16 July 2026.

The conference brought together scientists from 46 countries across meteorology, climatology, biology, ecology, medicine and geography to explore how atmospheric conditions affect human health, ecosystems, agriculture and the environment. It provided an excellent opportunity to exchange the latest research and emerging perspectives, while fostering international collaboration and networking around climate-related challenges.

SynAir-G partners from AUTh presented their research on allergen sensing systems in a presentation entitled “Bioaerosol monitoring in indoor and outdoor environments: towards affordable automatic near-real-time sensing systems.”

The research concerns a pilot study conducted in 2024–2025, which evaluated three automatic allergen sensors: a commercially available, affordable and compact near-real-time sensor (APS-400, Pollensense LLC) alongside two conventional “gold-standard” devices. The study assessed the performance, comparability and precision of the sensors when monitoring fresh pollen and fungal spores across indoor and outdoor environments, covering 24 plant and six cultured fungal species.

The affordable, compact sensor performed well for some taxa and satisfactorily for others. Further development and collaboration with the manufacturer is needed to improve its accuracy and precision for plant and fungal taxa where performance was less reliable.

The presentation generated interest among several scientists with plans to work on pollen and fungal spore monitoring in different environments, both from environmental and human health perspectives, highlighting the potential for further research to improve identification algorithms and better understand the links between bioaerosol exposure and clinical symptoms.

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Publication of SynAir-G Position Statement for the Improvement of Indoor Air Quality for Children

With the valuable expertise of the SynAir-G partners and led by the Global Allergy & Asthma Excellence Network, the “SynAir-G Position Statement for the Improvement of Indoor Air Quality for Children” has been published in the “Indoor Air” journal.

The scope of our position statement is to shed light on the current evidence on indoor air pollution and its impact on health – particularly on children with allergies and asthma – and to provide an overview of the European regulatory framework. In particular, it discusses the important role of bioaerosols for indoor air quality (IAQ).

The position paper identifies knowledge gaps, challenges, and key unmet needs such as:

  • The lack of a uniform EU-wide approach involving all stakeholders,
  • The alignment of new initiatives with existing ones,
  • A sound and appropriate legal basis,
  • The definition of the interactions and boundaries between individual and systemic measures,
  • Standardised criteria for classifying IAQ to design and evaluate the success of specific policy measures,
  • Standardised target values and health-based exposure limits for a broader range of pollutants,
  • Standards and recommendations for IAQ monitoring in different environments, building types and subpopulations,
  • Real-time monitoring and modelling of pollutants,
  • And, last but not least, translating scientific findings into practice and ensuring they are effectively disseminated to all relevant stakeholders and the wider public.

In conclusion, we present SynAir-G`s project goals and propose a roadmap for improving IAQ for children.

This statement is being published as the project enters its final phase, during which an increasing number of results will become available, with the aim of addressing as many of the challenges identified in the statement as possible.

The full article of the “SynAir-G Position Statement for the Improvement of Indoor Air Quality for Children” is available under Publications on our website and here:

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Clean air indoors and outside: SynAir-G urges collective action for Clean Air on the 2026 International Day of Clean Air for Blue Skies

On 7 September, Syn-Air-G joins the International Day of Clean Air for Blue Skies, led by the United Nations Environment Programme. This year, the campaign highlights the economic case for action on air pollution and climate change. Acting on air pollution and climate change together can help create healthier communities, strengthen economies and reduce the costs of pollution-related illness and premature deaths.

For children and people living with asthma and allergies, the stakes are particularly high. And air pollution does not stop at the front door.

Indoor and outdoor air are closely interconnected. Pollutants move between the two, affecting our health wherever we are. For children, who spend much of their day in classrooms, this connection matters enormously, particularly during critical years of growth and development. This interaction can also have serious implications for those living with asthma and allergies.

SynAir-G therefore supports this year’s call for cleaner air, both outdoors and indoors. The benefits go beyond economic prosperity: cleaner air means better health, stronger communities and healthier places for children to learn and grow.

SynAir-G mission: cleaner indoor air in schools

SynAir-G investigates the complex relationship between indoor and outdoor air and its impact on health, with a particular focus on children in schools, especially those living with asthma and allergies.

By bringing together scientists, schools, civil society, and public authorities, we aim to better understand these interactions, uncover the impacts these have on our health, and develop interventions to improve the air children breathe every day.

We also collaborate through the Indoor Air and Health Cluster (IDEAL Cluster), a network of EU projects working together to better understand indoor air and how it impacts our health and translate scientific evidence into meaningful action that can improve indoor air quality across Europe.

What the research is telling us

Findings from the project have already shown that indoor and outdoor air cannot be treated in isolation.

SynAir-G monitored indoor air quality in 25 schools across Greece, the United Kingdom, France, Georgia, and Finland. The findings show that classroom air can contain a complex mix of pollutants originating both indoors and outdoors, including Volatile Organic Compounds (VOCs) and fine particulate matter (PM2.5).

More in-depth research is investigating how PM interacts with other pollutants and what these combined exposures may mean for the airways, particularly for vulnerable groups such as people living with asthma.

A classroom in Greece is a strong example, where many of the indoor air pollutants came from outdoors including gases such as ozone (O₃) and carbon monoxide (CO) as well as tiny particles such as PM₁ and black carbon. Put simply: what happens outside can directly shape the air children breathe inside their classroom.

But SynAir-G is not only identifying problems. We are also testing practical solutions.

These range from sustainable interventions, such as the SynAir-G’s Green Walls, to smart ventilation strategies, which can help remove pollutants that build up indoors while limiting the entry of pollutants from outdoors.

Sometimes, solutions also start with awareness. An unexpected finding emerged from a school in Athens, where students took ownership of monitoring the air quality in their classroom on a daily basis. The exercise generated valuable data, but it also helped students understand their indoor environment and take an active role in improving it.

From data to impact

With most of its monitoring now completed, SynAir-G is bringing all its data and findings together to turn evidence into meaningful impact.

SynAir-G’s internal Data Explorer Dashboard brings together data from across the project and transforms it into an accessible format for both researchers and the AI systems supporting the project’s modelling activities.

At the same time, SynAir-G’s “digital AI engine” processes and analyses high-quality data using AI. This is critical for uncovering how different air pollutants interact and affect health, identifying the most pressing problem areas and helping to set priorities for action.

And action must be taken now. As the theme of this year’s #CleanAirDay highlights so well, action for cleaner air can make a real difference, creating healthier environments where people, communities and economies can thrive.

Guidelines are one important way to translate science into practical impact. SynAir-G’s work on guidelines for healthcare professionals aims to support better indoor environments for children living with asthma and allergies.

Beyond the project itself, SynAir-G is also contributing to wider efforts through the IDEAL Cluster, which recently published its IDEAL Guideline for Indoor Air Management, with SynAir-G contributing to its development. The Cluster has also published two policy briefs setting out the health and economic case for cleaner indoor air.

Among their recommendations are a coherent European framework for indoor air quality, health-based indoor air standards for new school buildings, greater use of technologies such as filtration, and better monitoring and management of indoor air.

They also call for indoor air quality targets to be integrated into policies covering building renovation and construction, housing and research, alongside greater awareness of the effects of poor air quality on children’s health.

A call to action for #CleanAir inside and outside

One thing is clear: air pollution is a global challenge whose impacts reach further beyond the air we breathe outdoors.

Pollutants generated outside can make their way into buildings, contributing to poor indoor air quality and potentially harming health. For children, whose bodies are still developing, the consequences can be particularly serious. But this is a challenge we can tackle if we act together. Governments, schools, businesses, researchers and communities all have a part to play. Collaboration across sectors and projects can bring evidence together, identify common challenges and turn research into change.

The importance of cross-sectoral collaboration was highlighted in June, when the IDEAL Cluster came together to applaud the collective achievements and look towards the future.

SynAir-G also brought its partners together with airways diseases patient representatives to discuss how research can drive the shift from reactive to preventive care. This focus on prevention also reinforces the broader economic case for integrated action, showing how action taken today can help avoid the health and economic costs of air pollution and climate change in the future. The importance of working closely with policymakers was particularly clear during the SynAir-G roundtable at the European Parliament, hosted by MEP Aurelijus Veryga (ECR). You can watch the highlights here.

On this International Day of Clean Air for Blue Skies, SynAir-G reaffirms its commitment to creating healthier environments where children can learn and communities can thrive. We will continue to put science at the heart of the conversation, raise awareness, connect key stakeholders and advocate for concrete action and stronger policies to improve the air we breathe.

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Milestone for IDEAL Cluster: Guideline for Indoor Air Management

A major milestone has been reached for the seven IDEAL Cluster projects with the publication of the IDEAL Guideline for Indoor Air Management, a collaborative output that brings together the latest knowledge and innovations generated across the cluster.

The Guideline was officially handed over to Rita Araujo from the European Commission during the IDEAL Cluster Summit, held in Brussels in June 2026, marking an important step in translating research into practical tools that support healthier indoor environments across Europe.

Developed jointly by the seven IDEAL Cluster projects and led by DIN – the German Institute for Standardization, a partner in the SynAir-G project, the Guideline consolidates the latest scientific insights and technological advancements from the projects into a comprehensive, practical resource for indoor air quality (IAQ) management.

Its main objective is to bridge the gap between cutting-edge research and practical implementation by providing evidence-based guidance for those responsible for assessing, managing and improving indoor air quality. By making the findings of the IDEAL Cluster projects accessible and actionable, the Guideline supports the uptake of best practices across a wide range of settings.

The Guideline is intended for a diverse audience, ranging from indoor air quality professionals, building and environmental experts and public health professionals to researchers, academics, educators and students working in the fields of health sciences, public health and building science.

By providing a unified, evidence-based framework for indoor air quality management, the IDEAL Guideline aims to strengthen IAQ practices across Europe, support healthier indoor environments and contribute to more informed policymaking.

 

The IDEAL Guideline for Indoor Air Management – Recommendations and Actions by the IDEAL Cluster projects V1.0 is now publicly available and can be accessed here:

 

 

Collaboration in Action: Supporting SynAir-G Research by INLECOM

Exciting news! During the IDEAL Cluster Summit on 9 June in Brussels, Gerasimos Kouloumbis from INLECOM won an Aranet4 Home CO₂ monitor in a raffle organised by Sotirios Papathanasiou in collaboration with See The Air and Aranet PRO. Congratulations to Gerasimos on winning the prize!

Gerasimos generously decided to donate the Aranet sensor to the National and Kapodistrian University of Athens (NKUA), where it will support ongoing SynAir-G environmental monitoring and research activities. The device represents a valuable addition to the project’s efforts to better understand indoor air quality and its impact on health.

This contribution reflects the collaborative spirit of the SynAir-G project and the shared commitment of its partners to advancing research and creating healthier indoor environments for everyone.

We would like to sincerely thank Gerasimos Kouloumbis for his generous donation to NKUA in support of the SynAir-G project and Sotirios Papathanasiou for organising the raffle in collaboration with See The Air and Aranet PRO.

 

Watch the Highlights: SynAir-G at the European Parliament

One month ago, on 11 June 2026, SynAir-G brought together policymakers, researchers, clinicians and patient advocates at the European Parliament to discuss the importance of indoor air quality for children’s health.

Children spend up to 90% of their time indoors, including in environments such as daycare centres and schools. The quality of the air they breathe every day has a direct impact on their health, wellbeing and development. Despite the growing body of scientific evidence demonstrating these effects, indoor air quality remains insufficiently addressed within EU policy.

The discussion at the European Parliament highlighted the urgent need to put indoor air quality higher on the political agenda and translate scientific evidence into meaningful impact. The debate stressed the importance of ambitious policy action and cross-sector legislation to ensure that every child, regardless of where they live or learn, has access to healthy indoor environments.

Several priority areas for action emerged from the discussion, including strengthening indoor air quality monitoring, increasing public awareness and promoting healthier behaviours, and integrating indoor air quality considerations into energy efficiency and building policies. Addressing these priorities requires coordinated action across the health, environment, education and building sectors.

To revisit the discussion and watch some of the key moments from the event, we invite you to view the highlights video below.

Ongoing work on the SynAir-G Guidelines for Healthcare Professionals

As part of its work on data management, guidelines, dissemination and exploitation, SynAir-G is taking important steps to ensure that scientific evidence is translated into real-world impact. To support this objective, the project has begun developing guidelines for healthcare professionals, led by the Global Allergy and Asthma Excellence Network (GA²LEN). These guidelines will help turn research findings into practical action, supporting healthier indoor environments for children.

The SynAir-G clinical practice guidelines aim to support healthcare professionals in advising schools, teachers and parents on improving indoor environments and reducing the health impacts of poor indoor air quality on children with asthma and allergies. They will also help healthcare professionals integrate environmental factors into personalised asthma management, with a particular focus on school settings.

To help the families and teachers overcome the barriers of implementing medical recommendations, a lay version of the guideline and simple information material will be added.

To ensure the guidelines are comprehensive, relevant and practical, GA²LEN has established a multidisciplinary steering group bringing together experts in indoor air quality, patient representatives, and partners from across the IDEAL Cluster, including the EDIAQI and INQUIRE projects. The steering group has met twice so far, in February and April 2026, to guide the development process.

The steering group has already drafted a set of preliminary recommendations, informed by evidence from a systematic literature review and data generated by the IDEAL Cluster projects. The next phase will involve a structured expert consensus process, with the final guidelines expected to be completed by the end of the year.

By providing evidence-based recommendations and practical tools, these guidelines will help healthcare professionals, schools and families work together to create healthier indoor environments and improve respiratory health outcomes for children across Europe.

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SynAir-G brings the indoor air quality debate to the European Parliament

Children spend 90% of their time indoors and the air they breathe directly shapes their health. Yet indoor air quality remains one of the most underregulated areas in EU policy. On 11 June 2026, SynAir-G brought this conversation to the European Parliament.

137 participants in the room and online, including researchers, clinicians, patient advocates and policymakers gathered for a roundtable on indoor air quality and children’s health, hosted by MEP Aurelijus Veryga (ECR).

“What’s more important than children’s health?” — MEP Aurelijus Veryga set the tone from the opening, speaking not just as a politician but as a parent and former school board member who has seen the impact of poor indoor air quality firsthand.

Panel 1 — The science and the human story

Children are not simply small adults as they breathe faster, stay closer to the ground and spend most of their time indoors, making them uniquely vulnerable to poor air quality. “There is a pressing need to protect children,” stated Panagiotis-Minos Chaslaridis (SynAir-G, EFA).

The numbers make the case. Pneumonia accounts for 14% of deaths in children under 5. Asthma is one of the most common childhood conditions. And 1 in 4 school children suffers from allergies today, a figure that could rise to half the population by 2050.

Kristina Siemens (SynAir-G, GA2LEN) presented the project roadmap to address this: raising awareness, equipping healthcare professionals to include indoor air quality in their management plans and giving families better tools to act. “Children with allergies and asthma are particularly vulnerable  and we need healthcare professionals, schools and families all moving in the same direction.”

The human story behind the data came from Mikaela Odemyr (Astma- och Allergiförbundet, Sweden), a patient advocate and parent carer of a child with asthma and allergies. Her son’s school journey and the visible difference better ventilation made in his classroom showed the impact of indoor air on health. “You need to bring in the people who make decisions if you want something to change.”

Mario Lovrić (EDIAQI project from the IDEAL Cluster) flagged that many schools sit next to heavy traffic, with countless chemical and biological indoor pollutants still completely unregulated. Dr. Tamas Szigeti (National Center for Public Health and Pharmacy, Hungary) added that most ongoing studies look at single pollutants in isolation, but the real challenge lies in understanding how they act together on children’s developing bodies.

Lula Timmerman (Federal Public Service Health, Belgium) brought the panel back to policy with a reminder: the legal framework you work within determines what you can actually achieve and enforcement matters as much as ambition. Her message: “Don’t try to be perfect. Try to improve.”

Panel 2 — From research to regulation, what needs to happen next?

Špela Novak (Društvo Atopijski dermatitis, Slovenia) brought up the importance of raising awareness in schools. However it cannot be where the effort stops. “It is awful that a child’s health depends on the person standing in front of them and not on the law. This needs to be written into legislation, not just recommendations or guidelines.”

Dr. Irina Zastenskaya (World Health Organization) widened the lens and explained that indoor air quality is not just about respiratory health. It shapes neurodevelopment and the cumulative effect of chemicals acting together on children’s bodies is still vastly underestimated. Strong regulatory frameworks built on a safe-by-design approach are essential.

Bogdan Atanasiu (DG Energy, European Commission) pointed to what is already moving. The Energy Performance of Buildings Directive now has a dedicated place for indoor air quality in its 2024 recast. But legislation alone is not enough: “We have the ingredients, now member states need to put regulatory measures and financing in place to act on indoor air quality.”

MEP Veryga closed the day on a note of shared responsibility. Change does not always require large budgets. It requires knowledge, motivation and follow through. “Empowering parents and schools to act on what we already know is where change begins.”

A strong foundation for policy action

The roundtable once again showed that the science on children’s indoor air quality is robust, the patient and carer voice is powerful and the policy tools are within reach. What is needed now is the political will to bring them together.

A huge thank you to all speakers for a strong day of science, stories and shared commitment to cleaner indoor air for children — Panagiotis-Minos Chaslaridis, Kristina Siemens, Mario Lovrić, Dr. Tamas Szigeti, Lula Timmerman, Mikaela Odemyr, Špela Novak, Dr. Irina Zastenskaya and Bogdan Atanasiu. A special thank you to MEP Aurelijus Veryga for hosting the day and supporting healthier indoor environments for children. And a big shout out to our fellow IDEAL Cluster projects for their invaluable contributions to this work: EDIAQI, INQUIRE, InChildHealth, TWINAIR, LEARN, KHEALTHinAIR.

Read our policy priorities on indoor air quality: IDEAL Cluster Policy Brief

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