Down-regulation of the inflammatory response after short-term exposure to low levels of chemical vapours

Occup Environ Med. 2019 Jul;76(7):482-487. doi: 10.1136/oemed-2018-105537. Epub 2019 Mar 9.

Abstract

Objective: To investigate the relation between signs and symptoms of irritation and biomarkers of inflammatory markers in blood in healthy volunteers exposed to different chemical vapours for 2 or 4 hours in an exposure chamber.

Methods: The investigated chemicals were: acetic acid (5 and 10 ppm), acrolein (0.05 and 0.1 ppm), 1,4-dioxane (20 ppm), n-hexanal (2 and 10 ppm), hydrogen peroxide (0.5 and 2.2 ppm), 2-propanol (150 ppm), m-xylene (50 ppm), standard and dearomatised white spirit (100 and 300 mg/m3). C reactive protein (CRP), serum amyloid A protein and interleukin 6 were measured in plasma immediately before and 2 or 4 hours after the exposures. Symptoms were rated from 0 to 100 mm in Visual Analogue Scales and covered 10 questions whereof four related to irritation: discomfort in the eyes, nose and throat and dyspnoea. The effect measurements included blink frequency by electromyography, nasal swelling by acoustic rhinometry and lung function by spirometry.

Results: Logistic quantile regression analyses revealed no significant associations except a negative relation between ratings of irritation and CRP.

Conclusion: The results suggest a down-regulation of CRP after short-term exposure to low levels of vapours of irritating chemicals. This response might be mediated by the cholinergic anti-inflammatory pathway and further studies are recommended in order to refute or confirm this hypothesis.

Keywords: chamber exposure; human volunteers; irritation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biomarkers / blood
  • Blinking / drug effects
  • C-Reactive Protein / drug effects*
  • Down-Regulation
  • Female
  • Forced Expiratory Volume / drug effects
  • Humans
  • Inflammation / chemically induced*
  • Inhalation Exposure / adverse effects*
  • Interleukin-6 / blood
  • Irritants / administration & dosage
  • Irritants / toxicity*
  • Male
  • Middle Aged
  • Rhinometry, Acoustic
  • Serum Amyloid A Protein / drug effects

Substances

  • Biomarkers
  • Interleukin-6
  • Irritants
  • Serum Amyloid A Protein
  • C-Reactive Protein