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The Toxicologist - Society of Toxicology

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1751 SULFUR MUSTARD VAPORS INDUCE DNA DAMAGE<br />

AND APOPTOSIS IN MOUSE SKIN.<br />

L. B. Joseph 1 , D. R. Gerecke 1 , A. T. Black 1 , R. P. Casillas 2 , N. D. Heindel 3 , P.<br />

J. Sinko 1 , D. E. Heck 4 , D. L. Laskin 1 and J. D. Laskin 5 . 1 Rutgers University,<br />

Piscataway, NJ, 2 Battelle, Columbus, OH, 3 Lehigh University, Bethlehem, PA,<br />

4 New York Medical College, Valhalla, NY and 5 UMDNJ-Robert Wood Johnson<br />

Medical School, Piscataway, NJ.<br />

Sulfur mustard (SM, bis (2-chloroethyl) sulfide) is a bifunctional alkylating agent<br />

that causes dermal inflammation, edema and blistering. To investigate its mode <strong>of</strong><br />

action, we used a vapor cup model which provides an occlusive environment in<br />

which SM vapor is in constant contact with the skin. <strong>The</strong> backs <strong>of</strong> SKH-1 hairless<br />

male mice were exposed for 6 min to SM or control; skin was analyzed 1, 3, 7, and<br />

14 days post-treatment. At 1 day, SM caused epidermal thickening, stratum<br />

corneum shedding, and basal cell karyolysis; macrophages and neutrophils accumulated<br />

in the dermis. Cleaved caspase-3, an apoptotic marker, and phosphorylated<br />

histone 2AX (γH2AX), a DNA damage marker, were identified in basal cells.<br />

Whereas PCNA expression was contiguous in basal cells <strong>of</strong> control skin, it was discontinuous<br />

after SM treatment. Three days after SM exposure, epithelial cell hypertrophy,<br />

edema, parakeratosis, and loss <strong>of</strong> normal epidermal structures were evident.<br />

Increased epidermal expression <strong>of</strong> enzymes generating pro-inflammatory<br />

mediators including cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase<br />

(iNOS) was also noted. After 7 days, microblisters were evident at the dermal/epidermal<br />

junction, and expression <strong>of</strong> keratin-10, an epithelial cell differentiation<br />

marker was upregulated in keratinocytes. Trichrome staining revealed increased collagen<br />

deposition in the dermis. PCNA expression in the epidermis was associated<br />

with hyperplasia, hyperkeratosis, and parakeratosis. By 14 days, cleaved caspase-3,<br />

COX-2 and iNOS expression was decreased, while γH2AX was still evident in the<br />

stratum spinosum and stratum granulosum. <strong>The</strong>se findings are similar to reports in<br />

humans exposed to SM and show that the SM vapor cup model is appropriate for<br />

investigating mechanisms <strong>of</strong> vesicant-induced DNA damage and apoptosis in the<br />

skin. Supported by CA132624, CA093798, ES004738, ES005022, GM034310<br />

and AR055073.<br />

1752 MECHANISMS OF VESICANT-INDUCED<br />

CYTOTOXICITY IN LUNG EPITHELIAL CELLS.<br />

Y. Wang 1 , D. E. Heck 3 , D. L. Laskin 2 and J. D. Laskin 1 . 1 Environmental &<br />

Occupational Medicine, UMDNJ-Robert Wood Johnson Medical School, Piscataway,<br />

NJ, 2 Pharmacology & <strong>Toxicology</strong>, Rutgers University, Piscataway, NJ and<br />

3 Environmental Health Sciences, New York Medical College, Valhalla, NY.<br />

Inhalation <strong>of</strong> vesicants such as sulfur mustard can cause significant damage to the<br />

respiratory system including inflammation, upper and lower obstructive disease,<br />

and acute respiratory distress syndrome. A major factor contributing to vesicant-induced<br />

lung injury is cytotoxicity and oxidative stress. In the present studies, we<br />

used nitrogen mustard (NM, mechlorethamine), a bifunctional alkylating agent<br />

and model sulfur mustard vesicant, to characterize cytotoxicity and oxidative stress<br />

in A549 cells, a human type II lung epithelial cell line. NM was found to cause a<br />

concentration-dependent inhibition <strong>of</strong> A549 cell growth (IC50 = 1 μM).<br />

Pretreatment <strong>of</strong> the cells with 20 μM buthionine [S, R] sulfoximine (BSO) for 6 hr,<br />

which depletes glutathione (GSH), was found to enhance NM-induced growth inhibition<br />

(IC50 = 0.2 μM). Cell cycle analysis revealed that 27.1 ± 0.7 % <strong>of</strong> A549<br />

cells were in the S phase, 18.0 ±1.0 in G2M and 53.4 ± 0.5% in GoG1. Twentyfour<br />

hr after treatment <strong>of</strong> the cells with NM (30 μM, 30 min), we observed a Sphase<br />

block, 64.6 ± 1.4% <strong>of</strong> the cells were in S phase, 25.2 ± 1.5% in G2M and 9.3<br />

± 0.4 in GoG1. Depletion <strong>of</strong> GSH in cells had no effect on NM-induced cell cycle<br />

arrest. NM (30-300 μM) also enhanced the generation <strong>of</strong> intracellular hydrogen<br />

peroxide, as determined by flow cytometry in conjunction with the hydroperoxysensitive<br />

probe 2’,7’-dichlor<strong>of</strong>luorescein. Western blotting showed that while NM<br />

had no effect on expression <strong>of</strong> the antioxidant enzymes catalase or heme oxygenase-<br />

1; it cross-linked superoxide dismutase, forming a modified 32,000 molecular<br />

weight homodimeric protein. Taken together, these data indicate that NM induced<br />

cytotoxicity in lung epithelial cells is associated with oxidative stress and alterations<br />

in antioxidants, processes that can contribute to vesicant-induced tissue injury.<br />

Supported by NIH grants ES004738, ES005022 and AR055073.<br />

1753 HOUSEKEEPING GENE EXPRESSION IN NORMAL<br />

HUMAN EPIDERMAL KERATINOCYTES IS ALTERED<br />

BY SULFUR MUSTARD EXPOSURE.<br />

S. L. Beach, J. F. Dillman and A. L. Ruff. U.S. Army Medical Research Institute <strong>of</strong><br />

Chemical Defense, Aberdeen Proving Ground, MD.<br />

Sulfur mustard (SM) is a potent alkylating agent that can cause severe pulmonary,<br />

ocular, and cutaneous injury. Many <strong>of</strong> the molecular mechanisms involved in the<br />

response to SM exposure have yet to be fully elucidated, and knowledge <strong>of</strong> these<br />

376 SOT 2011 ANNUAL MEETING<br />

mechanisms is necessary for the development <strong>of</strong> therapeutics for this injury. For<br />

many molecular assays, it is important to normalize data across samples against<br />

housekeeping gene expression. Housekeeping genes are those genes that play an important<br />

role in general cell function and are constitutively expressed. <strong>The</strong> long-held<br />

belief that their constitutive expression is not affected by experimental conditions<br />

has led to their widespread use for data normalization. Studies are emerging, however,<br />

which suggest that experimental conditions can affect the expression levels <strong>of</strong><br />

housekeeping genes. A previous study by our laboratory showed that the mRNA<br />

levels <strong>of</strong> many housekeeping genes changed significantly in rat lung following SM<br />

exposure. Following this observation, we sought to determine if housekeeping gene<br />

expression at the mRNA and protein level is affected by SM using the in vitro cutaneous<br />

model normal human epidermal keratinocytes (NHEK). Cells were exposed<br />

to SM and samples were collected over a 24-hour time period. Housekeeping gene<br />

expression was then evaluated in SM-exposed samples and unexposed timematched<br />

controls by microarray and Western blot analysis. Our results suggest that<br />

the expression <strong>of</strong> many housekeeping genes is affected by SM exposure, whereas the<br />

expression <strong>of</strong> others is not. If carefully selected, some housekeeping genes may be<br />

appropriate for data normalization in SM-exposed samples. Disclaimer: <strong>The</strong> opinions<br />

or assertions contained herein are the private views <strong>of</strong> the author(s) and are not<br />

to be construed as <strong>of</strong>ficial or as reflecting the views <strong>of</strong> the Army or the Department<br />

<strong>of</strong> Defense. This research was supported by the Defense Threat Reduction Agency<br />

– Joint Science and Technology Office, Medical S&T Division.<br />

1754 DEVELOPMENT OF A SULFUR MUSTARD NON-<br />

HUMAN PRIMATE INHALATION EXPOSURE MODEL.<br />

W. M. Weber, J. D. McDonald, L. F. Blair, M. R. Lehman, D. A. Kracko, C.<br />

Cox, M. Duncan, J. Baldwin, J. Seagrave, T. March and G. R. Grotendorst.<br />

Lovelace Respiratory Research Institute, Albuquerque, NM.<br />

Sulfur mustard (SM) is a chemical threat agent for which its effects have no current<br />

treatment. In a wartime environment, the inhalation exposure scenario is the most<br />

likely route <strong>of</strong> administration to a soldier. Several laboratories are working to develop<br />

therapeutics to alleviate SM induced damage. FDA guidance defines the requirement<br />

<strong>of</strong> both small and large animal efficacy to gain approval <strong>of</strong> a new therapeutic.<br />

Small animal inhalation models in rats have previously been reported.<br />

Recently, we have developed a non-human primate (NHP) inhalation model for<br />

sulfur mustard induced lung injury using cynomolgus macaques. Methods have<br />

been developed for the generation and characterization <strong>of</strong> SM atmospheres through<br />

an intubated exposure delivery system to maximize the amount <strong>of</strong> injury in the<br />

lower respiratory tract. Male NHP’s were exposed to 100 or 150 mg/m3 <strong>of</strong> SM for<br />

10 minutes (1000 or 1500 mg*min/m3). Animals were monitored and euthanized<br />

at predetermined time points between 3 and 180 days post exposure (DPE).<br />

<strong>The</strong> pathology induced by the SM inhalation was similar to that in our F344 rat<br />

model <strong>of</strong> SM inhalation injury. Epithelial necrosis and sloughing is apparent along<br />

the length <strong>of</strong> the airway. By 28 DPE there is some regeneration <strong>of</strong> the airway epithelium<br />

but an absence <strong>of</strong> differentiated airway epithelial cells. Submucosal fibrotic<br />

nodules are present and there is an appearance <strong>of</strong> Collagen V (Col V) leading<br />

to the development <strong>of</strong> auto-antibodies to Col V which are detected in the NHP<br />

serum at 28 DPE. This strongly indicates an immunologically based pathological<br />

mechanism is being established. <strong>The</strong> occurrence <strong>of</strong> the rare pulmonary disorder in<br />

human victims <strong>of</strong> SM exposure and our observations in the NHP model suggest<br />

that immunomodulatory therapies will be required for successful treatment <strong>of</strong> SM<br />

inhalation injury. This work was supported by grant number U54 NS058185-04<br />

(S1) from the NIN/National Institute <strong>of</strong> Neurological Disorders and Stroke.<br />

1755 A TOXICOLOGICAL, BIOCHEMICAL, AND<br />

PHYSIOLOGICAL ASSESSMENT OF LUNG AND<br />

SYSTEMIC INJURY IN RATS EXPOSED TO INHALED<br />

SULFUR MUSTARD ACROSS DOSE AND TIME.<br />

D. S. Olivera 1 , K. A. Whitten 2 , R. K. Kan 3 , J. L. Collins 1 , J. B. Simons 1 , A. M.<br />

Rodriguez 1 , C. M. Bowens 1 , A. M. Witriol 1 and A. M. Sciuto 1 . 1 Analytical<br />

<strong>Toxicology</strong>, USAMRICD, Gunpowder, MD, 2 Research Support, USAMRICD,<br />

Gunpowder, MD and 3 Research, USAMRICD, Gunpowder, MD.<br />

Sulfur mustard (HD) is a blistering agent (vesicant) that causes severe chemical<br />

burns to the skin, eyes, and airways. HD was used as a chemical warfare agent<br />

(CWA) in the Iran/Iraq conflict, and more than half <strong>of</strong> surviving HD-exposed casualties<br />

suffer from permanent lung injuries. HD remains a serious threat with no<br />

effective antidote. Despite research in the 90 years since HD was developed as a<br />

CWA, the mechanisms and timing <strong>of</strong> the development <strong>of</strong> these pathologies are<br />

poorly defined. To model the mouth-breathing human, rats were intubated and<br />

ventilated for 10 min with nebulized HD or vehicle to achieve total doses <strong>of</strong> 0, 0.5,<br />

1.75, 2.25, and 3 mg/kg. Pulmonary function was analyzed by whole-body<br />

plethysmography. Rats were euthanized at various time-points ≤ 6 months post-ex-

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