title: The effect of repeated ozone exposures on inflammatory markers in bronchoalveolar lavage fluid and mucosal biopsies.
abstract: The aim of this study was to investigate the cellular and biochemical events associated with repeated exposures to ozone. Twenty-three healthy subjects underwent single exposures to 200 ppb ozone and to filtered air (FA), as well as repeated exposures to 200 ppb ozone on 4 consecutive days, each for 4 h of intermittent exercise. Bronchoalveolar lavage was performed and mucosal biopsies were taken 20 h after the single or the last of the repeated exposures. As compared with FA, the single exposure to ozone caused a decrease in FEV(1), an increase in the percentages of neutrophils and lymphocytes, the concentrations of total protein, IL-6, IL-8, reduced glutathione, urate, and ortho-tyrosine in BAL fluid (BALF), but no changes in the cellular composition of biopsy. After the repeated exposure, the effect on lung function was abolished and differential cell counts in BALF were not significantly different from those after FA. However, the concentrations of total protein, IL-6, IL-8, reduced glutathione, and ortho-tyrosine were still increased. IL-10 could only be detected in BALF after repeated ozone exposures. Furthermore, macroscopic scores for bronchitis, erythema, and hypervulnerability of airway mucosa were increased, as well as numbers of neutrophils in bronchial mucosal biopsies. Our data demonstrate that airway inflammation persists after repeated ozone exposure, despite attenuation of some inflammatory markers in BALF and adaptation of lung function.
authors.affiliation: Krankenhaus Grosshansdorf, Zentrum für Pneumologie und Thoraxchirurgie, Grosshansdorf, Federal Republic of Germany. r.joerres@pulmoresearch.de
authors.forename: R A
authors.initials: RA
authors.lastname: Jörres
authors.forename: O
authors.initials: O
authors.lastname: Holz
authors.forename: W
authors.initials: W
authors.lastname: Zachgo
authors.forename: P
authors.initials: P
authors.lastname: Timm
authors.forename: S
authors.initials: S
authors.lastname: Koschyk
authors.forename: B
authors.initials: B
authors.lastname: Müller
authors.forename: F
authors.initials: F
authors.lastname: Grimminger
authors.forename: W
authors.initials: W
authors.lastname: Seeger
authors.forename: F J
authors.initials: FJ
authors.lastname: Kelly
authors.forename: C
authors.initials: C
authors.lastname: Dunster
authors.forename: T
authors.initials: T
authors.lastname: Frischer
authors.forename: G
authors.initials: G
authors.lastname: Lubec
authors.forename: M
authors.initials: M
authors.lastname: Waschewski
authors.forename: A
authors.initials: A
authors.lastname: Niendorf
authors.forename: H
authors.initials: H
authors.lastname: Magnussen
mesh_terms: D000328:Adult; D001980:Bronchi / Q000187:drug effects / Q000276:immunology / Q000473:pathology; D016535:Bronchial Hyperreactivity / Q000139:chemically induced* / Q000276:immunology / Q000473:pathology; D001985:Bronchial Provocation Tests; D001992:Bronchoalveolar Lavage Fluid / Q000276:immunology*; D004305:Dose-Response Relationship, Drug; D005260:Female; D005541:Forced Expiratory Volume / Q000187:drug effects; D006801:Humans; D018836:Inflammation Mediators / Q000378:metabolism*; D007958:Leukocyte Count; D008297:Male; D009504:Neutrophils / Q000187:drug effects / Q000276:immunology / Q000473:pathology; D010126:Ozone / Q000633:toxicity*; D020545:Respiratory Mucosa / Q000187:drug effects / Q000276:immunology / Q000473:pathology
chemical_list: D018836:Inflammation Mediators; D010126:Ozone