Intestinal calcium absorption: Molecular vitamin D mediated mechanisms

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Abstract
Rickets and hyperparathyroidism caused by a defective Vitamin D receptor (VDR) can be prevented in humans and animals by high calcium intake, suggesting that intestinal calcium absorption is critical for 1,25(OH)2 vitamin D [1,25‐(OH)2D3] action on calcium homeostasis. We assessed the rate of serum 45Ca accumulation within 10 min after oral gavage in two strains of VDR‐knock out (KO) mice (Leuven and Tokyo KO) and observed a threefold lower area under the curve in both KO‐strains. Moreover, we evaluated the expression of intestinal candidate genes, belonging to a new class of calcium channels (TRPV), involved in transcellular calcium transport. The calcium transport protein ECaC2 was more abundantly expressed at mRNA level than ECaC1 in duodenum, but both were considerably reduced (ECaC2 > 90%, ECaC1 > 60%) in the two VDR‐KO strains on a normal calcium diet. Calbindin‐D9K expression was only significantly decreased in the Tokyo KO, whereas PMCA1b expression was normal in both VDR‐KOs. In Leuven wild type mice, a high calcium diet inhibited (> 90%), and 1,25(OH)2D3 or low calcium diet induced (sixfold) duodenal ECaC2 expression and, to a lesser degree, ECaC1 and calbindin‐D9K expression. In Leuven KO mice, however, high or low calcium intake decreased calbindin‐D9K and PMCA1b expression, whereas both ECaC mRNA expressions remained consistently low on any diet. These results suggest that the expression of the novel duodenal epithelial calcium channels (in particular ECaC2 or TRPV6) is strongly vitamin D dependent and that calcium influx, probably interacting with calbindin‐D9K, should be considered as a rate‐limiting step in the process of vitamin D dependent active calcium absorption. J. Cell. Biochem. 88: 332–339, 2003.