Abstract:Both cigarette smoke (CS) and asbestos cause lung inflammation and lung cancer, and at high asbestos exposure levels, populations exposed to both of these carcinogens display a synergistic increase in the development of lung cancer. The mechanisms through which these two toxic agents interact to promote lung tumorigenesis are poorly understood. Here, we begin to dissect the inflammatory signals induced by asbestos in combination with CS using a rodent inhalation model and in vitro cell culture. Wild‐type C57BL… Show more
“…A very recent study in a mouse inhalation model shows that exposure to combined tobacco smoke and chrysotile asbestos suppressed the innate immune response (NLRP3 inflammasome) to asbestos fibers, resulting in reduced fiber clearance and more chronic inflammation, leading to carcinogenesis. Confirmatory in vitro studies in human monocytes produced a similar effect with combined tobacco smoke and asbestos exposure [98].…”
Section: The Synergy Between Asbestos Fibers and Tobacco Smoke For Lung Cancer Causation-animal Studiesmentioning
This review updates the scientific literature concerning asbestos and lung cancer, emphasizing cumulative exposure and synergism between asbestos exposure and tobacco smoke, and proposes an evidence-based and equitable approach to compensation for asbestos-related lung cancer cases. This update is based on several earlier reviews written by the second and third authors on asbestos and lung cancer since 1995. We reevaluated the peer-reviewed epidemiologic studies. In addition, selected in vivo and in vitro animal studies and molecular and cellular studies in humans were included. We conclude that the mechanism of lung cancer causation induced by the interdependent coaction of asbestos fibers and tobacco smoke at a biological level is a multistage stochastic process with both agents acting conjointly at all times. The new knowledge gained through this review provides the evidence for synergism between asbestos exposure and tobacco smoke in lung cancer causation at a biological level. The evaluated statistical data conform best to a multiplicative model for the interaction effects of asbestos and smoking on the lung cancer risk, with no requirement for asbestosis. Any asbestos exposure, even in a heavy smoker, contributes to causation. Based on this information, we propose criteria for the attribution of lung cancer to asbestos in smokers and non-smokers.
“…A very recent study in a mouse inhalation model shows that exposure to combined tobacco smoke and chrysotile asbestos suppressed the innate immune response (NLRP3 inflammasome) to asbestos fibers, resulting in reduced fiber clearance and more chronic inflammation, leading to carcinogenesis. Confirmatory in vitro studies in human monocytes produced a similar effect with combined tobacco smoke and asbestos exposure [98].…”
Section: The Synergy Between Asbestos Fibers and Tobacco Smoke For Lung Cancer Causation-animal Studiesmentioning
This review updates the scientific literature concerning asbestos and lung cancer, emphasizing cumulative exposure and synergism between asbestos exposure and tobacco smoke, and proposes an evidence-based and equitable approach to compensation for asbestos-related lung cancer cases. This update is based on several earlier reviews written by the second and third authors on asbestos and lung cancer since 1995. We reevaluated the peer-reviewed epidemiologic studies. In addition, selected in vivo and in vitro animal studies and molecular and cellular studies in humans were included. We conclude that the mechanism of lung cancer causation induced by the interdependent coaction of asbestos fibers and tobacco smoke at a biological level is a multistage stochastic process with both agents acting conjointly at all times. The new knowledge gained through this review provides the evidence for synergism between asbestos exposure and tobacco smoke in lung cancer causation at a biological level. The evaluated statistical data conform best to a multiplicative model for the interaction effects of asbestos and smoking on the lung cancer risk, with no requirement for asbestosis. Any asbestos exposure, even in a heavy smoker, contributes to causation. Based on this information, we propose criteria for the attribution of lung cancer to asbestos in smokers and non-smokers.
“…Indeed, IL‐1 β has been shown to be a marker of COPD severity as individuals with COPD present higher levels of IL‐1 β in serum . In contrast, another study shows that cigarette smoke reduces the inflammatory response in mice treated with another NLRP3‐activating crystal: asbestos . Although contradictory, the reduction of the inflammatory response could be explained by the promotion of the proteasomal degradation of NLRP3 mediated by its ubiquitination …”
Section: The Inflammasome: a Well‐regulated Immune Platform Also Presmentioning
SummaryAs a result of its strategic location, the epithelium is constantly exposed to a wide variety of pathogen and danger signals. Traditionally, the epithelium has been perceived as a defensive but passive barrier; however, it has now become evident that the epithelium senses and actively responds to these signals in order to maintain barrier homeostasis and contributes to the inflammatory response. One way it does this is by producing pro‐inflammatory cytokines including interleukin‐1β (IL‐1β) and IL‐18. These two cytokines are synthesized as inactive precursors, the maturation of which is mediated by pro‐inflammatory caspases after the activation and assembly of macromolecular complexes called inflammasomes. Epithelial cells express a large panel of inflammasome components, and although the molecular mechanisms underlying the activation of these complexes in haematopoietic cells are well understood, how epithelial cells react to danger signals to activate the inflammasome remains unclear. We review and discuss how different inflammasomes contribute to barrier homeostasis and inflammation at several barrier sites, their mechanisms and how their aberrant regulation contributes to disease at the different epithelia.
“…Nigericin is a NLRP3 inflammasome inducer and the NLRP3 inflammasome is most likely to be involved in inhaled airway challenges such as E-vapour. While inhibition of inflammasome activation by basic E-vapour has not been reported before, NLRP3 inflammasome inhibition by cigarette smoke has been described (Morris., 2015; Han., 2017; Ye., 2019); NLRP3 protein was reduced via ubiquitin mediated proteasomal processing in THP1 cells and C57BL/6 mice exposed to cigarettes smoke, and the NLRP3 inflammasome was supressed in reaction to Candida albicans in a rat model exposed to cigarette smoke. Indeed, Morris et al showed the NLRP3 inflammasomes response to asbestos was inhibited by cigarettes smoke, while we show here that nigericin fails to activate primed macrophages in the presence of basic E-vapour.…”
E-cigarettes are a highly popular nicotine replacement therapy in the process of smoking cessation. Despite this, research on the effects of E-vapours to human health remains limited. The popularity of vaping and mass production of cheap E-liquids has led to compromised safety regulations, with contaminants such as heavy metals and alkaloids detected in multiple liquids. Vaporised E-liquids increase cellular ROS generation and inflammatory cytokine release from pulmonary macrophages. This suggests that E-cigarette usage might activate inflammasomes. Common food additives vegetable glycerine (VG) and propylene glycol (PG) form the base of all E-liquids, but little is known about their inflammatory potential once inhaled. Here, the effect of PG and VG on inflammasome activation and cytokine release was investigated in macrophages and epithelial cells exposed to E-liquids and vaporised E-liquid extract (E-vapour). Base E-liquid and E-vapour did not induce cellular cytotoxicity and non-vapourised E-liquid had no effect on IL-8 release. However, basic PG/VG E-vapour inhibited both IL-8 release and conventional inflammasome activation by known inflammatory activators in macrophages and epithelial cells. These results propose a novel inhibitory effect of basic E-vapour components to inflammatory challenges.
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