Gräf W, Gräf H, Wenz M
Institute of Medical Hygiene, University Erlangen-Nuremberg.
Zentralbl Hyg Umweltmed. 1999 Feb;201(6):451-72.
The damage of the human respiratory ciliated epithelium or its ciliar activity caused by mixtures of harmful substances in the air and cigarette smoke is a considerable parameter for the judgment of acute harmful influences on the human respiratory tract. As an immediate measuring or a quantitative statement about the influence on cilia in vivo at human beings is extremely difficult and problematic, a convenient model experimental system in form of the so called ciliate mobility test (CMT) has been used. In this connection the influence on cilia of the protozan single-celled organism Tetrahymena pyriformis, regarding its average speed of locomotion has been taken as standard. The proof, that the cilia are identical in morphological and functional respect at the human ciliated epithelium and at T. pyriformis has been reached by electron optical comparative representation and bibliographical known substances, influencing cilia (theophylline, bromhexine, ambroxol, terpin hydrate, mercaptoethanesulfonat-sodium, amrinon, salbutamol, tetracosactid-hexaacetate, histamine, and phenol). With regard to the comparability and applicability to the human respiratory ciliated epithelium we have been able to gain statements by means of the CMT. By constructing a special reaction vessel the influence of harmful gases at a thin layer of ciliate culture suspension (1 cm) for a standardised exposure time (1 hour) has been made possible and with that a model for the comparability with the conditions of the human respiratory ciliated epithelium has been created. A number of harmful gases, that are relevant in the air hygiene (CO, CO2, N2, N2O, NO2, O3, SO2) as well as cigarette smoke at active smokers (primary stream smoke) and the inhalation of the smoke of other people's cigarettes has been tested. It turned out, that especially NO2 (nitric oxide) shows a high ciliar toxicity, while the controversially discussed ozone (O3) has not resulted in detraction of cilia. CO, N2O and SO2 have been--to a great extent--harmless on cilia in the concentration range relevant in the air hygiene. Remarkable are the results, that cigarette smoke shows clear toxic effects on cilia both at active smoking, as well as the inhalation of the smoke of other people's cigarettes. With that another contribution to the discussion about the harmfulness of active smoking and the inhalation of the smoke of other people's cigarettes is made.
空气中有害物质与香烟烟雾的混合物对人体呼吸道纤毛上皮或其纤毛活动造成的损害,是判断对人体呼吸道急性有害影响的一个重要参数。由于对人体体内纤毛影响进行即时测量或定量描述极其困难且存在问题,因此采用了一种便捷的模型实验系统,即所谓的纤毛虫运动试验(CMT)。在此方面,以原生动物单细胞生物梨形四膜虫的平均运动速度作为纤毛受影响的标准。通过电子光学比较显示以及文献中已知的影响纤毛的物质(茶碱、溴己新、氨溴索、萜品醇、巯基乙磺酸钠、氨力农、沙丁胺醇、二十四肽促皮质素六乙酸酯、组胺和苯酚),已证实人体纤毛上皮和梨形四膜虫的纤毛在形态和功能方面是相同的。关于与人体呼吸道纤毛上皮的可比性和适用性问题,我们已借助CMT得出了结论。通过构建一个特殊的反应容器,使得在标准化暴露时间(1小时)内,有害气体对一层薄薄的纤毛虫培养悬浮液(1厘米)产生影响成为可能,从而创建了一个可与人体呼吸道纤毛上皮状况进行比较研究的模型。对一些在空气卫生方面相关的有害气体(一氧化碳、二氧化碳、氮气、一氧化二氮、二氧化氮、臭氧、二氧化硫)以及主动吸烟者的香烟烟雾(主流烟雾)和吸入他人香烟烟雾的情况进行了测试。结果表明,特别是二氧化氮(一氧化氮)显示出很高的纤毛毒性,而备受争议的臭氧(O₃)并未导致纤毛受损。一氧化碳、一氧化二氮和二氧化硫在空气卫生相关浓度范围内,对纤毛基本上是无害的。值得注意的是,无论是主动吸烟还是吸入他人香烟烟雾,香烟烟雾对纤毛都显示出明显的毒性作用。由此,为关于主动吸烟和吸入他人香烟烟雾的危害性讨论又增添了一份内容。