Mechanisms of nitrogen dioxide toxicity in humans. Research report, Jul 85-Oct 90

The studies evaluated short-term respiratory effects of NO2 and identified markers of its toxicity during exposures designed to approximate realistic conditions. Bronchoalveolar lavage (BAL) was used to evaluate effects induced in the airways and air spaces. Exposure protocols were designed to assess the duration of NO2 induced effects and to determine exposure-response relationships. Groups of normal, nonsmoking volunteers of both sexes between the ages of 18 and 40 years old were screened to select subjects that did not exhibit excessive airway reactivity to a carbachol, a drug that causes airways to constrict. Subjects were exposed to nitrogen dioxide or air for three hours. Pulmonary function was measured during and after exposure, and airway reactivity to carbachol was assessed before and after exposure. Lavaged cells were examined for their capacity to inactivate influenza virus and secrete IL-1 in vitro. Cell-free lavage fluid was analyzed for total protein, albumin, alpha 2-macroglobulin, arylsulfatase, and alpha 1-protease inhibitor. In Phase 1 of the study, 15 subjects were exposed to a background concentration of 0.05 parts per million (ppm) NO2 with three 15-minute peaks of 2.0 ppm, and then underwent BAL 3.5 hours after exposure. During Phase 2, eight subjects were exposed to 0.60 ppmmore » NO2 and underwent BAL 18 hours later. In Phase 3, 15 subjects were exposed to 1.5 ppm NO2 and underwent BAL 3.5 hours later. No significant symptomatic or pulmonary function changes were detected in response to any of the NO2 exposures. However, a small but significant increase in airway reactivity was observed after exposure to 1.5 ppm NO2. No symptoms were induced in any of the groups by the carbachol exposures. Analyses of cells recovered by BAL during all three phases revealed no differences in total cell recovery, cell viability, or differential cell counts.« less