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Airways microbiota: Hidden Trojan horses in asbestos exposed individuals?
Dimitrios E Magouliotis1, Vasiliki S Tasiopoulou1, Paschalis-Adam Molyvdas1
1Department of Physiology, University of Thessaly Medical School, BIOPOLIS, Larissa 41110, Greece.
Abstract:
Malignant pleura mesothelioma (MPM) is a rare type of cancer with devastating prognosis, which develops in the pleural cavity from transformed mesothelium. MPM has been directly associated with asbestos exposure however there are aspects of the pathophysiology involved in the translocation of asbestos fibers in the pleura that remain unclear. Here, we propose and discuss that certain proteins secreted by airways symbiotic microbiota create membrane pores to the airway epithelial cells, through which asbestos fibers can penetrate the lung parenchyma and reach the sub-pleural areas. We evaluate this hypothesis using data from the published literature regarding the airways microbiota toxins such as cholesterol-dependent cytolysins (CDCs).
Insights
Airway microbiota may facilitate asbestos fiber translocation to the pleura. Certain bacterial toxins could create pores in airway cells, enabling asbestos to reach sub-pleural areas, contributing to malignant pleural mesothelioma development.
Area of Science:
- Pulmonology
- Microbiology
- Oncology
Background:
- Malignant pleural mesothelioma (MPM) is a rare cancer linked to asbestos exposure.
- The precise mechanism of asbestos fiber translocation within the pleura remains unclear.
Purpose of the Study:
- To propose and evaluate a novel hypothesis for asbestos fiber translocation in the pleura.
- To explore the role of airway microbiota and their secreted toxins in MPM pathogenesis.
Main Methods:
- Literature review of published data on airway microbiota and toxins.
- Evaluation of cholesterol-dependent cytolysins (CDCs) as potential mediators of asbestos translocation.
- Hypothetical modeling of fiber penetration through airway epithelial cells.
Main Results:
- Certain bacterial proteins may form pores in airway epithelial cells.
- These pores could allow asbestos fibers to penetrate the lung parenchyma.
- This mechanism offers a potential pathway for fibers to reach sub-pleural tissues.
Conclusions:
- Airway microbiota-secreted proteins present a plausible mechanism for asbestos translocation.
- This pathway may contribute to the development of malignant pleural mesothelioma.
- Further research is warranted to validate the role of microbiota in asbestos-related lung diseases.
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