Abstract
To determine whether asbestos dust produces pathologic changes in the small airways, and to determine where the anatomic lesions of asbestosis commence, the authors examined lungs from guinea pigs exposed to 10 or 30 mg of amosite asbestos by intratracheal instillation and sacrificed 6 months later. Measurement of airway wall thickness revealed that membranous and respiratory bronchioles of all sizes in exposed animals were significantly thicker than those of controls. Amosite fibers were found embedded in the walls of bronchi and in membranous and respiratory bronchioles; where these fibers penetrated the airway walls, an interstitial inflammatory and fibrotic reaction (asbestosis) occurred. It is concluded that 1) amosite asbestos produces diffuse abnormalities throughout the noncartilagenous airways and possibly the cartilagenous airways as well; 2) this effect is independent of interstitial fibrosis of the parenchyma (classical asbestosis); 3) asbestosis, at least that induced by amosite, commences at any site in the parenchyma to which the asbestos fibers can gain access, either by deposition in alveoli and alveolar ducts or by direct passage of fibers through the walls of all types and sizes of small airways.
Full text
PDF





Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Botham S. K., Holt P. F. Development of asbestos bodies on amosite, chrysotile and crocidolite fibres in guinea-pig lungs. J Pathol. 1971 Nov;105(3):159–167. doi: 10.1002/path.1711050303. [DOI] [PubMed] [Google Scholar]
- Brain J. D., Knudson D. E., Sorokin S. P., Davis M. A. Pulmonary distribution of particles given by intratracheal instillation or by aerosol inhalation. Environ Res. 1976 Feb;11(1):13–33. doi: 10.1016/0013-9351(76)90107-9. [DOI] [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]
- Brody A. R., Hill L. H., Adkins B., Jr, O'Connor R. W. Chrysotile asbestos inhalation in rats: deposition pattern and reaction of alveolar epithelium and pulmonary macrophages. Am Rev Respir Dis. 1981 Jun;123(6):670–679. doi: 10.1164/arrd.1981.123.6.670. [DOI] [PubMed] [Google Scholar]
- Bégin R., Cantin A., Berthiaume Y., Boileau R., Péloquin S., Massé S. Airway function in lifetime-nonsmoking older asbestos workers. Am J Med. 1983 Oct;75(4):631–638. doi: 10.1016/0002-9343(83)90449-7. [DOI] [PubMed] [Google Scholar]
- Bégin R., Massé S., Bureau M. A. Morphologic features and function of the airways in early asbestosis in the sheep model. Am Rev Respir Dis. 1982 Nov;126(5):870–876. doi: 10.1164/arrd.1982.126.5.870. [DOI] [PubMed] [Google Scholar]
- Churg A., Wright J. L., Wiggs B., Paré P. D., Lazar N. Small airways disease and mineral dust exposure. Prevalence, structure, and function. Am Rev Respir Dis. 1985 Jan;131(1):139–143. doi: 10.1164/arrd.1985.131.1.139. [DOI] [PubMed] [Google Scholar]
- Cosio M., Ghezzo H., Hogg J. C., Corbin R., Loveland M., Dosman J., Macklem P. T. The relations between structural changes in small airways and pulmonary-function tests. N Engl J Med. 1978 Jun 8;298(23):1277–1281. doi: 10.1056/NEJM197806082982303. [DOI] [PubMed] [Google Scholar]
- Craighead J. E., Abraham J. L., Churg A., Green F. H., Kleinerman J., Pratt P. C., Seemayer T. A., Vallyathan V., Weill H. The pathology of asbestos-associated diseases of the lungs and pleural cavities: diagnostic criteria and proposed grading schema. Report of the Pneumoconiosis Committee of the College of American Pathologists and the National Institute for Occupational Safety and Health. Arch Pathol Lab Med. 1982 Oct 8;106(11):544–596. [PubMed] [Google Scholar]
- Davis J. M., Beckett S. T., Bolton R. E., Donaldson K. The effects of intermittent high asbestos exposure (peak dose levels) on the lungs of rats. Br J Exp Pathol. 1980 Jun;61(3):272–280. [PMC free article] [PubMed] [Google Scholar]
- Harless K. W., Watanabe S., Renzetti A. D., Jr The acute effects of chrysotile asbestos exposure on lung function. Environ Res. 1978 Jul;16(1-3):360–372. doi: 10.1016/0013-9351(78)90169-x. [DOI] [PubMed] [Google Scholar]
- Holt P. F., Mills J., Young D. K. Experimental asbestosis in the guinea-pig. J Pathol Bacteriol. 1966 Jul;92(1):185–195. doi: 10.1002/path.1700920119. [DOI] [PubMed] [Google Scholar]
- Jodoin G., Gibbs G. W., Macklem P. T., McDonald J. C., Becklake M. R. Early effects of asbestos exposure on lung function. Am Rev Respir Dis. 1971 Oct;104(4):525–535. doi: 10.1164/arrd.1971.104.4.525. [DOI] [PubMed] [Google Scholar]
- Langston C., Waszkiewicz E., Thurlbeck W. M. A simple method for the representative sampling of lungs of diverse size. Thorax. 1979 Aug;34(4):527–530. doi: 10.1136/thx.34.4.527. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Muldoon B. C., Turner-Warwick M. Lung function studies in asbestos workers. Br J Dis Chest. 1972 Apr;66(2):121–132. [PubMed] [Google Scholar]
- Rodriguez-Roisin R., Merchant J. E., Cochrane G. M., Hickey B. P., Turner-Warwick M., Clark T. J. Maximal expiratory flow volume curves in workers exposed to asbestos. Respiration. 1980;39(3):158–165. doi: 10.1159/000194211. [DOI] [PubMed] [Google Scholar]
- VORWALD A. J., DURKAN T. M., PRATT P. C. Experimental studies of asbestosis. AMA Arch Ind Hyg Occup Med. 1951 Jan;3(1):1–43. [PubMed] [Google Scholar]
- Wagner J. C., Berry G., Skidmore J. W., Timbrell V. The effects of the inhalation of asbestos in rats. Br J Cancer. 1974 Mar;29(3):252–269. doi: 10.1038/bjc.1974.65. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wright J. L., Churg A. Morphology of small-airway lesions in patients with asbestos exposure. Hum Pathol. 1984 Jan;15(1):68–74. doi: 10.1016/s0046-8177(84)80332-9. [DOI] [PubMed] [Google Scholar]



