Replicative cultures of human pleural mesothelial cells were established from noncancerous adult donors. The cells exhibited normal mesothelial cell characteristics including keratin, hyaluronic acid mucin, and long branched microvilli, and they retained the normal human karyotype until senescence. The mesothelial cells were 10 and 100 times more sensitive to the cytotoxic effects of asbestos fibers than normal human bronchial epithelial or fibroblastic cells, respectively. In addition, cultures of mesothelial cells that survived two cytotoxic exposures of amosite fibers were aneuploid with consistent specific chromosomal losses indicative of clonal origin. These aneuploid cells exhibit both altered growth control properties and a population doubling potential of >50 divisions beyond the culture life span (30 doublings) of the control cells.Epidemiological studies have established that exposure to asbestos fibers is the primary cause of mesothelioma in the industrialized world (1-3). The latency period for this disease ranges from 15 to >40 years (4) and because of the high use of asbestos during and since World War II, the mortality rate from mesothelioma has doubled since 1967. Projections indicate that the incidence will continue to increase until the year 2007 (5). Carcinogenesis studies with animals have shown that mesothelioma can be caused by either intrapleural or intraperitoneal injections of asbestos (6, 7). In addition, phagocytosis of chrysotile asbestos by rat mesothelial cells in culture has been investigated (8). However, studies with human mesothelial cells have not been reported previously. In addition, the mechanisms by which asbestos causes mesothelioma remain obscure. Thus, we elected to investigate both short-and long-term effects of asbestos fibers on replicative cultures of normal human mesothelial cells.
MATERIALS AND METHODSCell Culture and Growth Medium. Cultures of mesothelial cells were initiated from pleural effusions obtained from noncancerous donors who had medical indications of thoracentesis (e.g., congestive heart failure). The fluid was initially centrifuged at 125 x g for 5 min. The pelleted cells were suspended in growth medium, washed by centrifugation, resuspended in growth medium, and inoculated into surface-coated 10-cm culture dishes at a ratio of 1 dish per 50 ml of pleural fluid. Semiconfluent cultures were dissociated by using trypsin (9) and either expanded by inoculating 200,000 cells per 10-cm culture dish, cryopreserved (9), or used according to experimental protocols.Growth medium was prepared by supplementing medium M199 with hydrocortisone (0.4 ,AM), zinc-free insulin (0.87 ,uM), epidermal growth factor (3.3 nM), Hepes (20 mM), trace elements (9), fetal bovine serum (5%), and gentamicin (50 Ag/ml). Hydrocortisone was purchased from Steraloids (Wilton, NH); insulin and epidermal growth factor were obtained from Collaborative Research (Waltham, MA). Lux culture dish surfaces were coated (10) with a mixture of human fibronectin (10 pug/ml), collagen (Vitro...