Published ahead of print on July 26, 2007, doi:10.1165/rcmb.2007-0124OC Am. J. Respir. Cell Mol. Biol., Volume 38, Number 1, January 2008, 57-67 A more recent version of this article appeared on January 1, 2008
Submitted on April 10, 2007 Pulmonary Exposure to Particles During Pregnancy Causes Increased Neonatal Asthma SusceptibilityAlexey V Fedulov1*,1 Department of Environmental Health, Molecular and Integrative Physiological Sciences Program, Harvard School of Public Health, Boston, MA, USA, 2 Lung Biology Center, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA * To whom correspondence should be addressed. E-mail: afedulov{at}hsph.harvard.edu.
Rationale: Maternal immune responses can promote allergy development in offspring, as shown in a model of increased susceptibility to asthma in babies of ovalbumin (OVA) -sensitized and challenged mother mice. Objective: We investigated whether inflammatory responses to air pollution particles (diesel exhaust particles, DEP) or control "inert" titanium dioxide (TiO2) particles are enhanced during pregnancy and whether exposure to particles can cause increased neonatal susceptibility to asthma. Methods: Pregnant BALB/c mice (or non-pregnant controls) received particle suspensions intranasally at day 14 of pregnancy. Lung inflammatory responses were evaluated 48 h after exposure. Offspring of particle or buffer-treated mothers were sensitized and aerosolized with OVA, followed by assays of airway hyperresponsiveness (AHR) and allergic inflammation (AI). Results: Non-pregnant females had the expected minimal response to "inert" TiO2. In contrast, pregnant mice showed robust and persistent acute inflammation after both TiO2 and DEP. Genomic profiling identified genes differentially expressed in pregnant lungs exposed to TiO2. Neonates of mothers exposed to TiO2 (and DEP, but not PBS) developed AHR and AI, indicating that pregnancy exposure to both "inert" TiO2 and DEP, caused increased asthma susceptibility in offspring. Conclusions: 1) Pregnancy enhances lung inflammatory responses to otherwise relatively innocuous inert particles; 2) exposures of non-allergic pregnant females to inert or toxic environmental air particles can cause increased allergic susceptibility in offspring.
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