Li Jin-zi, Yuan Xi-zhe, Chi Yong-xue, Jin Zheng-yong
Department of Pediatrics, Yanbian University Hospital, Yanji 133000, China.
Zhonghua Er Ke Za Zhi. 2009 Feb;47(2):91-5.
The role of air pollution on asthma can not be ignored, diesel exhaust particles (DEP) in the air is one of the most important pollutants. This study aimed to investigate the effect and mechanism of DEP inhaled on immediate reaction in the asthma rats.
Sixty male Wistar rats of "Clean" grade, 6 - 7 week-old, with an average weight of (140 +/- 20) g were used in this study. The rats were randomly divided into 6 groups, 10 in each. Group A was treated with normal saline attack as a negative control, Group B with ovalbumin attack as a positive control. After ovalbumin attack, groups C, D, E, F continued to inhale DEP for 1 week, 2 weeks, 3 weeks and 4 weeks, respectively. The concentration of DEP was 200 microg/ml, the animals were subjected to inhalation of ultrasound nebulized DEP for 30 min per day. One week after all the attacks were concluded, Group A was stimulated with normal saline for 30 min, other groups were stimulated with ovalbumin. Then the airway resistance was determined with multi-channel signal acquisition and processing system and compared. The changes in neutrophils, eosinophils, and other inflammatory cells of BALF and the pathological changes in lung tissue, including epithelial cells loss, the inflammatory cells infiltration around the airway, basement membrane fibrosis, goblet cell hyperplasia etc. were observed. The concentration of IL-5 and gamma-interferon in the lung tissues, and the changes of serum IgE etc. were determined.
Airway resistance values of group A, B, C, D, E, F after ovalbumin excitation for 30 min were (3.56 +/- 0.21), (7.06 +/- 0.63), (6.46 +/- 0.38), (7.47 +/- 0.33), (8.87 +/- 0.61), (11.00 +/- 0.69) cm H2O/(ml.s). No airway hyperresponsiveness occurred in group A, while Groups B, C, D, E, F had higher airway resistance than group A, group E and F had higher airway resistance than that of group B, the differences were statistically significant. And the airway resistance was different in each group among 0 min, 10 min, 20 min and 30 min (F = 160.646, 148.901, 162.204, 156.186, P < 0.01 for both). The time of DEP inhalation and the airway resistance was positively correlated (r = 0.948, P < 0.01); IgE concentrations of the serum between groups B, C, D, E, F was not significantly different (P > 0.05), but higher than that of group A (F = 2.639, P < 0.01). The infiltrated inflammatory cells included eosinophils and lymphocytes, etc. The percentages of neutrophil(%) were (4.3 +/- 2.0), (9.7 +/- 5.2), (10.3 +/- 5.6), (13.0 +/- 5.2), (42.6 +/- 18.3), (55.3 +/- 6.9). The groups E and F had higher percentage than Group A and Group B (F = 114.226, P < 0.01). The percentages of eosinophils(%) were 0, (11.9 +/- 3.8), (15.8 +/- 6.3), (13.0 +/- 4.9), (21.1 +/- 5.6), (27.1 +/- 4.8). The difference between Groups B, C, D, E, F and Group A was statistically significant. There was significant difference between groups C, D, E, F and group B (F = 46.462, P < 0.05); Lung tissue biopsy in group A showed that the epithelial cells were intact, no inflammatory cells infiltrations were found around the airways, instead, mainly ciliated columnar epithelial cells and only a small number of goblet cells were seen without basement membrane fibrosis. With the inhalation of DEP, the epithelial cells showed gradual necrosis, disruption and loss, goblet cells showed hyperplasia, and infiltrations with inflammatory cells were seen around the airway. In the lung tissue, concentrations of IL-5 in group B, C, and E were (12.8 +/- 2.8), (17.1 +/- 5.2), (18.6 +/- 4.2) pg/mg, the difference between groups C, E and group B was statistically significant (F = 4.236, P < 0.01), the difference in gamma-interferon concentration among all groups was not statistically significance (F = 1.185, P > 0.05).
DEP inhalation increased the airway responsiveness of asthma rats in immediate reaction, promoted the lung epithelial cell loss, inflammatory cell infiltration, basement membrane fibrosis and goblet cell hyperplasia.
空气污染对哮喘的作用不容忽视,空气中的柴油废气颗粒(DEP)是最重要的污染物之一。本研究旨在探讨吸入DEP对哮喘大鼠速发反应的影响及其机制。
选用60只6 - 7周龄、平均体重(140±20)g的“清洁”级雄性Wistar大鼠。将大鼠随机分为6组,每组10只。A组用生理盐水激发作为阴性对照,B组用卵白蛋白激发作为阳性对照。卵白蛋白激发后,C、D、E、F组分别继续吸入DEP 1周、2周、3周和4周。DEP浓度为200μg/ml,动物每天接受超声雾化DEP吸入30分钟。所有激发结束1周后,A组用生理盐水刺激30分钟,其他组用卵白蛋白刺激。然后用多通道信号采集处理系统测定气道阻力并进行比较。观察支气管肺泡灌洗液(BALF)中中性粒细胞、嗜酸性粒细胞等炎症细胞的变化以及肺组织的病理变化,包括上皮细胞脱落、气道周围炎症细胞浸润、基底膜纤维化、杯状细胞增生等。测定肺组织中白细胞介素-5(IL-5)和γ-干扰素的浓度以及血清免疫球蛋白E(IgE)等的变化。
卵白蛋白激发30分钟后,A、B、C、D、E、F组的气道阻力值分别为(3.56±0.21)、(7.06±0.63)、(6.46±0.38)、(7.47±0.33)、(8.87±0.61)、(11.00±0.69)cmH₂O/(ml·s)。A组未出现气道高反应性,而B、C、D、E、F组的气道阻力高于A组,E组和F组的气道阻力高于B组,差异有统计学意义。且0分钟、10分钟、20分钟和30分钟时各组气道阻力不同(F分别为160.646、148.901、162.204、156.186,P均<0.01)。DEP吸入时间与气道阻力呈正相关(r = 0.948,P < 0.01);B、C、D、E、F组血清IgE浓度差异无统计学意义(P > 0.05),但高于A组(F = 2.639,P < 0.01)。浸润的炎症细胞包括嗜酸性粒细胞和淋巴细胞等。中性粒细胞百分比(%)分别为(4.3±2.0)、(9.7±5.2)、(10.3±5.6)、(13.0±5.2)、(42.6±18.3)、(55.3±6.9)。E组和F组的百分比高于A组和B组(F = 114.226,P < 0.01)。嗜酸性粒细胞百分比(%)分别为0、(11.9±3.8)、(15.8±6.3)、(13.0±4.9)、(21.1±5.6)、(27.1±4.8)。B、C、D、E、F组与A组差异有统计学意义。C、D、E、F组与B组差异有统计学意义(F = 46.462,P < 0.05);A组肺组织活检显示上皮细胞完整,气道周围未发现炎症细胞浸润,主要为纤毛柱状上皮细胞,仅见少量杯状细胞,无基底膜纤维化。随着DEP吸入,上皮细胞逐渐出现坏死、破坏和脱落,杯状细胞增生,气道周围可见炎症细胞浸润。肺组织中,B、C、E组IL-5浓度分别为(12.8±2.8)、(17.1±5.2)、(18.6±4.2)pg/mg,C、E组与B组差异有统计学意义(F = 4.236,P < 0.01),各组γ-干扰素浓度差异无统计学意义(F = 1.185,P > 0.05)。
吸入DEP增加了哮喘大鼠速发反应中的气道反应性,促进了肺上皮细胞脱落、炎症细胞浸润、基底膜纤维化和杯状细胞增生。