The effects of cadmium on measures of immune-system function were dete
rmined from a health survey of school children in heavily polluted reg
ions of eastern Germany. A representative sample of 842 students, aged
5-14 y,was included in logistic regression analyses in which the rela
tionship between urinary cadmium content and blood immunoglobulin leve
ls was examined. Investigators further evaluated a subsample of 807 st
udents to determine cadmium's effect on the immediate hypersensitivity
reactions elicited by skin-prick challenges with 12 common aeroallerg
ens. Several potentially confounding factors were controlled for, afte
r which investigators found that increasing body burdens of cadmium we
re associated consistently with dose-dependent suppression of immediat
e hypersensitivity and of immunoglobin G, but not immunoglobulins M, A
, or E levels. The immunoglobulin pattern observed in exposed children
led investigators to suggest that secondary humoral responses were im
paired by cadmium.