Metals are excreted by the kidney, by reversing absorption in the intestines, and by
enterohepatic circulation. Because methylmercury concentrates in the latter pathway, the
mercury can be removed by oral administration of adsorbents such as activated carbon.
Some aquatic plant and animal species growing in contaminated areas have been
observed to develop tolerance for copper and zinc. Animals respond to cadmium, copper,
and mercury by producing the low-molar-mass protein metallothionein in the liver. The
metallothionein binds to thes e metals and to zinc, and transports them to the kidney for
storage. Additional dosages of cadmium or mercury can displace the less toxic zinc or
copper, resulting in less harm than the cadmium or mercury would otherwise cause.
Copper has many sources, including its use in drinking water pipe s and its deliberate
addition to surface water as an algicide. Copper is essential for many enzymes. However,
higher animals have mechanisms to conserve it and othe r essential trace metals during
periods of deficiency, and increase excretion at higher dosages. Copper is also critical
to plant life, playing a role in electron transport in photosynthesis. It is also very toxic
to aquatic plants, accounting for its use as an algicide in recreational lakes and pools.
Cadmium is a particularly toxic metal. Sources of exposure include wastewater pro-
duced in metal plating, sewage sludge applied to plants, smelting, and other occupational
exposures. Cigarette smoking is an im portant source and may double the average body
burden. Cadmium becomes complexed with metallothionein and stored in the kidney,
where it accumulates over a lifetime. It is excreted very slowly, having a half-life of
about 20 years. Damage occurs when a ‘‘critical concentration’’ of about 200 to
300 mg/g occurs in the kidney. It affects proximal tubules, reducing resorption of glucose
and amino acids, and causing hypertension (high blood pressure). Inhalation can cause
fibrosis, chronic bronchitis, and emphysema. Prostate cancer has been reported in occu-
pational exposures. Calcium is lost, causing bone disorders, including pain, osteoporosis,
and deformities. In the over 200 enzymes that require zinc as a cofactor, cadmium can
displace the zinc competitively. Zinc is also a metabolic antagonist of cadmium. There-
fore, high zinc intakes give some protection against cadmium toxicity.
Mercury is released to the environment by the burning of fossil fuel and refuse. It was
formerly a major pollutant generated by the chloro-alkali industry. Food has about 5 to
20 mg/kg, except fish: Tuna and swordfish range from 200 to 1000 mg/kg. In the environ-
ment, mercury (Hg) is oxidized to inorganic ions. Anaerobic bacteria convert it to organic
mercury, especially methylmercury or dimethylmercury. Organic mercury is much more
toxic, since it is more readily absorbed. Dimethylmercury is volatile and can escape to
the atmosphere from contaminated water and sediment. In the body, methylmercury is con-
verted to the divalent inorganic form. Mercury has a very high affinity for sulfhydryl groups
and thus can affect almost any enzyme and membrane-bound proteins. The effect on mem-
branes is to increase their permeability to sodium and potassium, affecting cell osmolarity.
Inorganic mercury is toxic to the kidney. Organic forms (methyl- or ethylmercury) target the
nervous system. Divalent mercury is corrosive. If ingested, it causes abdominal cramps and
bloody diarrhea, followed by renal damage. Calomel (monovalent or mercurous chloride) is
less toxic but is associated with skin reactions. Elemental mercury vapor is an occupational
hazard affecting the central nervous system. Neurological symptoms appear at exposure to
concentrations as low as 0:05 mg Hg=m
3
. The half-life for elimination of ingested mercury
in seals, fish, and crabs has been measured to range from 267 to 700 days.
Lead is found in batteries, gasoline additives, paint, lead pipe, and brass fixtures. Many
uses have been phased out recently, particularly indoor paint, gasoline, and pipe solder.
Even without the lead pipe and pipe solder sources, brass remains an important source in
804 TOXICITY OF SPECIFIC SUBSTANCES