Yu Il Je, Song Kyung Seuk, Chang Hee Kyung, Han Jeong Hee, Chung Yong Hyun, Han Kuy Tae, Chung Kyu Hyuck, Chung Ho Keun
Center for Occupational Toxicology, Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency, Daejeon, South Korea.
Toxicol Lett. 2003 Aug 28;143(3):247-59. doi: 10.1016/s0378-4274(03)00154-1.
Welders with radiographic pneumoconiosis abnormalities have exhibited a gradual clearing of the X-ray identified effects following removal from exposure. In some cases, the pulmonary fibrosis associated with welding fumes appears in a more severe form in welders. Accordingly, to investigate the disease and recovery process of pneumoconiosis induced by welding-fume exposure, rats were exposed to welding fumes with concentrations of 63.6+/-4.1 mg/m(3) (low dose) and 107.1+/-6.3 mg/m(3) (high dose) of total suspended particulate for 2 h per day in an inhalation chamber for a total of 2 h or 15, 30, 60 or 90 days. Thereafter, the rats were no longer exposed and allowed to recover from the welding fume-induced lung fibrosis for 90 days. When compared to the unexposed control group, the lung weights significantly increased in both the low- and high-dose rats from day 15 to 90. A histopathological examination combined with fibrosis-specific staining revealed that the lungs from the low-dose rats did not exhibit any significant progressive fibrotic changes. Whereas, the lungs from the high-dose rats exhibited early delicate fibrosis from day 15, which progressed into the perivascular and peribronchiolar regions by day 30. Interstitial fibrosis appeared at day 60 and became prominent by day 90, along with the additional appearance of pleural fibrosis. Recovery, evaluated based on the body and lung weights and a histopathological examination, was observed in both the high and low-dose rats that were exposed up to 30 days. The rats exposed for 60-90 days at the low dose also recovered from the fibrosis, yet the rats exposed for 60-90 days at the high dose did not fully recover. Consequently, recovery from pneumoconiosis induced by welding-fume exposure was observed when the degree of exposure was short-term and moderate.
患有放射性尘肺病异常的焊工在停止接触后,其X射线显示的影响已逐渐消退。在某些情况下,与焊接烟尘相关的肺纤维化在焊工中表现得更为严重。因此,为了研究焊接烟尘暴露引起的尘肺病的发病和恢复过程,将大鼠置于吸入舱中,每天暴露于总悬浮颗粒物浓度为63.6±4.1毫克/立方米(低剂量)和107.1±6.3毫克/立方米(高剂量)的焊接烟尘中,每天暴露2小时,共暴露2小时或15、30、60或90天。此后,不再让大鼠接触,并让它们从焊接烟尘引起的肺纤维化中恢复90天。与未接触的对照组相比,低剂量和高剂量组大鼠从第15天到第90天肺重量均显著增加。组织病理学检查结合纤维化特异性染色显示,低剂量组大鼠的肺未出现任何明显的进行性纤维化变化。而高剂量组大鼠的肺从第15天开始出现早期细微纤维化,到第30天发展到血管周围和细支气管周围区域。第60天出现间质纤维化,到第90天变得明显,同时出现胸膜纤维化。根据体重、肺重量和组织病理学检查评估恢复情况,发现暴露30天的高剂量和低剂量组大鼠均有恢复。低剂量暴露60 - 90天的大鼠也从纤维化中恢复,但高剂量暴露60 - 90天的大鼠未完全恢复。因此,当暴露程度为短期且适度时,可观察到焊接烟尘暴露引起的尘肺病有所恢复。