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. 1981 Mar;102(3):447–456.

Asbestos and other ferruginous bodies: their formation and clinical significance.

A M Churg, M L Warnock
PMCID: PMC1903711  PMID: 6101235

Abstract

Analyses of asbestos bodies from the general population have confirmed that these structures, like asbestos bodies from the lungs of asbestos workers, contain an asbestos core. In members of the general population this core is almost always an amphibole, whereas asbestos workers may have bodies formed on either amphibole or chrysotile. Most adults have a few bodies, and increasing numbers are seen in blue collar workers and others who handle small amounts of the fiber, with the highest levels being seen in asbestos workers. In men with minimal or extensive occupational exposure, asbestos bodies are formed on the commercial fibers, amosite and crocidolite, whereas women also form a significant number of bodies on the noncommercial fibers, anthophyllite and tremolite. These findings suggest that women may be exposed to specific asbestos-containing products, eg, cosmetic talc. The commercial fibers found in women and white collar men probably reflect atmospheric pollution with asbestos. At the highest levels of exposure, numbers of asbestos bodies correlate in a general way with the presence of asbestosis, although no precise value has been determined above which asbestosis is always found. In persons with much lower or environmental exposure, there does not appear to be any correlation between numbers of bodies and disease, in particular between numbers of bodies and carcinoma of the lung or gastrointestinal tract. The situation for mesothelioma is uncertain.

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Selected References

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  1. Anjilvel L., Thurlbeck W. M. The incidence of asbestos bodies in the lungs at random necropsies in Montreal. Can Med Assoc J. 1966 Dec 3;95(23):1179–1182. [PMC free article] [PubMed] [Google Scholar]
  2. Ashcroft T., Heppleston A. G. The optical and electron microscopic determination of pulmonary asbestos fibre concentration and its relation to the human pathological reaction. J Clin Pathol. 1973 Mar;26(3):224–234. doi: 10.1136/jcp.26.3.224. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Auerbach O., Conston A. S., Garfinkel L., Parks V. R., Kaslow H. D., Hammond E. C. Presence of asbestos bodies in organs other than the lung. Chest. 1980 Feb;77(2):133–137. doi: 10.1378/chest.77.2.133. [DOI] [PubMed] [Google Scholar]
  4. Becklake M. R. Asbestos-related diseases of the lung and other organs: their epidemiology and implications for clinical practice. Am Rev Respir Dis. 1976 Jul;114(1):187–227. doi: 10.1164/arrd.1976.114.1.187. [DOI] [PubMed] [Google Scholar]
  5. Bhagavan B. S., Koss L. G. Secular trends in prevalence and concentration of pulmonary asbestos bodies--1940 to 1972. A necropsy study. Arch Pathol Lab Med. 1976 Oct;100(10):539–541. [PubMed] [Google Scholar]
  6. Botham S. K., Holt P. F. Development of asbestos bodies on amosite, chrysotile and crocidolite fibres in guinea-pig lungs. J Pathol. 1971 Nov;105(3):159–167. doi: 10.1002/path.1711050303. [DOI] [PubMed] [Google Scholar]
  7. Breedin P. H., Buss D. H. Ferruginous (asbestos) bodies in the lungs of rural dwellers, urban dwellers, and patients with pulmonary neoplasms. South Med J. 1976 Apr;69(4):401–404. doi: 10.1097/00007611-197604000-00007. [DOI] [PubMed] [Google Scholar]
  8. Churg A. M., Warnock M. L. Analysis of the cores of ferruginous (asbestos) bodies from the general population. III. Patients with environmental exposure. Lab Invest. 1979 May;40(5):622–626. [PubMed] [Google Scholar]
  9. Churg A. M., Warnock M. L. Numbers of asbestos bodies in urban patients with lung cancer and gastrointestinal cancer and in matched controls. Chest. 1979 Aug;76(2):143–149. doi: 10.1378/chest.76.2.143. [DOI] [PubMed] [Google Scholar]
  10. Churg A., Warnock M. L. Analysis of the cores of asbestos bodies from members of the general population: patients with probable low-degree exposure to asbestos. Am Rev Respir Dis. 1979 Oct;120(4):781–786. doi: 10.1164/arrd.1979.120.4.781. [DOI] [PubMed] [Google Scholar]
  11. Churg A., Warnock M. L. Analysis of the cores of ferruginous (asbestos) bodies from the general population. I. Patients with and without lung cancer. Lab Invest. 1977 Sep;37(3):280–286. [PubMed] [Google Scholar]
  12. Churg A., Warnock M. L. Asbestos fibers in the general population. Am Rev Respir Dis. 1980 Nov;122(5):669–678. doi: 10.1164/arrd.1980.122.5.669. [DOI] [PubMed] [Google Scholar]
  13. Churg A., Warnock M. L. Correlation of quantitative asbestos body counts and occupation in urban patients. Arch Pathol Lab Med. 1977 Dec;101(12):629–634. [PubMed] [Google Scholar]
  14. Churg A., Warnock M. L., Green N. Analysis of the cores of ferruginous (asbestos) bodies from the general population. II. True asbestos bodies and pseudoasbestos bodies. Lab Invest. 1979 Jan;40(1):31–38. [PubMed] [Google Scholar]
  15. Cochrane J. C., Webster I. Mesothelioma in relation to asbestos fibre exposure. A review of 70 serial cases. S Afr Med J. 1978 Aug 12;54(7):279–281. [PubMed] [Google Scholar]
  16. Davis J. M. Asbestos dust as a nucleation center in the calcification of old fibrous tissue lesions, and the possible association of this process to the formation of asbestos bodies. Exp Mol Pathol. 1970 Apr;12(2):133–147. doi: 10.1016/0014-4800(70)90045-6. [DOI] [PubMed] [Google Scholar]
  17. Davis J. M. Further observations on the ultrastructure and chemistry of the formation of asbestos bodies. Exp Mol Pathol. 1970 Dec;13(3):346–358. doi: 10.1016/0014-4800(70)90096-1. [DOI] [PubMed] [Google Scholar]
  18. Davis J. M., Gross P., De Treville R. T. "Ferruginous bodies" in guinea pigs. Fine structure produced experimentally from minerals other than asbestos. Arch Pathol. 1970 Apr;89(4):364–373. [PubMed] [Google Scholar]
  19. Dicke T. E., Naylor B. Prevalence of "asbestos" bodies in human lungs at necropsy. Dis Chest. 1969 Aug;56(2):122–125. doi: 10.1378/chest.56.2.122. [DOI] [PubMed] [Google Scholar]
  20. Doniach I., Swettenham K. V., Hathorn M. K. Prevalence of asbestos bodies in a necropsy series in East London: association with disease, occupation, and domiciliary address. Br J Ind Med. 1975 Feb;32(1):16–30. doi: 10.1136/oem.32.1.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Gaensler E. A., Addington W. W. Asbestos or ferruginous bodies. N Engl J Med. 1969 Feb 27;280(9):488–492. doi: 10.1056/NEJM196902272800907. [DOI] [PubMed] [Google Scholar]
  22. Gough J. Differential diagnosis in the pathology of asbestosis. Ann N Y Acad Sci. 1965 Dec 31;132(1):368–372. doi: 10.1111/j.1749-6632.1965.tb41117.x. [DOI] [PubMed] [Google Scholar]
  23. Governa M., Rosanda C. A histochemical study of the asbestos body coating. Br J Ind Med. 1972 Apr;29(2):154–159. doi: 10.1136/oem.29.2.154. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Gross P., Cralley L. J., DeTreville R. T. "Asbestos" bodies: their nonspecificity. Am Ind Hyg Assoc J. 1967 Nov-Dec;28(6):541–542. doi: 10.1080/00028896709342681. [DOI] [PubMed] [Google Scholar]
  25. Gross P., DeTreville R. T., Haller M. N. Pulmonary ferruginous bodies in city dwellers. A study of their central fiber. Arch Environ Health. 1969 Aug;19(2):186–188. doi: 10.1080/00039896.1969.10666827. [DOI] [PubMed] [Google Scholar]
  26. Gross P., Tuma J., DeTreville T. P. Fibrous dust particles and ferruginous bodies. Methods for quantitating them and some results from the lungs of city dwellers. Arch Environ Health. 1970 Jul;21(1):38–46. doi: 10.1080/00039896.1970.10667189. [DOI] [PubMed] [Google Scholar]
  27. Hueper W. C. Occupational and nonoccupational exposures to asbestos. Ann N Y Acad Sci. 1965 Dec 31;132(1):184–195. doi: 10.1111/j.1749-6632.1965.tb41101.x. [DOI] [PubMed] [Google Scholar]
  28. Jaurand M. C., Bignon J., Sebastien P., Goni J. Leaching of chrysotile asbestos in human lungs. Correlation with in vitro studies using rabbit alveolar macrophages. Environ Res. 1977 Oct;14(2):245–254. doi: 10.1016/0013-9351(77)90036-6. [DOI] [PubMed] [Google Scholar]
  29. Kanazawa K., Birbeck M. S., Carter R. L., Roe F. J. Migration of asbestos fibres from subcutaneous injection sites in mice. Br J Cancer. 1970 Mar;24(1):96–106. doi: 10.1038/bjc.1970.13. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Langer A. M. Inorganic particles in human tissues and their association with neoplastic disease. Environ Health Perspect. 1974 Dec;9:229–233. doi: 10.1289/ehp.749229. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Langer A. M., Maggiore C. M., Nicholson W. J., Rohl A. N., Rubin I. B., Selikoff I. J. The contamination of Lake Superior with amphibole gangue minerals. Ann N Y Acad Sci. 1979;330:549–572. doi: 10.1111/j.1749-6632.1979.tb18760.x. [DOI] [PubMed] [Google Scholar]
  32. Langer A. M., Rubin I. B., Selikoff I. J. Chemical characterization of asbestos body cores by electron microprobe analysis. J Histochem Cytochem. 1972 Sep;20(9):723–734. doi: 10.1177/20.9.723. [DOI] [PubMed] [Google Scholar]
  33. Langer A. M., Rubin I. B., Selikoff I. J., Pooley F. D. Chemical characterization of uncoated asbestos fibers from the lungs of asbestos workers by electron microprobe analysis. J Histochem Cytochem. 1972 Sep;20(9):735–740. doi: 10.1177/20.9.735. [DOI] [PubMed] [Google Scholar]
  34. Martischnig K. M., Newell D. J., Barnsley W. C., Cowan W. K., Feinmann E. L., Oliver E. Unsuspected exposure to asbestos and bronchogenic carcinoma. Br Med J. 1977 Mar 19;1(6063):746–749. doi: 10.1136/bmj.1.6063.746. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Meurman L. Asbestos bodies and pleural plaques in a Finnish series of autopsy cases. Acta Pathol Microbiol Scand. 1966;(Suppl):1+–1+. [PubMed] [Google Scholar]
  36. Nizze H. Exposure to asbestos and the genesis of pleural plaques and neoplasia. Arch Pathol. 1973 Mar;95(3):213–214. [PubMed] [Google Scholar]
  37. Pooley F. D. Asbestos bodies, their formation, composition and character. Environ Res. 1972 Dec;5(4):363–379. doi: 10.1016/0013-9351(72)90039-4. [DOI] [PubMed] [Google Scholar]
  38. Rosen P., Gordon P., Savino A., Melamed M. Ferruginous bodies in benign fibrous pleural plaques. Am J Clin Pathol. 1973 Nov;60(5):608–612. doi: 10.1093/ajcp/60.5.608. [DOI] [PubMed] [Google Scholar]
  39. Rosen P., Savino A., Melamed M. Ferruginous (abestos) bodies and primary carcinoma of the colon. Am J Clin Pathol. 1974 Jan;61(1):135–138. doi: 10.1093/ajcp/61.1.135. [DOI] [PubMed] [Google Scholar]
  40. Sebastien P., Billon M. A., Dufour G., Gaudichet A., Bonnaud G., Bignon J. Levels of asbestos air pollution in some environmental situations. Ann N Y Acad Sci. 1979;330:401–415. doi: 10.1111/j.1749-6632.1979.tb18742.x. [DOI] [PubMed] [Google Scholar]
  41. Sebastien P., Fondimare A., Bignon J., Monchaux G., Desbordes J., Bonnaud G. Topographic distribution of asbestos fibres in human lung in relation to occupational and non-occupational exposure. Inhaled Part. 1975 Sep;4(Pt 2):435–446. [PubMed] [Google Scholar]
  42. Smith M. J., Naylor B. A method for extracting ferruginous bodies from sputum and pulmonary tissue. Am J Clin Pathol. 1972 Sep;58(3):250–254. doi: 10.1093/ajcp/58.3.250. [DOI] [PubMed] [Google Scholar]
  43. Speil S., Leineweber J. P. Asbestos minerals in modern technology. Environ Res. 1969 Apr;2(3):166–208. doi: 10.1016/0013-9351(69)90036-x. [DOI] [PubMed] [Google Scholar]
  44. Stumphius J., Meyer P. B. Asbestos bodies and mesothelioma. Ann Occup Hyg. 1968 Oct;11(4):283–293. doi: 10.1093/annhyg/11.4.283. [DOI] [PubMed] [Google Scholar]
  45. Suzuki Y., Churg J. Structure and development of the asbestos body. Am J Pathol. 1969 Apr;55(1):79–107. [PMC free article] [PubMed] [Google Scholar]
  46. THOMSON J. G., KASCHULA R. O., MACDONALD R. R. Asbestos as a modern urban hazard. S Afr Med J. 1963 Jan 19;37:77–81. [PubMed] [Google Scholar]
  47. Thomson J. G. Asbestos and the urban dweller. Ann N Y Acad Sci. 1965 Dec 31;132(1):196–214. doi: 10.1111/j.1749-6632.1965.tb41102.x. [DOI] [PubMed] [Google Scholar]
  48. Um C. H. Study of the secular trend in asbestos bodies in lungs in London 1936-66. Br Med J. 1971 May 1;2(5756):248–251. doi: 10.1136/bmj.2.5756.248. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Warnock M. L., Churg A. M. Association of asbestos and bronchogenic carcinoma in a population with low asbestos exposure. Cancer. 1975 Apr;35(4):1236–1242. doi: 10.1002/1097-0142(197504)35:4<1236::aid-cncr2820350431>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]

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