Marek W, Potthast J, Marczynski B, Mensing T, Baur X
Research Institute for Diagnosis and Treatment of Early Lung Cancer, Ruhr University of Bochum, Germany.
Respiration. 1999;66(2):156-61. doi: 10.1159/000029358.
In order to study the threshold concentrations of isocyanates (IC) for induction of lung disorders, constrictive responses of tracheal smooth muscles to acetylcholine (ACH) in guinea pigs with and without diisocyanate [toluene diisocyanate (TDI), hexamethylene diisocyanate (HDI) and diphenylmethane diisocyanate (MDI)] exposure were investigated.
An IC-induced increase in smooth muscle responsiveness was studied by measuring cumulative ACH dose responses (10(-10) to 10(-4) M ACH). Basal ACH dose-response curves, measured twice in intervals of 1 h using tracheal preparations of 11 guinea pigs previously not exposed to IC, were reproducible.
Subchronic in vivo exposures to TDI, HDI, and MDI atmospheres of 10 and 20 parts per billion (ppb) on 5 consecutive days led to significantly (p < 0.05) increased ACH responsiveness of tracheal smooth muscle, whereas concentrations of 2.5 and 5 ppb were not effective. Exposure to HDI atmospheres of 10 ppb for 1, 2, 4, or 8 weeks resulted in a time-dependent increase in ACH responses (p < 0.05) of guinea pig tracheal smooth muscle. Increased tracheal muscle responses to ACH were transient since tracheal preparations from animals exposed to 10 and 20 ppb MDI for 4 weeks and with an exposure-free interval of 8 weeks before preparation did not show enlarged ACH responses, which were present in preparations at the end of the exposure period (p < 0.05). Exposure to low IC concentrations as present in workplaces cause increased ACH responsiveness of guinea pig tracheal smooth muscle. The increased responsiveness of the airways seems to be largely reversible, since normal responses were found after 8 weeks of IC avoidance.
Reversibility of IC-induced airway hyperresponsiveness is of great occupational and preventive medical importance. Workers with acquired airway hyperresponsiveness might escape lung damage if the changes are detected in an early stage before alterations in lung function are in a chronic stage.
为研究异氰酸酯(IC)诱发肺部疾病的阈浓度,对暴露于二异氰酸酯[甲苯二异氰酸酯(TDI)、六亚甲基二异氰酸酯(HDI)和二苯基甲烷二异氰酸酯(MDI)]与否的豚鼠气管平滑肌对乙酰胆碱(ACH)的收缩反应进行了研究。
通过测量累积ACH剂量反应(10⁻¹⁰至10⁻⁴M ACH)来研究IC诱导的平滑肌反应性增加。使用11只先前未暴露于IC的豚鼠的气管制备物,每隔1小时测量两次基础ACH剂量反应曲线,结果具有可重复性。
连续5天亚慢性体内暴露于10和20十亿分之一(ppb)的TDI、HDI和MDI环境中,导致气管平滑肌的ACH反应性显著增加(p < 0.05),而2.5和5 ppb的浓度则无效。暴露于10 ppb的HDI环境1、2、4或8周,导致豚鼠气管平滑肌的ACH反应呈时间依赖性增加(p < 0.05)。气管肌肉对ACH的反应增加是短暂的,因为在制备前4周暴露于10和20 ppb MDI且有8周无暴露间隔的动物的气管制备物未显示出增大的ACH反应,而在暴露期结束时的制备物中存在这种反应(p < 0.05)。暴露于工作场所中存在的低IC浓度会导致豚鼠气管平滑肌的ACH反应性增加。气道反应性增加似乎在很大程度上是可逆的,因为在避免接触IC 8周后发现反应正常。
IC诱导的气道高反应性的可逆性在职业和预防医学中具有重要意义。如果在肺功能改变处于慢性阶段之前的早期阶段检测到变化,获得性气道高反应性的工人可能避免肺部损伤。