Lungs chronic cadmium poisoning

Cadmium (Cd) is a non-essensial metal used in industry as an anti-corrosive agent, and is found as a contaminant in food and also in cigarette smoke. The most serious consequence of chronic Cd poisoning is lung- and prostate cancer but the first effect during chronic intake is kidney damage, manifested by marked proteinuria [164]. Under chronic exposure, cadmium is primarily taken up by the liver, where it induces synthesis of metallothionein (MT) and induces formation of cadmium-metallothionein complexes. 

As Table 3.1 indicates, at least seven metals have been identified as human carcinogens, primarily of the lung. This may lead to the conclusion that these metals are extremely dangerous, and that any contact may result in cancer. On the contrary, based on available epidemiological evidence, it appears that the majority of metal-associated cancers are the result of chronic overexposure over a period of years or decades. With the exception of arsenic and lead, metal-induced cancers are largely preventable through the use of proper environmental controls or respiratory protective equipment. Surprisingly, two of the seven metals listed in Table 3.1, chromium and cobalt, are required in minute quantities as essential nutrients. Three others (arsenic, cadmium, and lead) may also be essential dietary nutrients. As Paracelsus indicated, it is not the substance that makes the poison, but the dose. 

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