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Am J Physiol Gastrointest Liver Physiol (August 10, 2006). doi:10.1152/ajpgi.00317.2006
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Submitted on July 18, 2006
Accepted on August 5, 2006

Prednisolone-induced Ca2+ malabsorption is caused by diminished expression of the epithelial Ca2+ channel TRPV6

Sylvie Huybers1, Ton HJ Naber2, Rene J. Bindels1, and Joost GJ Hoenderop1*

1 286 Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
2 Gastroenterology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands

* To whom correspondence should be addressed. E-mail: J.Hoenderop{at}ncmls.ru.nl.

Glucocorticoids, like prednisolone, are often used in clinic because of their anti-inflammatory and immunosuppressive properties. However, glucocorticoids reduce bone mineral density (BMD) as a side-effect. Malabsorption of Ca2+ in the intestine is supposed to play an important role in the aetiology of low BMD. To elucidate the mechanism of glucocorticoid-induced Ca2+ malabsorption, the present study investigated the effect of prednisolone on the expression and activity of proteins responsible for active intestinal Ca2+ absorption including the epithelial Ca2+ channel TRPV6, calbindin-D9K and the plasma membrane ATPase PMCA1b. Therefore, C57BL/6 mice received 10 mg/kg bwt prednisolone daily by oral gavage for 7 days and were compared with control mice receiving vehicle only. An in vivo 45Ca2+ absorption assay indicated that intestinal Ca2+ absorption was diminished after prednisolone treatment. We showed decreased duodenal TRPV6 and calbindin-D9K mRNA and protein abundance in prednisolone-treated compared to control mice, whereas PMCA1b mRNA levels were not altered. Importantly, detailed expression studies demonstrated that in mice these Ca2+ transport proteins are predominantly localized in the first 2 cm of the duodenum. Furthermore, serum Ca2+ and 1,25-dihydroxyvitamin D3 (1,25(OH)2D3) concentrations remained unchanged by prednisolone treatment. In conclusion, these data suggest that prednisolone reduces the intestinal Ca2+ absorption capacity through diminished duodenal expression of the active Ca2+ transporters TRPV6 and calbindin-D9K independent of systemic 1,25(OH)2D3.




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