DEHP对哮喘模型大鼠气道高反应性和肺嗜酸性粒细胞浸润的影响

为探讨邻苯二甲酸二乙基己酯[di-(2-ethylhexyl)phthalate,DEHP]在诱发哮喘和哮喘发病机理方面的作用,将Wistar大鼠随机分为正常组、卵清白蛋白(OVA)致敏组和DEHP染毒组,每组8只.用OVA致敏加激发的方法制作大鼠哮喘模型.DEHP染毒组分为2个组,每天分别给予0.7mg·kg-1和70mg·kg-1邻苯二甲酸二乙基己酯灌胃,连续30d.OVA致敏组、DEHP染毒组大鼠均在第31d给予1%OVA雾化,诱发哮喘.第38d测定大鼠在不同氯化乙酰甲胆碱(MCH)剂量下的肺功能,进行支气管肺泡灌洗液(BALF)的嗜酸性粒细胞(EOS)计数.结果显示,与OVA组相比,DEHP染毒组气道高反应性增强,嗜酸性粒细胞比例明显增多(P<0.01).因此,邻苯二甲酸二乙基己酯可增强哮喘模型大鼠气道高反应性和嗜酸性粒细胞浸润,可诱导哮喘的发生.     

Control chart for monitoring occupational asthma

INTRODUCTION: Work-related asthma has become the most prevalent occupational respiratory disease in the developed world. Occupational asthma is thought to affect 5%-10% of people worldwide. The first step in the diagnosis of occupational asthma is to establish work-relatedness. Although considerable research has been conducted in the area of occupational asthma, no simple, effective, and statistically sound method has been developed that can be used as an initial step to effectively identify the workers at risk for occupational asthma. The purpose of this research was to investigate whether Shewhart control chart method can be used as an effective method to detect occupational asthma. METHOD: Forty-five workers who completed the study and provided usable peak expiratory flow (a lung function marker) recordings while at work and away from work were included in this study. Control charts were developed using Shewhart's Method. The lower control limit of at work control chart (LCL(W)) was compared to each subject's Personal Best (PB) value. RESULTS: Reviewing the results of this comparison showed LCL(W)<60% PB to have a sensitivity of 85.71%, specificity of 87.50%, and an error rate of 13.33%. When the subjects suspected for false positive and false negative diagnoses were identified, the test produced a sensitivity of 95.24%, a specificity of 95.83% and an error rate of 4.44%. CONCLUSIONS: Our results were as good as, and in some cases better than, published clinical guidelines. IMPACT ON INDUSTRY: Our research showed that the control chart method is an effective, simple, and inexpensive tool for early intervention in workers suspected for occupational asthma.     

Landlords,fear, and children's respiratory health: an untold story of environmental injustice in the central city

Recent research has explored the role of environmental inequalities in explaining health disparities, especially in urban environments. This paper investigates the role of the landlord in shaping indoor environmental injustices. Specifically, we rely on interview data from low-income parents in South Phoenix, AZ, with elementary-aged children with asthma. We found families living in poor quality rental housing that impacted children's breathing. Landlords were directly involved in keeping the homes in poor condition, even when asked by the tenant to fix the property, and immigrants were especially at risk. In general, relationships between landlords and tenants were unequal and coloured by the tenant's poverty and fears of eviction. Among the immigrant tenants, many had accompanying fears of authorities and deportation. The cycle of fear, poverty, and a lack of power compounded as tenants were hesitant to report problems, which reinforced the power of the landlord over the tenant and did nothing to improve living conditions. Recognising the role of landlords in creating substandard housing conditions is important as they represent a group that can be targeted for interventions.     

甲醛暴露时间延长加剧小鼠哮喘模型肺氧化损伤并促进IL-17表达

为了探究不同暴露时间甲醛对小鼠哮喘模型肺氧化应激及IL-17表达的影响,用浓度为3.0 mg·m~(-3)的甲醛气体吸入染毒,同时将48只雄性Balb/c小鼠随机分为6组:(1)对照组(生理盐水组);(2)ovalbumin(OVA)致敏组;(3)0.5 h甲醛+OVA组;(4)1h甲醛+OVA组;(5)1.5 h甲醛+OVA组;(6)2 h甲醛+OVA组,以不同时间长度进行甲醛暴露,连续35 d。OVA致敏组、0.5 h甲醛+OVA组、1 h甲醛+OVA组、1.5 h甲醛+OVA组、2 h甲醛+OVA组均在第11、18及25天腹腔注射OVA致敏液(5 mg OVA+175 mg Al(OH)_3+30 mL生理盐水),第29~35天(共计1周)进行1%OVA雾化(30 min·d~(-1)),每日1次,诱发哮喘。第36天进行以下操作:取肺组织测定肺系数并制作肺匀浆,检测肺组织中活性氧自由基(ROS)、丙二醛(MDA)和还原型谷胱甘肽(GSH)的含量,并采用ELISA法检测肺组织中IL-17的水平。同时,采用HE染色法观察小鼠肺部气道的病理学变化。结果显示,在浓度为3.0 mg·m~(-3)的甲醛气体吸入染毒条件下,与对照组相比,1.5 h甲醛+OVA染毒组、2 h甲醛+OVA染毒组ROS、MDA、IL-17含量上升,具有统计学意义(P0.01)。同时,随着暴露时间长度的增加,小鼠肺部气道出现明显病理学变化。综上所述,每天2 h甲醛+OVA染毒能对小鼠肺造成损伤并恶化OVA对小鼠肺的损伤,产生炎症反应,并通过氧化应激反应介导。     

邻苯二甲酸二乙基己酯(DEHP)对THP-1细胞IL-1β和MMP-8表达及ROS的影响

为探讨邻苯二甲酸二乙基己酯((DEHP)的细胞免疫毒性作用与机制,采用RT-PCR和ELISA方法,考察了0.05～1μmol·L-1浓度范围内的DEHP对THP-1细胞白细胞介素-1β(IL-1β)及基质金属蛋白酶-8(MMP-8)基因和蛋白表达的影响;采用免疫印迹WesternBlot方法检测DE-HP对ERK1/2磷酸化水平的影响;以2,'7-'二氯荧光素二乙酸酯(DCFH-DA)为荧光探针检测1～50μmol·L-1DEHP对细胞内活性氧(ROS)产生的影响。结果显示,0.05和0.2μmol·L-1DEHP在6h内显著诱导IL-1β和MMP-8基因表达(P<0.05或0.01);0.05～1μmol·L-1DEHP刺激细胞48h,可诱导IL-1β蛋白表达,并表现出明显的剂量-效应关系,线性拟合的确定系数为0.937;0.05μmol·L-1DEHP刺激细胞6或12h,显著诱导MMP-8蛋白表达(P<0.05);0.2μmol·L-1DEHP在15～30min内快速诱导ERK1/2磷酸化;1～50μmol·L-1DEHP浓度依赖性刺激细胞中ROS的产生;ERK/MAPK抑制剂PD98059显著抑制DEHP诱导的MMP-8分泌,但对IL-1β分泌未表现出抑制作用。研究表明,DEHP可能是经ERK/MAPK信号路径诱导MMP-8基因和蛋白的表达,经其他路径诱导IL-1β基因和蛋白的表达,诱导细胞内ROS的产生,从而激发炎症反应,进而损害免疫系统功能引发哮喘等炎症性疾病。此研究结果可为DEHP的暴露风险评估提供参考。     

Effects of Di-（2-ethylhexyl） Phthalate on Ovalbumin-Immunized Rat Asthma Model: A Histopathological Study

近年来邻苯二甲酸酯污染已成为中国一个重要的环境问题.为探讨邻苯二甲酸二乙基己酯(di-(2-ethylhexyl)phthalate,DEHP)在诱发哮喘方面的作用,及研制DEHP诱导大鼠哮喘模型,将32只Wistar大鼠随机分成4组(每组8只):生理盐水对照组、卵清白蛋白(OVA)致敏组和2个DEHP染毒组,采用OVA致敏加激发的方法制作大鼠哮喘模型.2个DEHP染毒组大鼠每天分别进行0.7mg·kg-1和70mg·kg-1邻苯二甲酸二乙基己酯灌胃染毒,连续30d.OVA致敏组、DEHP染毒组大鼠均在第31～37天给予1%OVA雾化,诱发哮喘.第38天取肺脏做组织切片,进行分析.结果表明,与OVA组相比,DEHP染毒组气管壁增厚,细胞浸润增加,气道重塑,特别是在70mg·kg-1·d-1组,变化更为明显.由此可以得出结论,邻苯二甲酸二乙基己酯可诱导哮喘模型大鼠气道重塑,在诱发哮喘发病过程中可能起到佐剂作用。     

Monitoring Nitrogen Dioxide and its Effects on Asthmatic Patients: Two Different Strategies Compared

Objectives: To develop a `methodologyassessment' to evaluate the strengths and theweaknesses of two different epidemiological approachesand to identify the best suited monitoring strategy tomeasure the effects of `normal levels' of nitrogendioxide exposure on the health of an urban population.Methodology: all exposures to nitrogen dioxidewere determined with passive samplers, each samplerconsisting of 3 measuring Palmes tubes. In the firststudy the nitrogen dioxide exposure was assessed in 23school children (11 asthmatic and 12 non asthmatic).Children wore samplers for a week and parallelmeasurements were made in their kitchens, in bedroomsand outside their homes. The second study consisted ina case-control study where the relative risk ofhospital admission was calculated considering nitrogendioxide levels in a city of northern Italy. 110asthmatic patients were compared to a control group of 5322 people.Results: Personal sampler measurementshighlighted significant differences in exposure when nitrogen dioxide atmospheric levels were compared inasthmatic and healthy children (p<0.05). No otherparameters were significant in the two groups. Asignificant action of atmospheric nitrogen dioxide onhospital admission was demonstrated (p<0.01).Conclusions: Although a cause-effect relation assuch cannot be identified, the studies show a relationbetween the exposure to nitrogen dioxide and thepresence of adverse effects on people's health.However the `disadvantage' is for subjects withasthmatic pathologies, compared to the others. Tomanage this problem most effectively, a combinedapproach with the activation of specific personalmonitoring campaigns of the subjects with verifiedrisk seems necessary. This requires `reading' the dataresulting from most extensive and up to dateinformation systems, capable of a thorough controlboth of the living environment and of the clinicaloutcome of the whole population.     

大气PM2.5及高脂饮食对哮喘发病影响的研究进展

大气PM_2.5暴露与呼吸系统疾病密切相关,高脂饮食是哮喘的诱因之一.近年来,哮喘发病率在我国呈上升趋势.对大气PM_2.5、高脂饮食及二者协同作用对哮喘发病的影响进行探讨,为哮喘的干预和治疗提供新思路.总结了PM_2.5暴露与高脂饮食对哮喘的影响以及哮喘的发病机制:①颗粒物暴露可引发机体炎症反应,增加哮喘发病风险;②高脂饮食可通过代谢活化机体内免疫相关信号通路,导致炎症发生;③二者均会通过MyD88/TLRs信号通路和Th1/Th2机制对哮喘炎症产生影响.研究显示,PM_2.5与高脂饮食对哮喘的作用机制具有一致性,二者对人群的健康影响可能具有协同作用.      

低温联合PM2.5对小鼠哮喘气道炎症的影响

为研究低温联合PM_2.5加重哮喘气道炎症的机制,将哮喘模型小鼠随机分为对照组、低温组、PM_2.5组和低温联合PM_2.5暴露组（n=8）,饲养于相应环境（4周）.检测细胞因子（IL-4、IL-6、IL-13、IL-17、转化生长因子TGF-β）、氧化应激指标（丙二醛MDA、谷胱甘肽GSH、超氧化物歧化酶SOD、过氧化氢酶CAT）及转录因子（相关孤核受体RORγt、叉头蛋白Foxp3）水平,流式检测Th17和Treg细胞数量差异.结果表明,联合暴露组小鼠支气管炎症细胞浸润最为明显.与对照组相比,其余3组IL-6、IL-17和TGF-β水平均较高,CAT水平较低,以联合暴露组影响最显著.联合暴露组Th17细胞比例最高,Treg细胞比例最低,RORγt水平显著高于低温组和PM_2.5组.方差分析发现联合暴露对IL-4、IL-13、IL-17、MDA及RORγt的升高有交互作用.低温联合PM_2.5可能通过促进RORγt表达,使Th17/Treg极化而加剧肺部炎症.     

Economic valuation of health impacts of air pollution in Mumbai

Air pollution leads to serious negative impacts on health. Thephysical evidence is compelling. An attempt has been made inthis paper to establish dose-response relationship of AmbientAir Quality Index and human health, based on time spent by anindividual in different microenvironments during one day.Economic valuation of morbidity and mortality has been attemptedthrough lost salary approach. The results show that theavoidance cost is 29% of the total health damage cost.