Abstract. It is crucial to develop therapeutic approaches for malignant mesothelioma, as well as to obtain information involving the possible mechanism involved in the development of mesothelioma. Subsequently, thoracotomy was performed to infuse test particles directly into the thoracic cavity of A/J mice. Fiber-shaped particles of potassium octatitanate (TISMO) and granular-shaped micro-and nano-size order particles of titanium dioxide (TiO 2 ) were employed (1.5 mg in 0.2 ml saline/mouse). The experiment was terminated after 21 weeks to assess responses. Only the fiber-shaped TISMO, morphologically similar to asbestos, induced a severe reaction of the pleura. A number of TISMO fibers were observed in the alveoli, indicating penetration through the pleura. Following Berlin blue staining, positive spots were observed around the TISMO fibers, indicative of iron. These positive spots corresponded with cells that immunostained positively for calretinin, a marker of mesothelial cells. Similar observations were reported for asbestos-induced mesothelioma. The present study showed that only fiber-shaped TISMO induced severe reactions of the mesothelium in the pleura, and these involved iron accumulation derived from endogenous sources. The results indicate that the risk of mesothelial cell reaction does not depend on particle size, but may depend on shape.
IntroductionThe incidence of malignant pleural mesothelioma is on the increase and is anticipated to increase further in future decades as a result of widespread exposure to asbestos particularly in unprotected countries (1,2). Epidemiologically, analyses using an age-cohort model in Japan showed that there may be approximately 100,000 deaths due to pleural mesothelioma in the next 40 years (3). Based on US mesothelioma incidence data from 1973 to 2000, it was estimated that the total number of male mesothelioma cases in 2003-2054 will reach approximately 71,000 (4). Thus, it is crucial to develop treatment modalities for the therapy of malignant mesothelioma, and an appropriate animal model is necessary for this purpose. Reports exist on peritoneal mesothelioma induction by chemicals or fibers in conventional rats (5-8) or pleural mesotheliomas in genetically modified animals such as the p53 knockout mouse (9). Lardinois et al also reported the efficacy of the intrapleural application of cisplatin in an immune-competent rat model inoculated with mesothelioma cells (10). Since pleural malignant mesothelioma is the most common form of mesothelioma in humans (11), a bioassay model featuring similar lesions in otherwise normal animals would be optimal. However, to our knowledge no report of pleural mesothelioma in experimental wild-type animals using direct infusion of particles currently exists. In our previous study, 0.2 ml of polymer gel was infused directly into the left cavity of the thorax by thoracotomy to occupy a certain thoracic cavity volume and to examine the influence of physical pulmonary collapse. We demonstrated that a pronounced mesothelial cell reacti...