Route 1: Lead is known to have a strong affinity towards sulfur. In human body, sulfur exists in the form of thiols. So, lead tries to bind with thiol group1 leading to major implications.
Route 2: Lead is able to produce free radical and reactive oxygen species (ROS) via Fenton-Haver-Weiss pathway2 possible by stimulating NADPH oxidases or by competing for the metal binding site of an enzyme/protein (Route 3) or by attacking the thiols moiety of protein (Route 1). The mechanism is below:
It causes a destructive behavior known as oxidative stress. One of the major implication of oxidative stress is lead-induced hypertension and cardiovascular disease. The mechanism is provided in below referencediseases3
Route 3: Lead is known to mimic calcium because they share similar properties (In its +2 cationic form, lead has a radius of 132 pm while the calcium cation has a radius of 106 pm. In their elemental forms, lead has a radius of 175 pm and calcium has a radius of 197 pm). And that is the reason, lead compete with calcium and substitutes calcium from cells, tissues and enzymatic sites. One of the major effect is on calmodulin which is a calcium binding protein and lead will try to replace calcium inhibiting phosphorylation of brain membranes4.