Fe3+ opposes the 1,25(OH)2D3-induced calcium transport across intestinal epithelium-like Caco-2 monolayer in the presence or absence of ascorbic acid

PLoS One. 2022 Aug 30;17(8):e0273267. doi: 10.1371/journal.pone.0273267. eCollection 2022.

Abstract

Although iron is an essential element for hemoglobin and cytochrome synthesis, excessive intestinal iron absorption-as seen in dietary iron supplementation and hereditary disease called thalassemia-could interfere with transepithelial transport of calcium across the intestinal mucosa. The underlying cellular mechanism of iron-induced decrease in intestinal calcium absorption remains elusive, but it has been hypothesized that excess iron probably negates the actions of 1,25-dihydroxyvitamin D [1,25(OH)2D3]. Herein, we exposed the 1,25(OH)2D3-treated epithelium-like Caco-2 monolayer to FeCl3 to demonstrate the inhibitory effect of ferric ion on 1,25(OH)2D3-induced transepithelial calcium transport. We found that a 24-h exposure to FeCl3 on the apical side significantly decreased calcium transport, while increasing the transepithelial resistance (TER) in 1,25(OH)2D3-treated monolayer. The inhibitory action of FeCl3 was considered rapid since 60-min exposure was sufficient to block the 1,25(OH)2D3-induced decrease in TER and increase in calcium flux. Interestingly, FeCl3 did not affect the baseline calcium transport in the absence of 1,25(OH)2D3 treatment. Furthermore, although ascorbic acid is often administered to maximize calcium solubility and to enhance intestinal calcium absorption, it apparently had no effect on calcium transport across the FeCl3- and 1,25(OH)2D3-treated Caco-2 monolayer. In conclusion, apical exposure to ferric ion appeared to negate the 1,25(OH)2D3-stimulated calcium transport across the intestinal epithelium. The present finding has, therefore, provided important information for development of calcium and iron supplement products and treatment protocol for specific groups of individuals, such as thalassemia patients and pregnant women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ascorbic Acid / metabolism
  • Ascorbic Acid / pharmacology
  • Caco-2 Cells
  • Calcitriol* / metabolism
  • Calcitriol* / pharmacology
  • Calcium* / metabolism
  • Calcium, Dietary / metabolism
  • Electrolytes / metabolism
  • Female
  • Humans
  • Intestinal Absorption
  • Intestinal Mucosa / metabolism
  • Iron / metabolism
  • Iron, Dietary / metabolism
  • Pregnancy

Substances

  • Calcium, Dietary
  • Electrolytes
  • Iron, Dietary
  • Iron
  • Calcitriol
  • Ascorbic Acid
  • Calcium

Grants and funding

Our study was supported by grants from Thailand Science Research and Innovation (TSRI)–Mahidol University (Fundamental Fund/Basic Research Fund: fiscal year 2022; to NC), the National Research Council of Thailand (NRCT)–Mahidol University (Distinguished Research Professor Grant; to NC), National Science and Technology Development Agency (NSTDA; to NC), TSRI/Thailand Research Fund (TRF) through the International Research Network Program (IRN60W0001; to NC, KW, and WC), TRF–Office of the Higher Education Commission Research Grant for New Scholar (MRG6280198; to JTe), TSRI–Burapha University (Fundamental Fund; to KW), and Faculty of Science, Mahidol University (CIF/CNI Grant; to NC, NP and KL). SP was supported by a scholarship from Science Achievement Scholarship of Thailand (SAST). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.