“…There are three essential factors that are required to develop such disease [6]: adequate dose, dimensions of the fibers in the alveolar region, and fiber biopersistence. Other fiber properties, such as presence of iron or other transition metals on fibers, ability of fibers to generate free radicals [7,8], and the ability of fibers to interact with and alter biologically relevant molecules, as well as, the ability of fibers to produce reactive oxygen/nitrogen species (ROS) may also be determinants of fiber toxicity [6], especially among biopersistent fibers. Fibers may catalyze the generation of oxidants directly from molecular oxygen or indirectly from reactive oxygen and nitrogen species released by inflammatory cells recruited to the lungs or pleura [9].…”