Background: The aim of this work was to characterize the relationship between zinc (Zn<sup>2+</sup>) and cadmium (Cd<sup>2+</sup>) and the toxic effects of Cd<sup>2+</sup> in immortalized renal proximal tubule cells RP1. Methods: An RP1 cell line was developed from primary cultures of microdissected S1 and S2. Uptakes of <sup>65</sup>Zn and <sup>109</sup>Cd and competitive experiments with Cd<sup>2+</sup> and Zn<sup>2+</sup> were performed and kinetic parameters were determined. Oxygen consumption, metallothionein synthesis, and necrotic and apoptotic phenomena were studied. Results: Kinetic parameters indicate that <sup>65</sup>Zn (Km = 71.8 ± 10.6 µ M) and <sup>109</sup>Cd (Km = 23.3 ± 2.0 µ M) were both transported by a saturable carrier-mediated process. Competition between Cd<sup>2+</sup> and Zn<sup>2+</sup> uptake was reciprocal. Cd<sup>2+</sup> induced an increase in necrosis and apoptosis, and a decrease in oxygen consumption, depending on Cd<sup>2+</sup> concentrations. Concomitant addition of Zn<sup>2+</sup> (10 µ M) reduced the number of necrotic and apoptotic cells and maintained oxygen consumption at control levels. Cd<sup>2+</sup> alone, or in the presence of Zn<sup>2+</sup>, increased metallothionein levels, whereas Zn<sup>2+</sup> alone did not. Conclusion: Zn<sup>2+</sup> and Cd<sup>2+</sup> probably share the same transporter in the proximal tubule. Cd<sup>2+</sup> caused necrotic and apoptotic cell death. Cd<sup>2+</sup> toxicity may occur through an effect on the mitochondrial electron transport chain and not on metallothionein synthesis. Zn<sup>2+</sup> protects against the renal cell toxicity of Cd<sup>2+</sup>.