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Asbestosis is primarily caused by exposure to asbestos, which consists of fine silicate fibers. The reason the lungs are primarily affected is due to the inhalation of these fibers. Once inhaled, the fibers can become lodged in the lung tissue, leading to inflammation, scarring, and the characteristic respiratory difficulties associated with asbestosis. The lungs are particularly vulnerable because they are the first organ in the body to interact with airborne contaminants.
The body's defense mechanisms are not always sufficient to eliminate these fine fibers, which can stay in the lung tissue for many years, leading to chronic respiratory issues and an increased risk for lung diseases, including lung cancer and mesothelioma. The other organs listed—kidneys, colon, and abdomen—do not typically have a direct link to asbestosis, as the disease is specifically associated with lung damage from inhalation of the asbestos fibers.