Skip to main content
Log in

Bronchoalveolar lavage in silicosis

Evidence of type II cell hyperplasia

  • Published:
Lung Aims and scope Submit manuscript

Abstract

In this report we describe the chronic effects of inhaled silica, a potent macrophage toxin, on cells which could be lavaged from the lung in man. Eight bronchoalveolar lavages were performed on patients with complicated silicosis, who had last been exposed to silica 1 to 12 years prior to lavage. We compared the results with those from 10 lavaged control subjects. All subjects in both groups were cigarette smokers.

No differences were detected in cell number, viability, adherence or ability to phagocytize and killListeria monocytogenes, but significantly increased numbers of type II pneumocytes were present in lavages from the silicotic subjects. This finding probably indicates type II cell hyperplasia and provides indirect evidence of the continuing presence of biologically active material within the lung years after cessation of exposure to silica.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Allison AC, Harington JS, Birbeck M (1966) An examination of cytotoxic effects of silica on macrophages. J Exp Med 124:141–153

    Article  PubMed  CAS  Google Scholar 

  2. Allison AC, Clark I, Davies P (1977) Cellular interactions in fibrogenesis. Ann Rheum Dis 36 (suppl.):8–13

    Google Scholar 

  3. Bailey WC, Brown M, Buechner HA, Weill H, Ichinose H, Ziskind M (1974) Silico-mycobacterial disease in sandblasters. Am Rev Respir Dis 110:115–125

    PubMed  CAS  Google Scholar 

  4. Cantrell ET, Warr GA, Busbee DL, Martin RR (1973) Induction of aryl hydrocarbon hydroxylase in human pulmonary alveolar macrophages by cigarette smoking. J Clin Invest 52:1881–1884

    PubMed  CAS  Google Scholar 

  5. DuBuy H (1975) Effect of silica on virus infections in mice and mouse tissue culture. Inf Immun 11:996–1002

    CAS  Google Scholar 

  6. Eden K, Von Seebach H (1976) Atypical quartz dust-induced pneumoconiosos in SPF rats. Aspects of the role of the lymphatic system in the pathogenesis of silicosis. Virchows Arch A Pathol Anat Histol 372:1–9

    Article  PubMed  CAS  Google Scholar 

  7. Goldstein E, Green GM, Seamans C (1969) The effect of silicosis on the antibacterial defense mechanisms of the murine lung. J Inf Dis 120:210–216

    CAS  Google Scholar 

  8. Gross P, DeTreville T, Tolker E, Kaschak M, Babyak M (1969) The pulmonary macrophage response to irritants. Arch Environ Health 18:174–184

    PubMed  CAS  Google Scholar 

  9. Harris JO, Swenson E, Johnson J (1970) 1970 human alveolar macrophages: Comparison of phagocytic ability, glucose utilization, and ultrastructure in smokers and nonsmokers. J Clin Invest 49:2086–2096

    Article  PubMed  CAS  Google Scholar 

  10. Heppleston A, Young A (1972) Alveolar lipo-proteinosis: An ultrastructural comparison of the experimental and human forms. J Pathol 107:107–117

    Article  PubMed  CAS  Google Scholar 

  11. Heppleston A, Fletcher K, Wyatt I (1974) Changes in the composition of lung lipids and the “turnover” of dipalmitoyl lecithin in experimental alveolar lipo-proteinosis induced by inhaled quartz. Br J Exp Path 55:384–395

    CAS  Google Scholar 

  12. Hoffman E, Lamberty L, Pizzoalto P, Coover J (1974) The ultrastructure of acute silicosis. Arch Path 96:104–109

    Google Scholar 

  13. Johnson JD, Hand WL, King NL, Hughes CG (1974) Activation of alveolar macrophages after lower respiratory tract infection. J Immunol 115:80–86

    Google Scholar 

  14. Levy M, Wheelock E (1975) Effects of intravenous silica on immune and non-immune functions of the murine host. J Immunol 115:41–48

    PubMed  CAS  Google Scholar 

  15. Lotzova E, Cudkowicz G (1974) Abrogation of resistance to bone marrow grafts by silica particles. J Immunol 113:798–803

    PubMed  CAS  Google Scholar 

  16. Mann P, Cohen A, Finley T, Ladman A (1971) Alveolar Macrophages: structural and functional differences between nonsmokers and smokers of marijuana and tobacco. Lab Invest 25:111–120

    PubMed  CAS  Google Scholar 

  17. Martin RR (1973) Altered morphology and increased acid hydrolase content of pulmonary macrophages from cigarette smokers. Am Rev Respir Dis 107:596–601

    PubMed  CAS  Google Scholar 

  18. Miller SD, Zarkower A (1974) Alterations of murine immunologic responses after silica dust inhalation. J Immunol 113:1533–1543

    PubMed  CAS  Google Scholar 

  19. Rios A, Simmons R (1972) Poly-2 vinylpyridine N-oxide reverses the immunosuppressive effects of silica and carrageenan. Transplantation 13:343–345

    Article  PubMed  CAS  Google Scholar 

  20. Schwartz HJ, Leskowitz S (1969) The effect of carrageenan on delayed hypersensitivity reactions. J Immunol 103:87–91

    PubMed  CAS  Google Scholar 

  21. Vlckova A, Ulrich L, Babinska M (1976) The protective action of disodium cromoglycate on alveolar macrophages in phagocytosis of fibrogenic silica. Life Sciences 19:1727–1735

    Article  PubMed  CAS  Google Scholar 

  22. Warr GA, Martin RR (1976) Concanavalin-A agglutination of human pulmonary alveolar macrophages from non-smokers and cigarette smokers: a comparison. Life Sciences 18:1177–1184

    Article  PubMed  CAS  Google Scholar 

  23. Witschi H (1976) Proliferation of Type II alveolar cells. A review of common responses in toxic lung injury. Toxicology 5:267–277

    Article  CAS  Google Scholar 

  24. Zimmerman P, Sinclair R (1977) Rapidly progressive fatal silicosis in a young man. Med J Australia 2:704–706

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by: NHLI SCOR Grant P 17HL 15092, NIAID Center Grant No. AI-13401

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schuyler, M.R., Gaumer, H.R., Stankus, R.P. et al. Bronchoalveolar lavage in silicosis. Lung 157, 95–102 (1979). https://doi.org/10.1007/BF02713602

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02713602

Key words

Navigation