Pulmonary alveolar macrophages were obtained by saline lavage from 23 healthy male volunteers-10 non-smokers and 13 cigarette smokers. Lavage produced three times as many alveolar macrophages in smokers than in non-smokers. When macrophages from smokers and from non-smokers were incubated in vitro, more cells from smokers adhered to glass, spread out, and showed enhanced nitroblue tetrazolium (NBT) reduction. The surface morphology of alveolar macrophages from smokers showed more with a plate like appearance and ridge like membrane surface, while the macrophages from non-smokers were predominantly spherical with ruffles. The proportions of cells which stained highly for , f galactosidase were 55% in smokers and 11% in non-smokers. Thus, in a resting state in vitro, alveolar macrophages from smokers were more active than those from non-smokers. When, however, macrophages from smokers and non-smokers were incubated with immunobeads and with opsonised or non-opsonised BCG, the phagocytic activity and stimulated NBT reduction of alveolar macrophages from smokers were similar to or somewhat less than those of non-smokers.Alveolar macrophages act as a main cellular defence for the lung against inhaled microorganisms and other particles.' Potential damage to these cells by cigarette smoke could lead to microbial infection and parenchymal damage, possibly mediated through excessive release of several reactive products of alveolar macrophages, including both oxidative agents and lysosomal enzymes.23 Many studies have therefore been directed at the function and biochemistry of alveolar macrophages but data on functional differences between alveolar macrophages from smokers and non-smokers have often been contradictory.4 Furthermore, few have described quantitative differences in both cellular morphology and function.The aims of the present study were (1) to evaluate the functional differences between alveolar macrophages from smokers and non-smokers with respect to adherence and spreading, phagocytosis, nitroblue Our results indicate that in the unstimulated condition alveolar macrophages from smokers appear more active than those from non-smokers in both surface morphology and function. Their responsiveness to foreign bodies or bacteria, however, was equivalent or somewhat inferior to that of nonsmokers when determined by phagocytosis and by NBT reduction, which reflects superoxide production by the cells.5 6
Methods
SUBJECTSThe 23 healthy male volunteers were medical students or physicians in our university. Ten were nonsmokers and 13 were cigarette smokers. All the smokers had a history of more than five pack years, were currently smoking more than one pack per day, and had done so for more than one year before the study. The mean age of the non-smokers was 27-4 (range 23-37) years and that of the smokers was 27-2 (range 23-35) years. 850 on 12 May 2018 by guest. Protected by copyright.