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Factors that impact susceptibility to fiber-induced health effects
Jennifer E Below1, Nancy J Cox, Naomi K Fukagawa
1Department of Medicine, Section of Genetic Medicine, University of Chicago, Chicago, Illinois 60637, USA. below@uchicago.edu
Abstract:
Asbestos and related fibers are associated with a number of adverse health effects, including malignant mesothelioma (MM), an aggressive cancer that generally develops in the surface serosal cells of the pleural, pericardial, and peritoneal cavities. Although approximately 80% of individuals with MM are exposed to asbestos, fewer than 5% of asbestos workers develop MM. In addition to asbestos, other mineralogical, environmental, genetic, and possibly viral factors might contribute to MM susceptibility. Given this complex etiology of MM, understanding susceptibility to MM needs to be a priority for investigators in order to reduce exposure of those most at risk to known environmental carcinogens. In this review, the current body of literature related to fiber-associated disease susceptibility including age, sex, nutrition, genetics, asbestos, and other mineral exposure is addressed with a focus on MM, and critical areas for further study are recommended.
Insights
Malignant mesothelioma (MM) risk is linked to asbestos exposure, but susceptibility factors like genetics and environment are key. Further research is needed to identify those most at risk from fiber exposure.
Area of Science:
- Environmental Health
- Oncology
- Toxicology
Background:
- Asbestos and related fibers are linked to malignant mesothelioma (MM), a rare and aggressive cancer.
- While asbestos exposure is common in MM cases, only a small percentage of exposed individuals develop the disease, indicating complex susceptibility factors.
- Understanding the multifactorial etiology of MM is crucial for identifying high-risk individuals and mitigating exposure to environmental carcinogens.
Purpose of the Study:
- To review the current literature on fiber-associated disease susceptibility, with a specific focus on malignant mesothelioma.
- To explore various factors contributing to MM susceptibility, including mineralogical, environmental, genetic, and viral influences.
- To recommend critical areas for future research to better understand and address MM risk.
Main Methods:
- Comprehensive literature review of studies on asbestos exposure and related health effects.
- Analysis of factors influencing susceptibility to malignant mesothelioma.
- Synthesis of current knowledge on fiber-associated diseases.
Main Results:
- Malignant mesothelioma (MM) development is influenced by more than just asbestos exposure.
- Factors such as age, sex, nutrition, genetics, and exposure to other minerals may play a role in MM susceptibility.
- The complex interplay of these factors necessitates further investigation.
Conclusions:
- Susceptibility to malignant mesothelioma is multifactorial, involving genetic and environmental elements beyond asbestos exposure.
- Identifying individuals at higher risk is essential for targeted prevention strategies.
- Further research is urgently needed to elucidate the precise mechanisms of MM susceptibility.
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