[Occupational exposure to respiratory irritants and chronic obstructive pulmonary disease]

G Ital Med Lav Ergon. 2005 Jul-Sep;27(3):370-2.
[Article in Italian]

Abstract

Cigarette smoking and occupational exposure to respiratory irritants are the major riskfactors for chronic obstructive pulmonary disease (COPD), which is characterized by small-airway obstruction and destruction of pulmonary parenchyma: emphysema. We studied two groups of subjects: one exposed and the other one not-exposed to respiratory irritants, to investigate the relationship, if any, between occupational exposure and COPD. Subjects underwent high-resolution computed tomography-density mask of the chest to quantify pulmonary emphysema, pulmonary function tests, sputum induction and analysis for cell counts and measurements of metalloproteinase (MMP)-9 and its tissue inhibitor TIMP-1. Subjects with occupational exposure to respiratory irritants had higher residual volume and functional residual capacity, higher total inflammatory cells and neutrophils in induced sputum. By contrast, sputum levels of MMP-9, TIMP-1 and MMP-91TIMP-1 ratio did not differ between the 2 groups. We conclude that sputum induction and analysis could be a useful and non-invasive tool to study and follow subjects with occupational exposure to respiratory irritants.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Cell Count
  • Female
  • Humans
  • Irritants / adverse effects*
  • Male
  • Metalloproteases / analysis
  • Neutrophils
  • Occupational Diseases / diagnosis
  • Occupational Diseases / etiology*
  • Occupational Diseases / physiopathology
  • Occupational Exposure / adverse effects*
  • Pulmonary Disease, Chronic Obstructive / diagnostic imaging
  • Pulmonary Disease, Chronic Obstructive / etiology*
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Pulmonary Emphysema / diagnosis
  • Pulmonary Emphysema / diagnostic imaging
  • Pulmonary Emphysema / etiology
  • Pulmonary Emphysema / physiopathology
  • Radiography, Thoracic
  • Respiratory Function Tests
  • Risk Factors
  • Smoking / adverse effects
  • Sputum / cytology
  • Sputum / enzymology
  • Time Factors
  • Tissue Inhibitor of Metalloproteinase-1 / analysis
  • Tomography, X-Ray Computed

Substances

  • Irritants
  • Tissue Inhibitor of Metalloproteinase-1
  • Metalloproteases