目的:研究表明,吸入矿尘,如石棉,可以转移到各种器官,包括淋巴结。最近,我们建立了一个方案,使我们能够通过空气中微粒诱导的X射线发射(micro-PIXE),使用石蜡包埋的肺标本鉴定吸入元件.然而,很少有研究研究这些吸入纤维在各种器官中的浓度或其易位机制。在这项研究中,我们将肺实质中吸入纤维的浓度与肺门淋巴结中的浓度进行了比较,并确定了职业性石棉暴露患者吸入纤维的基本空间分布。
方法:本研究使用石棉暴露患者的肺组织和肺门淋巴结。元素分析通过空中微PIXE进行。免疫组织化学分析使用抗CD163,平滑肌肌动蛋白,波形蛋白和β-连环蛋白抗体。
结果:分析显示,淋巴结中吸入的硅的量约为肺部的6倍。空间分析表明,硅,铁和铝共定位在肺门淋巴结中。免疫组织化学分析显示吸入纤维与巨噬细胞的局部一致,平滑肌肌动蛋白,和肺门淋巴结中的波形蛋白。
结论:这项研究表明,空中微型PIXE可用于分析人体吸入纤维的元素分布和定量。此外,免疫组织化学与空中微量PIXE分析相结合可能有助于确定体内粉尘分布的机制。
OBJECTIVE: Studies have shown that inhaled mine dust, such as asbestos, can be translocated to various organs including the lymph nodes. Recently, we have established a protocol that enables us to identify inhaled elements using paraffin embedded lung specimens by in-air microparticle-induced X-ray emission (micro-PIXE). However, little research has examined the concentration of these inhaled fibers in various organs or the mechanisms of their translocation. In this
study, we compared the concentration of inhaled fibers in the lung parenchyma to the concentration in the hilar lymph node as well as to determine the elemental spatial distribution of the inhaled fibers in a patient with occupational asbestos exposure.
METHODS: Lung tissues and hilar lymph node in a patient with asbestos exposure were used in this
study. Elemental analysis was performed by in-air micro-PIXE. Immunohistochemical analysis was performed using anti CD163, smooth muscle actin, vimentin and β-catenin antibody.
RESULTS: The analysis revealed that the amount of inhaled silicon was approximately 6 times higher in the lymph node than in the lungs. The spatial analysis showed that silicon, iron and aluminium were co-localized in the hilar lymph node. The immunohistochemical analysis showed localized agreement of the inhaled fibers with macrophages, smooth muscle actin, and vimentin in the hilar lymph node.
CONCLUSIONS: This
study showed that in-air micro-PIXE could be useful for analyzing the elemental distribution and quantification of inhaled fibers in the human body. Furthermore, immunohistochemistry in combination with in-air micro-PIXE analyses may help to determine the mechanism of mine dust distribution in vivo.