You are on page 1of 5

Arch. Environ. Contain. Toxicol.

28, 524-528 (1995) A R C H I V E S OF


Environmental
Contamination
a n d Toxicology
© 1995 Springer-VerlagNew York Inc.

Decrease of 12-Hydroxyeicosatetraenoic Acid Production in Mouse Lungs Following


Dietary Oleic Anilide Consumption: Implications for the Toxic Oil Syndrome
S. H. Yoshida 1"2, B. A. Bruenner 1, J. B. German 1, M. E. Gershwin 2
i Department of Food Science and Technology, University of California, Davis, California 95616, USA
2 Division of Rheumatology, Allergy and Clinical Immunology, School of Medicine, University of California, Davis, California 95616, USA

Received: 29 July 1994/Revised:8 October 1994

Abstract. A study was performed to examine the ability of 1992). Thus, information gained from the TOS implicates envi-
dietary oleic anilide to alter 12-hydroxyeicosatetraenoic acid ronmental chemicals as factors in the etiology of human au-
(12-HETE) production. The structure of oleic anilide, synthe- toimmune diseases.
sized by reacting oleic acid with aniline, was confirmed by Oxidative mechanisms may be important in the pathogenesis
mass spectrometry. The purity of oleic anilide, 75%, was mea- of chemically-induced autoimmune disease, including the
sured by gas chromatography. Oleic acid, which constituted the TOS. Data supporting this hypothesis include the potential
remaining 25%, is a major component of the rapeseed oil vehi- ability of anilides to produce peroxides (Fournier et al. 1982),
cle. Balb/c mice were fed oleic anilide as 0.75% of their diet by the presence of 4-hydroxy-neonenals in case oils (Esterbauer
weight for three weeks. Their lungs were excised and examined et al. 1991), and decreased levels of reduced glutathione in
for 12-HETE production in vitro. The 12-HETE levels were oleic anilide-fed rats (Suarez et al. 1985). Because the toxic oil
significantly (p < 0.01) lower in mice fed oleic anilide than in samples were very sensitive to oxidation, Pestana and Munoz
mice fed the oleic acid control diet. This result illustrates ei- (1982) speculated that they contained low levels of tocopherols
cosanoid production as a target of fatty acid anilide toxicity. relative to natural occurring oils. Furthermore, oxidative dam-
The fatty acid composition, including arachidonic acid, of age to the intimal layer of lung endothelia is thought to be the
mouse lungs from both dietary groups was not different. This primary lesion of the TOS (Borda and Posada de la Paz 1992).
confirms the availability of substrate for 12-1ipoxygenase in In this context, this paper presents data demonstrating the lung
both groups. Spleen weights were higher in mice fed oleic to be a target organ in mice exposed to oleic anilide through
anilide than in control mice (p < 0.005). These observations their diet. Since oxygenases are well described targets of oxi-
are relevant to immunoregulation and the autoimmune syn- dant stress (Fitzsimmons and Rokach 1989; German and Hu
dromes noted in patients of the Toxic Oil Syndrome (TOS). 1990; van der Donk et al. 1991; Percival et al. 1992; Ishii et al.
1993), lipoxygenase activity of lung epithelia was examined for
alterations by dietary oleic anilide. 12-HETE was chosen for
consideration, since it was not yet studied in the context of the
Chemical and microbial environmental factors, and genetic TOS.
susceptibilities are important in the expression of autoimmu-
nity. However, the environmental etiologic agents responsible Materials and M e t h o d s
for the induction of autoimmune diseases are generally un-
known. One possible example of chemical etiology is the Toxic
Synthesis o f Anilides
Oil Syndrome (TOS). In Spain in 1981, a mass poisoning
resulted from the consumption of oil adulterated with aniline,
and this public health illness was termed the Toxic Oil Syn- Oleic anilide was prepared as described by Bell et al. (1992). Briefly,
aniline and oleic acid (Sigma, St. Louis, MO) were mixed and incu-
drome. The major suspect toxicants are fatty acid anilides (A1- bated under nitrogen for 48 h in a 150° C oven. The oil was dissolved in
dridge 1992; Guitart and Gelpi 1992), and the manifestations of anhydrous diethyl ether, the excess aniline was removed by extraction
toxicity are at least partially mediated by the immune system. with 10% HC1 in water, and the excess acid was removed with
Early signs of toxicity include high circulating levels of IgE and NaHCO3. The mixture was then passed through a Whatman #1 filter
eosinophils. Later stages of the syndrome include alopecia, paper, and the ether was evaporated with nitrogen.
myalgia, scleroderma, and Sicca syndrome (Kilbourne et al.
M a s s Spectrometry

Synthetic anilides were characterized by gas chromatography/mass


Correspondence to: S. H. Yoshida spectrometry (GC/MS). Mass spectra were obtained on a VG Trio-2
Oleic anilide and 12-HETE production 525

quadrupole mass spectrometer, using electron impact ionization at 70 phenotyping of spleen cells by fluoresceinated monoclonal antibodies
eV. Samples were analyzed on a 15 m DB-5 capillary column (J&W and flow cytometry was done as described by Naiki et al. (1993).
Scientific, Folsom, CA) using helium as the carrier gas. The oven
temperature was programmed from 150 to 290°C at 10°C/min, and the
injector temperature was 290°C. The purified anilides were treated Statistics
with diazomethane prior to GC/MS analysis to form methyl esters of
any unreacted fatty acids. Purity of the anilide was estimated by com-
The Mann-Whitney U test was performed with the StatView statistical
paring the peak area of the oleyl anilide to that of the oleic acid methyl
program on a Macintosh IIci computer.
ester present in each sample. No other compounds were evident.

Feeding Protocol Results

Ten female, 6-week-old Balb/c mice were fed a fiet of AIN76A Structural Analysis of Fatty Acid Anilides
(Dyets, Inc., PA) reconstituted with 10% fat. The fat was composed of
9% (w/w) rapeseed oil and 1% oleic anilide preparation; the diet thus As shown in Figure 1, analysis of the oleic anilide preparations
contained 0.75% oleic anilide. The 0.25% of oleic acid derived from
by GC/MS revealed mass spectra similar to that previously
the anilide preparation was considered insignificant since oleic acid is a
published (Wheals et al. 1982), thus confirming anilide forma-
major component of rapeseed oil, including those of case oils. Ten
control mice received a similar diet that contained 1% heated oleic tion. Molecular ions were observed at m/z 357 for oleic anil-
acid. The remaining 9% fat was derived from commercial rapeseed oil. ides. The purity of oleic anilides showed that approximately
The oleic anilide or control oleic acid was added to the rapeseed oil 75% of the oleic acid present in the samples reacted with
vehicle, then subsequently mixed with the AIN76A. Both diets were aniline. The other chromatographic peak had a retention time
stored at - 2 0 ° C until use. The anilide diets were prepared weekly. that corresponded to oleic acid.
The mice were fed ad libitum for three weeks prior to sacrifice and
analysis.
12-HETE Production

Mouse Lung Preparation Food consumption during the first week was similar between
both groups (Table 1). There was also no difference in mean
Freshly excised mouse lungs were homogenized with 2 ml of phos-
body weights just prior to sacrifice (Table 1). High perfor-
phate buffered saline and allowed to incubate for 3 h in a 37 ° C water
mance liquid chromatography analysis showed that 12-HETE
bath. Two ml of ethyl acetate and a prostaglandin B 1 standard were
added and vortexed. The lung homogenates were centrifuged and the production by mice fed oleic anilide was significantly lower as
ethyl acetate (top) layer was removed. The solvent was evaporated compared to that by oleic acid controls (Table 2). Total fatty
with nitrogen and the samples were redissolved in 100 ml of MeOH. acid analysis of lung homogenates showed no differences in
arachidonic acid levels between the two diet groups (Table 3).
This latter information demonstrates that substrate availability
Product Analyses was not a limiting factor in 12-HETE production. Other esteri-
fled fatty acids from lung homogenates also were not signifi-
12-HETE measurements were done as previously described (German cantly different between groups (Table 3). Therefore, in the
and Hu 1990). High performance liquid chromatographic analyses short term, oleic anilide consumption did not severely affect the
were performed on a Hewlett Packard 1090 HPLC equipped with a general fatty acid composition of lung.
diode array detector. Reverse phase analyses were performed with a
25 x 4.6 mm C-18 column (Supelco, Bellefonte, PA). The com-
pounds were eluted isocratically, using a solvent system of Immunological Parameters
MeOH:H20 (70:30) buffered with 5 mM ammonium acetate and 1 mM
EDTA (pH 5.7).
Fatty acid analysis was done as previously described (Berger and There were no differences in total serum IgM/IgG levels or
German 1990). Essentially, following 12-HETE analysis, mouse lung spleen cell phenotypes between the groups (Table 4). Balb/c
samples were dried with nitrogen and reacted with diazomethane for 10 mice fed oleic anilide had a higher mean spleen weight than
min. After the solvent was evaporated, samples were reconstituted mice fed oleic acid ( 0 . 1 7 + - 0 . 0 2 versus 0 . 1 3 - - - 0 . 0 1 ;
with 50 ml H20 and 100 ml hexane, centrifuged, and the hexane layers mean -+ SD; p < 0.005).
analyzed by GC. These fatty acid methyl esters were separated with a
Hewlett-Packard GC Model 5890A (Hewlett-Packard Co., Palo Alto,
CA) equipped with a flame ionization detector, model 3392A integra-
tor, and a DB-225 capillary column (30 m x -0.25 mm i.d.; J&W Discussion
Scientific, Folsom, CA). Oven, injector, and detector temperatures
were, respectively, 170, 250 and 280 ° C. The make-up gas was nitro- Data presented in this paper show that the feeding of oleic
gen and the carrier gas was hydrogen; the split was 30:1. anilide to Balb/c mice decreased 12-HETE production by lung
tissue. The results assume particular relevance due to the fol-
lowing three observations. First, oxidant stress has been sug-
Immunological Parameters gested as a possible mechanism for the toxicity observed in the
TOS (Fournier et al. 1982; Pestana and Munoz 1982; Suarez
The enzyme-linked immunosorbent assay used to measure serum IgM et al. 1985; Esterbauer et al. 1991). Second, lungs are the
and IgG was done as described by Yoshida et al. (1987). Surface earliest target of anilide poisoning (Borda and Posada de la Paz
526 S.H. Yoshida et al.

64~SY5t844 xl B9d=83 26-RPR-9388:12.8:14:88 TRIO-2 El*


BpH=8 I=5.Gv Hm=8 TIC=88751888 flcnt: Sgs:E]SPLTLS HMR: 36589888
OLE]C RNILIDE 18-18-92, OX. TIHE COURSE GC= 2810 CaL:ICRL RRSS: 93
*X30'O X30~O*
188 93
85
98
85
88
75
78
65
88
55
58
45
48
35
38
25
28
15 55
352
10
5
o ,
I1 ,11' ~783 12,1i5
-
69

IIIh I111. It. 10D...[


.-~ ..... t.
148
I
[, 162 12G 190 262 . 21G 238 244
. . . . . . . . . ,h , . i,,, ,
2GO
H , .
286
, L
~0 lee lse 2ee 250 3~e 410
Fig. 1. Electron impact mass spectra of oleic anilide. In order to visualize the molecular ions better, the mass fragment intensities are magnified by
30 times at m/z/> 300

Table 1. Food consumption and body weights of mice fed AIN76A Table 2. 12-HETE production in lung homogenates of mice fed
supplemented with either oleic acid or oleic anilide AIN76A supplemented with either oleic acid or oleic anilide
Diet group Treatment 12-HETE
Oleic acid Oleic anilide Oleic acid 14185 4- 1905ab
Oleic anilide 8775 4- 2050
Food consumption (g/day/mouse)
Day aMean 4- SD of total lung 12-HETE (ng) by HPLC
4 5.7 4.9 bp < 0,01, Mann-Whitney U test
5 6.3 7.7 12-HETE: 12-hydroxyeicosatetraenoic acid
6 6.9 5.5 AIN76A is the designation of a standardized, semi-purified mouse diet
7 5.2 5.5
Mean --- SD of body weights prior to sacrifice (g)
22.1 4- 1.1 21.0 4- 0.9 toxicity were not seen (body weights, food intake, fatty acid
AIN76A is the designation of a standardized, semi-purified mouse diet composition of lung tissue, etc.). This suggests that overt tox-
icity and immune dysfunction are preceded by subtle physio-
logic changes. Due to the broad range of functions of lipoxyge-
nase products, alterations in lipoxygenase activity could lead to
1992). Finally, decreases in lung superoxide dismutase and a very large number of definable physiologic abnormalities, as
glutathione peroxidase activities have been reported in guinea were noted in patients of the Toxic Oil Syndrome.
pigs given fatty acid anilides (Mukherjee e t a l . 1994). Although the present work does not provide direct evidence
Increased spleen weights following fatty acid anilide con- describing the mechanism by which 12-HETE production is
sumption were noted in this study and by Khan e t a l . (1991). reduced, lipoxygenase inactivation by oxidants is suggested.
The localization of ~4C in rat spleens following oral intake of Oxygenases are a family of proteins with known susceptibility
~4C-labeled oleic acid anilide also implicates this lymphoid to oxidant stresses. Products of lipoxygenase activity, such as
tissue as a target organ (Altmann and Grunow 1983). However, hydroperoxyeicosatetraenoic acids (van der Donk e t a l . 1991),
no group differences in spleen cell phenotypes or serum immu- and other oxidants such as H202 can inactivate lipoxygenases
noglobulins were observed in the present study. Other signs of (Fitzsimmons and Rokach 1989; Percival e t a l . 1992). Hyper-
Oleic anilide and 12-HETEproduction 527

Table 3. Esterified fatty acid composition of lung homogenates of anilide toxicity (Khan et al. 1991; Blasco and Ruiz-Gutierrez
mice fed AIN76A supplemented with either oleic acid or oleic anilide 1992). Thus, the preferential elimination of regulatory CD8 + T
cells may lead to a loss of immunological self-tolerance and
Treatment
contribute to the induction of autoimmune diseases.
Fatty acids Oleic acid Oleic anilide Recent reports on the in vitro exposure of human endothelial
16:0 30.0 - 0.& 29.7 ± 1.4 cells to fatty acid anilides show that these compounds are able
18:0 13.6 ± 0.8 12.1 ± 1.1 to stimulate or inhibit arachidonic acid metabolism, depending
18:1 (9+11) 24.9 ± 1.6 27.6 --- 4.1 on concentration and duration of contact. In general, relatively
18:2 n6 7.3 - 0.3 7.4 ± 0.7 low concentrations of, and shorter preincubation times with,
18:3 n3 0.5 ± 0.1 0.6 ± 0.2 fatty acid anilides elicited 6-keto-PGF~ and PGF2,~production.
20:2 n6 0.3 ± 0.1 0.3 ± 0.1 However, higher concentrations and longer incubation times
20:3 n6 0.5 ± 0.4 0.5 ± 0.4 tended to inhibit release, possibly through the inactivation of
20:4 n6 (arachidonic acid) 2.6 ± 0.6 2.3 ± 0.3 cyclooxygenase or phospholipase (de Castellarnau et al. 1993;
22:6 n6 2.4 + 0.6 2.8 --- 0.4
Pich et al. 1993). It is not known if fatty acid anilides had a
Others 18.0 - 0.8 16.8 - 2.1
direct effect on the cultured endothelial cells or if oxidized
aMean -+ SD of mol % products derived from anilides were responsible.
AIN76A is the designation of a standardized, semi-purified mouse diet The importance of developing in vivo models of fatty acid
anilide toxicity is clear. There is the possibility that in vivo,
anilides act directly as cellular toxicants. However, they may
Table 4. Comparisons of serum immunoglobulin levels and spleen cell
also activate inflammatory responses and other complex inter-
phenotypes between mice fed AIN76A supplemented with either oleic
acid or oleic anilide actions which are impossible to model entirely in vitro. This is
reflected by the unchanged 12-HETE production that followed
Treatment the addition of oleic anilide directly to mouse lung homoge-
nates from mice not fed anilide (data not shown). The possibil-
Immunological parameters Oleic acid Oleic anilide
ity that the data presented here accurately reflects overall oxida-
Serum immunoglobulinsa tive stress induced by dietary oleic anilide will direct further
IgM 0.671 --- 0.089 b 0.708 -+ 0.132 investigations on both the causal events leading to the TOS,
IgG 1.255 ± 0.281 1.310 -+ 0.222 including mechanisms underlying oleic anilide reactivities with
Spleen cell phenotypes epithelial lipoxygenases, and potential intervention strategies.
CD4+ CD8- 65.3 -+ 2.1 ° 67.1 ± 1.6
Additionally, the importance of information on oxidant imbal-
CD4- CD8 + 25.2 -+ 2.6 24.5 + 1.9
CD4- CD8- 8.4 -+ 1.3 6.8 -+ 1.9 ances generated by such animal studies will undoubtedly extend
CD4+ CD8 + 1.0 -+ 0.2 1.6 + 0.8 to models of other pathological conditions.

aSera dilution, 1:104


bMean + SD of absorbance Acknowledgments. This work was supported by Hatch funds (JBG) and
CMean -+ SD of frequency among CD3 + spleen cells National Institutes of Health Grant CA 20816 (MEG). The authors
AIN76A is the designation of a standardized, semi-purified mouse diet greatly appreciate the services of Ms. Cora Morgan for proofreading
the manuscript. This work is also sponsored in part by NOAA, Na-
tional Sea Grant College Program, Department of Commerce, under
grant number NA89AA-D-SG138, project number R/F-113 through
oxia has also been shown to decrease cyclooxygenase activity the California Sea Grant College Program and in part by the California
(Ishii et al. 1993). Previous work (German and Hu 1990) has State Resources Agency. The U.S. Government is authorized to repro-
also demonstrated the inhibition of 12-1ipoxygenase by oxi- duce and distribute for governmental purposes.
dants.
It is unlikely that 12-HETE production was altered by an
References
effect on phospholipase A2 since free arachidonic acid levels
were similar in both groups of mice (Table 3). Also, phospho-
lipase A2 activity is downregulated by glucocorticoids (Glaser Aldridge WN (1992) Experimental studies. In: Toxic oil syndrome:
Current knowledge and future perspectives. WHO regional publi-
et al. 1993). However, the global immunosuppressive effects
cations, European series no. 42, WHO, England, pp 67-97
of glucocorticoids (Goulding and Guyre 1993) are not reflected Altmann HJ, Grunow W (1983) Distribution and excretion of orally
by the immunological data presented in Table 4. Thus, an effect administered oleic acid anilide in the rat. Toxicology 27:321-326
on lipoxygenase is probably responsible for the decreased 12- Bell SA, Hobbs MV, Rubin RL (1992) Isotype-restricted hyperimmu-
HETE production. nity in a routine model of the toxic oil syndrome. J Immunol
Evidence of oxidant stress has been noted in chronic immu- 148:3369-3376
nologic diseases. Patients with HIV infections are known to be Berger A, German JB (1990) Phospholipid fatty acid composition of
under oxidant stress (Roederer et al. 1991; Droge et al. 1992). various mouse tissues after feeding a-linolenate (18:3n-3) or eico-
Thiol oxidation of T lymphocytes (Brown-Galatoli and Hall satreinoate (20:3n-3). Lipids 25:473-480
1992) and monocytes (McKeown et al. 1984) has also been Blasco R, Ruiz-Gutierrez V (1992) Effect of fatty acid anilides on
immune responses of Swiss mice. Clin Exp Immunol 89:131-135
noted in rheumatoid arthritis. CD8 + T cells may be more sus-
Borda IA, Posada de la Paz M (1992) Clinical findings. In: Toxic oil
ceptible to oxidant-induced inactivation than CD4 + T cells syndrome: Current knowledge and future perspectives. WHO re-
(Gmunder and Droge 1991; Veis et al. 1993; Grigolo et al. gional publications, European series no. 42; WHO, England, pp
1994). Also, decreases in CD8 + T cells have been observed in 27-38
the TOS (Lahoz et al. 1992), as well as experimental studies on Brown-Galatoli CH, Hall ND (1992) Impaired suppressor cell activity
528 S.H. Yoshida et al.

due to surface sulphydryl oxidation in rheumatoid arthritis. Br J Lahoz C, Rose NR, Goter Robinson CJ (1992) Immunology. In: Toxic
Rheumatol 31:599-603 oil syndrome: Current knowledge and future perspectives. WHO
de Castellarnau C, Pich I, Chanquia C, Vila L, Lagunas C, Fontcu- regional publications, European series no. 42, WHO, England, pp
berta J, Rutllant M (1993) Effects of linoleic and oleic acid anil- 143-163
ides on prostacyclin synthesis and fibrinolytic profile of human McKeown MJ, Hall ND, Corvalan JRF (1984) Defective monocyte
endothelial cells in culture: Relevance to the toxic oil syndrome. accessory function due to surfaces sulphydryl (SH) oxidation in
Toxicology 81:181-194 rheumatoid arthritis. Clin Exp Immunol 57:607~513
Droge W, Eck H-P, Mihm S (1992) HIV-induced cysteine deficiency Mukherjee S, Ghosh S, Rodgers L, Nayyar T, Desai U, Das SK (1994)
and T-cell dysfunction--A rationale for treatment with N-acetyl- Toxic effects of fatty acid anilides on the oxyen defense systems
cysteine. Immunology Today 13:2l 1-214 of guinea pig lungs and erythrocytes. J Biochem Toxicology 9:
Esterbauer H, Schaur RJ, Zollner H (1991) Chemistry and biochemis- 1-7
try of 4-hydroxynonenal, malonaldehyde and related aldehydes. Nalki M, Yoshida SH, Watanabe Y, Izui S, Ansari AA, Gershwin ME
Free Radical Biol Med 11:81-128 (1993) The contribution of I-Abml2 to phenotypic and functional
Fitzsimmons BJ, Rokach J (1989) Enzyme inhibitors and leukotriene alterations among T-cell subsets in NZB mice. J Autoimmunity
receptor antagonists. In: Rokach J (ed) Leukotrienes and lipoxyge- 6:131-143
nases. Chemical, biological and clinical aspects. Elsevier, The Percival MD, Denis D, Riendeau D, Gresser MJ (1992) Investigation
Netherlands, pp 427-502 of the mechanism of non-turnover-dependent inactivation of puri-
Fournier, E, Efthymiou M-L, Lecorsier A (1982) Spanish adulterated fied human 5-1ipoxygenase. Inactivation by H202 and inhibition
oil matter. An important discovery by Spanish toxicologists: The by metal ions. Eur J Biochem 210:109-11
toxicity of anilides of unsaturated fatty acids. Toxicol Eur Res Pestana A, Munoz E (1982) News and views. Anilides and the Spanish
4:107-112 toxic oil syndrome. Nature 298:608
German J.B., Hu M-H (1990) Oxidant stress inhibits the endogenous Pich I, Lopez S, Vila L, Lagunas C, De Castellamau C (1993) Influ-
production of lipoxygenase metabolites in rat lungs and fish gills. ence of fatty acid anilides present in toxic oils on the metabolism
Free Radical Biol Med 8:441--448 of exoenous arachidonic acid in cultured human endothelial cells.
Glaser KB, Molilio D, Chang JY, Senko N (1993) Phospholipase A2 Toxicology 77:5143
enzymes: Regulation and inhibition. Trends Pharmacol Sci Roederer M, Staal FJT, Osada H, Herzenberg LA, Herzenberg LA
14:92-98 (1991) CD4 and CD8 T cells with high intracellular glutathione
Gmunder H, Droge W (1991) Differential effects of glutathione deple- levels are selectively lost as the HIV infection progresses. Int
tion on T cell subsets. Cell Immunol 138:229-237 Immunol 9:933-937
Goulding NJ, Guyre PM (1993) Glucocorticoids, lipocortins and the Suarez A, Viloria MD, Garcia-Barreno P, Municio AM (1985) Toxic
immune response. Curr Op Immunol 5:108-113 oil syndrome, Spain: Effect of oleoylanilide on the release of
Grigolo B, Borzi RM, Mariani E, Monaco MCG, Cattini L, Porstmann polyunsaturated fatty acids and lipid peroxidation in rats. Arch
T, Facchini A (1994) Intracellular Cu/Zn superoxide dismutase Environ Contam Toxicol 14:131-136
levels in T and non-T cells from normal aged subjects. Mech van der Donk EMM, Verhagen J, Veldink GA, Vliegenthart JFG
Ageing Development 73:27-37 (1991) 12-1ipoxygenasefrom rat basophilic leukemia cells: Sepa-
Guitart R, Gelpi E (1992) Chemical composition of TOS-related oils. ration from 5-1ipoxygenase and temperature-dependent inactiva-
In: Toxic oil syndrome: Current knowledge and future perspec- tion by hydroperoxy fatty acid. Biochim Biophys Acta 1081:135-
tives. WHO regional publications, European series no. 42, WHO, 140
England, pp 99-142 Veis DJ, Sorenson CM, Shutter JR, Korsmeyer SJ (1993) Bcl-2-
Ishii Y, Morita S, Murota S, Kitamura S (1993) Hyperoxia decreases deficient mice demonstrate fulminant lymphoid apoptosis, poly-
cyclooxygenase activity in endothelial cells. Prost Leuk Ess Fatty cystic kidneys, and hypopigmented hair. Cell 75:22%240
Acids 48:455--461 Wheals BB, Whitehouse MJ, Curry CJ (1982) Application of liquid
Khan MF, Kaphalia BS, Palofox A, Jerrells TR, Ansari GAS (1991) chromatographic and spectroscopic methods for the characteriza-
Heated linoleic acid anilide: Toxicity and relevance to toxic oil tion of fatty acid anilides in contaminated cooking oils. J Chro-
syndrome. Toxicology 68:143-155 matogr 238:203-215
Kilbourne EM, de la Paz MP, Borda IA (1992) Epidemiological stud- Yoshida S, Dorshkind K, Bearer E, Castles JJ, Ahmed A, Gershwin
ies. In: Toxic oil syndrome: Current knowledge and future per- ME (1987) Abnormalities of B lineage cells are demonstrable in
spectives. WHO regional publications, European serie no. 42, long term lymphoid bone marrow cultures of New Zealand black
WHO, England, pp 5-25 mice. J Immunol 139:1454-1458

You might also like