Zhu X X, Meng T, Leng S G, Zheng Y X, Tang J L
School of Public Health, Qingdao University, Qingdao 266021, China.
School of Medicine, Datong University, Taiyuan 037009, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Feb 6;54(2):198-202. doi: 10.3760/cma.j.issn.0253-9624.2020.02.016.
To explore the lung damage caused by repeated inhalation of polyhexamethyleneguanidine (PHMG) disinfectant aerosol and the corresponding toxicological characteristics. Thirty four-week-old mice of C57BL/6N strain were randomly divided into three groups, the control group, low-dose group, and high-dose group. Each group had 5 male mice and 5 female mice. Lab II-level purified water was used in the control group. The PHMG disinfectant aerosol was generated by using the ultrasonic atomization of the aqueous solution containing PHMG. The PHMG concentrations in the low-and high-dose groups were 0.1 mg/ml (0.01%) and 1 mg/ml (0.1%), respectively. The concentration of PHMG in the post-chemical exposure room was 1.03 mg/m(3) and 9.09 mg/m(3) according to the air sampler analysis. The experimental mice were exposed to the PHMG in dynamic respiratory exposure mode for 4 hours every day in 21 days. After 21-day exposure, bronchia alveolus lung fluids (BALFs) were used to evaluate the inflammatory cells in the lungs, and pathological evaluation, special staining and immunohistochemical methods were further performed to evaluate the key indicators of pulmonary fibrosis. Compared to the control group, the body weight of mice in the high-dose group was significantly decreased (0.05), while that of mice in the low-dose group did not significantly differ (0.05). The number of inflammatory cells in BALFs of low-dose exposed mice was slightly reduced, and the lung tissue pathology began to show lung damage with early fibrosis symptoms (0.05). The pathological examination of mice in the high-dose group showed changes in pulmonary fibrosis. Immunohistochemical staining showed that pulmonary fibrosis marker, α-SMA, was significantly increased in low-dose group and high-dose group (0.05). The repeated inhalation of PHMG disinfectant could cause lung damage such as pulmonary fibrosis in mice. It could suggest that special warnings should be given to this common disinfectant and respiratory protection measures should be adopted during industrial production and daily use.
探讨反复吸入聚六亚甲基胍(PHMG)消毒剂气溶胶所致的肺损伤及相应的毒理学特征。将34只4周龄C57BL/6N小鼠随机分为三组,即对照组、低剂量组和高剂量组。每组有5只雄性小鼠和5只雌性小鼠。对照组使用实验室二级纯化水。通过对含PHMG的水溶液进行超声雾化产生PHMG消毒剂气溶胶。低剂量组和高剂量组中PHMG的浓度分别为0.1 mg/ml(0.01%)和1 mg/ml(0.1%)。根据空气采样器分析,化学暴露后室内PHMG的浓度分别为1.03 mg/m³和9.09 mg/m³。实验小鼠在21天内每天以动态呼吸暴露模式暴露于PHMG 4小时。暴露21天后,用支气管肺泡灌洗液(BALF)评估肺内炎症细胞,并进一步采用病理评估、特殊染色和免疫组化方法评估肺纤维化的关键指标。与对照组相比,高剂量组小鼠体重显著下降(P<0.05),而低剂量组小鼠体重无显著差异(P>0.05)。低剂量暴露小鼠BALF中炎症细胞数量略有减少,肺组织病理学开始显示有早期纤维化症状的肺损伤(P<0.05)。高剂量组小鼠的病理检查显示有肺纤维化改变。免疫组化染色显示,低剂量组和高剂量组肺纤维化标志物α-SMA均显著增加(P<0.05)。反复吸入PHMG消毒剂可导致小鼠肺损伤,如肺纤维化。这提示应对这种常用消毒剂给予特别警示,并在工业生产和日常使用中采取呼吸防护措施。