Brief exposure of air-filled guinea-pig isolated trachea to low levels of toluene diisocyanate (TDI) vapor in vitro increases reactivity to methacholine

Abstract

Toluene diisocyanate (TDI) causes occupational asthma characterized by inflammation and hyperreactivity of airways to irritants and bronchoconstrictor drugs. We examined the non-immune, direct effect of TDI on airway reactivity in vitro in the absence of an inflammatory response using the guinea-pig isolated, perfused trachea preparation to measure reactivity to methacholine (MCh), and fixed point ion mobility spectrometry to measure moment to moment levels of TDI vapor in air that was delivered to the tracheal mucosa. MCh was added to the mucosal modified Krebs–Henseleit (MKH) perfusing solution to generate control concentration–response curves for contractile responses. The lumen was then emptied and perfused with air or air containing 5, 20 or 70 ppb TDI vapor, after which the trachea was perfused with MKH solution and reactivity to MCh was re-examined. After only 30 min of treatment, TDI vapor concentration-dependently increased reactivity of the trachea to MCh (2.4- and 2.9-fold, respectively, for 20 and 70 ppb TDI; 5 ppb TDI and air alone had no effect). In tracheas treated in vitro with 2 μM capsaicin to deplete tachykinins TDI caused the same (4-fold) increase in reactivity to MCh that was observed in control tracheas. However, TDI vapor (70 ppb) no longer enhanced reactivity to MCh in tracheas from which the epithelium had been removed. Our results indicate that a direct, non-immune, non-inflammatory action of TDI on respiratory epithelium leads to hyperreactivity of airways in vitro.