Department of Environmental Medicine, New York University of School of Medicine, New York, NY, USA.
Inhal Toxicol. 2020 Apr;32(5):218-230. doi: 10.1080/08958378.2020.1768322. Epub 2020 May 25.
Studies have revealed the increased incidence of health disorders in First Responders (FR) who were at Ground Zero over the initial 72 hr after the World Trade Center (WTC) collapses. Previous studies in rats exposed to WTC dusts using exposure scenarios that mimicked FR mouthbreathing showed exposure led to altered expression of genes whose products could be involved in lung ailments. Nevertheless, it was uncertain if repeated exposures (as occurred in earliest days post-disaster) might have given rise to long-term changes in the lungs/other organs, in white blood cell (WBC) profiles, and/or systemic expression of select (mostly immune-related) proteins. To examine this, rats were exposed on 2 consecutive days (2 hr/d, intratracheal inhalation) to WTC dusts and then examined over a 1-yr period thereafter. At select times post-exposure, organ (lung, heart, liver, kidney, spleen) weights, WBC profiles, and blood levels of a variety of proteins were evaluated. The study showed that over the 1-yr period, there were nominal effects on organ weights (absolute, index) as a result of the dust exposures. There were significant changes (relative to in naïve rats) in WBC profiles, with exposed rats having increased monocyte-macrophage and decreased lymphocyte percentages. The study also found that dust exposure led to significant systemic increases in many proteins, including MCP-1, RANTES, MMP-9, RAGE, and Galectin-3. These results provide further support for our longstanding hypothesis that the WTC dusts could potentially have acted as direct inducers of many of the health effects that have been seen in the exposed FR.
研究表明,在世贸中心倒塌后的最初 72 小时内,身处现场的第一批救援人员(FR)健康问题的发病率有所增加。先前有研究用大鼠模型模拟 FR 经口呼吸暴露于 WTC 粉尘,结果表明暴露会导致基因表达发生改变,这些基因的产物可能与肺部疾病有关。然而,目前尚不确定重复暴露(如灾难发生后最早几天所发生的情况)是否会导致肺部/其他器官、白细胞(WBC)谱以及/或某些(主要与免疫相关)蛋白质的系统表达发生长期变化。为了研究这一问题,大鼠连续两天(每天 2 小时,经气管内吸入)暴露于 WTC 粉尘,然后在之后的 1 年内进行检查。在暴露后的特定时间点,评估了器官(肺、心、肝、肾、脾)重量、WBC 谱以及各种蛋白质的血液水平。研究表明,在 1 年内,粉尘暴露对器官重量(绝对值、指数)的影响微不足道。WBC 谱发生了显著变化,与未暴露大鼠相比,暴露大鼠的单核细胞-巨噬细胞比例增加,淋巴细胞比例降低。该研究还发现,粉尘暴露会导致许多蛋白质的系统水平显著升高,包括 MCP-1、RANTES、MMP-9、RAGE 和半乳糖凝集素-3。这些结果进一步支持了我们长期以来的假设,即 WTC 粉尘可能直接引发了许多暴露于其中的 FR 所出现的健康问题。