“…(a) Lead decreases plasma levels (Mahaffey et al 1982) and action (Long & Rosen 1994) of 1,25 dihydroxyvitamin D 3 , which stimulates macrophage differentiation and plays a role in monocytes and activated lymphocytes due to the presence, in these cells, of vitamin D receptors (Thomasset 1994). (b) Lead induces a stress reaction (Nation et al 1987), that is characterized by the synthesis of specific stress proteins (Shelton et al 1986), an alteration of the hormonal response to stress (Chowdhury et al 1986;Agrawal & Chansouria 1989) and an increase in plasma levels of glucocorticoids (Vyskocil et al 1991); the latter is known to inhibit several immune mechanisms (Cupps & Fauci 1982;Tchernitchin et al 1990). (c) Lead induced alteration at the hypothalamus-pituitary level may also interfere with immune responses.…”