Lee Jong Seong, Shin Jae Hoon, Lee Joung Oh, Lee Won-Jeong, Hwang Joo-Hwan, Kim Ji Hong, Choi Byung-Soon
Center for Occupational Lung Diseases, KWAMCO, 95, II-dong, Sangnok-gu, Ansan-si, Gyeonggi-do, 426-858 Korea.
Ansan Choongang General Hospital, KWAMCO, Ansan, 426-858 Korea.
Toxicol Res. 2009 Dec;25(4):217-224. doi: 10.5487/TR.2009.25.4.217. Epub 2009 Dec 30.
Inhaled inorganic dusts such as coal can cause inflammation and fibrosis in the lung called pneumoconiosis. Chronic inflammatory process in the lung is associated with various cytokines and reactive oxygen species (ROS) formation. Expression of some cytokines mediates inflammation and leads to tissue damage or fibrosis. The aim of the present study was to compare the levels of blood cytokines interleukin (IL)-1β, IL-6, IL-8, tumor necrosis factor (TNF)-α and monocyte chemoattractant protein (MCP)-1 among 124 subjects (control 38 and pneumoconiosis patient 86) with category of chest x-ray according to International Labor Organization (ILO) classification. The levels of serum IL-8 ( = 0.003), TNF-α ( = 0.026), and MCP-1 ( = 0.010) of pneumoconiosis patients were higher than those of subjects with the control. The level of serum IL-8 in the severe group with the small opacity (ILO category II or III) was higher than that of the control ( = 0.035). There was significant correlation between the profusion of radiological findings with small opacity and serum levels of IL-1β ( = 0.218, < 0.05), IL-8 ( = 0.224, < 0.05), TNF-α ( = 0.306, < 0.01), and MCP-1 ( = 0.213, < 0.01). The serum levels of IL-6 and IL-8, however, did not show significant difference between pneumoconiosis patients and the control. There was no significant correlation between serum levels of measured cytokines and other associated variables such as lung function, age, BMI, and exposure period of dusts. Future studies will be required to investigate the cytokine profile that is present in pneumoconiosis patient using lung specific specimens such as bronchoalveolar lavage fluid (BALF), exhaled breath condensate, and lung tissue.
吸入的无机粉尘(如煤尘)可导致肺部炎症和纤维化,称为尘肺病。肺部的慢性炎症过程与多种细胞因子和活性氧(ROS)的形成有关。一些细胞因子的表达介导炎症并导致组织损伤或纤维化。本研究的目的是根据国际劳工组织(ILO)分类,比较124名受试者(38名对照者和86名尘肺病患者)中血液细胞因子白细胞介素(IL)-1β、IL-6、IL-8、肿瘤坏死因子(TNF)-α和单核细胞趋化蛋白(MCP)-1的水平,并根据胸部X光类别进行比较。尘肺病患者的血清IL-8(P = 0.003)、TNF-α(P = 0.026)和MCP-1(P = 0.010)水平高于对照组受试者。小阴影严重组(ILO II或III类)的血清IL-8水平高于对照组(P = 0.035)。小阴影放射学表现的密集度与血清IL-1β(r = 0.218,P < 0.05)、IL-8(r = 0.224,P < 0.05)、TNF-α(r = 0.306,P < 0.01)和MCP-1(r = 0.213,P < 0.01)水平之间存在显著相关性。然而,尘肺病患者和对照组之间的血清IL-6和IL-‘8水平没有显著差异。所测细胞因子的血清水平与其他相关变量(如肺功能、年龄、BMI和粉尘接触期)之间没有显著相关性。未来需要进行研究,以使用肺特异性标本(如支气管肺泡灌洗液(BALF)、呼出气冷凝物和肺组织)来研究尘肺病患者中存在的细胞因子谱。