Asthmatic individuals in the general population appear to be susceptib
le to disease exacerbation during summertime 'smog' episodes (ambient
air pollution containing other pollutants in addition to ozone). Altho
ugh controlled exposure to ozone causes acute decrements in lung funct
ion, asthmatic subjects are only marginally more susceptible to these
effects. Ozone exposure also causes respiratory tract inflammatory cha
nges, both in normals and asthmatics. Recent studies suggest that ozon
e pre-exposure augments the responses of allergic asthmatics to nasal
and inhalation challenge with specific antigen. This may offer one pos
sible explanation for the findings of field studies.