Asbestosis and silicosis are fibrotic diseases initiated by the inhala
tion of silica-containing dusts, asbestos and quartz. There are variou
s approaches for explaining the causes of these diseases. At present,
our knowledge on the matter indicates that silicic acid dissolved from
these minerals, contact between macrophages and minerals, highly reac
tive and oxidative species formed on the mineral surface, and lysosoma
l enzymes released upon engulfment of particulate mineral of appropria
te size all contribute to various extents to the initiation of fibrosi
s. Among these mineral solubility seems to have a substantial contribu
tion as a causative factor. (C) 1998 Academic Press.