Cited by 557Inhalation and Respiratory Drug DeliveryAir Quality and Health ImpactsOccupational and environmental lung diseases

Deposition, retention, and clearance of inhaled particles.

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Lippmann, M, Yeates, D B, Albert, R E·1980·Occupational and Environmental Medicine

Abstract

The relation between the concentrations and characteristics of air contaminants in the work place and the resultant toxic doses and potential hazards after their inhalation depends greatly on their patterns of deposition and the rates and pathways for their clearance from the deposition sites. The distribution of the deposition sites of inhaled particles is strongly dependent on their aerodynamic diameters. For normal man, inhaled non-hygroscopic particles greater than or equal to 2 micrometers that deposit in the conducting airways by impaction are concentrated on to a small fraction of the surface. Cigarette smoking and bronchitis produce a proximal shift in the deposition pattern. The major factor affecting the deposition of smaller particles is their transfer from tidal to reserve air. For particles soluble in respiratory tract fluid, systemic uptake may be relatively complete for all deposition patterns, and there may be local toxic or irritant effects or both. On the other hand, slowly soluble particles depositing in the conducting airways are carried on the surface to the glottis and are swallowed within one day. Mucociliary transport rates are highly variable, both along the ciliated airways of a given individual and between individuals. The changes in clearance rates produced by drugs, cigarette smoke, and other environmental pollutants can greatly increase or decrease these rates. Particles deposited in non-ciliated airways have large surface-to-volume ratios, and clearance by dissolution can occur for materials generally considered insoluble. They may also be cleared as free particles either by passive transport along surface liquids or, after phagocytosis, by transport within alveolar macrophages. If the particles penetrate the epithelium, either bare or within macrophages, they may be sequestered within cells or enter the lymphatic circulation and be carried to pleural, hilar, and more distant lymph nodes. Non-toxic insoluble particles are cleared from the alveolar region in a series of temporal phases. The earliest, lasting several weeks, appears to include the clearance of phagocytosed particles via the bronchial tree. The terminal phases appear to be related to solubility at interstitial sites. While the mechanisms and dynamics of particle deposition and clearance are reasonably well established in broad outline, reliable quantitative data are lacking in many specific areas. More information is needed on: (1) normal behaviour, (2) the extent of the reserve capacity of the system to cope with occupational exposures, and (3) the role of compensatory changes in airway sizes and in secretory and transport rates in providing protection against occupational exposures, and in relation to the development and progression of dysfunction and disease.

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  • Following human inhalation, the greatest deposition of particles/fibers is in the 16th to 19th generations of airways, which includes the respiratory bronchioles.

    “Following human inhalation, the greatest deposition of particles/fibers is in the 16th to 19th generations of airways, which includes the respiratory bronchioles [85,86,87,88].”

    From Asbestos and Iron (2023) · cites this paper as [85]

    The Deposition Mechanisms section (page unavailable) says inhaled particles can deposit in bronchioles and alveolar spaces, supporting deposition in small airways generally. It does not identify the 16th–19th airway generations, establish that they include respiratory bronchioles, or say that they receive the greatest deposition of particles or fibers. (LLM, conf=0.78)

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Cited by

Sorted by citations

Authors
Lippmann, M., Yeates, D. B., & Albert, R. E.
Affiliations
University of Illinois Urbana-Champaign (US)
Venue
Occupational and Environmental Medicine
Publisher
BMJ
Published
1980-11-01
Volume
37
Issue
4
Pages
337-362
ISSN
  • 0007-1072 (ISSN-L)
  • 1351-0711
OpenAlex
W1986524556
Cited by
557
References
0
Citations by year
2026: 4 · 2025: 19 · 2024: 23 · 2023: 17 · 2022: 31 · 2021: 22 · 2020: 27 · 2019: 18 · 2018: 19 · 2017: 18 · 2016: 27 · 2015: 20 · 2014: 17 · 2013: 18 · 2012: 9
FWCI
11.49
Type
journal article
Language
en
Open access
Locations
  • Occupational and Environmental Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Heart, Lung, and Blood Institute
  • National Cancer Institute
  • National Institute of Environmental Health Sciences (ES00260)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Inhalation and Respiratory Drug Delivery
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Occupational and environmental lung diseases
Keywords
inhaled particles, particle deposition, particle clearance, aerodynamic diameter, mucociliary clearance, cigarette smoking, bronchitis, alveolar macrophages, phagocytosis, lymphatic clearance, occupational exposure
MeSH terms
Aerosols, Air Pollutants, Air Pollutants, Occupational, Cilia, Humans, Lung, Lung Diseases, Models, Biological, Mucus, Particle Size, Pulmonary Alveoli, Respiratory System, Respiratory Physiological Phenomena, Sulfur Oxides

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