Asbestos fibers have been shown to generate reactive oxygen species us
ing a variety of in vitro assays. It is hypothesized that these highly
reactive metabolites mediate the development of malignant mesotheliom
a induced by asbestos fibers. DNA is a potential target of oxidant att
ack. Adaptive responses to oxidant injury have been described during e
xposure of mesothelial cells to asbestos fibers in vitro. Failure of t
hese adaptive responses may lead to genetic instability and alteration
s in oncogenes and tumor suppressor genes that confer a proliferative
advantage to emerging neoplastic mesothelial cells.