Adamson I Y, Bowden D H
J Pathol. 1987 Jun;152(2):99-107. doi: 10.1002/path.1711520206.
To determine the relationship between the development of pulmonary fibrosis and the size of deposited asbestos, we prepared a pure sample of short crocidolite fibres and instilled 0.5 mg of 0.1 mg to the lungs of mice. Animals were killed up to 20 weeks later with 3H thymidine injected 1 h before death. By bronchoalveolar lavage, there was a rapid transient increase in polymorph neutrophils (PMN) and in glucosaminidase levels; alveolar macrophage (AM) numbers were elevated in the 0.5 mg group for eight weeks. Most fibres were phagocytized by AM, many of which were heavily laden and cleared from the lung over the 20 week period. Some fibres were seen in type 1 epithelial cells, frequently associated with cell injury. From cell kinetic studies, a very brief proliferative response was seen in bronchiolar epithelial and Type 2 alveolar epithelial cells. A greater response was seen in interstitial fibroblasts which showed increased labelling up to two weeks after 0.5 mg asbestos. However no granulomas were seen and very little fibrosis was found by morphology or by biochemistry at any time after 0.5 mg; no fibrosis was seen after instilling 0.1 mg. The results show that a high dose of exclusively short asbestos fibres produces minimal lung injury and fibrosis in spite of long standing macrophage-fibre interaction in the alveoli.
为了确定肺纤维化的发展与沉积石棉大小之间的关系,我们制备了纯的短青石棉纤维样本,并向小鼠肺部注入0.1毫克或0.5毫克。在注射后长达20周内处死动物,在处死前1小时注射³H胸腺嘧啶核苷。通过支气管肺泡灌洗发现,多形核中性粒细胞(PMN)和氨基葡萄糖苷酶水平迅速短暂升高;在0.5毫克组中,肺泡巨噬细胞(AM)数量在八周内升高。大多数纤维被AM吞噬,其中许多负载量很大,并在20周内从肺中清除。在I型上皮细胞中可见一些纤维,常伴有细胞损伤。从细胞动力学研究来看,细支气管上皮细胞和II型肺泡上皮细胞出现了非常短暂的增殖反应。间质成纤维细胞反应更大,在注入0.5毫克石棉后两周内标记增加。然而,未见到肉芽肿,在注入0.5毫克后的任何时候,通过形态学或生物化学方法都未发现明显纤维化;注入0.1毫克后未见到纤维化。结果表明,尽管肺泡内巨噬细胞与纤维长期相互作用,但高剂量的纯短石棉纤维只会产生最小程度的肺损伤和纤维化。