Effects of fine carbonaceous particles containing high and low unpaired electron spin densities on lungs of female mice JOHN E. REPINE, OSCAR K. REISS, NANCY ELKINS, ABDUL R. CHUGHTAI, and DWIGHT M. SMITH DENVER, COLO The negative impacts on human health that accompany inhalation of atmospheric particles are documented in numerous epidemiologic studies, but the effect of specific chemical properties of the particles is generally unknown. We developed and employed technology for generating inhalable aerosols of carbonaceous air pollution particles that have specific physical and chemical properties. We find that inhaling particles with greater unpaired electron spin (free radical) densities stimulates greater lung inflammatory and oxidative stress responses. Cultured alveolar macrophages take up more particles of greater free radical content, develop mitochondrial abnormalities, and release more leukotriene B4 (LTB4) than alveolar macrophages exposed to lesser free-radical– containing particles in vitro. Mice exposed to high free radical particles in vivo also develop mitochondrial abnormalities in alveolar macrophages and increased oxidative stress, which is reflected by increases in lung nitrotyrosine staining and lung lavage nitrogen oxide levels compared with those of lesser free radical density. These results provide insight for the unexplained geographic differences and have implications for fossil fuel combustion conditions and the impact of fine particles on health and disease. (Translational Research 2008;152:185–193) Abbreviations: Ab ⫽ antibody; A/F ⫽ air/fuel combustion ratio; AM ⫽ alveolar macrophage; BC ⫽ black carbon; DEP ⫽ diesel exhaust particulate; EPR ⫽ electron paramagnetic resonance; FR ⫽ free radical; high-FR ⫽ high free radical containing; LTB4 ⫽ leukotriene B4; low-FR ⫽ low free radical containing; MPO ⫽ myeloperoxidase; MW ⫽ molecular weight; PAH ⫽ polyaromatic hydrocarbon; PM ⫽ particulate matter; ROS ⫽ reactive oxygen species N umerous epidemiologic studies1– 4 indicate that inhaling fine particulate [particulate matter (PM) 2.5 to PM 10] pollution is detrimental to human health, which specifically contributes to cardiovascular, pulmonary, and related diseases that have an inflammatory and oxidative stress component in their pathophysiology. Although numerous investigators speculate that 1 or another physical/chemical property of inhaled particles underlies their biologic effects, direct experimental evidence has been elusive. Although many data are available on the effects of organics, metals, particle size, and so on, no direct experimental evidence relates specific chemical properties of inhaled particles to the initiation of mechanisms that contribute to the disease processes. Several particle properties, which include size, surface area, type and density of surface functional groups,5 surface charge,6 polyaromatic hydrocarbon (PAH) content,7 and un- From the Webb-Waring Institute for Cancer, Aging, and Antioxidant Research, University of Colorado Denver Health Sciences Center (UCDHSC), Denver, Colo, and the Department of Chemistry and Biochemistry, University of Denver, Denver, Colo. Reprint requests: John E. Repine, Webb-Waring Institute for Cancer, Aging and Antioxidant Research, University of Colorado Denver Health Sciences Center (UCDHSC), Denver, CO 80262; e-mail: [email protected]. 1931-5244/$ – see front matter © 2008 Mosby, Inc. All rights reserved. doi:10.1016/j.trsl.2008.08.003 Supported by the Thrasher Research Fund. Submitted for publication June 5, 2008; revision submitted August 11, 2008; accepted for publication August 19, 2008. 185 186 Translational Research October 2008 Repine et al AT A GLANCE COMMENTARY Background We are inhaling fine airborne particulates that have been implicated as contributors to pulmonary and cardiovascular diseases and hospital admissions. Not all particles are the same, but nonetheless, the nature of inhalable particles and their respective effects on health have not been investigated. Translational Significance We found that exposure to inhalable particles with high free radical activity produces greater lung inflammation and oxidative stress, which could contribute to the lung and cardiovascular disorders associated with exposure to airborne particle pollutants, explain individual and geographic variations in these conditions, and produce new guidelines for combustion processes. paired electron spin (free radical) density,8 are candidates for determining the interaction of inhaled particles with biologic systems based on previous work. It is only through systematic controlled study of these variables that the biologic effects of specific key properties can be assessed. Previous research has involved using such surrogates for inhalation as intratracheal injection of diesel exhaust particulate (DEP) extracts9,10 and aqueous suspensions of DEP11 to generate reactive oxygen species (ROS) such as O2.- and .OH in mice lungs and human pulmonary artery endothelial cells.12 With in vitro experiments, cell DNA damage by aqueous extracts of PM2.5 has been attributed to semiquinone radicals in the collected particulate.13 The generation of ROS by collected PM also has been correlated with impaired pulmonary function of Netherlands school children.14 These experiments did not control particle properties under physiologic inhalation conditions and thus cannot identify the actual operative variables. Furthermore, any correlations between the biologic response of collected PM and its electron spin density measurements are specious at best because of the presence of electron paramagnetic resonance (EPR) spectrum-distorting impurities, such as metal ions and sulfur in such material. Oxidative stress biomarkers increase in mice after a 13-week exposure to carbon black particles, but chemical properties such as surface functionalities, PAH profile, and electron spin density, as well as other chemical properties such as metal content of the particles, are either unknown or not reported.15 The free radical content of aerosol particles is measured by EPR spectroscopy. The magnitude of the EPR signal is a function of the unpaired electron spin density of the particles, which itself is determined by the characteristics of the fuel and combustion conditions such as air/fuel combustion ratio (A/F),8 which is a function of the partial pressure of oxygen. Experiments show that the unpaired electrons are associated with both the largely aromatic backbone of the particle structure5 and the associated PAH molecules,7 many of which are extractable. In contrast to free radical (FR) in solution, the unpaired electron (free radical) density of particles is generally stable over long periods in air, although treatment with strongly oxidizing species, such as O3, leads to their diminution. By generating aerosols that contain soot particles of comparable size and concentration, but with differing spin densities (free radical concentrations) using different A/F, it has been possible to associate the origin of lung inflammation and oxidative stress with this particle property. We developed and employed a technique for generating, from the combustion of pure hydrocarbon fuels, aerosols that consist of fine black carbon (BC) particles having specific properties and devoid of metal ions, which make them appropriate surrogates for airborne carbonaceous particulate.8,16 We then used these wellcharacterized particles in in vivo studies in which animals (mice in our work) inhale these particles under controlled environmental conditions where the effects of varying 1 property can be examined while other properties are held constant. This technology makes it possible to identify those particle properties that underlie epidemiologic correlation between airborne particle exposure to increased mortality and common disease processes, such as asthma and heart disease. Experts in this field17,18 have long recognized the need for research programs to identify the harmful components of inhalable particulate and the mechanism(s) of their effects. This report presents experimental evidence that directly links the free radical property of physiologically inhaled particles to a pathophysiologic consequence. Connecting environmental exposure to a serious human health issue, the results of this research clearly are translational19,20 in nature. MATERIALS AND METHODS Particle generation. For the in vivo experiments, aerosol atmospheres that contain carbonaceous particles with rigorously controlled chemical and physical properties are generated with specific A/F ratios from reagent n-hexane by previously described techniques.8 We employ a special apparatus constructed to allow Translational Research Volume 152, Number 4 Repine et al 187 Fig 1. Schematic of apparatus used to generate carbon particles, animal exposure chambers, and exposure controls. Table I. Properties of typical aerosolized black carbon particles used for in vivo exposures Property Spin density in air,‡ CNI ⫻ 10–6 Average number of particles, p m–3 ⫻ 10–9 Average particle size, m Low-FR High-FR particles* particles† 3.6‡ 1.4 0.16 5.7‡ 1.1 0.17 Abbreviation: CNI, corrected normalized integral. *Generated with an air/fuel combustion ratio of 4.3. † Generated with an air/fuel combustion ratio of 2.2. ‡ CNI of the EPR signal is a measure of spins per unit mass of particles and is measured with a reproducibility of ⫾5%. simultaneous exposure of 2 groups of mice to particles of differing properties, in this case, particles with different free radical concentrations but similar mass, size, and concentration (Fig 1). Emitted particles are directed into 1 of the 20-L smoke chambers until the optical density, as determined by a laser beam, reaches a predetermined value and the larger particles then settle until a stable aerosol is maintained. A computerized TSI Model 3030 Electrical Aerosol Size Analyzer (TSI Incorporated, Shoreview, Minn), for particle size distribution and number density, and Varian E9 EPR Spectrometer, for unpaired electron spin density, are used to characterize the particles. Particles for the EPR measurements are collected by settling. Typical properties of BC soot particles that comprise the inhalation aerosols are shown in Table I. High free radical containing (high-FR) particles had greater spin densities but similar particle concentrations and sizes as low free radical containing (low-FR) particles. For the in vitro measurements, the particles also were generated by n-hexane combustion. For this application, however, they were captured on an inverted Pyrex funnel (World Kitchen LLC, Greencastle, Pa), transferred from its surface to a glass vessel designed to allow a slow flow of ozone from an in-house ozone generator and measurement apparatus, and treated for various times to yield particles that contained varying concentrations of FR. The extent of surface oxidation and spin density were monitored by Fourier transform infrared and EPR spectroscopies, respectively. In vitro studies. Cultured NR8383 alveolar macrophages (AMs) (ATCC, Manassas, VA) are grown in RPMI 1640 medium in 12-well tissue culture dishes that contain 1 ⫻ 106 cells. The wells contained no particles or 2 groups of soot particles differing in free radical density and prepared by ozone oxidation of otherwise identical n-hexane soots. These particular macrophages were used in the pilot in vitro studies because we initially intended to use rats for the entire study, and we later decided that mice were a better choice. These soot particles are produced by combustion in the same manner as those used in the in vivo experiments. A 4-mg/mL carbon suspension is prepared in freshly diluted 50% dimethyl sulfoxide (tissue culture grade) by vortexing. To 300 L of this suspension is added 150 L of a crude suspension of pulmonary surfactant in 0.9% saline that contained 10 mol/mL of organic phosphate and 300 L fetal calf serum. This suspension is forced 3 times through a #31 hypodermic needle by exerting maximum force by hand and then placed into an ice bath. It is then treated with a sonic oscillator 2 times for 20 s. These prepara- 188 Repine et al Fig 2. Electron micrograph of AMs exposed to high-FR particles in vitro. NR 8383 cultured AMs exposed to high-FR particles for 21 h shows particles localized in phagolysosomes and damaged mitochondria. tions, diluted with culture medium to contain 10 g/mL of the particles, are stable for 48 h at 37°C as measured by light scattering. The concentration of the particles was derived from an estimate of the particles in the human lung fluid after a 24-h exposure to 20 g m⫺3 in the atmosphere. Particle uptake is determined by light scattering after 3 or 21 h of incubation in the supernatant following removal of AMs by centrifugation. The surfactant was obtained by bronchio-alveolar lavages of rabbit lungs with sterile saline, followed by centrifugation at 4000 ⫻ g for 15 min to remove the cells, followed by centrifugation of the supernant fraction at 16000 ⫻ g for 45 min. The resulting pellet was suspended in sterile saline, washed 2 times with saline, suspended in the same, and frozen at ⫺20°. For analysis of leukotriene B4 (LTB4) release, AMs are incubated with the 2 soot preparations for 6 h, and subsequently, LTB4 is released by adding 1 mol/L of solution of A-23187 in Hams F12 medium without fetal calf serum. LTB4 concentrations are then determined with an LTB4 EIA kit (Cayman Chemical Co, Ann Arbor, Mich), which has a sensitivity of 1 pg/L. We also incubate AMs for 24 h with High-FR particles and then fix, embed, section, and examine AMs by standard transmission electron microscopy technique (Fig 2) to establish the intracellular uptake of the particles and the effects of particle uptake on cellular structure. No attempts to determine the particle uptake quantitatively by EM were made, because this task requires extensive stereological microscopic determination. Translational Research October 2008 In vivo studies. Two groups of 4 friend virus B-type female mice (Jackson Laboratories, Bar Harbor, Maine) are exposed simultaneously to particles with a specific set of properties but that have differing spin densities, for 4 consecutive days, 6 h per day, at an air flow that contained about 10 g m⫺3 particles (109 particles m⫺3). This flow is sufficient to replace the exposure chamber air 14 times per hour at 22°C at a relative humidity of 30% ⫾ 3%. The protocol for this procedure was approved by the Institutional Animal Care and Use Committee of The University of Denver. For assessing mitochondrial membrane permeability after particle exposure, AMs are recovered by lung lavage using 0.9% saline, separated by centrifugation, washed 2 times with phosphate buffered saline and then stained for 20 min with a solution of JC-1 (#T3168; Molecular Probes, Eugene, Ore), which is a dye widely used to determine changes in mitochondrial membrane permeability21 and to indicate early stage apoptosis or necrosis.22 AMs from particle exposed and sham-exposed mice lungs are treated with 0.3 g/mL of JC-1 for 20 min, analyzed, and compared with controls using fluorocytometry (BD Bioscience, San Jose, Calif) with argon laser excitation (488 nm) separating emission fluorescence into the FL-1 (em 530 nm) and FL-2 (em 585 nm) channels. For analyses of nitrotyrosine fluorescence, aconitase,23,24 and myeloperoxidase (MPO),25 the mice are euthanized immediately after the last particle exposure, and the lungs were perfused in situ with 0.9% saline and inflated with a 0.2% agarose solution. After the agarose solidifies, 1 lung is immediately fixed in freshly prepared 10% formaldehyde and the remaining lungs from each animal are frozen in liquid N2 and stored at ⫺70°C for aconitase (Aconitase Kit 340; OXIS Int., Foster City, Calif) and MPO analysis. For nitrotyrosine staining,26 all reagents must be free of peroxides. The fixed lungs are washed after 18 –36 h 3 times with 70% ethanol and embedded in paraffin without exposure to commercial preparations of formaldehyde (used in medical histology laboratories). Two sections from the same mouse are transferred to 1 slide. One section is stained by the standard procedure, whereas the other section is stained negatively by preincubating the primary antibody (Ab) with 10 mmol/L of nitrotyrosine for 1 h. The primary Ab is Anti-Nitrotyrosine (#06-284; Upstate USA Inc., Charlottesville, VA), and the secondary Ab is Alexa Fluor 488 F(ab’)2 (#A 11070; Molecular Probes, Eugene, Ore), which is spun at 13000 ⫻ g for 15 min to remove particles prior to use. The staining with 2o Ab and all subsequent operations are carried out in subdued light, and the sections are stored in the dark at 4o. Within 72 h of the staining, a minimum of 4 random black-and-white photomicrographs are taken from each section and stored Translational Research Volume 152, Number 4 Repine et al 189 Fig 4. Uptake of high- and low-FR particles by NR8383 cells in culture. More high-FR particles were taken up than low-FR particles. Particle uptake was at maximum after 3 h for both high- and low-FR particles. The values at 3 h are the mean ⫾ SE of 3 determinations, whereas the values at 21 h are the mean ⫾ standard error of 8 determinations. (Color version of figure is available online.) protein. Activated cadmium beads are added to the supernatant to reduce the nitrate to nitrite, which is then analyzed with the Griess reaction29 (Kit # NB 88; Oxford Biomedical Research, Oxford, Mich). Total nitrite plus nitrate is a measure of the NOx production. Statistical analyses of data for nitrotyrosine assessment. Fig 3. Particle uptake and LTB4 production by AMs exposed to highand low-FR particles in vitro. NR 8383 cultured AMs take up more (P ⬍ 0.002) high-FR particles (solid bar) than low-FR particles (open bar) (A). NR 8383 cultured AMs produce more LTB4 (P ⬍ 0.04) after a 6-h exposure to high-FR particles (solid bar) than low-FR particles (open bar) (B). Each bar is the mean ⫾ 1 standard error of the number of determinations shown in the parentheses. as “tif” files. Photographs were not taken when more than 1 min was required for focusing, because of photobleaching. Fluorescent intensity of each micrograph is determined by Threshhold segmentation analysis with the ImageJ version 1.37 software with custom plug-in and expressed as Threshold_PRCNT.27,28 For lung lavage NOx assessment, the supernatant fractions after the removal of the cellular elements are used and stored at ⫺20°C. The supernatant is analyzed for protein (micro BCA protein assay kit #23235 with all reagents containing 1% sodium dodecylsulfate; Pierce Chem. Co., Rockford, Ill). Another aliquot is treated with ZnSO4 and centrifuged to remove excess The threshold_percent values of the negative controls were subtracted from the values of the positive sections, and the difference was evaluated by multivariant repeated measuring analyses using SAS version 9.1 (SAS Institute, Inc., Cary, NC); for all other analyses, the software Statmost (Dataxiom Software, Inc., Los Angeles, Calif) was used to apply the 2-sample t-test. RESULTS In vitro analyses. We found that high-FR particles have greater stimulating effects than low-FR particles (30% lower in free radical density) in biologic systems in vitro. Cultured AMs take up more high-FR particles than low-FR particles (Fig 3, A). Additional separate studies revealed the uptake of high-FR and low-FR particles by AMs in culture at 3 and 21 h of incubation (Fig 4). More high-FR particles were taken up than low-FR particles. Maximum uptake occurred after 3 h with continuous agitation. In addition, when measuring LTB4 release as a general indicator of inflammatory activity, and because of the potential role of leukotrienes in asthma and pulmonary and cardiovascular conditions,30,31 we find that AMs treated with high-FR particles release approximately 3 times more LTB4 than AMs treated with low-FR particles (Fig 3, B). AMs freshly isolated from mice by lung lavage yield similar results. However, when treated with low- or high-FR 190 Repine et al particles, lung epithelial cells (A549) with marginal phagocytic activity produce no measurable LTB4. In morphologic examinations of AMs exposed to high-FR particles in vitro, it is evident that many particles are localized within phagolysosomes and mitochondria, which are swollen and damaged (see Fig 2). In vivo analyses. In vivo analyses using BC soot particles of varying unpaired electron spin density reveal that high-FR particles have potent effects on the lung compared with low-FR particles. The principal in vivo findings include measurements of AM mitochondrial damage, lung nitrotyrosine fluorescence, and lung lavage NOx concentrations. First, the AMs from lungs of mice exposed to high-FR particles have damaged mitochondria reflected by decreases in JC-1 fluorescence compared with AMs recovered from lungs of mice exposed to low-FR particles (Fig 5, B and C). Exposure to both high- and low-FR particles decrease mitochondrial membrane permeability, but the mitochondrial damaging effect of high-FR particles exceeds that of low-FR particles (Fig 5, A–C). The findings are consistent with our in vitro studies, which show mitochondrial damage in AMs exposed to high-FR particles in vitro (see Fig 2). Second, exposure to high-FR particles increases lung nitrotyrosine fluorescence (Fig 6, A, Bottom Panel) compared with control exposure (Fig 6, A, Top Panel). Figure 6, B reveals statistically significant increases in lung nitrotyrosine fluorescence (Threshold_PRCNT) after exposure of mice to high-FR– containing particles compared with unexposed mice (P ⫽ 0.01) and mice exposed to low-FR particles (P ⫽ 0.04). In all experiments, fluorescence increases in this order: sham exposure (control) ⬍ low-FR particle exposure ⬍ high-FR particle exposure. The increased amount of nitrotyrosine staining indicates an oxidative response.32,33 Nitrotyrosine production presumably depends on the interaction of either peroxidases or the superoxide anion with NO to produce peroxynitrite, which can then nitrate protein tyrosine.34 To assess which of these 2 postulated mechanisms might be operative in this instance, we analyzed mouse lungs for MPO activity but could find none. The absence of MPO suggests a superoxide anion-dependent process with NO to form protein bound nitrotyrosine and other free radical compounds.33 This mechanism is supported by examination of the aconitase content of lung homogenates. We also find that aconitase activity is inhibited in lungs of mice exposed to high-FR particles [0.57-mU/mg protein compared with control lung values of 1.02-mU/mg protein (P ⫽ 0.02)] compared with lungs of mice exposed to low-FR particles [0.67-mU/mg protein compared with control lung values of 1.02-mU/mg protein (P ⫽ 0.05)]. Aconitase contains a prosthetic Fe–S cluster, which is inhibited by Translational Research October 2008 Fig 5. Mitochondrial membrane permeability of AMs recovered from mice exposed to high-FR and low-FR particles in vivo. Dot plots are from flowcytometer readings of 10,000 AMs stained with JC-1. AMs from control unexposed mice (A) fluoresced at 585 nm (right upper quadrant). AMs from mice exposed to low-FR particles (B) fluoresce less at 585 nm as reflected by a shift to the lower right quadrant. AMs from mice exposed to high-FR particles (C) lose nearly all 585-nm fluorescence as depicted by the nearly complete shift to the lower right quadrant. Note that this logarithmic plot was obtained directly from the FACS computer. Expression of these results in terms of percent mean fluorescence yield the following values: 9.7 ⫾ 2.4 for the controls, 11.3 ⫾ 2.7 for the low-FR, and 7.5 ⫾ 0.41 for the high-FR mice, which indicates an increase in apoptosis caused by the high-FR carbon. (Color version of figure is available online.) Translational Research Volume 152, Number 4 Repine et al 191 Fig 6. Photomicrograph of nitrotyrosine stained sections from lungs of mice exposed to air or high-FR particles in vivo (A) and nitrotyrosine fluorescence (B) as well as nitrite concentrations (C) of mice exposed to high-FR and low-FR particles in vivo. Unexposed mice show little nitrotyrosine staining (A) compared with lungs of mice exposed to high-FR particles, which manifest considerably increased nitrotyrosine staining. Nitrotyrosine fluorescence (B) is the same (P ⫽ ns) for lungs of unexposed mice (open bar) and mice exposed to low-FR particles (gray bar). In contrast, nitrotyrosine fluorescence of lungs from mice exposed to high-FR particles (solid bar) is significantly increased compared with lungs from unexposed mice (open bar; P ⬍ 0.01) or mice exposed to low-FR particles (gray bar; P ⬍ 0.04) in vivo. Lung lavage nitrite concentrations (C) are the same (P ⫽ ns) in unexposed mice (open bar) and mice exposed to low-FR particles (gray bar). In contrast, nitrite concentrations in lung lavages from mice exposed to high-FR particles (solid bar) are increased compared with unexposed mice (open bar; P ⬍ 0.04) and mice exposed to low-FR particles (gray bar; P ⬍ 0.04) in vivo. Each bar is the mean ⫾ 1 standard error of the number of determinations shown in the parentheses. superoxide anion.23,24 Therefore, our finding suggests that increased superoxide anions are being generated in the lung after exposure to high-FR particles. Finally, exposure to high-FR particles also significantly increases lung lavage NOx (total nitrate plus nitrite) concentrations compared with low-FR particle exposure, which shows no difference compared with sham exposure (Fig 6, C). Assessing nitrite concentration provides a measure of the short-lived NO in biologic systems.29 We speculate that high-FR particle exposure may activate AM mitochondrial inducible nitric oxide synthetase,35 which is known to occur in AM mitochondrial damage36 and is associated with an increased rate of superoxide anion formation.37 DISCUSSION Our results point to particle unpaired electron spin density as a property of importance in the mechanism responsible for the observed alterations in human health that are linked epidemiologically to fine airborne particulate in select urban areas. It seems that inhaling high-FR particles damages AM mitochondria and stimulates lung inflammation as well as oxidative stress. We have shown in other work that as much as half of the spin density of n-hexane soot particles is associated with their extractable PAH content.7 In all, 26 distinct PAH species have been identified as associated with these particular soot particles, many of which are potentially in free radical form. The breadth of the X-band EPR signal suggests several contributing species. Furthermore, the same work reveals that an increase in extractable higher molecular weight (MW) PAH compounds is observed with a decreasing A/F combustion ratio. Thus, both higher free radical density and higher MW PAH are associated with particles created by lower A/F combustion ratios. That is, in the case of internal combustion engines, it is the “rich” combustion mixtures (eg, engines under high load) that generate the most harmful particles. In addition, lower A/F combustion ratios result in decreased particle surface oxidation, which is also revealed by PAH compounds that are less oxidized.7 In related work, our studies of soot particle hydration16,38,39 show that the more oxidized the particles, the more extensively hydrated they are. These observations and separate experiments indicate that the more hygroscopic the particles, those with lower free 192 Translational Research October 2008 Repine et al radical (and PAH) content, are more compatible with aqueous (physiologic) systems. This conjecture makes the free radical effects observed in our experiments even more impressive as, although the particles have essentially the same number density and size, the interaction of the higher free radical particles with the aqueous physiologic medium should be relatively less. Finally, although some investigators focus on the presumed carcinogenic properties of many PAH compounds, the results of our work indicate that it is their free radical character, which is imparted to the particles with which they are associated, that underlies the measures of oxidative stress and lung inflammation we have observed. This observed mechanism contributes to the currently unexplained detrimental and regional effects of particulate pollution on human health. As noted, particle free radical density varies with such combustion conditions as A/F, the FR content of particles generated in Los Angeles being substantially greater than those in Denver,8 for example, under otherwise identical formation conditions. At greater partial pressures of oxygen, open flame combustion speed is greater, which renders the effective A/F lesser during combustion. Thus, 1 implication of these results is the observed variance of asthma with geography and altitude40 – 42 in the responses, which are a consequence of particle inhalation. In addition, the loss of the mitochondrial membrane integrity of AMs may represent an early stage of apoptosis and/or necrosis.22 Because AMs are the primary defense against mycobacterial invasion,43 fewer or damaged AMs may weaken the lung’s defense mechanism. Another potential implication of our findings is related to the need for developing control mechanisms for carbonaceous fine-particle (⬍200 nm) emissions and optimizing the A/F (lean mixtures, low free radical particles) in fossil fuel combustion. Our findings also relate to the recent report that links coarse particulate air pollution to hospital admissions for cardiovascular and respiratory disease.44 The authors thank Dr. Gary Zerbe of UCHSC for assistance with the statistical software; John Wennergren of UCHSC for participation in biologic analyses; Professors G.R. and S.S. Eaton of Denver University for use of the E9 EPR Spectrometer; Mr. Story Wilson, Professional Research Assistant, Department of Pathology, UCHSC, for the image analyses; Mr. Paul Blomquist, Reference Librarian, Dennison Memorial Library, UCHSC, for help in reference retrievals; and Ms. Lulu Yip of Denver University for animal care. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. REFERENCES 1. Pope CA III, Thun MJ, Namboodiri MM, et al. Particulate air pollution as a predictor of mortality in a prospective study of U.S. adults. Amer J Respir Crit Care Med 1995;151:669 –74. 2. 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