Biometals(2010)23:951–960DOI10.1007/s10534-010-9330-4
Mechanismsincadmium-inducedcarcinogenicity:recentinsights
AndreaHartwig
Received:20January2010/Accepted:23March2010/Publishedonline:15April2010ÓSpringerScience+BusinessMedia,LLC.2010
AbstractCadmiumisanenvironmentalpollutant,withrelevantexposuresatworkplacesandinthegeneralpopulation.Thecarcinogenicityhasbeenlongestablished,mostevidentfortumorsinthelungandkidney,butwithincreasingevidencealsoforothertumorlocations.WhiledirectinteractionswithDNAappeartobeofminorimportance,theinterfer-encewiththecellularresponsetoDNAdamage,thederegulationofcellgrowthaswellasresistancetoapoptosishavebeendemonstratedindiverseexper-imentalsystems.WithrespecttoDNArepairpro-cesses,cadmiumhasbeenshowntodisturbnucleotideexcisionrepair,baseexcisionrepairandmismatchrepair;consequencesareincreasedsuscep-tibilitytowardsotherDNAdamagingagentsandendogenousmutagens.Furthermore,cadmiuminducescellproliferation,inactivatesnegativegrowthstimuli,suchasthetumorsuppressorproteinp53,andprovokesresistancetowardsapoptosis.Particularlythecombinationofthesemultiplemechanismsmaygiverisetoahighdegreeofgenomicinstabilityincadmium-adaptedcells,relevantnotonlyfortumorinitiation,butalsoforlaterstepsintumordevelop-ment.Futureresearchneedstoclarifytherelevance
oftheseinteractionsforlowexposureconditionsinhumans.
KeywordsCadmiumÁDNArepairÁGeneexpressionÁCellcyclecontrolÁApoptosisÁGenomicinstability
Introduction
Cadmiumisubiquitouslydistributedthroughouttheenvironment,attributabletonaturalsources,agricul-tureandmanifoldindustrialuses.Relevantexposuresoccuratworkplacesmainlyviainhalation,butalsointhegeneralpopulationpredominantlyviafood,tobaccosmokeandambientair.Eventhoughthetoxicityofcadmiumhasbeenknownfordecades,duringrecentyearstherehasbeenanongoingdiscussiononcadmium-inducedtoxicity,evenatcomparativelylowexposureconditions.Forexample,recentlytheEuropeanFoodSafetyAuthority(EFSA)hasloweredtheProvisionalTolerableWeeklyIntake(PTWI)of7lg/kgbwestablishedpreviouslybytheJointFAO/WHOExpertCommitteeonFoodAdditivestoaTWIof2.5lg/kgbwbasedoncadmium-inducednephrotoxicity(EFSA2009).Otherendpointsoftoxicologicalconcernarebonedemineralizationandcardiovasculardiseases(seecontributionsofTimNawrotandDavidBernhard,
A.Hartwig(&)
¨rLebensmitteltechnologieundInstitutfu
Lebensmittelchemie,FachgebietLebensmittelchemieund
¨tBerlin,13355Berlin,Toxikologie,TechnischeUniversita
Germany
e-mail:andrea.hartwig@tu-berlin.de
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