There is growing evidence that micronutrient intake has a significant
effect on the toxicity and carcinogenesis caused by various chemicals.
This paper examines the effect of micronutrient status on the toxicit
y of four nonessential metals: cadmium, lead, mercury, and arsenic. Un
fortunately, few studies have directly examined the effect of dietary
deficiency or supplementation on metal toxicity. More commonly, the ef
fect of dietary alteration must be deduced from the results of mechani
stic studies. We have chosen to separate the effect of micronutrients
on toxic metals into three classes: interaction between essential micr
onutrients and toxic metals during uptake, binding, and excretion; inf
luence of micronutrients on the metabolism of toxic metals, and effect
of micronutrients on secondary toxic effects of metals. Based on data
from mechanistic studies, the ability of micronutrients to modulate t
he toxicity of metals is indisputable. Micronutrients interact with to
xic metals at several points in the body: absorption and excretion of
toxic metals, transport of metals in the body; binding to target prote
ins; metabolism and sequestration of toxic metals, and finally, in sec
ondary mechanisms of toxicity such as oxidative stress. Therefore, peo
ple eating a diet deficient in micronutrients will be predisposed to t
oxicity from nonessential metals.