RT Journal Article SR Electronic T1 Airway antioxidant and inflammatory responses to diesel exhaust exposure in healthy humans JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 359 OP 365 DO 10.1183/09031936.06.00136904 VO 27 IS 2 A1 A. F. Behndig A1 I. S. Mudway A1 J. L. Brown A1 N. Stenfors A1 R. Helleday A1 S. T. Duggan A1 S. J. Wilson A1 C. Boman A1 F. R. Cassee A1 A. J. Frew A1 F. J. Kelly A1 T. Sandström A1 A. Blomberg YR 2006 UL http://erj.ersjournals.com/content/27/2/359.abstract AB Pulmonary cells exposed to diesel exhaust (DE) particles in vitro respond in a hierarchical fashion with protective antioxidant responses predominating at low doses and inflammation and injury only occurring at higher concentrations. In the present study, the authors examined whether similar responses occurred in vivo, specifically whether antioxidants were upregulated following a low-dose DE challenge and investigated how these responses related to the development of airway inflammation at different levels of the respiratory tract where particle dose varies markedly. A total of 15 volunteers were exposed to DE (100 µg·m−3 airborne particulate matter with a diameter of <10 µm for 2 h) and air in a double-blinded, randomised fashion. At 18 h post-exposure, bronchoscopy was performed with lavage and mucosal biopsies taken to assess airway redox and inflammatory status. Following DE exposure, the current authors observed an increase in bronchial mucosa neutrophil and mast cell numbers, as well as increased neutrophil numbers, interleukin-8 and myeloperoxidase concentrations in bronchial lavage. No inflammatory responses were seen in the alveolar compartment, but both reduced glutathione and urate concentrations were increased following diesel exposure. In conclusion, the lung inflammatory response to diesel exhaust is compartmentalised, related to differing antioxidant responses in the conducting airway and alveolar regions.