Abstract
The success or failure of the respiratory system to defend itself against airborne infectious agents largely depends upon the efficiency of the pulmonary defenses to maintain sterility and to dispose of unwanted substances. Both specific and nonspecific host defenses cooperate in the removal and inactivation of such agents. Several studies have shown that these defenses are vulnerable to a wide range of environmental agents and that there is a good relationship between exposure to pollutant and the impaired resistance to pulmonary disease. There are numerous immunological, biochemical and physiological techniques that are routinely used to identify and to characterize individual impairments of these defenses. Based on these effects, various hypotheses are proposed as to what health consequences could be expected from these effects. The ultimate test is whether the host, with its compromised defense mechanisms, is still capable of sustaining the total injury and continuing to defend itself against opportunistic pathogens. This paper describes the use of an experimental airborne infectious disease model capable of predicting subtle changes in host defenses at concentrations below which there are any other overt toxicological effects. Such sensitivity is possible because the model measure not just a single "health" parameter, but instead is capable of reflecting the total responses caused by the test chemical.
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- Adalis D., Gardner D. E., Miller F. J. Cytotoxic effects of nickel on ciliated epithelium. Am Rev Respir Dis. 1978 Aug;118(2):347–354. doi: 10.1164/arrd.1978.118.2.347. [DOI] [PubMed] [Google Scholar]
- Adkins B., Jr, Luginbuhl G. H., Miller F. J., Gardner D. E. Increased pulmonary susceptibility to streptococcal infection following inhalation of manganese oxide. Environ Res. 1980 Oct;23(1):110–120. doi: 10.1016/0013-9351(80)90098-5. [DOI] [PubMed] [Google Scholar]
- Aranyi C., Miller F. J., Andres S., Ehrlich R., Fenters J., Gardner D. E., Waters M. D. Cytotoxicity to alveolar macrophages of trace metals adsorbed on fly ash. Environ Res. 1979 Oct;20(1):14–23. doi: 10.1016/0013-9351(79)90081-1. [DOI] [PubMed] [Google Scholar]
- Brain J. D. The respiratory tract and the environment. Environ Health Perspect. 1977 Oct;20:113–126. doi: 10.1289/ehp.7720113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brain J. D., Valberg P. A. Deposition of aerosol in the respiratory tract. Am Rev Respir Dis. 1979 Dec;120(6):1325–1373. doi: 10.1164/arrd.1979.120.6.1325. [DOI] [PubMed] [Google Scholar]
- Coffin D. L., Gardner D. E. Interaction of biological agents and chemical air pollutants. Ann Occup Hyg. 1972 Nov;15(2):219–235. doi: 10.1093/annhyg/15.2-4.219. [DOI] [PubMed] [Google Scholar]
- Ehrlich R., Findlay J. C., Gardner D. E. Effects of repeated exposures to peak concentrations of nitrogen dioxide and ozone on resistance to streptococcal pneumonia. J Toxicol Environ Health. 1979 Jul;5(4):631–642. doi: 10.1080/15287397909529775. [DOI] [PubMed] [Google Scholar]
- Ehrlich R. Interaction between environmental pollutants and respiratory infections. Environ Health Perspect. 1980 Apr;35:89–99. doi: 10.1289/ehp.803589. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fenters J. D., Bradof J. N., Aranyi C., Ketels K., Ehrlich R., Gardner D. E. Health effects of long-term inhalation of sulfuric acid mist-carbon particle mixtures. Environ Res. 1979 Aug;19(2):244–257. doi: 10.1016/0013-9351(79)90052-5. [DOI] [PubMed] [Google Scholar]
- Gainer J. H. Effects of heavy metals and of deficiency of zinc on mortality rates in mice infected with encephalomyocarditis virus. Am J Vet Res. 1977 Jun;38(6):869–872. [PubMed] [Google Scholar]
- Gardner D. E., Miller F. J., Illing J. W., Kirtz J. M. Alterations in bacterial defense mechanisms of the lung induced by inhalation of cadmium. Bull Eur Physiopathol Respir. 1977 Jan-Feb;13(1):157–174. [PubMed] [Google Scholar]
- Graham J. A., Gardner D. E., Waters M. D., Coffin D. L. Effect of trace metals on phagocytosis by alveolar macrophages. Infect Immun. 1975 Jun;11(6):1278–1283. doi: 10.1128/iai.11.6.1278-1283.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Graham J. A., Miller F. J., Daniels M. J., Payne E. A., Gardner D. E. Influence of cadmium, nickel, and chromium on primary immunity in mice. Environ Res. 1978 Jul;16(1-3):77–87. doi: 10.1016/0013-9351(78)90144-5. [DOI] [PubMed] [Google Scholar]
- Hu P. C., Kirtz J. M., Gardner D. E., Powell D. A. Experimental infection of the respiratory tract with Mycoplasma pneumoniae. Environ Health Perspect. 1980 Apr;35:101–106. doi: 10.1289/ehp.8035101. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hueter F. G., Contner G. L., Busch K. A., Hinners R. G. Biological effects of atmospheres contaminated by auto exhaust. Arch Environ Health. 1966 May;12(5):553–560. doi: 10.1080/00039896.1966.10664432. [DOI] [PubMed] [Google Scholar]
- Kass E. H., Green G. M., Goldstein E. Mechanisms of antibacterial action in the respiratory system. Bacteriol Rev. 1966 Sep;30(3):488–497. doi: 10.1128/br.30.3.488-497.1966. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Koller L. D., Exon J. H., Roan J. G. Humoral antibody response in mice after single dose exposure to lead or cadmium. Proc Soc Exp Biol Med. 1976 Feb;151(2):339–342. doi: 10.3181/00379727-151-39205. [DOI] [PubMed] [Google Scholar]
- STOKINGER H. E. Evaluation of the hazards of ozone and oxides of nitrogen; factors modifying toxicity. AMA Arch Ind Health. 1957 Mar;15(3):181–190. [PubMed] [Google Scholar]
- Tillery M. I., Wood G. O., Ettinger H. J. Generation and characterization of aerosols and vapors for inhalation experiments. Environ Health Perspect. 1976 Aug;16:25–40. doi: 10.1289/ehp.761625. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Waters M. D., Gardner D. E., Aranyi C., Coffin D. L. Metal toxicity for rabbit alveolar macrophages in vitro. Environ Res. 1975 Feb;9(1):32–47. doi: 10.1016/0013-9351(75)90047-x. [DOI] [PubMed] [Google Scholar]