肺暴露于利比角闪石的血管和血栓形成效应。

Vascular and thrombogenic effects of pulmonary exposure to Libby amphibole.

机构信息

Curriculum in Toxicology, UNC School of Medicine, Chapel Hill, North Carolina, USA.

出版信息

J Toxicol Environ Health A. 2012;75(4):213-31. doi: 10.1080/15287394.2012.652055.

Abstract

Exposure to Libby amphibole (LA) asbestos is associated with increased incidences of human autoimmune disease and mortality related to cardiovascular diseases. However, the systemic and vascular impacts are less well examined because of the dominance of pulmonary disease. It was postulated that regardless of the type of exposure scenario, LA exposure might produce systemic and vascular inflammogenic and thrombotic alterations in healthy and cardiovascular compromised rat models. Samples from three independent studies were examined. In the first study, male Wistar Kyoto (WKY), spontaneously hypertensive (SH), and SH heart failure (SHHF) rats were intratracheally instilled once with 0 (vehicle), 0.25, or 1 mg/rat of LA. In the second study, F344 rats were instilled with vehicle or LA at 0.5, 1.5, or 5 mg/rat. In the third study, F344 rats were instilled with the same mass concentrations of LA delivered by biweekly multiple instillations over 3 mo to simulate an episodic subchronic exposure. Complete blood count, platelet aggregation, serum cytokines, and biomarkers of systemic and aortic effects were examined. LA reduced adenosine diphosphate (ADP)-induced platelet aggregation and decreased circulating platelets in WKY (1 mg/rat) and F344 (5 mg/rat) at the 3-mo time point but did not do so in SH or SHHF rats. A decline in circulating lymphocytes with age appeared to be exacerbated by LA exposure in F344 rats but the differences were not significant. Aorta mRNA expression for biomarkers of oxidative stress (HO-1, LOX-1), inflammation (MIP-2), and thrombosis (tPA, PAI-1, vWf) were increased at baseline in SH and SHHF relative to WKY. LA exposure upregulated several of these biomarkers and also those involved in aortic contractility of WKY rats at 3 mo, suggesting thrombogenic, vasocontractile, and oxidative stress-mediated impairments. The aorta changes in F344 rats were less remarkable than changes noted in WKY following LA exposure. In conclusion, exposure to LA decreased circulating platelets and platelet coagulability while increasing the expression of oxidative stress, thrombosis, and vasoconstriction biomarkers in the aorta of healthy rats. These changes were similar to those noted at baseline in SH and SHHF rats, suggesting that LA-induced pulmonary injury might increase the risk of developing cardiovascular disease in healthy individuals.

摘要

暴露于利比角闪石(LA)石棉与人类自身免疫性疾病发病率的增加以及与心血管疾病相关的死亡率有关。然而,由于肺部疾病的主导地位,系统和血管的影响研究得还不够充分。有人推测,无论暴露情况如何,LA 暴露都可能导致健康和心血管受损的大鼠模型产生全身性和血管炎性和血栓形成改变。对三个独立研究的样本进行了检查。在第一项研究中,雄性 Wistar Kyoto(WKY)、自发性高血压(SH)和 SH 心力衰竭(SHHF)大鼠一次性经气管内滴注 0(载体)、0.25 或 1 mg/大鼠的 LA。在第二项研究中,F344 大鼠经气管内滴注载体或 LA,剂量为 0.5、1.5 或 5 mg/大鼠。在第三项研究中,F344 大鼠通过每周两次多次滴注相同质量浓度的 LA 3 个月,以模拟发作性亚慢性暴露,接受 LA 滴注。检查全血细胞计数、血小板聚集、血清细胞因子以及系统和主动脉效应的生物标志物。LA 降低了 WKY(1 mg/大鼠)和 F344(5 mg/大鼠)中 ADP 诱导的血小板聚集和循环血小板,但在 SH 或 SHHF 大鼠中未降低。LA 暴露似乎加剧了 F344 大鼠中循环淋巴细胞随年龄的下降,但差异无统计学意义。与 WKY 相比,SH 和 SHHF 大鼠的主动脉中氧化应激(HO-1、LOX-1)、炎症(MIP-2)和血栓形成(tPA、PAI-1、vWf)生物标志物的 mRNA 表达基线升高。LA 暴露上调了这些生物标志物中的几种,以及 WKY 大鼠主动脉的几种与血管收缩性相关的生物标志物,表明存在血栓形成、血管收缩性和氧化应激介导的损伤。F344 大鼠的主动脉变化不如 LA 暴露后 WKY 大鼠的变化显著。总之,暴露于 LA 降低了循环血小板和血小板凝血能力,同时增加了健康大鼠主动脉中氧化应激、血栓形成和血管收缩标志物的表达。这些变化与 SH 和 SHHF 大鼠的基线变化相似,这表明 LA 诱导的肺损伤可能会增加健康个体患心血管疾病的风险。

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