Coin P G, Roggli V L, Brody A R
Laboratory of Pulmonary Pathobiology, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina 27709.
Environ Health Perspect. 1994 Oct;102 Suppl 5(Suppl 5):197-9. doi: 10.1289/ehp.94102s5197.
The distribution of inhaled mineral fibers in the lung determines the site and severity of disease caused by the fibers. Some of our recent work has described the fate of inhaled asbestos fibers in rodents. After a brief inhalation exposure, asbestos fibers are deposited primarily at the first alveolar duct bifurcations, and fibrotic lesions are initiated. These sites of deposition occur as close to the visceral pleura as 220 micron. Several studies have suggested that short fibers are cleared from the lung more efficiently than long ones, and our data support this view. Our laboratory has shown that aerosolized chrysotile fibers longer than 16 microns can be deposited in the peripheral lung parenchyma of rats, and the measured clearance rate of these fibers is not significantly different from zero. Chrysotile, but no amphibole, fibers split longitudinally, so that the number of retained chrysotile fibers > or = 16 microns in length increases over time. We have not observed significant changes in chemical composition of chrysotile fibers up to 30 days post-deposition in the rat. Nor have we observed translocation of chrysotile fibers from the "central" regions of the lung toward the subpleural regions. However, 1 month after a single 3-hr exposure to chrysotile asbestos, the longest, most pathogenic fibers persist throughout the lung parenchyma. These retained fibers have the potential to cause disease in both parenchyma and pleura.
吸入的矿物纤维在肺内的分布决定了由这些纤维引起的疾病的部位和严重程度。我们最近的一些工作描述了啮齿动物吸入石棉纤维后的归宿。在短暂的吸入暴露后,石棉纤维主要沉积在第一个肺泡管分支处,并引发纤维化病变。这些沉积部位距离脏层胸膜近至220微米。多项研究表明,短纤维比长纤维更有效地从肺中清除,我们的数据支持这一观点。我们实验室已表明,长度超过16微米的雾化温石棉纤维可沉积在大鼠外周肺实质中,且这些纤维的实测清除率与零无显著差异。温石棉纤维而非闪石纤维会纵向分裂,因此随着时间推移,长度大于或等于16微米的留存温石棉纤维数量会增加。在大鼠体内,我们未观察到温石棉纤维沉积后30天内其化学成分有显著变化。我们也未观察到温石棉纤维从肺的“中央”区域向胸膜下区域的转移。然而,单次3小时暴露于温石棉后1个月,最长、致病性最强的纤维仍留存于整个肺实质中。这些留存的纤维有可能在实质和胸膜中引发疾病。