Related Experiment Video
Updated: Dec 7, 2025

Generation and Expansion of Primary, Malignant Pleural Mesothelioma Tumor Lines
Published on: April 21, 2022
Asbestos induces mesothelial cell transformation via HMGB1-driven autophagy
Jiaming Xue1,2, Simone Patergnani3, Carlotta Giorgi3
1Thoracic Oncology Program, University of Hawai'i Cancer Center, University of Hawai'i, Honolulu, HI 96813.
Abstract:
Asbestos causes malignant transformation of primary human mesothelial cells (HM), leading to mesothelioma. The mechanisms of asbestos carcinogenesis remain enigmatic, as exposure to asbestos induces HM death. However, some asbestos-exposed HM escape cell death, accumulate DNA damage, and may become transformed. We previously demonstrated that, upon asbestos exposure, HM and reactive macrophages releases the high mobility group box 1 (HMGB1) protein that becomes detectable in the tissues near asbestos deposits where HMGB1 triggers chronic inflammation. HMGB1 is also detectable in the sera of asbestos-exposed individuals and mice. Searching for additional biomarkers, we found higher levels of the autophagy marker ATG5 in sera from asbestos-exposed individuals compared to unexposed controls. As we investigated the mechanisms underlying this finding, we discovered that the release of HMGB1 upon asbestos exposure promoted autophagy, allowing a higher fraction of HM to survive asbestos exposure. HMGB1 silencing inhibited autophagy and increased asbestos-induced HM death, thereby decreasing asbestos-induced HM transformation. We demonstrate that autophagy was induced by the cytoplasmic and extracellular fractions of HMGB1 via the engagement of the RAGE receptor and Beclin 1 pathway, while nuclear HMGB1 did not participate in this process. We validated our findings in a novel unique mesothelial conditional HMGB1-knockout (HMGB1-cKO) mouse model. Compared to HMGB1 wild-type mice, mesothelial cells from HMGB1-cKO mice showed significantly reduced autophagy and increased cell death. Autophagy inhibitors chloroquine and desmethylclomipramine increased cell death and reduced asbestos-driven foci formation. In summary, HMGB1 released upon asbestos exposure induces autophagy, promoting HM survival and malignant transformation.
Insights
High mobility group box 1 (HMGB1) protein released during asbestos exposure promotes autophagy, increasing human mesothelial cell survival and malignant transformation, a key mechanism in mesothelioma development.
Area of Science:
- Cell Biology
- Carcinogenesis
- Biomarker Discovery
Background:
- Asbestos exposure is a known cause of malignant transformation in human mesothelial cells (HM), leading to mesothelioma.
- The precise mechanisms of asbestos-induced carcinogenesis are not fully understood, particularly how HM survive asbestos exposure to transform.
- High mobility group box 1 (HMGB1) protein is released upon asbestos exposure and implicated in chronic inflammation and as a potential biomarker.
Purpose of the Study:
- To elucidate the role of HMGB1 in asbestos-induced mesothelioma development.
- To investigate the relationship between HMGB1, autophagy, and HM survival following asbestos exposure.
- To identify HMGB1 as a potential therapeutic target for preventing asbestos-related cancers.
Main Methods:
- Analysis of autophagy marker ATG5 in sera from asbestos-exposed individuals.
- Investigation of HMGB1's effect on autophagy and HM survival in vitro.
- Utilizing a novel mesothelial conditional HMGB1-knockout (HMGB1-cKO) mouse model.
- Assessment of autophagy inhibitors' impact on cell death and transformation.
Main Results:
- HMGB1 release upon asbestos exposure promotes autophagy, enhancing HM survival and subsequent malignant transformation.
- HMGB1 silencing or autophagy inhibition significantly increases asbestos-induced HM death and reduces transformation.
- Cytoplasmic and extracellular HMGB1, via RAGE and Beclin 1 pathways, induce autophagy; nuclear HMGB1 is not involved.
- HMGB1-cKO mice exhibit reduced autophagy and increased mesothelial cell death after asbestos exposure compared to wild-type.
Conclusions:
- HMGB1-driven autophagy is a critical survival mechanism for human mesothelial cells exposed to asbestos.
- This HMGB1-mediated autophagy promotes malignant transformation, contributing to mesothelioma pathogenesis.
- Targeting HMGB1 or autophagy pathways presents a potential strategy for mesothelioma prevention and treatment.
More Related Videos
Related Concept Videos
Abnormal Proliferation
Autophagy
An autophagic pathway consists of a series of signaling events activated in response to diverse stress and physiological conditions such as food deprivation,...
Induced Pluripotent Stem Cells
Somatic...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Mesenchymal Stem Cells
Autophagic Cell Death
Autophagy and Apoptosis
Autophagy can activate apoptosis. In normal conditions, the autophagy activating protein Beclin-1 and...

