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Time Course of Endotoxin-Induced Airways’ Inflammation in Healthy Subjects

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Abstract

Few data are available on the kinetic of the airways’ inflammation induced by inhaled endotoxin in a given subject. The purpose of this study was to evaluate in healthy subjects the time-related endotoxin-induced airways’ inflammation. The cells counts from the induced-sputum were evaluated before, 6 and 24 h, and 7 days after an exposure to 20 mcg inhaled endotoxin, in eight pre-selected volunteers. To avoid interference of the induced-sputum procedure on the response to endotoxin, each time-point was evaluated in randomized order at 2-weeks interval after three separate inhalations of endotoxin. A significant rise of the relative number of lymphocytes (p < 0.05) and polymorphonuclear neutrophils (PMN; p < 0.02) and of the absolute number of PMN (p < 0.05) occurring at 6 h, followed by an increase of the absolute number of the total viable cells (p < 0.01), macrophages (p < 0.001), neutrophils (p < 0.01), and lymphocytes (p < 0.05) at 24 h after endotoxin inhalation. The inflammatory response recovered totally after 7 days. In human beings, the inhalation of endotoxin induced a transient airway inflammation after 6 h, peaked at 24 h and recovered after 7 days. When repeated endotoxin inhalations are used as a model of inflammation, a wash-out period of at least 7 days should be applied between each exposure in each subject.

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ACKNOWLEDGMENTS

P. Dinh Huy Duc is supported by the CUD (Commission Universitaire au Développement).

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Correspondence to Olivier Michel.

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Doyen, V., Kassengera, Z., Dinh, D.H.P. et al. Time Course of Endotoxin-Induced Airways’ Inflammation in Healthy Subjects. Inflammation 35, 33–38 (2012). https://doi.org/10.1007/s10753-010-9286-0

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