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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Respir+Res
2011 ; 12
(1
): 88
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Elemental analysis of lung tissue particles and intracellular iron content of
alveolar macrophages in pulmonary alveolar proteinosis
#MMPMID21718529
Shimizu Y
; Matsuzaki S
; Dobashi K
; Yanagitani N
; Satoh T
; Koka M
; Yokoyama A
; Ohkubo T
; Ishii Y
; Kamiya T
; Mori M
Respir Res
2011[Jun]; 12
(1
): 88
PMID21718529
show ga
BACKGROUND: Pulmonary alveolar proteinosis (PAP) is a rare disease occurred by
idiopathic (autoimmune) or secondary to particle inhalation. The in-air
microparticle induced X-ray emission (in-air micro-PIXE) system performs
elemental analysis of materials by irradiation with a proton microbeam, and
allows visualization of the spatial distribution and quantitation of various
elements with very low background noise. The aim of this study was to assess the
secondary PAP due to inhalation of harmful particles by employing in-air
micro-PIXE analysis for particles and intracellular iron in parafin-embedded lung
tissue specimens obtained from a PAP patient comparing with normal lung tissue
from a non-PAP patient. The iron inside alveolar macrophages was stained with
Berlin blue, and its distribution was compared with that on micro-PIXE images.
RESULTS: The elements composing particles and their locations in the PAP
specimens could be identified by in-air micro-PIXE analysis, with magnesium (Mg),
aluminum (Al), silicon (Si), phosphorus (P), sulfur (S), scandium (Sc), potassium
(K), calcium (Ca), titanium (Ti), chromium (Cr), copper (Cu), manganase (Mn),
iron (Fe), and zinc (Zn) being detected. Si was the major component of the
particles. Serial sections stained by Berlin blue revealed accumulation of
sideromacrophages that had phagocytosed the particles. The intracellular iron
content of alveolar macrophage from the surfactant-rich area in PAP was higher
than normal lung tissue in control lung by both in-air micro-PIXE analysis and
Berlin blue staining. CONCLUSION: The present study demonstrated the efficacy of
in-air micro-PIXE for analyzing the distribution and composition of lung
particles. The intracellular iron content of single cells was determined by
simultaneous two-dimensional and elemental analysis of paraffin-embedded lung
tissue sections. The results suggest that secondary PAP is associated with
exposure to inhaled particles and accumulation of iron in alveolar macrophages.