PMID- 33737587 OWN - NLM STAT- MEDLINE DCOM- 20211011 LR - 20211011 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Mar 18 TI - Evaluation of polyhexamethylene guanidine-induced lung injuries by chest CT, pathologic examination, and RNA sequencing in a rat model. PG - 6318 LID - 10.1038/s41598-021-85662-z [doi] LID - 6318 AB - Our aim was to correlate chest CT and pathologic findings of polyhexamethylene guanidine phosphate (PHMG)-induced lung injuries in a rat model, to determine whether PHMG exposure causes lung tumors, and to explore genetic alterations according to PHMG exposure under the guidance of CT. A PHMG solution was intratracheally administrated to 40 male rats. Chest CT was carried out in all rats and both lungs were collected for histopathologic evaluation. At 4- and 8-weeks post-instillation, one lobe of the right lung from 3 rats was subjected to RNA sequencing. At least one abnormal CT finding was found in all rats at all weeks. The major CT findings were inflammation, fibrosis, and tumors in the pathologic analysis, where significant changes were observed over time. The lung lesions remained persistent after 8 weeks of PHMG exposure. In the pathologic analysis, the extent/severity of inflammation did not show statistically significant changes over time, whereas the extent/severity of fibrosis increased continuously up to 6 weeks after PHMG exposure and then decreased significantly at 8 weeks. Bronchiolar-alveolar adenomas which have malignant potential were found in 50% of rats at 6 and 8 weeks after PHMG exposure. Also, several genes associated with lung cancer, acute lung injury, and pulmonary fibrosis were detected. Our study revealed that PHMG-induced lung injury and its changes according to the number of weeks after exposure were demonstrated using chest CT and pathologic evaluation. In addition, we showed that PHMG exposure caused lung tumors and genetic alterations according to PHMG exposure under the guidance of CT. FAU - Kim, Cherry AU - Kim C AD - Department of Radiology, Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. FAU - Jeong, Sang Hoon AU - Jeong SH AD - Research Institute for Skin Image, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. AD - Medical Science Research Center, Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. FAU - Kim, Jaeyoung AU - Kim J AD - Research Institute for Skin Image, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. AD - Medical Science Research Center, Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. FAU - Lee, Ki Yeol AU - Lee KY AD - Department of Radiology, Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. FAU - Cha, Jaehyung AU - Cha J AD - Medical Science Research Center, Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. FAU - Lee, Chang Hyun AU - Lee CH AD - Department of Radiology, College of Medicine, Seoul National University, Seoul National University Hospital, Seoul, 03080, South Korea. FAU - Park, Eun-Kee AU - Park EK AD - Department of Medical Humanities and Social Medicine, College of Medicine, Kosin University, Busan, 49267, South Korea. FAU - Lee, Ju-Han AU - Lee JH AD - Department of Pathology, Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi, 15355, South Korea. repath@korea.ac.kr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210318 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Guanidines) RN - 31961-54-3 (polyhexamethyleneguanidine) SB - IM MH - Animals MH - Disease Models, Animal MH - Guanidines/toxicity MH - Humans MH - Lung/*diagnostic imaging/metabolism/pathology MH - Lung Injury/chemically induced/*diagnostic imaging/genetics/pathology MH - Pulmonary Fibrosis/diagnosis/*diagnostic imaging/genetics/pathology MH - Rats MH - Sequence Analysis, RNA MH - Thorax/*diagnostic imaging/pathology MH - Tomography, X-Ray Computed PMC - PMC7973781 COIS- The authors declare no competing interests. EDAT- 2021/03/20 06:00 MHDA- 2021/10/12 06:00 PMCR- 2021/03/18 CRDT- 2021/03/19 06:54 PHST- 2020/10/24 00:00 [received] PHST- 2021/03/04 00:00 [accepted] PHST- 2021/03/19 06:54 [entrez] PHST- 2021/03/20 06:00 [pubmed] PHST- 2021/10/12 06:00 [medline] PHST- 2021/03/18 00:00 [pmc-release] AID - 10.1038/s41598-021-85662-z [pii] AID - 85662 [pii] AID - 10.1038/s41598-021-85662-z [doi] PST - epublish SO - Sci Rep. 2021 Mar 18;11(1):6318. doi: 10.1038/s41598-021-85662-z.