In this study, we analysed the cellular component of induced sputum in
healthy control subjects (n=30), asthmatics (n=44), patients sufferin
g from COPD (n=15), pulmonary tuberculosis (PTB) (n=14) and healthy st
eelworkers (HSW) (n=14). Sputum was induced by inhalation of hypertoni
c saline (NaCl 5%) for 20 min. When compared to the healthy control gr
oup, all the disease groups as well as the one of healthy steelworkers
exhibited significantly higher total sputum cell counts. Analysis of
the differential cell counts showed that there was a significant incre
ase in % eosinophils in asthmatics, in % neutrophils in COPD, asthmati
cs, tuberculosis and healthy steelworkers and in % lymphocytes in pulm
onary tuberculosis. Our study illustrates the feasibility and the poss
ible clinical application of induced sputum analysis in several pulmon
ary diseases and shows how this technique could be useful in assessing
airway inflammatory processes in subjects exposed to industrial pollu
tants.