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1 Departments of Medicine, University of Vermont, Burlington, Vermont, USA
2 Department of Pathology, University of Vermont, Burlington, Vermont, USA
3 Department of Civil and Mechanical Engineering, University of Vermont, Burlington, Vermont, USA
* To whom correspondence should be addressed. E-mail: yvonne.janssen{at}uvm.edu.
In addition to being an air pollutant, nitrogen dioxide (NO2) is a potent inflammatory oxidant generated endogenously by myeloperoxidase and eosinophil peroxidase. In these studies, we sought to determine the effects of NO2 exposure on mice with ongoing allergic airway disease pathology. Mice were sensitized and challenged with the antigen, ovalbumin (OVA) to generate airway inflammation and subsequently exposed to 5 or 25 parts per million (ppm) NO2 for 3 days, or 5 days followed by a 20 day recovery period. While 5 ppm NO2 elicited no pathologic changes, inhalation of 25 ppm NO2 alone induced acute lung injury, which peaked after 3 days and was characterized by increases in protein, lactate dehydrogenase (LDH), and neutrophils recovered by bronchoalveolar lavage (BAL), as well as lesions within the terminal bronchioles. Importantly, 25 ppm NO2 was also sufficient to cause airways hyperresponsiveness (AHR) in mice, a cardinal feature of asthma. The inflammatory changes were ameliorated after 5 days of inhalation and completely resolved after 20 days of recovery following the 5 day inhalation. In contrast, in mice immunized and challenged with OVA, inhalation of 25 ppm NO2 caused a marked augmentation of eosinophilic inflammation and terminal bronchiolar lesions, which extended significantly into the alveoli. Moreover, 20 days post cessation of the 5 day 25 ppm NO2 inhalation regimen, eosinophilic and neutrophilic inflammation, pulmonary lesions, and AHR were still present in mice immunized and challenged with OVA. Collectively, these observations suggest an important role for NO2 in the airway pathologies associated with asthma, both in the modulation of the degree and the duration of the inflammatory response, as well as in the induction of AHR.
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