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1 Faculty of Science, Mahidol University
* To whom correspondence should be addressed. E-mail: naratt{at}narattsys.com.
During pregnancy and lactation, the enhanced intestinal Ca2+ absorption serves to provide Ca2+ for fetal development and lactogenesis, however, the responsible hormone and its mechanisms remain elusive. We elucidated herein that prolactin (PRL) markedly stimulated the transcellular and paracellular Ca2+ transport in the duodenum of pregnant and lactating rats as well as in Caco-2 monolayer in a 2-step manner. Specifically, a long-term exposure to PRL in pregnancy and lactation induced an adaptation in duodenal cells at genomic level by upregulating the expression of genes related to transcellular transport, e.g., TRPV5/6 and calbindin-D9k, and the paracellular transport, e.g., claudin-3, thereby raising Ca2+ absorption rate to a new "baseline" (Step 1). During suckling, PRL surge further increased Ca2+ absorption to a higher level (Step 2) in a non-genomic manner to match Ca2+ loss in milk. PRL-enhanced apical Ca2+ uptake was responsible for the increased transcellular transport, whereas PRL-enhanced paracellular transport required claudin-15, which regulated epithelial cation selectivity and paracellular Ca2+ movement. Such non-genomic PRL actions were mediated by phosphoinositide 3-kinase, protein kinase C, and RhoA-associated coiled-coil forming kinase pathways. In conclusion, 2-step stimulation of intestinal Ca2+ absorption resulted from long-term PRL exposure which upregulated Ca2+ transporter genes to elevate the transport baseline, and the suckling-induced transient PRL surge which further increased Ca2+ transport to the maximal capacity. The present findings also suggested that Ca2+ supplementation at 15-30 min prior to breastfeeding may best benefit the lactating mother since more Ca2+ could be absorbed as a result of the suckling-induced PRL surge.
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