The Effect of Lecithin Surfactant and Phosopholipase Enzyme Treatment on Some Cytotoxic Properties of Respirable Quartz and Kaolin Dusts

"Two in vitro systems are being developed to model initial stages in the interaction of respired dusts with the acinar region of the lung. Incubation of quartz and kaolin with dipalmitoyl glycerophosphorylcholine, a major component of pulmonary surfactant, suppresses the prompt C)1otoxicity of both dusts as measured by in vitro enzyme release from pulmonary macrophages or assay by erythrocyte hemolysis. Additional data is presented to quantitate the detoxification of quartz and kaolin by dipalmitoyl lecithin. Subsequent incubation of lecithin treated dusts with phospholipase enzymes results in partial to complete restoration of the assayed cytotoxic potentials, dependent on the lipase activity applied, the incubation time, and the mineral. Restored cytotoxic potential is due to removal of the prophylactic lecithin surface coating and/or due to residual lysolecithin which is produced by the partial enzymatic digestion of lecithin. Data is presented on the contribution of each mechanism to the restored toxicity. Again, this is dependent on the mineral used, the lipase activity applied, and digestion time. Additionally, a system is under development to challenge pulmonary macrophages in culture with native and surfactant treated dusts. A preliminary test of the dipalmitoyl lecithin - quartz rabbit pulmonary macrophage system is presented to illustrate the method.IntroductionRespirable quartz dust exposure is known to cause librotic lung disease; respirable clay dust exposure is less likely to do so as indicated by epidemiologic data on occupational exposures and by animal model studiesP·7) The hypothesis that damage to pulmonary macrophages in the acinar region of the lung by respired dusts is an early event in the disease process requires consideration because kaolin clay and quartz dusts are comparably cytotoxic to pulmonary macrophages in vitro.(3•9)"