Hexachlorobenzene (HCB) is a persistent environmental pollutant. The toxici
ty of HCB has been extensively studied after an accidental human poisoning
in Turkey and more recently it has been shown that HCB has immunotoxic prop
erties in laboratory animals and probably also in man. Oral exposure of rat
s to HCB showed stimulatory effects on spleen and lymph node weights and hi
stology, increased serum IgM levels, and an enhancement of several paramete
rs of immune function. Moreover. more recent studies indicate that HCB-indu
ced effects in the rat may be related to autoimmunity. In Wistar rats expos
ed to HCB, IgM antibodies against several autoantigens were elevated; in th
e Lewis rat, HCB differently modulated two experimental models of autoimmun
e disease. Oral exposure of rats to HCB induces skin and lung pathology in
the rat. Recently several studies have been conducted to investigate whethe
r these skin and lung lesions can be related to HCB-induced immunomodulatio
n, and these studies will be discussed in this review. HCB-induced skin and
lung lesions probably have a different etiology; pronounced strain differe
nces and correlation of skin lesions with immune parameters suggest a speci
fic involvement of the immune system in HCB-induced skin lesions. The induc
tion of lung lesions by HCB was thymus independent. Thymus-dependent T cell
s were not likely to be required for the induction of skin lesions, althoug
h T cells enhanced the rate of induction and the progression of the skin le
sions. No deposition of autoantibodies was observed in nonlesional or lesio
nal skin of HCB-treated rats. Therefore, we concluded that it is unlikely t
hat the mechanism by which most allergic or autoimmunogenic chemicals work,
i.e., by binding to macromolecules of the body and subsequent T- and B-cel
l activation, is involved in the HCB-induced immunopathology in the rat. Su
ch a thymus-independent immunopathology is remarkable, as HCB strongly modu
lates T-cell-mediated immune parameters. This points at a very complex mech
anism and possible involvement of multiple factors in the immunopathology o
f HCB.