Toxic effects of sodium hypochlorite as disinfectants on human bronchial epithelial cells

• Published in: Huan jing yu zhi ye yi xue = Journal of environmental & occupational medicine Vol. 41; no. 7; pp. 822 - 827
• Main Authors: Li, Jiawei, Liu, Jiangzheng, Guo, Xiaojie, Tu, Yongmei, Shi, Minjie, Li, Wenli, Lu, Jinsuo
• Format: Journal Article
• Language: Chinese; English
• Published: Shanghai Shanghai Municipal Center For Disease Control and Prevention 01.07.2024; Editorial Committee of Journal of Environmental and Occupational Medicine
• Subjects: Annexin V; Antiseptics; Apoptosis; Bacteria; Calcium (intracellular); Calcium (mitochondrial); Calcium efflux; Calcium ions; Cell morphology; Cell viability; Cholecystokinin; Concentration gradient; Disinfectants; Disinfection; Disinfection & disinfectants; Efflux; Epithelial cells; Epithelium; Flow cytometry; Fluorescent indicators; human bronchial epithelial cell; Hypochlorous acid; Injury prevention; Intracellular; Lipid peroxidation; Lipids; Membrane potential; Membranes; Microorganisms; Mitochondria; Morphology; Organelles; Oxidative stress; Peroxidation; Reactive oxygen species; Sodium; Sodium hypochlorite; Staining
• ISSN: 2095-9982
• DOI: 10.11836/JEOM23354

Background There are a variety of microorganisms in ambient air, and susceptible people can be infected once contact with pathogenic microorganisms in the environment. In order to avoid the spread of pathogenic bacteria, disinfection is the simplest and most effective way of killing pathogenic bacteria in the environment to block the contact between pathogenic bacteria and humans. Sodium hypochlorite (NaClO) is the most widely used disinfectant, but its safety in ambient air disinfection is not clear yet. Objective To establish a model of bronchial epithelial cell (BEAS-2B) injury induced by NaClO, and to explore the mechanism of the toxic effect of NaClO disinfectants on BEAS-2B. Methods Cells were treated with concentration gradients of 0, 25, 50,100, 200, and 400 μmol·L−1 of the diluted NaClO (100 mmol·L−1) standard solution, respectively, and cell activity was measured by cell counting kit-8 (CCK-8) assay after 15 and 30 min. Cells treated with 0, 25, and 50 μmol·L−1 NaClO were selected to observe the cell morphology under an inverted microscope, apoptosis was determined by flow cytometry Annexin V FITC / PI double staining to determine the final experimental concentration. The morphology of organelles such as mitochondria was observed under a transmission electron microscope. Mitochondrial membrane potential of the cells was detected by JC-1 staining. Intracellular Ca2++ concentration was measured with a Fluo-4 AM fluorescent probe. Total cellular reactive oxygen species (ROS) was detected with a 2',7'-dichlorodihydrofluorescein diacetate (DCFH-DA) fluorescent probe, cell mitochondrial ROS with a dihydroethidium (DHE) fluorescent probe, and lipid peroxidation intermediate malondialdehyde (MDA) with a commercial kit. Results Compared with 0 μmol·L−1, NaClO treatment group, cell morphology did not change a lot after 25 μmol·L−1 NaClO treatment for 30 min, and the cells began to wrinkle and become round after 30 min treatment with 50 μmol·L−1 NaClO, showing about 70% of normal cell viability (P<0.01). So 30 min 50 μmol·L−1 NaClO treatment was selected for the subsequent experiment. The experimental results found that compared with the 0 μmol·L−1 NaClO treatment group, the number of apoptotic cells increased (P<0.05), the mitochondrial membrane potential decreased (P<0.01), the intracellular Ca2++ concentration increased (P<0.05), the cellular ROS level increased (P<0.05), the mitochondrial ROS level increased (P<0.01), and the MDA content increased (P<0.01) in the NaClO treatment group.. Conclusion The study has successfully established a model of BEAS-2B injury induced by NaClO, and found that NaClO can lead to cell damage by inducing apoptosis and oxidative stress in BEAS-2B cells. According to the results, there are two possible reasons. First, NaClO solves in water to form hypochlorous acid (HClO) which is oxidative and increases the intracellular ROS level after entering cells, leading to cellular oxidative stress. Second, HClO enters cells to directly attack the mitochondrial membrane, resulting in the imbalance of potential inside and outside the mitochondrial membrane, and apoptosis caused by Ca2++ efflux.