Cadmium (Cd) in rice constitutes a global health risk. It is crucial to develop strategies that not only reduce the bioavailability of Cd in rice but also confer additional health benefits. One potential approach involves the consumption of probiotics, which can bind Cd in the intestines and enhance gut health. The effects of consuming Akkermansia muciniphila, Bifidobacterium pseudolongum, and Psychrobacter sp. on the bioavailability of Cd in rice and gut health were evaluated using in vivo mouse bioassays and in vitro Cd immobilization assays. In mice fed Cd-contaminated rice without dietary calcium (Ca) and iron (Fe) supplementation (i.e., under conditions of mineral deficiency), the intake of these probiotics insignificantly reduced Cd accumulation in the kidneys and livers, although it did promote Cd excretion via feces. This outcome was primarily due to the competition for Ca and Fe between the probiotics and the host, which led to increased intestinal expression of Ca and Fe transporters under mineral-deficient conditions, thereby mitigating the probiotics' ability to reduce Cd bioavailability. Conversely, in mice fed Cd-contaminated rice with adequate dietary Ca and Fe (i.e., under conditions of mineral adequacy), probiotic intake significantly decreased Cd concentrations in the kidneys by 60.0%-72.0% compared to the control group exposed to Cd. Additionally, probiotic consumption fostered the growth of beneficial gut bacteria and strengthened intestinal tight junctions, reducing the inflammatory response in the intestines. These findings suggest that combining probiotics with sufficient Ca and Fe intake can effectively reduce dietary Cd exposure and enhance gut health.
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