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Silicosis

Respiratory Medicine · NLM MeSH · updated 2026-11-04 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 3 min read

A form of pneumoconiosis resulting from inhalation of dust containing crystalline form of silicon dioxide, usually in the form of quartz.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (574 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A form of pneumoconiosis resulting from inhalation of dust containing crystalline form of silicon dioxide, usually in the form of quartz. Amorphous silica is relatively nontoxic.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Silicoses.

Where it fits in the MeSH classification

Broader topics
Pneumoconiosis
Narrower topics
Anthracosilicosis; Silicotuberculosis

Related concepts

  • Silicon Dioxide

Research landscape

PubMed indexes 8,398 records tagged with the MeSH heading “Silicosis” (counts retrieved 2026-11-04). 881 of them (10.5%) were published from 2020 onward, and the busiest period so far is through 1999 with 6,144 records.

Reviews account for 406 records (4.8%) and meta-analyses for 23. Randomized controlled trials number 30 (0.4%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 6,144 records; 2000-2009: 634 records; 2010-2019: 739 records; 2020 onward: 881 records6,144through 19996342000-20097392010-20198812020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19996,144
2000-2009634
2010-2019739
2020 onward881
Share of records by publication typeReviews: 4.8 percent; Meta-analyses: 0.3 percent; Randomized controlled trials: 0.4 percentReviews4.8% (406)Meta-analyses0.3% (23)Randomized controlled trials0.4% (30)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 8,398 PubMed records
TypeRecordsShare
Reviews4064.8%
Meta-analyses230.3%
Randomized controlled trials300.4%

Method: PubMed query "Silicosis"[MeSH Terms] with publication-type and date filters, retrieved 2026-11-04.

Reading the evidence in respiratory medicine

Research on airway and lung disease mixes lung-function tests, symptom diaries, imaging and hospital records, so what was measured and in whom matters as much as the result. Many conditions here, such as asthma and COPD, vary between people and over time, and exposure studies (smoking, pollution, workplace dust) show association rather than proof of cause. Nothing on this page is advice about treatment or inhalers; anyone with breathing difficulty should seek care from a qualified clinician. Check how the condition was defined, the severity of the people studied and whether outcomes were symptoms, lung function or hospital admissions.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Mesenchymal stem cells use extracellular vesicles to outsource mitophagy and shuttle microRNAs
Phinney DG, Di Giuseppe M, Njah J, Sala E, Shiva S, St Croix CM, et al.
2015Research article
Design not recorded in structured metadata
877cc by
PMID 26442449 · DOI · PMC4598952
New Insights into Pathomechanisms and Treatment Possibilities for Lung Silicosis
Adamcakova J, Mokra D
2021Review article
Design not recorded in structured metadata
143cc by
PMID 33920534 · DOI · PMC8072896
Pyroptosis in inflammation-related respiratory disease
Feng Y, Li M, Yangzhong X, Zhang X, Zu A, Hou Y, et al.
2022Review article
Design not recorded in structured metadata
140cc by
PMID 35819638 · DOI · PMC9684248
Macrophage-Derived Ferritin Exacerbates Silica-Induced Pulmonary Fibrosis via PIK3R2-Mediated Fibroblast Differentiation
Wang L, Chen X, Quan H, Qian R, Gong S, He Q, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 41566645 · DOI · PMC13042690

Mesenchymal stem cells use extracellular vesicles to outsource mitophagy and shuttle microRNAs [1]

Research article Phinney DG, Di Giuseppe M, Njah J, Sala E, Shiva S, St Croix CM, et al. · · 2015 · cited 877 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Mesenchymal stem cells (MSCs) and macrophages are fundamental components of the stem cell niche and function coordinately to regulate haematopoietic stem cell self-renewal and mobilization.
Closing excerpt
Collectively, these studies mechanistically link mitophagy and MSC survival with macrophage function, thereby providing a physiologically relevant context for the innate immunomodulatory activity of MSCs.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (144 words)

Mesenchymal stem cells (MSCs) and macrophages are fundamental components of the stem cell niche and function coordinately to regulate haematopoietic stem cell self-renewal and mobilization. Recent studies indicate that mitophagy and healthy mitochondrial function are critical to the survival of stem cells, but how these processes are regulated in MSCs is unknown. Here we show that MSCs manage intracellular oxidative stress by targeting depolarized mitochondria to the plasma membrane via arrestin domain-containing protein 1-mediated microvesicles. The vesicles are then engulfed and re-utilized via a process involving fusion by macrophages, resulting in enhanced bioenergetics. Furthermore, we show that MSCs simultaneously shed micro RNA-containing exosomes that inhibit macrophage activation by suppressing Toll-like receptor signalling, thereby de-sensitizing macrophages to the ingested mitochondria. Collectively, these studies mechanistically link mitophagy and MSC survival with macrophage function, thereby providing a physiologically relevant context for the innate immunomodulatory activity of MSCs.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 26442449 · DOI · PMC4598952

New Insights into Pathomechanisms and Treatment Possibilities for Lung Silicosis [2]

Review article Adamcakova J, Mokra D · · 2021 · cited 143 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Inhalation of silica particles is an environmental and occupational cause of silicosis, a type of pneumoconiosis.
Closing excerpt
This article reviews new information on the pathophysiology of silicosis and points out several promising treatment approaches targeting silicosis-related pathways.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (104 words)

Inhalation of silica particles is an environmental and occupational cause of silicosis, a type of pneumoconiosis. Development of the lung silicosis is a unique process in which the vicious cycle of ingestion of inhaled silica particles by alveolar macrophages and their release triggers inflammation, generation of nodular lesions, and irreversible fibrosis. The pathophysiology of silicosis is complex, and interactions between the pathomechanisms have not been completely understood. However, elucidation of silica-induced inflammation cascades and inflammation-fibrosis relations has uncovered several novel possibilities of therapeutic targeting. This article reviews new information on the pathophysiology of silicosis and points out several promising treatment approaches targeting silicosis-related pathways.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 33920534 · DOI · PMC8072896

Pyroptosis in inflammation-related respiratory disease [3]

Review article Feng Y, Li M, Yangzhong X, Zhang X, Zu A, Hou Y, et al. · · 2022 · cited 140 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Pyroptosis is commonly induced by the gasdermin (GSDM) family and is accompanied by the release of inflammatory cytokines such as IL-1β and IL-18.
Closing excerpt
In conclusion, pyroptosis may play a role in inflammation-related respiratory diseases, providing new therapeutic targets.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (173 words)

Pyroptosis is commonly induced by the gasdermin (GSDM) family and is accompanied by the release of inflammatory cytokines such as IL-1β and IL-18. Recently, increasing evidence suggests that pyroptosis plays a role in respiratory diseases. This review aimed to summarize the roles and mechanisms of pyroptosis in inflammation-related respiratory diseases. There are several pathways involved in pyroptosis, such as the canonical inflammasome-induced pathway, non-canonical inflammasome-induced pathway, caspase-1/3/6/7/GSDMB pathway, caspase-8/GSDMC pathway, caspase-8/GSDMD pathway, and caspase-3/GSEME pathway. Pyroptosis may be involved in asthma, chronic obstructive pulmonary disease (COPD), lung cancer, acute lung injury (ALI), silicosis, pulmonary hypertension (PH), and tuberculosis (TB), in which the NLRP3 inflammasome-induced pathway is mostly highlighted. Pyroptosis contributes to the deterioration of asthma, COPD, ALI, silicosis, and PH. In addition, pyroptosis has dual effects on lung cancer and TB. Additionally, whether pyroptosis participates in cystic fibrosis (CF) and sarcoidosis or not is largely unknown, though the activation of NLRP3 inflammasome is found in CF and sarcoidosis. In conclusion, pyroptosis may play a role in inflammation-related respiratory diseases, providing new therapeutic targets.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 35819638 · DOI · PMC9684248

Macrophage-Derived Ferritin Exacerbates Silica-Induced Pulmonary Fibrosis via PIK3R2-Mediated Fibroblast Differentiation [4]

Research article Wang L, Chen X, Quan H, Qian R, Gong S, He Q, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Silicosis is a progressive and life-threatening fibrotic lung disease caused by crystalline silica.
Closing excerpt
These findings underscore that ferritin functions not only as a potential clinical biomarker for silicosis surveillance but also as a pathogenic driver through macrophage-fibroblast crosstalk, and provide a theoretical foundation for developing integrated diagnostic and therapeutic strategies against silicosis.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (153 words)

Silicosis is a progressive and life-threatening fibrotic lung disease caused by crystalline silica. However, targeted therapies remain unavailable due to its incompletely understood pathogenic mechanisms. Here, we identify ferritin as a pivotal mediator of silica-induced pulmonary fibrosis by integrating clinical exploration with experimental validation. We detected persistently elevated ferritin levels in lung tissues and serum from silicosis patients and silica-exposed mice, and demonstrated that exogenous ferritin administration exacerbates fibrosis in vivo. Multi-omics profiling and co-culture experiments revealed that macrophage-secreted ferritin promotes fibroblast-to-myofibroblast differentiation and pathological extracellular matrix (ECM) deposition via the PIK3R2/SMAD signaling axis. Importantly, genetic knockdown of ferritin in macrophages significantly suppressed myofibroblast differentiation and collagen accumulation both in vivo and in vitro. These findings underscore that ferritin functions not only as a potential clinical biomarker for silicosis surveillance but also as a pathogenic driver through macrophage-fibroblast crosstalk, and provide a theoretical foundation for developing integrated diagnostic and therapeutic strategies against silicosis.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41566645 · DOI · PMC13042690

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Silicosis [5]
    Leung CC, Yu IT, Chen W · Lancet · 2012 · cited 899 times (Europe PMC)
  • Research article Mechanisms in the pathogenesis of asbestosis and silicosis [6]
    Mossman BT, Churg A · Am J Respir Crit Care Med · 1998 · cited 593 times (Europe PMC)
  • Research article Silica-related diseases in the modern world [7]
    Hoy RF, Chambers DC · Allergy · 2020 · cited 278 times (Europe PMC)
  • Research article Silica-associated lung disease: An old-world exposure in modern industries [8]
    Barnes H, Goh NSL, Leong TL, Hoy R · Respirology · 2019 · cited 222 times (Europe PMC)
  • Research article Basic pathogenetic mechanisms in silicosis: current understanding [9]
    Rimal B, Greenberg AK, Rom WN · Curr Opin Pulm Med · 2005 · cited 212 times (Europe PMC)
  • Research article Health hazards due to the inhalation of amorphous silica [10]
    Merget R, Bauer T, Küpper HU, Philippou S, Bauer HD, Breitstadt R, et al. · Arch Toxicol · 2002 · cited 160 times (Europe PMC)

References

  1. Phinney DG, Di Giuseppe M, Njah J, Sala E, Shiva S, St Croix CM, et al.. Mesenchymal stem cells use extracellular vesicles to outsource mitophagy and shuttle microRNAs. . 2015. PMID 26442449 · DOI · PMC4598952
  2. Adamcakova J, Mokra D. New Insights into Pathomechanisms and Treatment Possibilities for Lung Silicosis. . 2021. PMID 33920534 · DOI · PMC8072896
  3. Feng Y, Li M, Yangzhong X, Zhang X, Zu A, Hou Y, et al.. Pyroptosis in inflammation-related respiratory disease. . 2022. PMID 35819638 · DOI · PMC9684248
  4. Wang L, Chen X, Quan H, Qian R, Gong S, He Q, et al.. Macrophage-Derived Ferritin Exacerbates Silica-Induced Pulmonary Fibrosis via PIK3R2-Mediated Fibroblast Differentiation. . 2026. PMID 41566645 · DOI · PMC13042690
  5. Leung CC, Yu IT, Chen W. Silicosis. Lancet. 2012. PMID 22534002 · DOI
  6. Mossman BT, Churg A. Mechanisms in the pathogenesis of asbestosis and silicosis. Am J Respir Crit Care Med. 1998. PMID 9603153 · DOI
  7. Hoy RF, Chambers DC. Silica-related diseases in the modern world. Allergy. 2020. PMID 31989662 · DOI
  8. Barnes H, Goh NSL, Leong TL, Hoy R. Silica-associated lung disease: An old-world exposure in modern industries. Respirology. 2019. PMID 31517432 · DOI
  9. Rimal B, Greenberg AK, Rom WN. Basic pathogenetic mechanisms in silicosis: current understanding. Curr Opin Pulm Med. 2005. PMID 15699791 · DOI
  10. Merget R, Bauer T, Küpper HU, Philippou S, Bauer HD, Breitstadt R, et al.. Health hazards due to the inhalation of amorphous silica. Arch Toxicol. 2002. PMID 11876495 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-11-04.

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At a glance

8,398
PubMed records on this heading
10%
published since 2020
406
review articles
30
randomized trials
10
verified references below

Counts come from PubMed on 2026-11-04; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • AsbestosisRespiratory Medicine
  • ByssinosisRespiratory Medicine
  • PneumoconiosisRespiratory Medicine
  • SiderosisRespiratory Medicine
  • Acute Lung InjuryRespiratory Medicine

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