Inflammation induced by inhaled lipopolysaccharide depends on particle size in healthy volunteers

Aims In drug development, the anti‐inflammatory properties of new molecules in the lung are currently tested using the inhaled lipopolysaccharide (LPS) model. The total and regional lung bioavailability of inhaled particles depends significantly on their size. The objective of the present study was...

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Veröffentlicht in:British journal of clinical pharmacology 2016-11, Vol.82 (5), p.1371-1381
Hauptverfasser: Doyen, Virginie, Pilcer, Gabrielle, Dinh, Phong Huy Duc, Corazza, Francis, Bernard, Alfred, Bergmann, Pierre, Lefevre, Nicolas, Amighi, Karim, Michel, Olivier
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container_end_page 1381
container_issue 5
container_start_page 1371
container_title British journal of clinical pharmacology
container_volume 82
creator Doyen, Virginie
Pilcer, Gabrielle
Dinh, Phong Huy Duc
Corazza, Francis
Bernard, Alfred
Bergmann, Pierre
Lefevre, Nicolas
Amighi, Karim
Michel, Olivier
description Aims In drug development, the anti‐inflammatory properties of new molecules in the lung are currently tested using the inhaled lipopolysaccharide (LPS) model. The total and regional lung bioavailability of inhaled particles depends significantly on their size. The objective of the present study was to compare inflammatory responses in healthy volunteers after the inhalation of LPS of varying droplet size. Methods Three nebulizers were characterized by different droplet size distributions [mean mass median aerodynamic diameters: Microcirrus (2.0 μm), MB2 (3.2 μm) and Pari (7.9 μm)]. Participants inhaled three boluses of a 20 μg (technetium 99 m‐labelled) solution of LPS, randomly delivered by each nebulizer. We measured the lung deposition of the nebulized LPS by gamma‐scintigraphy, while blood and sputum biomarkers were evaluated before and after challenges. Results MB2 and Pari achieved greater lung deposition than Microcirrus [171.5 (±72.9) and 217.6 (±97.8) counts pixel–1, respectively, vs. 67.9 (±20.6) counts pixel–1; P < 0.01]. MB2 and Pari caused higher levels of blood C‐reactive protein and more total cells and neutrophils in sputum compared with Microcirrus (P < 0.05). C‐reactive protein levels correlated positively with lung deposition (P < 0.01). Conclusions Inhalation of large droplets of LPS gave rise to greater lung deposition and induced a more pronounced systemic and bronchial inflammatory response than small droplets. The systemic inflammatory response correlated with lung deposition. NCT01081392.
doi_str_mv 10.1111/bcp.13052
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The total and regional lung bioavailability of inhaled particles depends significantly on their size. The objective of the present study was to compare inflammatory responses in healthy volunteers after the inhalation of LPS of varying droplet size. Methods Three nebulizers were characterized by different droplet size distributions [mean mass median aerodynamic diameters: Microcirrus (2.0 μm), MB2 (3.2 μm) and Pari (7.9 μm)]. Participants inhaled three boluses of a 20 μg (technetium 99 m‐labelled) solution of LPS, randomly delivered by each nebulizer. We measured the lung deposition of the nebulized LPS by gamma‐scintigraphy, while blood and sputum biomarkers were evaluated before and after challenges. Results MB2 and Pari achieved greater lung deposition than Microcirrus [171.5 (±72.9) and 217.6 (±97.8) counts pixel–1, respectively, vs. 67.9 (±20.6) counts pixel–1; P &lt; 0.01]. MB2 and Pari caused higher levels of blood C‐reactive protein and more total cells and neutrophils in sputum compared with Microcirrus (P &lt; 0.05). C‐reactive protein levels correlated positively with lung deposition (P &lt; 0.01). Conclusions Inhalation of large droplets of LPS gave rise to greater lung deposition and induced a more pronounced systemic and bronchial inflammatory response than small droplets. The systemic inflammatory response correlated with lung deposition. 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The total and regional lung bioavailability of inhaled particles depends significantly on their size. The objective of the present study was to compare inflammatory responses in healthy volunteers after the inhalation of LPS of varying droplet size. Methods Three nebulizers were characterized by different droplet size distributions [mean mass median aerodynamic diameters: Microcirrus (2.0 μm), MB2 (3.2 μm) and Pari (7.9 μm)]. Participants inhaled three boluses of a 20 μg (technetium 99 m‐labelled) solution of LPS, randomly delivered by each nebulizer. We measured the lung deposition of the nebulized LPS by gamma‐scintigraphy, while blood and sputum biomarkers were evaluated before and after challenges. Results MB2 and Pari achieved greater lung deposition than Microcirrus [171.5 (±72.9) and 217.6 (±97.8) counts pixel–1, respectively, vs. 67.9 (±20.6) counts pixel–1; P &lt; 0.01]. MB2 and Pari caused higher levels of blood C‐reactive protein and more total cells and neutrophils in sputum compared with Microcirrus (P &lt; 0.05). C‐reactive protein levels correlated positively with lung deposition (P &lt; 0.01). Conclusions Inhalation of large droplets of LPS gave rise to greater lung deposition and induced a more pronounced systemic and bronchial inflammatory response than small droplets. The systemic inflammatory response correlated with lung deposition. 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MB2 and Pari caused higher levels of blood C‐reactive protein and more total cells and neutrophils in sputum compared with Microcirrus (P &lt; 0.05). C‐reactive protein levels correlated positively with lung deposition (P &lt; 0.01). Conclusions Inhalation of large droplets of LPS gave rise to greater lung deposition and induced a more pronounced systemic and bronchial inflammatory response than small droplets. The systemic inflammatory response correlated with lung deposition. NCT01081392.</abstract><cop>England</cop><pub>John Wiley and Sons Inc</pub><pmid>27331367</pmid><doi>10.1111/bcp.13052</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Administration, Inhalation
Adolescent
Adult
asthma
C-Reactive Protein - metabolism
Cell Count
endotoxin
Female
Healthy Volunteers
Humans
inflammation
Inflammation - chemically induced
Inflammation - metabolism
Lipopolysaccharides - administration & dosage
Lipopolysaccharides - pharmacokinetics
Lung - metabolism
lung deposition
Male
Methods in Clinical Pharmacology
Middle Aged
Nebulizers and Vaporizers
Neutrophils - drug effects
Particle Size
Radionuclide Imaging
Sputum - cytology
Technetium - administration & dosage
Technetium - pharmacokinetics
Young Adult
title Inflammation induced by inhaled lipopolysaccharide depends on particle size in healthy volunteers
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