BIOAVAILABILITY OF FOOD CADMIUM AS AN ISSUE IN RISK MANAGEMENT AND ASSESSMENT
Philip G. Reeves1 and Rufus L. Chaney2
1U.S. Department of Agriculture, Agricultural Research
Service, Grand Forks Human Nutrition Research Center, 2420 Second Avenue
North, Grand Forks, ND 58203, USA
2 U.S. Department of Agriculture, Agricultural Research Service, Animal
Manure & By-Products Lab, Bldg. 007, BARC-West, Beltsville, MD 20705,
USA
Bioavailability
is defined as the degree to which a nutrient, toxin, drug, or other
substances become available for body use after administration. When
the substance is ingested orally, bioavailability of the substance generally
includes both absorption and body utilization. Cadmium (Cd) is generally
considered a toxic element where food is the major source of acquisition.
In the past, the concentration of Cd in food has been considered the
overriding risk factor that determines body burden of this element.
However, as studies have shown, there are numerous other factors that
affect the intestinal absorption and organ retention of Cd. Perhaps
the most important one is the interaction between Cd and other mineral
nutrients that affect its absorption. It has been known for some time
that feeding high concentrations of zinc (Zn), iron (Fe) and/or calcium
(Ca) will reduce the rate of absorption of Cd from various food sources.
Past work by others and more recent work in our laboratory has shown
that marginal to low dietary concentrations of these mineral elements,
for the most part, have the opposite effect. For example, we showed
that the rates of absorption and whole-body retention of dietary Cd
increased 7- to 10-fold when experimental animals were fed diets based
on either sunflower kernels with a natural content of Cd and marginal
concentrations of Zn, Fe, and/or Ca, or rice with concentrations of
Cd similar to that grown in paddies contaminated with Cd/Zn and with
low mineral content. The mechanism for this phenomenon is unknown, but
we also found that marginal intakes of these nutrients increased the
duodenal accumulation of Cd by as much as 100-fold when compared with
distal parts of the intestine. Marginal intakes of Zn, Fe, and Ca reduced
the turnover time of Cd in the duodenum and seemed to reduce the transit
time of Cd down the GI tract. Two important conditions in these experiments
were that the absorptive mechanisms in the gut were adapted to the diet
by feeding it for five weeks, and that the Cd concentrations of the
diets were similar to those found in some human diets. In addition,
the marginal amounts of Zn, Fe, and Ca were such that weight loss or
other overt signs of deficiency were not present. Although the concentrations
of these essential minerals in the diet and the subsequent nutrient
status of the consumer could be important factors that influence the
extent of absorption and tissue accumulation of food-Cd, this concept
receives little attention when decisions are made about the potential
risk of food-Cd to humans. However, if the findings in future human
studies prove to be similar to those in the rat model, then we feel
that the bioavailability factor as affected by nutritional status will
prove to be a very important part of the equation in assessing the risk
of food-Cd in vulnerable populations.