Predictive toxicological paradigm for fibrogenic effects of MWCNTsCellular assays were developed based on the synergistic cellular responses in the epithelial-mesenchymal trophic cell unit, which are predictive of the fibrogenic potential of MWCNTs in vivo. Well-dispersed MWCNTs induced more prominent pro-fibrogenic responses in vitro as well as in vivo than non-dispersed tubes.