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"Calcium absorption promotion" refers to a broad set of molecular and physiological pathways that increase the uptake of calcium from the intestine into systemic circulation. The most critical effectors in this process are the vitamin D receptor (VDR; a nuclear hormone receptor), calcium channels such as TRPV6 (formerly CaT1), calbindin-D9k, and plasma membrane calcium ATPase (PMCA1b), all working together to facilitate active transcellular transport of calcium in the duodenum and upper jejunum. Paracellular (passive) mechanisms, regulated by tight-junction proteins like claudin-2, claudin-12, and claudin-15, also contribute, especially when calcium intake is high[1][2][3][4]. Endocrine factors such as vitamin D (via VDR), parathyroid hormone (PTH), prolactin, and calcitonin orchestrate these cellular changes to meet varying calcium demands in health and disease[3][4][5][6]. Because this description encapsulates a physiological process involving multiple distinct molecules and pathways, "calcium absorption promotion" is not considered a standalone druggable molecular target but instead a therapeutic goal enabled by modulating specific underlying molecular targets.
Stimulation of active intestinal calcium transport (via upregulation of CaT1/TRPV6 and calbindin by 1,25-dihydroxyvitamin D3); Modulation of paracellular calcium absorption (via tight junction proteins such as claudin-2, claudin-12, claudin-15); Upregulation of calcium absorption by hormone signaling (e.g., vitamin D receptor, prolactin receptor)
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