Characterization of dietary phosphorus-dependent duodenal calcium uptake in vitamin D-deficient chicks

Abstract

The effect of dietary phosphorus on intestinal calcium uptake was examined in duodenal cells isolated from vitamin D-deficient chicks. Cells from chicks on a high phosphorus diet accumulated calcium at a rate 38% higher than cells from animals on a normal phosphorus diet. Diet high in calcium did not affect calcium absorption in duodenal cells. The dietary phosphorus effect on calcium absorption was specific. Uptake of alpha-methyl glucose was not altered. Increase in calcium absorption by a high phosphorus diet was not due to a change in cellular energy metabolism nor to the content of phosphorus in cells. Kinetically, a high phosphorus diet increased the Vmax of calcium uptake; the affinity for calcium was unaffected. The effectiveness of dietary phosphorus to enhance the intestinal calcium uptake could also be demonstrated in brush border membrane vesicles. The increase in calcium uptake was not due to an alteration in membrane binding capacity nor to calcium efflux from vesicles. To test the hypothesis that a high phosphorus diet may affect membrane transport by altering phospholipid metabolism in duodenal cells, we examined the phospholipid content in isolated brush border membranes. The content of phosphatidylcholine, phosphatidylserine, phosphatidylinositol and phosphatidylethanolamine was not altered by the high phosphorus diet. These findings suggest that the vitamin D-independent and dietary phosphorus-dependent effect on intestinal calcium absorption was primarily due to a change in the calcium flux at the luminal side of the cells. However, the precise mechanism is still not clear.

Cross-linked iron dextran is an efficient oral phosphate binder in the rat

“…Whether this is a transient non-steady-state phenomenon, secondary to changes in intestinal transit time, or an indirect effect mediated via higher rates of production of 1,25 (OH ) 2 vitamin D 3 and increased active intestinal absorption of calcium, requires further study. Previous studies have shown that reduction of phosphate in a diet decreases the PTH level and increases the 1,25(OH) 2 vitamin D 3 level [18][19][20][21]. Moreover, these studies revealed an increased calcium excretion in the urine, an increased intestinal calcium absorption and occasionally an increase in the total ionized serum calcium.…”