Up. Kodavanti et al., PULMONARY STRUCTURAL AND EXTRACELLULAR-MATRIX ALTERATIONS IN FISCHER-344 RATS FOLLOWING SUBCHRONIC PHOSGENE EXPOSURE, Fundamental and applied toxicology, 37(1), 1997, pp. 54-63
Phosgene, an acylating agent, is a very potent inducer of pulmonary ed
ema. Subchronic effects of phosgene in laboratory animals are not well
characterized, The purpose of the study was to elucidate potential lo
ng-term effects on collagen and elastin metabolism during pulmonary in
jury/recovery and obtain information about the concentration X time (C
X T) behavior of low levels of phosgene. Male Fischer 344 rats (60 da
ys old) were exposed either to clean air or phosgene, 6 hr/day: 0.1 pp
m (5 days/week), 0.2 ppm (5 days/week), 0.5 ppm (2 days/week), and 1.0
ppm (1 day/week), for 4 or 12 weeks, A group of rats was allowed clea
n air recovery for 4 weeks after 12 weeks of phosgene exposure. This e
xposure scenario was designed to provide Equal C X T product for all c
oncentrations at one particular time point except for 0.1 ppm (50% C X
T). Phosgene exposure for 4 or 12 weeks increased lung to body weight
ratio and lung displacement volume in a concentration-dependent manne
r. The increase in lung displacement volume was significant even at 0.
1 ppm phosgene at 4 weeks, Light microscopic level histopathology exam
ination of lung was conducted at 0.0, 0.1, 0.2, and 1.0 ppm phosgene f
ollowing 4 and 12 and 16 weeks (recovery), Small but clearly apparent
terminal bronchiolar thickening and inflammation were evident with 0.1
ppm phosgene at both 4 and 12 weeks, At 0.2 ppm phosgene, terminal br
onchiolar thickening and inflammation appeared to be more prominent wh
en compared to the 0.1 ppm group and changes in alveolar parenchyma we
re minimal. At 1.0 ppm, extensive inflammation and thickening of termi
nal bronchioles as well as alveolar walls were evident, Concentration
rather than C X T seems to drive pathology response, Trichrome stainin
g for collagen at the terminal bronchiolar sites indicated a slight in
crease at 4 weeks and marked increase at 12 weeks in both 0.2 and 1.0
ppm groups (0.5 ppm was not examined), 1.0 ppm being more intense. Who
le-lung prolyl hydroxylase activity and hydroxyproline, taken as an in
dex of collagen synthesis, were increased following 1.0 ppm phosgene e
xposure at 4 as well as 12 weeks, respectively. Desmosine levels, take
n as an index of changes in elastin, were increased in the lung after
4 or 12 weeks in the 1.0 ppm phosgene group, Following 4 weeks of air
recovery, lung hydroxyproline was further increased in 0.5 and 1.0 ppm
phosgene groups, Lung weight also remained significantly higher than
the controls; however,desmosine and lung displacement volume in phosge
ne-exposed animals were similar to controls. In summary, terminal bron
chiolar and lung volume displacement changes occurred at very low phos
gene concentrations (0.1 ppm). Phosgene concentration, rather than C X
T product appeared to drive toxic responses, The changes induced by p
hosgene (except of collagen) following 4 weeks were not further amplif
ied at 12 weeks despite continued exposure, Phosgene-induced alteratio
ns of matrix were only partially reversible after 4 weeks of clean air
exposure. (C) 1997 Society of Toxicology.