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5.3 TOXICITY AND RISKS INDUCED BY OCCUPATIONAL EXPOSURE TO CHEMICAL COMPOUNDS  27 1

                                        Asbestos fibers



                    j^^^^^^^^^^^r                       Inflammatory cells
                      Mesothelium   ^T~~~ —-—-__ Cytokines
                          i          ^x'xT^-^          Reactive oxygen species
                          *              N/^X^/^fck. Stimulation of cell
                  looted cytoplasmic I     \\nroliferatio n
                   division                   N. ^x^
                           I                     N. Lipid peroxidation
                                     \              \, \
                      Binucleate cells  \            ^^     ^^

                                         \                DNA damage
                       Aneuploidy         X              ^~~
                           I         Cytoskeletal changes
                          *                  I                T
                   Altered gene expression  1           Altered gene expression
                           ^V\              -              *^7?
                            \\ ^^^ Decreased intercellular   S/
                             \ \     adhesion             >/ /
                             \\             * //
                                \       Decreased GJIC    /
                                \           *           /
                                   CELL TRANSFORMATION

                  FIGURE 5.39 Possible pathways in fiber carcinogenesis. The figure is based on review articles by
                                                                           76
                  1992 and Kamp et al. 1992, and original publications by Marsh and Mossman 1991,  Heintz et al.
                  1993, Kodama et al. 1993, Kinnula et al. I994b, as well as the results presented in studies II and V. The
                  connection between disrupted cytoplasmic division, cytoskeletal changes, and decreased intercellular
                  adhesion has not been studied in relation to fibers. The pathway is based on articles dealing with link-
                                                                               78 80
                  age between cadherins, catenins, and cytoskeleton, as well as their role in cell transformation. "  The
                  connection between decreased cell-cell adhesion and decreased GJIC has been reported by Musil et
                                82
                   8i
                  af.  and Meyer et al.,  and the role of GJIC in cell transformation has been reviewed by Yamasaki,  83
                  (modified from Pelin).  84
                  a single intravenous injection. If the kinetic data obtained yield a straight line
                  when plotted as the logarithm of plasma concentrations versus time, the ki-
                  netics of the compound can be described by a one-compartment model, in
                  which the whole body is treated as one single space or compartment. Even
                  though the one-compartment model is an extreme simplification of the or-
                  ganism in the physiological and toxicological sense, the behavior of several
                  chemical compounds can be well described and understood by using this
                  model. Usually, only the kinetics of compounds that are rapidly distributed in
                  the body can be described with the one-compartment model. As described be-
                  low (Fig. 5.40), the theoretical concentration C 0 can then be calculated.
                     The rate of elimination of a chemical compound from the body is usu-
                  ally proportional to the amount of the chemical in the body. Elimination
                  processes include biotransformation, exhalation, and excretion in the
                  urine, bile, saliva, and sweat, and even in the hair and nails. The first-order
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