Several metals such as arsenic, beryllium, chromium and nickel are carcinogenic to man when they occur in certain well-defined physicochemical forms. The carcinogenic potential of these metals is linked to their mutagenic properties. The determination ofthe metal or possibly of its metabolites in biological media and the cytogenetic examination of somatic cells are two methods that can currently be used to monitor exposure of populations at risk. Due to the use of inappropriate methodology, the value of the positive cytogenetic results published so far appears questionable. By contrast, the concentrations of metals in blood, urine, or other biological materials can be determined with accurate and precise methods. Although it does not permit a direct assessment of the carcinogenic risk, this approach is currently the most suitable for monitoring exposed populations.
Carcinogenicity and Mutagenicity of Metal SaltsThere is clear evidence that arsenic, beryllium, chromium, and nickel, when present in certain well defined physicochemical forms, represent a carcinogenic hazard to man. Earlier observations of cadmium carcinogenicity were not sustained by the recent updates of cohorts. To varying degrees, the epidemiological findings have been duplicated by positive results in laboratory animals but, if we except the case of arsenic, metal carcinogenesis is not a problem of environmental contamination at trace levels but is relevant to occupational medicine (1).From the results of the several hundreds short-term tests performed to assess the carcinogenic properties of metal salts on the basis of mutagenicity (2) significant reversion in the Ames test, although they produce forward mutations in mammalian somatic cells or in some bacteria, i.e., resistance to antibiotics or other detectable mutations that can be positively selected.As far as mechanisms are concerned, forward mutations may be caused by unrepaired or unrepairable insertions, deletions, rearrangements, or point mutations that are not detectable in the Ames test. In that respect, it is of interest to point out that the fluctuation assay is a more sensitive technique than the plate incorporation assay. This illustrates the importance of choosing a method appropriate for highly toxic substances. These assays have also demonstrated that the response obtained depends on the ability of the metal to penetrate the cell and to interact with DNA, the chemical speciation, the physical properties [oxidation state, e.g., Cr(VI) and Cr(III), As(V), and As(III); charge, solubility, crystal form, properties of ligands, complex stereochemistry] and the possible interactions with other xenobiotics are, in that respect, critical. Metals such as Ni(II) or Cd(II) may be precipitated as insoluble phosphate salts due to orthophosphate ions present in the normal bacteriological culture medium and, for this reason, may not be detected as mutagenic. Some of the variation observed in the results of the bioassays of different metal salts could, therefore, be due to differences in bioav...