Ile have recently demonstrated that pulmonary exposure to residual oil fly
ash (ROFA) resulted in enhanced sensitization to house dust mite (HDM) and
augmented the development of allergic lung disease after allergen challenge
. This effect was associated with increased tumor necrosis factor alpha (TA
T-alpha), a macrophage- and epithelial cell-derived cytokine that promotes
granulocyte migration to the lung. The present study examined whether exoge
nous administration Of TNF-alpha enhances sensitization to HDM. One day pri
or to pulmonary sensitization with 10 mug HDM (5 mug each on days I and 3),
female Brown Norway rats were instilled via the trachea with either 2.0 mu
g recombinant rat TNF-alpha, 2.0 mug bovine serum albumin (BSA), or 1000 mu
g ROFA, and were challenged with 10 mug HDM 14 days later. Antigen-induced
immediate bronchoconstriction responses, antigen-specific immunoglobulin E
(IgE) titers, lymphocyte proliferation, cytokines (TAT-alpha and interleuki
n [IL]-13), and eosinophils were elevated in rats treated with ROFA or TNF-
alpha compared with BSA-treated controls after HDM challenge. Intratracheal
administration of anti-TNF-alpha monoclonal antibody during ROFA exposure
did not reduce ROFA-enhanced lymphocyte proliferation or IgE liters, but ha
d a trend for reduced pulmonary inflammation. P is study demonstrates that
TNF-alpha has similar adjuvant activity as ROFA, but other factors may fulf
ill this function when TNF-alpha activity is blocked.