Catch me if you can! Novel aspects of cadmium transport in mammalian cells

Cadmium (Cd²⁺) is a nonessential divalent metal ion that causes toxicity in multiple organs in humans. In order for toxicity to occur Cd²⁺ must first enter cells by utilizing transport pathways for essential metals. This review focuses on studies in which Cd²⁺ transport was directly demonstrated by electrophysiological, radiotracer or Cd²⁺-sensitive fluorescent dye techniques. The chemistry of Cd²⁺ and metal ions in general is addressed in the context of properties relevant for transport through membrane proteins, such as hydration energy. Apart from transport by the ZIP transporters SLC39A8 and SLC39A14, which is not topic of the review, uptake of free Cd²⁺ has been demonstrated for the Fe²⁺/H⁺ cotransporter divalent metal transporter 1. Moreover, the multiligand endocytic receptors megalin and cubilin take up cadmium-metallothionein complexes via receptor-mediated endocytosis. The role of ATP binding cassette transporters in Cd²⁺ efflux from cells is also discussed. Both the multidrug resistance-associated protein 1 and cystic fibrosis transmembrane conductance regulator are likely to transport cadmium–glutathione complexes out of cells, whereas transport of free Cd²⁺ by the multidrug resistance P-glycoprotein remains controversial. Finally, arguments for and against Cd²⁺ transport by Ca²⁺ channels are presented. Most N- and L-type Ca²⁺ channels are closed at resting membrane potential (with the exception of CaV1.3 channels) and therefore unlikely to allow significant Cd²⁺ influx under physiological conditions. CaV3.1 and CaV3.2 T-type calcium channels are permeated by divalent metal ions, such as Fe²⁺ and Mn²⁺ because of considerable “window” currents close to resting membrane potential and could be responsible for tonic Cd²⁺ entry. TRPM7 and the mitochondrial Ca²⁺ uniporter are other likely candidates for Cd²⁺ transporters, whereas the role of Orai proteins, the store-operated calcium channels carrying Ca²⁺ release-activated Ca²⁺ current, in Cd²⁺ influx remains to be investigated.