Endotoxin exposure and inflammation markers among agricultural workers in Colorado and Nebraska

J Toxicol Environ Health A. 2010;73(1):5-22. doi: 10.1080/15287390903248604.

Abstract

The adverse respiratory effects of agricultural dust inhalation are mediated in part by endotoxin, a constituent of gram-negative bacterial cell walls. This study quantified personal work-shift exposures to inhalable dust, endotoxin, and its reactive 3-hydroxy fatty acid (3-OHFA) constituents among workers in grain elevators, cattle feedlots, dairies, and on corn farms. Exposures were compared with post-work-shift nasal lavage fluid inflammation markers and respiratory symptoms. Breathing-zone personal air monitoring was performed over one work shift to quantify inhalable dust (Institute of Medicine samplers), endotoxin (recombinant factor C [rFC] assay), and 3-OHFA (gas chromatography/mass spectrometry). Post-shift nasal lavage fluids were assayed for polymorphonuclear neutrophils (PMN), myeloperoxidase (MPO), interleukin 8 (IL-8), albumin, and eosinophilic cation protein (ECP) concentrations. The geometric mean (GSD) of endotoxin exposure (rFC assay) among the 125 male participants was 888 +/- (6.5) EU/m(3), and 93% exceeded the proposed exposure limit (50 EU/m(3)). Mean PMN, MPO, albumin, and ECP levels were two- to threefold higher among workers in the upper quartile of 3-OHFA exposure compared to the lowest exposure quartile. Even numbered 3-OHFA were most strongly associated with nasal inflammation. Symptom prevalence was not elevated among exposed workers, possibly due to endotoxin tolerance or a healthy worker effect in this population. This is the first study to evaluate the relationship between endotoxin's 3-OHFA constituents in agricultural dust and nasal airway inflammation. More research is needed to characterize the extent to which these agents contribute to respiratory disease among agricultural workers.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Agriculture*
  • Air Pollutants, Occupational / adverse effects*
  • Albumins / analysis
  • Colorado
  • Dust
  • Endotoxins / adverse effects*
  • Eosinophil Cationic Protein / analysis
  • Humans
  • Inflammation / chemically induced*
  • Interleukin-8 / analysis
  • Male
  • Middle Aged
  • Nasal Lavage Fluid / chemistry
  • Nasal Lavage Fluid / cytology
  • Nebraska
  • Neutrophils
  • Occupational Exposure / adverse effects*
  • Peroxidase / metabolism
  • Young Adult

Substances

  • Air Pollutants, Occupational
  • Albumins
  • Dust
  • Endotoxins
  • Interleukin-8
  • Peroxidase
  • Eosinophil Cationic Protein