Bhattacharya Sanjib
West Bengal Medical Services Corporation Ltd., GN 29, Sector V, Salt Lake City, Kolkata, 700091, West Bengal, India.
Biol Trace Elem Res. 2022 May;200(5):2239-2246. doi: 10.1007/s12011-021-02827-7. Epub 2021 Jul 20.
Cadmium (Cd) is toxic non-essential heavy metal that precipitates adverse health effects in humans and animals. Chelation therapy, the typical treatment for cadmium toxicity, has certain safety and efficacy issues to treat long term cadmium toxicity, in particular. Recent studies have shown that essential trace elements can play important roles in obviating experimental Cd toxicity. This study organizes and reviews the prototypical evidences of the protective effects of essential trace elements against Cd toxicity in animals and attempts to point out the underlying mechanisms. Zinc, selenium, iron, and combinations thereof are reported to be active. The major mechanisms elucidated inter alia are-induction of metallothionein (MT) synthesis and Cd-MT binding (for zinc), modulation of oxidative stress and apoptosis, interference in cadmium absorption and accumulation from body-thereby maintenance of essential metal homeostasis and cytoprotection. Based on the findings, essential trace elements can be recommended for the susceptible population. The application of these trace elements appears beneficial for both the prevention and remediation of long-term Cd toxicity operative via multiple mechanisms with no or minimal adverse effects as compared to the conventional chelation therapy.
镉(Cd)是一种有毒的非必需重金属,会对人类和动物的健康产生不良影响。螯合疗法是治疗镉中毒的典型方法,但在治疗长期镉中毒方面存在一定的安全性和有效性问题。最近的研究表明,必需微量元素在消除实验性镉毒性方面可以发挥重要作用。本研究整理并综述了必需微量元素对动物镉毒性保护作用的典型证据,并试图指出其潜在机制。据报道,锌、硒、铁及其组合具有活性。阐明的主要机制包括诱导金属硫蛋白(MT)合成和镉 - MT结合(对于锌)、调节氧化应激和细胞凋亡、干扰镉从体内的吸收和积累,从而维持必需金属稳态和细胞保护。基于这些发现,可建议易感人群使用必需微量元素。与传统螯合疗法相比,这些微量元素的应用似乎有利于通过多种机制预防和修复长期镉毒性,且无或副作用极小。