Adamson I Y, Prieditis H, Bowden D H
Department of Pathology, University of Manitoba, Winnipeg, Canada.
Exp Lung Res. 1994 May-Jun;20(3):223-33. doi: 10.3109/01902149409064384.
It has been suggested that increased recruitment of phagocytes and subsequent clearance of particles may follow instillation of a leukocyte chemoattractant to lungs containing silica. The present study quantitated serially the silica content in alveolar spaces, in lung tissue and in hilar lymph nodes of mice that received 2 mg silica only, compared to a group that also received 100 micrograms intratracheal chemotactic factor N-formyl-L-methionyl-leucyl-phenylalanine (FMLP) at 2 and 3 weeks after silica. These mice showed a supplemental increase in alveolar macrophages and neutrophils, and an increase in silica was measured in lavaged cells and fluid soon after FMLP injection. At all times to 16 weeks, the silica content of lung tissue was significantly lower in mice that also received FMLP, and in this group, pulmonary fibrosis was much reduced, as shown morphologically and biochemically. In addition, there was reduced translocation of silica to lymph nodes in FMLP-treated mice. The results indicate that induction of a controlled inflammatory response in the alveoli at a time when particles are present in the pulmonary interstitium can accelerate clearance by increasing phagocyte traffic to the alveoli. The subsequent reduction in particle content of the lung is associated with a lower level of pulmonary fibrosis.
有人提出,向含有二氧化硅的肺部滴注白细胞趋化剂后,可能会增加吞噬细胞的募集并随后清除颗粒。本研究对仅接受2毫克二氧化硅的小鼠的肺泡腔、肺组织和肺门淋巴结中的二氧化硅含量进行了连续定量,并与另一组在二氧化硅注入后第2周和第3周还接受100微克气管内趋化因子N-甲酰-L-蛋氨酰-亮氨酰-苯丙氨酸(FMLP)的小鼠进行了比较。这些小鼠的肺泡巨噬细胞和中性粒细胞出现补充性增加,在注射FMLP后不久,在灌洗细胞和液体中检测到二氧化硅增加。在直至16周的所有时间里,同时接受FMLP的小鼠肺组织中的二氧化硅含量显著降低,并且在该组中,如形态学和生物化学所示,肺纤维化明显减轻。此外,FMLP处理的小鼠中二氧化硅向淋巴结的转运减少。结果表明,在肺间质中存在颗粒时,在肺泡中诱导可控的炎症反应可通过增加吞噬细胞向肺泡的运输来加速清除。随后肺部颗粒含量的减少与较低水平的肺纤维化有关。