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Lam CW, Castranova V, Driscoll K, Warheit D, Ryder V, Zhang Y, Zeidler-Erdely P, Hunter R, Scully R, Wallace W, James J, Crucian B, Nelman M, McCluskey R, Gardner D, Renne R, McClellan R. A review of pulmonary neutrophilia and insights into the key role of neutrophils in particle-induced pathogenesis in the lung from animal studies of lunar dusts and other poorly soluble dust particles. Crit Rev Toxicol 2023; 53:441-479. [PMID: 37850621 PMCID: PMC10872584 DOI: 10.1080/10408444.2023.2258925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 08/27/2023] [Indexed: 10/19/2023]
Abstract
The mechanisms of particle-induced pathogenesis in the lung remain poorly understood. Neutrophilic inflammation and oxidative stress in the lung are hallmarks of toxicity. Some investigators have postulated that oxidative stress from particle surface reactive oxygen species (psROS) on the dust produces the toxicopathology in the lungs of dust-exposed animals. This postulate was tested concurrently with the studies to elucidate the toxicity of lunar dust (LD), which is believed to contain psROS due to high-speed micrometeoroid bombardment that fractured and pulverized lunar surface regolith. Results from studies of rats intratracheally instilled (ITI) with three LDs (prepared from an Apollo-14 lunar regolith), which differed 14-fold in levels of psROS, and two toxicity reference dusts (TiO2 and quartz) indicated that psROS had no significant contribution to the dusts' toxicity in the lung. Reported here are results of further investigations by the LD toxicity study team on the toxicological role of oxidants in alveolar neutrophils that were harvested from rats in the 5-dust ITI study and from rats that were exposed to airborne LD for 4 weeks. The oxidants per neutrophils and all neutrophils increased with dose, exposure time and dust's cytotoxicity. The results suggest that alveolar neutrophils play a critical role in particle-induced injury and toxicity in the lung of dust-exposed animals. Based on these results, we propose an adverse outcome pathway (AOP) for particle-associated lung disease that centers on the crucial role of alveolar neutrophil-derived oxidant species. A critical review of the toxicology literature on particle exposure and lung disease further supports a neutrophil-centric mechanism in the pathogenesis of lung disease and may explain previously reported animal species differences in responses to poorly soluble particles. Key findings from the toxicology literature indicate that (1) after exposures to the same dust at the same amount, rats have more alveolar neutrophils than hamsters; hamsters clear more particles from their lungs, consequently contributing to fewer neutrophils and less severe lung lesions; (2) rats exposed to nano-sized TiO2 have more neutrophils and more severe lesions in their lungs than rats exposed to the same mass-concentration of micron-sized TiO2; nano-sized dust has a greater number of particles and a larger total particle-cell contact surface area than the same mass of micron-sized dust, which triggers more alveolar epithelial cells (AECs) to synthesize and release more cytokines that recruit a greater number of neutrophils leading to more severe lesions. Thus, we postulate that, during chronic dust exposure, particle-inflicted AECs persistently release cytokines, which recruit neutrophils and activate them to produce oxidants resulting in a prolonged continuous source of endogenous oxidative stress that leads to lung toxicity. This neutrophil-driven lung pathogenesis explains why dust exposure induces more severe lesions in rats than hamsters; why, on a mass-dose basis, nano-sized dusts are more toxic than the micron-sized dusts; why lung lesions progress with time; and why dose-response curves of particle toxicity exhibit a hockey stick like shape with a threshold. The neutrophil centric AOP for particle-induced lung disease has implications for risk assessment of human exposures to dust particles and environmental particulate matter.
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Affiliation(s)
- Chiu-wing Lam
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
- Biomedical & Environmental Research Department, KBR Toxicology & Environmental Chemistry, Houston, TX, USA
- Department of Pathology and Laboratory Medicine, University of Texas Medical School at Houston, Houston, TX, USA
| | - Vincent Castranova
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Morgantown, WV, USA
| | - Kevin Driscoll
- Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, USA
| | | | - Valerie Ryder
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
| | - Ye Zhang
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
- Utilization and Life Sciences Office, Kennedy Space Center, Merritt Island, FL, USA
| | - Patti Zeidler-Erdely
- Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Morgantown, WV, USA
| | - Robert Hunter
- Department of Pathology and Laboratory Medicine, University of Texas Medical School at Houston, Houston, TX, USA
| | - Robert Scully
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
- Biomedical & Environmental Research Department, KBR Toxicology & Environmental Chemistry, Houston, TX, USA
| | - William Wallace
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
- Biomedical & Environmental Research Department, KBR Toxicology & Environmental Chemistry, Houston, TX, USA
| | - John James
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
| | - Brian Crucian
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
| | - Mayra Nelman
- Biomedical Research and Environmental Sciences Division, NASA Johnson Space Center, Houston, TX, USA
- Biomedical & Environmental Research Department, KBR Toxicology & Environmental Chemistry, Houston, TX, USA
| | | | | | - Roger Renne
- Roger Renne ToxPath Consulting Inc., Sumner, WA, USA
| | - Roger McClellan
- Toxicology and Human Health Risk Analysis, Albuquerque, NM, USA
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Krieger SS, Makedonas G, Mehta S, Nelman M, Pierson D, Tyring S, Choukèr A, Feuerecker M, Strewe C, Sams C, Crucian B. Stress Induced Immune Dysregulation: A Continuum Spanning Antarctica Winterover, Spaceflight, and Terrestrial Patients. The Journal of Immunology 2019. [DOI: 10.4049/jimmunol.202.supp.182.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Abstract
Spaceflight, a unique environment characterized by stress, microgravity, isolation, circadian misalignment, and radiation exposure, impacts immune health. This analysis compares various aspects of immune dysregulation in astronauts during long-duration orbital spaceflight to ground-analog populations, including hypoxic and normoxic Antarctic winterover. Astronaut data were also compared to a clinical immunodeficiency population, shingles patients, to help interpret clinical risks during deep space missions.
A comprehensive evaluation was performed across all platforms which included plasma and mitogen stimulated cytokine profiles, T cell function, and peripheral leukocyte distribution. A cross platform analysis was then performed to define in-flight immune alterations, determine analog appropriateness, and interpret clinical risk.
Astronauts manifest a distinct pattern of immune alterations, including unaltered leukocyte distribution, reduced T/NK cell function, and increases in plasma cytokines leading to the reactivation of latent herpesviruses. The pattern is similar to that observed in shingles patients, but reduced in magnitude. Immune alterations during interior Antarctic winterover were dissimilar from spaceflight, likely due to hypobaric hypoxia. Normoxic winterover, to date only cytokine data exist, appears more homologous to spaceflight.
Stress induced reductions in immunity can lead to clinical disease. This phenomenon may represent a continuum, where alterations in astronauts may represent more subtle variations which precede the development of disease. Antarctica data, at a magnitude between flight and disease, suggest that stress and circadian issues may be a primary contributor.
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