Indirect effect of casein phosphopeptides on calcium absorption in rat ileum in vitro.

Casein phosphopeptides (CPP) are the phosphorylated fragments of bovine milk casein. They are believed to enhance intestinal absorption of calcium by their ability to form soluble complexes with calcium thereby inhibiting the precipitation of phosphate-calcium salts. In order to evaluate whether they also act in an additional direct manner on the intestinal mucosa, these peptides were added in a phosphate-free medium at a concentration of 1, 2, or 4 mg/ml on the mucosal side of rat ileum mounted in an Ussing chamber in vitro. No effect on the electrical parameters of the tissue was observed. The unidirectional mucosal-to-serosal flux of calcium was significantly reduced in the presence of the peptides, without alteration in the serosal-to-mucosal flux. Jms was 51.71 +/- 2.67 microEq/h.cm2 for control vs. 19.23 +/- 3.95 in the presence of 4 mg/ml CPP. This effect was associated with a reduction in free calcium in the mucosal reservoir of the Ussing chamber, without modification of mucosal total calcium or of serosal total and free calcium. These results indicate that CPP did not directly act on rat ileum to enhance calcium absorption. These peptides bind calcium, and the CPP--calcium complex which was not efficiently absorbed remained on the mucosal side of the tissue. In these conditions, the physiological role of CPP on intestinal calcium absorption could be only an indirect luminal inhibition of the precipitation of phosphate-calcium salts. This effect remains to be clearly established.