Latex manufacturing workers are exposed to a heterogeneous aerosol of
organic compounds. Previous studies of latex workers involved in glove
production indicate that these individuals are at risk of developing
respiratory symptoms and impaired lung function. The effect of latex e
xtracts on isolated guinea pig tracheal smooth muscles was studied usi
ng latex water-soluble extracts obtained at different stages of the in
dustrial process. Latex extracts were prepared as a 1:10 (w/v) solutio
n. Dose-related contractions of nonsensitized guinea pig trachea were
demonstrated using two latex extracts (latex 1 and latex 2). Latex I w
as prepared from the native latex and latex 2 from a processed form of
latex which was relatively free of soluble proteins, Pharmacologic st
udies were performed by pretreating guinea pig tracheal tissue with dr
ugs known to modulate smooth muscle contraction: atropine, indomethaci
n, pyrilamine, nordihydroguaiacetic acid, acivicin, trimethobenzoic ac
id and capsaicin, Constrictor effects of the dust extracts were inhibi
ted by a wide variety of these agents, Atropine consistently and strik
ingly reduced the contractile effects of these extracts. This observat
ion may suggest an interaction of the extracts with parasympathetic ne
rves or more directly with muscarinic receptors, Inhibition of contrac
tion by blocking other mediators was less effective and varied with th
e dust extract. Pretreatment with capsaicin did not change the constri
ctor effects of latex 1 but enhanced the effects of latex 2. Depletion
of neuropeptides, however, did not reduce the constrictor effect, We
suggest that latex extracts cause dose-related airway smooth muscle co
nstriction by nonimmunological mechanisms involving a variety of airwa
y mediators and possibly cholinergic receptors, This effect is not dep
endent on the presensitization of guinea pigs.