Vitamin D increases intestinal calcium and phosphate absorption. Not s
o well known, however, is that vitamin D stimulates the co-absorption
of other essential minerals like magnesium, iron, and zinc; toxic meta
ls including lead, cadmium, aluminum, and cobalt; and radioactive isot
opes such as (89,90)strontium and (137)cesium. Vitamin D may contribut
e to the pathologies induced by toxic metals by increasing their absor
ption and retention. Reciprocally, lead, cadmium, aluminum, and stront
ium interfere with normal vitamin D metabolism by blocking renal synth
esis of 1,25-dihydroxyvitamin D. This is the first review of the role
of the vitamin D endocrine system in metal toxicology.