Silica has been reported to directly stimulate cellular proliferation of hu
man lung fibroblasts, and silica-treated macrophage supernatants induce fib
roblast proliferation and some of their biosynthetic activities. Alveolar m
acrophages produce increased amount of tumour necrosis factor alpha (TNF-al
pha) and transforming growth factor beta (TGF-beta). Lung fibroblasts are p
roducers of interleukin-6 (IL-6). We investigated the capacity of lung fibr
oblasts obtained from normal and silicosis subjects to elaborate IL-6 in re
sponse to TNF-alpha and to TGF-beta. Our data show that TNF-alpha and TGF-b
eta are able to stimulate the proliferation of human lung fibroblasts in cu
lture, to increase the collagen production of the cells and are both able t
cs increase IL-6 production by lung fibroblasts of patients with silicosis.
We hypothesise that silica is able to stimulate lung fibroblast both direc
tly, increasing the cell proliferation, and indirectly stimulating the rele
ase of factors las TNF-alpha and TGF-beta) from activated alveolar macropha
ges, that are able to increase proliferative and biosynthetic activities of
fibroblast. (C) 2001 Elsevier Science B.V. All rights reserved.