RESUMEN
In occupational challenge tests with isocyanate vapours, bronchial responsiveness is determined by the total dose rather than the concentration or duration of exposure. Whether the same applies for high molecular weight (HMW) agents in powder form is unknown. The aim of this study was to determine whether the total dose of HMW agents in powder form is responsible for the immediate reaction documented in specific challenge tests. Included in the study were nine subjects (seven males and two females) with a diagnosis of occupational asthma proved by specific challenge tests carried out on a preliminary visit. Two challenge tests (using a closed-circuit exposure chamber) were performed at an interval of 2 weeks; the concentrations administered in a random order on these two visits were half and double the one that had caused a 20% fall in forced expiratory volume in one second (FEV1) on a preliminary visit. The duration of exposure was adjusted until a significant fall in FEV1 (target of 20%) occurred. The two concentrations obtained were significantly different, by 2.07+/-0.36-fold (SD). The observed durations of exposure leading to a 20% fall in FEV1 on the two visits also differed significantly by 0.46+/-0.32-fold. Consequently, the cumulative efficient doses were not significantly different between the two visits: 12+/-5.4 and 9+/-5 mg x mL(-1) x min(-1), respectively. The corresponding cumulative dose ratio was 0.96+/-0.61. The expected duration of exposure (10.8+/-24 min) was not significantly different from the observed duration (5.4+/-9 min). The mean and 95% confidence interval for the difference in concentration between the two visits was 1.83-fold (1.48-2.21). In conclusion, the total dose rather than the concentration or duration of exposure per se determines bronchial responsiveness to high molecular weight agents in powder form.
Asunto(s)
Contaminantes Atmosféricos/efectos adversos , Asma/etiología , Hiperreactividad Bronquial/etiología , Pruebas de Provocación Bronquial , Sustancias Peligrosas/efectos adversos , Enfermedades Profesionales/etiología , Adulto , Aerosoles/efectos adversos , Contaminantes Atmosféricos/análisis , Contaminantes Atmosféricos/química , Asma/fisiopatología , Hiperreactividad Bronquial/diagnóstico , Relación Dosis-Respuesta Inmunológica , Femenino , Harina/efectos adversos , Harina/análisis , Ajo/efectos adversos , Ajo/química , Humanos , Masculino , Persona de Mediana Edad , Peso Molecular , Enfermedades Profesionales/fisiopatología , Tamaño de la Partícula , Plantas Medicinales , Psyllium/efectos adversos , Psyllium/análisis , Reproducibilidad de los Resultados , Sensibilidad y EspecificidadRESUMEN
Two iron repletion experiments using hemoglobin as a response criterion were conducted to assess effects of hemicelluloses on iron bioavailability to chicks. In Experiment 1, iron bioavailability from intact fiber sources was determined by adding tomato pomace (14.6% hemicelluloses), soybean hulls (20.6% hemicelluloses), beet pulp (21.5% hemicelluloses), orchard grass (24.1% hemicelluloses) and corn fiber (55.2% hemicelluloses) to a casein dextrose basal diet providing 0.4-4.1% hemicelluloses to the diet. Test foods were analyzed for iron, total dietary fiber, neutral detergent residue, neutral detergent fiber, acid detergent fiber, acid detergent lignin, pectins and uronic acids. Hemicelluloses were determined by the difference of neutral detergent residue minus acid detergent fiber. Iron bioavailability was determined by the standard curve method to be (percent relative to ferrous sulfate using hemoglobin as the response criterion) as follows: tomato pomace, 82.0; soybean hulls, 94.0; beet pulp, 26.5; orchard grass, 68.9; corn fiber, 69.4. Iron bioavailability was not related to hemicellulose content of test foods or diets. In Experiment 2, the effect of psyllium husk (a fiber source that contains predominantly hemicelluloses) on iron bioavailability from ferrous sulfate was assessed. Bioavailability was determined by the slope ratio method where treatments consisted of graded levels of ferrous sulfate in the presence and absence of 5% dietary psyllium. Although iron intrinsic to psyllium was unavailable, bioavailability of ferrous sulfate iron was not affected (P > 0.05) by the presence of psyllium. Thus, there was no clear effect of hemicelluloses on iron bioavailability. However, some feeds that contained high levels of hemicelluloses had low intrinsic iron bioavailabilities, suggesting that other dietary factors are primarily responsible for determining iron bioavailability from these feed components.