Published ahead of print on August 1, 2002, doi:10.1164/rccm.200205-399OC
American Journal of Respiratory and Critical Care Medicine Vol 166. pp. 1240-1247, (2002)
© 2002 American Thoracic Society
Ultrafine Particle Deposition and Clearance in the Healthy and Obstructed Lung
James S. Brown,
Kirby L. Zeman and
William D. Bennett
Center for Environmental Medicine and Lung Biology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Correspondence and requests for reprints should be addressed to James S. Brown, Ph.D., Center for Environmental Medicine and Lung Biology, University of North Carolina at Chapel Hill, 104 Mason Farm Road, CB# 7310, Chapel Hill, NC 27599-7310. E-mail: brown.james{at}epa.gov
Numerous epidemiologic studies have shown associations between exposure to particulate air pollution and acute increases in morbidity and mortality, particularly in persons with chronic obstructive pulmonary disease. The dosimetry of ultrafine particles in the human lung is poorly characterized. We studied the deposition and clearance of an ultrafine technetium-99mlabeled aerosol in 10 patients with chronic obstructive pulmonary disease and in 9 healthy subjects. Particle retention was followed for 2 hours after inhalation and again at 24 hours by scintigraphy. Central-to-peripheral ratios indexed airway deposition. Particle accumulation in the liver was examined by quantifying activity below the right lung. The dose rate for an aerosol exposure of 10 µg/m3 was calculated. Patients had a significantly greater dose rate than healthy subjects (2.9 ± 1.0 versus 1.9 ± 0.4 µg/h, p = 0.02). Central-to-peripheral ratios were slightly greater in patients than in healthy subjects (1.11 ± 0.10 versus 1.01 ± 0.11, p = 0.05). Clearance did not statistically differ between health and disease. On average, 24-hour retention was 85 ± 8% (corrected for isotope dissolution). No accumulation in the liver's vicinity was observed. Data suggest that relative to healthy subjects, patients with moderate-to-severe airways obstruction receive an increased dose from ultrafine particle exposure.
Key Words: aerosols mucociliary clearance chronic obstructive pulmonary disease
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