Cathelicidin related antimicrobial peptide, laminin, Toll-like receptors and chemokines levels in experimental hypersensitivity pneumonitis in mice.

INTRODUCTION: Hypersensitivity pneumonitis (HP) is an interstitial lung disease caused by unresolved inflammation and tissue repair pathologies triggered by repeated organic dust exposure. The aim of the study was to investigate changes in levels of the cathelicidin related antimicrobial peptide (CRAMP), laminin (LAM-A1), selected Toll-like receptors (TLR) and chemokines in experimental HP in mice. MATERIALS AND METHODS: Three and 18-month-old female C57BL/6J mice underwent inhalations of the saline extract of Pantoea agglomerans cells, Gram-negative bacterium common in organic dust and known for its pathogenic impact. The inhalations were repeated daily (28 days). ELISA was used for measuring in lung tissue homogenates concentration of CRAMP, LAM-A1, TLR2, TLR4, TLR8, CXCL9 (chemokine [C-X-C motif] ligand) and CXCL10. RESULTS: Levels of TLR2, TLR4 and CXCL9 were significantly higher in both young and old mice lungs already after 7 days of inhalations, while significant increase of LAM-A1 and CXCL10 was noted after 28 days, compared to untreated samples. TLR8 level was significantly augmented only in young mice. Only CRAMP level significantly declined. Significantly higher TLR8 and CXCL9 concentration in untreated samples were noted in old animals compared to young ones. CONCLUSION: Significant alterations of the examined factors levels indicate their role in HP pathogenesis.

Cathelicidin LL-37 in bronchoalveolar lavage and epithelial lining fluids from healthy individuals and sarcoidosis patients.

Sarcoidosis is a granulomatous disease of unknown etiology most often characterized by pulmonary manifestations. Changes in an innate immune system, involving antimicrobial peptides, have been noted during the course of pulmonary sarcoidosis. This study focuses on the level of LL-37 peptide, the only human cathelicidin, additionally characterized by a wide range of pleiotropic activities, in pulmonary sarcoidosis. A cross-sectional study was conducted in groups of 32 patients with sarcoidosis and 12 healthy individuals. Bronchoalveolar lavage fluid (BALF) sampling, followed by LL-37 measurements by mass spectrometry combined with previous immunoaffinity purification, was performed. Based on urea levels, concentrations of LL-37 in epithelial lining fluid (ELF) were calculated. The levels of LL-37 peptide in BALF samples derived from patients with pulmonary sarcoidosis (median: 17.45 pg/ml, 25th-75th percentile: 8.05-28.33 pg/ml) were significantly higher compared to the healthy group (median: 6.38 pg/ml, 25th-75th percentile: 4.90-11.55 pg/ml) (U Mann-Whitney test, p=0.04). Assessment of LL-37 in ELF confirmed the differences across the groups that were observed in BALF. The level of LL-37 in patients with sarcoidosis (median: 2.25 ng/ml, 25th-75th percentile: 1.03-5.06 ng/ml) was again higher compared to healthy individuals (median: 0.62 ng/ml, 25th-75th percentile: 0.43-2.17 ng/ml) (p=0.06, Mann-Whitney U test). The results of this study demonstrate that the level of LL-37 peptide is elevated in pulmonary compartment affected by sarcoidosis. This might have a meaning in the pathomechanism of the disease, especially taking into consideration versatile activity of human cathelicidin revealed in numerous experimental studies during the last years.

Relationship between COPD and lower socioeconomic status in farmers from South-Eastern Poland (Lublin region).

INTRODUCTION: Lower socioeconomic status is considered to be an independent risk factor of chronic conditions, such as chronic obstructive pulmonary disease (COPD). COPD, one of the major public health problems worldwide, is a chronic inflammatory lung disease of a multifactorial background. COPD morbidity in rural areas has been higher than in urban settings, as apart from the major causative factor, tobacco smoking, the burden of this disease in rural environments is also connected to additional occupational factors (organic dusts). The management of chronic diseases seems to be particularly difficult in rural areas. The aim of the study was to analyze the socioeconomic status of farmers suffering from COPD in comparison to healthy farmers. METHODS: Thirty farmers with COPD and 34 healthy farmers from the Lublin region (Poland) were investigated based on the area of land they possessed (an indicator used in the health insurance system in Poland to classify farmers). The farmers from five rural communes were selected by general practitioners. Statistical analysis was performed by non-parametric Mann-Whitney U-test for the differences between area of farms. The p < 0.05 level was considered as significant. RESULTS: Area of land (median: 1.5 ha, 25th-75th percentile: 1.0-4.0) owned by farmers with COPD was significantly lower than area of farms belonging to healthy farmers (median: 7.0 ha, 25th-75th percentile: 3.0-10.0) (p < 0001, Mann-Whitney U-test). CONCLUSIONS: In rural areas individuals with COPD are characterized by significantly lower socioeconomic status than healthy persons. COPD is a major health problem, especially in rural areas, which may indicate that policy-makers should consider addressing equity in COPD management in rural areas.

Cathelicidin LL-37 in bronchoalveolar lavage and epithelial lining fluids from COPD patients and healthy individuals.

Innate immunity is currently under scope of interest concerning its role in the development of chronic obstructive pulmonary disease (COPD). Antimicrobial peptides constitute a potent part of this fast response system. Here, we focus on the role of a specific antimicrobial peptide, the only human cathelicidin, the pleiotropic LL-37 peptide, in the development of COPD under clinical conditions. A cross-sectional study was conducted in groups of 43 patients with COPD (previously classified according to GOLD) and 12 healthy individuals. Bronchoalveolar lavage fluid (BALF) sampling, followed by LL-37 measurements by mass spectrometry combined with previous immunoaffinity purification, was performed. Based on urea levels, concentrations of LL-37 in epithelial lining fluid (ELF) were calculated. Additionally, an antimicrobial assay of growth inhibition of two bacterial species, often involved in COPD development mechanisms, by purchased LL-37 was conducted. Altogether, 55 BALF samples were analyzed. LL-37 levels were significantly higher in BALF from patients in early stages of COPD (GOLD I-II) compared to BALFs from healthy individuals. The same was true for ELF. Cathelicidin’s concentration was significantly lower in both BALF and ELF from patients in advanced COPD (GOLD III-IV). The significantly elevated LL-37 levels both in BALF and ELF in patients with COPD at stage GOLD I-II together with reduced levels in advanced (COPD stage III-IV) further supports the innate immunity involvement in COPD pathology and suggests a profound change in non-specific immunity during the disease progression.

Exposure to airborne microorganisms in fiberboard and chipboard factories.

Microbiological air sampling was performed in one fiberboard factory and two chipboard factories located in south-eastern Poland. It was found that the levels of bacteria, fungi, dust and bacterial endotoxin in the air of examined facilities were high during initial stages of the production cycle (shredding of waste wood, storing of chips) and then sharply decreased during further stages of this cycle (forming and formatting of the boards). In the fiberboard factory, the concentration of airborne microorganisms at the initial stages of production cycle was 71.8-95.2 x 10(3) cfu/m3 and dropped in further stages to the level of 8.4-17.5 x 10(3) cfu/m3. Fungi (mostly Aspergillus fumigatus and Penicillium spp.) were prevailing microorganisms in the air of the fiberboard factory, forming 46.0-87.3% of the total airborne microflora. The concentrations of microorganisms in the air of the chipboard factories were significantly lower compared to the fiberboard factory (p<0.05). During initial stages of production cycle they were within the range of 12.9-101.5 x 10(3) cfu/m3, while during forming and formatting of boards within the range of 5.3-12.4 x 10(3) cfu/m3. On average, the most common microorganisms in the air of the chipboard factories were corynebacteria (mostly Arthrobacter spp. and Corynebacterium spp.) which formed 24.4-64.6% of the total microflora. The values of the respirable fraction of airborne microflora in the fiberboard and chipboard factories varied within a fairly wide range and were between 20.5-91.1%. Altogether, 38 species or genera of bacteria and 16 species or genera of fungi were identified in the air of examined factories, of which respectively 14 and 9 species or genera were reported as having allergenic and/or immunotoxic properties. The concentration of bacterial endotoxin in the air of examined factories was greatest, similarly to the concentration of microorganisms, during the initial stages of the production cycle: 103.1-1974.0 EU/m3 in the fiberboard factory, and 3.2-217.4 EU/m3 in chipboard factories. In conclusion, the workers of fiberboard and chipboard factories may be exposed during the initial stages of the production cycle (shredding of waste wood, storing of chips) to high levels of airborne microorganisms and endotoxin posing respiratory hazard.

Exposure to airborne microorganisms and endotoxin in herb processing plants.

Microbiological air sampling was performed in two herb processing plants located in eastern Poland. Air samples for determination of the levels of bacteria, fungi, dust and endotoxin were collected at 14 sites during cleaning, cutting, grinding, sieving, sorting and packing of 11 kinds of herbs (nettle, caraway, birch, celandine, marjoram, mint, peppermint, sage, St. John's wort, calamus, yarrow), used for production of medications, cosmetics and spices. It was found that processing of herbs was associated with a very high pollution of the air with bacteria, fungi, dust and endotoxin. The numbers of microorganisms (bacteria and fungi) in the air of herb processing plants ranged within 40.6-627.4 x 10(3) cfu/m3 (mean +/- S.D = 231.4 +/- 181.0 x 10(3) cfu/m3). The greatest concentrations were noted at the initial stages of production cycle, during cleaning, cutting and grinding of herbs. The numbers of airborne microorganisms were also significantly (p<0.0001) related to the kind of processed herb, being the greatest at processing marjoram, nettle, yarrow and mint. The values of the respirable fraction of airborne microflora in the examined facilities varied within a fairly wide range and were between 14.7-67.7%. The dominant microorganisms in the air of herb processing plants were mesophilic bacteria, among which endospore-forming bacilli (Bacillus spp.) and actinomycetes of the species Streptomyces albus were most numerous. Among Gram-negative bacteria, the most common was endotoxin-producing species Alcaligenes faecalis. Altogether, 37 species or genera of bacteria and 23 species or genera of fungi were identified in the air of herb processing plants, of these, 11 and 10 species or genera respectively were reported as having allergenic and/or immunotoxic properties. The concentrations of dust and bacterial endotoxin in the air of herb processing plants were large with extremely high levels at some sampling sites. The concentrations of airborne dust ranged within 3.2-946.0 mg/m3 (median 18.1 mg/m3), exceeding at 13 out of 14 sampling sites the Polish OEL value of 4 mg/m3. The concentrations of airborne endotoxin ranged within 0.2-2681.0 microg/m3 (median 16.0 microg/m3), exceeding at all sampling sites the suggested OEL value of 0.1 microg/m3. In conclusion, the workers of herb processing plants could be exposed to large concentrations of airborne microorganisms, dust and endotoxin posing a risk of work-related respiratory disease.

Young farmers with cellular reactivity to airborne microbes suffer more frequently from work-related skin symptoms and allergic dermatitis.

UNLABELLED: 75 farming students (49 males and 26 females aged 16-23 years) underwent dermatological, laryngological and pulmonary examination, skin prick tests with common and farm allergens, Phadiatop and total IgE measurement. After that, the migration inhibition tests with antigens of airborne microbes typical for farm environment (Saccharopolyspora rectivirgula, Pantoea agglomerans, and Aspergillus fumigatus) were carried out. Possible differences between students with positive results and those non-reactive were sought. RESULTS: 10 students reacted to at least one microbial antigen in the migration inhibition test. There were no significant differences in distribution of atopy, prick test results, total IgE, and Phadiatop between the reactive students and their classmates. Only one case of asthma was found, hence a further statistical analysis was not feasible. Allergic rhinitis has been found in 30% of the reactive and in 9.2% of non-reactive students; the difference, however, was not statistically significant (p=0.06). Significant differences were found with respect to the frequency of allergic skin diseases (40% reactive versus 9.2% non-reactive, p = 0.009); no other triggering factors than microbial antigens could be identified in 2 out of 4 reactive students with dermatitis. Work-related symptoms were present in all reactive students (100% versus 27.7%, p=0.001); 8 out of 10 reactive students did not show any other specific sensitisation. Antigens of airborne microbes are commonly associated with lung diseases. Our results, however, suggest that the skin may be affected as well. Relatively strong association between cellular reactivity to airborne microbes and skin diseases deserves further studies.

Response of herb processing workers to work-related airborne allergens.

A group of 51 herb processing workers employed in a big herb processing facility located in eastern Poland were examined by the skin and precipitin tests with, respectively, 4 and 17 extracts of microorganisms associated with organic dusts. Out of this number, 32 workers were examined by the skin test with 7 extracts of selected herbs processed in the facility. All the subjects were asked about the occurrence of work-related symptoms. 32 healthy office workers were examined with microbial extracts as a reference group. The herb processing workers showed a high proportion of early skin reactions (after 20 min) to the extract of Gram-negative bacterium Alcaligenes faecalis (41.2%), significantly higher compared to the reference group (p<0.01). At all time intervals (20 min, 8 hrs, 24 hrs), the workers responded with a high frequency to the extract of Bacillus subtilis (respectively 72.5%, 64.7%, and 15.7%), significantly greater compared to the reference group (respectively p<0.001, p<0.001, and p<0.05). No significant differences were found between the groups of herb processing workers and referents in skin response to the extracts of Streptomyces albus and Alternaria alternata and, except for the extract of Pantoea agglomerans, in the frequency of positive precipitin reactions to microbial antigens. In the skin test with herb extracts, the highest response among workers were caused by the extracts of chamomile flowers and nettle leaves which evoked 40-65% of positive skin reactions at all time intervals. 39 out of 51 interviewed herb processing workers (76.5%) reported the occurrence of work-related general, respiratory and skin symptoms. The positive skin reactions occurred more frequently among symptomatic workers which suggests that the specific immunologic response might be implicated in etiopathogenesis of work-related symptoms in examined workers. However, in most cases the differences did not attain a significance level which indicates that there is no direct relationship between a positive immunologic response and the appearance of symptoms caused by occupational exposure to herb dust, and that most probably a considerable part of these symptoms might be also due to non-specific immunologic and/or toxic mechanisms.

Exposure to airborne microorganisms in Polish sawmills.

Microbiological air sampling was performed in four sawmills located in eastern Poland, of which two were processing coniferous wood (pine, fir) and other two deciduous wood (oak, birch). Total concentration of microorganisms (bacteria and fungi) in the air of sawmills processing coniferous wood was on average 20.2 +/- 5.6 x 10(3) cfu/m(3) (mean +/- S.E.) and significantly (p < 0.05) higher compared to those processing deciduous wood where the mean concentration of airborne microorganisms was 9.8 +/- 3.0 x 10(3) cfu/m(3). The greatest concentrations of microorganisms in the sawmills processing coniferous wood were noted at debarking and at first-cut frame sawing of pine logs (42.1 +/- 7.6 x 10(3) cfu/m(3) and 39.8 +/- 7.0 x 10(3) cfu/m(3), respectively). Microflora released into air during debarking consisted mostly of allergenic fungi (mainly Aspergillus fumigatus) and corynebacteria, whereas airborne microflora recovered during first-cut frame sawing constituted mostly of endotoxin-producing Gram- negative bacteria of the genus Rahnella, developing in the sapwood of pine. In the sawmills processing deciduous wood, the largest concentration of microorganisms (30.6 +/- 3.4 x 10(3) cfu/m(3)) was found at sorting of the oak parquet boards and was due to the secondary infection of the boards with moulds Penicillium citrinum during prolonged storing in the open air. Values of the respirable fraction of airborne microflora in the examined sawmills varied within fairly wide limits and were between 22.5 86.6%. Altogether, 34 species or genera of bacteria and 21 species or genera of fungi were identified in the air of sawmills, of which respectively 13 and 9 species or genera were reported as having allergenic and/or immunotoxic properties. The concentrations of airborne bacterial endotoxin which were determined on two sampling sites in the sawmills processing pine and fir, were 0.24 microg/m(3) and 4.00 microg/m(3) respectively, distinctly exceeding the suggested safe level. In conclusion, the workers of Polish sawmills may be exposed on some working stands to airborne microorganisms posing respiratory hazard, of which the greatest risk is represented by allergenic fungi developing on bark of logs or stored wood products and endotoxin-producing Gram-negative bacteria of the genus Rahnella, developing in sapwood of coniferous logs

Response of sawmill workers to work-related airborne allergens.

The aim of this work was to determine the reactivity of sawmill workers to biological allergens associated with wood dust. Allergological examinations by skin and precipitin tests were performed in 43 workers employed in a sawmill processing coniferous wood (pine), in 90 workers employed in two sawmills processing deciduous wood (oak), and in 32 healthy urban dwellers not exposed to organic dusts (referents). The skin test was performed by the intradermal method with the saline extracts of wood dust and of the cultures of three microbial species (Rahnella sp., Brevibacterium linens and Penicillium citrinum) isolated from the air polluted with wood dust. Sawdust from pine was used for testing of the pine processing workers and referents while sawdust from oak was used for testing of the oak processing workers. Skin reactions were recorded after 20 minutes, 8 hours and 24 hours. The agar-gel test for the presence of precipitins in serum was performed with the extract of pine wood dust and extracts of 17 microbial isolates. The workers processing pine showed a very high frequency of positive skin reactions to the extract of wood dust at all time intervals, significantly greater compared to the workers processing oak and referents (p < 0.001). The early skin reactions to the extracts of dust-borne bacteria and fungi were very common among sawmills workers and showed a significant relationship with the degree of exposure. The frequency of reactions to Gram-negative bacterium Rahnella sp. was significantly greater in the pine processing workers than in the oak processing workers and referents (p < 0.001). By contrast, the oak processing workers reacted significantly more frequently to Penicillium citrinum, compared to the pine processing workers and referents (p < 0.01). These results conform to the prior study of airborne microflora in which the dominancy of Gram-negative bacteria was stated in the pine processing sawmill while mould fungi were most common in the oak processing sawmills. The antibody response of sawmill workers to work-related antigens was much weaker compared to skin reactions. As many as 41 sawmill workers reported the occurrence of work-related symptoms. A significant relationship was found between the occurrence of symptoms and frequency of allergic reactions, but only with a limited number of antigens. The obtained results suggest that early allergic reactions to coniferous wood and to microorganisms associated with wood dust are common among sawmill workers, posing a potential risk of work-related disease in this occupational group.

Occupational airborne contact dermatitis caused by thyme dust.

The aim of the study was to assess occupational hazards to the farmer's skin associated with processing thyme (Thymus vulgaris L.). 46 farmers were studied during the threshing of dried thyme. They were questioned about work-related skin problems and examined before and after work. In all persons, serum thyme-specific IgE was measured. Skin prick tests, the Ouchterlony test and the migration inhibition test were carried out with allergens of airborne bacteria and fungi present in the working environment. Of the 46 farmers studied, 4 showed skin symptoms after 5-30 min of exposure to thyme dust. Thyme-specific IgE was found in 1 person with work-related symptoms, but also in 2 asymptomatic farmers. Therefore, the importance of IgE seems to be questionable in eczema related to thyme dust. Skin and blood tests with microbial allergens also showed no significant differences between the symptomatic and asymptomatic farmers. To our knowledge, this is the 1st description of occupational airborne contact dermatitis caused by thyme dust. The etiology of thyme-related skin symptoms remains obscure, although an irritant mechanism seems probable.

Effects of exposure to flax dust in Polish farmers: work-related symptoms and immunologic response to microbial antigens associated with dust.

Medical examinations were performed in a group of 51 Polish farmers heavily exposed to flax dust during harvesting and scutching (threshing) and in a group of 50 healthy urban dwellers not exposed to organic dusts (controls). The examinations included: interview concerning the occurrence of respiratory disorders and work-related symptoms, physical examination, X-ray examination of chest, lung function tests, oxymetric examinations, determination of the concentration of cytokines (IL-1alpha IL-6, TNFalpha) in blood serum and allergological tests with microbial antigens associated with organic dust, comprising: skin prick test with 4 antigens, agar-gel precipitation test with 12 antigens and test for specific inhibition of leukocyte migration with 4 antigens. As many as 32 farmers (62.7%) reported the occurrence of work-related symptoms during harvesting, transporting and scutching of flax. The most common complaint was general weakness reported by 15 farmers (29.4%), followed by headache reported by 14 (27.5%), blocking of the nose - by 11 (21.6%), dry cough, shivering, and eyes itching - each by 10 (19.8%), chest tightness and hoarseness - each by 9 (17.6%). No control subjects reported these work-related symptoms. The mean spirometric values in the examined group of farmers were within a normal range and did not show a significant post-shift decline. In contrast, a significant post-shift decline of oxymetric values was found among flax farmers. The farmers showed a frequency of the positive early skin reactions to environmental allergens in the range of 0-19.6%, a frequency of positive precipitin reactions in a range of 0-56.9%, and frequency of positive reactions of leukocyte migration inhibition in a range of 7.8-21.6%. The members of the control group responded to the majority of allergens with a significantly lower frequency of positive results compared to the farmers. Elevated concentrations of IL-1alpha and IL-6, but not TNFalpha, were found in blood sera of flax farmers. In conclusion, farmers engaged in harvesting and scutching of flax represent a group of elevated professional risk because of high incidence of work-related symptoms and high frequency of allergic reactions to bacteria and fungi associated with organic dust.

Occupational biohazards in agricultural dusts from India.

Sixteen samples of settled dusts deposited during handling of various granular plant materials (green gram, red gram, amaranth, rice, pearl millet, sorghum, wheat, maize) in small food storing and processing facilities (godowns) were collected in the region of Aurangabad (Southern India). The samples were examined by the dilution plating method for the concentration and species composition of Gram-positive mesophilic bacteria, Gram-negative mesophilic bacteria, thermophilic actinomycetes and fungi. They were also examined by Limulus test for the concentration of bacterial endotoxin. The total concentration of microorganisms (bacteria + fungi) in examined samples varied within a wide range of 1.4 x 10(5) - 8.45 x 10(8) cfu/g (median 8.36 x 10(6) cfu/g). On average, the most common were Gram-positive bacteria (87.84% of all isolates) followed by Gram-negative bacteria (11.12%). Less common were fungi (1.24%) and thermophilic actinomycetes (0.01%). Among isolated bacteria and fungi, there were many species known as causative agents of allergic alveolitis, asthma and organic dust toxic syndrome. The concentration of bacterial endotoxin in the examined samples ranged between 12.5 - 62500 microg/g (median 781.25 microg/g), being particularly large in the samples of dust from maize (6250 microg/g and 62500 microg/g) and pearl millet (6250 microg/g and 12500 microg/g). The results of the present work indicate that the agricultural dusts from India represent a potential hazard for the workers because of high concentrations of allergenic microorganisms and bacterial endotoxin. The particular risk is associated with handing of maize and pearl millet. Further studies on this subject with the use of aerobiological methods are highly desirable

Detection of specific IgE as a screening tool for cow and swine breeders' occupational allergic dermatoses.

The study aimed at assessing whether detection of IgE specific to cow and swine allergens can be used as a screening tool for farmers' occupational eczema. Serum samples were taken from 51 farmers. The farmers were questioned about work-related skin symptoms using a nurse-administered questionnaire, verified by a dermatologist. Sera of 29 cow breeders were tested for IgE antibodies specific to cow dander and bovine serum albumin. Sera of 22 swine breeders were tested for IgE specific to swine epithelium, swine serum albumin, and swine urine proteins. Among cow breeders, IgE specific to cow dander was found in one farmer. Among swine breeders, IgE specific to swine epithelium was found also in one subject. On first examination, the cow breeder complained of slight itching of the conjunctivae while working in a cow barn and had no other allergic symptoms. One year later, however, he noticed episodes of hand eczema after contact with cows. In the IgE-positive swine breeder, only mild stationary psoriasis, and no work-related symptoms were found. Among the remaining 28 IgE-negative cow breeders, 11 complained of skin symptoms, but these were not related to working with cows; among 21 IgE-negative swine breeders, 7 subjects had skin diseases, none of which were related to working with swine. We conclude that detection of animal antigen-specific IgE may be an useful screening tool, although an exact assessment of sensitivity and specificity of the method in a larger population of exposed farmers will be required.

Allergic alveolitis due to herb dust exposure.

We report an episode of allergic alveolitis in a female farmer due to massive exposure to organic dust contaminated with microorganisms during threshing of herbs (thyme). The patient's medical history, the results of exposure test, inhalation challenge, and bronchoalveolar lavage suggested the diagnosis of allergic alveolitis

Effects of exposure to grain dust in Polish farmers: work-related symptoms and immunologic response to microbial antigens associated with dust.

Medical examinations were performed in a group of 76 Polish farmers heavily exposed to grain dust during harvesting and threshing, and in a group of 63 healthy urban dwellers not exposed to organic dusts (controls). The examinations included: interview concerning the occurrence of respiratory disorders and work-related symptoms, physical examination, lung function tests, and allergological tests comprising skin prick test with 4 microbial antigens associated with grain dust and agar-gel precipitation test with 12 microbial antigens. As many as 34 farmers (44.7%) reported the occurrence of work-related symptoms during harvesting and threshing. The most common was dry cough reported by 20 individuals (26.3%). Dyspnoea was reported by 15 farmers (19.7%), tiredness by 12 (15.7%), chest tightness by 8 (10.5%), plugging of nose and hoarseness by 5 each (6. 5%). No control subjects reported these work-related symptoms. The mean spirometric values in the examined group of farmers were within the normal range, but a significant post-shift decrease of these values was observed after work with grain. The farmers showed a frequency of the positive early skin reactions to environmental allergens in the range of 10.8 - 45.5%, and a frequency of positive precipitin reactions in range of 3.9 - 40.8%. The control group responded to the majority of allergens with a significantly lower frequency of positive results compared to the farmers. The obtained results showed a high response of grain farmers to inhalant microbial allergens and indicate a potential risk of occupational respiratory diseases (such as allergic alveolitis, asthma, Organic Dust Toxic Syndrome) among this population

Influence of some immune factors on the IL-6 and soluble IL-2 receptors in haemodialysed patients.

In respect to the immune deficiency state of long-term haemodialysed patients, both cytokines and their receptor disturbances have been taken into consideration. The purpose of our study was to evaluate the effect of uraemic and haemodialysis factors on the interleukin-6 and interleukin-2 soluble receptor levels and the reactivity after influenza vaccination. We have found that IL-6 and IL-2 receptor levels were statistically significantly elevated (98.8 +/- 39 pg/ml and 1557 +/- 544 U/ml, respectively) in serum of haemodialysed patients. The fact that increased immune complexes statistically correlated with soluble IL-2 receptor levels (p < 0.01) was very interesting for us. In order to study the immunological response after vaccination, 10 patients have been investigated after influenza vaccination. Plasma samples were collected before, as well as 1 and 4 weeks after vaccine administration. Antibody titres measured by haemagglutinin inhibition showed decreased antibody levels in haemodialysed patients. We conclude that the interleukin disturbance and the elevated interleukin-2 receptor levels together with the presence of circulating immune complexes can influence in some way the immune response of haemodialysed patients.

[Microflora of the air in sawmills as a potential occupational hazard: concentration and composition of microflora and immunologic reactivity of workers to microbial aeroallergens]. / Mikroflora powietrza tartaków jako potencjalny czynnik zagrozenia zawodowego: stezenie i sklad mikroflory oraz immunologiczna reaktywnosc pracowników na aeroalergeny drobnoustrojowe.

Microbiologial studies of the air and allergological examinations of the workers were performed in two sawmills processing deciduous wood (mainly oak) and in one sawmill processing coniferous wood (mainly pine). The concentration of microorganisms in the air was of the order 10(3)-10(4) cfu/m3. The most common organisms were corynebacteria (Arthrobacter, Corynebacterium, Brevibacterium, Microbacterium), spore-forming bacilli (Bacillus), Gram-negative bacteria (rahnella) and filamentous fungi (Aspergillus, Penicillium). The workers responded to the extract of pine dust with much higher frequency than to the extract of oak dust. The workers processing pine were often sensitized to Rahnella while those processing oak were commonly sensitized to Penicillium. Precipitin reactions were rare and occurred only with the antigen of Rahnella.

[Microflora of the in furniture factors as a potential occupational hazard: concentration and composition of microflora and immunologic reactivity of workers to microbial aeroallergens]. / Mikroflora powietrza fabryk mebli jako potencjalny czynnik zagrozenia zawodowego: stezenie i skiad mikroflory oraz immunologiczna reaktywnosc pracowników na aeroalergeny drobnoustrojowe.

Microbiologial studies of the air were performed in two furniture factories. The concentration of microorganisms in the air was low, being of the order 10(3) cfu/m3. The most common organisms were corynebacteria (Arthrobacter, Corynebacterium, Brevibacterium, Microbacterium) and fungi (Aspergillus fumigatus, Rhodotorula rubra). Some of the species found in this environment possess known allergenic properties. Allergological examinations of the workers with environmental aeroallergens have been performed in three departments of one factory. The highest frequency of positive skin reactions were observed among the workers of the varnishing department which may be due to synergistic effects of chemical pollutants. The incidence of precipitin reactions was low among all workers.

[Bacterial endotoxins produced by Alcaligenes faecalis and Erwinia herbicola as potential occupational hazards for agricultural workers]. / Endotoksyny bakteryjne Alcaligenes faecalis i Erwinia herbicola czynnikami narazenia zawodowego w rolnictwie.

Laboratory animals (guinea pigs and rabbits) were exposed to the inhalation of aerosolized endotoxins derived from the cell mass of Alcaligenes faecalis and Erwinia herbicola, the Gram-negative bacteria commonly occurring in organic dusts. Single 1 hour-lasting exposure caused the significant increase in the number of free lung cell, mostly lymphocytes, compared to the control group exposed to saline (P < 0.001). Prolonged exposure to tested endotoxins (Fifteen 1 hour-lasting exposures every second day) caused both specific and non specific immunological changes: enhanced inhibition of leukocyte migration production of precipitins, and activation of alveolar macrophages, wes assessed by greater antibacterial activity and increased interleukin I (IL-I) production. The results indicate that the endotoxins of examined bacteria represent a potential risk of inflammatory lung reaction and respiratory disease for agricultural workers inhaling organic dusts contaminated with these organisms.