Ozone-induced inflammation assessed in sputum and bronchial lavage fluid from asthmatics: a new noninvasive tool in epidemiologic studies on air pollution and asthma

Free Radic Biol Med. 1999 Dec;27(11-12):1448-54. doi: 10.1016/s0891-5849(99)00191-4.

Abstract

We investigated correlations between ozone-induced increases in inflammatory markers in induced sputum and in bronchial lavage fluid. Sixteen volunteers with intermittent asthma participated in a placebo-controlled parallel study with two exposures. Six days before and 16 h after the first exposure to ozone (0.4 ppm during 2 h) sputum was induced with hypertonic saline. This resulted in a significant increase in the sputum levels of eosinophil cationic protein (ECP; 1.8-fold; p = .03), neutrophil elastase (5.0-fold; p = .005) and the total cell number (1.6-fold; p = .02). After 4 weeks, a second exposure was randomized for air or ozone. Six days before and 16 h after the second exposure a bronchial lavage was performed. ECP values in sputum and in bronchial lavage fluid obtained after ozone correlated significantly (Rs = .79; p = .04), as did interleukin-8 (IL-8) values (Rs = .86; p = .01), and the percentage eosinophils (Rs = .89; p = .007). Moreover, the ozone-induced changes in percentage eosinophils observed in sputum and lavage fluid were highly correlated (Rs = .93; p = .003). In conclusion, changes in eosinophils, IL-8, and ECP markers induced by ozone and measured in sputum reflect the inflammatory responses in the lower airways of asthmatics, and may provide a noninvasive tool in epidemiologic studies on air pollution and asthma.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asthma / metabolism*
  • Biomarkers / analysis*
  • Blood Proteins / analysis
  • Blood Proteins / metabolism
  • Bronchoalveolar Lavage Fluid / chemistry*
  • Bronchoalveolar Lavage Fluid / cytology
  • Bronchoconstrictor Agents / pharmacology
  • Eosinophil Granule Proteins
  • Eosinophils
  • Female
  • Humans
  • Inflammation / chemically induced*
  • Inflammation / metabolism
  • Interleukin-8 / analysis
  • Interleukin-8 / metabolism
  • Leukocyte Count
  • Leukocyte Elastase / analysis
  • Leukocyte Elastase / metabolism
  • Male
  • Methacholine Chloride / pharmacology
  • Ozone / adverse effects*
  • Placebos
  • Ribonucleases*
  • Sputum / chemistry*
  • Sputum / cytology

Substances

  • Biomarkers
  • Blood Proteins
  • Bronchoconstrictor Agents
  • Eosinophil Granule Proteins
  • Interleukin-8
  • Placebos
  • Methacholine Chloride
  • Ozone
  • Ribonucleases
  • Leukocyte Elastase