Morphological examination of lungs obtained from rats given a 60-mg/kg dose of the anorexigenic agent, chlorphentermine, revealed the presence of large macrophages resting mainly on the alveolar walls 24 hr after treatment. Continuation of daily chlorphentermine administration for 3 days increased the number of both free and alveolar-attached macrophages, and a progressive rise in the amount of these cells was noted until a peak was reached by 1 week, at which time the majority of these pulmonary cells floated freely in the alveolar lumen. Ultrastructural investigation showed that the cytoplasm of the macrophages contained a large amount of multilamellar bodies. Some of the type II alveolar epithelial cells contained a greater than normal quantity of multilamellar bodies, and these were also observed in some of the alveolar type I and bronchial epithelial cells. An interesting finding was the presence of remaining portions of junctional complexes on the surface of the free hypertrophied macrophages. In contrast, the pharmacologically similar agent, phentermine (60 mg/kg/day), produced no significant histopathological alterations in lung at 1, 3, 5, or 7 days after treatment. The observed chlorphenterminestimulated increase in pulmonary cells was associated with significant elevation in the incorporation of [ 14C]thymidine into DNA after 5 days, and an approximate three-fold increase in nucleic acid synthesis occurred after 1 week. Similarly, chlorphentermine administration augmented the incroporation of [ 14C]orotic acid into lung RNA both 1 and 3 days after treatment with a return to control values noted by 1 week. Enhancement in the biosynthesis of RNA was accompanied by a rise in the endogenous tissue levels of putrescine, spermidine, and spermine at various time periods examined; in general, maximal increases in the triad of polyamines were observed after 24 hr. In addition, anorectic drug administration elevated the concentration of pulmonary cyclic AMP after 3, 5, and 7 days with the highest quantitative change (183% of control values) seen after 72 hr. In contrast, treatment with phentermine produced either a marked decrease or lack of any significant alteration in the ability of lung to incroporate [ 14C]thymidine into DNA and [ 14C]orotic acid into RNA as well as in the levels of putrescine, spermidine, spermine, and cyclic AMP. Evidence indicates that, in the case of chlorphentermine, a positive relationship exists between pulmonary histiocytic proliferation and augmented nucleic acids synthesis, which may be associated with and is probably triggered by an initial stimulation of cyclic AMP and polyamine formation.
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