Exposure System and Aerosol Characterization: An animal inhalation exposure system was designed to expose animals to either CB aerosols, O
3 gas, or a mixture of the two toxicants (
Supplemental Fig. S1). The design utilized a modified high-pressure acoustical generator (HPAG, IEStechno, Morgantown, WV) in which bulk CB material (Printex 90®, provided as a gift from Evonik, Frankfurt, Germany) generated ultrafine CB aerosols. The output from the HPAG was fed into a venturi pump (JS-60 M, Vaccon, Medway MA) to further deagglomerate particles. The real-time mass concentration (mg/m
3) of aerosolized particles was monitored with a light scattering aerosol monitor (DataRAM, pDr-1500, Thermo Environmental Instruments Inc, Franklin, MA). O
3 was produced by passing HEPA (High-efficiency particulate air) filtered dried air/pure oxygen through a corona discharge type O
3 generator (HTU500AC, Ozone Solutions, Hull, IA). During co-exposures, the O
3 was then mixed with the CB aerosol before entering the exposure chamber. O
3 concentration in the chamber was measured using a calibrated O
3 analyzer (Model 202, 2B Technologies, Inc., Boulder, CO). O
3 monitor calibration was independently verified using Calorimetric ozone gas detector tubes (Sensidyne® LP, St Peterburgh FL). The O
3 levels were maintained by adjusting the flow through the ozone generator based on the real-time readings from the ozone monitor.
Temperature and relative humidity in the exposure chamber were measured (HMT330, Vaisala, Helsinki, Finland) and maintained at 20–22 °C and 50–70% respectively. Exposure chamber and animal housing cages are made with Stainless steel (grade 316) which has excellent compatibility with O
3. The whole-body stainless-steel exposure chamber (Cube 150, IEStechno, Morgantown, WV) individually housed up to 36 mice. Gravimetric measurements of the mass concentration were collected and reported for each exposure and were also used to continually calibrate the DataRAM. Particle size distributions were sampled from the exposure chamber with: 1) an electrical low-pressure impactor (ELPI+, Dakati, Tempera, Finland), 2) an aerosol particle sizer (APS 3321, TSI Inc Shoreview, MN), 3) a scanning mobility particle sizer (SMPS 3938, TSI Inc. Shoreview, MN), and 4) a Nano Micro-orifice Uniform Deposit Impactor (Moudi 115R, MSP Corp, Shoreview, MN). Aerosols were collected on formvar coated copper grids and imaged using JOEL 1400 transmission electron microscope (JOEL, Tokyo, Japan) to characterize morphology. Polycarbonate filters were used to collect the morphology characterization using a field-emission scanning electron microscope (Hitachi S4800, Tokyo, Japan). Elemental composition of particle surfaces was analyzed by X-Ray Photoelectron Spectroscopy (XPS) (Physical Electronics PHI 5000 VersaProbe XPS/UPS). After the aerosol/gas left the chamber it was HEPA and charcoal filtered before entering the house exhaust. Software was developed (IEStechno, Morgantown, WV) to monitor, control and record system parameters during exposures. Various feedback loops were utilized in the software to hold concentration and pressure levels constant during exposures. The pressure in the HPAG was held constant to improve aerosol generation. The chamber pressure was also held constant at zero for animal comfort and to minimize any potential chamber leaks. The DataRAM real-time values were utilized in a feedback loop to hold the aerosol concentration steady by changing the power delivered to the HPAG.
Electron Paramagnetic Resonance (EPR) Spectroscopic Studies: Purified 5,5-dimethyl-1-pyrroline-N-oxide (DMPO) was purchased from Dojindo laboratories, Kumamoto, Japan. Xanthine and xanthine oxidase (XO) from bovine milk (catalog number: X4875) were purchased from Sigma-Aldrich, USA. All the EPR spin trapping and spin probe experiments were carried out in phosphate buffered saline (PBS, pH7.4) pre-treated with Chelex. EPR spin trap experiments were performed using a spin trap DMPO. EPR spectra were recorded using a Bruker EMXnano spectrometer (Bruker BioSciences, Billerica, MA, USA) operating at X-band with a 100 kHz modulation frequency as described previously [30 (
link)]. Data acquisition was performed using Bruker Xenon-nano software. Solid/powder samples were loaded directly in to an EPR quartz tube (O.D 4 mm). Liquid samples of 50 μL were loaded into glass capillary tubes that were sealed on one end using Critoseal clay and placed inside the 4 mm (O.D.) EPR quartz tube. The quartz tube was positioned inside the resonator/cavity and EPR spectra were recorded at room temperature. The following settings were used: microwave frequency, 9.615 GHz; sweep width, 100 G (200 G for powder); microwave power, 20 mW; modulation amplitude, 0.5 G (5 G for powder); modulation frequency, 100 kHz; receiver gain, 60 dB; time constant, 41 ms (20.5 ms for powder); conversion time, 15 ms (31 ms for powder), sweep time, 30 s (50 s for powder); number of scans, 1 or 10.
Ferric Reducing Ability of Serum (FRAS) Assay: FRAS assay was performed to study acellular oxidant generation ability of individual and co-exposures by following the already published methodology [31 (
link),32 (
link)] with a slight modification. In order to accurately mimic the inhalation exposure and eliminate the artifacts that might arise due to interaction with room air, we bubbled aerosols (air, CB, O
3 and CB + O
3) for 5 min through the human serum and proceeded to quantify the changes by exactly following the previously published standardized methodology. In order to validate the occurrence of interactions between O
3 and CB at levels to which population is chronically exposed, we performed FRAS assay using two exposure concentrations for CB (250 μg/m
3 (low dose) and 10 mg/m
3 (high dose)) and O
3 (200 ppb and 2 ppm).
Animal Exposures and Exposure Conditions: C57BL/6J male mice (8 weeks old) were purchased from Jackson Laboratory (Bar Harbor, ME) and acclimated at the West Virginia University Animal Care Facility before exposure. All animals were maintained in a room with a 12-h light/dark cycle and provided chow and water ad libitum. All the animal procedures were approved by the WVU Animal Care and Use Committee. Animals were exposed for 3 h per day, up to 2 days, to either filtered air, O
3 (2 ppm), CB (10 mg/m
3), or CB + O
3 (10 mg/m
3 + 2 ppm). EUK-134 (Cayman Chemicals, Ann Arbor, MI) is a catalase/SOD mimetic which prevents oxidative stress. EUK-134 (10 mg/kg) was intraperitoneally injected 30 min prior to exposure and mice were sacrificed 24 h post exposure. TSLP neutralizing antibody (catalog # MAB555-100) and TSLP iso-type antibody (catalog # MAB002) (R&D systems, MN) were administered (0.8 mg/kg) by nasal and oropharyngeal aspiration 1 h before exposure. Antibody administration was performed by both nasal and oropharyngeal routes (half dose by either route) to maximize neutralization of TSLP in both upper and lower airways. TSLP-isotype antibody serves as more specific control for TSLP neutralizing antibody thus eliminating the need of doing PBS only group. The mice were euthanized by intraperitoneal injection of Fatal Plus (250 mg/kg) and analyzed 24 h following the exposure. Details on animal cohorts used for different experiments is presented in
Supplemental Table S1. Schematics for exposures are presented in
Supplemental Fig. S2.
Carbon Black Lung Burden Quantification: Lung burden was quantified according to a previously described method with slight modifications [33 (
link)]. A group of animals (5–7) were euthanized within 15 min of inhalation exposure, lungs were removed, and wet lung weight was quantified. Lung tissue was minced and digested in a 25% KOH/methanol (w/v) solution at 60 °C overnight in a dry heating block. After digestion tubes containing lung samples were vortexed and centrifuged at 16,0000 g for 10 min at 25 °C. Pellet was resuspended in 50% HNO
3/Methanol (v/v) and incubated at 60 °C for 3 h in heating block. Tubes containing lung samples were vortexed and centrifuged at 16,0000 g for 10 min at 25 °C. Pelleted samples and known standards of CB and O
3 interacted CB collected from inhalation chamber were resuspended in surfactant water solution (10% NP-40). Samples and standards (1 mg/mL- 1.56 μg/mL) were spectrophotometrically read at 690 nm, sonicated and re-read till a stable optical density was obtained [33 (
link)].
Bronchoalveolar Lavage Fluid (BALF) Collection and Analyses: Whole lung bronchoalveolar lavage (BAL) was performed to collect 3 mL of BALF (3 washes of 1 ml each), pooled and processed for cellular and biochemical analyses as described previously [34 (
link),35 (
link)]. BALF total cells were quantified using a hemocytometer/automated cell counter (Countess®, Thermofisher Scientific, Waltham, MA). Differential cell counts were performed after cytospin preparation (Cytospin® Thermofisher Scientific, Waltham, MA) as described by us previously [34 (
link)]. Cells were stained in Hema3 (Fisher Scientific, Pittsburgh, PA). Percentage of different cells types (macrophages, neutrophils, lymphocytes, eosinophils etc.) were calculated and absolute cell numbers were determined by taking into consideration the volume of lavage fluid collected. Lavage proteins were quantified as a marker for air-blood barrier integrity by Pierce BCA kit (Thermofisher Scientific, Waltham, MA) according to manufacturer's instructions. Lung cell death was estimated by quantifying lactate dehydrogenase (LDH) activity by Cytotox 96 NonRadioactive Cytotoxicity Assay (Promega, Madison, WI) according to manufacturer's instructions and previously published reports [35 (
link)].
In Vivo Immunospin Trapping (IST): IST employs antibody-based detection of stable adducts formed by the reaction of free radicals with a spin trap. IST was performed following the methods published by us previously [36 ]. Briefly, mice were intraperitoneally injected with 5,5-dimethyl-1-pyrroline-N-oxide (DMPO) 24, 18 and 12 h before exposure (0.5 g/kg for each injection and thus 1.5 g/kg total dose). Mice were exposed by inhalation to filtered air or 10 mg/m
3 CB + 2 ppm O
3 co-exposure aerosols for 3 h and sacrificed 24 h post exposure. Lung tissue were immunostained for epithelial cells (EPCAM monoclonal antibody G8.8, Developmental Studies Hybridoma Bank, University of Iowa), actin (Phalloidin, Thermofisher Scientific, Waltham, MA) and nuclei (DAPI, Thermofisher Scientific, Waltham, MA). The rabbit polyclonal anti-DMPO antibody was a kind gift from Dr. Ron Mason (National Institute of Environmental Health Sciences, NIEHS).
Enzyme Linked Immunosorbent Assay (ELISA): ELISA assays were performed for keratinocyte chemoattractant (KC), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), interleukin-13 (IL-13), interleukin-1β (IL-1β) and thymic stromal lymphopoietin (TSLP) using Duoset sandwich ELISA assay kits (R&D Systems, MN) according to manufacturer's recommendations. Lower limit of detection for these assays were IL-1β (15.6 pg/mL), TNF-α (31.3 pg/mL), KC (15.6 pg/mL), IL-6 (15.6 pg/mL), IL-13 (62.5 pg/mL) and TSLP (15.6 pg/mL).
Lung Histology: Lungs were fixed with 10% neutral buffered formalin instillation through the trachea till fully distended. Hematoxylin and eosin staining was performed on 5 μm thick sections. Tissues were evaluated by a board-certified veterinary pathologist in a blinded fashion.
Real-time PCR Gene Expression: The lung tissues were snap frozen in liquid nitrogen for PCR analyses. Total RNA was extracted using Qiagen RNeasy RNA isolation kit (Qiagen, Germantown, MD) and cDNA was synthesized using Reverse Transcription Kit (High-Capacity cDNA Reverse Transcription Kit, Thermofisher Scientific). Sequences of PCR primers are provided in Supporting information
Table S2. PCR reaction was performed in triplicate using AriaMX real time PCR machine (Agilent, Santa Clara CA) using syber green chemistry as described by us previously [37 (
link)]. Relative expression level of genes of interest was measured using the comparative threshold method with 18S as internal control. Data were analyzed using ΔΔCt method, where fold change = 2
−ΔΔCt.
Lung Function Measurements: Forced Oscillation technique (FOT) and forced expiration (FE) measurements were performed 24 h post exposure after exposure using FlexiVent mechanical ventilator system (SCIREQ, Inc., Montreal, Canada) equipped with FX1 module as well as negative pressure forced expiration (NPFE) extension. Data was captured and analyzed using flexiWare v7.2 software. Aerosol challenges to (0–100 mg/mL) methacholine (2s each) was performed using synchronized nebulizer activation (Aeroneb Lab nebulizer, 2.5–4 μm; Aerogen, Galway, Ireland) integrated in the inspiratory arm of the Y-tubing. Protocol for these measurements is already described in detail [38 (
link)]. Briefly, mice were anesthetized with sodium pentobarbital (70 mg/kg) or urethane (2 mg/kg), a metal tracheal cannula (18 gauge, 0.3 cmH
2O.s/mL resistance) was inserted. Quasi-sinusoidally ventilation with a tidal volume of 10 mL/kg, a frequency of 150 breaths/min, an inspiratory to expiratory ratio of 2:3, and a positive end-expiratory pressure of 3 cmH
2O was performed. After two deep inflations (30 cmH
2O pressure), baseline measurements were performed by applying a broadband forced oscillation waveform inducing frequencies between 0.5 and 19.75 Hz (Prime-8; P8) and were analyzed by the constant-phase model. Newtonian resistance (Rn, airway resistance) was inferred from this data. Overall resistive and elastic properties of the respiratory system were measured using a snapshot 150 perturbation which is a single frequency forced oscillation (matched to subject's ventilation frequency and tidal volume). Data from this Snapshot measurement was fitted to single compartment model and Respiratory system resistance (Rrs) and compliance (Crs) were calculated. Same perturbations were applied in conjunction with increasing doses of methacholine (0–100 mg/mL) to construct dose response [38 (
link),39 ]. During these measurements after performing snap shot measurements, a Quick Prime-3 (QP3) perturbation was applied for five runs at approximately 15 s apart, resulting in 5 measurements for each concentration of methacholine. Each sequence was followed by a NPFE measurement taken approximately 15 s after the last FOT measurement using NPFE extension for FlexiVent. Forced Expiratory Volume at 0.1 s (FEV0.1) was measured in triplicate for each dose of methacholine. Moreover, a provocative concentration 20 (PC20), inducing a 20% decrease in FEV0.1 was assessed, by calculating the slope of the dose-response curve of each individual mouse, where the peak responses to MCh were normalized to the FEV0.1 of 0 mg/ml MCh (=100%).
Statistical Analyses: Data are presented as means ± standard deviation (SD) from at least two repeats with a total of 5–10 animals per group. Depending on group size normality of the data was confirmed by suitable normality tests (D'Agostino-Pearson or Shapiro-Wilk). In case of normally distributed data, significant differences between groups were identified by analysis of variance (one-way or two-way, as dictated by experimental design) and Tukey's post hoc test was applied. If data failed normality test, a non-parametric testing was performed, and a Kruskal Wallis post-test for group differences was applied. Individual comparisons between groups were confirmed by Student-t test or Mann-Whitney
U test as appropriate. For null hypothesis, a two-tailed p-value of less than 0.05 (95% confidence level) was considered statistically significant. Statistics were performed using GraphPad Prism v7.
Majumder N., Goldsmith W.T., Kodali V.K., Velayutham M., Friend S.A., Khramtsov V.V., Nurkiewicz T.R., Erdely A., Zeidler-Erdely P.C., Castranova V., Harkema J.R., Kelley E.E, & Hussain S. (2021). Oxidant-induced epithelial alarmin pathway mediates lung inflammation and functional decline following ultrafine carbon and ozone inhalation co-exposure. Redox Biology, 46, 102092.