Burn pits are a method of open-air waste management that
was common
during military operations in Iraq, Afghanistan, and other regions
in Southwest Asia. Veterans returning from deployment have reported
respiratory symptoms, potentially from exposure to burn pit smoke,
yet comprehensive assessment of such exposure on pulmonary health
is lacking. We have previously shown that exposure to condensates
from burn pit smoke emissions causes inflammation and cytotoxicity
in mice. In this study, we explored the effects of burn pit smoke
condensates on human airway epithelial cells (HAECs) to understand
their impact on cellular targets in the human lung. HAECs were cultured
at the air–liquid interface (ALI) and exposed to burn pit waste
smoke condensates (plywood, cardboard, plastic, mixed, and mixed with
diesel) generated under smoldering and flaming conditions. Cytotoxicity
was evaluated by measuring transepithelial electrical resistance (TEER)
and lactate dehydrogenase (LDH) release; toxicity scores (TSs) were
quantified for each exposure. Pro-inflammatory cytokine release and
modulation of gene expression were examined for cardboard and plastic
condensate exposures. Burn pit smoke condensates generated under flaming
conditions affected cell viability, with flaming mixed waste and plywood
exhibiting the highest toxicity scores. Cardboard and plastic smoke
condensates modulated cytokine secretion, with GM-CSF and IL-1β
altered in more than one exposure group. Gene expression of detoxifying
enzymes (ALDH1A3, ALDH3A1, CYP1A1, CYP1B1, NQO1,
etc.), mucins (MUC5AC, MUC5B), and
cytokines was affected by several smoke condensates. Particularly,
expression of IL6 was elevated following exposure
to all burn pit smoke condensates, and polycyclic aromatic hydrocarbon
acenaphthene was positively associated with the IL-6 level in the
basolateral media of HAECs. These observations demonstrate that exposure
to smoke condensates of materials present in burn pits adversely affects
HAECs and that aberrant cytokine secretion and altered gene expression
profiles following burn pit material smoke exposure could contribute
to the development of airway disease.