Genetic factors and acute carbon monoxide intoxication

Genetic factors and acute carbon monoxide intoxication

The Science of the Total Enuironment, 23 (1982) 189--196 Elsevier Scientific Publishing Company, Amsterdam -- Printed in The Netherlands GENETIC FACT...

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The Science of the Total Enuironment, 23 (1982) 189--196 Elsevier Scientific Publishing Company, Amsterdam -- Printed in The Netherlands

GENETIC FACTORS AND ACUTE CARBONMONOXIDE INTOXICATION

Maurice STUPFEL~, Arthur PERRAMON~ , Victor-Hugo DEMARIA PESCE~, Philippe M~RAT~ , V6ronique GOURLETm, Huguette THIERRY~

mlnstitut National de la Sant6 et de la Recherche M~dicale (INSERM), Groupe de Recherches sur les M6canismes Physiopathologiques des Nuisances de l'Environnement, 44, Chemin de Ronde, 78110, Le Wsinet, France.

~ I n s t i t u t National de la Recherche Agronomique (INRA), Laboratoire de G~n~tique Factorielle, 78350, Jouy en Josas, France.

ABSTRACT. LD12:12 (L = 0600-1800; L = 100 lux) synchronized, 5-10 grouped small laboratory vertebrates, were during part of the L period (0900-1130) exposed to an acute carbon monoxide intoxication, resulting in an overall 50 %mortality. Interspecific and interstrain differences were found in outbred and inbred mice (CBA, C57Bl, OFI), outbred rats (Sprague-Dawley, Wistar), guinea-pigs, chicks (R+, R-), and Japanese quails. In this last bird species, a genetic selection produced two genotypes, one sensitive and one resistant to a carbon monoxide acute intoxication.

INTRODUCTION. Carbon monoxide is s t i l l a health hazard for homes, f i r e fighters, industry workers which causes thousands of death per year (10, 23), and i t is also a potential risk for patients witi~ cardiovascular disease (2, 25). I t is mostly believed, since Claude BERNARD, that carbon monoxide intoxication results from the CO fixation on hemoglobin (5), though the importance of its effects

0048-9697/82/0000--0000/$02.75 © 1982 Elsevier Scientific Publishing Company

189

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on r e s p i r a t o r y enzymes (6) is debated. Moreover tile role of genetic factors has been evidenced in other r e s p i r a t o r y cilallenges and p a r t i c u l a r l y in acute hypoxia ( I I ,

13, 19), which is u s u a l l y con-

sidered as the consequence of an exposure to high concentrations of carbon monoxide. I t is t h i s aspect of genetic v a r i a t i o n s in carbon monoxide t o x i c i t y that we have experimentally investigated (20, 21). Considering tile t o x i c i t y of carbon monoxide, the acute effects of high concentrations of t h i s gas have to be studied on animal models which advantages and l i m i t s have been discussed elsewhere (18). Two kinds of experimental processes were used to i n v e s t i g a t e possible genetic differences. The f i r s t lity

one was to t e s t the l e t h a -

of an acute CO t o x i c i t y in d i f f e r e n t species and several s t r a i n s

of small laboratory vertebrates. The second one was to t r y to select, in a same species, two s t r a i n s , one s e n s i t i v e and one r e s i s t a n t to an acute carbon monoxide i n t o x i c a t i o n . For t h i s l a s t experimentation Japanese q u a i l s were chosen because i t is possible, with t h i s bird species, to get a new generation w i t h i n six weeks. ANIMALS AND METHODS. Conventional albino guinea-pigs, outbred OFI , inbred CBA and C57BI, SPF ( s p e c i f i c pathogen free) mice, outbred Sprague-Dawley and Wistar, SPF, rats were issued from the Breeding Research Center of Les Oncins (Saint Germain sur l ' A r b r e s l e , 69210, France). R+ and R- young chickens which had been selected f o r a high and low adult feed e f f i c i e n c y , and Japanese q u a i l s which had been selected f o r resistance to carbon monoxide acute t o x i c i t y came from the Factor i a l Genetics Laboratory of INRA. The animals were, according to species, housed in separated rooms, which were a i r conditioned (temperature 20-21°C; humidity 50-60 %) and LDI2:I 2 (L = 0600-1800 hr) l i g h t e d with i00 l u x . A l l animals were randomly d i s t r i b u t e d , species, s t r a i n and sex being separated, in wire mesh cages of 2 sizes. In the smallest ones, mice were 10-11 grouped; in the largest ones, r a t s , guinea-pigs, q u a i l s , chicks were 5-7 grouped. A synthetic food appropriate to the various species, and tap water, were provided ad l i b i t u m . For the acute i n t o x i c a t i o n , the wire mesh cages containing the animals were enclosed in a l u c i t e parallelepiped chamber. A mixture

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of 5.0 % carbon monoxide, 21% oxygen, and 74 % nitrogen (Compagnie FranGaise des Produits Oxyg~n~s) was flushed through t h i s chamber at a rate of 75-120 l i t e r s

per hour. Soda lime (Prolabo, anesthesia

grade) was placed in the bottom of the chamber to maintain a low concentration of carbon dioxide (0.05-0.30 %). The atmosphere of the chamber was analyzed f o r carbon monoxide, carbon dioxide (ONERA i n f r a r e d analysers) and f o r oxygen (Vial monitor) concent r a t i o n s . Carbon monoxide f l u s h i n g was stopped and the chamber was opened when i t appeared that about 50 % of the enclosed animals had ceased breathing. Continuous recording (Maxant recorder) shows that inside the chamber, during the i n t o x i c a t i o n , the temperature and humidity ranges uere r e s p e c t i v e l y 19-22°C and 84-100 %; the l i g h t i n g was 100-120 l u x . Because of circadian v a r i a t i o n s in s e n s i t i v i t y to carbon monoxide i n t o x i c a t i o n (15), a l l experiments were begun at the same time of the day (0910-0920). Statistical

differences were tested by Fisher t t e s t , variances I

a n a l y s i s , o r chi-square t e s t i n g . RESULTS. Table 1 shows the r e s u l t s of d i f f e r e n t experiments performed in one s t r a i n of guinea-pigs, 3 s t r a i n s of mice, 2 strains of r a t s , 2 s t r a i n s of chicks and 2 (selected f o r CO s u r v i v a l ) s t r a i n s of q u a i l s . Species, s t r a i n , sex, age, number of animals and t h e i r body weights, are shown in columns 1-6 of the table. In column 7 is the product of the length of tile carbon monoxide exposure ( i n minutes) by the pCO ( i n t o r r ) ,

which was achieved when the bv~rall 50 % survival

was reached. In column 8 are the survival percentages of the animals of each species, s t r a i n , and sex. When several r e s u l t s were obtained, the a r i t h m e t i c mean is followed by i t s standard deviation (mean ± SD). Interspecies comparisons, made by a c l a s s i f i c a t i o n according to the length of i n t o x i c a t i o n m u l t i p l i e d by pCO, give a c l a s s i f i cation ranging from small to great CO s e n s i t i v i t y : guinea-pigs < mice < rats = chicks < q u a i l s . When considering s t r a i n and sex differences the f o l l o w i n g data are obtained :

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Table

SURVIVAL TO AN OVERALL 50 % LETHAL CARBON MONOXIDE CHALLENGE OF DIFFERENT

1.

SPECIES AND STRAINS OF SMALL LABORATORY VERTEBRATES. SD; n u m b e r o f

(mean

SPECIES

:

STRAINS

GUINEAPIGS

: :

Conventional

:

:

~

:

:

:

: SEX : :: : :

: :

M F

: :

:

: :

CBA

: :

M F

experiments

:

: 47±7 :

: :

:

:

:

:

: :

: :

57 59

MICE

:

:

C57B1

:

: :

:

: :

: :

SpragueDawley

M F

M F

: 45+4

: :

:

:

:

: 368±60 : 354 ± 6 9

: 1494 + 1 0 3 ( 2 ) : -

: :

:

:

:

:

:

: :

: :

:

:

: :

19±1 15±2

: :

103 101

: :

M F

: :

19±2 16±2

: :

Wistar

:R+ :R-

: : : : : :

: :

M F

: :

M F

: Ls-

47.37 55.93

10.75 24.36

: : :

: :

65.05 67.35

:

:

:

:

:

:

: :

: :

: :

: :

:

:

:

: :

9.84 68.33

: :

35.00 91.67

: :

40.93 65.14

: :

58.23 71.26

103 102

: :

: :

27±2 21 ± 2

: :

61 62

: 351+-14 : 222+-10

: :

: :

60 60

: 349±12 : 207 ± 8

: :

: :

28±0

: :

105 109

: 193±34 : 203±30

: :

: :

: :

158 174

: 140±14 : 151±20

: :

: : :

58.25 84,31

158 +- 2 2 ( 4 )

: 56+_9 M F

285 + 6 ( 3 ) -

:

: M : : M :

Ls+

SURVIVAL %

:

79+-3 : :

QUAILS

: ":

:

RATS

CHICKS

: x END PCO : (rain. x torr)

WEIGHTS (g)

:

:

: :

:

:

: :

OFI

:

: LENGTH OF EXP.

:

93 78

: :

brackets) -:

A N I M A L S

AGE : NUMBERS : days: :

:

between

: : :

124

: 134±23

127

: 142±20

: :

166 ~ 3 0 ( 2 )

95 ± 3 1 ( 9 )

: : :

25.00 33.07

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In mice, CBA of both sexes are s t a t i s t i c a l l y

( P < 0.01) less

r e s i s t a n t than C57BI and OFI . A sex-related difference is noted in OFI where survival is s t a t i s t i c a l l y (P < 0.001) less in males (58.25 %) than in females (84.31%). In rats,a sex-related difference (P < 0.001) is noticed in both strains. In each sex,Sprague-Dawleys are s i g n i f i c a n t l y (0.01< P <0.001) less r e s i s t a n t than Wistars. R+ chicks are s i g n i f i c a n t l y (P < 0.001) less r e s i s t a n t than R- chicks. In Japanese quails a s i g n i f i c a n t ( P < 0.001) difference is observed between the selected r e s i s t a n t Ls+ and the selected sensit i v e Ls- s t r a i n . In each of t h i s s t r a i n , males are s l i g h t l y (P < 0.05) less r e s i s t a n t than females.

DISCUSSION. The aforementioned data confirms the discrepancies in carbon monoxide acute t o x i c i t y according to the chosen animal model ( I , 4, 14, 24). In addition i t proves t h a t , in a same species, differences are obtained according to s t r a i n and sex. Several physiological and biochemical factors are involved into these reported genetic differences. A few concern v e n t i l a t i o n and d i f f u s i o n which determine the intake of the inhaled CO, o~he~sconcern cardiac output which takes care of i t s d i s t r i b u t i o n . Both these r e s p i r a t o r y and c i r c u l a t o r y parameters are grossly related to body weights (8, 16). To explain these i n t e r and intraspecies discrepancies in carbon monoxide t o x i c i t y one must also consider differences in COHb kinetics (7, 9, 21), in neurovegetative reactions (12), and even in r e s p i r a t o r y circadian and u l t r a d i a n rhythms (17, 22) of the various phenotypes. I t can be conceived that the genetic selection performed in quails has developed one or a few of the physiological or biochemical mechanisms considered above and responsible f o r resistance or sensitivity

to the acute carbon monoxide challenge.

Moreover, i f carbon monoxide i n t o x i c a t i o n might be considered as a kind of hypoxia, i t can be hypothesized that the here reported CO genetic survival differences are s i m i l a r to those which have been reported in experimental acute hypoxic hypoxia (3, i i ,

12, 13,

23), and which are well known in high and low a l t i t u d e residents of Andes and Himalaya.

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Therefore the here evidenced genetic discrepancies, in several vertebrates species, in survival to an acute CO challenge, point out the p o s s i b i l i t i e s of such genetic differences in the human species. These genetic differences in s e n s i t i v i t y to carbon monoxide could be of interest to explain human interindividual discrepancies of cardiac pathological s e n s i t i v i t y of smokers and m o r t a l i t y in a i r pollution acute episodes.

ACKNOWLEDGEMENTS. We acknowledge with gratitude the s k i l l f u l technical assistance of Christian LEMERCERRE, Jean-Louis MONVOISIN, G~rard COQUERELLE, and the talented secretarial assistance of M i r e i l l e PAUCHARD.

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10. LARENG, L., FABRE, M. Place actuelle du gaz de v i l l e dans les causes d'intoxications aigu~s par l'oxyde de carbone. Nouvel. Presse Med., 1981, I0, 371-372. 11. MERAT, P., STUPFEL, M., COQUERELLE,G., PERRAMON,A. Sex-linked dwarf gene and chick survival to acute hypoxia. Ann. G~net. s61. anim., 1978, I0, 525-531. 12. MORDELET-DAMBRINE,M., STUPFEL, M. Comparison in guinea-pigs and in rats of the effects of vagotomy and of atropine on respiratory resistance modifications induced by an acute carbon monoxide or nitrogen hypoxia. Comp. Biochem. Physiol., 1979, 63A, 555-559. 13. PERRAMON,A., MERAT, P., STUPFEL, M., MOUTET, J.P., MAGNIER, M. Mise en ~vidence, chez la c a i l l e japonaise, de diff6rences g~n~tiques lors de la survie d l'hypoxie. C.R. Ac. Sci., 1976, 283, D, 1313-1315. 14. SPENCER, T.D. Effects of carbon monoxide on man and canaries. Ann. Occup. Hyg., 1961, 5, 231-240. 15. STUPFEL, M., MAGNIER, M., ROMARY, F. Rythme circadien de l'action de l'oxyde de carbone sur l'6mission du gaz carbonique du Rat en groupe. C.R. Ac. Sci., 1973, 27__66,D, 1009-1012. 16. STUPFEL, M. Choix des modules animaux pour l'~tude des nuisances respiratoires. Sci. Techn. Anim. Lab., 1976, i , 45-51. 17. STUPFEL, M., DAVERGNE,M., PERRAMON,A., LEMERCERRE,C., GOURLET, V. ythmes ultradiens (5 < ~ < 70 minutes) respiratoires (VOp, COp) de quatre petits vert6br6s u t i l i s ~ s pour la recherche biom~dicale. C.R. Ac. Sci., 1979, 289, D, 675-678.

~

18. STUPFEL, r,1., MORDELET-DAMBRINE,M., VAUZELLE, A., PERRAMON,A. Animal models and acute and long-Lerm carbon monoxide intoxication. Prevent. Med., 1979, 8, 333-343. 19. STUPFEL, ~.I., PERRAMON,A., MERAT, P., FAURE, J.M., DEMARIA PESCE: V.H., MASSE, H. Inter and intraspecies genetic differences in survival to an acute hypoxic challenge in mice, rats, quails and chickens. Comp. Biochem. Physiol., 1979, 64A, 317-323. 20. STUPFEL, M., DEMARIA PESCE, V.H., PERROT, A. Phenotypic differences in survival to an experimental acute carbon monoxide intoxication. Environ. Res., 1980, 21, 207-216. 21. STUPFEL, M., MORDELET-DAMBRINE,M., VAUZELLE, A. COHb formation and acute carbon monoxide intoxication in adult male rats and guinea-pigs. Bull. Europ. Physiopath. Resp., 1981, I_7_7, 43-51. 22. STUPFEL, M., PERRAMON,A., GOURLET, V., THIERRY, H., LEMERCERRE,C., DAVERGNE, M., MONVOISIN, J.L., DA SILVA, J. Light-dark and societal synchronisation of respiratory and motor a c t i v i t i e s in laboratory mice, rats, guinea-pigs and quails. Comp. Biochem. Physiol., 1981, 70A, 265-274.

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23. TERRILL, J.B., HONTGOMERY,R.R., REINHARDT, C.F. Toxic gases from f i r e s . Science, 1978, 200, 1343-1347. 24. THEODORE, J., O'DONNELL, R.D., BACK, K.V. Toxicological evaluation of carbon monoxide in humans and other mammalian species. J. Occup. Med., 1971, 13, 242-255. 25. Forum : Workshop on carbon monoxide and cardiovascular disease. Prevent. Med., 1979, 8, 261-406.