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1 Division of
Pulmonary/Critical Care Medicine,
Antioxidants present within lung epithelial
lining fluids (ELFs) constitute an initial line of defense against
inhaled environmental oxidants such as ozone, nitrogen oxides, and
tobacco smoke, but the antioxidant composition of human ELFs is still
incompletely characterized. We analyzed ELF concentrations of the
low-molecular-mass antioxidants ascorbate, urate, glutathione (GSH),
and
-tocopherol by obtaining bronchoalveolar lavage (BAL) and nasal
lavage fluids from healthy nonsmoking volunteers and compared two
different BAL procedures. ELF dilution by the lavage procedures was
estimated by measurement of urea in recovered BAL fluids in comparison
with those in blood plasma from the same subjects. The results
indicated that a recently developed single-cycle BAL procedure
minimizes influx of non-ELF urea into the instilled fluid and thus
allows for a more accurate determination of ELF antioxidant
concentrations. Using this procedure, we determined that
bronchoalveolar ELF contains 40 ± 18 (SD) µM ascorbate, 207 ± 167 µM urate, 109 ± 64 µM GSH, and 0.7 ± 0.3 µM
-tocopherol (n = 12 subjects).
Similar analysis of nasal lavage fluid yielded nasal ELF levels of 28 ± 19 µM ascorbate and 225 ± 105 µM urate
(n = 12 subjects), whereas GSH was
undetectable (<0.5 µM). Our results demonstrate that ascorbate and
urate are major low-molecular-mass ELF antioxidants in both the upper
and lower respiratory tract, whereas GSH is present at significant concentrations only in bronchoalveolar ELF.
bronchoalveolar lavage; nasal lavage; epithelial lining fluid; ascorbate; urate; glutathione;
-tocopherol
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