Am. J. Respir. Crit. Care Med., Vol 155, No. 1, 01 1997, 254-259.
The kinetics of grain dust-induced inflammation of the lower respiratory tract
DC Deetz, PJ Jagielo, TJ Quinn, PS Thorne, SA Bleuer and DA Schwartz
Department of Internal Medicine, The University of Iowa College of Medicine, Iowa City 52242-1081, USA.
To characterize the kinetics of grain dust-induced airflow obstruction and
inflammation in the lower respiratory tract, we performed serial spirometry
and bronchoalveolar lavage (BAL) in human subjects and whole- lung lavage
in mice following a single inhalation exposure to comparable dosages of
corn dust extract (CDE). Following inhalation of CDE, our human study
subjects developed significant airflow obstruction 10 min postexposure
which persisted for 48 h. Human subjects and mice had similar acute and
persistent changes in lavage cellularity after exposure to CDE. A profound
increase in the concentration of lavage neutrophils was present in the
initial postexposure lavage in both human subjects and mice. This increase
persisted for 96 h in human subjects and 48 h in mice. Small but
significant increases in lavage macrophage concentration were present 48 h
postexposure in human subjects and at 96 h postexposure in mice. Inhalation
of CDE resulted in a significant increase in the concentration of
proinflammatory cytokines tumor necrosis factor-alpha (TNF-alpha) and
interleukin-6 (IL- 6) in the lavage fluid of both human subjects and mice.
Similarly, significant increases in lavage concentrations of IL-8 in humans
and macrophage inflammatory protein-2 (MIP-2) in mice occurred after
inhalation of CDE. The lavage concentration of all measured proinflammatory
cytokines returned to baseline levels by 168 h in humans and 96 h in mice.
These findings suggest that a single inhalation challenge of CDE results in
airflow obstruction and lower respiratory tract inflammation that may last
for several days. These physiologic and inflammatory responses appear to be
self-limited with no evidence of persistent injury 1 wk after the
inhalation challenge. Moreover, the inflammatory response in the lower
respiratory tract after inhalation of grain dust is similar in human
subjects and mice, suggesting that the mouse may be an appropriate model
for further investigation of grain dust-induced inflammation.
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Copyright © 1997 American Thoracic Society
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