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1337463 
Journal Article 
Review 
Arsenic, asbestos and radon: Emerging players in lung tumorigenesis 
Hubaux, R; Becker-Santos, DD; Enfield, KSS; Lam, S; Lam, WL; Martinez, VD 
2012 
Environmental Health
EISSN: 1476-069X 
BMC 
LONDON 
11 
89 
English 
The cause of lung cancer is generally attributed to tobacco smoking. However lung cancer in never smokers accounts for 10 to 25% of all lung cancer cases. Arsenic, asbestos and radon are three prominent non-tobacco carcinogens strongly associated with lung cancer. Exposure to these agents can lead to genetic and epigenetic alterations in tumor genomes, impacting genes and pathways involved in lung cancer development. Moreover, these agents not only exhibit unique mechanisms in causing genomic alterations, but also exert deleterious effects through common mechanisms, such as oxidative stress, commonly associated with carcinogenesis. This article provides a comprehensive review of arsenic, asbestos, and radon induced molecular mechanisms responsible for the generation of genetic and epigenetic alterations in lung cancer. A better understanding of the mode of action of these carcinogens will facilitate the prevention and management of lung cancer related to such environmental hazards. 
IRIS
• Arsenic (Inorganic)
     1. Literature
          Lit search updates through Oct 2015
     2. Initial Filter
          Reviews
• Arsenic Susceptibility
     Life Stages Citation Mapping
          15%-20%
• Inorganic Arsenic (7440-38-2) [Final 2025]
     1. Initial Lit Search
          PubMed
          WOS
          Considered New
     2. Lit Search Updates through Oct 2015
          WOS
          Considered
     4. Considered through Oct 2015
     6. Cluster Filter through Oct 2015
     7. Other Studies through Oct 2015
          Review/Risk Assessment/Guidance document
OPPT REs
• OPPT_Asbestos, Part I: Chrysotile_C. Engineering
     Total – title/abstract screening
          Off topic
• OPPT_Asbestos, Part I: Chrysotile_D. Exposure
     Total – title/abstract screening
          Off topic
• OPPT_Asbestos, Part I: Chrysotile_E. Fate
     Total – title/abstract screening
          Off topic
• OPPT_Asbestos, Part I: Chrysotile_F. Human Health
     Total – title/abstract screening
          On topic
               Peer review
                    Secondary source/ Review
     On topic - additional tags for titles/abstracts
          MOA
• OPPT_Asbestos, Part I: Chrysotile_Supplemental Search
     LitSearch: Sept 2020 (Undated)
          ProQuest
          PubMed
          Toxline
          WoS
     Legacy Uses
          Health Outcomes
          Exposure