Bamboo shoots and their products are an important part of the human diet. However, the accumulation and accurate human health risk of heavy metal(loid)s in bamboo shoots are largely unknown. In this study, we determined the total and bioaccessible concentrations of As, Cd, Pb, and Cr in natural and processed bamboo shoot products from markets in southwest China. The health risk assessment and enterotoxicity after consumption of heavy metal(loid)s contaminated samples were further studied using a human colonic epithelial cell (Caco-2 cell) model. The results showed that the average concentrations of As, Pb, Cd, and Cr in the collected samples were 0.036, 0.056, 0.008, and 0.049 mg/kg, while Pb contents in 21 collected fresh bamboo shoot samples exceeded the allowable limit value of 0.1 mg/kg by 1.00–4.60 folds. Besides, As in 2% fresh bamboo shoots exceeded the limit value of 0.50 mg/kg. The average bioaccessibility of heavy metal(loid)s in fresh bamboo shoots was as follows: Cr (47.20%) > Pb (39.56%) > Cd (15.64%)> As (13.29%). Estimated daily intake (EDI) of heavy metal(loid)s after intake of fresh bamboo shoots was higher in children than that in adults, the THQ of As is > 1 based on the total heavy metal(loid)s, indicating a potential non-carcinogenic risk for children. However, health risks assessment based on bioaccessibility were significantly decreased. Furthermore, intestinal digesta of high-risk samples did not trigger detrimental effects on Caco-2 cells, suggesting existing health risk assessment model may overestimate their health risks and should be adjusted by bioaccessibility and cellular toxicity validation to accurately reflect their health risk. Our data may provide a novel and scientific insight into the health risk assessment of bamboo shoots as well as their products and propose a more scientific approach to accurate health risk assessment for heavy metals polluted foods.
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