Chromium (Cr), one of the most abundant elements on earth, occurs in nature as chromite ore that is used for manufacturing various Cr compounds, Cr pigments, as well as Cr metal. Cr exists primarily in two oxidation states: trivalent chromium [Cr(III)] and hexavalent chromium [Cr(VI)]. Most chromate compounds found naturally are trivalent while hexavalent Cr is usually a result of human dumping. Trivalent Cr appears to be a nutritional supplement for humans and animals and may play a role in the metabolism of glucose. In contrast, hexavalent Cr is 500–1000 times more toxic than Cr3+, and exposure to Cr(VI) results in a variety of tissue or cell damage. Thus, Cr compounds are of great significance to the health of workers in the industries related to chromate production, processing, and usage.
Occupational exposure to Cr occurs through three major routes: inhalation, oral ingestion, and direct dermal contact; while nonoccupational (environmental) exposure primarily comes from oral ingestion of Cr-rich foods and water or inhalation via cigarette smoking. The uptake of Cr through the airways and the digestive tract is much quicker in the hexavalent state than in the trivalent state. Cr is found in all human organs, in both adults and newborns. Cr is excreted via both urine and feces, but predominantly via the urine.
Long-term inhalation exposure to various Cr(VI) compounds has been shown to result in a high risk of carcinomas of the respiratory organs. When inhaled, some of the Cr(VI) compounds appear to be among the most potent human carcinogens. Numerous epidemiological studies have documented high incidences of respiratory cancers and increased risk of cancer-related death among workers chronically exposed to Cr(VI) via inhalation. The International Agency for Research on Cancer has classified Cr(VI) compounds as a Group I carcinogen to humans through inhalation. Compounds of Cr(VI) are shown to induce epigenetic changes, oxidative stress, chromosomal aberrations, and a variety of DNA damages leading to mutations, which eventually contribute to its toxicity and carcinogenicity.