Metal fume fever is characterized by symptoms such as fever, chills, muscle aches, and fatigue. These symptoms typically occur within a few hours of exposure to metal fumes, including zinc oxide. In severe cases, individuals may also experience shortness of breath, chest pain, and coughing.
The pathogenesis of metal fume fever involves the inhalation of metal oxide particles, leading to an inflammatory response in the respiratory system. Zinc oxide, in particular, can trigger the release of inflammatory mediators such as interleukins and cytokines, causing damage to lung tissues. This inflammatory process contributes to the development of MFF and can lead to chronic respiratory conditions in exposed individuals.
Zinc oxide nanoparticles have unique properties that make them a common component of metal fumes in industrial settings. These nanoparticles are small in size, allowing them to penetrate deep into the lungs and cause oxidative stress and inflammation. Additionally, the high reactivity of zinc oxide can further exacerbate respiratory symptoms and increase the risk of developing metal fume fever.
In research studies, monitoring the concentration of ZnO fumes in the air is essential for assessing the potential health risks to workers. By understanding the properties and characteristics of zinc oxide nanoparticles, as well as the mechanisms of inflammation and immune reactions triggered by their inhalation, we can develop preventive measures to protect workers from developing metal fume fever and other related respiratory conditions.
Metal fume fever, also known as brass founder’s ague or zinc shakes, is a temporary condition that typically occurs after the inhalation of metal fumes containing zinc oxide. In addition to the symptoms mentioned, such as headache, chills, fever, and muscle aches, individuals with metal fume fever may also experience sweating, fatigue, and weakness.
It is important to note that while metal fume fever is usually not life-threatening, it can still have significant impacts on an individual’s health and well-being. Long-term exposure to metal fumes, including zinc oxide, can lead to chronic respiratory issues and other health complications. Therefore, it is crucial to take precautionary measures when working with metals that produce fumes.
In conclusion, understanding the development of metal fume fever, its symptoms, and potential health risks associated with exposure to metal fumes is essential in ensuring the safety and well-being of individuals working in industries where metal fumes are present. By implementing proper ventilation systems, wearing appropriate protective gear, and following safety protocols, the risk of developing metal fume fever can be significantly reduced.
Particle Analysis and Respiratory Effects of Zinc Oxide Fumes

Gene Expression and Immunological Responses
Scanning electron microscopy unveiled the morphology and size of ZnO nanoparticles, underscoring their role in inducing oxidative stress. The experiment closely monitored ZnO fume concentrations during treatment, revealing significant differences from ambient air levels. Our study highlights the involvement of mediastinal lymph nodes in MFF pathogenesis, shedding light on cytokine gene expression patterns. Notably, upregulation of CSF3, IL-4, and Cxcl5 underscored the inflammatory cascade triggered by ZnO inhalation. IL-17f emerged as a crucial player linking oxidative stress to inflammation in MFF, offering insights into potential therapeutic targets.
The examination of 84 genes linked to inflammatory mediators was performed in real-time using the Qiagen RT2 Profiler PCR Array Mouse Inflammatory Cytokines and Receptors kit. The RT-PCR reactions took place in a Bio-Rad CFX96 Touch Thermal Cycler and included internal, positive, and negative controls. The gene expression results from ZnO-exposed mice tissue samples were compared with those from untreated, healthy mice lung and mediastinal lymph node samples.
Data Availability
The supporting dataset for this study is included. Additional data can be obtained from the corresponding author upon request.
References
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Acknowledgements
The researchers express gratitude to the National Research, Development and Innovation Office, Budapest, Hungary, for their financial assistance. Technical support was provided by KL-System Ltd, Cegléd, Hungary, and Linde Hungary Ltd, Répcelak, Hungary, with a special acknowledgment to László Gyura and Károly Abaffy. Project no. RRF-2.3.1-21-2022-00001 was executed with backing from the Recovery and Resilience Facility (RRF), funded under the National Recovery Fund budget estimate, RRF-2.3.1-21 funding scheme. This research was supported by the University of Veterinary Medicine Budapest’s strategic research fund (Grant No. SRF-001.)
Funding
This study was financially supported by the National Research, Development and Innovation Office under grant FK_18 ID: 129055, along with additional support from Project no. RRF-2.3.1-21-2022-00001 and Grant No.: SRF-001 from the University of Veterinary Medicine, Budapest, Hungary.
Author information
Authors and Affiliations
University of Veterinary Medicine, Istvan str. 2., 1078, Budapest, Hungary
Department of Food Hygiene, University of Veterinary Medicine, Istvan str. 2., 1078, Budapest, Hungary
Department of Materials Science and Engineering, Faculty of Mechanical Engineering, Budapest University of Technology and Economics, Bertalan Lajos str. 7., 1111, Budapest, Hungary
MTA-BME Lendület Composite Research Group, Bertalan Lajos str. 7., 1111, Budapest, Hungary
University of Veterinary Medicine, Istvan str. 2., 1078, Budapest, Hungary
Department of Pharmacology and Toxicology, University of Veterinary Medicine, Istvan Str. 2., 1078, Budapest, Hungary
Ákos Jerzsele & Csaba Kővágó
The National Laboratory of Infectious Animal Diseases in Budapest, Hungary, focuses on research in Antimicrobial Resistance, Veterinary Public Health, and Food Chain Safety. It is located at the University of Veterinary Medicine, on Istvan str. 2, H-1078.
