Laskin Debra L, Morio Lisa, Hooper Kimberly, Li Tsung-Hung, Buckley Brian, Turpin Barbara
Environmental and Occupational Health Sciences Institute, Rutgers University, Piscataway New Jersey 08854-8020, USA.
Res Rep Health Eff Inst. 2003 Dec(117):1-51; discussion 53-63.
Epidemiologists have observed a positive association between human morbidity and mortality and the atmospheric concentrations of fine particulate matter (PM), but the mechanisms underlying the toxic effects of PM have not been elucidated. Various components of ambient PM have been implicated in toxicity (including ultrafine particles, transition metals, organics and oxidants). Our research focused on hydrogen peroxide (H2O2). We speculated that fine PM transports H2O2 into the lower lung, leading to tissue injury and to accumulation and activation of macrophages in these regions. The macrophages release cytotoxic mediators and proinflammatory cytokines that contribute to the pathogenesis of tissue injury. To test this hypothesis, we conducted studies to determine (1) whether tissue injury induced by aerosols is mediated by cytotoxic H2O2 carried into the lower lung by fine particles and (2) whether exposure of rats to fine PM leads to accumulation of activated macrophages in the lung. For our studies, systems were designed to generate model atmospheric fine PM and atmospheric peroxides consisting of an ammonium sulfate [(NH4)2SO4] aerosol (mass median diameter, 0.46 +/- 0.14 microm) and H2O2. We also constructed a 6-port nose-only exposure chamber. Female Sprague Dawley rats were exposed for 2 hours to aerosols consisting of (NH4)2SO4 (430 microg/m3), (NH4)2SO4 + 10, 20 or 100 ppb H2O2, vapor-phase H2O2 (10, 20 or 100 ppb), or particle-free air. Studies using oxygen-18 (18O)-labeled H2O2 were conducted to validate the transport of H2O2 into the lower lung with (NH4)2SO4. Rats were killed immediately (0 hours) or 24 hours after exposure. Compared with control animals, inhalation of (NH4)2SO4 and H2O2, alone or in combination, had no major effect on cell number or viability, protein content, or lactate dehydrogenase (LDH) levels in bronchoalveolar lavage (BAL) fluid collected either immediately or 24 hours after exposure. However, electron microscopy revealed that a larger number of neutrophils in pulmonary capillaries adhered to the vascular endothelium, especially in lungs of rats exposed to (NH4)2SO4 + H2O2. Inhalation of (NH4)2SO4 + H2O2 was also found to be associated with altered macrophage functional activity. Thus, exposing rats to (NH4)2SO4 + 20 ppb H2O2 or 20 ppb H2O2 alone caused a level of tumor necrosis factor alpha (TNF-alpha) production by lung macrophages that was higher than in controls. This higher level was observed immediately after exposure and persisted for at least 24 hours. Greater TNF-alpha production was also detected 24 hours after exposure to (NH4)2SO4 + 10 ppb H2O2. Immediately after rats inhaled (NH4)2SO4 + 10 ppb H2O2 or 20 ppb H2O2 alone, we also observed a transiently higher production of superoxide anion (O2-) by alveolar macrophages. Macrophages isolated 24 hours after exposure to 20 ppb H2O2 also produced larger quantities of superoxide anion. In contrast, immediately after exposure, macrophages from rats exposed to (NH4)2SO4 + 10 ppb H2O2 or to 20 ppb H2O2 alone generated less nitric oxide (NO). Reduced nitric oxide production was also observed 24 hours after exposure to (NH4)2SO4 + 10 ppb H2O2 or to 10 or 20 ppb H2O2 alone. Reduced nitric oxide production may have been due to superoxide anion-driven formation of peroxynitrite (ONOO-) anions. In this regard, nitrotyrosine, an in vivo marker of peroxynitrite, was detected in lung tissue immediately after rats were exposed to (NH4)2SO4 + H2O2 or to H2O2 alone (10 or 20 ppb). We also found that alveolar macrophages from rats exposed to (NH4)2SO4 + H2O2 showed a greater expression of the antioxidant enzyme heme oxygenase-1 (HO-1) when stimulated with lipopolysaccharide (LPS) and interferon-gamma (IFN-gamma). Similar results were observed after exposure of rats to an organic peroxide aerosol (cumene hydroperoxide). Taken together, the results of our studies demonstrate that biological effects of inhaled H2O2 are augmented by fine PM. Moreover, tissue injury induced by (NH4)2SO4 + H2O2 may be related to altered production of cytotoxic mediators by alveolar macrophages. Determining the relevance of these toxicologic results to human health will be important in future studies for evaluating the risk of exposure.
流行病学家观察到人类发病率和死亡率与大气中细颗粒物(PM)浓度之间存在正相关,但PM毒性作用的潜在机制尚未阐明。环境PM的各种成分都与毒性有关(包括超细颗粒、过渡金属、有机物和氧化剂)。我们的研究聚焦于过氧化氢(H₂O₂)。我们推测细颗粒物将H₂O₂输送到下肺部,导致组织损伤以及这些区域巨噬细胞的聚集和激活。巨噬细胞释放细胞毒性介质和促炎细胞因子,这些都有助于组织损伤的发病机制。为了验证这一假设,我们开展了研究以确定:(1)气溶胶诱导的组织损伤是否由细颗粒携带到下肺部的细胞毒性H₂O₂介导;(2)大鼠暴露于细颗粒物是否会导致肺部激活巨噬细胞的聚集。在我们的研究中,设计了生成由硫酸铵[(NH₄)₂SO₄]气溶胶(质量中值直径,0.46±0.14微米)和H₂O₂组成的模拟大气细颗粒物和大气过氧化物的系统。我们还构建了一个六端口单鼻暴露舱。将雌性Sprague Dawley大鼠暴露于由(NH₄)₂SO₄(430微克/立方米)、(NH₄)₂SO₄ + 10、20或100 ppb H₂O₂、气相H₂O₂(10、20或100 ppb)或无颗粒空气组成的气溶胶中2小时。使用氧-18(¹⁸O)标记的H₂O₂进行的研究,以验证H₂O₂与(NH₄)₂SO₄一起进入下肺部的情况。大鼠在暴露后立即(0小时)或24小时处死。与对照动物相比,单独或联合吸入(NH₄)₂SO₄和H₂O₂,对暴露后立即或24小时收集的支气管肺泡灌洗(BAL)液中的细胞数量或活力、蛋白质含量或乳酸脱氢酶(LDH)水平没有重大影响。然而,电子显微镜显示肺毛细血管中有大量中性粒细胞黏附于血管内皮,尤其是在暴露于(NH₄)₂SO₄ + H₂O₂的大鼠肺部。吸入(NH₄)₂SO₄ + H₂O₂还与巨噬细胞功能活性改变有关。因此,将大鼠暴露于(NH₄)₂SO₄ + 20 ppb H₂O₂或单独20 ppb H₂O₂会导致肺巨噬细胞产生的肿瘤坏死因子α(TNF-α)水平高于对照组。在暴露后立即观察到这种较高水平,并持续至少24小时。暴露于(NH₄)₂SO₄ + 10 ppb H₂O₂ 24小时后也检测到更高的TNF-α产生。大鼠吸入(NH₄)₂SO₄ + 10 ppb H₂O₂或单独2