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1.
Int J Occup Environ Health ; 15(3): 249-54, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19650579

RESUMO

Specific sensitization and respiratory effects associated with the inhalation of sugar cane dust were evaluated in a group of 51 Nicaraguan workers exposed to bagasse. A questionnaire interview, lung function test, serum precipitin tests for Thermoactinomyces sacchari and T. vulgaris, and immunoglobulin E tests for specific environmental allergens were performed for each worker. Twenty-one workers reported at least one respiratory symptom and 16 reported possible symptoms of bagassosis. Six workers demonstrated acute symptoms, 1 had chronic symptoms, and 9 had the reacutized form of the disease. A higher proportion of precipitin response to T. sacchari and T. vulgaris was found in workers reporting symptoms suggestive of acute bagassosis. A possible restrictive ventilatory pattern was observed in 8 subjects and a mild airway obstruction in 1 subject. Priority must be given to a surveillance and exposure prevention program for workers employed in sugar cane production and processing.


Assuntos
Pulmão de Fazendeiro/imunologia , Micromonosporaceae/imunologia , Pneumoconiose/imunologia , Adulto , Estudos de Coortes , Pulmão de Fazendeiro/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nicarágua/epidemiologia , Exposição Ocupacional , Pneumoconiose/epidemiologia , Testes de Precipitina , Prevalência , Espirometria
2.
Nihon Kokyuki Gakkai Zasshi ; 46(1): 39-43, 2008 Jan.
Artigo em Japonês | MEDLINE | ID: mdl-18260309

RESUMO

A 22-year-old man was admitted to our hospital because of high fever and shortness of breath. A chest CT showed centrilobular nodules and ground-glass attenuation in both lungs. Transbronchial lung biopsy specimens showed alveolitis including the infiltration of mononuclear cells and granulomas. He responded to treatment, but upon returning home the radiological findings and clinical symptoms reappeared. We focused on a dehumidifier because it had been used continuously in his room. Thermoactinomyces vulgaris presented in the air filter of the dehumidifier. The test of precipitation in response to Thermoactinomyces vulgaris was positive. The condition inside the dehumidifier of a high temperature and high humidity were suitable for the proliferation of Thermoactinomyces vulgaris. We diagnosed hypersensitity pneumonitis due to a dehumidifier contaminated by Thermoactinomyces vulgaris.


Assuntos
Alveolite Alérgica Extrínseca/etiologia , Micromonosporaceae/imunologia , Adulto , Poluição do Ar em Ambientes Fechados , Habitação , Humanos , Umidade , Masculino
3.
Artigo em Inglês | MEDLINE | ID: mdl-15864878

RESUMO

BACKGROUND: Esparto is one the most frequent causes of hypersensitivity pneumonitis in Spain. OBJECTIVE: Determination of risk factors in the working environment that could explain the sensitisation process, and assessment of the differences in specific IgG levels to Aspergillus fumigatus, Saccharopolyspora rectivirgula and Thermoactynomices vulgaris in patients with hypersensitivity pneumonitis induced by esparto, exposed healthy plasterers and control population. METHODS: Determination of precipitins and specific IgG to Aspergillusfumigatus, Saccharopolyspora rectivirgula and Thermoactynomices vulgaris in the three previously mentioned groups. Questionnaire on possible risk occupational and extra-occupational factors. RESULTS: Both healthy and exposed plasterers have higher levels of specific IgG to Aspergillus fumigatus, Saccharopolyspora rectivirgula and Thermoactynomices vulgaris than the healthy controls. The patients had higher levels of IgG than exposed healthy plasterers only to Thermoactynomices vulgaris. Precipitins were detected in only two patients. There were no occupational factors influencing on the sensitisation process. CONCLUSIONS: Specific IgG is an occupational exposure marker among plasterers, but it has not been possible to establish a cut off point that differentiates exposed subjects from affected ones. This determination has a greater sensitivity than precipitins. We did not identify occupational or extra-occupational risk factors that facilitate the sensitisation process.


Assuntos
Alveolite Alérgica Extrínseca/imunologia , Aspergillus fumigatus/imunologia , Materiais de Construção/efeitos adversos , Imunoglobulina G/sangue , Micromonosporaceae/imunologia , Doenças Profissionais/imunologia , Poaceae/imunologia , Adulto , Alérgenos , Poeira , Humanos , Imunização , Masculino , Precipitinas/sangue , Fatores de Risco
5.
Eur Respir J ; 16(5): 886-92, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11153588

RESUMO

An impairment of respiratory function has been demonstrated in dairy farmers. The objective of this study was to evaluate the relationship of allergy to respiratory function in dairy farmers in a longitudinal study conducted in the Doubs (France). A cohort of male dairy farmers constituted in 1990 was re-evalued in 1995. Subjects completed a medical and occupational questionnaire, and a spirometry test in both 1990 and 1995, in 1995 they were also subjected to immunological tests. Relationships between immunological variables and respiratory function were studied by a multiple linear regression model adjusted for age, smoking status, respiratory symptoms, altitude and occupational exposure. Amongst the 394 subjects of the initial cohort, 330 were included in the longitudinal study and 320 had immunological tests. Log immunoglobulin (Ig) E was negatively correlated with the 1995 respiratory function parameters (p<0.05 for forced expiratory volume in one second (FEV1) and FEV1/vital capacity (VC). Immunoglobulin (Ig) G response to Aspergillus fumigatus detected by enzyme-linked immunosorbent assay (ELISA) was negatively correlated to 1995 respiratory function parameters (VC: p<0.01; FEV1: p<0.001; FEV1/VC: p<0.01). There was a positive relationship between IgG antibodies against Aspergillus fumigatus and the mean annual decline in FEV1 (p<0.01) and FEV1/VC (p<0.01). To conclude, allergy may play a role in the impairment of respiratory function in dairy farmers of the Doubs and sensitization to Aspergillus fumigatus seems to constitute an independent risk factor for the development of airflow obstruction in this occupational setting.


Assuntos
Indústria de Laticínios , Hipersensibilidade/imunologia , Hipersensibilidade/fisiopatologia , Imunoglobulina E/análise , Imunoglobulina G/análise , Respiração , Adulto , Anticorpos Antibacterianos/análise , Anticorpos Antifúngicos/análise , Aspergillus fumigatus/imunologia , Estudos de Coortes , Volume Expiratório Forçado , Humanos , Masculino , Micromonosporaceae/imunologia , Pessoa de Meia-Idade , Análise Multivariada , Capacidade Vital
6.
Am J Vet Res ; 60(7): 841-7, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10407477

RESUMO

OBJECTIVE: To determine the capacity of pulmonary mast cells (PMC) to degranulate in response to various potential allergens and other secretagogues in horses with recurrent airway obstruction (heaves) and clinically normal horses before and after exposure to moldy hay. ANIMALS: 5 horses with heaves and 5 clinically normal horses. PROCEDURES: Heaves was characterized as an increased clinical respiratory score and maximum change in transpulmonary pressure of > 20 cm H2O after exposure. Bronchoalveolar lavage was performed during each period. Washed and resuspended cells were exposed for 20 minutes at 37 C with whole reconstituted freeze-dried preparations of Aspergillus fumigatus, Alternaria tenuis, and Ambrosia elatior, fungal extracts of Aspergillus fumigatus, Alternaria tenuis, and Micropolyspora faeni; A23187; and compound 48/80. Histamine release (HR) was used as a marker of degranulation. RESULTS: Compared with clinically normal horses, HR was significantly greater from PMC from horses with heaves during remission and exacerbation in response to whole preparations and extracts of Aspergillus fumigatus and whole preparations of Alternaria tenuis. Extracts of Alternaria tenuis caused significantly greater HR from PMC from horses with heaves during exacerbation. Histamine was also released from PMC in response to A23187 and to changes in osmolality of the medium, but only as a result of cell lysis by compound 48/80. CONCLUSIONS: Increased degranulation of PMC after antigenic challenge may contribute to the pathogenesis of heaves in horses. CLINICAL RELEVANCE: Strategies for prevention and treatment that attenuate degranulation of PMC may assist in the clinical management of horses with heaves.


Assuntos
Obstrução das Vias Respiratórias/veterinária , Alérgenos/imunologia , Degranulação Celular/imunologia , Doenças dos Cavalos/imunologia , Pneumopatias Obstrutivas/veterinária , Obstrução das Vias Respiratórias/imunologia , Obstrução das Vias Respiratórias/microbiologia , Alternaria/imunologia , Animais , Aspergillus fumigatus/imunologia , Lavagem Broncoalveolar/veterinária , Líquido da Lavagem Broncoalveolar/imunologia , Calcimicina/imunologia , Feminino , Fluorometria/veterinária , Histamina/imunologia , Histocitoquímica , Doenças dos Cavalos/microbiologia , Doenças dos Cavalos/fisiopatologia , Cavalos , Ionóforos/imunologia , Pneumopatias Obstrutivas/imunologia , Pneumopatias Obstrutivas/fisiopatologia , Masculino , Mastócitos/fisiologia , Micromonosporaceae/imunologia , Testes de Função Respiratória/veterinária , p-Metoxi-N-metilfenetilamina/imunologia
7.
Am J Respir Cell Mol Biol ; 19(6): 881-91, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9843922

RESUMO

The pulmonary host response to infection and inflammation appears, at least in part, to be compartmentalized from the systemic host response. Tumor necrosis factor-alpha (TNF-alpha) has been implicated in lung inflammation and injury, but its site(s) of action has not been clearly defined. To investigate this, transgenic mice (surfactant apoprotein C promotor/soluble TNF receptor type II-Fc fusion protein ([SPCTNFRIIFc] mice) were generated in which TNF-alpha was selectively antagonized in the distal lung through tissue-specific expression of sTNFRIIFc, a soluble TNF inhibitor. The lung inflammatory response in these mice to pulmonary challenge with Micropolyspora faeni antigen or lipopolysaccharide (LPS) was compared with the response of wild-type mice, wild-type mice treated with recombinant sTNFRIIFc intravenously, and type I TNF-receptor knockout mice. Recruitment of polymorphonuclear leukocytes (PMN) to the lung after challenge with M. faeni antigen was essentially abolished in the TNFRI knockout mice and markedly reduced in the SPCTNFRIIFc mice. Wild-type mice given sTNFRIIFc intravenously in amounts resulting in lung concentrations similar to those in SPCTNFRIIFc mice also showed significantly reduced lung PMN recruitment, whereas those given doses that achieved such concentrations in the blood but low levels in the lung did not. In contrast, PMN recruitment to the lung following aerosol challenge with LPS was reduced significantly in the TNFRI knockout mice and in mice given high-dose sTNFRIIFc intravenously, but was not reduced significantly in SPCTNFRIIFc mice. Thus, inhibition of PMN recruitment in response to M. faeni antigen correlated largely with the extent of intrapulmonary inhibition of TNF-alpha, whereas the response to LPS correlated best with the extent of extrapulmonary inhibition of TNF-alpha. These studies indicate that TNF-alpha may act at different loci to mediate lung inflammation, with the site of action depending in part on the nature of the inflammatory stimulus, and that SPCTNFRIIFc mice provide a tool by which the locus of TNF action can be addressed.


Assuntos
Pneumonia/imunologia , Fator de Necrose Tumoral alfa/fisiologia , Administração Intranasal , Animais , Antígenos de Bactérias/administração & dosagem , Antígenos de Bactérias/imunologia , Apolipoproteínas C/genética , Fragmentos Fc das Imunoglobulinas/genética , Lipopolissacarídeos/administração & dosagem , Pulmão/patologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos , Micromonosporaceae/imunologia , Neutrófilos/patologia , Pneumonia/patologia , Regiões Promotoras Genéticas , Receptores do Fator de Necrose Tumoral/genética , Proteínas Recombinantes de Fusão/farmacologia
8.
Lung ; 176(3): 213-25, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9638641

RESUMO

Cultured cells from Micropolyspora faeni-sensitized donors can adoptively transfer murine experimental hypersensitivity pneumonitis (EHP). We sought to determine the location of transferred cells in recipient animals, the influence of the origin of the cultured cells, and the effect of specific intratracheal challenge. We labeled cultured sensitized spleen or lung-associated lymph node (LALN) cells with CFDA-SE, a cytoplasmic stain, before transfer to naive recipients, which were sacrificed 1 h, 1 day, or 4 days thereafter. We also transferred labeled cultured spleen cells to recipients that were challenged with intratracheal M. faeni and sacrificed 4 days later (MF). Controls were recipients of M. faeni-sensitized and cultured cells challenged with intratracheal normal saline (NS) and recipients of ovalbumin (OVA)-sensitized cells cultured with M. faeni and challenged with intratracheal M. faeni (OVA). The number and proportion of cells that were stained were determined in dispersed spleen, peripheral and lung-associated lymph nodes, and lung parenchyma. The extent of the pulmonary inflammatory response was measured by determining the proportion of microscopic fields that were abnormal and the total number of dispersed pulmonary cells. CFDA-SE stained cells uniformly, and stained cells could be detected in recipients for up to 7 days after transfer. CFDA-SE treatment (0.5 microM) did not affect the ability of cells to transfer EHP adoptively. Transferred cells could be detected easily in lung, lung-associated and peripheral lymph nodes, blood, and spleen. Transferred cells localized to the lung at 1 h but then rapidly decreased with no difference between labeled cells from spleen and LALN. After intratracheal M. faeni challenge, there was no difference in the proportion of labeled cells in the lung among any of the groups (MF, NS, or OVA). There was an increase in the number of lung cells in the MF group compared with the control (NS and OVA) groups. We conclude that cells capable of transfer are transiently (1 h) trapped in the lung but are much decreased in the lung by four days after transfer. After intratracheal antigen challenge of recipients, there is a substantial increase in the number of pulmonary cells in animals exhibiting adoptive EHP but not in the control groups. Transferred cells responsible for EHP are increased in the lungs of animals with adoptive EHP.


Assuntos
Transferência Adotiva , Alveolite Alérgica Extrínseca/imunologia , Alveolite Alérgica Extrínseca/patologia , Alveolite Alérgica Extrínseca/metabolismo , Animais , Pulmão/patologia , Linfonodos/patologia , Masculino , Camundongos , Camundongos Endogâmicos C3H , Micromonosporaceae/imunologia , Baço/patologia , Coloração e Rotulagem
9.
J Toxicol Environ Health A ; 53(1): 5-18, 1998 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-9447225

RESUMO

The effect of inhalation exposure of various biological agents associated with organic dusts on the function of guinea pigs pulmonary phagocytes was investigated. Agents included antigens of Erwinia herbicola, Thermoactinomyces vulgaris, and Aspergillus fumigatus; endotoxin of Erwinia herbicola; bacterial protease; and a fungal glucan preparation. Pulmonary parameters monitored in this study were cellular differential counts from bronchoalveolar lavage, and superoxide anion and/or hydrogen peroxide production by phagocytic cells. Most of the agents caused an influx of neutrophils, lymphocytes, and red blood cells to the lung, and an enhancement of secretion of reactive oxygen species by pulmonary phagocytes. However, the relative magnitude of the inflammatory response varied greatly among these biological agents. In general, antigens of Erwinia herbicola and Aspergillus fumigatus were most potent, while bacterial protease was least effective.


Assuntos
Microbiologia do Ar , Aspergillus fumigatus/imunologia , Erwinia/imunologia , Pulmão/fisiologia , Micromonosporaceae/imunologia , Fagócitos/fisiologia , Administração por Inalação , Animais , Lavagem Broncoalveolar , Líquido da Lavagem Broncoalveolar/citologia , Contagem de Células , Quimiotaxia de Leucócito/efeitos dos fármacos , Poeira , Endotoxinas/imunologia , Escherichia coli , Cobaias , Peróxido de Hidrogênio/metabolismo , Pulmão/citologia , Espécies Reativas de Oxigênio/metabolismo , Organismos Livres de Patógenos Específicos , Superóxidos/metabolismo
10.
Cell Immunol ; 177(2): 169-75, 1997 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-9178644

RESUMO

Cultured cells from Micropolyspora faeni-sensitized donors can adoptively transfer murine experimental hypersensitivity pneumonitis (EHP). To determine whether the CD4+ cells responsible for transfer have characteristics of Th1 or Th2 cells, we established cell lines from lung-associated lymph nodes of M. faeni-sensitized C3H/HeJ mice by culturing with antigen and either IFN-gamma, IL2, and anti-IL4, or IL4. Cell lines were stimulated regularly with antigen, fresh antigen-presenting cells, and the cytokine/anti-cytokine antibody cocktail. At various times after initiation of culture, cells were injected intravenously into recipients, which were then challenged intratracheally with M. faeni and sacrificed and the extent of pulmonary inflammatory response was determined. IFN-gamma, IL4, and IL10 levels were determined in supernatants of cell cultures stimulated with M. faeni to characterize the cell lines as Th1 (IFN-gamma, but low IL4 and IL10 secretion) or Th2 (IL4 and IL10, but low IFN-gamma secretion). Cell lines were differentiated into either Th1 (IFN-gamma = 310 +/- 45 U/ml, IL4 = 0.10 +/- 0.1 U/ml, IL10 = 1750 +/- 75 pg/ ml, >99% CD4+) cell lines by Day 16 of culture or Th2 cell lines (IFN-gamma = 1.8 +/- 1.0 U/ml, IL4 = 830 +/- 388 U/ml, IL10 = 51,700 +/- 10,900 pg/ml, >96% CD4+) by Day 30. Th1 cell lines were able to adoptively transfer EHP whereas Th2 cell lines were unable to adoptively transfer EHP. The ability to transfer EHP was directly related to the amount of IFN-gamma and inversely to the amount of IL4 secreted by antigen-stimulated cells. We conclude that it is possible to produce CD4+ cell lines with either Th1 or Th2 characteristics from lung-associated lymph nodes of mice exposed to M. faeni and that only Th1 CD4+ cell lines can adoptively transfer EHP.


Assuntos
Transferência Adotiva , Pulmão de Fazendeiro/imunologia , Células Th1/transplante , Animais , Anticorpos Monoclonais/imunologia , Anticorpos Monoclonais/farmacologia , Linhagem Celular , Pulmão de Fazendeiro/etiologia , Pulmão de Fazendeiro/patologia , Interferon gama/metabolismo , Interferon gama/farmacologia , Interleucina-10/metabolismo , Interleucina-2/farmacologia , Interleucina-4/antagonistas & inibidores , Interleucina-4/metabolismo , Interleucina-4/farmacologia , Pulmão/imunologia , Pulmão/patologia , Linfonodos/patologia , Masculino , Camundongos , Camundongos Endogâmicos C3H , Micromonosporaceae/imunologia , Células Th1/imunologia , Células Th2/imunologia , Células Th2/transplante
11.
J Allergy Clin Immunol ; 98(5 Pt 1): 985-91, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8939163

RESUMO

Esparto grass (Stipa tenacissima), which is commonly found in the Mediterranean countries, has a wide variety of uses. Five stucco makers who had cough, dyspnea, malaise, and fever after exposure to esparto fiber used in their jobs showed a significant decrease in symptoms when they were away from work. Precipitating antibodies against an esparto extract were found in the sera of all patients. Specific IgG antibodies against the esparto extract were also demonstrated in all patient sera, as were IgG antibodies to Aspergillus fumigatus and thermophilic microorganisms (Micropolyspora faeni and Thermoactinomyces vulgaris) by means of an ELISA method. Esparto activity was inhibited in different ranges by the above antigens by inhibition ELISA. Only A. fumigatus could be identified after microbiologic evaluation of the esparto fiber samples. After inhalation challenge tests were performed with esparto extracts, all patients showed significant decreases in forced vital capacity, transfer lung CO, and PaO2 blood gas from baseline values. Fever, chills, malaise, dry cough, tachycardia, tachypnea, and rales on chest auscultation were also observed in all patients. Findings from bronchoalveolar lavage were suggestive of allergic alveolitis. Transbronchial biopsy specimens showed interstitial alveolitis with lymphocyte-macrophage infiltrate and granuloma. Unexposed control subjects did not exhibit reactivity to any of the tests listed above. The dust derived from esparto fibers can cause hypersensitivity pneumonitis in exposed subjects. Organisms such as A. fumigatus and thermophilic actinomyces could be the causative antigens. "Stipatosis" might be an appropriate name for this disorder.


Assuntos
Alveolite Alérgica Extrínseca/etiologia , Materiais de Construção/efeitos adversos , Poeira , Doenças Profissionais/etiologia , Poaceae/imunologia , Adulto , Alveolite Alérgica Extrínseca/epidemiologia , Animais , Anticorpos Antifúngicos/sangue , Anticorpos Antifúngicos/imunologia , Especificidade de Anticorpos , Aspergillus fumigatus/imunologia , Testes de Provocação Brônquica , Líquido da Lavagem Broncoalveolar/imunologia , Columbidae/sangue , Columbidae/imunologia , Volume Expiratório Forçado , Humanos , Imunoglobulina G/sangue , Imunoglobulina G/imunologia , Masculino , Micromonosporaceae/imunologia , Pessoa de Meia-Idade , Mucor/imunologia , Doenças Profissionais/epidemiologia , Extratos Vegetais , Poaceae/microbiologia , Espanha/epidemiologia
13.
J Lab Clin Med ; 126(5): 485-94, 1995 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7595034

RESUMO

Cultured CD4+ cells are responsible for transfer of adoptive murine experimental hypersensitivity pneumonitis (EHP) (ARRD 1992; 146:1582-8). To characterize interactions that occur in vitro that result in cells able to transfer EHP, we added either antibody to IFN-gamma, antibody to IL-2, or 30 or 300 micrograms/ml IFN-gamma at the onset of 72-hour culture of C3H/HeJ spleen cells from either M. faeni or ovalbumin (control) sensitized donors with 30 micrograms/ml Micropolyspora faeni. We determined the phenotype of cells after culture and the amount of IL-2 or IFN-gamma in the culture supernatants, transferred cells to naive recipients, challenged the recipients intratracheally with M. faeni, and determined the extent of pulmonary inflammatory changes 4 days thereafter. Substantial amounts of IL-2 and IFN-gamma were detected in supernatants of cultures from M. faeni-sensitized animals, and lesser amounts were detected in culture supernatants from ovalbumin-sensitized donors. Treatment of cultures of M. faeni-sensitized cells with antibody to IL-2 or IFN-gamma blocked or reduced measurable IL-2 or IFN-gamma for the duration of culture. Treatment with IFN-gamma blocked increased levels of IL-2 at 48 and 72 hours of culture. Cultured M. faeni-sensitized cells adoptively transfer EHP. Cells from cultures depleted of either IL-2 or IFN-gamma or supplemented with IFN-gamma could transfer EHP equally well. We conclude that in vitro maturation of cells capable of adoptive EHP is not dependent on soluble IL-2 or IFN-gamma and is not altered by exogenous IFN-gamma.


Assuntos
Alveolite Alérgica Extrínseca/imunologia , Interferon gama/farmacologia , Interleucina-2/farmacologia , Alveolite Alérgica Extrínseca/patologia , Animais , Anticorpos Monoclonais/farmacologia , Antígenos de Bactérias/imunologia , Citocinas/biossíntese , Citocinas/imunologia , Imunofenotipagem , Imunoterapia Adotiva , Interferon gama/imunologia , Interleucina-2/imunologia , Pulmão/patologia , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C3H , Micromonosporaceae/imunologia , Ovalbumina/imunologia , Baço/citologia , Baço/efeitos dos fármacos , Células Th1/imunologia , Células Th2/imunologia
14.
Am J Respir Crit Care Med ; 151(6): 1794-8, 1995 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7767522

RESUMO

Patients with farmer's lung disease (FLD) and dairy farmers have nonspecific bronchial hyperresponsiveness. To examine the factors determining bronchial hyperresponsiveness among dairy farmers, we studied airway functions, airway responses to inhaled methacholine, serum total IgE levels, and antigen-specific IgE levels in 37 dairy farmers and 11 local control subjects. The 37 dairy farmers consisted of three groups; 12 farmers with episodes of FLD (FLD group), 13 farmers with serum antibody to Micropolyspora faeni (MF) and/or Thermoactinomyces vulgaris (TV) but without episodes of FLD (Ab(+) group), and 12 farmers without serum antibodies to MF and TV and without episodes of FLD (Ab(-) group). Pulmonary function tests showed small airways disorders among farmers (each of the three groups versus control subjects; p < 0.05). Methacholine provocation test, utilizing PD35Grs (a cumulative dose of methacholine that induces 35% reduction in respiratory conductance [Grs]), showed bronchial hyperresponsiveness in each group of dairy farmers compared with that in control subjects (Log PD35Grs, mean +/- SEM: 1.22 +/- 0.18, 1.00 +/- 0.17, and 1.20 +/- 0.20, respectively, versus 2.10 +/- 0.09; p < 0.001). However, there was no statistically significant difference in bronchial responsiveness among the three groups of dairy farmers. In addition, there was no significant difference in serum total IgE levels and specific IgE antibodies among the four groups. These results suggest that the bronchial hyperresponsiveness to methacholine among dairy farmers is not due to past episodes of FLD or sensitization to MF and/or TV, but is possibly due to the occupational environment of dairy farming.


Assuntos
Hiper-Reatividade Brônquica/fisiopatologia , Indústria de Laticínios , Pulmão de Fazendeiro/fisiopatologia , Micromonosporaceae/imunologia , Anticorpos Antibacterianos/sangue , Hiper-Reatividade Brônquica/epidemiologia , Hiper-Reatividade Brônquica/imunologia , Testes de Provocação Brônquica , Estudos de Casos e Controles , Estudos de Coortes , Pulmão de Fazendeiro/epidemiologia , Pulmão de Fazendeiro/imunologia , Feminino , Humanos , Imunoglobulina E/sangue , Masculino , Cloreto de Metacolina , Pessoa de Meia-Idade
15.
Am J Respir Crit Care Med ; 151(6): 1834-42, 1995 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7767527

RESUMO

We previously demonstrated that recipient CD4+ cells are necessary for expression of adoptive murine experimental hypersensitivity pneumonitis (EHP). In contrast, the acute inflammatory response to intratracheal (i.t.) administration of Micropolyspora faeni (direct EHP) is not CD4+ cell dependent (Am. J. Respir. Crit. Care Med. 1994;149:1286-1294). To further characterize the cells responsible for development of pulmonary inflammation in recipient animals, we depleted recipients of either Thy1.2+ or CD8+ cells before transfer of M. faeni-sensitized cultured C3H/HeJ spleen cells and i.t. challenge with M. faeni. We used the same depletion technique to determine the contribution of these cells to the pulmonary response to i.t. M. faeni in animals that did not receive cultured cells (direct EHP). The nature and extent of pulmonary inflammatory changes in these animals were assayed either 4 d after i.t. challenge with M. faeni in adoptive EHP or 2 d after i.t. challenge with M. faeni in direct EHP. We also tested the hypothesis that our previously demonstrated ablation of adoptive EHP caused by administration of anti-CD4 antibody was due to depletion of recipient CD4+ cells by allowing recovery of recipient CD4+ cells of anti-CD4-treated animals before i.t. challenge. In addition, we allowed Thy1.2+ cell recovery of anti-Thy1.2-treated animals before i.t. challenge. Cultured M. faeni-sensitized spleen cells could adoptively transfer EHP to animals treated with an irrelevant antibody or PBS. Depletion of Thy1.2+ but not CD8+ cells ablated the ability of recipient animals to express adoptive EHP. Direct EHP was not affected by depletion of Thy1.2+ or CD8+ cells.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Alveolite Alérgica Extrínseca/imunologia , Linfócitos T CD8-Positivos/imunologia , Subpopulações de Linfócitos T/imunologia , Animais , Linfócitos T CD4-Positivos/imunologia , Imunoterapia Adotiva , Depleção Linfocítica , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C3H , Micromonosporaceae/imunologia
16.
Inflammation ; 19(2): 207-19, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7601506

RESUMO

A mouse model of hypersensitivity pneumonitis was generated by challenge with a thermophilic actinomycete. Oxygen radical scavengers were administered to challenged mice: vitamin E at 1000 units daily, polyethylene glycol-superoxide dismutase (SOD) at 500 units daily, polyethylene glycol-catalase at 10,000 units daily, 1,3,dimethyl-2-thiourea (DMTU) at 2 mg daily, and the biomimetic SOD, copper(II) [diisopropyl salicylate]2 (CuDIPS) at 1 mg daily. At three weeks after actinomycete challenge, a 10-fold increase in bronchoalveolar (BAL) cell number was observed. Treatments with catalase or DMTU were without effect on the BAL cell number in challenged mice. However, infusion of vitamin E was associated with an increased BAL cell influx (15-fold increase at two and three weeks). Similarly, treatment with PEG-SOD and CuDIPS resulted in an increase in cell number at two and three weeks. PEG-SOD or CuDIPS treatment resulted in a strong neutrophilia, whereas control challenged mice had a cellular influx mostly of macrophages and lymphocytes. Vitamin E treatment of challenged mice led to an increased T lymphocyte recruitment at two and three weeks. In vitro studies showed that actinomycete challenge was associated with an enhancement of alveolar macrophage O2- release, which was blocked by PEG-SOD, vitamin E, or DSC treatment but was unaffected by catalase or DMTU treatment. In control challenged mice, there was a 25-fold increase in the BAL albumin concentration at two weeks. PEG-SOD, vitamin E, or CuDIPS treatment all decreased the albumin concentration; the three modulators also diminished lung fibrosis at two or three weeks, as seen by a decrease in lung hydroxyproline and collagen synthesis by lung fibroblasts. Examination of sections from lungs of challenged animals showed evidence of cellular infiltrates around the bronchi and the blood vessels. Challenged mice given continuous infusions of vitamin E, SOD, or CuDIPS had lung histological scores that were significantly lower than control challenged mice or challenged mice treated with catalase or DMTU. Thus, therapies based on O2- scavenging or treatment with a general antioxidant such as vitamin E may hold some promise in the treatment of hypersensitivity pneumonitis.


Assuntos
Antioxidantes/uso terapêutico , Pulmão de Fazendeiro/tratamento farmacológico , Fibrose Pulmonar/prevenção & controle , Animais , Antígenos de Fungos/toxicidade , Antioxidantes/farmacologia , Líquido da Lavagem Broncoalveolar/citologia , Colágeno/metabolismo , Pulmão de Fazendeiro/complicações , Pulmão de Fazendeiro/imunologia , Pulmão de Fazendeiro/microbiologia , Fibroblastos/metabolismo , Fibroblastos/patologia , Sequestradores de Radicais Livres , Hidroxiprolina/metabolismo , Macrófagos Alveolares/efeitos dos fármacos , Macrófagos Alveolares/metabolismo , Macrófagos Alveolares/patologia , Camundongos , Camundongos Endogâmicos C57BL , Micromonosporaceae/imunologia , Neutrófilos/patologia , Fibrose Pulmonar/etiologia , Fibrose Pulmonar/imunologia , Espécies Reativas de Oxigênio/metabolismo , Salicilatos/farmacologia , Salicilatos/uso terapêutico , Organismos Livres de Patógenos Específicos , Superóxido Dismutase/farmacologia , Superóxido Dismutase/uso terapêutico , Linfócitos T/patologia , Tioureia/análogos & derivados , Tioureia/farmacologia , Tioureia/uso terapêutico , Vitamina E/farmacologia , Vitamina E/uso terapêutico
17.
Antonie Van Leeuwenhoek ; 67(4): 339-44, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-7574549

RESUMO

Aerial prevalence of clinically important thermophilic actinomycetes and occurrence of precipitating antibodies against them in sera of 153 exposed workers have been reported. The study was carried out in two cane sugar mills namely, the Upper Doab Sugar Mills and the Ramala Sugar Mills, located in north-west India. In both the sugar mills, T. sacchari was the predominant species, it accounted for 55.1% and 50.3% of the total population of thermophilic actinomycetes, followed by T. vulgaris (19.7% and 23.7%), T. thalpophilus (21.1% and 17.1%), Saccharomonospora viridis (3.4% and 5.0%) and Saccharopolyspora rectivirgula (Faenia rectivirgula) (0.7% and 3.9%), respectively. Precipitating antibodies against thermophilic actinomycetes were demonstrable in 34 (22.2%) workers; T. sacchari alone accounted for 20 of the positive precipitin reactions, followed by S. rectivirgula in 10. The mean absorbance values for IgG antibody activity against T. sacchari as well as S. rectivirgula were found to be elevated significantly in the symptomatic workers than in the asymptomatic workers (p < 0.05) or unexposed controls (p < 0.001). However, the difference in IgG antibody activity was insignificant between precipitin-positive symptomatic workers and precipitin-positive asymptomatic workers. The results indicate that clinically important thermophilic actinomycetes are widely prevalent in cane sugar mills, and T. sacchari and S. rectivirgula are the major species involved in the sensitization of the bagasse workers in India.


Assuntos
Actinomycetales/imunologia , Actinomycetales/isolamento & purificação , Microbiologia do Ar , Anticorpos Antibacterianos/sangue , Indústria de Processamento de Alimentos , Pneumoconiose/epidemiologia , Humanos , Imunoglobulina G/sangue , Índia/epidemiologia , Micromonosporaceae/imunologia , Micromonosporaceae/isolamento & purificação , Pneumoconiose/imunologia , Precipitinas/sangue , Prevalência , Saccharopolyspora/imunologia , Saccharopolyspora/isolamento & purificação , Estudos Soroepidemiológicos , Sacarose
18.
Allergy ; 49(9): 744-50, 1994 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7695064

RESUMO

In a French region where farmer's lung (FL) is common, we determined the prevalence of FL precipitins in dairy farmers and analyzed the relation between the presence of FL precipitins and the clinical probability of the disease. All the exposed dairy farmers of both sexes (n = 2555) from five districts of the Doubs department were asked to respond to a medical and professional questionnaire. A total of 1763 (69%) farmers agreed to participate. Precipitins tests were conducted in 551 (31%) farmers who showed any respiratory symptom and in a random sample of 100 asymptomatic farmers. Serum for each farmer was analyzed by both double diffusion and immunoelectrophoresis against Micropolyspora faeni (MF) and extracts of moldy hay (HE) from Doubs. The 651 farmers were then divided into four groups (G 1-4) with a decreasing probability of FL (G1: typical FL symptoms; G4: asymptomatic farmers). The estimated prevalence of precipitins in the whole population was as follows: 1) by double diffusion, against HE: 83%, against MF: 27%; 2) by immunoelectrophoresis, against HE: 26%, against MF: 19%. There was a close "linear" relation between the prevalence of precipitins detected by immunoelectrophoresis against HE and the symptoms: 51% in G1, 36% in G2, 29% in G3, and 13% in G4. Precipitins detected by immunoelectrophoresis were also related to exposure and geography (more immunization in tableland area than in plain or mountain area). Presence of precipitins detected by double diffusion was not related to symptoms, exposure, or geography.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Pulmão de Fazendeiro/diagnóstico , Precipitinas/sangue , Adolescente , Adulto , Idoso , Pulmão de Fazendeiro/sangue , Pulmão de Fazendeiro/epidemiologia , Pulmão de Fazendeiro/imunologia , Pulmão de Fazendeiro/microbiologia , Feminino , França/epidemiologia , Humanos , Imunodifusão , Masculino , Micromonosporaceae/imunologia , Micromonosporaceae/isolamento & purificação , Pessoa de Meia-Idade , Testes de Precipitina , Prevalência , Prognóstico , Análise de Regressão , Fatores de Risco
19.
Int Arch Allergy Immunol ; 104(1): 79-91, 1994 May.
Artigo em Inglês | MEDLINE | ID: mdl-7950409

RESUMO

Respiratory syncytial virus causes mild-to-severe respiratory disease in human infants and young children; a closely related bovine respiratory syncytial virus causes a similar disease pattern in calves. Increased disease severity in atopic children suggests that allergic reactivity may enhance the severity of RSV-induced disease. To examine the association between bovine respiratory syncytial virus (BRSV) infection and allergic reactivity two groups of calves were exposed to aerosolized Micropolyspora faeni (Mf) during an experimental BRSV infection. One group exposed to Mf concurrent with BRSV was challenge-exposed to Mf while infected a second time with BRSV, while the other similarly sensitized and infected group was mock challenged. A control group was exposed only to Mf aerosol and another control group was infected with virus but not exposed to Mf aerosol. Parameters examined included: clinical signs, Mf-specific IgG and IgE, BRSV-specific antibody and IgE, leukotrienes C4 and B4 prostaglandins E2, F2 alpha and D2, and lung pathology. While the initial BRSV infection failed to enhance sensitization to inhaled Mf, a second BRSV infection exacerbated clinical signs resulting from Mf aerosol. Consideration of eicosanoid and antibody profiles together with clinical signs suggests that mechanisms of both type I and type III hypersensitivity were operative during Mf challenge of sensitized calves.


Assuntos
Micromonosporaceae/imunologia , Hipersensibilidade Respiratória/virologia , Infecções por Vírus Respiratório Sincicial/imunologia , Administração por Inalação , Animais , Anticorpos Antibacterianos/biossíntese , Bovinos , Eicosanoides/biossíntese , Ensaio de Imunoadsorção Enzimática , Imunoglobulina E/biossíntese , Imunoglobulina G/imunologia , Masculino , Hipersensibilidade Respiratória/imunologia , Hipersensibilidade Respiratória/patologia
20.
J Lab Clin Med ; 123(3): 378-86, 1994 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8133149

RESUMO

We previously demonstrated that CD4+ cells are responsible for transfer of adoptive murine experimental hypersensitivity pneumonitis. To further characterize the CD4+ cells as naive or memory cells, we depleted Micropolyspora faeni-sensitized cultured C3H/HeJ spleen cells of surface IgM+ cells by panning and Ia+ cells by lysis. We measured the proportion of CD4+ cells that expressed CD45RB, CD44 or LECAM-1 (markers used to distinguish memory from naive CD4+ cells) in spleen cell populations able to transfer experimental hypersensitivity pneumonitis (M. faeni sensitized and cultured) and those unable to transfer experimental hypersensitivity pneumonitis (ovalbumin sensitized and M. faeni cultured). Planning reduced the proportion of B cells from 53% to 11% and of Ia+ cells from 54% to 11%. Further lysis of Ia+ cells from the SIgM(+)-depleted population reduced Ia+ cells to 6%. Thy1+ cells increased from 26% to 55% after panning and to 72% after Ia+ cell lysis. Cultured M. faeni-sensitized spleen cells could transfer experimental hypersensitivity pneumonitis. Depletion of SIgM+ cells enhanced and depletion of Ia+ cells did not affect the capacity to transfer experimental hypersensitivity pneumonitis. The CD4+ cells from M. faeni-sensitized animals were 47% CD45RBhi, 36% CD44+ and 0% LECAM-1hi before culture with M. faeni and 48% CD45RBhi. They were 34% CD44+ and 27% LECAM-1hi after culture. The origin of the cells (from M. faeni- or ovalbumin-sensitized animals) did not affect the phenotype of the CD4+ cells, either before or after culture with M. faeni. We conclude that the active cells in spleen cell cultures are SIgM-, Ia-, CD4+ T cells.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Transplante de Células , Pneumonia/etiologia , Pneumonia/patologia , Hipersensibilidade Respiratória/complicações , Baço/patologia , Animais , Biomarcadores , Antígenos CD4/análise , Memória Imunológica , Masculino , Camundongos , Camundongos Endogâmicos C3H , Micromonosporaceae/imunologia , Pneumonia/imunologia , Hipersensibilidade Respiratória/imunologia , Baço/imunologia
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