Chronic granulomatous lung disease was produced in immunized guinea pigs using aerosol exposure to pigeon serum at intervals of four weeks. Initially, animals developed a hemorrhagic alveolitis with polymorphonuclear leukocytes. After the second exposure, animals had a mononuclear alveolitis with ill-defined granulomata. Animals sacrificed after the third or fourth aerosol exposure had well-defined granulomata with varying degrees of interstitial fibrosis. Chemical estimates of total lung collagen showed increased lung collagen after the third and fourth exposure. Whereas animals sacrificed within one week after the second or third exposure had no increase in collagen concentration, animals sacrified 4 weeks after these exposures did. There was also a correlation between the morphologic and chemical estimates of lung collagen. These data suggest that repeated aerosol exposure of guinea pigs to a soluble antigen at intervals can result in chronic granulomatous lung disease that is characterized by morphologic and chemical increases in lung collagen. This model may be of value in defining immune and connective tissue alterations in granulomatous lung disease.
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