Lund K, Dunster C, Ramis I, Sandström T, Kelly F J, Søstrand P, Schwarze P, Skovlund E, Boe J, Kongerud J, Refsnes M
Department of Respiratory Medicine, National Hospital, University of Oslo, Oslo, Norway.
Hum Exp Toxicol. 2005 Mar;24(3):101-8. doi: 10.1191/0960327104ht506oa.
Fluoride has been in focus as a possible causal agent for respiratory symptoms amongst aluminium potroom workers for several decades. Previously, using bronchoalveolar lavage (BAL), we demonstrated airway inflammation in healthy volunteers 24 hours after exposure to hydrogen fluoride (HF). The objective of the present study was to examine early lung responses to HF exposure. Bronchoscopy with BAL was performed 2 hours after the end of 1-hour exposure to HE Significant reductions in the total cell number and the number of neutrophils and lymphocytes were observed in bronchoalveolar portion (BAP), whereas there were no significant changes in the bronchial portion (BP). Significantly decreased concentrations of beta2-MG, IL-6 and total protein were found in both BAP and BP. Additionally, IL-8 was significantly reduced in BP, and ICAM-1 and albumin were present in lower concentrations in BAP. Lung function measurements were not affected by HF exposure. These reported effects are presumably transitory, as many were not present in the airways 24 hours after a similar HF exposure.
几十年来,氟化物一直是铝电解车间工人呼吸道症状可能的致病因素。此前,我们通过支气管肺泡灌洗(BAL)证明,健康志愿者在接触氟化氢(HF)24小时后出现气道炎症。本研究的目的是检测肺部对HF暴露的早期反应。在1小时HF暴露结束后2小时进行支气管镜检查及BAL。支气管肺泡部分(BAP)的总细胞数、中性粒细胞和淋巴细胞数量显著减少,而支气管部分(BP)无显著变化。BAP和BP中β2-MG、IL-6和总蛋白浓度均显著降低。此外,BP中IL-8显著降低,BAP中ICAM-1和白蛋白浓度较低。肺功能测量不受HF暴露影响。这些报告的影响可能是暂时的,因为在类似的HF暴露24小时后,许多影响在气道中并不存在。