PLASMA CADMIUM-METALLOTHIONEIN, A BIOLOGICAL EXPOSURE INDEX FOR CADMIUM-INDUCED RENAL DYSFUNCTION, BASED ON THE MECHANISM OF ITS ACTION

Thirteen rabbits were given subcutaneous cadmium (0.3 mg Cd/kg) daily. The plasma cadmium-metallothionein (CdMT) and the Cd-induced hepatic and renal functions were determined at 0, 5, 8, 11, 12, 13 and 14 week s. Hepatic dysfunction, an elevated plasma CdMT and renal dysfunction were detected mostly between 12 and 14 weeks. The hepatic dysfunction parameters were closely related with the plasma CdMT, which was then f ound to correlate with the renal dysfunction parameters. All the above findings suggest the following mechanism for the Cd-induced renal dys function: hepatic CdMT is released into the plasma upon the Cd-induced hepatic dysfunction, and then excess plasma CdMT, whose concentration is proportional to the CdMT in the renal proximal tubular lumen, indu ces renal dysfunction. The critical concentration of plasma CdMT to in duce renal dysfunction was estimated as 80 mu g Cd/l. The plasma CdMT is proposed therefore as a biological exposure index for the Cd-induce d renal dysfunction, based on the mechanism of its action. (C) 1998 El sevier Science Ireland Ltd. All rights reserved.