{"id":959,"date":"2017-10-26T17:13:30","date_gmt":"2017-10-26T17:13:30","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunynutrition\/?post_type=chapter&#038;p=959"},"modified":"2017-11-14T17:14:38","modified_gmt":"2017-11-14T17:14:38","slug":"12-21-calcium-absorption","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/chapter\/12-21-calcium-absorption\/","title":{"raw":"12.21 Calcium Absorption","rendered":"12.21 Calcium Absorption"},"content":{"raw":"<div class=\"__UNKNOWN__\">\r\n\r\nCalcium is taken up into the enterocyte through Transient Receptor Potential V6 (TRPV6), a calcium channel found on the brush border. Calbindin is the calcium binding protein that facilitates uptake through TRPV6 and transport across the enterocyte. Ca2+-Mg2+ ATPase functions to pump calcium out of the enterocyte and into circulation and to pump magnesium into the enterocyte, as shown below<sup>1<\/sup>.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"973\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171206\/10000000000003CD0000022777E5FE4B.png\" alt=\"\" width=\"973\" height=\"551\" \/> Figure 12.211 Calcium uptake and absorption[\/caption]\r\n\r\n<\/div>\r\nAs we have previously discussed, increased 1,25(OH)2D synthesis in the kidney causes increased binding to the vitamin D receptor, which increases calbindin synthesis. Increased calbindin ultimately increases calcium uptake and absorption.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"979\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171209\/10000000000003D300000225CD15884F.png\" alt=\"\" width=\"979\" height=\"549\" \/> Figure 12.212 Increased calbindin increases calcium absorption[\/caption]\r\n\r\n<\/div>\r\nThere are a couple of calcium-binding compounds that inhibit its absorption. Therefore, even though some foods are good sources of calcium, the calcium is not very bioavailable. Oxalate, found in high levels in spinach, rhubarb, sweet potatoes, and dried beans, is the most potent inhibitor of calcium absorption<sup>2<\/sup>. Recall that calcium oxalate is one of the compounds that makes up kidney stones. Based on this understanding, it should not be a surprise that formation of this compound inhibits calcium absorption.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"304\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171211\/10000000000001300000014CF5304467.png\" alt=\"\" width=\"304\" height=\"332\" \/> Figure 12.213 Structure of calcium oxalate<sup>3<\/sup>[\/caption]\r\n\r\n<\/div>\r\nAnother inhibitor of calcium absorption is phytate. Phytate is found in whole grains and legumes<sup>3<\/sup>.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"800\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171212\/1000020100000320000001941C095BA8.png\" alt=\"\" width=\"800\" height=\"404\" \/> Figure 12.214 Structure of phytate<sup>4<\/sup>[\/caption]\r\n\r\n<\/div>\r\n<b>References &amp; Links<\/b>\r\n\r\n1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.\r\n\r\n2. Shils ME, Shike M, Ross AC, Caballero B, Cousins RJ, editors. (2006) Modern nutrition in health and disease. Baltimore, MD: Lippincott Williams &amp; Wilkins.\r\n\r\n3. http:\/\/en.wikipedia.org\/wiki\/File:Calcium_oxalate.png\r\n\r\n4. http:\/\/en.wikipedia.org\/wiki\/File:Phytic_acid.png\r\n\r\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<p>Calcium is taken up into the enterocyte through Transient Receptor Potential V6 (TRPV6), a calcium channel found on the brush border. Calbindin is the calcium binding protein that facilitates uptake through TRPV6 and transport across the enterocyte. Ca2+-Mg2+ ATPase functions to pump calcium out of the enterocyte and into circulation and to pump magnesium into the enterocyte, as shown below<sup>1<\/sup>.<\/p>\n<div>\n<div style=\"width: 983px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171206\/10000000000003CD0000022777E5FE4B.png\" alt=\"\" width=\"973\" height=\"551\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 12.211 Calcium uptake and absorption<\/p>\n<\/div>\n<\/div>\n<p>As we have previously discussed, increased 1,25(OH)2D synthesis in the kidney causes increased binding to the vitamin D receptor, which increases calbindin synthesis. Increased calbindin ultimately increases calcium uptake and absorption.<\/p>\n<div>\n<div style=\"width: 989px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171209\/10000000000003D300000225CD15884F.png\" alt=\"\" width=\"979\" height=\"549\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 12.212 Increased calbindin increases calcium absorption<\/p>\n<\/div>\n<\/div>\n<p>There are a couple of calcium-binding compounds that inhibit its absorption. Therefore, even though some foods are good sources of calcium, the calcium is not very bioavailable. Oxalate, found in high levels in spinach, rhubarb, sweet potatoes, and dried beans, is the most potent inhibitor of calcium absorption<sup>2<\/sup>. Recall that calcium oxalate is one of the compounds that makes up kidney stones. Based on this understanding, it should not be a surprise that formation of this compound inhibits calcium absorption.<\/p>\n<div>\n<div style=\"width: 314px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171211\/10000000000001300000014CF5304467.png\" alt=\"\" width=\"304\" height=\"332\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 12.213 Structure of calcium oxalate<sup>3<\/sup><\/p>\n<\/div>\n<\/div>\n<p>Another inhibitor of calcium absorption is phytate. Phytate is found in whole grains and legumes<sup>3<\/sup>.<\/p>\n<div>\n<div style=\"width: 810px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26171212\/1000020100000320000001941C095BA8.png\" alt=\"\" width=\"800\" height=\"404\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 12.214 Structure of phytate<sup>4<\/sup><\/p>\n<\/div>\n<\/div>\n<p><b>References &amp; Links<\/b><\/p>\n<p>1. Gropper SS, Smith JL, Groff JL. (2008) Advanced nutrition and human metabolism. Belmont, CA: Wadsworth Publishing.<\/p>\n<p>2. Shils ME, Shike M, Ross AC, Caballero B, Cousins RJ, editors. (2006) Modern nutrition in health and disease. Baltimore, MD: Lippincott Williams &amp; Wilkins.<\/p>\n<p>3. http:\/\/en.wikipedia.org\/wiki\/File:Calcium_oxalate.png<\/p>\n<p>4. http:\/\/en.wikipedia.org\/wiki\/File:Phytic_acid.png<\/p>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-959\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Kansas State University Human Nutrition Flexbook. <strong>Authored by<\/strong>: Brian Lindshield. <strong>Provided by<\/strong>: Kansas State University. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"http:\/\/goo.gl\/vOAnR\">http:\/\/goo.gl\/vOAnR<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":5759,"menu_order":10,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Kansas State University Human Nutrition Flexbook\",\"author\":\"Brian Lindshield\",\"organization\":\"Kansas State University\",\"url\":\"goo.gl\/vOAnR\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-959","chapter","type-chapter","status-publish","hentry"],"part":883,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/959","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/users\/5759"}],"version-history":[{"count":4,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/959\/revisions"}],"predecessor-version":[{"id":1825,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/959\/revisions\/1825"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/parts\/883"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/959\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/media?parent=959"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapter-type?post=959"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/contributor?post=959"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/license?post=959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}