Both cadmium and lead have pulmonary toxicity: cadmium can cause lung cance
r, fibrosis and emphysema; lead can induce a moderate interstitial pulmonar
y fibrosis. Both metals give rise to depletion of glutathione and depletion
of the protein-bound sulfhydryl groups, and lead to the production of reac
tive oxygen species. In the primary culture of type Il pneumocytes, which i
s one of the most important cell groups from the aspect of glutathione meta
bolism and thus redox balance, the effect of cadmium chloride and lead nitr
ate upon the enzymes of the glutathione cycle, upon superoxide dismutase an
d upon the structure of type II pneumocytes was examined. Depending on the
concentration, cadmium inhibited each of these parameters, whereas lead nit
rate significantly increased the activity of glutathione reductase while in
hibiting other parameters. Both metals induced damage of the membranes of t
ype II cells, depending on the concentration, although cadmium caused signi
ficantly more damage than lead. The data obtained suggest that both substan
ces cause an imbalance in the redox cycle and diversely affect the function
and membrane structure of type II pneumocytes. Copyright (C) 2001 John Wil
ey & Sons, Ltd.