Inhaled Kathon may induce eosinophilia‐mediated disease in the lung

In 2011, a link between humidifier disinfectants and patients with idiopathic pulmonary fibrosis was identified in Korea, and Kathon was suggested as one of the causative agents. In this study, Kathon induced apoptotic cell death along with membrane damage at 24 h post‐exposure. Additionally, on day...

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Veröffentlicht in:Environmental toxicology 2020-01, Vol.35 (1), p.27-36
Hauptverfasser: Park, Eun‐Jung, Han, Ji‐Seok, Seong, Eunsol, Park, Eun‐Jun, Lee, Byoung‐Seok, Lee, Sang Jin, Lee, Kyuhong
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container_end_page 36
container_issue 1
container_start_page 27
container_title Environmental toxicology
container_volume 35
creator Park, Eun‐Jung
Han, Ji‐Seok
Seong, Eunsol
Park, Eun‐Jun
Lee, Byoung‐Seok
Lee, Sang Jin
Lee, Kyuhong
description In 2011, a link between humidifier disinfectants and patients with idiopathic pulmonary fibrosis was identified in Korea, and Kathon was suggested as one of the causative agents. In this study, Kathon induced apoptotic cell death along with membrane damage at 24 h post‐exposure. Additionally, on day 14 after a single instillation with Kathon, the total number of pulmonary cells and the levels of TNF‐α, IL‐5, IL‐13, MIP‐1α, and MCP‐1α clearly increased in the lung of mice. The proportion of natural killer cells and eosinophils were significantly elevated in the spleen and the bloodstream, respectively, and the level of immunoglobulin (Ig) A, but not IgG, IgM, and IgE, dose‐dependently increased. Therefore, we suggest that inhaled Kathon may induce eosinophilia‐mediated disease in the lung by disrupting homeostasis of pulmonary surfactants. Considering that eosinophilia is closely related to cancer and fibrosis, further studies are needed to understand the relationship between them.
doi_str_mv 10.1002/tox.22839
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In this study, Kathon induced apoptotic cell death along with membrane damage at 24 h post‐exposure. Additionally, on day 14 after a single instillation with Kathon, the total number of pulmonary cells and the levels of TNF‐α, IL‐5, IL‐13, MIP‐1α, and MCP‐1α clearly increased in the lung of mice. The proportion of natural killer cells and eosinophils were significantly elevated in the spleen and the bloodstream, respectively, and the level of immunoglobulin (Ig) A, but not IgG, IgM, and IgE, dose‐dependently increased. Therefore, we suggest that inhaled Kathon may induce eosinophilia‐mediated disease in the lung by disrupting homeostasis of pulmonary surfactants. 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Considering that eosinophilia is closely related to cancer and fibrosis, further studies are needed to understand the relationship between them.</description><subject>Animals</subject><subject>Apoptosis</subject><subject>Apoptosis - drug effects</subject><subject>Blood diseases</subject><subject>Cancer</subject><subject>Cell death</subject><subject>Cell Line</subject><subject>chloromethylisothiazolone</subject><subject>Cytokines - immunology</subject><subject>Disinfectants</subject><subject>Disinfectants - toxicity</subject><subject>Disruption</subject><subject>Eosinophilia</subject><subject>Eosinophilia - blood</subject><subject>Eosinophilia - chemically induced</subject><subject>Eosinophilia - immunology</subject><subject>Eosinophils</subject><subject>Eosinophils - cytology</subject><subject>Fibrosis</subject><subject>Homeostasis</subject><subject>Humans</subject><subject>immunoglobulin A</subject><subject>Immunoglobulin A - blood</subject><subject>Immunoglobulin E</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin M</subject><subject>Inhalation Exposure - adverse effects</subject><subject>Leukocytes (eosinophilic)</subject><subject>Lung - drug effects</subject><subject>Lung - immunology</subject><subject>Lung - metabolism</subject><subject>Lung - pathology</subject><subject>Lung diseases</subject><subject>Lungs</subject><subject>Male</subject><subject>matrix metalloproteinase</subject><subject>methylisothiazolinone</subject><subject>Mice</subject><subject>Mice, Inbred ICR</subject><subject>Natural killer cells</subject><subject>Pollutants</subject><subject>Pulmonary Surfactants - metabolism</subject><subject>Spleen</subject><subject>Surfactants</subject><subject>Thiazoles - toxicity</subject><subject>Tumor necrosis factor</subject><issn>1520-4081</issn><issn>1522-7278</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUQC0EoqUw8AMoEhNDWj8TZ0RVgYpKXYrEZjnxDXGVJiVOBN34BL6RL8E0hY3Jdzg69_ogdEnwmGBMJ239PqZUsuQIDYmgNIxpLI_3Mw45lmSAzpxbY4yTSESnaMAIT2QS0yGazatCl2CCR90WdRVs9C6wlekyCKB2tqq3hS2t_vr43ICxuvWksQ60A48FbQFB2VUv5-gk16WDi8M7Qk93s9X0IVws7-fT20WYcUISf5bOMZc54SnEJmI85TyP4jSiFETCNMiMC52KiIIxmrKYCZIyJkwMNMskYyN03Xu3Tf3agWvVuu6ayq9UlFHCcSRF7Kmbnsqa2rkGcrVt7EY3O0Ww-gmmfDC1D-bZq4OxS_0P_8jfQh6Y9MCbLWH3v0mtls-98hvVEnUQ</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Park, Eun‐Jung</creator><creator>Han, Ji‐Seok</creator><creator>Seong, Eunsol</creator><creator>Park, Eun‐Jun</creator><creator>Lee, Byoung‐Seok</creator><creator>Lee, Sang Jin</creator><creator>Lee, Kyuhong</creator><general>John Wiley &amp; 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In this study, Kathon induced apoptotic cell death along with membrane damage at 24 h post‐exposure. Additionally, on day 14 after a single instillation with Kathon, the total number of pulmonary cells and the levels of TNF‐α, IL‐5, IL‐13, MIP‐1α, and MCP‐1α clearly increased in the lung of mice. The proportion of natural killer cells and eosinophils were significantly elevated in the spleen and the bloodstream, respectively, and the level of immunoglobulin (Ig) A, but not IgG, IgM, and IgE, dose‐dependently increased. Therefore, we suggest that inhaled Kathon may induce eosinophilia‐mediated disease in the lung by disrupting homeostasis of pulmonary surfactants. Considering that eosinophilia is closely related to cancer and fibrosis, further studies are needed to understand the relationship between them.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>31498972</pmid><doi>10.1002/tox.22839</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3723-5351</orcidid></addata></record>
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subjects Animals
Apoptosis
Apoptosis - drug effects
Blood diseases
Cancer
Cell death
Cell Line
chloromethylisothiazolone
Cytokines - immunology
Disinfectants
Disinfectants - toxicity
Disruption
Eosinophilia
Eosinophilia - blood
Eosinophilia - chemically induced
Eosinophilia - immunology
Eosinophils
Eosinophils - cytology
Fibrosis
Homeostasis
Humans
immunoglobulin A
Immunoglobulin A - blood
Immunoglobulin E
Immunoglobulin G
Immunoglobulin M
Inhalation Exposure - adverse effects
Leukocytes (eosinophilic)
Lung - drug effects
Lung - immunology
Lung - metabolism
Lung - pathology
Lung diseases
Lungs
Male
matrix metalloproteinase
methylisothiazolinone
Mice
Mice, Inbred ICR
Natural killer cells
Pollutants
Pulmonary Surfactants - metabolism
Spleen
Surfactants
Thiazoles - toxicity
Tumor necrosis factor
title Inhaled Kathon may induce eosinophilia‐mediated disease in the lung
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