Early Response of Lungs to Low Levels of Nitrogen Dioxide

Abstract

Significant changes in the lungs of rats exposed to nitrogen dioxide occur during the first 72 hours in animals exposed to 17 ppm. These changes appear in focal areas at the level of the terminal bronchiole: loss of cilia; thickening of tissue; injury to the epithelium lining the adveoli adjacent to the terminal bronchioles, when whole type 1 cells slough away leaving the basement membrane exposed to the air; between 24 and 48 hours of continuous exposure, these areas are repaired with a low cuboidal cell type that tolerates NO₂ and thickens the air-blood barrier; and eventual formation of crystalloids and interruption of ciliogenesis. Changes at 2 ppm include loss of cilia, hypertrophy and focal hyperplasia in the epithelium of the terminal bronchiole, and “apparent” return to normal after 21 days of continuous exposure.