Asbestos-induced lung diseases: an update
Open accessAbstract
Asbestos causes asbestosis (pulmonary fibrosis caused by asbestos inhalation) and malignancies (bronchogenic carcinoma and mesothelioma) by mechanisms that are not fully elucidated. Despite a dramatic reduction in asbestos use worldwide, asbestos-induced lung diseases remain a substantial health concern primarily because of the vast amounts of fibers that have been mined, processed, and used during the 20th century combined with the long latency period of up to 40 years between exposure and disease presentation. This review summarizes the important new epidemiologic and pathogenic information that has emerged over the past several years. Whereas the development of asbestosis is directly associated with the magnitude and duration of asbestos exposure, the development of a malignant clone of cells can occur in the setting of low-level asbestos exposure. Emphasis is placed on the recent epidemiologic investigations that explore the malignancy risk that occurs from nonoccupational, environmental asbestos exposure. Accumulating studies are shedding light on novel mechanistic pathways by which asbestos damages the lung. Attention is focused on the importance of alveolar epithelial cell (AEC) injury and repair, the role of iron-derived reactive oxygen species (ROS), and apoptosis by the p53- and mitochondria-regulated death pathways. Furthermore, recent evidence underscores crucial roles for specific cellular signaling pathways that regulate the production of cytokines and growth factors. An evolving role for epithelial-mesenchymal transition (EMT) is also reviewed. The translational significance of these studies is evident in providing the molecular basis for developing novel therapeutic strategies for asbestos-related lung diseases and, importantly, other pulmonary diseases, such as interstitial pulmonary fibrosis and lung cancer.
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Iron ions play a key role in asbestos toxicity because of their ability to catalyse generation of reactive oxygen species.
“Iron ions were considered to play a key role in asbestos toxicity because of their ability to catalyse generation of reactive oxygen species (ROS)5–7.”
From Surface reactivity of amphibole asbestos: a comparison between crocidolite and tremolite (2017) · cites this paper as [6]
Iron-generated free radicals are largely held as one of the causes of asbestos malignant effect.
“In asbestos toxicology, iron-generated free radicals are largely held as one of the causes of asbestos malignant effect.”
From Surface reactivity of amphibole asbestos: a comparison between crocidolite and tremolite (2017) · cites this paper as [6]
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- Authors
- Kamp, D. W.
- Affiliations
- Northwestern University (US)
- Corresponding author
- Kamp, David W.
- Venue
- Translational Research
- Publisher
- Elsevier BV
- Published
- 2009-04
- Volume
- 153
- Issue
- 4
- Pages
- 143-152
- ISSN
- 1878-1810 (ISSN-L)
- 1931-5244
- PMC
- PMC3544481
- OpenAlex
- W2115450306
- Cited by
- 251
- References
- 111
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 11 · 2023: 17 · 2022: 9 · 2021: 17 · 2020: 12 · 2019: 12 · 2018: 10 · 2017: 11 · 2016: 6 · 2015: 15 · 2014: 22 · 2013: 27 · 2012: 22
- FWCI
- 3.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Translational research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL035440)
- National Institute of Environmental Health Sciences (R01ES013995)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Occupational and environmental lung diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Social Sciences › Health › Occupational Health and Global Justice
- Keywords
- asbestos, asbestosis, pulmonary fibrosis, mesothelioma, lung cancer, asbestos exposure, environmental asbestos exposure, alveolar epithelial cells, reactive oxygen species, iron, apoptosis, p53, mitochondrial apoptosis, cytokines, growth factors, epithelial-mesenchymal transition, interstitial pulmonary fibrosis, latency period, pathogenesis
- MeSH terms
- Asbestos, Humans, Lung Diseases
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