The spraying of a paint formula (Acramin F system) had led to severe pulmon
ary disease in textile printing sprayers in Spain and Algeria (Ardystil syn
drome). In order to elucidate the underlying mechanisms of the toxicity of
this paint and its main polymeric components, Acramin FWR, Acramin FWN, Acr
afix FHN, and Acramoll W, we have undertaken studies using a battery of dif
ferent cell-types and assessing in vitro cytotoxicity by measuring LDH leak
age, This study shows that, as in in vivo studies, the three polycationic p
aint components, Acramin FWR (a polyurea), Acramin FWN (a polyamide-amine),
and Acrafix FHN (a polyamine) exhibited considerable cytotoxicity (LC50 ge
nerally below 100 mu g/ml for an incubation of 20-24 h) in vitro, while Acr
amoll W, which is not a polycation, was almost non-toxic (in the concentrat
ion range tested). The cytotoxicity was comparable in primary cultures of r
at and human type II pneumocytes and alveolar macrophages as well as in the
pulmonary cell line A549 and the hepatic cell line HepG2. In human erythro
cytes, the toxicity was less pronounced. We speculate that the multiple pos
itive charges play an important role in the toxic mechanism. It is conclude
d that Acramin FWR and Acramin FWN have similar intrinsic toxicity and that
these polymeric compounds, which have no irritant properties or systemic t
oxicity when given orally, exert a high, unexpected, degree of cytotoxicity
.