Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Morgantown, West Virginia,1 University of Lund, Lund, Sweden,2 The Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School,3 Harvard School of Public Health, Boston, Massachusetts4
Received 15 May 2003/ Accepted 22 October 2003
| ABSTRACT |
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| INTRODUCTION |
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House dust endotoxin has been associated with asthma severity in adults and children (14, 15, 25). Park et al. reported that early-life exposure to house dust endotoxin is associated with an increased risk of repeated wheezing during the first year of life (20). These observations indicate that exposure to low levels of home endotoxin induces airway inflammation and may aggravate or contribute to the development of airway disease in susceptible individuals. Recently, a possible protective effect of early-life endotoxin exposure on the risk of childhood asthma has also been attracting considerable attention (3, 13, 29, 30). Several reports suggest that early-life endotoxin exposure may induce immune polarization toward a Th1 cytokine profile that may reduce the risk of atopic diseases in later life. However, more information on the critical timing and routes of exposure, the necessary dose, and a characterization of the LPS encountered in the environment may still be required to understand the biological impacts of endotoxin exposure.
LPS consists of polysaccharide and lipid A components. Lipid A, the endotoxic component, shows a unique structure with bisphosphorylated ß(1-6)-D-glucosamine disaccharide as a backbone. This backbone structure typically carries 4 mol equivalents of 3-hydroxy fatty acids (3-OHFAs) with nonhydroxylated fatty acids ester linked to one or more of the 3-hydroxyl groups (24). The 3-OHFAs are a unique component of the lipid A molecule, making them well suited as a chemical marker for LPS (11, 12). Gram-negative bacteria from different genera may contain 3-OHFAs of differing chain lengths (31). Furthermore, the biological activity of endotoxin is dependent on the structure of lipid A (19, 23, 26-28). Takada et al. (28) demonstrated that the presence of 3-OHFA groups on the bisphosphorylated ß(1-6)-D-glucosamine disaccharide backbone is required for endotoxin activity with Limulus amoebocyte lysate. Qureshi et al. (23) showed that the fatty acid composition determines, in part, the endotoxin activity of lipid A in mammals, and recent observations suggest that lipid A structure may determine specificity for Toll-like receptors 2 and 4 (19). Therefore, data about the quantity and quality of LPS in environmental samples, in addition to their activity in the Limulus assay, may be critical to understanding the biological effects of environmental endotoxin exposure.
Our objective in this study was to characterize the LPS in house dust samples. We analyzed the quantity and distribution of different chain lengths of 3-OHFAs, determined by gas chromatography-mass spectrometry (GC-MS), in house dust samples collected in the Boston area. We used the 3-OHFA distribution as an indicator of variations in microbial flora characteristic of differing environments and examined the specific activity (endotoxin units [EU] per nanomole of LPS) of dust samples by comparing the Limulus assay activity of the samples with their LPS content determined by assay for 3-OHFAs. We hypothesized that each type of dust sample (bed, bedroom, family room, and kitchen), samples from different seasons, and samples associated with certain home characteristics (e.g., pets) would have characteristic flora and that this would be reflected in differences in 3-OHFA distribution and specific activity among the samples.
| MATERIALS AND METHODS |
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All samples were collected by using the previously described protocol (5, 9). We used a Eureka Mighty-Mite vacuum cleaner (model 3621; The Eureka Co., Bloomington, Ind.) modified to hold cellulose extraction thimbles (19 by 90 mm) to collect house dust. In the bedroom, 2 m2 of the bedroom floor surrounding the bed was vacuumed for 5 min. For bed dust, all layers of bedding were vacuumed for 5 min. In the family room, the seat cushion, arms, and back of the upholstered chair where the baby spent the most time were vacuumed (for 2.5 min) along with 2 m2 of the surrounding floor (for 2.5 min). In the kitchen, the edges of the floor under cabinets, around the refrigerator, and under the sink were vacuumed for 5 min. Within 24 h after collection, we weighed and sifted dust through a 425-µm mesh sieve, reweighed the fine dust, and made aliquots for various analysesallergens, culturable fungi, and endotoxin. Dust samples were stored at -20°C until analysis. An assay for endotoxin activity in the Limulus assay was done only if there was sufficient dust remaining after all of the other assays had been performed. Of the samples with dust remaining after completion of the Limulus assay, 203 were selected at random and sent to Lund, Sweden, for 3-OHFA analysis by GC-MS.
Assay for endotoxin activity of dust samples.
The endotoxin activity in dust samples was measured by the kinetic Limulus assay with the resistant-parallel-line estimation method as previously described (17, 18). Limulus amebocyte lysate (LAL) was obtained from BioWhittaker (Walkersville, Md.); reference standard endotoxin was obtained from the U.S. Pharmacopoeia, Inc. (Rockville, Md.); and control standard endotoxin was obtained from Associates of Cape Cod (Woods Hole, Mass.). Control and reference standards and field samples were serially diluted for endotoxin analysis in a standard buffer (0.01% triethylamine and 0.05 M potassium phosphate). Dust samples were serially diluted without centrifugation and with frequent vortexing to maintain particulates in suspension. The response parameter for the LAL reaction was the maximum rate of optical density change (Vmax). The log potency and its variance were computed by using the method developed by Milton et al. (17). Results were reported in endotoxin units with reference to EC5 or EC6 reference standard endotoxin (U.S. Pharmacopoeia, Inc.; 1 ng of EC5 and EC6 = 10 EU) after adjustment for lot-to-lot differences in LAL sensitivity to environmental endotoxin as previously described (22).
Assay for 3-OHFA content of dust samples.
Preparation of dust samples for 3-OHFA analysis was done essentially as described previously (16). Briefly, samples were hydrolyzed with 4 M methanolic HCl at 100°C for 18 h, methyl esters of the released fatty acids were extracted with heptane, nonhydroxylated esters were separated from hydroxylated esters by using a silica gel column, and finally, hydroxylated fatty acid esters were derivatized with N,O-bis-(trimethylsilyl)trifluoroacetamide and pyridine to form trimethylsilyl derivatives. The derivatized 3-OHFAs were analyzed by selected ion monitoring of m/z 175 and m/z (M-15) (16, 26); deuterated 3-OH C14 was used as an internal standard (monitoring m/z 178). The amount of LPS (nanomoles) was calculated as the sum of the number of nanomoles of 3-OHFAs over all measured carbon chain lengths divided by four. The limit of detection (LOD) was 0.5 pmol/mg of dust for each of the 3-OHFAs. Samples with a 3-OHFA concentration below the LOD were, for statistical analyses, assigned a concentration for that particular 3-OHFA equal to the LOD divided by the square root of 2.
A VG (Manchester, United Kingdom) Trio-1 S system was used for GC-MS. The gas chromatograph, a model 5890 (Hewlett-Packard, Avondale, Pa.), was equipped with a fused-silica capillary column (30 m by 0.25 mm [inside diameter]) coated with CP-Sil 8 CB-MS, 0.25-µm film thickness (Chrompack, Middelburg, The Netherlands). Injections were made with a Hewlett-Packard 7673 autosampler in the splitless mode; the split valve was opened 1 min after injection. Helium was used as the carrier gas, at an inlet pressure of 7 lb/in2, and the temperature of the oven was programmed to increase from 90 to 280°C at 20°C/min. The ion source temperature was 200°C, and electron impact ionization was used at 70 eV. Analyses were made in the selected ion monitoring mode.
Data analysis.
Specific activity of LPS in house dust samples was computed by dividing the endotoxin activity level (endotoxin units per milligram) by the LPS concentration (nanomoles per milligram) for each sample. The distributions of measured endotoxin activity levels and 3-OHFA and LPS concentrations within each study were positively skewed. Thus, we performed log transformations to obtain symmetrical distributions.
We computed the Spearman correlation coefficient (SAS Proc Corr; SAS Institute Inc., Cary, N.C.) to examine the correlation between endotoxin activity (endotoxin units per milligram of dust) and nanomoles of 3-OHFA per milligram of dust for each carbon chain length (C10:0, C12:0, C14:0, C16:0, or C18:0). We used multivariate mixed models with a random effect of home to examine the fixed effect of the study (controlled for fixed effects of season and sample type) on the concentrations of 3-OHFAs and LPS, the levels of endotoxin activity, and specific activity of LPS in dust. We used separate mixed models for each study to examine fixed effects of season and sample type (SAS Proc mixed; SAS Institute Inc.). The least-squares means option was used to compute adjusted geometric means and make comparisons between seasons and sample types with a Tukey-Kramer correction for multiple comparisons.
| RESULTS |
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= 0.05. However, the C14:0 3-OHFA was significantly (P = 0.08) and positively correlated with endotoxin activity at
= 0.1. The C16:0 3-OHFA was significantly (P = 0.04) negatively correlated with endotoxin activity, and the C18:0 3-OHFA was not correlated with endotoxin activity. In general, the correlations of short-chain 3-OHFAs with endotoxin activity were consistently positive while those of long-chain 3-OHFAs were more weakly positive or negative.
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Table 3 shows the adjusted geometric mean concentration of the 3-OHFAs (nanomoles per milligram) in house dust samples. The concentration of C10:0 was consistently among the lowest, and the concentration of C16:0 was consistently the highest, of the five measured 3-OHFAs. The level of C10:0 3-OHFAs was highest in kitchen dust in both studies, but the difference was not statistically significant. In study 2, both bed and bedroom floor dust samples had significantly higher concentrations of 3-OH C16:0 (P < 0.02) than did kitchen dust; bed dust had significantly greater and bedroom floor dust had borderline significantly greater (P = 0.06) 3-OH C18:0 concentrations than did kitchen dust. The concentrations of C16:0 and C18:0 were not significantly different between bed dust and bedroom floor dust. These results indicate that there is within-home variation in the concentrations of different chain length 3-OHFAs in house dust, which suggests that the type of LPS, and thus the microbial flora, in house dust varies with the area sampled within a home.
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Mean endotoxin activity in dust (Table 4) varied significantly with sample type in both studies. Endotoxin activity was significantly (P < 0.021) lower in bedroom floor dust than in kitchen floor dust in both studies and was significantly (P < 0.0001) lower in bed dust than that in kitchen floor dust in study 2. Bedroom floor and family room dust samples had similar activity levels (P = 0.63) in study 1, while bedroom floor dust had marginally (P = 0.049) higher endotoxin activity than did bed dust in study 2. Seasonal variation was marginally significant (P = 0.05) for study 1, and adjusted multiple comparison suggested that the summer level was significantly higher than the winter level (P = 0.04). In study 2, seasonal variation was significant (P = 0.01); spring, summer, and fall had similar endotoxin activity levels, but only spring had significantly (P = 0.01) greater endotoxin activity than winter.
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The specific activity of LPS in house dust (Table 4) varied significantly with sample type in both studies, with kitchen dust significantly more active per nanomole of LPS than any other dust (study 1, comparison with bedroom floor [P = 0.03] and family room [P = 0.02]; study 2, comparisons with bed dust and bedroom floor dust [P < 0.001]). Also in study 2, LPS in bed dust had significantly (P = 0.01) lower specific activity than that in bedroom floor dust. LPS in family room and bedroom floor dust had similar specific activities. Seasonal variation of the specific activity of LPS in dust was not significant in study 1 and was borderline significant in study 2 (P = 0.08, spring > winter).
In study 2, 3-OH C18:0 was significantly (P = 0.03) lower in apartments (0.09 nmol/mg) than in other homes (0.16 nmol/mg), controlling for season and sample type. Presence of dogs or cats at home was not associated with significant changes in the amount of specific 3-OHFAs.
| DISCUSSION |
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We observed that concentrations of longer chain length 3-OHFAs and of total LPS were highest in the fall. This finding indicates that LPS in house dust may vary qualitatively across seasons, suggesting different microbial flora in dust from different seasons.
Our results confirm our previous observation (27) that different chain lengths of 3-OHFAs in LPS are differently correlated with endotoxin activity detected by the Limulus assay. Shorter-chain (C10:0, C12:0, and C14:0) 3-OHFAs are positively correlated with endotoxin activity, while longer-chain (C16:0 and C18:0) 3-OHFAs tend to have lower, no, or even negative correlations with endotoxin activity in the Limulus assay. The predominance of short-chain fatty acids in kitchen dust therefore accounts for the otherwise paradoxical finding that kitchen dust contained the smallest amounts of LPS but the largest amounts of endotoxin bioactivity.
The observation that kitchen samples had significantly more endotoxin activity and higher LPS specific activities and had the highest fraction of C10:0 relative to those from other rooms suggests that the kitchen may be different from other environments within the house so that it supports different microbial flora. It is likely that the increase in C10:0 is an indication of increased organisms that grow in pooled water or plumbing, such as pseudomonas-like organisms that are rich in C10:0 and C12:0 (1).
We did not observe that the presence of pets such as dogs and cats at home changes the microbial flora in house dust, as we had expected on the basis of previous reports of higher endotoxin levels in the presence of pets. Andersson et al. (1) demonstrated that dust collected from cattle barns and swine confinement buildings had different microbial flora from that collected from schools and day care centers, suggesting that animal and human sources have characteristic flora. However, our failure to find different gram-negative flora between homes with and without pets may result from the small number of homes with pets in the data analyzed. On the other hand, our data showed that apartments in buildings with three or more units had significantly decreased amount of 3-OH C18:0 compared with single-family or duplex houses. These data suggest that apartment dwellers may be exposed to different types of LPS compared with people living in single-family or duplex homes.
It is known that biological activities of LPS from different species of bacteria may vary qualitatively. For example, Rhodopseudomonas sphaeroides LPS is nontoxic but retains significant immunostimulatory activity and is capable of inactivating suppressor T cells and of preventing tolerance to polysaccharide antigens (2, 23). Thus, nontoxic, as well as toxic, LPS may be able to modulate the response to inhaled allergens (6). The unique immunological properties of nontoxic LPS appear to be determined by the 3-OHFA composition of R. sphaeroides lipid A. Merely determining the endotoxic activity of house dust with an extract from horseshoe crab blood may miss important biological activities in humans. Andersson et al. (1) showed that 3-OH C14:0 correlated better with acute irritant reactions than did other 3-OHFAs in a variety of environmental dust samples. However, endotoxin exposure has been implicated as a factor that may modulate immune system development, especially by affecting polarization of Th1 and Th2 cells (3, 8). It is not known whether the immunological modulating effects of LPS important to the development of atopy and asthma are restricted to those structures that strongly activate the Limulus assay or even those structures specific for Toll-like receptor 4 (19). Thus, understanding the biology of early-life endotoxin exposure may require information about the types of lipid A to which children are exposed. Given that the endotoxin activity measured by the Limulus assay is largely determined by the amount of shorter-chain fatty acids, the predominance of longer-chain 3-OHFAs in bed dust, in dust from single family homes, and in dust sampled during the fall suggests that exposure may be underestimated by the Limulus assay. Since bed dust endotoxin is likely to be an important source of exposure, analysis of 3-OHFAs in bed dust may be useful in future studies.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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| REFERENCES |
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