Basic Research Open Access
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 21, 2005; 11(19): 2916-2921
Published online May 21, 2005. doi: 10.3748/wjg.v11.i19.2916
Effects of extracellular iron concentration on calcium absorption and relationship between Ca2+ and cell apoptosis in Caco-2 cells
Li Wang, Qing Li, Xiang-Lin Duan, Yan-Zhong Chang, The Key Laboratory of Animal Physiology, Biochemistry and Molecular Biology of Hebei Province, Life Science College, Hebei Normal University, Shijiazhuang 050016, Hebei Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Professor Xiang-Lin Duan, Life Science College, Hebei Normal University, Shijiazhuang 050016, Hebei Province, China. duanxianglin@mail.hebtu.edu.cn
Telephone: +86-311-6269480 Fax: +86-311-6268313
Received: May 25, 2004
Revised: May 26, 2004
Accepted: July 22, 2004
Published online: May 21, 2005

Abstract

AIM: To determine the method of growing small intestinal epithelial cells in short-term primary culture and to investigate the effect of extracellular iron concentration ([Fe3+]) on calcium absorption and the relationship between the rising intracellular calcium concentration ([Ca2+]i) and cell apoptosis in human intestinal epithelial Caco-2 cells.

METHODS: Primary culture was used for growing small intestinal epithelial cells. [Ca2+]i was detected by a confocal laser scanning microscope. The changes in [Ca2+]i were represented by fluorescence intensity (FI). The apoptosis was evaluated by flow cytometry.

RESULTS: Isolation of epithelial cells and preservation of its three-dimensional integrity were achieved using the digestion technique of a mixture of collagenase XI and dispase I. Purification of the epithelial cells was facilitated by using a simple differential sedimentation method. The results showed that proliferation of normal gut epithelium in vitro was initially dependent upon the maintenance of structural integrity of the tissue. If 0.25% trypsin was used for digestion, the cells were severely damaged and very difficult to stick to the Petri dish for growing. The Fe3+ chelating agent desferrioxamine (100, 200 and 300 μmol/L) increased the FI of Caco-2 cells from 27.50±13.18 (control, n = 150) to 35.71±13.99 (n = 150, P<0.01), 72.19±35.40 (n = 150, P<0.01) and 211.34±29.03 (n = 150, P<0.01) in a concentration-dependent manner. There was a significant decrease in the FI of Caco-2 cells treated by ferric ammonium citrate (FAC, a Fe3+ donor; 10, 50 and 100 μmol/L). The FI value of Caco-2 cells treated by FAC was 185.85±33.77 (n = 150, P<0.01), 122.73±58.47 (n = 150, P<0.01), and 53.29±19.82 (n = 150, P<0.01), respectively, suggesting that calcium absorption was influenced by [Fe3+]. Calcium ionophore A23187 (0.1, 1.0 and 10 μmol/L) increased the FI of Caco-2 cells from 40.45±13.95 (control, n = 150) to 45.19±21.95 (n = 150, P<0.01), 89.87±43.29 (n = 150, P<0.01) and 104.64±51.07 (n = 150, P<0.01) in a concentration-dependent manner. The positive apoptotic cell number of the Caco-2 cells after being treated with A23187 increased from 0.32% to 0.69%, 0.90% and 1.10%, indicating that the increase in the positive apoptotic cell number was positively correlated with [Ca2+]i.

CONCLUSION: Ca2+ absorbability is increased with the decrease of extracellular iron concentration Fe3+ and hindered with the increase of Fe3+ consistence out of them. Furthermore, increase of [Ca2+]i can induce apoptosis in Caco-2 cells.

Key Words: Iron calcium absorption; Cell apoptosis; Caco-2 cells



INTRODUCTION

Calcium is one of the most important and necessary element which maintains the physiological function. When the absorption of calcium is obstructed, many diseases are induced, such as hypertension, hyperkinesias, colorectal carcinoma, cardiovascular disease and osteoporosis, etc. The iron is one of the most common metals existing in our environment. In the last decade, a number of studies[1,2] suggested that the ferric absorption was inhibited by calcium. However, little is known about the effect of iron concentration change on calcium absorption. The purpose of the present study was to investigate the effect of extracellular iron concentration ([Fe3+]) on calcium absorption, and to study the effect of rising intracellular calcium concentration ([Ca2+]i) on the apoptosis of Caco-2 cells.

MATERIALS AND METHODS
Materials

All chemicals were of analytical grade. Dulbecco’s modified Eagle’s medium (DMEM) and fetal calf serum (FCS) were purchased from Gibco. FDA, A23187 and Fluo-3/AM were purchased from the Laboratory of Molecular Cell Biology of Hebei Normal University. Desferrioxamine (DFO), ferric ammonium citrate (FAC) and A23187 were dissolved in Ca2+/Mg2+-free phosphate-buffered saline containing 0.40 g KCl, 0.06 g KH2PO4, 8 g NaCl, 0.35 g NaHCO3, and 0.09 g Na2HPO4·7H2O in 1-L liquid.

Cell preparation

Caco-2 cells, from cell store room of Shanghai Cell Academic Institution of CAS, were cultured in DMEM supplemented with 10% fetal bovine serum. Culture medium was changed every 2-3 d. The 20-30th generation of Caco-2 cells cultured for 3 d at 37 °C was digested with trypsin and the cell concentration was fixed to about 1×106/mL, they were then seeded in six-well plates and continuously cultured. The culture liquid was made up of φ (FCS) = 10%, DMEM φ (high sugar) = 85%, double antibiotics in which the final concentration of penicillin was 100 IU/mL and that of streptomycin was 100 μg/mL.

Fluo3-AM loading

The Caco-2 cells were incubated with Fluo3-AM working solution containing 0.03% Pluronic F-127 (the final concen-tration of Fluo3-AM was 20 μmol/L) at 37 °C for 40 min. After incubation, the cells were washed thrice at 25 °C with Ca2+/Mg2+-free phosphate-buffered saline to remove extrac-ellular Fluo3-AM.

Measurement of [Ca2+]i

After Fluo3-AM loading, the cells were mounted on the small pool of Teflon printed slice, and covered with cover glass. Only the cells with rod shaped and visible striations were used for experiments. The fluorescence signals were detected with a confocal laser scanning system (Biorad lasersharp MRA2, Oxfordshire, UK), which was equipped with a Nikon E-600 eclipse microscope. An argon laser was used to excite Fluo3 at 488 nm and emit at 530 nm. [Ca2+]i changes were represented with fluorescence intensity (FI).

Experimental protocols

The experiments consisted of three groups: (1) Effect of DFO on intracellular calcium concentration ([Ca2+]i): FI was measured after 100, 200 and 300 μmol/L DFO were added to normal phosphate-buffered saline containing Ca2+ and Mg2+ for 20 min (n = 150). Ca2+/Mg2+-free phosphate-buffered saline was used as a control (n = 150). (2) Effect of FAC on [Ca2+]i: FI was measured after 10, 50 and 100 μmol/L FAC were added to normal phosphate-buffered saline containing Ca2+ and Mg2+ for 20 min (n = 150). Ca2+/Mg2+-free phosphate-buffered saline was used as a control (n = 150). (3) Effect of calcium ionophore A23187 on [Ca2+]i: FI was measured after 0.1, 1.0, and 10 μmol/L A23187 were added to normal phosphate-buffered saline containing Ca2+ and Mg2+ for 20 min (n = 150). Ca2+/Mg2+-free phosphate-buffered saline was used as a control (n = 150).

FCM examination method

The Caco-2 cells of the 20-30th generation were planted to plastic culture flasks after being digested by trypsin and the number of the cells was 1×106/mL, and cultured for 3 d. The nutrition liquid for growth was discarded after the cells developed into a conflux monolayer, and the course of medication was the same as the previous one. PBS (0.01 mol/L) was added to the cells after they were digested, the cells were then centrifuged and the supernatant fluid was discarded. The cells were fixed with cold ethanol of 70%, and then stored at -4 °C overnight for flow cytometry (FCM) analysis.

Data processing

The cells were dealt with confocal assistant software, and 150 cells were disposed for each sample. The data were analyzed with ANOVA and LSD examination by STAT software, and the examination results were expressed as mean±SD.

The coherence examination of χ2-test was used for the test of apoptotic percentage, and the test method of df = 1 and ft>5 for two groups was used. The calculating formula was χ2 = Σ(fo-ft)2/ft, where practice frequency is denoted with fo, theoretical frequency is denoted with ft, and the summation is denoted with Σ. The test level of χ2-test was α = 0.05, and P<0.05 was considered statistically significant.

RESULTS
Primary culture of epithelial cells

The intestinal mucosa suspension after being digested was constituted of recess epithelial cells observed under an inverted microscope. The cell livability was more than 95.7% digested by the mixture of collagenase IX and neutral proteinase I after trypan blue staining. There were undispersed epithelial cells and elastic fiber in the discarded depositions (Figure 1A). Primary cultured cells of intestinal mucosa were adhered after 24-48 h and then converged into groups of cell colonies after 4-6 d (Figure 1B), and the cells joined into pieces after 10-12 d. They were monolayer and polygon cells and pavement-like (Figure 1C). Cell borderlines were clear and not overlapped. The cytoplasm was abundant and their nuclei were round and olivary, the chromatin in the nuclei was very sparse with 1-2 nucleoli. There were few smooth muscle cells, fibroblasts and glial cells when observed under the microscope. The cells cultured in this experiment were not subcultured.

Figure 1
Figure 1 Epithelial cells in primary culture. A: Ingredients in the sediment after centrifugation (×200); B: colonies formed in cells cultured for 6 d (×100); C: pavement-like cells formed in cells cultured for 9 d (×200); D: immune positive cells (↑) (×400); E: no staining in negative group (×100); F: cell movement, adherent cells (▲) and just adherent cells (↓) (×100).

The cell keratin was the characteristic antigen ingredient of epithelial tissue. The antibody of cell keratin marked with biotin was used in this experiment to show qualitatively the rat intestinal epithelial cells. The immunocytochemistry result showed that the intestinal epithelial cells were positive brown (Figure 1D), and that the negative group was not stained (Figure 1E).

Effect of DFO on [Ca2+]i

Fe3+ was chelated by adding different concentrations of DFO into the culture liquid. DFO (100, 200 and 300 μmol/L) increased [Ca2+]i of Caco-2 cells in a concentration-dependent manner. The FI value of Caco-2 cells was 35.71±13.99 (n = 150, P<0.01), 72.19±35.40 (n = 150, P<0.01) and 211.34±29.03 (n = 150, P<0.01), respectively. The FI value of control was 27.50±13.18 (control, n = 150). There was a significant difference among the treatments (P<0.01, Figure 2A). It showed that the transportation of Ca2+ into the cells was increased with the decrease of Fe3+ concentration in the cells.

Figure 2
Figure 2 Effect of different concentrations of DFO (A), FAC (B), and A23187 (C) on Ca2+ concentration in Caco-2 cells. A: 1a: Control, ×200; 1b: the final consistence of DFO was 100 μmol/L, ×200; 1c: the final consistence of DFO was 200 μmol/L, ×200; 1d: the final consistence of DFO was 300 μmol/L, ×200. B: 2a: control, ×200; 2b: the final consistence of FAC was 10 μmol/L, ×200; 2c: the final consistence of FAC was 50 μmol/L, ×200; 2d: the final consistence of FAC was 100 μmol/L, ×200. C: 3a (1) the photograph of transmission light, showing the place of cells, ×200; (2) the photograph of fluorescence, showing the active cells, ×200; 3b: blank control, ×200; 3c: negative control, ×200; 3d: the final consistence of A23187 was 0.1 μmol/L, ×200; 3e: the final consistence of A23187 was 1.0 μmol/L, ×200; 3f: the final consistence of A23187 was 10 μmol/L, ×200.
Effect of ferric ammonium citrate (FAC) on [Ca2+]i

Fe3+ was increased by adding different concentrations of Fe3+ donor FAC into the culture liquid. The FI value of Caco-2 cells was examined, the result showed that FAC (10, 50 and 100 μmol/L) decreased the FI from 44.43±14.14 (control, n = 150) to 185.85±33.77 (n = 150, P<0.01), 122.73±58.47 (n = 150, P<0.01), and 53.29±19.82 (n = 150, P<0.01), respectively. There was a significant difference among the treatments (P<0.01, Figure 2B). It showed that the transportation of Ca2+ into the cells could be induced by the slight increase of [Fe3+], but the transportation of Ca2+ into the cells was hindered with the continuous increase of [Fe3+] in the cells.

Effect of calcium ionophore A23187 on [Ca2+]i

The cell livability was examined with FDA, and its final concentration was 10 mg/L. FDA could be decomposed and take on green fluorescence when it enters the live cells, but it cannot be decomposed when it enters the dead cells and take on fluorescence. The live nature of cells was observed by confocal laser scanning microscope, and the cell livability was more than 90%.

The FI of blank control without A23187 and Fluo-3/AM was very feeble (25.47±6.48, n = 150), and that of negative control without A23187 was relatively feeble (40.45±13.95, n = 150). The FI of negative control was obviously stronger than that of blank control (P<0.01). Calcium ionophore A23187 (0.1, 1.0 and 10 μmol/L) increased the FI of Caco-2 cells from 40.45±13.95 (control, n = 150) to 45.19±21.95 (n = 150, P<0.01), 89.87±43.29 (n = 150, P<0.01) and 104.64±51.07 (n = 150, P<0.01) in a concentration-dependent manner. There was a significant difference among the treatments (P<0.01, Figure 2C).

Effect of [Ca2+]i on the apoptosis of Caco-2 cells

There was a sub-duple body apex, namely apoptotic apex, in front of the G0/G1 phase cells of all groups in the PI fluorescent histograms examined with FCM. The result showed that the positive apoptotic rate of control was 0.32%, and the AP apex was very low. The apoptotic percentage of each treatment was 0.69%, 0.90% and 1.10%, respectively. The cell apoptotic percentage of treatment group with A23187 (0.1 μmol/L) was obviously higher than that of negative control (P<0.01) examined with χ2-test. The cell apoptotic percentage of treatment group with A23187 (10 μmol/L) was also not obviously different from that of treatment group with A23187 (1 μmol/L) (P>0.05). But the cell apoptotic percentage of treatment group with A23187 (10 μmol/L) was obviously increased compared to that of treatment with A23187 (0.1 μmol/L) (P<0.01), suggesting that the cell apoptotic percentage was related with the increase of Ca2+ concentration in Caco-2 cells, that is to say, the increase of Ca2+ concentration in the Caco-2 cells was positively correlated to its apoptosis.

DISCUSSION

Iron is one of the most abundant micronutrients. Excessive iron also has cell toxicity and induces cell damnification. So there are rigid regulating mechanisms in the body to keep the balance of iron metabolism. Duodenum and jejunum are the main place of iron absorption and the hinge position in regulating the balance of iron metabolism. It is known that iron in the enteric cavity is carried into the small intestine epithelia by divalent metal transporter 1 in its membrane with Fe2+ formation. It is commonly considered that calcium hinders iron absorption[1-5]. Iron absorption was hindered by adding CaCl2 and this function was in a dose-dependent manner by separating rat gastrointestinal loop and observing the iron absorption after the rat was supplied with different doses of calcium (CaCl2)[6-10]. At present, the mechanism of reciprocity between calcium and iron has not yet been elucidated. Although the absorption methods of heme iron and nonheme iron were different, their absorption was also hindered by calcium. Hallberg et al[6], thought that the same transport carrier was used by calcium and iron, and there existed competition and inhibition between them in the transport process from mucous membrane cells to blood plasma. This track of nonheme iron was the same to heme iron. There were only few reports on the calcium absorption under the effect of iron. Calcium absorption was not influenced by the increase of Fe3+ concentration, but it was increased by iron only in the instance of the ratio of 20 to 1 of iron to calcium under the effect of different Fe3+ in the brush border vesicle[11-16]. In the present study, we demonstrated that the Fe3+ chelating agent DFO increased the Ca2+ concentration of Caco-2 cells in a concentration-dependent manner and the FAC decreased the Ca2+ concentration of Caco-2 cells, suggesting that calcium absorption is influenced by [Fe3+]. But the idiographic mechanism of calcium absorption increased by a low dose of Fe3+ and inhibited by a high dose of Fe3+ remains to be further established.

In the present study, calcium ionophore A23187 increased the Ca2+ concentration of Caco-2 cells in a concentration-dependent manner. Ca2+ being the important second messenger in cells is the signal of subsistence and death, and almost all physiological activities are regulated by Ca2+, for instance, flop of heart, secretion of hormone and transfer and reserve of information in cerebrum. The foundation at the start of life and the process of cells developing into special type cells are touched and controlled by Ca2+, and cell physiological activity is regulated by Ca2+, and then finally cell apoptosis is ongoing under the function of Ca2+. Intracellular calcium concentration is commonly between 0.1 and 10 mmol/L, while extracellular calcium concentration is about 0.1 μmol/L. It is the concentration difference that becomes the base of the physiological function of Ca2+. The concentration of dissociating Ca2+ in cell cytoplasts is the pivotal factor to regulate various responses, and there are different kinds of calcium-regulating mechanism to keep its balance. Some studies showed that the transitory increase of Ca2+ concentration in cells could be reduced by ATP which can stimulate cells[17-22]. Biological function can be regulated by mobilization of Ca2+ in cells including temporary reaction of muscle constriction, nerve conduction and cell secretion, etc., and permanent reaction of cell differentiation and proliferation. All in all, cell function is regulated by Ca2+, and it could pass the stimulating signals of excitomotors onto the enzyme reaction system and functional protein[23-26].

Excessive [Ca2+]i is harmful to cells. Many damaging factors such as insufficient oxygen, toxin, oxidative stress, defective blood perfusion, blood poisoning, ionizing radiation and enteritis can induce the rising of intracellular calcium, which results in cell apoptosis. A23187 is a moving ionic carrier which carries bivalent positive ions of Ca2+, Mg2+, etc. into cells and two H+s are carried out of cells at the same time. Ca2+ can step into cell cytoplasts immediately if A23187 is added into live cell culture liquid. Therefore, A23187 is widely used to increase the extranuclear dissociated Ca2+ concentration in cells. The extranuclear Ca2+ concentration can be immediately increased by calcium carrier of A23187 when touched with cells, and then the endogeneity endoprotease, which can make DNA rupture among the nucleosomes into segments between 180 and 200 bp or its diploid segments taking on ladder atlas in the gel electrophoresis, is aroused and cell apoptosis is increased. Inhibition of oxidative phosphorylation process in mitochondria, decrease of mitochondrial membrane electric potential and ATP content in tissues, activation of phosphatidase and proteinase and irreversible cell damage have been induced by calcium overload[27-32].

Footnotes
References
1.  Cook JD, Dassenko SA, Whittaker P. Calcium supplementation: effect on iron absorption. Am J Clin Nutr. 1991;53:106-111.  [PubMed]  [DOI]  [Cited in This Article: ]
2.  Reddy MB, Cook JD. Effect of calcium intake on nonheme-iron absorption from a complete diet. Am J Clin Nutr. 1997;65:1820-1825.  [PubMed]  [DOI]  [Cited in This Article: ]
3.  Monsen ER, Cook JD. Food iron absorption in human subjects. IV. The effects of calcium and phosphate salts on the absorption of nonheme iron. Am J Clin Nutr. 1976;29:1142-1148.  [PubMed]  [DOI]  [Cited in This Article: ]
4.  Hurrell RF, Reddy MB, Juillerat MA, Cook JD. Degradation of phytic acid in cereal porridges improves iron absorption by human subjects. Am J Clin Nutr. 2003;77:1213-1219.  [PubMed]  [DOI]  [Cited in This Article: ]
5.  Cook JD, Reddy MB. Effect of ascorbic acid intake on nonheme-iron absorption from a complete diet. Am J Clin Nutr. 2001;73:93-98.  [PubMed]  [DOI]  [Cited in This Article: ]
6.  Hallberg L, Brune M, Erlandsson M, Sandberg AS, Rossander-Hultén L. Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans. Am J Clin Nutr. 1991;53:112-119.  [PubMed]  [DOI]  [Cited in This Article: ]
7.  Merritt JE, Rink TJ. Regulation of cytosolic free calcium in fura-2-loaded rat parotid acinar cells. J Biol Chem. 1987;262:17362-17369.  [PubMed]  [DOI]  [Cited in This Article: ]
8.  Chen JT, Chen RM, Lin YL, Chang HC, Lin YH, Chen TL, Chen TG. Confocal laser scanning microscopy: I. An overview of principle and practice in biomedical research. Acta Anaesthesiol Taiwan. 2004;42:33-40.  [PubMed]  [DOI]  [Cited in This Article: ]
9.  Turnlund JR, Smith RG, Kretsch MJ, Keyes WR, Shah AG. Milk's effect on the bioavailability of iron from cereal-based diets in young women by use of in vitro and in vivo methods. Am J Clin Nutr. 1990;52:373-378.  [PubMed]  [DOI]  [Cited in This Article: ]
10.  Gleerup A, Rossander-Hulthén L, Gramatkovski E, Hallberg L. Iron absorption from the whole diet: comparison of the effect of two different distributions of daily calcium intake. Am J Clin Nutr. 1995;61:97-104.  [PubMed]  [DOI]  [Cited in This Article: ]
11.  Roth-Bassell HA, Clydesdale FM. The influence of zinc, magnesium, and iron on calcium uptake in brush border membrane vesicles. J Am Coll Nutr. 1991;10:44-49.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 12]  [Cited by in F6Publishing: 13]  [Article Influence: 0.4]  [Reference Citation Analysis (0)]
12.  Berner LA, Clydesdale FM, Douglass JS. Fortification contributed greatly to vitamin and mineral intakes in the United States, 1989-1991. J Nutr. 2001;131:2177-2183.  [PubMed]  [DOI]  [Cited in This Article: ]
13.  Roughead ZK, Zito CA, Hunt JR. Initial uptake and absorption of nonheme iron and absorption of heme iron in humans are unaffected by the addition of calcium as cheese to a meal with high iron bioavailability. Am J Clin Nutr. 2002;76:419-425.  [PubMed]  [DOI]  [Cited in This Article: ]
14.  Wauben IP, Atkinson SA. Calcium does not inhibit iron absorption or alter iron status in infant piglets adapted to a high calcium diet. J Nutr. 1999;129:707-711.  [PubMed]  [DOI]  [Cited in This Article: ]
15.  Hebbert D, Morgan EH. Calmodulin antagonists inhibit and phorbol esters enhance transferrin endocytosis and iron uptake by immature erythroid cells. Blood. 1985;65:758-763.  [PubMed]  [DOI]  [Cited in This Article: ]
16.  Lönnerdal B. Effects of milk and milk components on calcium, magnesium, and trace element absorption during infancy. Physiol Rev. 1997;77:643-669.  [PubMed]  [DOI]  [Cited in This Article: ]
17.  Shimohama S, Fujimoto S, Matsushima H, Takenawa T, Taniguchi T, Perry G, Whitehouse PJ, Kimura J. Alteration of phospholipase C-delta protein level and specific activity in Alzheimer's disease. J Neurochem. 1995;64:2629-2634.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 21]  [Cited by in F6Publishing: 22]  [Article Influence: 0.8]  [Reference Citation Analysis (0)]
18.  Kazilek CJ, Merkle CJ, Chandler DE. Hyperosmotic inhibition of calcium signals and exocytosis in rabbit neutrophils. Am J Physiol. 1988;254:C709-C718.  [PubMed]  [DOI]  [Cited in This Article: ]
19.  Fendyur A, Kaiserman I, Kasinetz L, Rahamimoff R. The burst of mitochondrial diseases: neurons and calcium. Isr Med Assoc J. 2004;6:356-359.  [PubMed]  [DOI]  [Cited in This Article: ]
20.  Grewal SS, Fass DM, Yao H, Ellig CL, Goodman RH, Stork PJ. Calcium and cAMP signals differentially regulate cAMP-responsive element-binding protein function via a Rap1-extracellular signal-regulated kinase pathway. J Biol Chem. 2000;275:34433-34441.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 107]  [Cited by in F6Publishing: 119]  [Article Influence: 5.0]  [Reference Citation Analysis (0)]
21.  Gorczynska E, Handelsman DJ. The role of calcium in follicle-stimulating hormone signal transduction in Sertoli cells. J Biol Chem. 1991;266:23739-23744.  [PubMed]  [DOI]  [Cited in This Article: ]
22.  Hudson PL, Pedersen WA, Saltsman WS, Liscovitch M, MacLaughlin DT, Donahoe PK, Blusztajn JK. Modulation by sphingolipids of calcium signals evoked by epidermal growth factor. J Biol Chem. 1994;269:21885-21890.  [PubMed]  [DOI]  [Cited in This Article: ]
23.  Smeland E, Bremnes RM, Fuskevag OM, Aarbakke J. The effect of calcium channel blockers and calcium on methotrexate accumulation in rat hepatocytes. Anticancer Res. 1995;15:1221-1225.  [PubMed]  [DOI]  [Cited in This Article: ]
24.  Baker AJ, Longuemare MC, Brandes R, Weiner MW. Intracellular tetanic calcium signals are reduced in fatigue of whole skeletal muscle. Am J Physiol. 1993;264:C577-C582.  [PubMed]  [DOI]  [Cited in This Article: ]
25.  Moore TM, Chetham PM, Kelly JJ, Stevens T. Signal transduction and regulation of lung endothelial cell permeability. Interaction between calcium and cAMP. Am J Physiol. 1998;275:L203-L222.  [PubMed]  [DOI]  [Cited in This Article: ]
26.  Lane PJ, Ledbetter JA, McConnell FM, Draves K, Deans J, Schieven GL, Clark EA. The role of tyrosine phosphorylation in signal transduction through surface Ig in human B cells. Inhibition of tyrosine phosphorylation prevents intracellular calcium release. J Immunol. 1991;146:715-722.  [PubMed]  [DOI]  [Cited in This Article: ]
27.  Bellomo G, Perotti M, Taddei F, Mirabelli F, Finardi G, Nicotera P, Orrenius S. Tumor necrosis factor alpha induces apoptosis in mammary adenocarcinoma cells by an increase in intranuclear free Ca2+ concentration and DNA fragmentation. Cancer Res. 1992;52:1342-1346.  [PubMed]  [DOI]  [Cited in This Article: ]
28.  Atsma DE, Bastiaanse EM, Van der Valk L, Van der Laarse A. Low external pH limits cell death of energy-depleted cardiomyocytes by attenuation of Ca2+ overload. Am J Physiol. 1996;270:H2149-H2156.  [PubMed]  [DOI]  [Cited in This Article: ]
29.  Atsma DE, Bastiaanse EM, Jerzewski A, Van der Valk LJ, Van der Laarse A. Role of calcium-activated neutral protease (calpain) in cell death in cultured neonatal rat cardiomyocytes during metabolic inhibition. Circ Res. 1995;76:1071-1078.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 63]  [Cited by in F6Publishing: 68]  [Article Influence: 2.3]  [Reference Citation Analysis (0)]
30.  Mailland M, Waelchli R, Ruat M, Boddeke HG, Seuwen K. Stimulation of cell proliferation by calcium and a calcimimetic compound. Endocrinology. 1997;138:3601-3605.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 53]  [Cited by in F6Publishing: 57]  [Article Influence: 2.1]  [Reference Citation Analysis (0)]
31.  Bostick RM, Fosdick L, Wood JR, Grambsch P, Grandits GA, Lillemoe TJ, Louis TA, Potter JD. Calcium and colorectal epithelial cell proliferation in sporadic adenoma patients: a randomized, double-blinded, placebo-controlled clinical trial. J Natl Cancer Inst. 1995;87:1307-1315.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 94]  [Cited by in F6Publishing: 91]  [Article Influence: 3.1]  [Reference Citation Analysis (0)]
32.  Bostick RM, Boldt M, Darif M, Wood JR, Overn P, Potter JD. Calcium and colorectal epithelial cell proliferation in ulcerative colitis. Cancer Epidemiol Biomarkers Prev. 1997;6:1021-1027.  [PubMed]  [DOI]  [Cited in This Article: ]