We evaluated the effect of chronic tobacco smoke exposure on the funct
ion of the alveolar macrophage (AM) in mice. Tumor necrosis factor-a p
roduction of the AM triggered by lipopolysaccharides was smaller in sm
oke-exposed mice as compared to control mice but did not reach statist
ical significance (27.3 +/- 4.0 vs. 34.8 +/- 4.9 U/ml). The percentage
of AM which did not phagocytize latex particles in the smoke-exposed
mice was significantly larger than that in control mice (33.9 +/- 2.3
vs. 20.8 +/- 2.1%; p < 0.05). Ia antigen expression of the AM was sign
ificantly larger in smoke-exposed mice (cytotoxicity index: 0.180 +/-
0.033 vs. 0.038 +/- 0.0118; p < 0.01). The asialo-GM1 antigen expressi
on was similar in both groups (0.949 +/- 0.007 vs. 0.961 +/- 0.011). A
lthough the precise mechanisms of these functional changes of the AM b
y tobacco smoke exposure are not clear, they may have some immunologic
al effects on the alveolar space.