Safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig model

Abstract Background Cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD) are often associated with airway fluid acidification. Mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene leads to impaired bicarbonate secretion contributing to CF airway pathology...

Full description

Bibliographic Details
Main Authors: Kata Csekő, Dóra Hargitai, Lilla Draskóczi, Adrienn Kéri, Pongsiri Jaikumpun, Beáta Kerémi, Zsuzsanna Helyes, Ákos Zsembery
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-022-01919-x
_version_ 1819022627436494848
author Kata Csekő
Dóra Hargitai
Lilla Draskóczi
Adrienn Kéri
Pongsiri Jaikumpun
Beáta Kerémi
Zsuzsanna Helyes
Ákos Zsembery
author_facet Kata Csekő
Dóra Hargitai
Lilla Draskóczi
Adrienn Kéri
Pongsiri Jaikumpun
Beáta Kerémi
Zsuzsanna Helyes
Ákos Zsembery
author_sort Kata Csekő
collection DOAJ
description Abstract Background Cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD) are often associated with airway fluid acidification. Mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene leads to impaired bicarbonate secretion contributing to CF airway pathology. Chronic cigarette smoke (CS) -the major cause of COPD- is reported to induce acquired CFTR dysfunction underlying airway acidification and inflammation. We hypothesize that bicarbonate-containing aerosols could be beneficial for patients with CFTR dysfunctions. Thus, we investigated the safety of hypertonic sodium bicarbonate (NaHCO3) inhalation in CS-exposed guinea pigs. Methods Animals were divided into groups inhaling hypertonic NaCl (8.4%) or hypertonic NaHCO3 (8.4%) aerosol for 8 weeks. Subgroups from each treatment groups were further exposed to CS. Respiratory functions were measured at 0 and after 2, 4, 6 and 8 weeks. After 8 weeks blood tests and pulmonary histopathological assessment were performed. Results Neither smoking nor NaHCO3-inhalation affected body weight, arterial and urine pH, or histopathology significantly. NaHCO3-inhalation did not worsen respiratory parameters. Moreover, it normalized the CS-induced transient alterations in frequency, peak inspiratory flow, inspiratory and expiratory times. Conclusion Long-term NaHCO3-inhalation is safe in chronic CS-exposed guinea pigs. Our data suggest that bicarbonate-containing aerosols might be carefully applied to CF patients.
first_indexed 2024-12-21T04:26:00Z
format Article
id doaj.art-ee79cdecf15e46c3a99f5f1fbc45ab6c
institution Directory Open Access Journal
issn 1471-2466
language English
last_indexed 2024-12-21T04:26:00Z
publishDate 2022-04-01
publisher BMC
record_format Article
series BMC Pulmonary Medicine
spelling doaj.art-ee79cdecf15e46c3a99f5f1fbc45ab6c2022-12-21T19:16:03ZengBMCBMC Pulmonary Medicine1471-24662022-04-0122111010.1186/s12890-022-01919-xSafety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig modelKata Csekő0Dóra Hargitai1Lilla Draskóczi2Adrienn Kéri3Pongsiri Jaikumpun4Beáta Kerémi5Zsuzsanna Helyes6Ákos Zsembery7Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs2nd Department of Pathology, Semmelweis UniversityDepartment of Pharmacology and Pharmacotherapy, Medical School, University of PécsDepartment of Oral Biology, Faculty of Dentistry, Semmelweis UniversityDepartment of Oral Biology, Faculty of Dentistry, Semmelweis UniversityDepartment of Oral Biology, Faculty of Dentistry, Semmelweis UniversityDepartment of Pharmacology and Pharmacotherapy, Medical School, University of PécsDepartment of Oral Biology, Faculty of Dentistry, Semmelweis UniversityAbstract Background Cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD) are often associated with airway fluid acidification. Mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene leads to impaired bicarbonate secretion contributing to CF airway pathology. Chronic cigarette smoke (CS) -the major cause of COPD- is reported to induce acquired CFTR dysfunction underlying airway acidification and inflammation. We hypothesize that bicarbonate-containing aerosols could be beneficial for patients with CFTR dysfunctions. Thus, we investigated the safety of hypertonic sodium bicarbonate (NaHCO3) inhalation in CS-exposed guinea pigs. Methods Animals were divided into groups inhaling hypertonic NaCl (8.4%) or hypertonic NaHCO3 (8.4%) aerosol for 8 weeks. Subgroups from each treatment groups were further exposed to CS. Respiratory functions were measured at 0 and after 2, 4, 6 and 8 weeks. After 8 weeks blood tests and pulmonary histopathological assessment were performed. Results Neither smoking nor NaHCO3-inhalation affected body weight, arterial and urine pH, or histopathology significantly. NaHCO3-inhalation did not worsen respiratory parameters. Moreover, it normalized the CS-induced transient alterations in frequency, peak inspiratory flow, inspiratory and expiratory times. Conclusion Long-term NaHCO3-inhalation is safe in chronic CS-exposed guinea pigs. Our data suggest that bicarbonate-containing aerosols might be carefully applied to CF patients.https://doi.org/10.1186/s12890-022-01919-xAirwaysCystic fibrosisCOPDBicarbonatepHInhalation
spellingShingle Kata Csekő
Dóra Hargitai
Lilla Draskóczi
Adrienn Kéri
Pongsiri Jaikumpun
Beáta Kerémi
Zsuzsanna Helyes
Ákos Zsembery
Safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig model
BMC Pulmonary Medicine
Airways
Cystic fibrosis
COPD
Bicarbonate
pH
Inhalation
title Safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig model
title_full Safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig model
title_fullStr Safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig model
title_full_unstemmed Safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig model
title_short Safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke-induced airway irritation guinea pig model
title_sort safety of chronic hypertonic bicarbonate inhalation in a cigarette smoke induced airway irritation guinea pig model
topic Airways
Cystic fibrosis
COPD
Bicarbonate
pH
Inhalation
url https://doi.org/10.1186/s12890-022-01919-x
work_keys_str_mv AT katacseko safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel
AT dorahargitai safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel
AT lilladraskoczi safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel
AT adriennkeri safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel
AT pongsirijaikumpun safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel
AT beatakeremi safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel
AT zsuzsannahelyes safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel
AT akoszsembery safetyofchronichypertonicbicarbonateinhalationinacigarettesmokeinducedairwayirritationguineapigmodel