“…to fibrogenesis are still poorly understood. The biological characteristics of the dusts are largely unknown, although it is suggested that the dust size, shape, surface charge, roughness, surface chemical composition, trace metal content, and crystallinity; dose of silica in the ambient air of the workplace; duration of exposure; genetic variation in exposed subjects; personal respiratory patterns; and presence of any coexisting disease (such as tuberculosis or rheumatoid arthritis) all influence the expression of silicosis (Koskinen et al, 1983;Noweir et al, 1980;Raask and Schilling, 1980;Reiser and Last, 1979;Thorne et al, 1985;Wolff et al, 1981). The actual biochemical mechanisms through which these factors operate are still unclear.…”