The effect of cadmium chloride (CdCl2) on the cell proliferation and migration of cultured human umbilical vein endothelial cells (HUVECs) was quantitatively analyzed. The HUVEC viable cell count decreased dose-dependently after exposure to Cd (cadmium chloride, 10 nM-1 mM). Morphologic examination by phase-contrast microscopy revealed severe damaging effects of Cd at higher concentrations. The cytotoxic effect of Cd (10 microM-1 mM) on DNA synthesis was also concentration-dependent. When the distance endothelial cells grew out from the scraped edge of a monolayer was measured, HUVEC outgrowth was found to be inhibited by Cd (1.0 microM-1.0 mM) in a dose-dependent manner. These findings suggest that HUVEC cell proliferation and migration are susceptible to Cd cytotoxicity, and that this may be involved in the pathogenesis of atherosclerosis.