“…Furthermore, phosgene has been shown to increase lipid peroxidation, cause the release of sulfidopeptide leukotrienes, alter important cell ultrastructures, and react directly with lung surfactant (22,24,27,43). In addition, it has been shown that phosgene can form adducts with renal microsomal phospholipid polar heads (19). In the lung, the end result of these disturbances is an increase in susceptibility to interstitial edema followed by alveolar flooding that can be potentially fatal for exposed individuals (23,44,79).…”