Lutz W, Krajewska B
Zakładu Diagnostyki Laboratoryjnej, Instytutu Medycyny Pracy im. prof. dra med. Jerzego Nofera w Lodzi.
Med Pr. 1995;46(3):275-84.
Man made mineral fibres have been recently introduced into industry as asbestos exchangers due to their much less harmful effect on workers' health. However, in 1988 IARC classified such mineral fibres as glass wool, rock wool and slag wool as probably carcinogenic for a man. The mechanism how MMMF may induce the carcinogenic process remains still unclear. It is assumed that the involvement of these fibres in the production of free oxygenic radicals is one of the most important factors contributing to the initiation of this process by MMMF. In the condition where free oxygenic radicals are produced very fast, the cell is exposed to an oxidative stress. The DNA damage is an important consequence of the oxidative stress. New oxygenic radicals may modify DNA and lead to mutation and finally they may contribute to the occurrence of neoplastic cells. OH is an oxygenic radical which most often damages DNA. It was also indicated that MMMF contributes to the increase of the number and activity of neutrophilic granulocytes and macrophages. The appearance of MMMF fraction in granulocyte results in an increased production of free oxygenic radicals which may damage DNA of epithelial cells. Experimental studies indicate that the production of free oxygenic radicals by neutrophilic granulocytes and macrophages activated by MMMF increases under the influence of chemicals embodied in tobacco smoke. The fibres when combined with tobacco smoke enlarge the number of DNA damages. Notwithstanding the information on a possible induction of a carcinogenic process by MMMF, epidemiological studies indicate that MMMF shows much less carcinogenic hazard than asbestos fibres.
人造矿物纤维由于对工人健康危害小,最近作为石棉替代品被引入工业。然而,1988年国际癌症研究机构将玻璃棉、岩棉和矿渣棉等矿物纤维列为对人类可能致癌。人造矿物纤维引发致癌过程的机制仍不清楚。据推测,这些纤维参与产生游离氧自由基是其引发该过程的最重要因素之一。在游离氧自由基快速产生的情况下,细胞会受到氧化应激。DNA损伤是氧化应激的重要后果。新的氧自由基可能会改变DNA并导致突变,最终可能促使肿瘤细胞的出现。羟基自由基是最常损伤DNA的氧自由基。研究还表明,人造矿物纤维会导致嗜中性粒细胞和巨噬细胞数量增加及活性增强。人造矿物纤维在粒细胞中的出现会导致游离氧自由基产生增加,进而可能损伤上皮细胞的DNA。实验研究表明,在香烟烟雾中的化学物质影响下,由人造矿物纤维激活的嗜中性粒细胞和巨噬细胞产生游离氧自由基的量会增加。这些纤维与香烟烟雾结合会增加DNA损伤数量。尽管有关于人造矿物纤维可能引发致癌过程的信息,但流行病学研究表明,人造矿物纤维的致癌风险比石棉纤维小得多。