Okazaki N
First Department of Medicine, School of Medicine, Hokkaido University, Sapporo, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Aug;29(8):943-53.
Farmer's lung disease is one type of hypersensitivity pneumonitis (HP) in dairy farmers, and is usually caused by Micropolyspora faeni (Mf). It has been reported that the positive rate of precipitin antibody to Mf in smoking dairy farmers is one-eighth to one-half of that in nonsmoking dairy farmers. To clarify the mechanism of this phenomenon, by using an experimental HP model in rabbits, we investigated 1) the effects of short (5 weeks) and long (20 weeks)-term cigarette smoke exposure on the antibody formation, 2) the effects of 30 weeks of smoke exposure on the accessory cell function of alveolar macrophages (AM). Smoking exerted variable influences on antibody production, depending on the duration of smoke exposure, and we confirmed that long-term smoke exposure had suppressive effects. In addition AM from smoked rabbits suppressed lymphoproliferative response to autologous spleen cells. It was concluded that in this experimental HP, smoking affects the functions of both AM and lymphocytes, and that it suppresses antibody production as long as the smoke exposure continues.