Asbestos: mechanisms of toxicity and carcinogenicity in the respiratory tract.

"Asbestos" is a generic name for a group of minerals well·known for their adverse effects on the respiratory system. After prolonged periods of inhala· tion, asbestos produced fibrosis of the lung (i.e. asbestosis) and two types of malignancies. Mesothelioma, a tumor of the serosal cells lining the pleural and peritoneal cavities, is an extremely rare cancer in the general population but can account for as many as one in thirty of the malignancies found in asbestos workers (1). The second type of cancer produced by asbestos is bronchogenic carcinoma, a tumor of the epithelial cells lining the upper airways. This cancer occurs with a high incidence in both asbestos workers and smokers in the general population (2). This review considers new experimental approaches, developed mainly in the past decade, that have been aimed at elucidating the mechanisms of asbestos toxicity. First, we review the physicochemical properties of asbes­ tos that relate to biological activity. Subsequently, we discuss the various

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