Warheit D B
Department of Acute and Developmental Toxicology, E. I. duPont de Nemours and Company, Inc., Newark, Delaware.
Crit Rev Toxicol. 1989;20(1):1-29. doi: 10.3109/10408448909037474.
Two important challenges for inhalation toxicologists involve the elucidation of mechanisms of lung toxicity caused by inhalation of chemicals or particulate materials, as well as the extrapolation of animal data to humans. Because risk estimates of toxicity generally are dependent upon experimental data for which a variety of species are utilized, a fundamental knowledge of species similarities and differences in lung anatomy, physiology, biochemistry, cell biology, and corresponding disease processes is essential. In the present review, the known mechanisms of particle deposition and clearance among various species have been highlighted and related to structure/function relationships and pathogenetic responses to some selected inhaled toxicants. In the aggregate, there is remarkable homogeneity in form and function among the species. Morphologic aspects of the respiratory tract and lung defense mechanisms are qualitatively similar among species. On the other hand, quantitative differences between humans and experimental animals are known to exist with respect to deposition and mucociliary clearance of inhaled particulates, and these factors are likely to influence the dose that is delivered to specific target sites in the lung. It is interesting to consider that pathologic cellular events following asbestos, ozone, and nitrogen dioxide exposure are likely to occur at similar sites in humans, nonhuman primates, and rodents. In this respect, it has been demonstrated that the early lesions of asbestos-induced lung disease in both rats and humans are initiated at similar anatomical sites, i.e., the junctions of terminal airways and alveolar regions. PMs and complement-mediated mechanisms have been implicated in the development of asbestosis in rats; however, it remains to be determined whether complement activation plays an important role in human asbestosis, although pulmonary and interstitial macrophages clearly are associated with the fibrogenic process associated with this restrictive lung disease. The toxic pulmonary effects following ozone exposure have been well studied in rodents and nonhuman primates. It has been established that distal airway and alveolar epithelial cells are principal targets of oxidant pollutants, and this is well supported by dosimetry considerations, morphologic observations, and morphometric analyses. Chronic ozone exposure in rats and monkeys causes epithelial injury at the level of the terminal bronchiole and proximal alveolar regions of the lung.(ABSTRACT TRUNCATED AT 400 WORDS)
吸入毒理学家面临的两个重要挑战包括阐明吸入化学物质或颗粒物质导致肺部毒性的机制,以及将动物数据外推至人类。由于毒性风险评估通常依赖于使用多种物种获得的实验数据,因此了解不同物种在肺部解剖学、生理学、生物化学、细胞生物学以及相应疾病过程中的异同点至关重要。在本综述中,已强调了不同物种间已知的颗粒沉积和清除机制,并将其与结构/功能关系以及对某些选定吸入毒物的致病反应相关联。总体而言,不同物种在形态和功能上具有显著的同质性。不同物种的呼吸道形态学方面和肺部防御机制在性质上相似。另一方面,已知人类和实验动物在吸入颗粒的沉积和黏液纤毛清除方面存在定量差异,而这些因素可能会影响输送到肺部特定靶位点的剂量。有趣的是,接触石棉、臭氧和二氧化氮后,人类、非人灵长类动物和啮齿动物肺部可能会在相似部位发生病理细胞事件。在这方面,已证明大鼠和人类石棉诱导的肺部疾病早期病变均起始于相似的解剖部位,即终末气道与肺泡区域的交界处。多形核白细胞和补体介导的机制与大鼠石棉肺的发展有关;然而,补体激活在人类石棉肺中是否起重要作用仍有待确定,尽管肺和间质巨噬细胞显然与这种限制性肺病相关的纤维化过程有关。臭氧暴露后的毒性肺部效应在啮齿动物和非人灵长类动物中已得到充分研究。已确定远端气道和肺泡上皮细胞是氧化污染物的主要靶标,这在剂量学考量、形态学观察和形态计量分析中得到了充分支持。大鼠和猴子长期暴露于臭氧会导致肺部终末细支气管和近端肺泡区域的上皮损伤。(摘要截取自400字)