title: Potential bronchoconstrictor stimuli in acid fog.
abstract: Acid fog is complex and contains multiple stimuli that may be capable of inducing bronchoconstriction. These stimuli include sulfuric and niric acids, the principal inorganic acids present; sulfites, formed in the atmosphere as a reaction product of sulfur dioxide and water droplets; fog water itself, a hypoosmolar aerosol; the organic acid hydroxymethanesulfonate, the bisulfite adduct of formaldehyde; and gaseous pollutants, e.g., sulfur dioxide, oxides of nitrogen, ozone. Given this complexity, evaluation of the respiratory health effects of naturally occurring acid fog requires assessment of the bronchoconstrictor potency of each component stimulus and possible interactions among these stimuli. We summarize the results of three studies that involve characterization of the bronchoconstrictor potency of acid fog stimuli and/or their interaction in subjects with asthma. The results of the first study indicate that titratable acidity appears to be a more important stimulus to bronchoconstriction than is pH. The results of the second study demonstrate that sulfite species are capable of inducing bronchoconstriction, especially when inhaled at acid pH. The results of the third study suggest that acidity can potentiate hypoosmolar fog-induced bronchoconstriction.
authors.affiliation: Lung Biology Center, Northern California Occupational Health Center, San Francisco.
authors.forename: J R
authors.initials: JR
authors.lastname: Balmes
authors.forename: J M
authors.initials: JM
authors.lastname: Fine
authors.forename: T
authors.initials: T
authors.lastname: Gordon
authors.forename: D
authors.initials: D
authors.lastname: Sheppard
mesh_terms: D015258:Acid Rain / Q000009:adverse effects*; D000336:Aerosols; D000393:Air Pollutants / Q000009:adverse effects*; D000403:Airway Resistance / Q000187:drug effects*; D001249:Asthma / Q000209:etiology*; D001985:Bronchial Provocation Tests; D004305:Dose-Response Relationship, Drug; D006801:Humans; D009566:Nitrates / Q000009:adverse effects*; D017942:Nitric Acid; D012905:Smog / Q000009:adverse effects*; D013464:Sulfuric Acids / Q000009:adverse effects*
chemical_list: D015258:Acid Rain; D000336:Aerosols; D000393:Air Pollutants; D009566:Nitrates; D012905:Smog; D013464:Sulfuric Acids; D017942:Nitric Acid; C033158:sulfuric acid