RENAL EXCRETION OF PROTEINS AND ENZYMES IN WORKERS EXPOSED TO CADMIUM

Abstract. The proteinuria rate and the relative clearances of β2‐microglobulin, orosomucoid, albumin, transferrin and IgG were measured in forty‐two workers exposed to cadmium and in seventy‐seven control workers. A tubular type proteinuria with an increased excretion of β2‐microglobulin and often also a glomerular type proteinuria with an increased excretion of orosomucoid, albumin, transferrin and IgG were observed mainly in workers exposed to cadmium for more than 25 years and whose cadmium concentration in blood exceeded 1 μg Cd/100 ml and that in urine 10 μg Cd/g creatinine. The glomerular dysfunction was also suggested by an increased plasma level of β2‐microglobulin and creatinine. Both tubular and glomerular impairments occurred with the same prevalence and were not necessarily associated. The increased release of β‐galactosidase by the kidney suggested that cadmium can damage some epithelial cells. Copyright © 1979, Wiley Blackwell. All rights reserved