Lehnert B E, Archuleta D C, Ellis T, Session W S, Lehnert N M, Gurley L R, Stavert D M
Pulmonary Biology-Toxicology Program, Los Alamos National Laboratory, New Mexico 87545.
Toxicology. 1994 May 20;89(3):239-77. doi: 10.1016/0300-483x(94)90100-7.
Human inhalation exposures to relatively high mass concentrations of the oxidant gas nitrogen dioxide (NO2) can result in a variety of pulmonary disorders, including life-threatening pulmonary edema, pneumonia, and bronchiolitis obliterans. Inasmuch as most experimental studies to date have examined NO2-induced lung injury following exposures to near ambient or supra-ambient concentrations of NO2, e.g., < or = 50 ppm, little detailed information about the pulmonary injurious responses following the acute inhalation of higher NO2 concentrations that are more commensurate with some actual human exposure conditions is currently available. Described in this report are the results from a series of investigations in which various aspects of the inhalation toxicity of high concentrations of NO2 have been examined in laboratory rats. In the first component of our study, we characterized the kinetic course of development of lung injury following acute exposures to high concentrations of NO2 delivered over varying durations, and we assessed the relative importance of NO2 exposure concentration versus exposure time in producing lung injury. For a given exposure duration, the resulting severity of lung injury was found to generally scale proportionately with inhaled mass concentration, whereas for a given concentration of inhaled NO2, the magnitude of resulting injury was not directly proportional to exposure duration. Moreover, evidence was obtained that indicated exposure concentration is more important than exposure time when high concentrations of NO2 are inhaled. In a second component of our investigation, we assessed the pulmonary injurious response that occurs when NO2 is inhaled during very brief, 'high burst' exposures to very high concentrations of NO2. Such exposures resulted in significant lung injury, with the magnitude of such injury being directly proportional to exposure concentration. Comparisons of results obtained from this and the first component studies additionally revealed that brief exposures to the very high concentrations of NO2 are more hazardous than longer duration exposures to lower concentrations. In a third study series, we examined pre-exposure, exposure, and post-exposure modifiers of NO2-induced lung injury, including dietary taurine, minute ventilation, and post-exposure exercise. Results from these studies indicated: (i) dietary taurine does not protect the rat lung against high concentration NO2 exposure, (ii) the severity of acute lung injury in response to NO2 inhalation is increased by an increase in minute ventilation during exposure, and (iii) the performance of exercise after NO2 exposure can significantly enhance the injurious response to NO2.(ABSTRACT TRUNCATED AT 400 WORDS)
人类吸入相对高浓度的氧化性气体二氧化氮(NO₂)会导致多种肺部疾病,包括危及生命的肺水肿、肺炎和闭塞性细支气管炎。由于迄今为止大多数实验研究都考察了暴露于接近环境浓度或高于环境浓度(例如≤50 ppm)的二氧化氮后其所致的肺损伤,目前几乎没有关于急性吸入与某些实际人类暴露情况更相符的较高浓度二氧化氮后肺部损伤反应的详细信息。本报告描述了一系列调查的结果,其中在实验室大鼠中研究了高浓度二氧化氮吸入毒性的各个方面。在我们研究的第一部分,我们描述了在不同持续时间内急性暴露于高浓度二氧化氮后肺损伤发展的动力学过程,并评估了二氧化氮暴露浓度与暴露时间在导致肺损伤方面的相对重要性。对于给定的暴露持续时间,所导致的肺损伤严重程度通常与吸入质量浓度成比例,而对于给定的吸入二氧化氮浓度,所导致的损伤程度与暴露持续时间并非直接成比例。此外,有证据表明,吸入高浓度二氧化氮时,暴露浓度比暴露时间更重要。在我们调查的第二部分,我们评估了在非常短暂的“高爆发”暴露于极高浓度二氧化氮期间吸入二氧化氮时发生的肺部损伤反应。这种暴露导致了显著的肺损伤,损伤程度与暴露浓度直接成比例。将该部分研究结果与第一部分研究结果进行比较还发现,短暂暴露于极高浓度二氧化氮比长时间暴露于较低浓度更具危害性。在第三个研究系列中,我们研究了二氧化氮所致肺损伤的暴露前、暴露中和暴露后调节因素,包括饮食中的牛磺酸、分钟通气量和暴露后运动。这些研究结果表明:(i)饮食中的牛磺酸不能保护大鼠肺部免受高浓度二氧化氮暴露的影响;(ii)暴露期间分钟通气量增加会加重吸入二氧化氮所致急性肺损伤的严重程度;(iii)二氧化氮暴露后进行运动会显著增强对二氧化氮的损伤反应。(摘要截于400字)