“…The first theory postulates the generation of reactive oxygen and nitrogen species (ROS/RNS) as a consequence of injury to pleural mesothelioma cells injury due to exposure to asbestos fibers [ 42 , 43 , 44 , 45 , 46 , 47 ]. Several studies also showed the formation of free radicals, accumulation of peroxidative products and depletion of cell antioxidants in the keratinocytes and bronchial epithelial cells exposed in vitro to SWCNTs [ 48 , 49 , 50 ] and MWCNTs [ 51 , 52 , 53 , 54 , 55 ]. Like asbestos, SWCNTs/MWCNTs contain high levels of Fe, Ni, Co, Mo and other transition metal impurities which are known to induce ROS/RNS formation.…”