Demnati R, Fraser R, Plaa G, Malo J L
Department of Chest Medicine, Hôpital du SacréCoeur, West Gouin, Montreal, Canada.
J Environ Pathol Toxicol Oncol. 1995;14(1):15-9.
It is now recognized that acute inhalational exposure to irritant gases such as chlorine can cause an asthma-like abnormality known as reactive airways dysfunction syndrome (RADS). The aim of this study was to evaluate the effects of exposure to various levels of chlorine on airway mucosa and lung parenchyma in an attempt to develop an animal model of this syndrome. Seventy-four Sprague-Dawley rats were exposed to air (controls) or to 50, 100, 200, 500, and 1500 ppm of chlorine for 2 to 10 min. Histological assessment was performed at 1, 3, 6, 12, 24, and 72 h after exposure. The results show that exposure to low concentrations (500 ppm) did not induce significant histological changes. Exposure to 1500 ppm for 2 min induced perivascular edema and the appearance of focal mild inflammation, whereas exposure to the same concentration for 10 min caused profound histological changes, including (1) 1 h: airspace and interstitial edema associated with bronchial epithelial sloughing; (2) 6 to 24 h: decreased edema and the appearance of mucosal polymorphonuclear leukocytes, maximal at 12 h; (3) 72 h: epithelial regeneration, manifested by hyperplasia and goblet cell metaplasia. We conclude that acute exposure to chlorine at a concentration of 1500 ppm for 10 min induces significant airway mucosal abnormalities that vary over a short period of time. Whether these abnormalities are related to the subsequent development of RADS awaits further experiments.
现在人们认识到,急性吸入刺激性气体(如氯气)可导致一种类似哮喘的异常情况,称为反应性气道功能障碍综合征(RADS)。本研究的目的是评估暴露于不同浓度氯气对气道黏膜和肺实质的影响,以试图建立该综合征的动物模型。74只Sprague-Dawley大鼠暴露于空气(对照组)或50、100、200、500和1500 ppm的氯气中2至10分钟。在暴露后1、3、6、12、24和72小时进行组织学评估。结果表明,暴露于低浓度(500 ppm)不会引起明显的组织学变化。暴露于1500 ppm 2分钟会引起血管周围水肿和局灶性轻度炎症,而暴露于相同浓度10分钟会导致深刻的组织学变化,包括:(1)1小时:气腔和间质水肿伴支气管上皮脱落;(2)6至24小时:水肿减轻,黏膜多形核白细胞出现,在12小时时达到最大值;(3)72小时:上皮再生,表现为增生和杯状细胞化生。我们得出结论,急性暴露于1500 ppm的氯气10分钟会引起明显的气道黏膜异常,且这些异常在短时间内会有所变化。这些异常是否与RADS的后续发展有关有待进一步实验。