Date post: | 14-Nov-2023 |
Category: |
Documents |
Upload: | independent |
View: | 0 times |
Download: | 0 times |
JAP-01092-2005-R1
1
HOG BARN DUST EXTRACT INCREASES MACROMOLECULAR
EFFLUX FROM THE HAMSTER CHEEK POUCH
Israel Rubinstein1,2,3 and Susanna Von Essen4
Departments of Medicine1, and Biopharmaceutical Sciences2
Colleges of Medicine and Pharmacy, University of Illinois at Chicago,
and Jesse Brown VA Medical Center3, Chicago, Illinois 60612,
and Department of Internal Medicine4, University of Nebraska Medical Center,
Omaha, Nebraska 68198
Running Head: Hog barn dust and plasma exudation
Address for correspondence: Dr. Israel Rubinstein
Department of Medicine (M/C 719)
University of Illinois at Chicago
840 South Wood Street
Chicago, Illinois 60612-7323
Phone: (312) 996-8039
Fax: (312) 996-4665
E-mail: [email protected]
Page 1 of 31 Articles in PresS. J Appl Physiol (March 30, 2006). doi:10.1152/japplphysiol.01092.2005
Copyright © 2006 by the American Physiological Society.
JAP-01092-2005-R1
2
ABSTRACT
The purpose of this study was to determine whether short-term exposure to an
aqueous extract of hog barn dust increases macromolecular efflux from the intact
hamster cheek pouch and, if so, to begin to determine the mechanism(s) underlying this
response. By using intravital microscopy, we found that suffusion of hog barn dust
extract onto the intact hamster cheek pouch for 60 min elicited a significant,
concentration-dependent leaky site formation and increase in clearance of FITC-labeled
dextran (mol mass, 70 kDa). This response was significantly attenuated by suffusion of
catalase (60 U/ml), but not by heat-inactivated catalase, and by pretreatment with
dexamethasone (10 mg/kg, i.v.)(p<0.05). Catalase had no significant effects on
adenosine-induced increase in macromolecular efflux from the cheek pouch. Suffusion
of hog bran dust extract had no significant effects on arteriolar diameter in the cheek
pouch. Taken together, these data indicate that hog bran dust extract increases
macromolecular efflux from the in situ hamster cheek pouch, in part, through local
elaboration of reactive oxygen species that are inactivated by catalase. This response is
specific and attenuated by corticosteroids. We suggest that plasma exudation plays an
important role in the genesis of upper airway dysfunction evoked by short-term
exposure to hog barn dust.
Key Words: microcirculation; post-capillary venules; reactive oxygen species; catalase;
dexamethasone; plasma exudation; FITC-dextran; hamster
Page 2 of 31
JAP-01092-2005-R1
3
INTRODUCTION
A growing body of clinical evidence indicates that short-term exposure of workers
and healthy volunteers to hog barn dust is associated with intense airway inflammation
manifested in the upper airway as marked nasal congestion (4, 16-19, 25, 33-36). This
response, in turn, compromises upper airway patency and may adversely affect work
performance of these individuals (12-14, 18). Hence, there is an ongoing need to
elucidate mechanisms underlying hog barn dust-induced upper airway inflammation so
that appropriate preventive and therapeutic interventions could be implemented
accordingly (4, 32).
A hallmark of the host inflammatory response to upper airway injury is plasma
exudation from post-capillary venules leading to interstitial edema and tissue
dysfunction (7, 15, 20, 26). To this end, Kolbeck et al (16) and Ek et al (4) showed that
short-term exposure of the nasal mucosa of healthy individuals to hog barn dust is
associated with an increase in albumin concentration in the nasal lavage. These data
implied that hog barn dust evoked plasma exudation from the nasal mucosa. Support
for this notion came from the study of Vesterberg et al (33) who showed that 3-h
exposure of healthy volunteers to swine dust is associated with an increase in the
concentration of α2-macroglobulin, a robust biomarker of plasma exudation, in the
bronchoalveolar lavage fluid of these individuals. However, the mechanism(s)
underlying the edemagenic effects of hog barn dust in the upper airway were not
investigated in these studies.
Hence, the purpose of this study was to begin to address this issue by
determining whether short-term exposure to an aqueous extract of hog barn dust
Page 3 of 31
JAP-01092-2005-R1
4
increases macromolecular efflux from the intact hamster cheek pouch and, if so, to
determine the mechanism(s) underlying this response.
METHODS
General methods
Preparation of animals. Adult male golden Syrian hamsters weighing 120-130 g
were used in these studies as previously described in our laboratory and by other
investigators (1, 5, 6, 20-22, 28-30). Each animal was anesthetized with pentobarbital
sodium (6 mg/100 g body weight i.p.). A tracheostomy was performed to facilitate
spontaneous breathing. The left femoral vein was cannulated to inject the intravascular
tracer, fluorescein isothiocyanate-labeled dextran (FITC-dextran; mol mass, 70kDa) and
supplemental anesthesia (2-4 mg/100 g body weight/h). The left femoral artery was
cannulated to obtain arterial blood samples and to monitor systemic arterial pressure
and heart rate during the experiment. Body temperature was kept constant (37-38 °C)
during the experiment using a heating pad.
To visualize the microcirculation of the cheek pouch, we used a method
previously described in our laboratory and by other investigators (1, 5, 6, 20-22, 28-30).
Briefly, the left cheek pouch was spread gently over a small plastic base plate and an
incision was made in the skin to expose the cheek pouch membrane. The avascular
connective tissue layer was carefully removed and a plastic chamber was positioned
over the base plate and secured in place by suturing the skin around the upper
chamber. This chamber contained the suffusion fluid. This arrangement forms a triple-
layered complex: the base plate, the upper chamber and the cheek pouch membrane
Page 4 of 31
JAP-01092-2005-R1
5
exposed between both plates. The hamster was then transferred to a heated
microscope stage. The chamber was connected through thermally insulated tubing to a
reservoir containing warmed (37-38 °C) bicarbonate buffer (composition, in mM: NaCl,
131.9; KCl 2.95; CaCl2, 1.48; MgCl2, 0.76; NaHCO3, 11.87) that enabled continuous
suffusion of the cheek pouch. The buffer was bubbled continuously with 95% N2-5%
CO2 (pH=7.4). The temperature of the suffusate in the chamber was checked
periodically using a thermistor and kept at 37°C throughout the experiment by adjusting
the buffer’s temperature in the reservoir accordingly. The chamber was also connected
via a three-way valve to an infusion pump (Sage Instruments, Cambridge, MA) that
allowed for constant administration of drugs into the suffusate.
Determination of clearance of macromolecules. The cheek pouch
microcirculation was visualized with an Olympus microscope (Olympus America Inc,
Melville, NY) coupled to a 100-W mercury light source at a magnification of x40.
Fluorescence microscopy was accomplished with the aid of filters that matched the
spectral characteristics of FITC-dextran as previously described (1, 6, 20-22, 28-30).
Macromolecular leakage was determined by extravasation of FITC-dextran, which
appeared as fluorescent “spots” or leaky sites around post-capillary venules (1, 6, 20-
22, 28-30). The number of leaky sites was determined by counting three random
microscopic fields every minute for the first 7 min and then at 5-min intervals for 30-60
min after each intervention (see below). The total number of leaky sites was averaged
and expressed as the number of leaky sites per 0.11 cm2 of cheek pouch, which
corresponds to an area of one microscopic field.
Page 5 of 31
JAP-01092-2005-R1
6
In experiments in which clearance of FITC-dextran was calculated, the suffusate
was collected at 5-min intervals throughout the experiment by a fraction collector
(Microfractionator, Gilson Medical Electronics, Middleton, WI). Samples were collected
in glass tube tests and the concentration of FITC-dextran was determined in each tube.
Arterial blood samples were collected in heparinized capillary tubes (70-µl volume;
Scientific Products, McGaw Park, IL) beginning 5 min before and 5, 30, 60, 120, 180
and 240 min after intravenous injection of FITC-dextran. The concentration of FITC-
dextran was determined in all plasma samples as previously described in our laboratory
(1, 6, 20, 28-30).
To quantitate the concentration of FITC-dextran in the plasma and suffusate, a
standard curve for FITC-dextran concentrations versus percent emission was generated
on a spectrophotofluorometer (Perkin-Elmer, Norwalk, CT). The standard was FITC-
dextran prepared on a weight per volume basis. With bicarbonate buffer as background,
a standard curve was generated for each experiment and each curve was subjected to
linear regression analysis. The percent emission for unknown samples (plasma and
suffusate) was determined by the spectrophotofluorometer and the concentration of
FITC-dextran was then calculated from the standard curve. In preliminary experiments,
minimal fluorescence signal (<2% above background) was detected when drugs were
added to the buffer and when plasma and suffusate samples were examined before
adding FITC-dextran. Clearance of FITC-dextran was determined by calculating the
ratio of suffusate (ng/ml) to plasma (mg/ml) concentration of FITC-dextran and
multiplying this ratio by the suffusate flow rate (2 ml/min) as previously described (1, 5,
6, 20-22, 28-30).
Page 6 of 31
JAP-01092-2005-R1
7
Preparation of hog barn dust extract. Settled surface dust from a large (~500
animals) hog confinement facility in Nebraska was collected in the winter as previously
described by one of us (19, 27). It was prepared in a manner similar to that for grain
sorghum dust extract as previously described in our laboratory (1, 6). Briefly, an
aqueous extract of hog barn dust was prepared by placing 1 g of dust in 10 ml of Hanks’
balanced salt solution without calcium. The suspension was vortexed and allowed to
settle for 1 h at room temperature. The suspension was then centrifuged at 1,800 rpm
for 5 min, the supernatant removed and centrifuged again. The resulting supernatant,
designated as 10% hog barn dust extract, was removed and filtered through a 0.22 µ
pore filter, diluted to the desired concentrations in Hanks’ balanced salt solution without
calcium and used immediately (see below). In preliminary studies we determined that
the concentration of endotoxin in 10% hog barn dust extract was 2.8 EU/ml (0.28 ng/ml;
Limulus Amebocyte Lysate Test, Associates of Cape Code, East Falmouth, MA).
Matsuda et al (20) and Gao et al (5) showed that this concentration of endotoxin has no
significant effects on macromolecular efflux and vasomotor tone in the intact hamster
cheek pouch.
Experimental protocols
Effects of hog barn dust extract on macromolecular efflux. The purpose of
these studies was to determine whether hog barn dust extract increases
macromolecular efflux from the intact hamster cheek pouch. After suffusing buffer for 30
min (equilibration period), FITC-dextran was injected intravenously and the number of
leaky sites and clearance of FITC-dextran were determined for 60 min. Then, increasing
Page 7 of 31
JAP-01092-2005-R1
8
concentrations of hog barn dust extract (0.1 and 1.0%) were suffused onto the cheek
pouch in a non-systematic fashion. Each concentration was suffused for 60 min. The
number of leaky sites was determined before and every min for 7 min and at 5 min
intervals for 60 min thereafter. Clearance of FITC-dextran was determined before and
every 5 min thereafter for 60 min. The time interval between subsequent suffusions of
hog barn dust extract was at least 45 min (1, 5, 6, 20, 28-30). In preliminary studies, we
determined that repeated suffusions of hog barn dust extract (0.1 and 1.0%) were
associated with reproducible results. In addition, suffusion of saline (vehicle) for the
entire duration of the experiments was not associated with visible leaky site formation or
significant increase in clearance of FITC-dextran. The concentrations of hog barn dust
extract used in these experiments were based on preliminary studies.
Effects of catalase on hog barn dust extract-induced responses. The
purpose of these experiments was to determine whether reactive oxygen species
mediate, in part, hog barn dust extract-induced increase in macromolecular efflux from
the intact hamster cheek pouch (2, 3, 9, 15, 20-22). The experimental design was
similar to that outlined above except that catalase (60 U/ml) was now suffused onto the
cheek pouch 30 min before and during suffusion of hog barn duct extract (1%) for 60
min. The number of leaky sites and clearance of FITC-dextran were determined during
each intervention as outlined above. In preliminary studies, we determined that
suffusion of catalase (60 U/ml) for 90 min was not associated with visible leaky site
formation or significant increase in clearance of FITC-dextran (9). The concentrations of
catalase used in these experiments were based on preliminary studies.
Page 8 of 31
JAP-01092-2005-R1
9
Specificity of catalase-induced responses. To determine the specificity of
catalase-induced responses, we utilized two experimental approaches. In the first series
of experiments, catalase (60 U/ml) was incubated in saline at 60 °C for 15 min before
being suffused onto the cheek pouch 30 min before and during suffusion of hog barn
duct extract (0.1%) for 60 min as outlined above. In the second series of experiments,
catalase (60 U/ml) was suffused 30 min before during and for 30 min after adenosine
(10 µM) was suffused for 10 min (1, 7, 10, 11, 24, 30). We chose adenosine because it
modulates microvascular responses through a reactive oxygen species-independent
mechanism(s)(24, 30, 38).
The number of leaky sites and clearance of FITC-dextran were determined
during each intervention as outlined above. In preliminary studies, we found that the
concentration of adenosine used in these studies evoked leaky site formation and
increased clearance of FITC-dextran from the cheek pouch to a similar extend to that
observed with suffusion of 0.1% hog barn dust extract (see below).
Effects of dexamethasone on hog barn dust extract-induced responses.
The purpose of these studies was to determine whether dexamethasone attenuates hog
barn dust extract-induced increase in macromolecular efflux from the intact cheek
pouch (1, 4, 32). The experimental design was similar to that outlined above except that
dexamethasone (10 mg/kg) was infused intravenously for 30 min before suffusing hog
barn dust extract (1.0 %) onto the cheek pouch for 60 min. The number of leaky sites
and clearance of FITC-dextran were determined during each intervention as outlined
above. In previous studies we found that intravenous administration of dexamethasone
Page 9 of 31
JAP-01092-2005-R1
10
(10 mg/kg) alone for 30 min was not associated with a significant decrease in clearance
of FITC-dextran (1). In addition, intravenous administration of dexamethasone (10
mg/kg) alone for 30 min had no significant effects on arteriolar diameter (1). The
concentration of dexamethasone used in these experiments was based on a previous
study in our laboratory (1).
Effects of hog barn dust extract on arteriolar diameter. The purpose of these
studies was to determine whether suffusion of hog barn dust extract modulates
arteriolar diameter in the intact cheek pouch microcirculation. To accomplish this goal,
we utilized a technique previously described in our laboratory (1, 5, 10, 11). Briefly, the
cheek pouch microcirculation was visualized with an intravital microscope (Nikon,
Tokyo, Japan) coupled to a 100-W mercury light source at a magnification of 40X. The
microscope image was projected through a low-light television camera (Panasonic TR-
124 MA, Matsushita Communication Industrial, Yokohama, Japan) onto a video screen
(Panasonic). The inner diameter of second-order arterioles (baseline diameter 42-51 µ)
was determined during the experiment from the video display of the microscope image
using a videomicrometer (Model VIA 100, Boeckler Instruments, Tucson, AZ). In each
animal, the same arteriolar segment was used to measure vessel diameter during the
experiment.
Page 10 of 31
JAP-01092-2005-R1
11
Drugs and chemicals
Fluorescein isothiocyanate-labeled dextran, bovine catalase and adenosine were
purchased from Sigma-Aldrich Co. (St Louis, MO). Dexamethasone was obtained from
American Regent Laboratories, Inc. (Shirley, NY). Hanks’ balanced salt solution without
calcium was purchased from Biosource International (Camarillo, CA). All drugs were
prepared and diluted in saline to the desired concentrations on the day of each
experiment.
Data and statistical analyses
Data are expressed as means±SEM. Because the number of leaky sites returned
to baseline (nil) between successive applications of test compounds, all vehicle (saline)
control data are expressed as a single value for each experimental condition. When a
test compound was suffused onto the cheek pouch, the maximal change in arteriolar
diameter was measured and compared to baseline diameter as previously described in
our laboratory (1, 5, 10, 11). Statistical analysis was performed on actual values using
repeated-measures analysis of variance with Neuman-Keuls multiple-range post hoc
test to detect values that were different from control values. A p<0.05 was considered
statistically significant. n is given as the number of experiments, with each experiment
representing a separate animal.
Page 11 of 31
JAP-01092-2005-R1
12
RESULTS
Mean arterial pressure was 98±4 mmHg at the beginning and 95±3 at the
conclusion of the experiments (n=42 animals; p>0.5). Heart rate was 311±5 at the
beginning and 306±7 at the conclusion of the experiments (n=42 animals; p>0.5).
Effects of hog barn dust extract on macromolecular efflux. Suffusion of hog
barn dust extract induced a significant concentration-dependent increase in leaky site
formation and clearance of FITC-dextran (Figure 1; each group, n=4 animals; p<0.05).
The number of leaky sites increased significantly from nil during suffusion of saline
(vehicle) to 8±2/0.11 cm2 and 26±3/0.11 cm2 during suffusion of 0.1% and 1.0% hog
barn dust extract, respectively (Figure 1, upper panel; each group, n=4 animals;
p<0.05). Likewise, clearance of FITC-dextran increased significantly from 11±2 ml/min x
10-6 during suffusion of saline (vehicle) to 34±9 ml/min x 10-6 and 84±16 ml/min x 10-6
during suffusion of 0.1% and 1.0% hog barn dust extract, respectively (Figure 1, lower
panel; each group, n=4 animals; p<0.05). Leaky sites were visible within 15 min of
initiating hog barn dust extract suffusion, reached a maximum 35-40 min thereafter and
were no longer visible 15 min after suffusion was stopped.
Effects of catalase on hog barn dust extract-induced responses. Suffusion
of catalase (60 U/ml) significantly attenuated hog barn dust extract (1.0%)-induced
leaky site formation and increase in clearance of FITC-dextran from the cheek pouch
(Figure 2; each group, n=4 animals; p<0.05). The number of leaky sites decreased
significantly from 26±3/0. 11 cm2 during suffusion of hog barn dust extract (1%) to 9±1
Page 12 of 31
JAP-01092-2005-R1
13
/0. 11 cm2 during suffusion of hog barn dust extract and catalase (Figure 2, upper panel;
each group, n=4 animals; p<0.05). Likewise, clearance of FITC-dextran decreased
significantly from 84±16 ml/min x 10-6 during suffusion of hog barn dust extract (1.0%) to
45±12 ml/min x 10-6 during suffusion of hog barn dust extract and catalase (Figure 2,
lower panel; each group, n=4 animals; p<0.05).
Specificity of catalase-induced responses. Suffusion of heated catalase (60
U/ml) had no significant effects of hog barn dust extract (0.1%)-induced leaky site
formation and increase in clearance of FITC-dextran from the cheek pouch (Figure 3;
each group, n=4 animals; p>0.5). Likewise, catalase (60 u/ml) had no significant effects
on adenosine (10 µM)-induced leaky site formation and increase in clearance of FITC-
dextran from the cheek pouch (Figure 4; each group, n=4 animals; p>0.5).
Effects of dexamethasone on hog barn dust extract-induced responses.
Pretreatment with dexamethasone (10 mg/kg; i.v.) significantly attenuated hog barn dust
extract (1.0%)-induced leaky site formation and increase in clearance of FITC-dextran
from the cheek pouch (Figure 5; each group, n=4 animals; p<0.05). The number of
leaky sites decreased significantly from 26±3/0. 11 cm2 during suffusion of hog barn
dust extract (1.0%) to 12±3 during suffusion of hog barn dust extract and
dexamethasone (Figure 5, upper panel; each group, n=4 animals; p<0.05). Likewise,
clearance of FITC-dextran decreased significantly from 84±16 ml/min x 10-6 during
suffusion of hog barn dust extract (1.0%) to 49±16 ml/min x 10-6 during suffusion of hog
Page 13 of 31
JAP-01092-2005-R1
14
barn dust extract and dexamethasone (Figure 5, lower panel; each group, n=4 animals;
p<0.05).
Effects of hog barn dust extract on arteriolar diameter. Suffusion of hog barn
dust extract (1.0%) had no significant effects of arteriolar diameter throughout the 90-
min suffusion period (1±1% change from arteriolar diameter at baseline; n=4 animals;
p>0.5).
DISCUSSION
There are three new findings of this study. Firstly, we found that an aqueous
extract hog barn dust elicits a significant concentration-dependent increase in
macromolecular efflux from the intact hamster cheek pouch (Figure 1). These effects
were not related to non-specific damage to post-capillary venular endothelium because
FITC-dextran efflux returned to baseline once suffusion of hog barn dust extract was
stopped. Secondly, hog barn dust extract-induced increase in macromolecular efflux
was mediated, in part, by local elaboration of reactive oxygen species because
catalase, an enzyme that catalyzes conversion of hydrogen peroxide to water and
oxygen (2, 3, 9, 15, 20), significantly attenuated this response (Figure 2). The salutary
effects of catalase were specific because heat-inactivated catalase had no significant
effects on hog barn dust extract-induced responses, and because catalase had no
significant effects of adenosine-induced increase in macromolecular efflux from the
cheek pouch (Figures 3&4). We chose adenosine because it modulates microvascular
responses through a reactive oxygen species-independent mechanism(s)(7, 24, 30, 38).
Page 14 of 31
JAP-01092-2005-R1
15
Lastly, dexamethasone, a potent anti-inflammatory drug (1, 4, 32), attenuated
hog barn dust extract-induced increase in macromolecular efflux (Figure 5). These data
are consistent with the study of Akhter and his colleagues (1) who showed that
dexamethasone attenuates grain sorghum dust extract-induced increase in
macromolecular efflux from the intact cheek pouch. In addition, they showed that
dexamethasone had no significant effects on adenosine-induced responses and on
arteriolar diameter in the cheek pouch (1). Collectively, these data indicate that an
aqueous extract of hog bran dust increases macromolecular efflux from the intact
hamster cheek pouch, in part, through local elaboration of reactive oxygen species in a
specific fashion and that this response is attenuated by corticosteroids. We suggest that
plasma exudation elicited by reactive oxygen species plays an important role in the
genesis of upper airway dysfunction evoked by short-term exposure to hog barn dust
(12-14, 17, 18, 25, 26, 35).
We have previously shown that grain sorghum dust extract elicits neurogenic
plasma exudation in the intact hamster cheek pouch and that dexamethasone
attenuates this response (6). These data coupled with the results of this study suggest
that different organic dusts present in the agricultural environment activate distinct
dexamethasone-responsive inflammatory pathways in the upper airway leading to
plasma exudation, interstitial edema and tissue dysfunction (1, 4, 6, 25, 32). The
mechanism(s) underlying the anti-edemagenic effects of dexamethasone during short-
term exposure to hog barn and grain sorghum dust extracts remains to be determined.
The results of this study support and extend those reported by Ek et al (4) and
Vesterberg et al (33). They showed that short-term exposure of healthy volunteers to
Page 15 of 31
JAP-01092-2005-R1
16
swine dust is associated with plasma exudation in the upper and lower respiratory tract,
respectively. However, the mechanisms underlying this response were not elucidated in
these studies. We found that local elaboration of reactive oxygen species inactivated by
catalase mediate, in part, the edemagenic effects of hog barn dust extract in the intact
hamster cheek pouch. We did not attempt to quantify overall production of reactive
oxygen species during exposure to hog barn dust extract nor to identify their cellular
origin(s) in the cheek pouch (2, 3, 9, 20-22, 38). Rather, our goal was to probe their pro-
inflammatory effects in the microcirculation during this intervention. Whether reactive
oxygen species play a role in the host inflammatory response to hog barn dust in the
human upper airway and, if so, which reactive species are involved remains merits
further investigation.
The above notwithstanding, the salutary effects of dexamethasone on hog barn
dust extract-induced responses in the intact cheek pouch are consistent with those
reported by Ek et al (4) who showed that intranasal administration of fluticasone, a
potent corticosteroid, attenuates plasma exudation evoked by topical application of hog
barn dust to the nose of healthy individuals. Clearly, further studies to determine the
effects of corticosteroids on elaboration of reactive oxygen species in the upper airway
of humans during short-term exposure to hog barn dust are warranted.
The hamster cheek pouch is a well-established animal model used in our
laboratory and other investigators to study the effects of environmental toxicants and
inflammatory mediators, such as grain sorghum dust and reactive oxygen species, on
macromolecular efflux from the microcirculation in situ and mechanisms underlying
these phenomenae (1-3, 6-9, 20-22, 28-31). Solute efflux emanates from post-capillary
Page 16 of 31
JAP-01092-2005-R1
17
venules and is determined by two reproducible parameters, leaky site formation and
clearance of FITC-dextran, thereby providing quantitative appraisal of macromolecular
transport across post-capillary venules in the cheek pouch during experimental
interventions. Importantly, successive suffusions of test compounds, such as aqueous
extracts of grain sorghum and hog barn dust (1, 6), at appropriate time intervals are
associated with reproducible formation of leaky sites and increases in clearance of
FITC-dextran in the absence of tachyphylaxis. Consequently, changes in
macromolecular efflux can be tested repeatedly in the same cheek pouch so that each
animal serves as its own control. This, in turn, reduces the overall number of animals
required to conduct the study and facilitates data analysis.
Conceivably, the increase in macromolecular efflux elicited by hog barn dust
extract may have been mediated, in part, by changes in vasomotor tone and/or increase
in venular driving pressure in the cheek pouch (1, 6, 7, 8, 20-23, 28-31, 37). However,
this possibility seems unlikely because we found that suffusion of the extract had no
significant effects of arteriolar diameter in the cheek pouch throughout the observation
period. In addition, other investigators showed that agonist-induced increases in
macromolecular efflux from post-capillary pressure in the hamster cheek pouch and
other microvascular beds are independent of changes in vasomotor tone and increase
in venular driving pressure (8, 23, 31, 37).
The component(s) in hog barn dust extract that stimulates resident and/or
migrant cells in the cheek pouch to elaborate reactive oxygen species was not identified
in this study. Dissecting this component(s) would require intensive analysis of this
complex organic material. Nonetheless, current concepts suggest that endotoxin is an
Page 17 of 31
JAP-01092-2005-R1
18
important inflammatory stimulus in organic dusts, including hog barn dust (12-14, 16-18,
25, 35). To this end, Matsuda et al (20) showed that antioxidants attenuate endotoxin-
induced increase in macromolecular efflux from the intact hamster cheek pouch. In
addition, Gao et al (5) showed that allopurinol, a scavenger of reactive oxygen species,
attenuates vasodilation evoked by endotoxin in this preparation. However, the
concentration of endotoxin suffused onto the cheek pouch in these studies was in the
sub-milligram range whereas the concentration of endotoxin detected in hog barn dust
extract used in this study was very low, 0.28 ng/ml. The latter has no effects on
macromolecular efflux from the cheek pouch implying that endotoxin is an unlikely
candidate to mediate hog barn dust extract-induced increase in macromolecular efflux
in the upper airway mucosa. Separation of materials present in the aqueous extract of
hog barn by molecular weight distribution and testing them in the cheek pouch could
represent an attractive experimental approach to address this issue in future
experiments planned for this research project. Irrespective of the offending
component(s) in hog barn dust, these data suggest that antioxidants may be beneficial
in the treatment of plasma extravasation evoked by hog barn dust in the upper airway
mucosa. Additional studies are indicated to support or refute this hypothesis.
In summary, we found that hog bran dust extract increases macromolecular
efflux from the in situ hamster cheek pouch, in part, through local elaboration of reactive
oxygen species that are inactivated by catalase. This response is specific and
attenuated by corticosteroids. We suggest that plasma exudation plays an important
role in the genesis of upper airway dysfunction evoked by short-term exposure to hog
barn dust and that corticosteroids abates this process.
Page 18 of 31
JAP-01092-2005-R1
19
ACKNOWLEDGMENTS
We thank Drs. Akhter and Ikezaki for technical assistance. This study was
supported, in part, by VA Merit Review and NIH grants RO1 AG024026 and RO1
HL72323.
Page 19 of 31
JAP-01092-2005-R1
20
REFERENCES
1. Akhter SR, Gao X-p, Ikezaki H, and Rubinstein I. Dexamethasone attenuates
grain sorghum dust-induced increase in macromolecular efflux in vivo. J Appl Physiol
86:1603-1609, 1999.
2. Björk J, del Maestro RF, and Arfors KE. Evidence for participation of hydroxyl
radical in increased microvascular permeability. Agents Actions Suppl 7: 208-213, 1980.
3. Del Maestro RF, Björk J, Arfors KE. Increase in microvascular permeability
induced by enzymatically generated free radicals. II. Role of superoxide anion radicals,
hydrogen peroxide, and hydroxyl radical. Microvasc Res 22: 255-270, 1981.
4. Ek A, Palmberg L, and Larsson K. The effect of fluticasone on the airway
inflammatory response to organic dust. Eur Respir J 24: 587-593, 2004.
5. Gao XP, Suzuki H, Olopade CO, and Rubinstein I. Short-term exposure to
lipopolysaccharide is associated with microvascular contractile dysfunction in vivo. Life
Sci 56: 1243-1249, 1995.
6. Gao X-p, Von Essen SG, and Rubinstein I. Neurogenic plasma exudation
mediates grain dust-induced tissue injury in vivo. Am J Physiol 272: R475-R481, 1997.
7. Gawlowski DM, Duran WN. Dose-related effects of adenosine and bradykinin on
microvascular permselctivity to macromolecules in the hamster cheek pouch. Circ Res
58: 348-355, 1986.
8. Gawlowski DM, Benoit JN, and Granger HJ. Microvascular pressure and albumin
extravasation after leukocyte activation in hamster cheek pouch. Am J Physiol 264:
H541-H546, 1993.
Page 20 of 31
JAP-01092-2005-R1
21
9. Hambrecht GS and Hilton JG. The effects of catalase, indomethacin and FPL
55712 on vascular permeability in the hamster cheek pouch following scald injury.
Prostaglandins Leukot Med 14: 297-304, 1984.
10. Ikezaki H, Patel M, Onyuksel H, Akhter SR, Gao XP, Rubinstein I. Exogenous
calmodulin potentiates vasodilation elicited by phospholipid-associated VIP in vivo. Am
J Physiol 276: R1359-R1365, 1999.
11. Ikezaki H, Akhter SR, Hong D, Suzuki H, Gao XP, Rubinstein I. Tyrosine kinase
inhibitors modulate agonist-induced vasodilation in the hamster cheek pouch. J Appl
Physiol 88: 857-862, 2000.
12. Iversen M, Kirychuk S, Drost H, and Jacobson L. Human health effects of dust
exposure in animal confinement buildings. J Agric Saf Health 6: 283-288, 2000.
13. Kirkhorn SR and Garry VF. Agricultural lung diseases. Environ Health Perspect
108 Suppl 4: 705-712, 2000.
14. Kirsten AM, Jorres RA, Kirsten D, and Magnussen H. Effect of a nasal challenge
with endotoxin-containing swine confinement dust on nasal nitric oxide production. Eur J
Med Res 2: 335-339, 1997.
15. Klabude RE and Anderson DE. Role of nitric oxide and reactive oxygen species
in platelet-activating factor-induced microvascular leakage. J Vas Res 39: 238-245,
2002.
16. Kolbeck KG, Ehnhage A, Juto JE, Forsberg S, Gyllenhammar H, Palmberg L,
and Larsson K. Airway reactivity and exhaled NO following swine dust exposure in
healthy volunteers. Respir Med 94: 1065-1072, 2000.
Page 21 of 31
JAP-01092-2005-R1
22
17. Larsson KA, Eklund AG, Hansson LO, Isaksson BM, and Malmberg PO. Swine
dust causes intense airways inflammation in healthy subjects. Am J Respir Crit Care
Med 150: 973-977, 1994.
18. Larsson BM, Larsson K, Mamberg P, and Palmberg L. Airways inflammation
after exposure in a swine confinement building during cleaning procedure. Am J Ind
Med 41: 250-258, 2002.
19. Mathisen T, Von Essen SG, Wyatt TA, and Romberger DJ. Hog barn dust extract
augments lymphocyte adhesion to human airway epithelial cells. J Appl Physiol 96:
1738-1744, 2004.
20. Matsuda T, Eccleston CA, Rubinstein I, Rennard SI, and Joyner WL.
Antioxidants attenuate endotoxin-induced microvascular leakage of macromolecules in
vivo. J Appl Physiol 70: 1483-1489, 1991.
21. Mayhan WG and Sharpe GM. Superoxide dismutase restores impaired
histamine-induced increases in venular macromolecular efflux during diabetes mellitus.
Microcirculation 5: 211-218, 1998.
22. Mayhan WG, and Sharpe GM. Generation of superoxide anion impairs
histamine-induced increases in macromolecular efflux. Microvasc Res 61: 275-281,
2001.
23. Miller FN, Joshua IG, and Anderson GL. Quantitation of vasodilator-induced
macromolecular leakage by in vivo fluorescent microscopy. Microvas Res 24: 56-67,
1982.
Page 22 of 31
JAP-01092-2005-R1
23
24. Nichols J, Hourani SM, Hall JM. Characterization of adenosine receptors
mediating the vasodilator effects of adenosine receptor agonists in the microvasculature
of the hamster cheek pouch in vivo. Auton Autacoid Pharmacol 22: 209-214, 2002.
25. O’Sullivan S, Dahlén S-E, Larsson K, Larsson B-M, Malmberg P, Kumlim M, and
Palmberg L. Exposure of healthy volunteers to swine-house dust increases formation of
leukotrienes, prostaglandin D2, and bronchial hyperresponsiveness to metacholine.
Thorax 53: 1041-1046, 1998.
26. Persson CGA, Erjefält JS, Greiff L, Erjefält I, Korsgren M, Linden M, Sundler F,
Andersson M, and Svensson C. Contribution of plasma-derived molecules to mucosal
immune defence, disease and repair in the airways. Scand J Immunol 47: 302-313,
1998.
27. Romberger DJ, Bodlak V, Von Essen SG, Mathisen T, and Wyatt TA. Hog barn
dust extract stimulates IL-8 and IL-6 release in human bronchial epithelial cells via PKC
activation. J Appl Physiol 93: 289-296, 2002.
28. Rubinstein I. Subtilisin increases macromolecular efflux from the oral mucosa.
Clin Diagn Lab Immunol 7: 794-802, 2000.
29. Rubinstein I, Potempa J, Travis J, and Gao-X-p. Mechanisms mediating
Porphyromonas gingivalis gingipain RgpA-induced oral mucosa inflammation in vivo.
Infect Immun 69: 1199-1201, 2001.
30. Rubinstein I, Chandiwala R, Dagar S, Hong D, and Gao X-p. Adenosine A1
receptors mediate plasma exudation from the oral mucosa. J Appl Physiol 91: 552-560,
2001.
Page 23 of 31
JAP-01092-2005-R1
24
31. Tomeo AC and Durán WN. Resistance and exchange microvessels are
modulated by different PAF receptors. AM J Physiol 261: H1648-H1652, 1991.
32. Trapp JF, Watt JL, Frees KL, Quinn TJ, Nonnenmann MW, and Schwartz DA.
The effects of glucocorticoids on grain dust-induced airway disease. Chest 113: 505-
513, 1998.
33. Vesterberg O, Palmberg L, and Larsson K. Albumin, transferring and α2-
macroglobulin in bronchoalveolar lavage fluid following exposure to organic dust in
healthy subjects. Int Arch Occup Environ Health 74: 249-254, 2001.
34. Von Essen SG, Scheppers LA, Robbins RA, and Donham KJ. Respiratory tract
inflammation in swine confinement workers studied using induced sputum and exhaled
nitric oxide. J Toxicol Clin Toxicol 36: 557-565, 1998.
35. Von Essen G and Romberger D. The respiratory inflammatory response to the
swine confinement building environment: the adaptation to respiratory exposure in the
chronically exposed worker. J Agric Saf Health 9: 185-196, 2003.
36. Wang Z, Larsson K, Palmberg L, Mamberg P, Larsson P, and Larsson L.
Inhalation of swine dust induces cytokine release in the upper and lower airways. Eur
Respir J 10: 381-387, 1997.
37. Warren JB, Wilson AJ, Loi RK, and Coughlan ML. Opposing roles of cyclic AMP
in the vascular control of edema formation. FASEB J 7: 1394-1400, 1993.
38. Wei EP, Kontos HA, Beckman JS. Antioxidants inhibit ATP-sensitive channels in
cerebral arterioles. Stroke 29: 817-822, 1998.
Page 24 of 31
JAP-01092-2005-R1
30
FIGURE LEGENDS
Figure 1. Effects of suffusion of hog barn dust extract (HBDE) for 60 min on
leaky site formation (upper panel) and clearance of FITC-dextran (lower panel) from the
hamster cheek pouch. Data are means±SEM. Each group, n=4 animals; *p<0.05 in
comparison to saline; #p<0.05 in comparison to 0.1% hog barn dust extract.
Figure 2. Effects of suffusion of catalase (60 U/ml) on hog barn dust extract
(HBDE; 1.0%)-induced leaky site formation (upper panel) and increase in clearance of
FITC-dextran (lower panel) from the hamster cheek pouch. Data are means±SEM. Each
group, n=4 animals; *p<0.05 in comparison to saline; #p<0.05 in comparison to hog
barn dust extract (1.0%).
Figure 3. Effects of suffusion of heat-inactivated catalase (60 U/ml) on hog barn
dust extract (HBDE; 1.0%)-induced leaky site formation (upper panel) and increase in
clearance of FITC-dextran (lower panel) from the hamster cheek pouch. Data are
means±SEM. Each group, n=4 animals; *p<0.05 in comparison to saline.
Figure 4. Effects of suffusion of catalase (60 U/ml) on adenosine (10 µM)-
induced leaky site formation (upper panel) and increase in clearance of FITC-dextran
(lower panel) from the hamster cheek pouch. Data are means±SEM. Each group, n=4
animals; *p<0.05 in comparison to saline.
Page 30 of 31
JAP-01092-2005-R1
31
Figure 5. Effects of dexamethasone (10 mg/g, i.v.) on hog barn dust extract
(HBDE; 1.0%)-induced leaky site formation (upper panel) and increase in clearance of
FITC-dextran (lower panel) from the hamster cheek pouch. Data are means±SEM. Each
group, n=4 animals; *p<0.05 in comparison to saline; #p<0.05 in comparison to hog
barn dust extract (1.0%).
Page 31 of 31