Abstract
The cytotoxic effect of quartz on lung cells has been well documented by in vitro and animal studies, but the pertinence of these findings to humans has not yet been documented. We measured lactate dehydrogenase (LDH) activities in the lung lavage of 24 long-term workers in the Québec granite industry and 25 control subjects. We found significant increases in LDH activities in the workers’ lung lavage, even in the absence of established silicosis (9 subjects). We looked at a similar observation in the sheep model of early silicosis, measured quartz content of lung lavage, and found significant correlation with LDH levels (R=0.64, p<0.001). All of the quartz particles in human and sheep lung lavage were in the alveolar macrophages. To test further the relationship of macrophage damage (cytotoxicity of quartz) we measured the release of LDH by sheep alveolar macrophage in 24 h cell culture under control conditions, exposure to inert dust, titanium, minusil-5 quartz, or aluminum-treated quartz. The LDH release was at control levels during titanium exposure and showed a significantly dose-related increase during quartz exposure. The latter cytotoxic effect was largely attenuated by aluminum treatment of quartz. These in vitro data agreed with previous reports. This study presents evidence of a cytotoxic effect of quartz inhalation in humans. The effect is related to the intensity of quartz retention in the lung macrophages; it is not a nonspecific dust exposure effect and can be attenuated by surface modification of the quartz.
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References
Adamis Z, Timar M (1978) Studies on the effect of quartz, bentonite and coal dust mixtures on macrophages in vitro. Br J Exp Pathol 59:411–415
Allison AC, Harington JS, Birbeck M (1966) An examination of the cytotoxic effects of silica on macrophages. J Exp Med 124:141–153
Beck EG (1976) Interaction between fibrous dust and cells in vitro. Ann Anat Pathol 12:227–236
Bégin R, Cantin A, Berthiaume Y, Boileau R, Bisson G, Lamoureux G, Rola-Pleszczynski M, Drapeau G, Massé S, Boctor M, Brault J, Péloquin S, Dalle D (1985) Clinical features to stage alveolitis in asbestos workers. Am J Indust Med 8: 521–536
Bégin R, Martel M, Desmarais Y, Drapeau G, Boileau R, Rola-Pleszczynski M, Massé S (1986) Fibronectin and procollagen 3 levels in bronchoalveolar lavage of asbestos-exposed human subjects and sheep. Chest 89:237–243
Bégin R, Massé S, Rola-Pleszczynski M, Martel M, Desmarais Y, Geoffroy M, LeBouffant L, Daniel H, Martin J (1986) Aluminum lactate treatment alters the lung biological activity of quartz. Exp Lung Res 10:385–399
Bégin RO, Cantin AM, Boileau RD, Bisson GY (1987) Spectrum of alveolitis in quartz-exposed human subjects. Chest 92:1061–1067
Bégin R, Dufresne A, Cantin A, Possmayer F, Sébastien P (1989) Quartz exposure, retention and early silicosis in sheep. Exp Lung Res 15:409–428
Brody AR, Roe MW, Evans JN, Davis GS (1982) Deposition and translocation of inhaled silica in rats. Quantification of particle distribution, macrophage participation, and function. Lab Invest 47(6):533–542
Cantin A, Crystal RG (1985) Oxidants, antioxidants and the pathogenesis of emphysema. Eur J Respir Dis 66 (suppl. 139):7
Cantin A, Dubois F, Bégin R (1988) Lung exposure to mineral dusts enhances the capacity of lung inflammatory cells to release superoxide. J Leuk Biol 43:299–303
Christman JW, Emerson RJ, Graham WGB, Davis GS (1985) Mineral dust and cell recovery from the bronchoalveolar lavage of healthy Vermont granite workers. Am Rev Respir Dis 132:393–399
Davies R (1980) The effect of dusts on enzyme release from macrophages. In: Brown RL, Gormley IP, Chamberlain M, Davies R, eds. The in vitro effects of mineral dusts. Academic Press, London, pp 67–74
Davis GS (1986) Pathogenesis of silicosis: current concepts and hypotheses. Lung 164:139–154
Davis GS, Hemenway DR, Evans JN, Lapenas DJ, Brody AR (1981) Alveolar macrophage stimulation and population changes in silica-exposed rats. Chest 80S:8S-10S
Dethloff LA, Gilmore LB, Gladen BC, George G, Chhabra RS, Hook GER (1986) Effects of silica on the composition of the pulmonary extracelluar lining. Toxicol Appl Pharmacol 84:66–83
Dubois F, Bégin R, Cantin A, Massé S, Martel M, Bilodeau G, Dufresne A, Perrault G, Sébastien P (1988) Aluminum inhalation reduces silicosis in a sheep model. Am Rev Respir Dis 137:1172–1179
Emerit I, Keck M, Levy A, Feingold J, Michelson AM (1982) Activated oxygen species at the origin of chromosome breakage and sister-chromatid exchanges. Mutat Res 103:165
Fantone JC, Ward P (1984) Pathogenesis of the granulomatous lung diseases. Part III. Mechanisms of lung parenchymal injury. Am Rev Respir Dis 130:484–491
Fishman WH, Kato K, Anstiss CL, Green S (1967) Human serumβ-glucuronidase: its mèasurement and some of its properties. Clin Chim Acta 15:435–447
Gutteridge JMC, Westermarck T, Halliwell B (1985) Oxygen radical damage in biological systems. In: Free radicals and degenerative diseases Johnson JE, Walford R, Harman D, Miguel J, Eds. Alan R. Liss, New York, p 99
Hook GER (1978) Extracellular hydrolases of the lung. Biochemistry 17:520–528
ILO/UC International Classification of radiographs of pneumoconiosis (1980) No. 22 revised. Occupational safety and health series. International Labour Office, Geneva
Killingsworth LM, Savory J (1972) Manual nephelometric methods for immunochemical determination of immunoglobulins IgG, IgA and IgM in human serum. Clin Chem 18:335–339
Moores SR, Black A, Evans JC, Evans N, Holmes A, Morgan A (1981) The effect of quartz, administered by intratracheal instillation, on the rat lung. II. The short-term biochemical response. Environ Res 24:275–285
Morgenstern S, Kessler G, Auerbach J, Flor RV, Klein B (1965) An automated p-nitrophenylphosphate serum alkaline phosphatase procedure for the autoanalyzer. Clin Chem 11:876–888
Schuyler MR, Gaumer HR, Stankus RP, Kaimal J, Hoffmann E, Salvaggio JE (1980) Bronchoalveolar lavage in silicosis. Lung 157:95–102
Sjöstrand M, Rylander R (1984) Enzymes in lung lavage fluid after inhalation exposure to silica dust. Environ Res 33:307–311
Sjöstrand M, Rylander R (1987) Lysosomal enzyme activity and fibroblast stimulation of lavage from guinea pigs exposed to silica dust. Br J Exp Pathol 68:309–318
Snedecor GW, Cochran WC (1967) Statistical methods. Iowa State University Press, Ames, IA
Sykes SE, Morgan A, Moores SR, Holmes A, Davison W (1983) Dose-dependent effects in the subacute response of the rat lung to quartz. I. The cellular response and the activity of lactate dehydrogenase in the airways. Exp Lung Res 5:229–243
Wacker W, Ulmer DD, Vallee BL (1956) Metalloenzymes and myocardial infarction: II. Malic and lactic dehydrogenase activities and zinc concentrations in serum. N Engl J Med 225:449–456
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Larivée, P., Cantin, A., Dufresne, A. et al. Enzyme activities of lung lavage in silicosis. Lung 168, 151–158 (1990). https://doi.org/10.1007/BF02719686
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DOI: https://doi.org/10.1007/BF02719686