Li X Y, Gilmour P S, Donaldson K, MacNee W
Unit of Respiratory Medicine, Napier University, Edinburgh, United Kingdom.
Environ Health Perspect. 1997 Sep;105 Suppl 5(Suppl 5):1279-83. doi: 10.1289/ehp.97105s51279.
Epidemiologic studies have reported associations between fine particulate air pollution, especially particles less than 10 mm in diameter (PM10), and the development of exacerbations of asthma and chronic obstructive pulmonary disease. However, the mechanism is unknown. We tested our hypothesis that PM10 induces oxidant stress, causing inflammation and injury to airway epithelium. We assessed the effects of intratracheal instillation of PM10 in rat lungs. The influx of inflammatory cells was measured in bronchoalveolar lavage (BAL). Airspace epithelial permeability was assessed as total protein in bronchoalveolar lavage fluid (BALF) in vivo. The oxidant properties of PM10 were determined by their ability to cause changes in reduced glutathione (GSH) and oxidized glutathione (GSSG). We also compared the effects of PM10 with those of fine (CB) and ultrafine (ufCB) carbon black particles. Six hours after intratracheal instillation of PM10, we noted an influx of neutrophils (up to 15% of total BAL cells) in the alveolar space, increased epithelial permeability, an increase in total protein in BALF from 0.39 +/- 0.01 to 0.62 +/- 0.01 mg/ml (mean +/- SEM) and increased lactate dehydrogenase concentrations in BALF. An even greater inflammatory response was observed after intratracheal instillation of ufCB, but not after CB instillation. PM10 had oxidant activity in vivo, as shown by decreased GSH in BALF (from 0.36 +/- 0.05 to 0.25 +/- 0.01 nmol/ml) after instillation. BAL leukocytes from rats treated with PM10 produced greater amounts of nitric oxide, measured as nitrite (control 3.07 +/- 0.33, treated 4.45 +/- 0.23 mM/1 x 10(6) cells) and tumor necrosis factor alpha (control 21.0 +/- 3.1, treated 179.2 +/- 29.4 unit/1 x 10(6) cells) in culture than BAL leukocytes obtained from control animals. These studies provide evidence that PM10 has free radical activity and causes lung inflammation and epithelial injury. These data support our hypothesis concerning the mechanism for the adverse effects of particulate air pollution on patients with airway diseases.
流行病学研究报告了细颗粒物空气污染,尤其是直径小于10毫米的颗粒物(PM10)与哮喘和慢性阻塞性肺疾病病情加重之间的关联。然而,其机制尚不清楚。我们检验了我们的假设,即PM10会诱导氧化应激,导致气道上皮炎症和损伤。我们评估了经气管向大鼠肺部滴注PM10的效果。在支气管肺泡灌洗(BAL)中测量炎症细胞的流入情况。在体内,将气腔上皮通透性评估为支气管肺泡灌洗液(BALF)中的总蛋白。通过PM10导致还原型谷胱甘肽(GSH)和氧化型谷胱甘肽(GSSG)变化的能力来确定其氧化特性。我们还比较了PM10与细炭黑颗粒(CB)和超细炭黑颗粒(ufCB)的效果。经气管滴注PM10六小时后,我们注意到肺泡空间中有中性粒细胞流入(高达BAL细胞总数的15%),上皮通透性增加,BALF中的总蛋白从0.39±0.01增加到0.62±0.01毫克/毫升(平均值±标准误),且BALF中乳酸脱氢酶浓度增加。经气管滴注ufCB后观察到更强烈的炎症反应,但滴注CB后未观察到。如滴注后BALF中GSH降低(从0.36±0.05降至0.25±0.01纳摩尔/毫升)所示, PM10在体内具有氧化活性。与从对照动物获得的BAL白细胞相比,用PM10处理的大鼠的BAL白细胞在培养物中产生了更多的一氧化氮(以亚硝酸盐衡量,对照为3.07±0.33,处理后为4.45±0.23毫摩尔/1×10⁶个细胞)和肿瘤坏死因子α(对照为21.0±3.1,处理后为179.2±29.4单位/1×10⁶个细胞)。这些研究提供了证据,表明PM10具有自由基活性,并会导致肺部炎症和上皮损伤。这些数据支持了我们关于颗粒物空气污染对气道疾病患者产生不利影响的机制的假设。