MadSci Network: Medicine |
Cancer caused by asbestos seems to require that the asbestos get inside your lungs or digestive tract. The cancers caused by asbestos include lung cancer, mesotheloma, which is a cancer of the lining surrounding the lung, and cancers of the digestive tract such as stomach and colon cancer. Skin cancer does not appear to be caused by asbestos. The mechanism that asbestos causes cancer seems to be by the bodies immune response to the asbestos. Asbestos is an inorganic fiber that the body's immune system cannot do anything with. If I breathe in bacteria, my body's immune system will kill those right away. If I breathe in asbestos, the asbestos will hang around in the lungs forever. When the asbestos is in someone's lungs, the body sends its immune system cells or white blood cells (WBCs) to attack it. The body's WBCs create particles that are toxic to cells, especially free radicals. When the body is fighting off bacteria, this is good. The free radicals kill the bacteria, the WBCs gobble up the rest of the bacterial debris, and then go away. However, when asbestos gets into the lungs, the white blood cells keep making free radicals. The free radicals slowly damage the cells that are around the asbestos. Some of this damage includes damage to the DNA that cause mutations in cancer-causing genes. Apparently, these mutations eventially result in cancer in some people who are exposed to asbestos. However, this is a highly simplified view of how asbestos causes cancer. There are many different effects of the free radicals on cells that can cause cancer. There are many different ways cancer can occur. And there are lot of different changes that occur in cancer cells in cases of cancer that appear to have been caused by asbestos. In addition, other factors come into play, like the genetic makeup of people who are exposed to asbestos (some people are more likely to get cancer from asbestos than others), the age that the person was exposed to the asbestos, environment factors, like whether the person was exposed to smoking and the type of asbestos. Finally, you asked if asbestos directly affects cellular DNA. I have not seen anything that suggests that it does. In addition, the molecules are too big to get into a cell. So it seems very unlikely that asbestos directly affects DNA. Below are links to two articles. Unfortunately, the first one does not deal very well with cancer, and the second one is very hard (even for me to understand -- you also need a PDF reader to see article, such as Adobe Acrobat). But just looking at the second article sort of gives you an idea of how complicated the whole thing is. The buttom reference is to a entire issue of Scientific American devoted to cancer. It does not really answer your questions directly either, but it has good information about cancer. http://www.oncolink.upenn.edu/pdq_html/6/engl/600321.html http://www.elsevier.nl/gej-ng/10/38/20/29/17/19/article.pdf http://www.sciam.com/explorations/050597natmag/natmag.html< /a>
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