The reaction of ozone with polyunsaturated fatty acids from the surfac
tant factor and pulmonary epithelial cells produces different reaction
products which can cross the alveolar-capillary barrier and reach dis
tant structures. Although only a few papers claim extrapulmonary chang
es in animals exposed to this gas, some neurological deficits, such as
complaints of fatigue, lethargy, headache in humans, as well as signi
ficant disarrangements in the sleep pattern related to biochemical cha
nges in the brain have been referred to in animals exposed to ozone. I
n the present review, the molecular configuration and the reaction of
ozone at different lung levels are related to impairment at the respir
atory and blood systems, in order to elucidate the mechanisms by which
this gas or its reaction products, such as free radicals, prostagland
ins and others can cross the alveolar-capillary and hemato-encephalic
barriers, and to explain those neurological effects.