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Persistent localization of activated extracellular signal-regulated kinases (ERK1/2) is epithelial cell-specific in an inhalation model of asbestosis.

Asbestos fibers up-regulate the extracellular signal-regulated kinase (ERK1/2) pathway in mesothelial and pulmonary epithelial cells in vitro, but the cell-type expression patterns and intracellular localization of activated, ie, phosphorylated, ERK in the lung after inhalation of asbestos are unclear. C57/BL6 mice were exposed to 7-mg/m(3) air of crocidolite asbestos for 5 and 30 days, the times required for the development of epithelial cell hyperplasia and fibrotic lesions, respectively. Exposure to asbestos caused striking increases in both unphosphorylated and phosphorylated ERK (p-ERK), which were most marked at 30 days and co-localized in bronchiolar and alveolar epithelial cells using an antibody to cytokeratin. Alveolar macrophages, detected with an anti-macrophage antibody, did not express p-ERK. p-ERK was localized at the apical cell surface of bronchiolar and alveolar type II epithelial cells exposed to asbestos fibers, and was most marked in areas of epithelial hyperplasia in association with fibrotic lesions. Because translocation of p-ERK to the nucleus is associated with activation of early response genes and transcription factors, laser scanning cytometry was used to determine the kinetics of activation and nuclear translocation of p-ERK in an alveolar type II epithelial cell line in vitro after exposure to asbestos or the ERK stimuli, epidermal growth factor, or H(2)O(2). Results showed that cytoplasmic to nuclear translocation of p-ERK occurred in a protracted manner in cells exposed to asbestos. The immunolocalization of p-ERK at the membrane surface, a site of initial exposure to asbestos fibers, and the chronic activation of p-ERK in epithelial cells at sites of fibrogenesis are consistent with the concept that epithelial cell signaling through the ERK pathway contributes to remodeling of the lung during the development of pulmonary fibrosis.

Administration, Inhalation↗

Asbestosis.

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Asbestosis↗

Asbestosis.

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Asbestosis↗

Asbestosis.

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Asbestosis↗

[Quantitative computed tomography of the lung in the early diagnosis of asbestosis: initial results in asbestos-exposed navy personnel].

AIM: To evaluate the diagnostic role of respiratory gated quantitative CT of the lung with regard to the early detection of asbestos-induced lung fibrosis. MATERIAL AND METHODS: 29 navy personnel with a mean asbestos exposure of 21.3 years and exclusively low profusion stages with regard to plain film X-ray (0/1 and 1/0, ILO 1980) were examined using high resolution CT and respiratory gated quantitative CT of the lung. RESULTS: A low but significant increase of the global lung density with -816 HU (range -844 to -749 HU) was found in comparison with the age-matched reference values of -829.8 HU (range -834 to -819 HU). In individual cases the histogram analysis demonstrated a shift of the density distribution towards higher density intervals without corresponding findings in HRCT. No alterations in lung function were observed. There was no correlation between the latency period or length of exposure and density values. CONCLUSION: The respiratory gated quantitative CT of the lung may potentially develop into an accessory parameter for monitoring dust exposed personnel.

Adult↗

[Asbestosis. Computed tomography in comparison with conventional roentgen diagnosis].

Thirty patients (27 men and 3 women) with an average industrial asbestos exposure of 19 years have been examined. The results of conventional radiography and CT have been analysed and compared with pulmonary function studies. The advantages of CT depend on a better demonstration of the pleura and lung periphery. In 24% of cases plaques were diagnosed by chest x-rays which could, however, be excluded by computed tomography. Correct prediction of restricted ventilation was possible in 84% patients by means of CT. On the other hand, this prediction by means of conventional radiographs could be made reliably only if there was extensive fibrosis.

Adult↗