Environmental Contamination by Toxic Metals and Metalloids, Exposure Limits, and Toxicity Thresholds

A special issue of Toxics (ISSN 2305-6304). This special issue belongs to the section "Exposome Analysis and Risk Assessment".

Deadline for manuscript submissions: 25 September 2026 | Viewed by 1361

Special Issue Editor


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Guest Editor
Centre for Kidney Disease Research, Translational Research Institute, The University of Queensland, Woolloongabba, Brisbane, QLD 4102, Australia
Interests: the interplay of diet, nutrition, and genetics in response to cadmium exposure; PBPK modeling; reverse dosimetry; benchmark dose modeling; cadmium exposure limits; cadmium toxicity targets and thresholds
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Special Issue Information

Dear Colleagues,

Cadmium (Cd) is a ubiquitous metal contaminant of most food types and is especially common in staple foods, including vegetables, cereals, grains, beans, legumes, organ meat, and sea foods. Thus, for the general population, food has become the most common route of Cd exposure. As the rice plant is a highly efficient accumulator of Cd and rice is a staple food for over 50% of the world’s population, there is widespread concern that the consumption of rice containing even low levels of Cd can have significant health effects. Even when the contamination level is low (less than the CODEX standard of 0.4 mg/kg), there is an increased risk of acquiring Itai-Itai disease, a condition marked by severe damage to the kidneys and bones. Polluted air is an additional source of Cd exposure and is a major concern in people living in busy urban areas, metal workers, and tobacco smokers.

Despite the indisputable health impacts of Cd exposure, there is no consensus on toxicity thresholds, which are necessary to establishing clear health-protective Cd exposure guidelines. Most countries adopt a urinary Cd excretion rate of 5.24 µg/g creatinine as a toxicity threshold for the kidneys in both environmental and occupational exposure scenarios. This threshold was based on urinary excretion of β2-microglobulin of 300 µg/g creatinine as a toxic endpoint. Given that 15% of the world’s arable soil is contaminated with toxic metals, primarily from the use of phosphate fertilizers to produce foods and feeds, it is imperative that the existing exposure limits for environmental contaminants and their toxicity thresholds and their permissible levels in foodstuffs and air are adequate. Moreover, the health risks of Cd in combination with lead (Pb), mercury (Hg), chromium (Cr), inorganic arsenic (As), and antimony (Sn) are frequently reported.

This Special Issue invites authors to submit cutting-edge research on exposure to and the health risks of environmental contaminants such as Cd, Pb, Hg, Cr, As and Sn throughout all stages of life, from prenatal exposure to older age. Both fundamental and empirical studies are welcome, as well as stakeholder and policy-relevant commentaries on potential reductions in population exposure and toxicity mitigation of metal pollution. Manuscripts focusing on the protective effects of zinc (Zn), selenium (Se), flavonoids, and plant antioxidants in vulnerable groups, including pregnant women and children, are particularly encouraged.

Prof. Dr. Soisungwan Satarug
Guest Editor

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Keywords

  • antioxidant flavonoids
  • benchmark dose modeling
  • cadmium toxicity
  • food contaminants
  • metals and metalloids
  • plant foods and antioxidants
  • tolerable intake level
  • toxicity targets and thresholds
  • toxicity mechanism
  • toxicity mitigation
  • selenium
  • zinc

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Published Papers (1 paper)

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Review

29 pages, 2190 KB  
Review
How Adequate Are the Guidelines for Dietary and Workplace Exposure to Cadmium?
by Soisungwan Satarug
Toxics 2026, 14(5), 408; https://doi.org/10.3390/toxics14050408 - 8 May 2026
Viewed by 941
Abstract
Cadmium (Cd) is a heavy metal pollutant to which most people are exposed daily through their diet because of its presence in nearly all food types, including potatoes, vegetables, cereals, grains, legumes, shellfish, and organ meat. Cd has no physiological role or nutritional [...] Read more.
Cadmium (Cd) is a heavy metal pollutant to which most people are exposed daily through their diet because of its presence in nearly all food types, including potatoes, vegetables, cereals, grains, legumes, shellfish, and organ meat. Cd has no physiological role or nutritional value in the body and causes toxicity to multiple tissues and organs via oxidative stress and chronic inflammation; as such, at high prevalence, it is frequently associated with diseases, notably cancer, heart disease, diabetes, osteoporosis, and chronic kidney disease. Using kidneys and bones as critical toxicity targets, current dietary Cd exposure guidelines vary from 0.21 to 0.83 μg/kg b.w./d. There is a widespread concern about these guidelines because they were based on the excretion of β2-microglobulin (β2M) at a rate of 300 µg/g of creatinine as an endpoint. Concerningly, rice is a staple food for over 50% of the world’s population; however, the permissible Cd level in this commodity has not been adequately addressed. This narrative review focuses on critiquing existing food standards and exposure guidelines for Cd. It discusses the threshold-based risk assessment that was used to define the no-observed-adverse-effect level (NOAEL) for Cd, when β2M excretion was used with Cd excretion at a rate of 5.24 µg/g of creatinine being a threshold. The estimated glomerular filtration rate (eGFR) is recommended as an appropriate kidney disease endpoint. The current view around how Cd uses various transport proteins to enter and induce toxicity to its target cells are summarized. The strategies to minimize Cd accumulation and mitigate its nephrotoxicity are highlighted. Full article
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