“…Although aluminum is abundantly distributed in nature, including in water, soil, plants, and air, the respiratory system is an important prime site for exposure to Al-NPs. According to previous epidemiological studies, inhaled aluminum oxide particles have been associated with pulmonary fibrosis and pneumoconiosis (Brody, Miller, & Langer, 1984;Jederlinic et al, 1990). Additionally, several non-fibrous inorganic particles, including silica, aluminum oxide, titanium oxide, were found in the lung up to 21 years after cessation of occupational exposure and the mean particle diameter in BAL fluid was between 0.5 and 1.2 μm (Dumortier, De Vuyst, & Yernault, 1989).…”