Abstract
BACKGROUND: Damp conditions indoors favour the growth of microorganisms, and these contain several agents that may cause inflammation when inhaled. Moulds contain a polyglucose in their cell wall, defined as (1-->3)-beta-D-glucan, exhibiting effects on inflammatory cells. AIM: The aim of the present study was to evaluate whether an inhalation challenge to purified (1-->3)-beta-D-glucan (grifolan) in humans could induce effects on inflammatory markers in blood, and to evaluate whether the reactions were related to the home exposure to (1-->3)-beta-D-glucan. METHODS: Seventeen subjects in homes with high levels of airborne (1-->3)-beta-D-glucan (G-high) and 18 subjects in homes with low levels of (1-->3)-beta-D-glucan (G-low) underwent two randomised, double-blind inhalation challenges, one to (1-->3)-beta-D-glucan suspended in saline and one to saline alone. A blood sample was taken before and after the challenges, and differential cell count, granulocyte enzymes in serum and the secretion of cytokines from peripheral blood mononuclear cells (PBMC) were measured. RESULTS: Inhalation challenge with (1-->3)-beta-D-glucan induced a decrease in the secretion of tumour necrosis factor alpha from endotoxin-stimulated PBMC in the G-high group as well as in the G-low group. In the G-high group, the inhalation of (1-->3)-beta-D-glucan induced an increase in blood lymphocytes that was significantly different from the saline-induced effect. CONCLUSIONS: The results suggest that an inhalation challenge to (1-->3)-beta-D-glucan has an effect on inflammatory cells and this effect may be related to a chronic exposure to moulds at home.
Full Text
The Full Text of this article is available as a PDF (150.4 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Andrae S., Axelson O., Björkstén B., Fredriksson M., Kjellman N. I. Symptoms of bronchial hyperreactivity and asthma in relation to environmental factors. Arch Dis Child. 1988 May;63(5):473–478. doi: 10.1136/adc.63.5.473. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brunekreef B. Damp housing and adult respiratory symptoms. Allergy. 1992 Oct;47(5):498–502. doi: 10.1111/j.1398-9995.1992.tb00672.x. [DOI] [PubMed] [Google Scholar]
- Dales R. E., Burnett R., Zwanenburg H. Adverse health effects among adults exposed to home dampness and molds. Am Rev Respir Dis. 1991 Mar;143(3):505–509. doi: 10.1164/ajrccm/143.3.505. [DOI] [PubMed] [Google Scholar]
- Dales R., Miller D., White J., Dulberg C., Lazarovits A. I. Influence of residential fungal contamination on peripheral blood lymphocyte populations in children. Arch Environ Health. 1998 May-Jun;53(3):190–195. doi: 10.1080/00039899809605694. [DOI] [PubMed] [Google Scholar]
- Fogelmark B., Goto H., Yuasa K., Marchat B., Rylander R. Acute pulmonary toxicity of inhaled beta-1,3-glucan and endotoxin. Agents Actions. 1992 Jan;35(1-2):50–56. doi: 10.1007/BF01990951. [DOI] [PubMed] [Google Scholar]
- Malmberg P., Rask-Andersen A., Rosenhall L. Exposure to microorganisms associated with allergic alveolitis and febrile reactions to mold dust in farmers. Chest. 1993 Apr;103(4):1202–1209. doi: 10.1378/chest.103.4.1202. [DOI] [PubMed] [Google Scholar]
- Martin C. J., Platt S. D., Hunt S. M. Housing conditions and ill health. Br Med J (Clin Res Ed) 1987 May 2;294(6580):1125–1127. doi: 10.1136/bmj.294.6580.1125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Michel O., Dentener M., Corazza F., Buurman W., Rylander R. Healthy subjects express differences in clinical responses to inhaled lipopolysaccharide that are related with inflammation and with atopy. J Allergy Clin Immunol. 2001 May;107(5):797–804. doi: 10.1067/mai.2001.114249. [DOI] [PubMed] [Google Scholar]
- Michel O., Nagy A. M., Schroeven M., Duchateau J., Nève J., Fondu P., Sergysels R. Dose-response relationship to inhaled endotoxin in normal subjects. Am J Respir Crit Care Med. 1997 Oct;156(4 Pt 1):1157–1164. doi: 10.1164/ajrccm.156.4.97-02002. [DOI] [PubMed] [Google Scholar]
- Rylander R., Lin R. H. (1-->3)-beta-D-glucan - relationship to indoor air-related symptoms, allergy and asthma. Toxicology. 2000 Nov 2;152(1-3):47–52. doi: 10.1016/s0300-483x(00)00291-2. [DOI] [PubMed] [Google Scholar]
- Schatz M., Patterson R. Hypersensitivity pneumonitis--general considerations. Clin Rev Allergy. 1983 Dec;1(4):451–467. [PubMed] [Google Scholar]
- Soltys J., Quinn M. T. Modulation of endotoxin- and enterotoxin-induced cytokine release by in vivo treatment with beta-(1,6)-branched beta-(1,3)-glucan. Infect Immun. 1999 Jan;67(1):244–252. doi: 10.1128/iai.67.1.244-252.1999. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Strachan D. P., Elton R. A. Relationship between respiratory morbidity in children and the home environment. Fam Pract. 1986 Sep;3(3):137–142. doi: 10.1093/fampra/3.3.137. [DOI] [PubMed] [Google Scholar]
- Thorn J., Beijer L., Rylander R. Airways inflammation and glucan exposure among household waste collectors. Am J Ind Med. 1998 May;33(5):463–470. doi: 10.1002/(sici)1097-0274(199805)33:5<463::aid-ajim5>3.0.co;2-t. [DOI] [PubMed] [Google Scholar]
- Thorn J., Beijer L., Rylander R. Effects after inhalation of (1-->3)-beta-D-glucan in healthy humans. Mediators Inflamm. 2001 Aug;10(4):173–178. doi: 10.1080/09629350124119. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thorn J., Brisman J., Torén K. Adult-onset asthma is associated with self-reported mold or environmental tobacco smoke exposures in the home. Allergy. 2001 Apr;56(4):287–292. doi: 10.1034/j.1398-9995.2001.00805.x. [DOI] [PubMed] [Google Scholar]
- Thorn J., Rylander R. Airways inflammation and glucan in a rowhouse area. Am J Respir Crit Care Med. 1998 Jun;157(6 Pt 1):1798–1803. doi: 10.1164/ajrccm.157.6.9706081. [DOI] [PubMed] [Google Scholar]
- Thorn J., Rylander R. Inflammatory response after inhalation of bacterial endotoxin assessed by the induced sputum technique. Thorax. 1998 Dec;53(12):1047–1052. doi: 10.1136/thx.53.12.1047. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williamson I. J., Martin C. J., McGill G., Monie R. D., Fennerty A. G. Damp housing and asthma: a case-control study. Thorax. 1997 Mar;52(3):229–234. doi: 10.1136/thx.52.3.229. [DOI] [PMC free article] [PubMed] [Google Scholar]