Asbestos is a potent carcinogen associated with increased risks of malignant mesothelioma and lung cancer in humans. Although the mechanism of carcinogenesis remains elusive, the physicochemical characteristics of asbestos play a role in the progression of asbestos-induced diseases. Among these characteristics, a high capacity to adsorb and accommodate biomolecules on its abundant surface area has been linked to cellular and genetic toxicity. Several previous studies identified asbestos-interacting proteins. Here, with the use of matrix-assisted laser desorption ionization-time of flight mass spectrometry, we systematically identified proteins from various lysates that adsorbed to the surface of commercially used asbestos and classified them into the following groups: chromatin ⁄ nucleotide ⁄ RNA-binding proteins, ribosomal proteins, cytoprotective proteins, cytoskeleton-associated proteins, histones and hemoglobin. The surfaces of crocidolite and amosite, two iron-rich types of asbestos, caused more protein scissions and oxidative modifications than that of chrysotile by in situ-generated 4-hydroxy-2-nonenal. In contrast, we confirmed the intense hemolytic activity of chrysotile and found that hemoglobin attached to chrysotile, but not silica, can work as a catalyst to induce oxidative DNA damage. This process generates 8-hydroxy-2¢-deoxyguanosine and thus corroborates the involvement of iron in the carcinogenicity of chrysotile. This evidence demonstrates that all three types of asbestos adsorb DNA and specific proteins, providing a niche for oxidative modification via catalytic iron. Therefore, considering the affinity of asbestos for histones ⁄ DNA and the internalization of asbestos into mesothelial cells, our results suggest a novel hypothetical mechanism causing genetic alterations during asbestos-induced carcinogenesis. (Cancer Sci 2011; 102: 2118-2125 A sbestos is a natural fibrous mineral that was heavily used in industry during the past century because of its durability, heat resistance and low cost. However, it has become clear that respiratory exposure to asbestos fibers, especially crocidolite and amosite, which have high biopersistence and contain abundant iron, is associated with high risks of developing malignant mesothelioma and lung cancer.(1-3) Many countries anticipate increased numbers of mesothelioma patients in the coming decades because there is an extremely long incubation period (30-40 years) for this fatal disease following asbestos exposure. (4) The molecular mechanism of asbestos-induced carcinogenesis remains elusive, (5) but both mesothelial cell injury and persistent macrophage activation are thought to be essential, if not sufficient, for mesotheliomagenesis.(6) These two events interact in vivo, leading to genetic mutations, chromosomal aberrations and aneuploidy in mesothelial cells. At least four major hypotheses related to the underlying mechanisms have been proposed. (6,7) First, the free radical theory postulates that DNA is injured by reactive oxygen species generated th...