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1 Centre d'Etudes du Bouchet
(Centre de Recherche Médicale de la Défense),
Respiratory tract lesions induced by sulfur
mustard (SM), a chemical warfare agent, are characterized by epithelial
damage associated with inflammatory cell infiltration. To test the
potential role of matrix metalloproteinase gelatinases in these
lesions, we evaluated gelatinase activity, albumin content, and total
cell count in bronchoalveolar lavage fluid of guinea pigs 24 h after an
intratracheal injection of 0.2 mg/kg of SM. The bronchial lavage and
alveolar lavage fluids were analyzed separately. The
increase in inflammatory cell content of the bronchial lavage fluid,
mainly macrophages, observed in SM-intoxicated guinea pigs was
accompanied by an increase in albumin and in 92-kDa gelatinase
activity. There was a significant correlation between albumin content
and 92-kDa gelatinase activity (r = 0.67) and between 92-kDa gelatinase and the number of macrophages.
Immunohistochemistry performed on tracheal sections showed the presence
of 92-kDa gelatinase at the site of intraepithelial cleavages.
Zymography analysis of culture medium conditioned by guinea pig
tracheal epithelial cells demonstrated that these cells produced in
vitro 92-kDa gelatinase on stimulation. Culture of human bronchial
epithelial cells obtained by the explant technique showed a marked
increase in 92-kDa gelatinase after exposure to 5 × 10
5 M SM that
reinforced the relevance of our animal results to human exposure to SM.
These results suggest that in SM respiratory intoxication, 92-kDa
gelatinase of both inflammatory and epithelial cell origins could be
involved in epithelial cell detachment.
vesicant agents; proteases; bronchoalveolar lavage; macrophages
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