Lung toxicity mediated by multiwalled carbon nanotubes (MWCNT) has been widely demonstrated and recently associated with induction of carcinogenic asbestos-like effects, but the chemical features which drive this toxic effect have still not been well elucidated. The presence of metals as trace contaminants during MWCNT preparation, in particular iron (Fe) impurities, plays an important role in determining a different cellular response to MWCNT.Our goal was to clarify the mechanisms underlying MWCNT toxicity in correlation to the presence of Fe impurities by exposing murine alveolar macrophages to two different MWCNT samples, which differ only for the presence or absence of Fe. Data show that only Fe-rich MWCNT were significantly cytotoxic, genotoxic and induced a potent cellular oxidative stress, while Fe-free MWCNT did not exert any of these toxic effects. These results confirm that Fe content represents a very important key constituent in promoting MWCNT induced toxicity, and this needs to be taken into consideration when planning new, safer, preparation routes.Running Title: The role of impurities in MWCNT toxicity.