Toxicity of cadmium could be exerted on the sites of its absorption and/or on the target tissues, such as bone and kidney, after being absorbed. On the other hand, toxicity of cadmium is modulated by nutritional factors, such as proteins, calcium, phosphorus and vitamin D. This review deals with our recent results concerning the role of dietary calcium and vitamin D as modulators of cadmium toxicity. The discussion was specifically focused on the interaction of calcium and cadmium at the site of intestinal absorption in the presence or absence of vitamin D. In the beginning of cadmium exposure, intestinal absorption of cadmium increased significantly in vitamin D deficient animals, but was not influenced by dietary calcium. Whereas cadmium inhibited vitamin D stimulated intestinal calcium transport in calcium deficient animals. In our experimental conditions, the metabolism of vitamin D
3 to 1, 25-(OH)
2-D
3 in kidney was not yet inhibited by cadmium. However, the binding of calcium to vitamin D dependent calcium binding protein and the activity of alkaline phosphatase in the intestine were significantly inhibited by cadmium. Moreover, the feeding of cadmium induced morphological and biochemical changes in the intestinal villi and microvilli of animals, especially raised on vitamin D deficient and/or low calcium diet. Thus, the prolonged exposure of cadmium will result in the disorders of calcium metabolism in the animals raised on a low calcium diet even in the presence of vitamin D. These results will suggest that nutritional status not to absorb cadmium and not to inhibit calcium metabolism could be vitamin D and calcium sufficient in the subjects of the normal intake of protein, carbohydrates and lipids.
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