<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fphys.2014.00366</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Original Research Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Time course of pulmonary burden in mice exposed to residual oil fly ash</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Carvalho</surname> <given-names>Giovanna Marcella Cavalcante</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/175087"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Nagato</surname> <given-names>Lilian Kati&#x000EA; da Silva</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/177063"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Fagundes</surname> <given-names>Sheila da Silva</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/177231"/>
</contrib>
<contrib contrib-type="author">
<name><surname>dos Santos</surname> <given-names>Fl&#x000E1;via Brand&#x000E3;o</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/177075"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Calheiros</surname> <given-names>Andrea Surrage</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/176492"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Malm</surname> <given-names>Olaf</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/177227"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Bozza</surname> <given-names>Patricia Torres</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/77511"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Saldiva</surname> <given-names>Paulo Hil&#x000E1;rio N.</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/94075"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Faffe</surname> <given-names>D&#x000E9;bora Souza</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/176964"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Rocco</surname> <given-names>Patricia Rieken Macedo</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/175776"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zin</surname> <given-names>Walter Araujo</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/143471"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Laboratory of Respiration Physiology, Carlos Chagas Filho Institute of Biophysics, Universidade Federal do Rio de Janeiro</institution> <country>Rio de Janeiro, Brazil</country></aff>
<aff id="aff2"><sup>2</sup><institution>Laboratory of Immunopharmacology, Department of Physiology and Pharmacodynamics, Oswaldo Cruz Institute, Funda&#x000E7;&#x000E3;o Oswaldo Cruz</institution> <country>Rio de Janeiro, Brazil</country></aff>
<aff id="aff3"><sup>3</sup><institution>Laboratory of Radioisotopes, Carlos Chagas Filho Institute of Biophysics, Universidade Federal do Rio de Janeiro</institution> <country>Rio de Janeiro, Brazil</country></aff>
<aff id="aff4"><sup>4</sup><institution>Laboratory of Experimental Air Pollution, Department of Pathology, School of Medicine, Universidade de S&#x000E3;o Paulo</institution> <country>S&#x000E3;o Paulo, Brazil</country></aff>
<aff id="aff5"><sup>5</sup><institution>Laboratory of Macromolecular Metabolism Firmino Torres de Castro, Carlos Chagas Filho Institute of Biophysics, Universidade Federal do Rio de Janeiro</institution> <country>Rio de Janeiro, Brazil</country></aff>
<aff id="aff6"><sup>6</sup><institution>Laboratory of Pulmonary Investigation, Carlos Chagas Filho Institute of Biophysics, Universidade Federal do Rio de Janeiro</institution> <country>Rio de Janeiro, Brazil</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Yu Ru Kou, National Yang-Ming University, Taiwan</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Tzong-Shyuan Lee, National Yang-Ming University, Taiwan; Hsin-Kuo Bruce Ko, Taipei Veterans General Hospital, Taiwan</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Walter Araujo Zin, Laborat&#x000F3;rio de Fisiologia da Respira&#x000E7;&#x000E3;o, Instituto de Biof&#x000ED;sica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Av. Carlos Chagas Filho 373, Room: G2-042, Ilha do Fund&#x000E3;o, Rio de Janeiro, RJ 21941-902, Brazil e-mail: <email>wazin&#x00040;biof.ufrj.br</email>; <email>walter_zin&#x00040;hotmail.com</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Respiratory Physiology, a section of the journal Frontiers in Physiology.</p></fn>
<fn fn-type="present-address" id="fn003"><p>&#x02020;These authors have contributed equally to this work.</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>09</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection">
<year>2014</year>
</pub-date>
<volume>5</volume>
<elocation-id>366</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>08</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>09</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014 Carvalho, Nagato, Fagundes, dos Santos, Calheiros, Malm, Bozza, Saldiva, Faffe, Rocco and Zin.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract><p>Residual oil fly ash (ROFA) is a common pollutant in areas where oil is burned. This particulate matter (PM) with a broad distribution of particle diameters can be inhaled by human beings and putatively damage their respiratory system. Although some studies deal with cultured cells, animals, and even epidemiological issues, so far a comprehensive analysis of respiratory outcomes as a function of the time elapsed after exposure to a low dose of ROFA is wanted. Thus, we aimed to investigate the time course of mechanical, histological, and inflammatory lung changes, as well as neutrophils in the blood, in mice exposed to ROFA until 5 days after exposure. BALB/c mice (25 &#x000B1; 5 g) were randomly divided into 7 groups and intranasally instilled with either 10 &#x003BC;L of sterile saline solution (0.9% NaCl, CTRL) or ROFA (0.2 &#x003BC;g in 10 &#x003BC;L of saline solution). Pulmonary mechanics, histology (normal and collapsed alveoli, mononuclear and polymorphonuclear cells, and ultrastructure), neutrophils (in blood and bronchoalveolar lavage fluid) were determined at 6 h in CTRL and at 6, 24, 48, 72, 96, and 120 h after ROFA exposure. ROFA contained metal elements, especially iron, polycyclic aromatic hydrocarbons (PAHs), and organochlorines. Lung resistive pressure augmented early (6 h) in the course of lung injury and other mechanical, histological and inflammatory parameters increased at 24 h, returning to control values at 120 h. Blood neutrophilia was present only at 24 and 48 h after exposure. Swelling of endothelial cells with adherent neutrophils was detected after ROFA instillation. No neutrophils were present in the lavage fluid. In conclusion, the exposure to ROFA, even in low doses, induced early changes in pulmonary mechanics, lung histology and accumulation of neutrophils in blood of mice that lasted for 4 days and disappeared spontaneously.</p></abstract>
<kwd-group>
<kwd>air pollution</kwd>
<kwd>residual oil fly ash (ROFA)</kwd>
<kwd>lung mechanics</kwd>
<kwd>pulmonary histology</kwd>
<kwd>lung injury</kwd>
<kwd>ROFA composition</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="68"/>
<page-count count="11"/>
<word-count count="8586"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="introduction" id="s1">
<title>Introduction</title>
<p>Many studies associate events of urban air pollution with significant health effects on the exposed population, including morbidity and mortality due to cardiopulmonary diseases or lung cancer (Dominici et al., <xref ref-type="bibr" rid="B14">2006</xref>; Fajersztajn et al., <xref ref-type="bibr" rid="B19">2013</xref>). These outcomes have been observed even at pollution levels below current national and international ambient air quality health standards (Lin et al., <xref ref-type="bibr" rid="B36">1999</xref>).</p>
<p>Elevated levels of air pollution in S&#x000E3;o Paulo (Brazil) have been associated with increased respiratory emergency visits, hospital admissions and even death among children and elderly people (Saldiva et al., <xref ref-type="bibr" rid="B53">1994</xref>, <xref ref-type="bibr" rid="B55">1995</xref>; Lin et al., <xref ref-type="bibr" rid="B36">1999</xref>, <xref ref-type="bibr" rid="B37">2004</xref>; Farhat et al., <xref ref-type="bibr" rid="B20">2005</xref>; Atkinson et al., <xref ref-type="bibr" rid="B5">2014</xref>). These results are in accordance with experimental data from air pollution studies in S&#x000E3;o Paulo. Acute exposure to diesel and traffic-derived particles impairs lung impedance, pulmonary inflammation and histology in mice (Pereira et al., <xref ref-type="bibr" rid="B47">1995</xref>, <xref ref-type="bibr" rid="B46">2011</xref>; Laks et al., <xref ref-type="bibr" rid="B30">2008</xref>; Mazzoli-Rocha et al., <xref ref-type="bibr" rid="B41">2008</xref>; Zanchi et al., <xref ref-type="bibr" rid="B68">2010</xref>; Riva et al., <xref ref-type="bibr" rid="B49">2011</xref>; Zin et al., <xref ref-type="bibr" rid="B69">2011</xref>). In addition, long-term mice exposure to traffic-derived particulate matter (PM) yielded worse pulmonary function, bronchial/alveolar lesion, lung macrophage influx, and oxidative stress (Mazzoli-Rocha et al., <xref ref-type="bibr" rid="B40">2014</xref>), secretory cell hyperplasia and ultrastructural ciliary alterations of the airway epithelium (Saldiva et al., <xref ref-type="bibr" rid="B54">1992a</xref>), compromised respiratory defenses (Lemos et al., <xref ref-type="bibr" rid="B33">1994</xref>), as well as cardiopulmonary oxidative damage (Damiani et al., <xref ref-type="bibr" rid="B13">2012</xref>).</p>
<p>Residual oil fly ash (ROFA) consists of PM produced by oil-burning systems and is rich in transition metals. It has been used in murine models as a surrogate material to investigate the responses to PM inhalation (Dreher et al., <xref ref-type="bibr" rid="B16">1997</xref>; Kodavanti et al., <xref ref-type="bibr" rid="B28">1998</xref>). ROFA administration via intratracheal/intranasal instillation and aerosol inhalation disclosed functional and structural alterations such as acute lung injury, alveolar septal thickening, increased cellularity and lung inflammation (Dreher et al., <xref ref-type="bibr" rid="B16">1997</xref>; Gavett et al., <xref ref-type="bibr" rid="B21">1997</xref>, <xref ref-type="bibr" rid="B22">1999</xref>; Ghio et al., <xref ref-type="bibr" rid="B23">2002</xref>; Hamada et al., <xref ref-type="bibr" rid="B24">2002</xref>; Kodavanti et al., <xref ref-type="bibr" rid="B29">2002</xref>). Additionally, ROFA exposure has been studied in association with chronic allergic pulmonary inflammation, cigarette smoke, and lung infection (Gavett et al., <xref ref-type="bibr" rid="B22">1999</xref>; Antonini et al., <xref ref-type="bibr" rid="B3">2002</xref>; Arantes-Costa et al., <xref ref-type="bibr" rid="B4">2008</xref>; Biselli et al., <xref ref-type="bibr" rid="B9">2011</xref>). We previously reported that chronic allergic mice exposed to ROFA show even higher hyperresponsiveness, bronchoconstriction and mast cell infiltration after methacholine challenge than those not exposed (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>). However, so far the timeline of the lung alterations following a single exposure to ROFA particles has not been reported.</p>
<p>Thus, we aimed to investigate the time-dependency of lung impairment in animals that underwent a single exposure to ROFA, simulating the situation of someone visiting a polluted place for a day. For such purpose, we analyzed ROFA composition, lung mechanics, alveolar collapse, inflammatory cells recruitment, and pulmonary ultrastructure in different time points after exposure.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and methods</title>
<sec>
<title>Animals</title>
<p>All animals received humane care in compliance with the &#x0201C;Principles of Laboratory Animal Care&#x0201D; formulated by the National Society for Medical Research and the &#x0201C;Guide for the Care and Use of Laboratory Animals&#x0201D; prepared by the National Academy of Sciences, USA. The experiments were approved by the Ethics Committee on the Use of Animal, Health Sciences Center, Federal University of Rio de Janeiro (Protocol IBCCF 046).</p>
<p>Eighty-four BALB/c mice (6&#x02013;7 weeks of age) obtained from the animal facilities of the Federal University of Rio de Janeiro, Brazil, were housed in plastic cages with absorbent bedding material and maintained on a 12-h daylight cycle. Food and water were provided <italic>ad libitum</italic>.</p>
</sec>
<sec>
<title>Preparation</title>
<p>Forty-two mice (25&#x02013;30 g) were randomly divided into 7 groups intranasally instilled with: sterile saline solution (0.9% NaCl, CTRL, <italic>n</italic> &#x0003D; 6) or ROFA (0.2 &#x003BC;g of ROFA in 10 &#x003BC;L of saline solution, <italic>n</italic> &#x0003D; 36). In CTRL group the experiments were done at 6 h after instillation, whereas in ROFA groups the mice were studied at 6, 24, 48, 72, 96, and 120 h after exposure (<italic>n</italic> &#x0003D; 6/group). Right before the instillation, the mice were anesthetized with sevoflurane and either saline or ROFA were gently instilled into their snouts with the aid of a precision pipette. They rapidly recovered after instillation. These animals were used for the measurement of pulmonary mechanics and histology. In another group of 42 mice submitted to the same protocol, inflammatory cells were counted in the blood and in the broncho-alveolar lavage fluid (BALF).</p>
</sec>
<sec>
<title>ROFA composition</title>
<p>The ROFA was obtained from an incinerator located at the University Hospital, University of S&#x000E3;o Paulo, Brazil. The particles were digested in an HNO<sub>3</sub>&#x02013;HClO<sub>4</sub> mixture and then analyzed by flame atomic absorption spectroscopy (VARIAN AA1475, Varian, Inc., Palo Alto, CA, USA) to determine their elemental composition. ROFA was also analyzed by gas chromatography (GC-14B with automatic injector AOC-1400, Shimadzu Corp, Kyoto, Japan) and high performance liquid chromatography (RF-10 with fluorescence detectors, Shimadzu Corp, Kyoto, Japan) for organochlorine and polycyclic aromatic hydrocarbon (PAH) quantification, respectively. All analytical procedures above were determined as formerly described (Mazzoli-Rocha et al., <xref ref-type="bibr" rid="B41">2008</xref>; Riva et al., <xref ref-type="bibr" rid="B49">2011</xref>). The distribution of particle sizes was previously reported (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>), and the average particle diameter amounted to 66.5 &#x003BC;m. It should be stressed that around 7.6% of ROFA particles presented an average diameter smaller than 10 &#x003BC;m, and about 2.1% were smaller than 2.5 &#x003BC;m (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>).</p>
</sec>
<sec>
<title>Pulmonary mechanics</title>
<p>At the aforementioned experimental times after instillation the animals were sedated (diazepam, 1 mg i.p.), anesthetized (pentobarbital sodium, 20 mg/kg i.p.), tracheotomized, and a snugly fitting cannula (0.8 mm i.d.) was introduced into the trachea. Then, the animals were paralyzed with pancuronium bromide (0.1 mg/kg i.v.), and ventilated (frequency of 100 breaths/min, tidal volume of 0.2 ml, and flow of 1 ml/s) with a constant-flow ventilator (Samay VR15, Universidad de la Republica, Montevideo, Uruguay). A positive end-expiratory pressure amounting to 2 cmH<sub>2</sub>O (Saldiva et al., <xref ref-type="bibr" rid="B56">1992b</xref>) was applied to the expiratory line of the ventilator and the anterior chest wall was surgically removed. For the determination of pulmonary mechanics a 5-s end-inspiratory pause could be generated by the ventilator when needed.</p>
<p>A pneumotachograph (1.5 mm ID, length &#x0003D; 4.2 cm, distance between side ports &#x0003D; 2.1 cm) was connected to the tracheal cannula for the measurements of airflow (V&#x02032;). Lung volume (V<sub>T</sub>) was determined by V&#x02032; signal integration. The equipment resistance (Req) including the tracheal cannula was calculated (Req &#x0003D; 0.12 cmH<sub>2</sub>O/mL/s) and found constant up to flow rates of 26 mL/s. The equipment resistive pressure (Pres,eq &#x0003D; Req&#x000B7;V&#x02032;) was subtracted from pulmonary resistive pressure so that the present results represent intrinsic values. Transpulmonary pressure (PL) was measured proximally to the tracheal tube by a Validyne MP45-2 differential pressure transducer (Engineering Corp., Northridge, CA, USA). All signals were conditioned and amplified in a Beckman type R Dynograph (Schiller Park, IL, USA). Flow and pressure signals were also passed through low-pass 8-pole Bessel filters (902LPF, Frequency Devices, Haverhill, MA, USA) with the corner frequency set at 100 Hz, sampled at 200 Hz with a 12-bit analog-to-digital converter (DT2801A, Data Translation, Marlboro, MA, USA), and stored on a microcomputer. All data were collected using LABDAT software (RHT-InfoData Inc., Montreal, QC, Canada).</p>
<p>Lung resistive (&#x00394;P1) and viscoelastic/inhomogeneous (&#x00394;P2) pressures, total pressure drop (&#x00394;Ptot &#x0003D; &#x00394;P1 &#x0002B; &#x00394;P2), static elastance (Est), and elastic component of viscoelasticity (&#x00394;E) were computed by the end-inflation occlusion method (Bates et al., <xref ref-type="bibr" rid="B8">1985</xref>, <xref ref-type="bibr" rid="B7">1988</xref>). Briefly, after end-inspiratory occlusion, there is an initial fast drop in PL (&#x00394;P1) from the pre-occlusion value down to an inflection point (Pi) followed by a slow pressure decay (&#x00394;P2), until an apparent plateau is reached. This plateau corresponds to the elastic recoil pressure of the lung (Pel). &#x00394;P1 selectively reflects airway resistance in normal animals and humans and &#x00394;P2 reflects stress relaxation or viscoelastic properties of the lung, together with a small contribution of time constant inequalities (Bates et al., <xref ref-type="bibr" rid="B7">1988</xref>; Saldiva et al., <xref ref-type="bibr" rid="B56">1992b</xref>). Lung static (Est) and dynamic elastances (Edyn) were calculated by dividing Pel and Pi by V<sub>T</sub>, respectively. &#x00394;E was calculated as Est&#x02014;Edyn (Bates et al., <xref ref-type="bibr" rid="B8">1985</xref>, <xref ref-type="bibr" rid="B7">1988</xref>). Pulmonary mechanics was measured 10&#x02013;15 times in each animal. All data were analyzed using ANADAT data analysis software (RHT-InfoData Inc., Montreal, QC, Canada). The duration of the experiments approximated 30 min.</p>
</sec>
<sec>
<title>Histological study</title>
<sec>
<title>Light microscopy</title>
<p>A lower longitudinal laparotomy was done immediately after the determination of pulmonary mechanics, and heparin (1000 IU) was injected into the abdominal vena cava. Three minutes later the abdominal aorta and vena cava were sectioned, yielding a massive hemorrhage that quickly euthanized the animal. The trachea was clamped at end-expiration and the lungs were removed <italic>en bloc</italic>.</p>
<p>The left lung was quick-frozen by immersion in liquid nitrogen, fixed with Carnoy&#x00027;s solution (Nagase et al., <xref ref-type="bibr" rid="B44">1992</xref>), and embedded in paraffin. Four-&#x003BC;m-thick slices were obtained by means of a microtome and stained with hematoxylin and eosin. Morphometry and cellularity index were evaluated with an integrating eyepiece with a coherent system with 100 points and 50 lines coupled to a conventional light microscope (Axioplan, Zeiss, Oberkochen, Germany). The point-counting technique was used across 10 random non-coincident microscopic fields to evaluate the fraction area of normal and collapsed airspaces and the amount of mononuclear (MN) and polymorphonuclear cells (PMN). Points falling on normal alveoli and collapsed airspaces were counted and divided by the total number of points in each microscopic field (200&#x000D7;). Points falling on MN and PMN cells were counted and divided by the total number of points falling on tissue area in each microscopic field (1000&#x000D7;) (Weibel et al., <xref ref-type="bibr" rid="B65">1966</xref>). Two investigators, who were unaware of the origin of the coded material, examined the samples microscopically.</p>
</sec>
<sec>
<title>Transmission electron microscopy</title>
<p>To obtain a stratified random sample, three slices of 2 &#x000D7; 2 mm were cut from three different segments of the right lung (cranial, middle, and caudal lobes) and then fixed in 2.5% glutaraldehyde and 0.1 M phosphate buffer (pH &#x0003D; 7.4) for 60 min at &#x02212;4&#x000B0;C. The slices were then rinsed in phosphate buffer, postfixed in 1% osmic tetroxide in phosphate buffer for 30 min, and rewashed three times in phosphate buffer. Finally, the slices were dehydrated in an acetone series and then placed in a mixture of 1:1 acetone:Epon overnight before embedding in Epon for 6 h. After fixation, the material was kept for 48 h at 60&#x000B0;C before undergoing ultramicrotomy for transmission electron microscopy (JEOL 1010, Tokyo, Japan).</p>
</sec>
</sec>
<sec>
<title>Evaluation of neutrophils in the blood and in the bronchoalveolar lavage fluid</title>
<p>At each experimental time, the animals were anesthetized with isoflurane and the tip of their tails were cut off to produce a blood smear. Neutrophil counts were determined in a Neubauer chamber by means of an optical microscope after dilution of blood samples in 2% acetic acid solution. The number of circulating neutrophils (100 cells counted/slide, 1000&#x000D7; magnification) was determined after differential cell counts on May-Grunwald-Giemsa stained blood smears. After blood sampling the mice were euthanized in a CO<sub>2</sub> chamber and the alveolar lavage done. For such purpose, the trachea was cannulated and the lungs gently washed twice with 1 ml of phosphate buffered saline (pH &#x0003D; 7.4). Neutrophils were counted after cytocentrifugation (Shandon, East Grinstead, UK) and staining with Diff-Quick (Baxter Dade AG, Dunding, Germany). At least 100 cells were counted and the results expressed as number of cells/mL.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>SigmaStat 11.0 statistical software (SYSTAT, Chicago, IL, USA) was used. When percentage values were to be tested, they firstly underwent arcsine transformation. The normality of the data (Kolmogorov&#x02013;Smirnov test with Lilliefors&#x00027; correction) and the homogeneity of variances (Levene median test) were tested. Since in all instances both conditions were satisfied, One-Way ANOVA followed by Bonferroni <italic>post hoc</italic> test was used (when required) to assess differences between ROFA groups and CTRL mice. The significance level was set at 5% (<italic>p</italic> &#x0003C; 0.05).</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<p>ROFA analysis showed the presence of metal elements, such as copper, cadmium, chromium, nickel, manganese, lead, zinc and mainly iron (Table <xref ref-type="table" rid="T1">1</xref>), and PAHs, such as naphthalene, acenaphthylene, fluorene, acenaphthene, antracene, flouranthene, phyrene, benzo[k]fluorantene, benzo[ghi]peryle (some with carcinogenic potencial: benzo[a]antracene, benzo[a]pyrene, Dbenzo[ah]antracene and ind[123cd]pyrene) (Table <xref ref-type="table" rid="T2">2</xref>). Organochloride elements as g-hexachlorocyclohexane (g-HCH), endosulfan, dieldrin, op&#x00027;-DDE (dichlorodiphenyl dichloroethylene), op&#x00027;-DDT (dichlorodiphenyltrichloroethane), pp&#x00027;-DDT were also present (Table <xref ref-type="table" rid="T3">3</xref>).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p><bold>Concentrations of metal elements in ROFA</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left"><bold>Metal</bold></th>
<th valign="top" align="center"><bold>ppm (mean &#x000B1; <italic>SD</italic>)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Copper</td>
<td valign="top" align="center">5.64 &#x000B1; 1.09</td>
</tr>
<tr>
<td valign="top" align="left">Cadmium</td>
<td valign="top" align="center">0.01 &#x000B1; 0.00</td>
</tr>
<tr>
<td valign="top" align="left">Chromium</td>
<td valign="top" align="center">4.20 &#x000B1; 0.71</td>
</tr>
<tr>
<td valign="top" align="left">Nickel</td>
<td valign="top" align="center">467.19 &#x000B1; 9.75</td>
</tr>
<tr>
<td valign="top" align="left">Manganese</td>
<td valign="top" align="center">32.42 &#x000B1; 4.60</td>
</tr>
<tr>
<td valign="top" align="left">Iron</td>
<td valign="top" align="center">12265.77 &#x000B1; 2697.33</td>
</tr>
<tr>
<td valign="top" align="left">Lead</td>
<td valign="top" align="center">0.58 &#x000B1; 0.18</td>
</tr>
<tr>
<td valign="top" align="left">Zinc</td>
<td valign="top" align="center">21.12 &#x000B1; 1.34</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>ROFA, residual oil fly ash; ppm, parts per million. Values are mean &#x000B1; SD of three determinations</italic>.</p>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p><bold>Polycyclic aromatic hydrocarbons in ROFA</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left"><bold>PAH</bold></th>
<th valign="top" align="center"><bold>Concentration (mg/kg)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Naphthalene</td>
<td valign="top" align="center">95.2</td>
</tr>
<tr>
<td valign="top" align="left">Acenaphthylene</td>
<td valign="top" align="center">155.6</td>
</tr>
<tr>
<td valign="top" align="left">Fluorene</td>
<td valign="top" align="center">2.6</td>
</tr>
<tr>
<td valign="top" align="left">Acenaphthene</td>
<td valign="top" align="center">67.8</td>
</tr>
<tr>
<td valign="top" align="left">Phenanthrene</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Anthracene</td>
<td valign="top" align="center">1.7</td>
</tr>
<tr>
<td valign="top" align="left">Fluoranthene</td>
<td valign="top" align="center">5.9</td>
</tr>
<tr>
<td valign="top" align="left">Phyrene</td>
<td valign="top" align="center">13.9</td>
</tr>
<tr>
<td valign="top" align="left">Chrysene</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Benzo[a]anthracene<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">3.5</td>
</tr>
<tr>
<td valign="top" align="left">Benzo[b]fluorantene<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Benzo[k]fluorantene</td>
<td valign="top" align="center">7.1</td>
</tr>
<tr>
<td valign="top" align="left">Benzo[a]pyrene<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">2.8</td>
</tr>
<tr>
<td valign="top" align="left">DBenzo[ah]anthracene<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">13.0</td>
</tr>
<tr>
<td valign="top" align="left">Benzo[ghi]peryle</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td valign="top" align="left">Ind[123cd]pyrene<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td valign="top" align="center">1.7</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>Total PAH, polycyclic aromatic hydrocarbons in a 0.23 g sample; ROFA, residual oil fly ash; ND, not detectable;</italic></p>
<fn id="TN1">
<label>&#x0002A;</label>
<p><italic>polycyclic aromatic hydrocarbons with carcinogenic potential in mammals, as considered by the International Agency for Research on Cancer, USA</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p><bold>Organochloride in ROFA</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left"><bold>Orgnochloride</bold></th>
<th valign="top" align="center"><bold>Concentration (ng/g)</bold></th>
<th valign="top" align="center"><bold>Orgnochloride</bold></th>
<th valign="top" align="center"><bold>Concentration (ng/g)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">G-HCH</td>
<td valign="top" align="center">121.7</td>
<td valign="top" align="left">PCB-118</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">HCB</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">PCB-138</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Heptachlor</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">PCB-153</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Endosulfan</td>
<td valign="top" align="center">57.4</td>
<td valign="top" align="left">PCB-180</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Aldrin</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">PCB-209</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Dieldrin</td>
<td valign="top" align="center">40.9</td>
<td valign="top" align="left">op&#x00027;-DDE</td>
<td valign="top" align="center">391.3</td>
</tr>
<tr>
<td valign="top" align="left">Endrin</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">pp&#x00027;-DDE</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">Hepta-epox</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">pp&#x00027;-DDD</td>
<td valign="top" align="center">ND</td>
</tr>
<tr>
<td valign="top" align="left">PCB-25</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">op&#x00027;-DDT</td>
<td valign="top" align="center">78.3</td>
</tr>
<tr>
<td valign="top" align="left">PCB-52</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="left">pp&#x00027;-DDT</td>
<td valign="top" align="center">139.1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>ROFA, residual oil fly ash; ND, not detectable; G-HCH, gamma-hexachlorocyclohexane; HCB, hexachlorobenzene; PCB, polychlorinated biphenyl; op&#x00027;, ortho position; pp&#x00027;, para position; DDE, dichlorodiphenyldichloroethylene; DDD, dichlorodiphenyldichloroethane; DDT, dichlorodiphenyltrichloroethane</italic>.</p>
</table-wrap-foot>
</table-wrap>
<p>Flows and inspired volumes did not differ among groups. Figure <xref ref-type="fig" rid="F1">1</xref> shows &#x00394;P&#x00027;s, obtained in CTRL, ROFA6, ROFA24, ROFA48, ROFA72, ROFA96, and ROFA120 groups. &#x00394;P1 augmented early (6 h) in the course of lung injury (184%) and remained elevated until 96 h (137%). &#x00394;P2, Est and &#x00394;E increased in ROFA24 (70, 88, and 68% respectively) and remained elevated until 96 h (68, 50, and 64% respectively). On the fifth day (ROFA120) all parameters returned to CTRL values (Figures <xref ref-type="fig" rid="F1">1</xref>, <xref ref-type="fig" rid="F2">2</xref>).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>Pressures used to overcome resistances in mice lung</bold>. &#x00394;P1, resistive pressure, &#x00394;P2, pressure dissipated to overcome viscoelastic/inhomogeneous mechanical components and &#x00394;Ptot, total pressure variation. CTRL, mice instilled with saline solution (0.9% NaCl, measurements were done 6 h after exposure), and ROFA, animals that received residual oil fly ash (0.2 &#x003BC;g in 10 &#x003BC;L of saline solution). Measurements were done 6, 24, 48, 72, 96, and 120 h after exposure. Columns represent the average of 6 mice in each group, 10&#x02013;15 determinations per animal. Bars represent SEM. <sup>&#x0002A;</sup>Significantly different from CTRL (<italic>p</italic> &#x0003C; 0.05).</p></caption>
<graphic xlink:href="fphys-05-00366-g0001.tif"/>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><bold>Elastic components of lung mechanics in mice</bold>. Est, static elastance and &#x00394;E, elastic component of viscoelasticity. CTRL, mice instilled with saline solution (0.9% NaCl, measurements were done 6 h after exposure), and ROFA, animals that received residual oil fly ash (0.2 &#x003BC;g in 10 &#x003BC;L of saline solution). Measurements were done 6, 24, 48, 72, 96, and 120 h after exposure. Columns represent the average of 6 mice in each group, 10&#x02013;15 determinations per animal. Bars represent SEM. <sup>&#x0002A;</sup>Significantly different from CTRL (<italic>p</italic> &#x0003C; 0.05).</p></caption>
<graphic xlink:href="fphys-05-00366-g0002.tif"/>
</fig>
<p>The fraction area of alveolar collapse and PMN cell influx into the lung parenchyma were higher in ROFA than in CTRL at 24, 48, 72, and 96 h. Similarly, normal alveolar spaces and MN cells were significantly lower in the latter groups than in CTRL. ROFA120 showed values similar to CTRL for histological parameters (Figures <xref ref-type="fig" rid="F3">3</xref>, <xref ref-type="fig" rid="F4">4</xref>). ROFA particle was observed in alveolar space of ROFA6, 24, 48, 72, and 96 groups and not in ROFA120 (Figure <xref ref-type="fig" rid="F3">3</xref>, insert B).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>Photomicrographs of lung parenchyma stained with hematoxylin&#x02013;eosin (x200)</bold>. CTRL, mice instilled with saline solution (0.9% NaCl, measurements were done 6 h after exposure). ROFA, animals that received residual oil fly ash (0.2 &#x003BC;g in 10 &#x003BC;L of saline solution). Measurements were done 6, 24, 48, 72, 96, and 120 h after exposure. Arrows show representative thickened septa and circles indicate collapsed alveoli. In each panel insert A shows alveolar walls and inflammatory cells therein (&#x000D7;1000 magnification) and insert B displays ROFA particle in the alveolar space when present (&#x000D7;400 magnification). Bar: 100 &#x003BC;m.</p></caption>
<graphic xlink:href="fphys-05-00366-g0003.tif"/>
</fig>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>Collapsed and normal areas, and influx of polymorphonuclear (PMN) and mononuclear (MN) cells</bold>. CTRL, mice instilled with saline solution (0.9% NaCl, measurements were done 6 h after exposure), and ROFA, animals that received residual oil fly ash (0.2 &#x003BC;g in 10 &#x003BC;L of saline solution). Measurements were done 6, 24, 48, 72, 96, and 120 h after exposure. Columns represent the average of 6 mice in each group. Bars represent SEM. Data were gathered from ten random, non-coincident fields per mouse. <sup>&#x0002A;</sup>Significantly different from CTRL (<italic>p</italic> &#x0003C; 0.05).</p></caption>
<graphic xlink:href="fphys-05-00366-g0004.tif"/>
</fig>
<p>Electron microscopy of lung parenchyma in CTRL mice showed preserved types I and II pneumocytes, endothelial cells, alveolar interstitial wall, and components of the extracellular matrix. At 24 h, ROFA group showed endothelial damage as represented by swelling, vacuolization and neutrophils adhered to the pulmonary capillary wall (Figure <xref ref-type="fig" rid="F5">5</xref>).</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p><bold>Electron microscopy of lung parenchyma. Upper panel:</bold> CTRL (6625&#x000D7;), mouse instilled with saline solution. Note the preserved type II pneumocyte (PII) and the alveolar interstitial wall. <sup>&#x0002A;</sup>Red blood cell. <bold>Lower panel:</bold> ROFA (8400&#x000D7;), animal that received residual oil fly ash (0.2 &#x003BC;g in 10 &#x003BC;L of saline solution). N, adherent neutrophils; C, capillary; A, alveolar space; EC, endothelial cell. Measurements were done 6 (CTRL) and 24 h (ROFA) after exposure.</p></caption>
<graphic xlink:href="fphys-05-00366-g0005.tif"/>
</fig>
<p>The amount of neutrophils in the blood was higher in ROFA24 and ROFA48 than in the CTRL mice. Thereafter they did not differ from CTRL animals. No statistically significant difference was detected for neutrophils in the BALF (Figure <xref ref-type="fig" rid="F6">6</xref>).</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p><bold>Neutrophils in the bloodand bronchoalveolar lavage fluid (BALF)</bold>. CTRL, mice instilled with saline solution (0.9% NaCl, measurements were done 6 h after exposure), and ROFA, animals that received residual oil fly ash (0.2 &#x003BC;g in 10 &#x003BC;L of saline solution). Measurements were done 6, 24, 48, 72, 96, and 120 h after exposure. Columns represent the average of 6 mice in each group. Bars represent SEM. <sup>&#x0002A;</sup>Significantly different from CTRL (<italic>p</italic> &#x0003C; 0.05).</p></caption>
<graphic xlink:href="fphys-05-00366-g0006.tif"/>
</fig>
<p>The survival rate was 100% in all groups throughout the experiments.</p>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>The time course of lung functional and histological impairment induced by ROFA dust has not been reported so far. Intranasal instillation of a low dose of ROFA (0.2 &#x003BC;g in 10 &#x003BC;L) induced a significant increase in resistive pressure, followed by an increment in viscoelastic/inhomogeneous pressures and elastances, accompanied by increased alveolar collapse, influx of PMN cells, ultrastructural alterations in lung parenchyma and increased number of neutrophils in the blood. These outcomes returned to control values at 120 h after exposure.</p>
<p>PM is a heterogeneous mixture of gas, liquid, and solid particles of different origins and sizes in suspension in the air, displaying close physical and chemical interactions. PM is classified, according to its aerodynamic diameter, as coarse (2.5&#x02013;10 &#x003BC;m; PM10), fine (0.1&#x02013;2.5 &#x003BC;m; PM2.5), and ultrafine (&#x02264;0.1 &#x003BC;m) (Donaldson et al., <xref ref-type="bibr" rid="B15">2001</xref>). The different profiles of size and composition may influence particle toxicity and, consequently, the magnitude of adverse health effects (Saldiva et al., <xref ref-type="bibr" rid="B52">2002</xref>). In human beings, toxicity becomes very important when aerodynamic diameter of the particles is 10 &#x003BC;m, which enables them to reach the pulmonary alveoli. In rats and mice, this value approximates 2 &#x003BC;m for intratracheally instilled silica (Wiessner et al., <xref ref-type="bibr" rid="B66">1989</xref>; Takayoshi et al., <xref ref-type="bibr" rid="B63">2007</xref>). The ROFA used in the present study was mainly composed of particles bigger than 10 &#x003BC;m (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>), which would be less harmful than the smaller ones (Donaldson et al., <xref ref-type="bibr" rid="B15">2001</xref>). However, around 7.6% of ROFA particles presented an average diameter less than 10 &#x003BC;m, and about 2.1% were smaller than 2.5 &#x003BC;m. Another concomitant study of our group (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>), using the same dose and PM, reported lung impairment at 24 h after exposure. It should be stressed that the fine and ultrafine particles are known as &#x0201C;breathable&#x0201D; and are able to penetrate the airways, reaching the alveoli (Dusseldorp et al., <xref ref-type="bibr" rid="B17">1995</xref>; Peters et al., <xref ref-type="bibr" rid="B48">1997</xref>; Brown et al., <xref ref-type="bibr" rid="B10">2002</xref>; Tao et al., <xref ref-type="bibr" rid="B64">2003</xref>). Indeed, in ROFA6, 24, 48, 72, and 96 groups the administered pollutant was detected in the alveolar space (Figure <xref ref-type="fig" rid="F3">3</xref>).</p>
<p>A recent study analyzed the composition, sources and toxicity of PM2.5 collected in different cities in the United States and observed an association between its toxicity and the number of vehicles and industries (Seagrave et al., <xref ref-type="bibr" rid="B58">2006</xref>). S&#x000E3;o Paulo is the most industrialized center of Latin America and has about 20,000,000 inhabitants. There are about 7,000,000 vehicles in the area using three types of fuel: gasoline, diesel and alcohol (CETESB, <xref ref-type="bibr" rid="B11">2013</xref>). Because of its geographical characteristics, S&#x000E3;o Paulo presents thermal inversions, resulting in significant increases in air pollution. Thus, S&#x000E3;o Paulo represents an excellent place to assess the effects of air pollution on health.</p>
<p>In order to avoid the consequences of particle overload, we administered a low dose of PM to the mice, reflecting more precisely the adverse pulmonary consequences of ambient particle concentrations. The mean daily concentrations of PM2.5 and PM10 in S&#x000E3;o Paulo, where ROFA was collected, amount to 60 and 120 &#x003BC;g/m<sup>3</sup>, respectively (CETESB, <xref ref-type="bibr" rid="B11">2013</xref>). Considering that a mouse inspires 0.03 m<sup>3</sup> of air in 24 h, it represents 6.7 &#x003BC;g/m<sup>3</sup> of ROFA dust in the present work. Particles were administered by intranasal instillation to the anesthetized animal, which is a useful and well-accepted model of exposure to PM (Southam et al., <xref ref-type="bibr" rid="B61">2002</xref>). In experimental models similar to ours, which used ROFA instilled intranasally in mice, doses amounting to 25 times (Biselli et al., <xref ref-type="bibr" rid="B9">2011</xref>; Magnani et al., <xref ref-type="bibr" rid="B38">2013</xref>; Marchini et al., <xref ref-type="bibr" rid="B39">2014</xref>) and up to 60 times greater (Arantes-Costa et al., <xref ref-type="bibr" rid="B4">2008</xref>) than ours were used.</p>
<p>ROFA is a suspension of the material produced after oil burning, which was used in some experimental models of exposure to air pollution (Ghio et al., <xref ref-type="bibr" rid="B23">2002</xref>; Arantes-Costa et al., <xref ref-type="bibr" rid="B4">2008</xref>; Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>; Marchini et al., <xref ref-type="bibr" rid="B39">2014</xref>). Although ROFA exposure does not exactly mimic the overall environmental pollution, this PM contains high concentrations of many components of air pollution. Previous studies report that PMs from different sources, including ROFA (Kodavanti et al., <xref ref-type="bibr" rid="B28">1998</xref>), are able to induce inflammatory processes (S&#x000F8;rensen et al., <xref ref-type="bibr" rid="B59">2003</xref>; Park et al., <xref ref-type="bibr" rid="B45">2006</xref>). Animal studies demonstrate that the bioavailability of soluble transition metals is responsible for the pulmonary injury and inflammation observed after ROFA exposure (Dreher et al., <xref ref-type="bibr" rid="B16">1997</xref>; Kodavanti et al., <xref ref-type="bibr" rid="B28">1998</xref>). The ROFA used in the present work contains predominantly iron and nickel (Table <xref ref-type="table" rid="T1">1</xref>), in line with other studies. Metals, including iron, vanadium, and nickel, are present in high concentrations as water-soluble salts in fly ash (Schroeder et al., <xref ref-type="bibr" rid="B57">1987</xref>) and largely reproduce the lung injury induced by ROFA. Without those metals pulmonary toxicity decreases (Dreher et al., <xref ref-type="bibr" rid="B16">1997</xref>). ROFA containing iron, aluminum, vanadium and nickel induced more pronounced cellular oxidative imbalance and lung injury (Lewis et al., <xref ref-type="bibr" rid="B34">2003</xref>). Iron is deeply linked to the generation of reactive oxygen species (ROS) (Park et al., <xref ref-type="bibr" rid="B45">2006</xref>), surfactant dysfunction (Chauhan and Misra, <xref ref-type="bibr" rid="B12">1991</xref>), epithelial damage, increased vascular permeability and inflammatory response followed by impaired pulmonary function (Soukup et al., <xref ref-type="bibr" rid="B60">2000</xref>; Dye et al., <xref ref-type="bibr" rid="B18">2001</xref>).</p>
<p>In the present study, PM concentration of PAH, particularly naphthalene, acenaphthylene, acenaphthene and other elements with potential carcinogenic risk (benzo[a]antracene, benzo[a]pyrene, Dbenzo[ah]antracene and ind[123cd]pyrene) were detected (Table <xref ref-type="table" rid="T2">2</xref>). Another study of our group, analyzing particles produced by traffic, detected benzo[a]pyrene and benzo[a]anthracene in samples of total suspended PM from S&#x000E3;o Paulo, confirming the high levels of PAH in this city (Mazzoli-Rocha et al., <xref ref-type="bibr" rid="B41">2008</xref>). Washing the diesel particles with hexane removed a large amount of PAHs and improved respiratory outcomes in mice (Laks et al., <xref ref-type="bibr" rid="B30">2008</xref>). Finally, the presence of PAH in ROFA has been associated with the triggering of inflammation, generation of ROS, and lipid peroxidation (S&#x000F8;rensen et al., <xref ref-type="bibr" rid="B59">2003</xref>), especially in alveolar macrophages and epithelial cells (Li et al., <xref ref-type="bibr" rid="B35">2002</xref>).</p>
<p>ROFA was tested for the presence of some organochlorine compounds, and a few were found: op&#x00027;-DDE, pp&#x00027;-DDT, op&#x00027;DDT, G-HCH, endosulfan and dieldrin (Table <xref ref-type="table" rid="T3">3</xref>). These substances are pesticides and constitute a family of persistent, lipophilic compounds whose use was banned because they cause a variety of diseases in humans and wildlife (Androutsopoulos et al., <xref ref-type="bibr" rid="B1">2013</xref>). The chlorinated pesticides may be absorbed into the body through the skin, respiratory and digestive tracts (Yohannes et al., <xref ref-type="bibr" rid="B67">2014</xref>). Organochlorines cause neurotoxic, hormonal, immuno-modulating, and tumorigenic effects (Androutsopoulos et al., <xref ref-type="bibr" rid="B1">2013</xref>). However, to our knowledge, no study evaluated the association between exposure to organochlorines and pulmonary impairment.</p>
<p>Although most of lung changes in mechanical properties, histology and inflammatory response occured at time point of 24 h, our control group was studied at 6 h after exposure. To support our approach, we compared our CTRL group with that previously reported and measured at 24 h after exposure to ROFA (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>), Their results are very similar to ours, thus allowing the use of a 6-h CTRL group. Furthermore, we coped with Russel and Burch&#x00027;s (<xref ref-type="bibr" rid="B50">1959</xref>) principle of the 3Rs (reduction, refinement, and replacement of the animal use) to minimize the number of experimental animals.</p>
<p>A higher resistive pressure (that reflects Newtonian or ohmic resistance) was the first response to ROFA, as found in ROFA6 group (Figure <xref ref-type="fig" rid="F1">1</xref>). It can be possibly explained anatomically, since central airways are the first lung structure to be exposed to ROFA. In a previous study, we also found increased central airway resistance 24 h after exposure to ROFA; it should be noted that the authors did not perform any measurements before that time point (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>). Viscoelastic and total pressures, static elastance and elastic component of viscoelasticity increased significantly in ROFA24 group and remained elevated until 4 days after exposure (ROFA96), when compared to CTRL (Figures <xref ref-type="fig" rid="F1">1</xref>, <xref ref-type="fig" rid="F2">2</xref>). We also detected higher Est and mechanical parameters related to the lung periphery 24 h after exposure to ROFA (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>). These results could be explained by the concomitant increase in alveolar collapse and lung PMN content (Figures <xref ref-type="fig" rid="F3">3</xref>, <xref ref-type="fig" rid="F4">4</xref>). At the same time neutrophils adhered to the swollen pulmonary capillary wall (Figure <xref ref-type="fig" rid="F5">5</xref>), indicating activation of the endothelium and of leukocyte integrins (Langer and Chavakis, <xref ref-type="bibr" rid="B31">2009</xref>), as a result of a local proinflammatory stimulus presumably triggered by ROFA. These neutrophils would migrate through the endothelium and reach the pulmonary interstitial space (Figure <xref ref-type="fig" rid="F4">4</xref>). ROFA24 also presented a higher count of PMN in the blood (Figure <xref ref-type="fig" rid="F6">6</xref>), suggesting a systemic inflammatory status. All these findings were also present in ROFA48 mice. In line with our results in ROFA24 mice, some authors observed impaired lung mechanics, alveolar collapse, influx of inflammatory cells to the lung (Avila et al., <xref ref-type="bibr" rid="B6">2011</xref>), inflammatory process in the perivascular area, and inflammatory infiltration in the interstitial space (Medeiros et al., <xref ref-type="bibr" rid="B42">2004</xref>). Interestingly, a recent study demonstrated increased TNF-&#x003B1; and IL-6 plasma levels and PMN leukocytes activation at 1, 3, and 5 h after ROFA exposure (Marchini et al., <xref ref-type="bibr" rid="B39">2014</xref>), but they used doses 25 times larger than ours. Finally, it should be mentioned that surfactant secretion by type II pneumocytes is impaired after inhalation of air pollutants (M&#x000FC;ler et al., <xref ref-type="bibr" rid="B43">1998</xref>) and exposure to fly ash modifies surfactant composition (Srivastava and Misra, <xref ref-type="bibr" rid="B62">1986</xref>; Chauhan and Misra, <xref ref-type="bibr" rid="B12">1991</xref>) and rheology (Anseth et al., <xref ref-type="bibr" rid="B2">2005</xref>), yielding alveolar instability and collapse. At 72 h after exposure blood PMN count returned to control values, but the pulmonary parameters remained higher than CTRL, suggesting that the overall process started to recede in the organism. ROFA96 presented similar results. At 120 h all measured parameters returned to baseline values.</p>
<p>Neutrophils count in the BALF resulted negative (Figure <xref ref-type="fig" rid="F6">6</xref>). The method may be not sensitive enough to detect the inflammatory changes after the nasal instillation of ROFA or the cells indeed did not cross the airway epithelium. In accordance with our findings, the intranasal instillation of ROFA did not disclose inflammatory alterations in mice BALF, even taking into consideration the use of a dose 500 times larger than ours (Medeiros et al., <xref ref-type="bibr" rid="B42">2004</xref>). On the other hand, the intratracheal instillation of ROFA in a dose 60 times larger than that in this study triggered inflammatory alterations in BALF (Gavett et al., <xref ref-type="bibr" rid="B22">1999</xref>). The difference between these two apparently discrepant results could be the local of administration of the pollutant.</p>
<p>Epidemiological studies can add translational information to our findings. Dose-dependent decreased indexes of pulmonary function, including diminished forced vital capacity, forced expiratory volume in 1 s, and forced expiratory flows were described in boilermakers 24 h after exposure to ROFA (Hauser et al., <xref ref-type="bibr" rid="B27">1995</xref>, <xref ref-type="bibr" rid="B25">1996</xref>). In a 2-year longitudinal study a significant association between working at oil-fired industries and reduced lung function was detected (Hauser et al., <xref ref-type="bibr" rid="B26">2002</xref>). Finally, ROFA-exposed individuals presented impaired pulmonary function, which was resolved 4 weeks after they were removed from their working stations in an oil-fired electricity generating plant (Lees, <xref ref-type="bibr" rid="B32">1980</xref>).</p>
<p>Our study presents some limitations: (1) the animals were exposed intranasally rather than directly to environmental air. On one hand they received only ROFA, but on the other one the results do not represent exactly what would be found around the sampling site; (2) we did not measure levels of inflammatory cytokines that could have been modified by exposure to ROFA.</p>
<p>In conclusion, we demonstrated that the exposure to low doses of ROFA rapidly compromised pulmonary mechanics and histology, triggered the influx of polymorphonuclear cells into the lung, and increased the neutrophil count in the blood of mice. These pathophysiological findings resolved 5 days after exposure.</p>
</sec>
<sec>
<title>Author contributions</title>
<p>Giovanna Marcella Cavalcante Carvalho&#x02014;interpretation of data for the work; drafting the work and revising it for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Lilian Kati&#x000EA; da Silva Nagato&#x02014;interpretation of data for the work, experimental design and organization, data analyses; revised the work for important intellectual content; final approval of the version to be published, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Sheila da Silva Fagundes&#x02014;data acquisition; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Fl&#x000E1;via Brand&#x000E3;o dos Santos&#x02014;data acquisition; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Andrea Surrage Calheiros&#x02014;data acquisition; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Olaf Malm&#x02014;chemical analyses; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Patricia Torres Bozza&#x02014;data analyses; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Paulo Hil&#x000E1;rio N. Saldiva&#x02014;data analyses; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; D&#x000E9;bora Souza Faffe&#x02014;experimental design and organization; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Patricia Rieken Macedo Rocco&#x02014;experimental design and organization; revised the work for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; Walter Araujo Zin&#x02014;experimental design and organization, hypotheses, interpretation of data for the work; drafting the work, revised the work for important intellectual content; final approval of the version to be published, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.</p>
</sec>
<sec>
<title>Support</title>
<p>Centers of Excellence Program (PRONEX/FAPERJ), The Brazilian Council for Scientific and Technological Development (CNPq), Carlos Chagas Filho Rio de Janeiro State Research Supporting Foundation (FAPERJ), Brazilian Ministry of Science, Technology and Innovation (MCTI), and Financing for Studies and Projects (FINEP). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec>
</sec>
</body>
<back>
<ack>
<p>The authors are grateful to Mr. Antonio Carlos de Souza Quaresma for his skillful technical assistance.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Androutsopoulos</surname> <given-names>V. P.</given-names></name> <name><surname>Hernandez</surname> <given-names>A. F.</given-names></name> <name><surname>Liesivuori</surname> <given-names>J.</given-names></name> <name><surname>Tsatsakis</surname> <given-names>A. M.</given-names></name></person-group> (<year>2013</year>). <article-title>A mechanistic overview of health associated effects of low levels of organochlorine and organophosphorous pesticides</article-title>. <source>Toxicology</source> <volume>307</volume>, <fpage>89</fpage>&#x02013;<lpage>94</lpage>. <pub-id pub-id-type="doi">10.1016/j.tox.2012.09.011</pub-id><pub-id pub-id-type="pmid">23041710</pub-id></citation>
</ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Anseth</surname> <given-names>J. W.</given-names></name> <name><surname>Goffin</surname> <given-names>A. J.</given-names></name> <name><surname>Fuller</surname> <given-names>G. G.</given-names></name> <name><surname>Ghio</surname> <given-names>A. J.</given-names></name> <name><surname>Kao</surname> <given-names>P. N.</given-names></name> <name><surname>Upadhyay</surname> <given-names>D.</given-names></name></person-group> (<year>2005</year>). <article-title>Lung surfactant gelation induced by epithelial cells exposed to air pollution or oxidative stress</article-title>. <source>Am. J. Respir. Cell Mol. Biol</source>. <volume>33</volume>, <fpage>161</fpage>&#x02013;<lpage>168</lpage>. <pub-id pub-id-type="doi">10.1165/rcmb.2004-0365OC</pub-id><pub-id pub-id-type="pmid">15860796</pub-id></citation>
</ref>
<ref id="B3">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Antonini</surname> <given-names>J. M.</given-names></name> <name><surname>Roberts</surname> <given-names>J. R.</given-names></name> <name><surname>Jernigan</surname> <given-names>M. R.</given-names></name> <name><surname>Yang</surname> <given-names>H. M.</given-names></name> <name><surname>Ma</surname> <given-names>J. Y.</given-names></name> <name><surname>Clarke</surname> <given-names>R. W.</given-names></name></person-group> (<year>2002</year>). <article-title>Residual oil fly ash increases the susceptibility to infection and severely damages the lungs after pulmonary challenge with a bacterial pathogen</article-title>. <source>Toxicol. Sci</source>. <volume>70</volume>, <fpage>110</fpage>&#x02013;<lpage>119</lpage>. <pub-id pub-id-type="doi">10.1093/toxsci/70.1.110</pub-id><pub-id pub-id-type="pmid">12388840</pub-id></citation>
</ref>
<ref id="B4">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Arantes-Costa</surname> <given-names>F. M.</given-names></name> <name><surname>Lopes</surname> <given-names>F. D.</given-names></name> <name><surname>Toledo</surname> <given-names>A. C.</given-names></name> <name><surname>Magliarelli-Filho</surname> <given-names>P. A.</given-names></name> <name><surname>Moriya</surname> <given-names>H. T.</given-names></name> <name><surname>Carvalho-Oliveira</surname> <given-names>R.</given-names></name> <etal/></person-group>. (<year>2008</year>). <article-title>Effects of residual oil fly ash (ROFA) in mice with chronic allergic pulmonary inflammation</article-title>. <source>Toxicol. Pathol</source>. <volume>36</volume>, <fpage>680</fpage>&#x02013;<lpage>686</lpage>. <pub-id pub-id-type="doi">10.1177/0192623308317427</pub-id><pub-id pub-id-type="pmid">18477768</pub-id></citation>
</ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Atkinson</surname> <given-names>R. W.</given-names></name> <name><surname>Kang</surname> <given-names>S.</given-names></name> <name><surname>Anderson</surname> <given-names>H. R.</given-names></name> <name><surname>Mills</surname> <given-names>I. C.</given-names></name> <name><surname>Walton</surname> <given-names>H. A.</given-names></name></person-group> (<year>2014</year>). <article-title>Epidemiological time series studies of PM2.5 and daily mortality and hospital admissions: a systematic review and meta-analysis</article-title>. <source>Thorax</source> <volume>69</volume>, <fpage>660</fpage>&#x02013;<lpage>665</lpage>. <pub-id pub-id-type="doi">10.1136/thoraxjnl-2013-204492</pub-id><pub-id pub-id-type="pmid">24706041</pub-id></citation>
</ref>
<ref id="B6">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Avila</surname> <given-names>M. B.</given-names></name> <name><surname>Mazzoli-Rocha</surname> <given-names>F.</given-names></name> <name><surname>Magalh&#x000E3;es</surname> <given-names>C. B.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H. N.</given-names></name> <name><surname>Carvalho</surname> <given-names>A. R.</given-names></name> <name><surname>Faffe</surname> <given-names>D. S.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Residual oil fly ash worsens pulmonary hyperreactivity in chronic allergic mice</article-title>. <source>Respir. Physiol. Neurobiol</source>. <volume>179</volume>, <fpage>151</fpage>&#x02013;<lpage>157</lpage>. <pub-id pub-id-type="doi">10.1016/j.resp.2011.07.011</pub-id><pub-id pub-id-type="pmid">21816235</pub-id></citation>
</ref>
<ref id="B7">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bates</surname> <given-names>J. H. T.</given-names></name> <name><surname>Ludwig</surname> <given-names>M. S.</given-names></name> <name><surname>Sly</surname> <given-names>P. D.</given-names></name> <name><surname>Brown</surname> <given-names>K. A.</given-names></name> <name><surname>Martin</surname> <given-names>J. G.</given-names></name> <name><surname>Fredberg</surname> <given-names>J. J.</given-names></name></person-group> (<year>1988</year>). <article-title>Interrupter resistance elucidated by alveolar pressure measurements in open chest normal dogs</article-title>. <source>J. Appl. Physiol</source>. <volume>65</volume>, <fpage>408</fpage>&#x02013;<lpage>414</lpage>. <pub-id pub-id-type="pmid">3042744</pub-id></citation>
</ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bates</surname> <given-names>J. H. T.</given-names></name> <name><surname>Rossi</surname> <given-names>A.</given-names></name> <name><surname>Milic-Emili</surname> <given-names>J.</given-names></name></person-group> (<year>1985</year>). <article-title>Analysis of the behavior of the respiratory system with constant inspiratory flow</article-title>. <source>J. Appl. Physiol</source>. <volume>58</volume>, <fpage>1840</fpage>&#x02013;<lpage>1848</lpage>. <pub-id pub-id-type="pmid">4008404</pub-id></citation>
</ref>
<ref id="B9">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Biselli</surname> <given-names>P. J.</given-names></name> <name><surname>Lopes</surname> <given-names>F. D.</given-names></name> <name><surname>Moriya</surname> <given-names>H. T.</given-names></name> <name><surname>Rivero</surname> <given-names>D. H.</given-names></name> <name><surname>Toledo</surname> <given-names>A. C.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Short-term exposure of mice to cigarette smoke and/or residual oil fly ash produces proximal airspace enlargements and airway epithelium remodeling</article-title>. <source>Braz. J. Med. Biol. Res</source>. <volume>44</volume>, <fpage>460</fpage>&#x02013;<lpage>468</lpage>. <pub-id pub-id-type="doi">10.1590/S0100-879X2011007500040</pub-id><pub-id pub-id-type="pmid">21445523</pub-id></citation>
</ref>
<ref id="B10">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brown</surname> <given-names>J. S.</given-names></name> <name><surname>Zeman</surname> <given-names>K. L.</given-names></name> <name><surname>Bennett</surname> <given-names>W. D.</given-names></name></person-group> (<year>2002</year>). <article-title>Ultrafine particle deposition and clearance in the healthy and obstructed lung</article-title>. <source>Am. J. Respir. Crit. Care Med</source>. <volume>166</volume>, <fpage>1240</fpage>&#x02013;<lpage>1247</lpage>. <pub-id pub-id-type="doi">10.1164/rccm.200205-399OC</pub-id><pub-id pub-id-type="pmid">12403694</pub-id></citation>
</ref>
<ref id="B11">
<citation citation-type="web"><person-group person-group-type="author"><collab>CETESB.</collab></person-group> (<year>2013</year>). <source>Relat&#x000F3;rio de Qualidade do ar no Estado de S&#x000E3;o Paulo</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.cetesb.sp.gov.br/Ar/relatorios.asp">http://www.cetesb.sp.gov.br/Ar/relatorios.asp</ext-link></citation>
</ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chauhan</surname> <given-names>S. S.</given-names></name> <name><surname>Misra</surname> <given-names>U. K.</given-names></name></person-group> (<year>1991</year>). <article-title>Elevation of rat pulmonary, hepatic and lung surfactant lipids by fly ash inhalation</article-title>. <source>Biochem. Pharmacol</source>. <volume>41</volume>, <fpage>191</fpage>&#x02013;<lpage>198</lpage>. <pub-id pub-id-type="doi">10.1016/0006-2952(91)90476-L</pub-id><pub-id pub-id-type="pmid">1989630</pub-id></citation>
</ref>
<ref id="B13">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Damiani</surname> <given-names>R. M.</given-names></name> <name><surname>Piva</surname> <given-names>M. O.</given-names></name> <name><surname>Petry</surname> <given-names>M. R.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H.</given-names></name> <name><surname>Tavares Duarte de Oliveira</surname> <given-names>A.</given-names></name> <name><surname>Rhoden</surname> <given-names>C. R.</given-names></name></person-group> (<year>2012</year>). <article-title>Is cardiac tissue more susceptible than lung to oxidative effects induced by chronic nasotropic instillation of residual oil fly ash (ROFA)?</article-title> <source>Toxicol. Mech. Methods</source> <volume>22</volume>, <fpage>533</fpage>&#x02013;<lpage>539</lpage>. <pub-id pub-id-type="doi">10.3109/15376516.2012.692109</pub-id><pub-id pub-id-type="pmid">22563929</pub-id></citation>
</ref>
<ref id="B14">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dominici</surname> <given-names>F.</given-names></name> <name><surname>Peng</surname> <given-names>L.</given-names></name> <name><surname>Bell</surname> <given-names>M.</given-names></name> <name><surname>Pham</surname> <given-names>L.</given-names></name> <name><surname>McDermott</surname> <given-names>A.</given-names></name> <name><surname>Zeger</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2006</year>). <article-title>Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases</article-title>. <source>JAMA</source> <volume>295</volume>, <fpage>1127</fpage>&#x02013;<lpage>1134</lpage>. <pub-id pub-id-type="doi">10.1001/jama.295.10.1127</pub-id><pub-id pub-id-type="pmid">16522832</pub-id></citation>
</ref>
<ref id="B15">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Donaldson</surname> <given-names>K.</given-names></name> <name><surname>Stone</surname> <given-names>V.</given-names></name> <name><surname>Clouter</surname> <given-names>A.</given-names></name> <name><surname>Renwick</surname> <given-names>L.</given-names></name> <name><surname>MacNee</surname> <given-names>W.</given-names></name></person-group> (<year>2001</year>). <article-title>Ultrafine particles</article-title>. <source>Occup. Environ. Med</source>. <volume>58</volume>, <fpage>211</fpage>&#x02013;<lpage>216</lpage>. <pub-id pub-id-type="doi">10.1136/oem.58.3.211</pub-id><pub-id pub-id-type="pmid">11171936</pub-id></citation>
</ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dreher</surname> <given-names>K. L.</given-names></name> <name><surname>Jaskot</surname> <given-names>R. H.</given-names></name> <name><surname>Lehmann</surname> <given-names>J. R.</given-names></name> <name><surname>Richards</surname> <given-names>J. H.</given-names></name> <name><surname>McGee</surname> <given-names>J. K.</given-names></name> <name><surname>Ghio</surname> <given-names>A. J.</given-names></name> <etal/></person-group>. (<year>1997</year>). <article-title>Soluble transition metals mediate residual oil fly ash induced acute lung injury</article-title>. <source>J. Toxicol. Environ. Health</source> <volume>50</volume>, <fpage>285</fpage>&#x02013;<lpage>305</lpage>. <pub-id pub-id-type="doi">10.1080/009841097160492</pub-id><pub-id pub-id-type="pmid">9055877</pub-id></citation>
</ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dusseldorp</surname> <given-names>A.</given-names></name> <name><surname>Kruize</surname> <given-names>H.</given-names></name> <name><surname>Brunekreef</surname> <given-names>B.</given-names></name> <name><surname>Hofschreuder</surname> <given-names>P.</given-names></name> <name><surname>de Meer</surname> <given-names>G.</given-names></name> <name><surname>van Oudvorst</surname> <given-names>A. B.</given-names></name></person-group> (<year>1995</year>). <article-title>Associations of PM10 and airborne iron with respiratory health of adults living near a steel factory</article-title>. <source>Am. J. Respir. Crit. Care Med</source>. <volume>152</volume>, <fpage>1932</fpage>&#x02013;<lpage>1939</lpage>. <pub-id pub-id-type="doi">10.1164/ajrccm.152.6.8520758</pub-id><pub-id pub-id-type="pmid">8520758</pub-id></citation>
</ref>
<ref id="B18">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dye</surname> <given-names>J. A.</given-names></name> <name><surname>Lehmann</surname> <given-names>J. R.</given-names></name> <name><surname>McGee</surname> <given-names>J. K.</given-names></name> <name><surname>Winsett</surname> <given-names>D. W.</given-names></name> <name><surname>Ledbetter</surname> <given-names>A. D.</given-names></name> <name><surname>Everitt</surname> <given-names>J. I.</given-names></name> <etal/></person-group>. (<year>2001</year>). <article-title>Acute pulmonary toxicity of particulate matter filter extracts in rats: Coherence with epidemiologic studies in Utah Valley residents</article-title>. <source>Environ. Health Perspect</source>. <volume>109</volume><supplement>(Suppl. 3)</supplement>, <fpage>395</fpage>&#x02013;<lpage>403</lpage>. <pub-id pub-id-type="doi">10.1289/ehp.01109s3395</pub-id><pub-id pub-id-type="pmid">11427389</pub-id></citation>
</ref>
<ref id="B19">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fajersztajn</surname> <given-names>L.</given-names></name> <name><surname>Veras</surname> <given-names>M.</given-names></name> <name><surname>Barrozo</surname> <given-names>L. V.</given-names></name> <name><surname>Saldiva</surname> <given-names>P.</given-names></name></person-group> (<year>2013</year>). <article-title>Air pollution: a potentially modifiable risk factor for lung cancer</article-title>. <source>Nat. Rev. Cancer</source> <volume>13</volume>, <fpage>674</fpage>&#x02013;<lpage>6788</lpage>. <pub-id pub-id-type="doi">10.1038/nrc3572</pub-id><pub-id pub-id-type="pmid">23924644</pub-id></citation>
</ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Farhat</surname> <given-names>S. C.</given-names></name> <name><surname>Paulo</surname> <given-names>R. L.</given-names></name> <name><surname>Shimoda</surname> <given-names>T. M.</given-names></name> <name><surname>Concei&#x000E7;&#x000E3;o</surname> <given-names>G. M.</given-names></name> <name><surname>Lin</surname> <given-names>C. A.</given-names></name> <name><surname>Braga</surname> <given-names>A. L.</given-names></name> <etal/></person-group>. (<year>2005</year>). <article-title>Effect of air pollution on pediatric respiratory emergency room visits and hospital admissions</article-title>. <source>Braz. J. Med. Biol. Res</source>. <volume>38</volume>, <fpage>227</fpage>&#x02013;<lpage>235</lpage>. <pub-id pub-id-type="doi">10.1590/S0100-879X2005000200011</pub-id><pub-id pub-id-type="pmid">15785834</pub-id></citation>
</ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gavett</surname> <given-names>S. H.</given-names></name> <name><surname>Madison</surname> <given-names>S. L.</given-names></name> <name><surname>Dreher</surname> <given-names>K. L.</given-names></name> <name><surname>Winsett</surname> <given-names>D. W.</given-names></name> <name><surname>McGee</surname> <given-names>J. K.</given-names></name> <name><surname>Costa</surname> <given-names>D. L.</given-names></name></person-group> (<year>1997</year>). <article-title>Metal and sulfate composition of residual oil fly ash determines airway hyperreactivity and lung injury in rats</article-title>. <source>Environ. Res</source>. <volume>72</volume>, <fpage>162</fpage>&#x02013;<lpage>172</lpage>. <pub-id pub-id-type="doi">10.1006/enrs.1997.3732</pub-id><pub-id pub-id-type="pmid">9177658</pub-id></citation>
</ref>
<ref id="B22">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gavett</surname> <given-names>S. H.</given-names></name> <name><surname>Madison</surname> <given-names>S. L.</given-names></name> <name><surname>Stevens</surname> <given-names>M. A.</given-names></name> <name><surname>Costa</surname> <given-names>D. L.</given-names></name></person-group> (<year>1999</year>). <article-title>Residual oil fly ash amplifies allergic cytokines, airway responsiveness, and inflammation in mice</article-title>. <source>Am. J. Respir. Crit. Care Med</source>. <volume>160</volume>, <fpage>1897</fpage>&#x02013;<lpage>1904</lpage>. <pub-id pub-id-type="doi">10.1164/ajrccm.160.6.9901053</pub-id><pub-id pub-id-type="pmid">10588603</pub-id></citation>
</ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ghio</surname> <given-names>A. J.</given-names></name> <name><surname>Silbajoris</surname> <given-names>R.</given-names></name> <name><surname>Carson</surname> <given-names>J. L.</given-names></name> <name><surname>Samet</surname> <given-names>J. M.</given-names></name></person-group> (<year>2002</year>). <article-title>Biologic effects of oil fly ash</article-title>. <source>Environ. Health Perspect</source>. <volume>110</volume>, <fpage>89</fpage>&#x02013;<lpage>94</lpage>. <pub-id pub-id-type="doi">10.1289/ehp.02110s1189</pub-id><pub-id pub-id-type="pmid">11834466</pub-id></citation>
</ref>
<ref id="B24">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hamada</surname> <given-names>K.</given-names></name> <name><surname>Goldsmith</surname> <given-names>C. A.</given-names></name> <name><surname>Suzaki</surname> <given-names>Y.</given-names></name> <name><surname>Goldman</surname> <given-names>A.</given-names></name> <name><surname>Kobzik</surname> <given-names>L.</given-names></name></person-group> (<year>2002</year>). <article-title>Airway hyperresponsiveness caused by aerosol exposure to residual oil fly ash leachate in mice</article-title>. <source>J. Toxicol. Environ. Health</source> <volume>65</volume>, <fpage>1351</fpage>&#x02013;<lpage>1365</lpage>. <pub-id pub-id-type="doi">10.1080/00984100290071586</pub-id><pub-id pub-id-type="pmid">12227956</pub-id></citation>
</ref>
<ref id="B25">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hauser</surname> <given-names>R.</given-names></name> <name><surname>Daskalakis</surname> <given-names>C.</given-names></name> <name><surname>Christiani</surname> <given-names>D. C.</given-names></name></person-group> (<year>1996</year>). <article-title>A regression approach to the analysis of serial peak flow among fue oil ash exposed workers</article-title>. <source>Am. J. Respir. Crit. Care Med</source>. <volume>154</volume>, <fpage>974</fpage>&#x02013;<lpage>980</lpage>. <pub-id pub-id-type="doi">10.1164/ajrccm.154.4.8887594</pub-id><pub-id pub-id-type="pmid">8887594</pub-id></citation>
</ref>
<ref id="B26">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hauser</surname> <given-names>R.</given-names></name> <name><surname>Eisen</surname> <given-names>E. A.</given-names></name> <name><surname>Pothier</surname> <given-names>L.</given-names></name> <name><surname>Lewis</surname> <given-names>D.</given-names></name> <name><surname>Bledsoe</surname> <given-names>T.</given-names></name> <name><surname>Christiani</surname> <given-names>D. C.</given-names></name></person-group> (<year>2002</year>). <article-title>Spirometric abnormalities associated with chronic bronchitis, asthma, and airway hyperresponsiveness among boilermaker construction workers</article-title>. <source>Chest</source> <volume>121</volume>, <fpage>2052</fpage>&#x02013;<lpage>2060</lpage>. <pub-id pub-id-type="doi">10.1378/chest.121.6.2052</pub-id><pub-id pub-id-type="pmid">12065377</pub-id></citation>
</ref>
<ref id="B27">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hauser</surname> <given-names>R.</given-names></name> <name><surname>Elreedy</surname> <given-names>S.</given-names></name> <name><surname>Hoppin</surname> <given-names>J. A.</given-names></name> <name><surname>Christiani</surname> <given-names>D. C.</given-names></name></person-group> (<year>1995</year>). <article-title>Airway obstruction in boilermakers exposed to fuel oil ash. a prospective investigation</article-title>. <source>Am. J. Respir. Crit. Care Med</source>. <volume>152</volume>, <fpage>1478</fpage>&#x02013;<lpage>1484</lpage>. <pub-id pub-id-type="doi">10.1164/ajrccm.152.5.7582280</pub-id><pub-id pub-id-type="pmid">7582280</pub-id></citation>
</ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kodavanti</surname> <given-names>U. P.</given-names></name> <name><surname>Hauser</surname> <given-names>R.</given-names></name> <name><surname>Christiani</surname> <given-names>D. C.</given-names></name> <name><surname>Meng</surname> <given-names>Z. H.</given-names></name> <name><surname>McGee</surname> <given-names>J.</given-names></name> <name><surname>Ledbetter</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>1998</year>). <article-title>Pulmonary responses to oil fly ash particles in the rat differ by virtue of their specific soluble metals</article-title>. <source>Toxicol. Sci</source>. <volume>43</volume>, <fpage>204</fpage>&#x02013;<lpage>212</lpage>. <pub-id pub-id-type="pmid">9710962</pub-id></citation>
</ref>
<ref id="B29">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kodavanti</surname> <given-names>U. P.</given-names></name> <name><surname>Schladweiler</surname> <given-names>M. C.</given-names></name> <name><surname>Ledbetter</surname> <given-names>A. D.</given-names></name> <name><surname>Hauser</surname> <given-names>R.</given-names></name> <name><surname>Christiani</surname> <given-names>D. C.</given-names></name> <name><surname>McGee</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2002</year>). <article-title>Temporal association between pulmonary and systemic effects of particulate matter in healthy and cardiovascular compromised rats</article-title>. <source>J. Toxicol. Environ. Health</source> <volume>65</volume>, <fpage>1545</fpage>&#x02013;<lpage>1569</lpage>. <pub-id pub-id-type="doi">10.1080/00984100290071667</pub-id><pub-id pub-id-type="pmid">12396868</pub-id></citation>
</ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Laks</surname> <given-names>D. M.</given-names></name> <name><surname>Oliveira</surname> <given-names>R.</given-names></name> <name><surname>Andr&#x000E9;</surname> <given-names>P.</given-names></name> <name><surname>Macchione</surname> <given-names>M.</given-names></name> <name><surname>Lemos</surname> <given-names>M.</given-names></name> <name><surname>Faffe</surname> <given-names>D. S.</given-names></name> <etal/></person-group>. (<year>2008</year>). <article-title>Composition of diesel particles influences acute pulmonary toxicity: an experimental study in mice</article-title>. <source>Inhal. Toxicol</source>. <volume>11</volume>, <fpage>1037</fpage>&#x02013;<lpage>1042</lpage>. <pub-id pub-id-type="doi">10.1080/08958370802112922</pub-id><pub-id pub-id-type="pmid">18686106</pub-id></citation>
</ref>
<ref id="B31">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Langer</surname> <given-names>H. F.</given-names></name> <name><surname>Chavakis</surname> <given-names>T.</given-names></name></person-group> (<year>2009</year>). <article-title>Leukocyte-endothelial interactions in inflammation</article-title>. <source>J. Cell. Mol. Med</source>. <volume>13</volume>, <fpage>1211</fpage>&#x02013;<lpage>1220</lpage>. <pub-id pub-id-type="doi">10.1111/j.1582-4934.2009.00811.x</pub-id><pub-id pub-id-type="pmid">19538472</pub-id></citation>
</ref>
<ref id="B32">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lees</surname> <given-names>R. E. M.</given-names></name></person-group> (<year>1980</year>). <article-title>Changes in lung function after exposure to vanadium compounds in fuel oil ash</article-title>. <source>Br. J. Ind. Med</source>. <volume>37</volume>, <fpage>253</fpage>&#x02013;<lpage>256</lpage>. <pub-id pub-id-type="pmid">7426476</pub-id></citation>
</ref>
<ref id="B33">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lemos</surname> <given-names>M.</given-names></name> <name><surname>Lichtenfels</surname> <given-names>A. J.</given-names></name> <name><surname>Amaro J&#x000FA;nior</surname> <given-names>E.</given-names></name> <name><surname>Macchione</surname> <given-names>M.</given-names></name> <name><surname>Martins</surname> <given-names>M. A.</given-names></name> <name><surname>King</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>1994</year>). <article-title>Quantitative pathology of nasal passages in rats exposed to urban levels of air pollution</article-title>. <source>Environ. Res</source>. <volume>66</volume>, <fpage>87</fpage>&#x02013;<lpage>95</lpage>. <pub-id pub-id-type="doi">10.1006/enrs.1994.1046</pub-id><pub-id pub-id-type="pmid">8013440</pub-id></citation>
</ref>
<ref id="B34">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lewis</surname> <given-names>A. B.</given-names></name> <name><surname>Taylor</surname> <given-names>M. D.</given-names></name> <name><surname>Roberts</surname> <given-names>J. R.</given-names></name> <name><surname>Leonard</surname> <given-names>S. S.</given-names></name> <name><surname>Shi</surname> <given-names>X.</given-names></name> <name><surname>Antonini</surname> <given-names>J. M.</given-names></name></person-group> (<year>2003</year>). <article-title>Role of metal-induced reactive oxygen species generation in lung responses caused by residual oil fly ash</article-title>. <source>J. Biosci</source>. <volume>28</volume>, <fpage>13</fpage>&#x02013;<lpage>18</lpage>. <pub-id pub-id-type="doi">10.1007/BF02970126</pub-id><pub-id pub-id-type="pmid">12682419</pub-id></citation>
</ref>
<ref id="B35">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>N.</given-names></name> <name><surname>Wang</surname> <given-names>M.</given-names></name> <name><surname>Oberley</surname> <given-names>T. D.</given-names></name> <name><surname>Sempf</surname> <given-names>J. M.</given-names></name> <name><surname>Nel</surname> <given-names>A. E.</given-names></name></person-group> (<year>2002</year>). <article-title>Comparison of the pro-oxidative and proinflammatory effects of organic diesel exhaust particle chemicals in bronchial epithelial cells and macrophages</article-title>. <source>J. Immunol</source>. <volume>169</volume>, <fpage>4531</fpage>&#x02013;<lpage>4541</lpage>. <pub-id pub-id-type="doi">10.4049/jimmunol.169.8.4531</pub-id><pub-id pub-id-type="pmid">12370390</pub-id></citation>
</ref>
<ref id="B36">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname> <given-names>C. A.</given-names></name> <name><surname>Martins</surname> <given-names>M. A.</given-names></name> <name><surname>Farhat</surname> <given-names>S. C. L.</given-names></name> <name><surname>Pope</surname> <given-names>C. A.</given-names></name> <name><surname>Concei&#x000E7;&#x000E3;o</surname> <given-names>G. M.</given-names></name> <name><surname>Anast&#x000E1;cio</surname> <given-names>V. M.</given-names></name> <etal/></person-group>. (<year>1999</year>). <article-title>Air pollution and respiratory illness of children in S&#x000E3;o Paulo, Brazil</article-title>. <source>Paediatr. Perinat. Epidemiol</source>. <volume>13</volume>, <fpage>475</fpage>&#x02013;<lpage>488</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-3016.1999.00210.x</pub-id><pub-id pub-id-type="pmid">10563367</pub-id></citation>
</ref>
<ref id="B37">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname> <given-names>C. A.</given-names></name> <name><surname>Pereira</surname> <given-names>L. A.</given-names></name> <name><surname>Nishioka</surname> <given-names>D. C.</given-names></name> <name><surname>Concei&#x000E7;&#x000E3;o</surname> <given-names>G. M.</given-names></name> <name><surname>Braga</surname> <given-names>A. L.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H.</given-names></name></person-group> (<year>2004</year>). <article-title>Air pollution and neonatal deaths in S&#x000E3;o Paulo, Brazil</article-title>. <source>Braz. J. Med. Biol. Res</source>. <volume>37</volume>, <fpage>765</fpage>&#x02013;<lpage>770</lpage>. <pub-id pub-id-type="doi">10.1590/S0100-879X2004000500019</pub-id><pub-id pub-id-type="pmid">15107940</pub-id></citation>
</ref>
<ref id="B38">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Magnani</surname> <given-names>N. D.</given-names></name> <name><surname>Marchini</surname> <given-names>T.</given-names></name> <name><surname>Vanasco</surname> <given-names>V.</given-names></name> <name><surname>Tasat</surname> <given-names>D. R.</given-names></name> <name><surname>Alvarez</surname> <given-names>S.</given-names></name> <name><surname>Evelson</surname> <given-names>P.</given-names></name></person-group> (<year>2013</year>). <article-title>Reactive oxygen species produced by NADPH oxidase and mitochondrial dysfunction in lung after an acute exposure to residual oil fly ashes</article-title>. <source>Toxicol. Appl. Pharmacol</source>. <volume>270</volume>, <fpage>31</fpage>&#x02013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.1016/j.taap.2013.04.002</pub-id><pub-id pub-id-type="pmid">23583299</pub-id></citation>
</ref>
<ref id="B39">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Marchini</surname> <given-names>T.</given-names></name> <name><surname>Magnani</surname> <given-names>N. D.</given-names></name> <name><surname>Paz</surname> <given-names>M. L.</given-names></name> <name><surname>Vanasco</surname> <given-names>V.</given-names></name> <name><surname>Tasat</surname> <given-names>D.</given-names></name> <name><surname>Gonz&#x000E1;lez Maglio</surname> <given-names>D. H.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Time course of systemic oxidative stress and inflammatory response induced by an acute exposure to residual oil fly ash</article-title>. <source>Toxicol. Appl. Pharmacol</source>. <volume>274</volume>, <fpage>274</fpage>&#x02013;<lpage>282</lpage>. <pub-id pub-id-type="doi">10.1016/j.taap.2013.11.013</pub-id><pub-id pub-id-type="pmid">24321338</pub-id></citation>
</ref>
<ref id="B40">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mazzoli-Rocha</surname> <given-names>F.</given-names></name> <name><surname>Carvalho</surname> <given-names>G. M. C.</given-names></name> <name><surname>Lanzetti</surname> <given-names>M.</given-names></name> <name><surname>Valen&#x000E7;a</surname> <given-names>S. S.</given-names></name> <name><surname>Silva</surname> <given-names>L. F. F.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H. N.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Respiratory toxicity of repeated exposure to particles produced by traffic and sugar cane burning</article-title>. <source>Respir. Physiol. Neurobiol</source>. <volume>191</volume>, <fpage>106</fpage>&#x02013;<lpage>113</lpage>. <pub-id pub-id-type="doi">10.1016/j.resp.2013.11.004</pub-id><pub-id pub-id-type="pmid">24280381</pub-id></citation>
</ref>
<ref id="B41">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mazzoli-Rocha</surname> <given-names>F.</given-names></name> <name><surname>Magalh&#x000E3;es</surname> <given-names>C. B.</given-names></name> <name><surname>Malm</surname> <given-names>O.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H.</given-names></name> <name><surname>Zin</surname> <given-names>W. A.</given-names></name> <name><surname>Faffe</surname> <given-names>D. S.</given-names></name></person-group> (<year>2008</year>). <article-title>Comparative respiratory toxicity of particles produced by traffic and sugar cane burning</article-title>. <source>Environ. Res</source>. <volume>108</volume>, <fpage>35</fpage>&#x02013;<lpage>41</lpage>. <pub-id pub-id-type="doi">10.1016/j.envres.2008.05.004</pub-id><pub-id pub-id-type="pmid">18606401</pub-id></citation>
</ref>
<ref id="B42">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Medeiros</surname> <given-names>N.</given-names></name> <name><surname>Rivero</surname> <given-names>D. H.</given-names></name> <name><surname>Kasahara</surname> <given-names>D. I.</given-names></name> <name><surname>Saiki</surname> <given-names>M.</given-names></name> <name><surname>Godleski</surname> <given-names>J. J.</given-names></name> <name><surname>Koutrakis</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2004</year>). <article-title>Acute pulmonary and hematological effects of two types of particle surrogates are influenced by their elemental composition</article-title>. <source>Environ. Res</source>. <volume>95</volume>, <fpage>62</fpage>&#x02013;<lpage>70</lpage>. <pub-id pub-id-type="doi">10.1016/j.envres.2003.07.007</pub-id><pub-id pub-id-type="pmid">15068931</pub-id></citation>
</ref>
<ref id="B43">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>M&#x000FC;ler</surname> <given-names>B.</given-names></name> <name><surname>Seifart</surname> <given-names>C.</given-names></name> <name><surname>Barth</surname> <given-names>P. J.</given-names></name></person-group> (<year>1998</year>). <article-title>Effect of air pollutants on the pulmonary surfactant system</article-title>. <source>Eur. J. Clin. Invest</source>. <volume>28</volume>, <fpage>762</fpage>&#x02013;<lpage>777</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-2362.1998.00342.x</pub-id><pub-id pub-id-type="pmid">9767377</pub-id></citation>
</ref>
<ref id="B44">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nagase</surname> <given-names>T.</given-names></name> <name><surname>Lei</surname> <given-names>M.</given-names></name> <name><surname>Robatto</surname> <given-names>F. M.</given-names></name> <name><surname>Eidelman</surname> <given-names>D. H.</given-names></name> <name><surname>Ludwig</surname> <given-names>M. S.</given-names></name></person-group> (<year>1992</year>). <article-title>Tissue viscance during induced constriction in rabbit lung: morphological&#x02013;physiological correlation</article-title>. <source>J. Appl. Physiol</source>. <volume>73</volume>, <fpage>1900</fpage>&#x02013;<lpage>1907</lpage>. <pub-id pub-id-type="pmid">1474067</pub-id></citation>
</ref>
<ref id="B45">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Park</surname> <given-names>S.</given-names></name> <name><surname>Nam</surname> <given-names>H.</given-names></name> <name><surname>Chung</surname> <given-names>N.</given-names></name> <name><surname>Park</surname> <given-names>J. D.</given-names></name> <name><surname>Lim</surname> <given-names>Y.</given-names></name></person-group> (<year>2006</year>). <article-title>The role of iron in reactive oxygen species generation from diesel exhaust particles</article-title>. <source>Toxicol. In Vitro</source> <volume>20</volume>, <fpage>851</fpage>&#x02013;<lpage>857</lpage>. <pub-id pub-id-type="doi">10.1016/j.tiv.2005.12.004</pub-id><pub-id pub-id-type="pmid">16473492</pub-id></citation>
</ref>
<ref id="B46">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pereira</surname> <given-names>F. A.</given-names></name> <name><surname>Lemos</surname> <given-names>M.</given-names></name> <name><surname>Mauad</surname> <given-names>T.</given-names></name> <name><surname>Assun&#x000E7;&#x000E3;o</surname> <given-names>J. V.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H.</given-names></name></person-group> (<year>2011</year>). <article-title>Urban, traffic- related particles and lung tumors in urethane treated mice</article-title>. <source>Clinics (S&#x000E3;o Paulo)</source> <volume>66</volume>, <fpage>1051</fpage>&#x02013;<lpage>1054</lpage>. <pub-id pub-id-type="doi">10.1590/S1807-59322011000600022</pub-id><pub-id pub-id-type="pmid">21808874</pub-id></citation>
</ref>
<ref id="B47">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pereira</surname> <given-names>P.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H.</given-names></name> <name><surname>Sakae</surname> <given-names>R. S.</given-names></name> <name><surname>Bohm</surname> <given-names>G. M.</given-names></name> <name><surname>Martins</surname> <given-names>M. A.</given-names></name></person-group> (<year>1995</year>). <article-title>Urban levels of air pollution increase lung responsiveness in rats</article-title>. <source>Environ. Res</source>. <volume>69</volume>, <fpage>96</fpage>&#x02013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1006/enrs.1995.1030</pub-id><pub-id pub-id-type="pmid">8608776</pub-id></citation>
</ref>
<ref id="B48">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Peters</surname> <given-names>A.</given-names></name> <name><surname>Wichmann</surname> <given-names>H. E.</given-names></name> <name><surname>Tuch</surname> <given-names>T.</given-names></name> <name><surname>Heinrich</surname> <given-names>J.</given-names></name> <name><surname>Heyder</surname> <given-names>J.</given-names></name></person-group> (<year>1997</year>). <article-title>Respiratory effects are associated with the number of ultrafine particles</article-title>. <source>Am. J. Respir. Crit. Care Med</source>. <volume>155</volume>, <fpage>1376</fpage>&#x02013;<lpage>1383</lpage>. <pub-id pub-id-type="doi">10.1164/ajrccm.155.4.9105082</pub-id><pub-id pub-id-type="pmid">9105082</pub-id></citation>
</ref>
<ref id="B49">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Riva</surname> <given-names>D. R.</given-names></name> <name><surname>Magalh&#x000E3;es</surname> <given-names>C. B.</given-names></name> <name><surname>Lopes</surname> <given-names>A. A.</given-names></name> <name><surname>Lan&#x000E7;as</surname> <given-names>T.</given-names></name> <name><surname>Mauad</surname> <given-names>T.</given-names></name> <name><surname>Malm</surname> <given-names>O.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Low dose of fine particulate matter (PM2.5) can induce acute oxidative stress, inflammation and pulmonary impairment in healthy mice</article-title>. <source>Inhal. Toxicol</source>. <volume>23</volume>, <fpage>257</fpage>&#x02013;<lpage>267</lpage>. <pub-id pub-id-type="doi">10.3109/08958378.2011.566290</pub-id><pub-id pub-id-type="pmid">21506876</pub-id></citation>
</ref>
<ref id="B50">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Russel</surname> <given-names>W. M. S.</given-names></name> <name><surname>Burch</surname> <given-names>R. L.</given-names></name></person-group> (<year>1959</year>). <source>The Principles of Humane Experimental Technique</source>. <publisher-loc>London</publisher-loc>: <publisher-name>Methuen &#x00026; Co. Special edition published by Universities Federation for Animal Welfare</publisher-name>.</citation>
</ref>
<ref id="B52">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saldiva</surname> <given-names>P. H.</given-names></name> <name><surname>Clarke</surname> <given-names>R. W.</given-names></name> <name><surname>Coull</surname> <given-names>B. A.</given-names></name> <name><surname>Stearns</surname> <given-names>R. C.</given-names></name> <name><surname>Lawrence</surname> <given-names>J.</given-names></name> <name><surname>Murthy</surname> <given-names>G. G.</given-names></name> <etal/></person-group>. (<year>2002</year>). <article-title>Lung inflammation induced by concentrated ambient air particles is related to particle composition</article-title>. <source>Am. J. Respir. Crit. Care Med</source>. <volume>165</volume>, <fpage>1610</fpage>&#x02013;<lpage>1617</lpage>. <pub-id pub-id-type="doi">10.1164/rccm.2106102</pub-id><pub-id pub-id-type="pmid">12070061</pub-id></citation>
</ref>
<ref id="B53">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saldiva</surname> <given-names>P. H.</given-names></name> <name><surname>Lichtenfels</surname> <given-names>A. J.</given-names></name> <name><surname>Paiva</surname> <given-names>P. S.</given-names></name> <name><surname>Barone</surname> <given-names>I. A.</given-names></name> <name><surname>Martins</surname> <given-names>M. A.</given-names></name> <name><surname>Massad</surname> <given-names>E.</given-names></name> <etal/></person-group>. (<year>1994</year>). <article-title>Association between air pollution and mortality due to respiratory diseases in children in S&#x000E3;o Paulo, Brazil: a preliminary report</article-title>. <source>Environ. Res</source>. <volume>65</volume>, <fpage>218</fpage>&#x02013;<lpage>225</lpage>. <pub-id pub-id-type="doi">10.1006/enrs.1994.1033</pub-id><pub-id pub-id-type="pmid">8187738</pub-id></citation>
</ref>
<ref id="B54">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saldiva</surname> <given-names>P. H. N.</given-names></name> <name><surname>King</surname> <given-names>M.</given-names></name> <name><surname>Delmonte</surname> <given-names>V. L.</given-names></name> <name><surname>Macchione</surname> <given-names>M.</given-names></name> <name><surname>Parada</surname> <given-names>M. A.</given-names></name> <name><surname>Daliberto</surname> <given-names>M. L.</given-names></name> <etal/></person-group>. (<year>1992a</year>). <article-title>Respiratory alterations due to urban air pollution: an experimental study in rats</article-title>. <source>Environ. Res</source>. <volume>57</volume>, <fpage>19</fpage>&#x02013;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.1016/S0013-9351(05)80016-7</pub-id><pub-id pub-id-type="pmid">1371246</pub-id></citation>
</ref>
<ref id="B55">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saldiva</surname> <given-names>P. H. N.</given-names></name> <name><surname>Pope</surname> <given-names>C. A.</given-names> <suffix>II.</suffix></name> <name><surname>Schwartz</surname> <given-names>J.</given-names></name> <name><surname>Dockery</surname> <given-names>D. W.</given-names></name> <name><surname>Lichtenfels</surname> <given-names>A. J. F. C.</given-names></name> <name><surname>Salge</surname> <given-names>J. M.</given-names></name> <etal/></person-group>. (<year>1995</year>). <article-title>Air pollution and mortality in elderly people.: a time-series study in Sao Paulo, Brazil</article-title>. <source>Arch. Environ. Health</source> <volume>50</volume>, <fpage>159</fpage>&#x02013;<lpage>163</lpage>. <pub-id pub-id-type="doi">10.1080/00039896.1995.9940893</pub-id><pub-id pub-id-type="pmid">7786052</pub-id></citation>
</ref>
<ref id="B56">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saldiva</surname> <given-names>P. H. N.</given-names></name> <name><surname>Zin</surname> <given-names>W. A.</given-names></name> <name><surname>Santos</surname> <given-names>R. L. B.</given-names></name> <name><surname>Eidelman</surname> <given-names>D. H.</given-names></name> <name><surname>Milic-Emili</surname> <given-names>J.</given-names></name></person-group> (<year>1992b</year>). <article-title>Alveolar pressure measurement in open-chest rats</article-title>. <source>J. Appl. Physiol</source>. <volume>72</volume>, <fpage>302</fpage>&#x02013;<lpage>306</lpage>. <pub-id pub-id-type="pmid">1537730</pub-id></citation>
</ref>
<ref id="B57">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schroeder</surname> <given-names>W. H.</given-names></name> <name><surname>Dobson</surname> <given-names>M.</given-names></name> <name><surname>Kane</surname> <given-names>D. M.</given-names></name> <name><surname>Johnson</surname> <given-names>N. D.</given-names></name></person-group> (<year>1987</year>). <article-title>Toxic trace elements associated with airborne particulate matter: a review</article-title>. <source>JAPCA</source> <volume>37</volume>, <fpage>1267</fpage>&#x02013;<lpage>1285</lpage>. <pub-id pub-id-type="doi">10.1080/08940630.1987.10466321</pub-id><pub-id pub-id-type="pmid">3327920</pub-id></citation>
</ref>
<ref id="B58">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seagrave</surname> <given-names>J.</given-names></name> <name><surname>McDonald</surname> <given-names>J. D.</given-names></name> <name><surname>Bedrick</surname> <given-names>E.</given-names></name> <name><surname>Edgerton</surname> <given-names>E. S.</given-names></name> <name><surname>Gigliotti</surname> <given-names>A. P.</given-names></name> <name><surname>Jansen</surname> <given-names>J. J.</given-names></name> <etal/></person-group>. (<year>2006</year>). <article-title>Lung toxicity of ambient particulate matter from southeastern U.S. sites with different contributing sources: relationships between composition and effects</article-title>. <source>Environ. Health Perspect</source>. <volume>114</volume>, <fpage>1387</fpage>&#x02013;<lpage>1393</lpage>. <pub-id pub-id-type="doi">10.1289/ehp.9234</pub-id><pub-id pub-id-type="pmid">16966093</pub-id></citation>
</ref>
<ref id="B59">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>S&#x000F8;rensen</surname> <given-names>M.</given-names></name> <name><surname>Autrup</surname> <given-names>H.</given-names></name> <name><surname>M&#x000F8;ller</surname> <given-names>P.</given-names></name> <name><surname>Hertel</surname> <given-names>O.</given-names></name> <name><surname>Jensen</surname> <given-names>S. S.</given-names></name> <name><surname>Vinzents</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2003</year>). <article-title>Linking exposure to environmental pollutants with biological effects</article-title>. <source>Mutat. Res</source>. <volume>544</volume>, <fpage>255</fpage>&#x02013;<lpage>271</lpage>. <pub-id pub-id-type="doi">10.1016/j.mrrev.2003.06.010</pub-id><pub-id pub-id-type="pmid">14644327</pub-id></citation>
</ref>
<ref id="B60">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Soukup</surname> <given-names>J. M.</given-names></name> <name><surname>Ghio</surname> <given-names>A. J.</given-names></name> <name><surname>Becker</surname> <given-names>S.</given-names></name></person-group> (<year>2000</year>). <article-title>Soluble components of Utah Valley particulate pollution alter alveolar macrophage function <italic>in vivo</italic> and <italic>in vitro</italic></article-title>. <source>Inhal. Toxicol</source>. <volume>12</volume>, <fpage>401</fpage>&#x02013;<lpage>414</lpage>. <pub-id pub-id-type="doi">10.1080/089583700196112</pub-id><pub-id pub-id-type="pmid">10880136</pub-id></citation>
</ref>
<ref id="B61">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Southam</surname> <given-names>D. S.</given-names></name> <name><surname>Dolovich</surname> <given-names>M.</given-names></name> <name><surname>O&#x00027;Byrne</surname> <given-names>P. M.</given-names></name> <name><surname>Inman</surname> <given-names>M. D.</given-names></name></person-group> (<year>2002</year>). <article-title>Distribution of intranasal instillations in mice: effects of volume, time, body position, and anesthesia</article-title>. <source>Am. J. Physiol. Lung Cell. Mol. Physiol</source>. <volume>282</volume>, <fpage>L833</fpage>&#x02013;<lpage>L839</lpage>. <pub-id pub-id-type="doi">10.1152/ajplung.00173.2001</pub-id><pub-id pub-id-type="pmid">11880310</pub-id></citation>
</ref>
<ref id="B62">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Srivastava</surname> <given-names>P. K.</given-names></name> <name><surname>Misra</surname> <given-names>U. K.</given-names></name></person-group> (<year>1986</year>). <article-title>Phosphatisylcholine metabolism in lung microsomes and lung surfactant of rats exposed intratracheally to coal fly ash</article-title>. <source>J. Toxicol. Environ. Health</source> <volume>18</volume>, <fpage>471</fpage>&#x02013;<lpage>481</lpage>. <pub-id pub-id-type="doi">10.1080/15287398609530886</pub-id><pub-id pub-id-type="pmid">3754906</pub-id></citation>
</ref>
<ref id="B63">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Takayoshi</surname> <given-names>K.</given-names></name> <name><surname>Ogami</surname> <given-names>A.</given-names></name> <name><surname>Yamato</surname> <given-names>H.</given-names></name> <name><surname>Oyabu</surname> <given-names>T.</given-names></name> <name><surname>Mormoto</surname> <given-names>Y.</given-names></name> <name><surname>Tanaka</surname> <given-names>I.</given-names></name></person-group> (<year>2007</year>). <article-title>Effect of particle size of intratracheally instilled crystallina silica on pulmonary inflammation</article-title>. <source>J. Occup. Health</source> <volume>49</volume>, <fpage>88</fpage>&#x02013;<lpage>94</lpage>. <pub-id pub-id-type="doi">10.1539/joh.49.88</pub-id><pub-id pub-id-type="pmid">17429165</pub-id></citation>
</ref>
<ref id="B64">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tao</surname> <given-names>F.</given-names></name> <name><surname>Gonzalez-Flecha</surname> <given-names>B.</given-names></name> <name><surname>Kobzik</surname> <given-names>L.</given-names></name></person-group> (<year>2003</year>). <article-title>Reactive oxygen species in pulmonary inflammation by ambient particulates</article-title>. <source>Free Radic. Biol. Med</source>. <volume>35</volume>, <fpage>327</fpage>&#x02013;<lpage>340</lpage>. <pub-id pub-id-type="doi">10.1016/S0891-5849(03)00280-6</pub-id><pub-id pub-id-type="pmid">12899936</pub-id></citation>
</ref>
<ref id="B65">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Weibel</surname> <given-names>E. R.</given-names></name> <name><surname>Kistler</surname> <given-names>G. S.</given-names></name> <name><surname>Scherle</surname> <given-names>W. F.</given-names></name></person-group> (<year>1966</year>). <article-title>Practical stereological methods for morphometric cytology</article-title>. <source>J. Cell Biol</source>. <volume>30</volume>, <fpage>23</fpage>&#x02013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.1083/jcb.30.1.23</pub-id><pub-id pub-id-type="pmid">5338131</pub-id></citation>
</ref>
<ref id="B66">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wiessner</surname> <given-names>J. H.</given-names></name> <name><surname>Mandel</surname> <given-names>N. S.</given-names></name> <name><surname>Sohnle</surname> <given-names>P. G.</given-names></name> <name><surname>Mandel</surname> <given-names>G. S.</given-names></name></person-group> (<year>1989</year>). <article-title>Effect of particle size on quartz-induced hemolysis and on lung inflammation and fibrosis</article-title>. <source>Exp. Lung Res</source>. <volume>15</volume>, <fpage>801</fpage>&#x02013;<lpage>812</lpage>. <pub-id pub-id-type="doi">10.3109/01902148909069627</pub-id><pub-id pub-id-type="pmid">2558879</pub-id></citation>
</ref>
<ref id="B67">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yohannes</surname> <given-names>Y.</given-names></name> <name><surname>Ikenaka</surname> <given-names>Y.</given-names></name> <name><surname>Saengtienchai</surname> <given-names>A.</given-names></name> <name><surname>Watanabe</surname> <given-names>K. P.</given-names></name> <name><surname>Nakayama</surname> <given-names>S. M. M.</given-names></name> <name><surname>Ishizuka</surname> <given-names>M.</given-names></name></person-group> (<year>2014</year>). <article-title>Concentrations and human health risk assessment of organochlorine pesticides in edible fish species from a Rift Valley lake-Lake Ziway, Ethiopia</article-title>. <source>Ecotoxicol. Environ. Saf</source>. <volume>106</volume>, <fpage>95</fpage>&#x02013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1016/j.ecoenv.2014.04.014</pub-id><pub-id pub-id-type="pmid">24836883</pub-id></citation>
</ref>
<ref id="B68">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zanchi</surname> <given-names>A. C.</given-names></name> <name><surname>Saiki</surname> <given-names>M.</given-names></name> <name><surname>Saldiva</surname> <given-names>P. H.</given-names></name> <name><surname>Barros</surname> <given-names>H. M.</given-names></name> <name><surname>Rhoden</surname> <given-names>C. R.</given-names></name></person-group> (<year>2010</year>). <article-title>Hippocampus lipid peroxidation induced by residual oil fly ash intranasal instillation versus habituation to the open field</article-title>. <source>Inhal. Toxicol</source>. <volume>22</volume>, <fpage>84</fpage>&#x02013;<lpage>88</lpage>. <pub-id pub-id-type="doi">10.3109/08958370902936931</pub-id><pub-id pub-id-type="pmid">20017596</pub-id></citation>
</ref>
<ref id="B69">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zin</surname> <given-names>W. A.</given-names></name> <name><surname>Silva</surname> <given-names>A. G. L. S.</given-names></name> <name><surname>Magalh&#x000E3;es</surname> <given-names>C. B.</given-names></name> <name><surname>Carvalho</surname> <given-names>G. M. C.</given-names></name> <name><surname>Riva</surname> <given-names>D. R.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Eugenol attenuates pulmonary damage induced by diesel exhaust particles</article-title>. <source>J. Appl. Physiol</source>. <volume>112</volume>, <fpage>911</fpage>&#x02013;<lpage>917</lpage>. <pub-id pub-id-type="doi">10.1152/japplphysiol.00764.2011</pub-id><pub-id pub-id-type="pmid">22194320</pub-id></citation>
</ref>
</ref-list>
</back>
</article>
