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Updated: Jan 20, 2026

Oropharyngeal Administration of Bleomycin in the Murine Model of Pulmonary Fibrosis
Published on: May 9, 2025
Metabolomic study on bleomycin and polyhexamethylene guanidine phosphate-induced pulmonary fibrosis mice models
Chan Seo1, Sung-Hwan Kim2, Hyeon-Seong Lee1
1College of Pharmacy, Sunchon National University, Suncheon, 540-950, Republic of Korea.
Introduction:
Polyhexamethylene guanidine phosphate (PHMG) has been used as a disinfectant and biocide, and was known to be harmless and non-toxic. However, in 2011, PHMG used as a humidifier disinfectant was reported to be associated with lung diseases, such as, fibrosis in the toxicant studies on pulmonary fibrosis by PHMG. However, no metabolomics study has been performed in PHMG-induced mouse models of pulmonary fibrosis.
Objectives:
We performed a metabolomic study to understand the biochemical events that occur in bleomycin (BLM)- and PHMG-induced mouse models of pulmonary fibrosis using gas chromatography-mass spectrometry (GC-MS), LC-tandem MS, and GC-tandem MS.
Results:
The levels of 61 metabolites of 30 amino acids, 13 organic acids, 12 fatty acids, 5 polyamines, and oxidized glutathione were determined in the pulmonary tissues of mice with BLM- and PHMG-induced pulmonary fibrosis and in normal controls. Principal component analysis and partial least squares discriminant analysis used to compare level of these 61 metabolites in pulmonary tissues. Levels of metabolites were significantly different in the BLM and PHMG groups as compared with the control group. In particular, the BLM- and PHMG-induced pulmonary fibrosis models showed elevated collagen synthesis and oxidative stress and metabolic disturbance of TCA related organic acids including fumaric acid by NADPH oxidase. In addition, polyamine metabolism showed severe alteration in the PHMG group than that of the BLM group.
Conclusion:
This result suggests PHMG will be able to induce pulmonary fibrosis by arginine metabolism and NADPH oxidase signaling.
Insights
Polyhexamethylene guanidine phosphate (PHMG) may cause lung fibrosis through arginine metabolism and NADPH oxidase signaling. This metabolomic study reveals significant biochemical changes in PHMG-induced pulmonary fibrosis mouse models.
Area of Science:
- Toxicology
- Metabolomics
- Pulmonary Medicine
Background:
- Polyhexamethylene guanidine phosphate (PHMG) was considered safe but linked to lung diseases after humidifier use.
- Previous studies identified PHMG as a cause of pulmonary fibrosis, but lacked metabolomic analysis.
Purpose of the Study:
- To investigate the metabolic changes in PHMG-induced pulmonary fibrosis using mouse models.
- To compare PHMG-induced fibrosis with bleomycin (BLM)-induced fibrosis metabolically.
Main Methods:
- Utilized gas chromatography-mass spectrometry (GC-MS) and tandem mass spectrometry (LC-MS/MS, GC-MS/MS).
- Analyzed 61 metabolites in pulmonary tissues from PHMG- and BLM-induced pulmonary fibrosis mouse models and controls.
- Employed principal component and partial least squares discriminant analyses for metabolite comparison.
Main Results:
- Significant differences in metabolite levels were observed between fibrosis models and controls.
- PHMG and BLM induced elevated collagen synthesis, oxidative stress, and altered TCA cycle organic acids.
- Polyamine metabolism was more severely disrupted in the PHMG group compared to the BLM group.
Conclusions:
- PHMG-induced pulmonary fibrosis is associated with altered arginine metabolism and NADPH oxidase signaling.
- Metabolomic profiling provides insights into the mechanisms of PHMG toxicity in the lungs.
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