Vol. 276, Issue 2, L332-L340, February 1999
O3-induced inflammation in
prepregnant, pregnant, and lactating rats correlates with
O3 dose estimated by
18O
Albert F.
Gunnison1 and
Gary E.
Hatch2
1 Nelson Institute of
Environmental Medicine, New York University Medical Center, New
York, New York 10016; and
2 Pulmonary Toxicology Branch,
Experimental Toxicology Division, United States Environmental
Protection Agency, Research Triangle Park, North Carolina 27711
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ABSTRACT |
Previous studies
have shown that rats late in pregnancy and throughout lactation are
more susceptible to ozone
(O3)-induced pulmonary
inflammation than are prepregnant (virgin) or postlactating rats. The
major aim of the present study was to determine whether these
differences in response intensity could be accounted for by the
O3 dose to the lower region of the
lung. The relative O3 dose to the
lower lung of groups of pregnant, lactating, and virgin female rats was
estimated by measuring the incorporation of the 18O isotope into low-speed (cells)
and high-speed (surfactant) pellets of bronchoalveolar lavage fluid
immediately after acute exposure to 0.5-1.1 parts/million
18O3.
The polymorphonuclear leukocyte (PMN) and protein inflammatory responses were established 20 h after acute exposure of identical physiological groups to 0.5-1.1 parts/million
16O3
(common isotope). A single regression of PMN inflammation data against
surfactant 18O concentration for
all physiological groups gave a linear relationship, indicating direct
proportionality of PMN inflammation with this estimate of relative dose
to the lower lung regardless of physiological status. This implies that
the chemical species that react with surfactant molecules, i.e.,
O3 or its metabolites, are the
same as or proportional to those chemical species responsible for
initiating PMN inflammation. Additional experiments showed that lung
tissue ascorbic acid concentration was significantly lower in pregnant and lactating rats than in virgin female rats. Although a causative relationship cannot be assumed, the deficit in tissue ascorbic acid
concentration in pregnant and lactating rats compared with virgin
female rats is consistent with their greater responsiveness and higher
relative surfactant O3 dose.
ozone; ascorbic acid; antioxidant; surfactant; polymorphonuclear
leukocyte
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INTRODUCTION |
SEVERAL STUDIES FROM OUR LABORATORY (5, 6, 29) have
demonstrated that rats late in pregnancy and throughout lactation are
more susceptible to acute ozone
(O3)-induced pulmonary
inflammation and damage than virgin female rats, rats early in
pregnancy, or postlactating rats. Data from one of these studies (29)
suggested that a significant portion of the difference in pulmonary
response between lactating and postlactating animals stems from the
greater inhaled O3 dose in
lactating rats due to their metabolically driven higher ventilation. In
addition to the difference in total inhaled O3 dose, a significant difference
in regional dose to the lower lung of lactating and postlactating rats
must also occur because of the considerably larger tidal volume in
lactating rats that drives O3
deeper into the alveolar region (15). It seems probable that
O3 delivered deeply into the
alveolar region may have a disproportionately greater effect on the
induction of inflammatory changes. The earlier study by Weideman et al.
(29) did not address this concept because accurate assessment of the
regional dose from the available data was not possible. In the study
presented here, the relative O3 dose received by the lower lungs of pregnant, lactating, and
prepregnant (virgin female) rats is estimated, and the possibility that
the relative dose to this region can account for documented differences in O3-induced inflammatory
responses among these physiological states is explored.
Biological responses in the lung after
O3 exposure are not directly
dependent on the concentration of
O3 in inhaled air but rather on
the rate and duration of delivery of
O3 or
O3 metabolites to critical
reactive sites in the respiratory tract tissues (i.e., O3 dose to the tissue). Among
groups of dissimilar animals (e.g., different physiological states)
exposed to the same O3
concentration, this critical parameter of dose may vary due to inherent
differences in, for example, lung chemistry or ventilation. The lower
lung was targeted for dose estimates because it is believed that
O3-induced lung inflammation is
initiated primarily by reactions in the lower air spaces rather than in
the upper airways. The amount of
O3 or active
O3 metabolite that reacts with
specified components of the lower lung was measured by the methods of
Hatch and colleagues (7, 8) and Santrock et al. (23) and
was assumed to be proportional to the
O3 dose to the lower lung. The
rationale for this method is that
18O derived from inhaled
18O3
acts as a tracer for O3 or
O3 metabolites that react with
cellular or acellular components of interest (i.e.,
18O3-derived
reaction products). For example, Hatch et al. (8) considered
18O incorporated into the
bronchoalveolar lavage (BAL) fluid (BALF) cell pellet and the
surfactant pellet to be estimates of the
O3 dose to the alveolar region of
the lung because this is primarily where these targets are located.
Experiments from the study presented here show that differences in
O3-induced pulmonary inflammation among pregnant, lactating, and virgin female rats were consistent with
differences in O3 surfactant dose
measured as 18O incorporated into
the surfactant pellet collected by BAL (i.e., 18O3-derived
reaction products incorporated into the surfactant pellet). Additional
experiments comparing the antioxidant status of the lungs of pregnant,
lactating, and virgin female rats were performed because the responses
to O3 are believed to be modulated by antioxidant factors in the lung (3). These experiments revealed that
measurements of surfactant O3 dose
and inflammatory response among these physiological groups were
inversely correlated with pulmonary ascorbic acid (AA) concentration.
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METHODS |
Experimental animals. The rats used in
this study were Sprague-Dawley supplied by Charles River Laboratories.
Pregnant and lactating rats were mated by the breeder at 8-9 wk of
age. The rats were received ~1 wk before exposure and were housed
singly in solid-bottom cages in a room maintained at 20-23°C
and 45-55% relative humidity with a 6 AM to 6 PM light cycle.
Purina rodent chow and water were provided ad libitum. On the day of
exposure to O3 or air, the
pregnant rats were at gestation day 17 (day of vaginal plug called day 1)
and lactating rats were 13 days postpartum. At exposure, virgin female
rats were between 10 and 14 wk, pregnant rats ~12 wk, and lactating
rats 13-14 wk of age.
BAL and nasal lavage. BAL was
performed as previously described (5). Briefly, the rats were
exsanguinated via the abdominal aorta after an overdose of
intraperitoneal pentobarbital sodium. The trachea was cannulated with a
blunted 15-gauge needle, and the chest cavity was opened. The lungs
were inflated to total capacity with calcium- and magnesium-free
phosphate-buffered saline (PBS; pH 7.2) that flowed passively from a
reservoir maintained at a height of 25 cm of buffer. The PBS remained
in the lungs for 30 s after total inflation (i.e., 30-s dwell time) and
was then briskly withdrawn manually with a syringe attached to the tracheal cannula via a three-way adapter. This BALF
(BALF 1) was stored on ice, and the
procedure was repeated five times. The BALF was centrifuged at 4°C
at 450 g (low-speed centrifugation), and the supernatant and cells were processed and saved for later analytic procedures.
After BAL, the nasal passages of some rats were lavaged retrogradely
via a blunted, 1.8-cm-long, 15-gauge stainless steel needle that was
inserted into the trachea just distal to the larynx, advanced
anteriorly through the nasopharyngeal orifice, and secured with suture
thread. The jaw of the rat was removed so that pressure could be
applied on both sides of the catheter to prevent leakage into the oral
cavity during lavage. A syringe containing 1.4 ml of PBS was attached
to the needle hub, the contents were slowly forced through the nasal
passages, and the nasal lavage (NL) fluid (NLF) was collected as it
dripped from the nares.
Animal exposures. The rats were
restrained in tube holders and acutely exposed to either 0.5, 0.8, or
1.1 parts/million (ppm) O3 or
charcoal-filtered air for 1-4 h beginning at approximately 9 AM in
a stainless steel "nose-only" apparatus (CH Technologies, Westwood, NJ). O3 was generated by
passing a mixture of 1% O2 (16O or
18O, 99% purity) in argon through
an electric arc generator at a precisely controlled flow rate in the
range of 30-100 ml/min. The efficiency of conversion of
O2 to
O3 in this system was ~4%. The
O3 output was mixed with a stream
of charcoal-filtered air (~15 l/min), and the
O3 concentration generated was
maintained within ±2.0% of the target by controlling the flow of
O3 from the arc generator. The
O3 concentration was monitored
continuously with a Dasibi 1003-PC
O3 analyzer (Dasibi Environmental,
Glendale, CA), which was calibrated quarterly with a Monitor
Laboratories (San Diego, CA) calibrator. The background
O3 concentration in the
charcoal-filtered air was 0.00-0.02 ppm.
Separate groups of animals of each status were exposed to identical
concentrations of either
18O3
(tracer isotope) or
16O3
(common isotope) and killed at different times after
exposure to accurately assess both dose and inflammatory responses.
This was necessary because the optimum time for the collection of
material for measurement of
18O3-derived
reaction products (dose) is immediately after exposure because of the
relatively short half-life of these reaction products (~6 h; Ref.
23), whereas the optimum time for detection of inflammatory changes is
generally the day after exposure. Exposure to
18O3
for estimation of dose was 3 h in duration, and exposure to 16O3
for measurement of inflammatory changes was 4 h in duration. Because
18O3-derived
reaction products were used as a measure of relative dose (as opposed
to absolute dose), these estimates of relative dose after 3 h of
exposure were valid for rats exposed to
O3 for 4 h. All three
physiological groups were exposed to 0.5 and 0.8 ppm in both
18O3
and
16O3
exposure regimens; however, only the virgin female group was exposed to
1.1 ppm. Virgin female rats were exposed to the higher concentration of
O3 to produce surfactant doses and
inflammatory responses that were approximately comparable to those of
the pregnant and lactating groups exposed to 0.8 ppm
O3.
Preparation of samples for estimation of
dose. Animals acutely exposed to
18O3
were killed immediately (5-10 min) after exposure, and the cell
pellets from the low-speed centrifugation of BALFs
1-6 were combined
in a 1.5-ml microfuge tube and stored at
70°C. The
supernatants from the low-speed centrifugation of BALFs
1-3 were combined and centrifuged at 27,000 g (high-speed centrifugation) for 30 min. The resulting supernatant was discarded, and the pelleted material that contained most of the extracellular surface-active lipid-protein complex (22) was stored at
70°C. Although this procedure
does not give a quantitative recovery of surfactant, it is a frequently employed and accepted method for its collection. Therefore, this high-speed pellet is hereafter referred to as surfactant or surfactant pellet. The surfactant and cell pellet samples were lyophilized, transferred into tared 5 × 3.5-mm-diameter silver capsules, and weighed on a microbalance. The samples were secured by crimping the
capsules and were then stored at
70°C. All samples were
analyzed within 4 mo for 18O
concentration as described in
18O
analysis.
Preparation of samples for measurement of inflammatory
response. Groups of animals acutely exposed to
16O3
(common isotope) were killed 20 ± 1 h after exposure. Aliquots of
BALF 1 supernatant from the low-speed
centrifugation were frozen at
70°C for later protein
analysis (25). The cell pellets from all six lavages
(BALFs
1-6) were
pooled and enumerated, and viability was determined by trypan blue
exclusion at a magnification of ×400. The viability of all groups
was >90%, and there were no differences among groups. Slides of
cells from the BALF pellets were prepared with a cytospin centrifuge,
fixed with methanol, and stained with a Hemacolor stain set (EM
Diagnostic Systems, Gibbstown, NJ) for differentiation of 500 inflammatory cells/rat at a magnification of ×1,000.
Preparation of samples for antioxidant
analysis. Other groups of animals were acutely exposed
to air or 0.8 ppm
16O3
and killed immediately after exposure for BAL and NL. Aliquots of
BALF 1 and NLF supernatants from the
low-speed centrifugations were stabilized in 2.5% perchloric acid and
stored at
70°C. Both stabilized supernatants were later
analyzed for AA and uric acid (UA).
Lung tissue from additional groups of naive rats was prepared for
subsequent determination of several antioxidant species. Approximately
0.2 and 0.3 g wet weight of lung tissue perfused via the pulmonary
artery and devoid of major bronchi were homogenized with a Kinematica
tissue homogenizer (model PT 10-35, Brinkmann Instruments, Westbury,
NY) in 3.0 ml of 3.0% perchloric acid and 3.0 ml of 1.15% KCl-50 mM
Tris buffer, pH 7.6, respectively. The homogenates were centrifuged at
20,000 g for 30 min, and the
supernatants were stored frozen at
70°C pending analysis for
AA, UA, and total glutathione (perchloric acid supernatant) and for
glutathione peroxidase, glutathione reductase, superoxide dismutase,
glucose-6-phosphate dehydrogenase (G6PDH), and catalase (Tris buffer
supernatant). A third piece of perfused lung tissue (~0.5 g wet wt)
was stored at
70°C for subsequent vitamin E analysis.
Antioxidant analyses. Aliquots used
for enzymatic activity determinations were clarified after being thawed
by centrifugation at 12,000 g for 20 min. Glutathione peroxidase activity was determined from the
consumption of NADPH in the presence of
tert-butyl hydroperoxide and
glutathione reductase activity from the reduction of
dithio(bis)nitrobenzoic acid (9). G6PDH activity was determined by the
method of Lohr and Waller (13), superoxide dismutase activity by
inhibition of the reduction of pyrogallol (14), and catalase by the
method of Wheeler et al. (30). All enzymatic analyses were performed with a COBAS FARA autoanalyzer. Perchloric acid supernatants of tissue
homogenates and BALFs were clarified by centrifugation at 20,000 g for 20 min and assayed for AA and UA
by HPLC with amperometric detection (11). The perchloric acid tissue
homogenate supernatant was also analyzed for total glutathione
(oxidized plus reduced) with a cycling assay with the COBAS FARA
autoanalyzer (1). Tissue vitamin E concentration was determined by HPLC analysis of the concentrated heptane extract of a 80% ethanol tissue
homogenate (27).
18O analysis.
Determination of the 18O
concentration in lyophilized surfactant and cell pellet samples was
accomplished by the analytic method described by Hatch et al. (8). In
brief, this method consists of mass-spectrophotometric determination of
the ratio of 18O to
16O in the sample after conversion
of O2 to
CO2. The raw data thus determined
(18O-to-16O
ratios) were corrected for background tissue
18O that results from the presence
of ~0.2% of atmospheric O2 in the 18O isomeric form. This
background ratio of 18O to
16O is identical in all tissues
and can be determined by analysis of plasma from air-breathing rats.
The background
18O-to-16O
ratio established from rat plasma was subtracted from each surfactant and cell pellet sample
18O-to-16O
ratio obtained from rats exposed to
18O3.
The resulting corrected ratios represented the fractional enrichment of
18O due to
18O3
exposure. The corrected sample ratios were then converted to "excess
micrograms of 18O per gram of dry
weight" (8).
Statistics. Protein and
polymorphonuclear leukocyte (PMN) responses (see Figs. 1 and 2) and
BALF AA as well as NLF AA concentrations (see Table 2) in virgin
female, pregnant, and lactating rats exposed to
O3 or air were analyzed by
two-factor analysis of variance (ANOVA). After detection of significant
differences for protein and PMN responses, comparisons among
physiological groups exposed to the same
O3 concentration were made by
single-factor analysis of variance and Tukey-Kramer post hoc test. For
BALF AA data, Dunnett's two-tailed post hoc test was used to compare
the pregnant and lactating groups with the virgin group, and
t-tests were used to compare
O3 versus air exposure within each
physiological group. The activity of each pulmonary antioxidant factor
(see Table 1) was compared among the three physiological groups with a
one-way ANOVA. If a significant effect was observed, Dunnett's
two-tailed post hoc test was used to compare the pregnant and lactating
groups with the virgin group. The slopes of linear regressions (see
Figs. 1, 2, 6, and 7) were compared by analysis of covariance (31).
 |
RESULTS |
Comparison of pulmonary responses of virgin female, pregnant, and
lactating rats to acute O3 exposure.
Data on inflammation and damage from rats exposed to 0.5, 0.8, or 1.1 (virgin female rats only) ppm
O3 for 4 h are shown in Figs.
1 (BALF PMN) and
2 (BALF protein). Both responses were
greater in pregnant and lactating rats than in virgin female rats, and the absolute differences increased as the
O3 concentration increased. Two-factor ANOVA showed that there were significant differences with
respect to physiological group, O3
concentration, and the interaction of these two factors for both BALF
protein and PMN responses. Subsequent single-factor ANOVA followed by
post hoc testing indicated significant differences among the
physiological groups at 0.5 and 0.8 ppm
O3 concentrations as shown in
Figs. 1 and 2. This pattern of response is similar to those previously observed after 6-h exposures (5, 29).

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Fig. 1.
Pulmonary polymorphonuclear leukocyte (PMN) response of virgin female,
pregnant, and lactating rats 20 h after exposure to 0.5, 0.8, or 1.1 parts/million (ppm) ozone (O3;
16O3)
for 4 h. In all groups, the predominant inflammatory cell type was the
macrophage. Bronchoalveolar lavage fluid (BALF) PMN percentage of
inflammatory cells for each
O3-exposed rat was adjusted for
background PMNs by subtraction of mean BALF PMN value obtained from
air-exposed control rats. Each data point is mean ± SE of 5-7
animals. Mean BALF PMN values for air-exposed virgin female, pregnant,
and lactating rats were 0.5, 0.9, and 3.3%, respectively.
Significantly different (P < 0.05 by
ANOVA with Tukey-Kramer post hoc test) from:
a the other 2 groups at the
same concentration; b virgin
female group at the same concentration.
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Fig. 2.
Pulmonary protein response (protein concentration in
BALF 1) of virgin female, pregnant,
and lactating rats 20 h after exposure to 0.5, 0.8, or 1.1 ppm
16O3
for 4 h. BALF 1 protein concentration
of each O3-exposed rat was
adjusted for background protein by subtraction of mean
BALF 1 protein concentration obtained
from air-exposed control rats. Each data point is mean ± SE of
5-7 animals. Mean BALF 1 protein
concentrations for air-exposed virgin female, pregnant, and lactating
rats were 89, 114, and 114 µg/ml, respectively.
a Significantly different
from virgin female and pregnant groups at the same concentration,
P < 0.05 by ANOVA with Tukey-Kramer
post hoc test.
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Assessment of relative O3 dose in the
lower lungs of virgin female, pregnant, and lactating rats.
The relative dose of O3
(O3 itself or reactive metabolites
of O3) delivered to reactive
sites in the lower lung was estimated by measuring the concentration of
18O in lavageable surfactant and
inflammatory cells immediately after exposure to
18O3.
To explore the validity of this estimation, the linearity of
incorporation of 18O was
investigated in virgin female rats exposed to 0.8 ppm
18O3
for periods of 1-4 h (Fig. 3). Note
that incorporation of 18O was
reasonably linear in both surfactant and lavaged cells, although the
rate was considerably greater in the surfactant.

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Fig. 3.
Incorporation of 18O into
surfactant and cell pellets immediately after exposure of virgin female
rats to 0.8 ppm
18O3
for 1-4 h. Each data point is mean ± SE of 4-6 rats.
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Subsequently, groups of virgin female, pregnant, and lactating rats
were exposed to either 0.5, 0.8, or 1.1 (virgin female rats only) ppm
18O3
for 3 h, and immediately after exposure, samples were collected for
determination of the concentration of
18O in surfactant and cells in the
BALF (in µg 18O/g dry weight of
surfactant or cells). These values were used as estimates of relative
O3 dose to the lower lung. Figure
4 shows the relationship between
O3 concentration and the
incorporation of 18O into
surfactant for the three physiological groups. As expected from
previous ventilation data (29), there was a concentration-related increase in 18O incorporation in
each physiological group, and incorporation was significantly greater
in lactating rats (due to their greater ventilation) than in virgin
female rats. In contrast, a similar relationship was not observed
between O3 concentration and
18O incorporation into the BALF
cell pellet for pregnant and lactating rats (Fig.
5). The slight decrease in
18O incorporation into the BALF
cell pellet at 0.8 ppm O3 compared with 0.5 ppm O3 is
counterintuitive and probably the result of contamination of the cell
pellet with a relatively large amount of debris from epithelial cells
(see DISCUSSION). Thus
18O incorporation into the
surfactant but not into the BALF cell pellet appears to be a reliable
indicator of relative O3 dose to
the lower lung.

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Fig. 4.
Relative surfactant O3 dose as a
function of O3 concentration in
virgin female, pregnant, and lactating rats exposed for 3 h to
18O3.
Each data point is mean ± SE of 4-6 rats.
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Fig. 5.
Relative cell pellet O3 dose as a
function of O3 concentration in
virgin female, pregnant, and lactating rats exposed for 3 h to
18O3.
Each data point is mean ± SE of 4-6 rats.
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Relationship between relative O3 dose to
the lower lung and pulmonary responses in virgin female, pregnant, and
lactating rats.
To establish the relationship between PMN inflammation and relative
O3 dose in the lower lung, mean
values of BALF PMNs for each physiological group at each concentration
(Fig. 1) were regressed against their respective mean
O3 doses estimated as
surfactant-incorporated 18O (also
termed "relative surfactant O3
dose"). The result, illustrated in Fig.
6, indicates very good correlation between
PMN inflammation and relative surfactant
O3 dose regardless of the
physiological status. Analysis of the PMN values from individual
animals (not mean values) showed that the slopes of the linear
regressions of virgin female, pregnant, and lactating rats were not
significantly different from the common regression slope derived from
all data when the relative dose was used as the regressor
(P > 0.05;
F = 2.94; Fig. 6), whereas the slopes
were significantly different when concentration was used as the
regressor (P < 0.05;
F = 8.90; Fig. 1). Data of BALF
protein were analyzed similarly and are illustrated in Fig.
7. Although the
F ratio improved from 44.51 to 11.26 when relative dose (Fig. 7) was used as the regressor instead of
concentration (Fig. 2), individual regression slopes of the
physiological groups were still significantly different from the common
regression slope (P < 0.05),
probably due mainly to the exaggerated BALF protein response in the
lactating group after 0.8 ppm O3.
It is thought that the protein response in this group was exaggerated
because of localized regions of breakdown of the blood-alveolar barrier
resulting in pockets of air spaces flooded with plasma proteins (see
DISCUSSION).

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Fig. 6.
Pulmonary PMN response of virgin female, pregnant, and lactating rats
20 h after exposure to 0.5, 0.8, or 1.1 ppm
16O3
for 4 h regressed against mean relative surfactant
O3 dose determined in separate
groups of rats immediately after exposure to
18O3.
PMN response data are the same as illustrated in Fig. 1, and relative
surfactant O3 dose data are the
same as shown in Fig. 4.
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Fig. 7.
Pulmonary protein response of virgin female, pregnant, and lactating
rats 20 h after exposure to 0.5, 0.8, or 1.1 ppm
16O3
for 4 h regressed against mean relative surfactant
O3 dose determined in separate
groups of rats immediately after exposure to
18O3.
High-dose lactating group mean data point was not used in fitting the
regression line. Protein response data are the same as illustrated in
Fig. 2, and relative surfactant O3
dose data are the same as shown in Fig. 4.
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Antioxidant activity in the respiratory tract of
virgin female, pregnant, and lactating rats. Responses
to O3 are believed to be modulated
by antioxidant factors in the lung (3). Because pregnant and lactating
rats clearly exhibit greater inflammatory responses and higher
18O incorporation into surfactant
than do virgin female rats inhaling identical concentrations of
O3, we investigated the
possibility that the lungs of pregnant and lactating rats possess
inferior antioxidant activity relative to the lungs of virgin female
rats. Table 1 lists the activity or
concentration of several important antioxidant enzymes and other
factors in lung tissue from naive virgin female, pregnant, and
lactating rats that together summarize their relative antioxidant
profiles. Significant differences among these physiological groups were
observed only for AA, G6PDH, and glutathione (one-way ANOVA). For these
three factors, the values obtained for pregnant and lactating rats were
compared with those for virgin female rats with Dunnett's two-tailed
post hoc test. Changes in G6PDH and glutathione were significantly
different from values for virgin female rats only in the pregnant
animals, and these changes were relatively small in terms of the
percentage of the values for the virgin female rats. In addition, the
direction of the changes (increased activity compared with virgin
female rats) was opposite from that which would be predicted from the inflammation data. Therefore, these changes were judged to be random
type 1 errors and of no biological significance. On the other hand, for
AA, significant decreases were observed in both pregnant and lactating
rat lung tissues that were consistent with inflammation data. In
addition, these decrements were large relative to the values for the
virgin female rats and thus were viewed to be of potential biological
significance.
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Table 1.
Activity or concentration of antioxidant species in lung tissue from
naive virgin female, pregnant, and lactating rats
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The difference among virgin female, pregnant, and lactating rats with
respect to pulmonary AA concentrations was investigated further by the
determination of AA concentration in BALF supernatant. Because the BAL
procedure samples predominantly the lower lung, the BALF AA
concentration is representative of AA in the fluid layer coating the
terminal bronchioles and alveolar region [i.e., epithelial lining
fluid (ELF)], as well as AA that diffuses from the epithelial
cells during the BAL procedure. Data summarizing the concentration of
AA in BALF 1 supernatant collected from groups of virgin
female, pregnant, and lactating rats immediately after either sham
exposure to air or acute exposure to 0.8 ppm
O3 for 4 h are shown in Table
2. Two-factor ANOVA of the data indicated significant differences with respect to both physiological status and
exposure (air or O3). The mean
concentrations of BALF AA in air-exposed pregnant and lactating rats
were significantly less than the mean concentration in air-exposed
virgin female rats (P < 0.05 by
Dunnett's two-tailed test). This result is in agreement with AA
concentration data from lung tissue (Table 1). In addition, exposure to
0.8 ppm O3 for 4 h caused a
significant, 40-50% depression in AA concentration immediately
after exposure in all status groups (P < 0.05 by Student's t-test). In
contrast to AA and in agreement with lung tissue data (Table 1), the
mean BALF UA concentrations of pregnant and lactating control
(air-exposed) rats were not significantly different from that of virgin
female rats, and exposure to O3
did not significantly lower BALF UA concentration in any group (Table
2). UA is believed to be an antioxidant of biological significance in
human respiratory tract lining fluid (RTLF), especially in the upper
respiratory tract (3, 17).
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Table 2.
AA and UA concentrations in BALF and NLF of virgin female, pregnant,
and lactating rats immediately after exposure to air or 0.8 ppm ozone
for 4 h
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AA concentrations in the upper airways were estimated from the
concentration of AA in NLF collected from the same animals sampled by
BAL (Table 2). There was no correlation between NLF AA and BALF AA
concentrations in individual animals (data not shown). Also, unlike
BALF AA, mean NLF AA concentrations in sham-exposed pregnant and
lactating groups were not significantly different from the virgin
female sham-exposed group. The overall trend of the data indicated that
O3 exposure caused a large
decrease in the absolute mean NLF AA concentration in each
physiological group. These differences were not significant, however,
due to the large intragroup variability. The source of the extreme
variability of these data was not investigated and may have been caused
by sampling or other artifacts or may reflect real differences in tissue levels. Analytic error was not the root of most of the variability because a duplicate analysis of the samples showed good
agreement with the initial analysis (data not shown).
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DISCUSSION |
This study confirms that greater air space PMN and protein levels are
induced in pregnant and lactating rats than in virgin female rats by
acute exposure to the same concentrations of
O3. In addition, the present study
extends the investigation of responses among these physiological states
to include the relationship between pulmonary inflammation and an
estimate of relative O3 dose in the lower lung. This estimate consists of surfactant-incorporated 18O reaction products derived from
inhaled
18O3.
The concentration of 18O in
surfactant is thought to be proportional to the
O3 molecules that penetrate into
the air spaces of the lower lung and escape scavenging by antioxidant
molecules in the ELF. Although the chemical identity of the
18O3-derived
reaction products is not identified in this analysis, it is probable
that incorporated 18O reflects
chemically and biologically active
O3 metabolites. The validity of
surfactant
18O3-derived
reaction products as an estimate of
O3 dose to the lower lung is
supported by the linear incorporation of
18O with respect to time of
exposure to
18O3
(Fig. 3). In addition, the greater rate of incorporation of 18O into the surfactant of
lactating rats compared with the surfactant of virgin female rats (Fig.
4) is consistent with the higher tidal volumes in lactating rats (28,
29).
Data from three previous studies (8, 10, 24) have shown that there is a
direct correlation between
18O3-derived
reaction products in the BAL high-speed pellet (surfactant) and
indicators of toxicity and inflammation. This positive correlation is
confirmed by the results of this study that, in addition, show that the
relationship between surfactant dose and PMN inflammation is linear
among three physiologically diverse groups of rats exposed to several
O3 concentrations (Fig. 6). Thus
the data illustrated in Fig. 6 demonstrate that the surfactant
O3 dose
(18O3-derived
reaction products in surfactant) is a reliable measure of the
effectiveness of O3 in causing
pulmonary PMN inflammation regardless of physiological status. This
relationship implies that the O3
and/or metabolites of O3
that react with surfactant are either the same as or proportional to
the chemical species responsible for initiating inflammation. It can
also be inferred from Fig. 6 that the difference in PMN response to
acute O3 exposure among these
physiological states (Fig. 1) can probably be explained by factors that
determine the surfactant O3 dose
in the lower lung, such as ventilation and the concentration of key
antioxidants, not by differences in the inherent sensitivity of
pulmonary tissues to O3 or its
proximal toxicants.
Although not as sensitive to O3
exposure as BALF PMNs, the BALF protein response to acute
O3 exposure is a reasonably good linear function of surfactant O3
dose (Fig. 7) provided that the exaggerated response of lactating rats
after exposure to 0.8 ppm is excluded. The basis for this exclusion is
the suspected localized breakdown of the blood-air barrier in the
high-concentration lactating group. Although the majority of airway
protein detected in all other groups probably consisted of plasma
proteins that transuded a relatively intact epithelial-capillary
barrier, in the 0.8 ppm O3-exposed
lactating group much of the airway protein is believed to have leaked
from ruptured blood vessels through a badly disrupted alveolar
epithelium. This is suggested by the relatively large number of red
blood cells (RBCs) in the BALF of this group (mean ~20 × 106) compared with the few RBCs
in the BALF of all other groups (mean ~1.4 × 106). Such leakage of blood
would greatly increase the BALF protein concentration but would not
significantly affect the percentage of BALF PMNs because of the low
concentration of PMNs in blood relative to other types of leukocytes.
In theory, lavageable inflammatory cells (largely macrophages) present
in the RTLF of the normal lung should function similarly to surfactant
molecules as reactive sites for O3
and its metabolites. In actuality, however, the concentration of
18O3-derived
reaction products in the BALF pellet of inflammatory cells was not as
good an indicator of O3 dose as
was surfactant 18O (compare Figs.
4 and 5). There are two probable reasons for the unreliability of cell
pellet
18O3-derived
reaction products as an estimate of dose. First, the rate of
incorporation of 18O into the cell
pellet is slow relative to its incorporation into surfactant (see Fig.
3). Thus cell pellet-associated
18O is not responsive to
relatively small increments in O3
dose. Second, exposure to high O3
concentrations causes some sloughing of epithelial cells, producing
cellular fragments or debris of unknown
18O concentration that contaminate
the inflammatory cells in the BALF cell pellet.
Other data from this study showed that lung tissue and BALF AA
concentrations are lower in pregnant and lactating rats than in virgin
female rats (Tables 1 and 2). This observed difference, especially the
apparent difference in AA concentration in the ELF, could be an
important factor modulating the rate of
O3 penetration to surfactant
molecules and other reactive sites in the lower lung. The RTLF (ELF
plus fluid lining the upper airways) is the initial compartment that
inhaled O3 encounters. It is
believed that O3 is essentially
completely removed from the air phase by reactive absorption in this
fluid layer (18, 19). Although the specific reactions of
O3 within the RTLF are not known,
it is thought that O3 can initiate
a cascade of potentially toxic reactions that includes reactions with
proteins and sites of unsaturation in fatty acids (19-21).
Alternatively, O3 may be scavenged
by certain antioxidant molecules, thus limiting entry into the more
toxic pathways (21). We hypothesize that an important factor in
modulating both the incorporation of
18O into surfactant molecules and
the induction of inflammation is the rate of removal of
O3 by antioxidants in the RTLF. In
rats, the most prominent antioxidant in the RTLF is AA (3). It has been
demonstrated in model systems that AA is depleted by
O3 and also that AA can
effectively remove O3 from an
airstream (2, 12, 26). Results from the experiments reported here
(Table 2), as well as those from a previously reported study (5), show
that AA is depleted in BALF 1 by acute
O3 exposure and thus are
consistent with the model experiments mentioned above. Furthermore, the
results of the present study are consistent with the concept that the
BALF 1 AA concentration reflects the
concentration of AA in the ELF and the underlying tissues. The reaction
of inhaled O3 with AA in the ELF
upsets the equilibrium between the ELF and the underlying cells,
ultimately depleting AA in the epithelial tissues and compromising
their capacity for protection against oxidant damage. Because pregnant
and lactating rats have lower concentrations of AA in their ELF and
tissues than virgin female rats (Tables 1 and 2), presumably a larger
amount of inhaled O3 will enter
into toxic reactive pathways in the former physiological states,
leading to both greater inflammation and greater incorporation into
surfactant molecules. Data from the present study are consistent with,
but do not confirm, this scenario because there may be other variables
(e.g., ventilation) among pregnant, lactating, and virgin female rats
that can affect O3-induced
inflammation and incorporation of
18O3-derived
reaction products into surfactant.
NL data (Table 2) suggest that AA in the lining fluid of the nasal
passages reacts with inhaled O3
and thus may function to protect the lower lung from
O3 exposure. A study by others (4)
showed that the nasal tissues (tissues anterior to the posterior
pharynx) of tidal-breathing humans remove an average of 40% of inhaled
O3. Therefore, it follows that factors affecting the
efficiency of removal of O3 by the
nasal passages have biological significance. One such factor may be the
presence of antioxidants in the nasal tissues and lining fluid. The
data from this study suggest that AA in the nasal passages of the rat
reacts with and removes inhaled
O3, much as UA is believed to do
in humans (16, 17). The NL data from this study also indicate that,
unlike the airways and tissues of the lung, there is no difference in AA concentration in the nasal passage RTLF among naive pregnant, lactating, and virgin female rats. Therefore, the observed differences in inflammation and surfactant O3
dose among these physiological states are unlikely to be caused by
differential removal of O3 in the
nasal passages by AA.
There are data from other laboratories that suggest the importance of
ELF AA concentration in protection against the effects of acute
O3 exposure. For example, in a
study investigating the effect of dietary restriction on acute
O3 toxicity in rats, Kari et al.
(10) reported relationships similar to those observed here. Their data
showed an inverse relationship between BALF AA concentration and both
pulmonary inflammation and incorporation of
18O3-derived
reaction products into lung surfactant and cells. In their study, BALF
glutathione was also elevated in diet-restricted animals and,
therefore, like AA might have influenced the mitigation of
O3 effects in these rats.
In conclusion, this study has demonstrated that quantitatively
disparate inflammatory responses among prepregnant (virgin), pregnant,
and lactating rats acutely exposed to
O3 can be explained by
proportional O3 doses in the lower
lung as estimated by
18O3-derived
reaction products incorporated into the surfactant collected by BAL. AA
concentration in the BALF and lung tissue correlated inversely with
inflammation and surfactant O3
dose in these groups of rats and may, in part, mediate the observed differences.
 |
ACKNOWLEDGEMENTS |
We thank Ralph Slade, Kay Crissman, and Judy Richards for
antioxidant factor analyses; Linda P. Harris for oxygen-18 analysis; and Allen Bowers for assisting with ozone-18 exposures.
 |
FOOTNOTES |
This research was supported by National Institute of Environmental
Health Sciences (NIEHS) Grant ES-05939 and is part of a center program
supported by NIEHS Grant ES-00260.
This report has been reviewed by the National Health and Environmental
Effects Research Laboratory, United States Environmental Protection
Agency (USEPA), and was approved for publication. Approval does not
signify that the contents necessarily reflect the views and policies of
the USEPA nor does mention of trade names of commercial products
constitute endorsement or recommendation for use.
The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement"
in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Address for reprint requests: A. F. Gunnison, New York Univ. Medical
Center, Nelson Institute of Environmental Medicine, 57 Old Forge Rd.,
Tuxedo, NY 10987.
Received 15 July 1998; accepted in final form 9 November 1998.
 |
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