Nutrient chapter

Calcium

Nutritional calcium element; distinct from free Ca2+, salts, mineral deposits and calcium-signaling events. Nutritional element; not elemental metal exposure, free calcium ion, or a specific calcium salt. Forms and intake are recorded in each event.

119 recorded mechanisms · 32 availability situations · 1 preserved sources. Draft and verified records are labeled separately.

The mechanisms

What the sources say this nutrient does, one relationship at a time. Plain wording comes first; the technical statement follows.

  1. Extracellular calcium activates cloned bovine CaSR expressed in Xenopus oocytes.

    Calcium ion → Calcium-sensing receptor / CaSR source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Bovine parathyroid receptor cDNA; Xenopus oocyte expression
    limitations
    Heterologous expression; polyvalent ions also activate this receptor.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Bos taurus receptor in Xenopus laevis
    plain_language
    CaSR senses calcium outside cells.
    primary_references
    [brown1993] Cloning and characterization of an extracellular Ca(2+)-sensing receptor from bovine parathyroid (1993). https://pubmed.ncbi.nlm.nih.gov/8255296/ DOI: 10.1038/366575a0
    tissue_or_cell_type
    Parathyroid-derived receptor; plasma membrane

    Calcium: mechanism-first literature curation (2026-09-17) · lines 14–23

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Bovine parathyroid receptor cDNA; Xenopus oocyte expression · source_derived_draft · unverified_draft

    ### calcium-activates-casr Extracellular calcium activates cloned bovine CaSR expressed in Xenopus oocytes. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: CaSR senses calcium outside cells. organism: Bos taurus receptor in Xenopus laevis tissue_or_cell_type: Parathyroid-derived receptor; plasma membrane experimental_model: Bovine parathyroid receptor cDNA; Xenopus oocyte expression limitations: Heterologous expression; polyvalent ions also activate this receptor. [brown1993] Cloning and characterization of an extracellular Ca(2+)-sensing receptor from bovine parathyroid (1993). https://pubmed.ncbi.nlm.nih.gov/8255296/ DOI: 10.1038/366575a0
    Complete structured claim and evidence
  2. CaSR potentiation by NPS R-568 strengthens extracellular-calcium-mediated inhibition of PTH secretion in bovine parathyroid cells.

    Experimental context and source evidence
    experimental_model
    Bovine parathyroid cells and human CaSR-expressing HEK293 cells
    limitations
    Pharmacological cell experiment; potentiation required extracellular calcium.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Bos taurus
    plain_language
    Greater calcium-sensor activation reduces hormone release.
    primary_references
    [nemeth1998] Calcimimetics with potent and selective activity on the parathyroid calcium receptor (1998). https://pmc.ncbi.nlm.nih.gov/articles/PMC19959/ DOI: 10.1073/pnas.95.7.4040
    tissue_or_cell_type
    Parathyroid cells

    Calcium: mechanism-first literature curation (2026-09-17) · lines 25–34

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Bovine parathyroid cells and human CaSR-expressing HEK293 cells · source_derived_draft · unverified_draft

    ### casr-calcium-pth-suppression CaSR potentiation by NPS R-568 strengthens extracellular-calcium-mediated inhibition of PTH secretion in bovine parathyroid cells. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Greater calcium-sensor activation reduces hormone release. organism: Bos taurus tissue_or_cell_type: Parathyroid cells experimental_model: Bovine parathyroid cells and human CaSR-expressing HEK293 cells limitations: Pharmacological cell experiment; potentiation required extracellular calcium. [nemeth1998] Calcimimetics with potent and selective activity on the parathyroid calcium receptor (1998). https://pmc.ncbi.nlm.nih.gov/articles/PMC19959/ DOI: 10.1073/pnas.95.7.4040
    Complete structured claim and evidence
  3. Inactivating CASR variants cause familial hypocalciuric hypercalcemia or neonatal severe hyperparathyroidism.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Human pedigrees and mutant-receptor expression in Xenopus oocytes
    limitations
    Mutation-specific inherited disease; not evidence of dietary calcium excess.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A faulty sensor can raise blood calcium.
    primary_references
    [pollak1993] Mutations in the human Ca(2+)-sensing receptor gene cause familial hypocalciuric hypercalcemia and neonatal severe hyperparathyroidism (1993). https://pubmed.ncbi.nlm.nih.gov/7916660/ DOI: 10.1016/0092-8674(93)90617-y
    tissue_or_cell_type
    Parathyroid/kidney calcium regulation
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 36–45

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human pedigrees and mutant-receptor expression in Xenopus oocytes · source_derived_draft · unverified_draft

    ### casr-loss-hypercalcemia Inactivating CASR variants cause familial hypocalciuric hypercalcemia or neonatal severe hyperparathyroidism. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A faulty sensor can raise blood calcium. organism: Homo sapiens tissue_or_cell_type: Parathyroid/kidney calcium regulation experimental_model: Human pedigrees and mutant-receptor expression in Xenopus oocytes limitations: Mutation-specific inherited disease; not evidence of dietary calcium excess. [pollak1993] Mutations in the human Ca(2+)-sensing receptor gene cause familial hypocalciuric hypercalcemia and neonatal severe hyperparathyroidism (1993). https://pubmed.ncbi.nlm.nih.gov/7916660/ DOI: 10.1016/0092-8674(93)90617-y
    Complete structured claim and evidence
  4. The CaSR E128A variant increases receptor responsiveness and causes dominant hypocalcemia in the studied family.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Human family; E128A CaSR expressed in Xenopus oocytes
    limitations
    One family and oocyte assays; not dietary calcium deficiency.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    An oversensitive sensor can lower blood calcium.
    primary_references
    [pollak1994] Autosomal dominant hypocalcaemia caused by a Ca(2+)-sensing receptor gene mutation (1994). https://pubmed.ncbi.nlm.nih.gov/7874174/ DOI: 10.1038/ng1194-303
    tissue_or_cell_type
    Systemic calcium regulation
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 47–56

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human family; E128A CaSR expressed in Xenopus oocytes · source_derived_draft · unverified_draft

    ### casr-gain-hypocalcemia The CaSR E128A variant increases receptor responsiveness and causes dominant hypocalcemia in the studied family. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: An oversensitive sensor can lower blood calcium. organism: Homo sapiens tissue_or_cell_type: Systemic calcium regulation experimental_model: Human family; E128A CaSR expressed in Xenopus oocytes limitations: One family and oocyte assays; not dietary calcium deficiency. [pollak1994] Autosomal dominant hypocalcaemia caused by a Ca(2+)-sensing receptor gene mutation (1994). https://pubmed.ncbi.nlm.nih.gov/7874174/ DOI: 10.1038/ng1194-303
    Complete structured claim and evidence
  5. PTH increases TRPV5 activity through cAMP-PKA-dependent phosphorylation at T709 in receptor/channel expression assays.

    Parathyroid hormone / PTH → TRPV5 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    HEK293 expression, calcium uptake, FRET, patch clamp and TRPV5 mutagenesis
    limitations
    Response required strong intracellular calcium buffering; cultured-cell mechanism.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Heterologous HEK293 expression system
    plain_language
    PTH can increase calcium entry through TRPV5.
    primary_references
    [degroot2009] Parathyroid hormone activates TRPV5 via PKA-dependent phosphorylation (2009). https://pmc.ncbi.nlm.nih.gov/articles/PMC2723979/ DOI: 10.1681/ASN.2008080873
    tissue_or_cell_type
    Plasma membrane; distal-nephron mechanism

    Calcium: mechanism-first literature curation (2026-09-17) · lines 58–67

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · HEK293 expression, calcium uptake, FRET, patch clamp and TRPV5 mutagenesis · source_derived_draft · unverified_draft

    ### pth-activates-trpv5 PTH increases TRPV5 activity through cAMP-PKA-dependent phosphorylation at T709 in receptor/channel expression assays. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: PTH can increase calcium entry through TRPV5. organism: Heterologous HEK293 expression system tissue_or_cell_type: Plasma membrane; distal-nephron mechanism experimental_model: HEK293 expression, calcium uptake, FRET, patch clamp and TRPV5 mutagenesis limitations: Response required strong intracellular calcium buffering; cultured-cell mechanism. [degroot2009] Parathyroid hormone activates TRPV5 via PKA-dependent phosphorylation (2009). https://pmc.ncbi.nlm.nih.gov/articles/PMC2723979/ DOI: 10.1681/ASN.2008080873
    Complete structured claim and evidence
  6. Thyroparathyroidectomy nearly abolished calcitriol production in low-calcium-fed rats; parathyroid extract restored it.

    Parathyroid hormone / PTH → Calcitriol production source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Low-calcium-fed rats; thyroparathyroidectomy and parathyroid-extract replacement
    limitations
    Surgical removal plus extract replacement; not a purified-enzyme assay.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Rattus norvegicus
    plain_language
    Hormonal support helps activate vitamin D during calcium restriction.
    primary_references
    [garabedian1972] Control of 25-hydroxycholecalciferol metabolism by parathyroid glands (1972). https://pubmed.ncbi.nlm.nih.gov/4340153/ DOI: 10.1073/pnas.69.7.1673
    tissue_or_cell_type
    Systemic vitamin D metabolism
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 69–78

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Low-calcium-fed rats; thyroparathyroidectomy and parathyroid-extract replacement · source_derived_draft · unverified_draft

    ### parathyroid-loss-calcitriol-production Thyroparathyroidectomy nearly abolished calcitriol production in low-calcium-fed rats; parathyroid extract restored it. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Hormonal support helps activate vitamin D during calcium restriction. organism: Rattus norvegicus tissue_or_cell_type: Systemic vitamin D metabolism experimental_model: Low-calcium-fed rats; thyroparathyroidectomy and parathyroid-extract replacement limitations: Surgical removal plus extract replacement; not a purified-enzyme assay. [garabedian1972] Control of 25-hydroxycholecalciferol metabolism by parathyroid glands (1972). https://pubmed.ncbi.nlm.nih.gov/4340153/ DOI: 10.1073/pnas.69.7.1673
    Complete structured claim and evidence
  7. Calcitriol administration suppresses parathyroid PTH transcription in rats without a measured rise in serum calcium.

    Calcitriol → Parathyroid hormone gene transcription source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Vitamin D metabolite administration to rats; parathyroid RNA and nuclear transcription assays
    limitations
    Administered hormone and transcription assay; does not resolve every promoter mechanism.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Rattus norvegicus
    plain_language
    Active vitamin D feeds back on hormone production.
    primary_references
    [silver1986] Regulation by vitamin D metabolites of parathyroid hormone gene transcription in vivo in the rat (1986). https://pubmed.ncbi.nlm.nih.gov/3771798/ DOI: 10.1172/JCI112714
    tissue_or_cell_type
    Parathyroid

    Calcium: mechanism-first literature curation (2026-09-17) · lines 80–89

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Vitamin D metabolite administration to rats; parathyroid RNA and nuclear transcription assays · source_derived_draft · unverified_draft

    ### calcitriol-suppresses-pth-transcription Calcitriol administration suppresses parathyroid PTH transcription in rats without a measured rise in serum calcium. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Active vitamin D feeds back on hormone production. organism: Rattus norvegicus tissue_or_cell_type: Parathyroid experimental_model: Vitamin D metabolite administration to rats; parathyroid RNA and nuclear transcription assays limitations: Administered hormone and transcription assay; does not resolve every promoter mechanism. [silver1986] Regulation by vitamin D metabolites of parathyroid hormone gene transcription in vivo in the rat (1986). https://pubmed.ncbi.nlm.nih.gov/3771798/ DOI: 10.1172/JCI112714
    Complete structured claim and evidence
  8. Recombinant FGF23 lowers renal CYP27B1 mRNA before the fall in serum phosphate.

    Experimental context and source evidence
    experimental_model
    Recombinant FGF23 injections in normal and parathyroidectomized rodents
    limitations
    Injection study; transcript change is not direct enzyme inhibition.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus; Rattus norvegicus
    plain_language
    FGF23 restrains a vitamin D activation enzyme.
    primary_references
    [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    tissue_or_cell_type
    Kidney

    Calcium: mechanism-first literature curation (2026-09-17) · lines 91–100

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant FGF23 injections in normal and parathyroidectomized rodents · source_derived_draft · unverified_draft

    ### fgf23-reduces-cyp27b1-expression Recombinant FGF23 lowers renal CYP27B1 mRNA before the fall in serum phosphate. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 restrains a vitamin D activation enzyme. organism: Mus musculus; Rattus norvegicus tissue_or_cell_type: Kidney experimental_model: Recombinant FGF23 injections in normal and parathyroidectomized rodents limitations: Injection study; transcript change is not direct enzyme inhibition. [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    Complete structured claim and evidence
  9. Recombinant FGF23 raises renal CYP24A1 mRNA as circulating calcitriol declines.

    Experimental context and source evidence
    experimental_model
    Recombinant FGF23 injections in normal and parathyroidectomized rodents
    limitations
    Acute rodent transcript response; does not quantify human calcium balance.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus; Rattus norvegicus
    plain_language
    FGF23 increases vitamin D inactivation machinery.
    primary_references
    [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    tissue_or_cell_type
    Kidney

    Calcium: mechanism-first literature curation (2026-09-17) · lines 102–111

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant FGF23 injections in normal and parathyroidectomized rodents · source_derived_draft · unverified_draft

    ### fgf23-increases-cyp24a1-expression Recombinant FGF23 raises renal CYP24A1 mRNA as circulating calcitriol declines. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 increases vitamin D inactivation machinery. organism: Mus musculus; Rattus norvegicus tissue_or_cell_type: Kidney experimental_model: Recombinant FGF23 injections in normal and parathyroidectomized rodents limitations: Acute rodent transcript response; does not quantify human calcium balance. [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    Complete structured claim and evidence
  10. Alpha-Klotho cooperates with FGFR1(IIIc) to confer high-affinity binding and signaling by FGF23.

    Experimental context and source evidence
    experimental_model
    Renal homogenates, receptor-reconstitution cell assays and anti-Klotho antibody in mice
    limitations
    Specifically FGFR1(IIIc) reconstitution; not all FGFR1 splice forms are equivalent.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mammalian cell systems; Mus musculus
    plain_language
    FGF23 needs a suitable receptor partnership.
    primary_references
    [urakawa2006] Klotho converts canonical FGF receptor into a specific receptor for FGF23 (2006). https://pubmed.ncbi.nlm.nih.gov/17086194/ DOI: 10.1038/nature05315
    tissue_or_cell_type
    Kidney receptor system

    Calcium: mechanism-first literature curation (2026-09-17) · lines 113–122

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Renal homogenates, receptor-reconstitution cell assays and anti-Klotho antibody in mice · source_derived_draft · unverified_draft

    ### klotho-fgfr1-fgf23-receptor Alpha-Klotho cooperates with FGFR1(IIIc) to confer high-affinity binding and signaling by FGF23. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 needs a suitable receptor partnership. organism: Mammalian cell systems; Mus musculus tissue_or_cell_type: Kidney receptor system experimental_model: Renal homogenates, receptor-reconstitution cell assays and anti-Klotho antibody in mice limitations: Specifically FGFR1(IIIc) reconstitution; not all FGFR1 splice forms are equivalent. [urakawa2006] Klotho converts canonical FGF receptor into a specific receptor for FGF23 (2006). https://pubmed.ncbi.nlm.nih.gov/17086194/ DOI: 10.1038/nature05315
    Complete structured claim and evidence
  11. FGF23 increases renal distal-tubular TRPV5 membrane abundance through FGFR/alpha-Klotho signaling involving ERK1/2, SGK1 and WNK4.

    Fibroblast growth factor 23 / FGF23 → TRPV5 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Mouse Fgf23/Klotho/Vdr genetic models, recombinant FGF23, isolated tubules and kidney slices
    limitations
    Mouse genetic/pharmacological models; no claim of equivalent human effect magnitude.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    FGF23 can help kidneys retain calcium.
    primary_references
    [andrukhova2014] FGF23 promotes renal calcium reabsorption through the TRPV5 channel (2014). https://pmc.ncbi.nlm.nih.gov/articles/PMC3983685/ DOI: 10.1002/embj.201284188
    tissue_or_cell_type
    Renal distal tubules

    Calcium: mechanism-first literature curation (2026-09-17) · lines 124–133

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mouse Fgf23/Klotho/Vdr genetic models, recombinant FGF23, isolated tubules and kidney slices · source_derived_draft · unverified_draft

    ### fgf23-increases-trpv5-membrane-abundance FGF23 increases renal distal-tubular TRPV5 membrane abundance through FGFR/alpha-Klotho signaling involving ERK1/2, SGK1 and WNK4. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 can help kidneys retain calcium. organism: Mus musculus tissue_or_cell_type: Renal distal tubules experimental_model: Mouse Fgf23/Klotho/Vdr genetic models, recombinant FGF23, isolated tubules and kidney slices limitations: Mouse genetic/pharmacological models; no claim of equivalent human effect magnitude. [andrukhova2014] FGF23 promotes renal calcium reabsorption through the TRPV5 channel (2014). https://pmc.ncbi.nlm.nih.gov/articles/PMC3983685/ DOI: 10.1002/embj.201284188
    Complete structured claim and evidence
  12. VDR-ablated mice develop hypocalcemia around postnatal day 21 with rising PTH.

    Vitamin D receptor / VDR → Serum calcium concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Mice with targeted disruption of the VDR DNA-binding domain
    limitations
    Global receptor deletion; not isolated dietary calcium shortage.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Vitamin D receptor failure disrupts calcium regulation.
    primary_references
    [li1997] Targeted ablation of the vitamin D receptor: an animal model of vitamin D-dependent rickets type II with alopecia (1997). https://pmc.ncbi.nlm.nih.gov/articles/PMC23277/ DOI: 10.1073/pnas.94.18.9831
    tissue_or_cell_type
    Systemic mineral metabolism
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 135–144

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mice with targeted disruption of the VDR DNA-binding domain · source_derived_draft · unverified_draft

    ### vdr-loss-hypocalcemia VDR-ablated mice develop hypocalcemia around postnatal day 21 with rising PTH. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin D receptor failure disrupts calcium regulation. organism: Mus musculus tissue_or_cell_type: Systemic mineral metabolism experimental_model: Mice with targeted disruption of the VDR DNA-binding domain limitations: Global receptor deletion; not isolated dietary calcium shortage. [li1997] Targeted ablation of the vitamin D receptor: an animal model of vitamin D-dependent rickets type II with alopecia (1997). https://pmc.ncbi.nlm.nih.gov/articles/PMC23277/ DOI: 10.1073/pnas.94.18.9831
    Complete structured claim and evidence
  13. A mineral/lactose rescue diet normalizes ionized calcium in VDR-ablated mice.

    Calcium → Serum ionized calcium concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    VDR-ablated mice and controls fed a mineral/lactose rescue diet
    limitations
    Combined dietary intervention; cannot attribute rescue to calcium alone.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Dietary mineral delivery can bypass part of receptor failure.
    primary_references
    [li1998] Normalization of mineral ion homeostasis by dietary means prevents hyperparathyroidism, rickets, and osteomalacia, but not alopecia in vitamin D receptor-ablated mice (1998). https://pubmed.ncbi.nlm.nih.gov/9751523/ DOI: 10.1210/endo.139.10.6262
    reported_effect
    normalizing
    tissue_or_cell_type
    Intestine and blood
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 146–156

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · VDR-ablated mice and controls fed a mineral/lactose rescue diet · source_derived_draft · unverified_draft

    ### vdr-null-mineral-diet-rescue A mineral/lactose rescue diet normalizes ionized calcium in VDR-ablated mice. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Dietary mineral delivery can bypass part of receptor failure. organism: Mus musculus tissue_or_cell_type: Intestine and blood experimental_model: VDR-ablated mice and controls fed a mineral/lactose rescue diet limitations: Combined dietary intervention; cannot attribute rescue to calcium alone. reported_effect: normalizing [li1998] Normalization of mineral ion homeostasis by dietary means prevents hyperparathyroidism, rickets, and osteomalacia, but not alopecia in vitamin D receptor-ablated mice (1998). https://pubmed.ncbi.nlm.nih.gov/9751523/ DOI: 10.1210/endo.139.10.6262
    Complete structured claim and evidence
  14. Trpv6 deletion reduced intestinal calcium absorption by about 60% in the Bianco mouse model.

    TRPV6 → Intestinal calcium absorption source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Whole-body Trpv6 knockout mice under regular and low-calcium diets
    limitations
    Whole-body deletion; diet and assay matter; residual absorption remained.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    TRPV6 materially supports calcium uptake in this model.
    primary_references
    [bianco2007] Marked disturbance of calcium homeostasis in mice with targeted disruption of the Trpv6 calcium channel gene (2007). https://pubmed.ncbi.nlm.nih.gov/17129178/ DOI: 10.1359/jbmr.061110
    tissue_or_cell_type
    Intestine
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 158–167

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Whole-body Trpv6 knockout mice under regular and low-calcium diets · source_derived_draft · unverified_draft

    ### trpv6-loss-reduces-absorption Trpv6 deletion reduced intestinal calcium absorption by about 60% in the Bianco mouse model. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: TRPV6 materially supports calcium uptake in this model. organism: Mus musculus tissue_or_cell_type: Intestine experimental_model: Whole-body Trpv6 knockout mice under regular and low-calcium diets limitations: Whole-body deletion; diet and assay matter; residual absorption remained. [bianco2007] Marked disturbance of calcium homeostasis in mice with targeted disruption of the Trpv6 calcium channel gene (2007). https://pubmed.ncbi.nlm.nih.gov/17129178/ DOI: 10.1359/jbmr.061110
    Complete structured claim and evidence
  15. Significant active duodenal calcium transport persists in Trpv6/calbindin-D9k double-null mice under the tested stimulation conditions.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Trpv6 and calbindin-D9k single/double knockout mice; duodenal transport assays
    limitations
    Residual transport does not establish dispensability under every diet or life stage.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Other routes can support active calcium absorption.
    primary_references
    [benn2008] Active intestinal calcium transport in the absence of transient receptor potential vanilloid type 6 and calbindin-D9k (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2408805/ DOI: 10.1210/en.2007-1655
    reported_effect
    retained
    tissue_or_cell_type
    Duodenum
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 169–179

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Trpv6 and calbindin-D9k single/double knockout mice; duodenal transport assays · source_derived_draft · unverified_draft

    ### trpv6-calbindin-independent-active-transport Significant active duodenal calcium transport persists in Trpv6/calbindin-D9k double-null mice under the tested stimulation conditions. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Other routes can support active calcium absorption. organism: Mus musculus tissue_or_cell_type: Duodenum experimental_model: Trpv6 and calbindin-D9k single/double knockout mice; duodenal transport assays limitations: Residual transport does not establish dispensability under every diet or life stage. reported_effect: retained [benn2008] Active intestinal calcium transport in the absence of transient receptor potential vanilloid type 6 and calbindin-D9k (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2408805/ DOI: 10.1210/en.2007-1655
    Complete structured claim and evidence
  16. Calcitriol induces human TRPV6 transcription through VDR/RXR-associated regulatory elements in intestinal cell models.

    Calcitriol → TRPV6 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Human intestinal cell lines; chromatin immunoprecipitation, promoter reporters and regulatory-element mutagenesis
    limitations
    Promoter activity and receptor occupancy do not establish an exclusive transport route or whole-body calcium flux.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens cell lines
    plain_language
    Active vitamin D increases a calcium-entry channel.
    primary_references
    [meyer2006] The human transient receptor potential vanilloid type 6 distal promoter contains multiple vitamin D receptor binding sites that mediate activation by 1,25-dihydroxyvitamin D3 in intestinal cells (2006). https://pubmed.ncbi.nlm.nih.gov/16574738/ DOI: 10.1210/me.2006-0031
    tissue_or_cell_type
    Intestinal cell transcriptional regulation

    Calcium: mechanism-first literature curation (2026-09-17) · lines 181–190

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human intestinal cell lines; chromatin immunoprecipitation, promoter reporters and regulatory-element mutagenesis · source_derived_draft · unverified_draft

    ### calcitriol-vdr-induces-trpv6 Calcitriol induces human TRPV6 transcription through VDR/RXR-associated regulatory elements in intestinal cell models. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Active vitamin D increases a calcium-entry channel. organism: Homo sapiens cell lines tissue_or_cell_type: Intestinal cell transcriptional regulation experimental_model: Human intestinal cell lines; chromatin immunoprecipitation, promoter reporters and regulatory-element mutagenesis limitations: Promoter activity and receptor occupancy do not establish an exclusive transport route or whole-body calcium flux. [meyer2006] The human transient receptor potential vanilloid type 6 distal promoter contains multiple vitamin D receptor binding sites that mediate activation by 1,25-dihydroxyvitamin D3 in intestinal cells (2006). https://pubmed.ncbi.nlm.nih.gov/16574738/ DOI: 10.1210/me.2006-0031
    Complete structured claim and evidence
  17. Claudin-2 manipulation changes calcium permeability across Caco-2 epithelial monolayers.

    Claudin-2 → Paracellular calcium permeability source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Caco-2 knockdown/overexpression and mouse VDR-null intestinal expression
    limitations
    Cell-line permeability; not an obligatory route in every intestinal segment.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens cell line
    plain_language
    Claudin-2 supports calcium movement between cells.
    primary_references
    [fujita2008] Tight junction proteins claudin-2 and -12 are critical for vitamin D-dependent Ca2+ absorption between enterocytes (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2366872/ DOI: 10.1091/mbc.E07-09-0973
    tissue_or_cell_type
    Caco-2 epithelial tight junctions

    Calcium: mechanism-first literature curation (2026-09-17) · lines 192–201

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Caco-2 knockdown/overexpression and mouse VDR-null intestinal expression · source_derived_draft · unverified_draft

    ### cldn2-calcium-permeability Claudin-2 manipulation changes calcium permeability across Caco-2 epithelial monolayers. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Claudin-2 supports calcium movement between cells. organism: Homo sapiens cell line tissue_or_cell_type: Caco-2 epithelial tight junctions experimental_model: Caco-2 knockdown/overexpression and mouse VDR-null intestinal expression limitations: Cell-line permeability; not an obligatory route in every intestinal segment. [fujita2008] Tight junction proteins claudin-2 and -12 are critical for vitamin D-dependent Ca2+ absorption between enterocytes (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2366872/ DOI: 10.1091/mbc.E07-09-0973
    Complete structured claim and evidence
  18. Claudin-12 knockdown/overexpression alters calcium permeability in Caco-2 monolayers.

    Claudin-12 → Paracellular calcium permeability source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Caco-2 knockdown/overexpression and mouse VDR-null intestinal expression
    limitations
    Assay context matters; this does not prove a mandatory claudin-2/12 complex.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens cell line
    plain_language
    Claudin-12 contributes another between-cell route.
    primary_references
    [fujita2008] Tight junction proteins claudin-2 and -12 are critical for vitamin D-dependent Ca2+ absorption between enterocytes (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2366872/ DOI: 10.1091/mbc.E07-09-0973
    tissue_or_cell_type
    Caco-2 epithelial tight junctions

    Calcium: mechanism-first literature curation (2026-09-17) · lines 203–212

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Caco-2 knockdown/overexpression and mouse VDR-null intestinal expression · source_derived_draft · unverified_draft

    ### cldn12-calcium-permeability Claudin-12 knockdown/overexpression alters calcium permeability in Caco-2 monolayers. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Claudin-12 contributes another between-cell route. organism: Homo sapiens cell line tissue_or_cell_type: Caco-2 epithelial tight junctions experimental_model: Caco-2 knockdown/overexpression and mouse VDR-null intestinal expression limitations: Assay context matters; this does not prove a mandatory claudin-2/12 complex. [fujita2008] Tight junction proteins claudin-2 and -12 are critical for vitamin D-dependent Ca2+ absorption between enterocytes (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2366872/ DOI: 10.1091/mbc.E07-09-0973
    Complete structured claim and evidence
  19. Cldn2/Cldn12 double deletion lowers colonic calcium permeability; small-intestinal permeability was unchanged.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Cldn2/Cldn12 single/double knockout mice, ex vivo epithelia and cell models
    limitations
    Global double knockout; single proteins are partly redundant.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    The measured defect was segment specific.
    primary_references
    [beggs2021] Claudin-2 and claudin-12 form independent, complementary pores required to maintain calcium homeostasis (2021). https://pmc.ncbi.nlm.nih.gov/articles/PMC8694054/ DOI: 10.1073/pnas.2111247118
    tissue_or_cell_type
    Colon
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 214–223

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cldn2/Cldn12 single/double knockout mice, ex vivo epithelia and cell models · source_derived_draft · unverified_draft

    ### cldn2-cldn12-double-loss-colon Cldn2/Cldn12 double deletion lowers colonic calcium permeability; small-intestinal permeability was unchanged. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The measured defect was segment specific. organism: Mus musculus tissue_or_cell_type: Colon experimental_model: Cldn2/Cldn12 single/double knockout mice, ex vivo epithelia and cell models limitations: Global double knockout; single proteins are partly redundant. [beggs2021] Claudin-2 and claudin-12 form independent, complementary pores required to maintain calcium homeostasis (2021). https://pmc.ncbi.nlm.nih.gov/articles/PMC8694054/ DOI: 10.1073/pnas.2111247118
    Complete structured claim and evidence
  20. Cldn2/Cldn12 double-null mice lose more urinary calcium than Cldn2-null mice.

    Claudin-2 and claudin-12 → Urinary calcium excretion source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Cldn2/Cldn12 single/double knockout mice, ex vivo epithelia and cell models
    limitations
    Global deletion also affects intestinal handling.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    The two claudins provide complementary renal retention.
    primary_references
    [beggs2021] Claudin-2 and claudin-12 form independent, complementary pores required to maintain calcium homeostasis (2021). https://pmc.ncbi.nlm.nih.gov/articles/PMC8694054/ DOI: 10.1073/pnas.2111247118
    tissue_or_cell_type
    Kidney; proximal-tubule localization
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 225–234

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cldn2/Cldn12 single/double knockout mice, ex vivo epithelia and cell models · source_derived_draft · unverified_draft

    ### cldn2-cldn12-double-loss-calciuria Cldn2/Cldn12 double-null mice lose more urinary calcium than Cldn2-null mice. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The two claudins provide complementary renal retention. organism: Mus musculus tissue_or_cell_type: Kidney; proximal-tubule localization experimental_model: Cldn2/Cldn12 single/double knockout mice, ex vivo epithelia and cell models limitations: Global deletion also affects intestinal handling. [beggs2021] Claudin-2 and claudin-12 form independent, complementary pores required to maintain calcium homeostasis (2021). https://pmc.ncbi.nlm.nih.gov/articles/PMC8694054/ DOI: 10.1073/pnas.2111247118
    Complete structured claim and evidence
  21. Trpv5-null mice have impaired distal calcium reabsorption and severe hypercalciuria despite increased vitamin D levels.

    TRPV5 → Renal calcium reabsorption source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Trpv5 knockout mice; renal micropuncture and oral calcium tracer assays
    limitations
    Mouse knockout with micropuncture localization.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Hormonal compensation cannot replace the missing channel.
    primary_references
    [hoenderop2003] Renal Ca2+ wasting, hyperabsorption, and reduced bone thickness in mice lacking TRPV5 (2003). https://pmc.ncbi.nlm.nih.gov/articles/PMC297001/ DOI: 10.1172/JCI19826
    tissue_or_cell_type
    Early distal convolution
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 236–245

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Trpv5 knockout mice; renal micropuncture and oral calcium tracer assays · source_derived_draft · unverified_draft

    ### trpv5-loss-renal-reabsorption Trpv5-null mice have impaired distal calcium reabsorption and severe hypercalciuria despite increased vitamin D levels. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Hormonal compensation cannot replace the missing channel. organism: Mus musculus tissue_or_cell_type: Early distal convolution experimental_model: Trpv5 knockout mice; renal micropuncture and oral calcium tracer assays limitations: Mouse knockout with micropuncture localization. [hoenderop2003] Renal Ca2+ wasting, hyperabsorption, and reduced bone thickness in mice lacking TRPV5 (2003). https://pmc.ncbi.nlm.nih.gov/articles/PMC297001/ DOI: 10.1172/JCI19826
    Complete structured claim and evidence
  22. Trpv5-null mice show increased intestinal absorption of orally administered calcium tracer.

    TRPV5 → Intestinal calcium absorption source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Trpv5 knockout mice; renal micropuncture and oral calcium tracer assays
    limitations
    Compensation accompanies renal loss; not direct intestinal TRPV5 transport.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Gut uptake compensates for kidney losses.
    primary_references
    [hoenderop2003] Renal Ca2+ wasting, hyperabsorption, and reduced bone thickness in mice lacking TRPV5 (2003). https://pmc.ncbi.nlm.nih.gov/articles/PMC297001/ DOI: 10.1172/JCI19826
    tissue_or_cell_type
    Intestine
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 247–256

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Trpv5 knockout mice; renal micropuncture and oral calcium tracer assays · source_derived_draft · unverified_draft

    ### trpv5-loss-compensatory-intestinal-absorption Trpv5-null mice show increased intestinal absorption of orally administered calcium tracer. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Gut uptake compensates for kidney losses. organism: Mus musculus tissue_or_cell_type: Intestine experimental_model: Trpv5 knockout mice; renal micropuncture and oral calcium tracer assays limitations: Compensation accompanies renal loss; not direct intestinal TRPV5 transport. [hoenderop2003] Renal Ca2+ wasting, hyperabsorption, and reduced bone thickness in mice lacking TRPV5 (2003). https://pmc.ncbi.nlm.nih.gov/articles/PMC297001/ DOI: 10.1172/JCI19826
    Complete structured claim and evidence
  23. Claudin-16/19 coexpression increases paracellular cation selectivity in LLC-PK1 epithelial monolayers.

    Claudin-16 → Claudin-19 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Claudin expression in LLC-PK1/MDCK epithelia; interaction and permeability assays
    limitations
    Effects differ in MDCK cells; cation selectivity does not prove a calcium-specific pore.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Heterologous renal epithelial systems
    plain_language
    These renal junction proteins work together.
    primary_references
    [hou2008] Claudin-16 and claudin-19 interact and form a cation-selective tight junction complex (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2176193/ DOI: 10.1172/JCI33970
    tissue_or_cell_type
    Renal tight-junction model

    Calcium: mechanism-first literature curation (2026-09-17) · lines 258–267

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Claudin expression in LLC-PK1/MDCK epithelia; interaction and permeability assays · source_derived_draft · unverified_draft

    ### cldn16-cldn19-cation-selectivity Claudin-16/19 coexpression increases paracellular cation selectivity in LLC-PK1 epithelial monolayers. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: These renal junction proteins work together. organism: Heterologous renal epithelial systems tissue_or_cell_type: Renal tight-junction model experimental_model: Claudin expression in LLC-PK1/MDCK epithelia; interaction and permeability assays limitations: Effects differ in MDCK cells; cation selectivity does not prove a calcium-specific pore. [hou2008] Claudin-16 and claudin-19 interact and form a cation-selective tight junction complex (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2176193/ DOI: 10.1172/JCI33970
    Complete structured claim and evidence
  24. Biallelic CLDN19 variants were identified in families with renal magnesium wasting, hypercalciuria and nephrocalcinosis.

    Claudin-19 → Urinary calcium excretion source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Human affected families; linkage, sequencing and claudin trafficking/assembly assays
    limitations
    Multimineral genetic disorder; ocular and renal manifestations vary.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Inherited junction defects can waste calcium.
    primary_references
    [konrad2006] Mutations in the tight-junction gene claudin 19 (CLDN19) are associated with renal magnesium wasting, renal failure, and severe ocular involvement (2006). https://pmc.ncbi.nlm.nih.gov/articles/PMC1698561/ DOI: 10.1086/508617
    tissue_or_cell_type
    Kidney tubules
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 269–278

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human affected families; linkage, sequencing and claudin trafficking/assembly assays · source_derived_draft · unverified_draft

    ### cldn19-variants-renal-calcium-wasting Biallelic CLDN19 variants were identified in families with renal magnesium wasting, hypercalciuria and nephrocalcinosis. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Inherited junction defects can waste calcium. organism: Homo sapiens tissue_or_cell_type: Kidney tubules experimental_model: Human affected families; linkage, sequencing and claudin trafficking/assembly assays limitations: Multimineral genetic disorder; ocular and renal manifestations vary. [konrad2006] Mutations in the tight-junction gene claudin 19 (CLDN19) are associated with renal magnesium wasting, renal failure, and severe ocular involvement (2006). https://pmc.ncbi.nlm.nih.gov/articles/PMC1698561/ DOI: 10.1086/508617
    Complete structured claim and evidence
  25. Intestinal Atp2b1 deletion prevented the active-calcium-transport increase elicited by calcitriol in control mice.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Villin-Cre intestine-specific Atp2b1 deletion in mice
    limitations
    Conditional deletion and administered calcitriol; basal absorption was not shown to be zero.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    A calcium pump is needed for this hormone response.
    primary_references
    [ryan2015] Deletion of the intestinal plasma membrane calcium pump, isoform 1, Atp2b1, in mice is associated with decreased bone mineral density and impaired responsiveness to 1, 25-dihydroxyvitamin D3 (2015). https://pmc.ncbi.nlm.nih.gov/articles/PMC4772868/ DOI: 10.1016/j.bbrc.2015.09.087
    tissue_or_cell_type
    Intestinal absorptive cells
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 280–289

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Villin-Cre intestine-specific Atp2b1 deletion in mice · source_derived_draft · unverified_draft

    ### intestinal-pmca1-loss-calcitriol-response Intestinal Atp2b1 deletion prevented the active-calcium-transport increase elicited by calcitriol in control mice. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A calcium pump is needed for this hormone response. organism: Mus musculus tissue_or_cell_type: Intestinal absorptive cells experimental_model: Villin-Cre intestine-specific Atp2b1 deletion in mice limitations: Conditional deletion and administered calcitriol; basal absorption was not shown to be zero. [ryan2015] Deletion of the intestinal plasma membrane calcium pump, isoform 1, Atp2b1, in mice is associated with decreased bone mineral density and impaired responsiveness to 1, 25-dihydroxyvitamin D3 (2015). https://pmc.ncbi.nlm.nih.gov/articles/PMC4772868/ DOI: 10.1016/j.bbrc.2015.09.087
    Complete structured claim and evidence
  26. Reducing calcium intake from 2000 to 300 mg/day increased intact PTH within one week in nine healthy women.

    Calcium → Serum PTH concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    experimental_model
    Nine healthy women; controlled 2000-to-300 mg/day calcium diet change and oral 47Ca retention
    limitations
    Small controlled study; low intake is not proof of symptomatic deficiency.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Low intake recruits a hormonal response.
    primary_references
    [dawsonhughes1988] Effect of lowering dietary calcium intake on fractional whole body calcium retention (1988). https://pubmed.ncbi.nlm.nih.gov/3132484/ DOI: 10.1210/jcem-67-1-62
    tissue_or_cell_type
    Blood
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 291–300

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Nine healthy women; controlled 2000-to-300 mg/day calcium diet change and oral 47Ca retention · source_derived_draft · unverified_draft

    ### low-calcium-intake-increases-pth Reducing calcium intake from 2000 to 300 mg/day increased intact PTH within one week in nine healthy women. Condition category: nutrient_deficiency nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Low intake recruits a hormonal response. organism: Homo sapiens tissue_or_cell_type: Blood experimental_model: Nine healthy women; controlled 2000-to-300 mg/day calcium diet change and oral 47Ca retention limitations: Small controlled study; low intake is not proof of symptomatic deficiency. [dawsonhughes1988] Effect of lowering dietary calcium intake on fractional whole body calcium retention (1988). https://pubmed.ncbi.nlm.nih.gov/3132484/ DOI: 10.1210/jcem-67-1-62
    Complete structured claim and evidence
  27. The same diet reduction increased fractional oral 47Ca retention within one week.

    Calcium → Fractional whole-body calcium retention source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    experimental_model
    Nine healthy women; controlled 2000-to-300 mg/day calcium diet change and oral 47Ca retention
    limitations
    Retention indexes absorption; greater fraction does not guarantee adequate absolute uptake.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The retained fraction adapts to low intake.
    primary_references
    [dawsonhughes1988] Effect of lowering dietary calcium intake on fractional whole body calcium retention (1988). https://pubmed.ncbi.nlm.nih.gov/3132484/ DOI: 10.1210/jcem-67-1-62
    tissue_or_cell_type
    Whole body
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 302–311

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Nine healthy women; controlled 2000-to-300 mg/day calcium diet change and oral 47Ca retention · source_derived_draft · unverified_draft

    ### low-calcium-intake-fractional-retention The same diet reduction increased fractional oral 47Ca retention within one week. Condition category: nutrient_deficiency nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The retained fraction adapts to low intake. organism: Homo sapiens tissue_or_cell_type: Whole body experimental_model: Nine healthy women; controlled 2000-to-300 mg/day calcium diet change and oral 47Ca retention limitations: Retention indexes absorption; greater fraction does not guarantee adequate absolute uptake. [dawsonhughes1988] Effect of lowering dietary calcium intake on fractional whole body calcium retention (1988). https://pubmed.ncbi.nlm.nih.gov/3132484/ DOI: 10.1210/jcem-67-1-62
    Complete structured claim and evidence
  28. In 691 patients with stage 3-5 CKD, total calcium showed only fair agreement with ionized-calcium classification.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    experimental_model
    691 patients with stage 3-5 chronic kidney disease; paired calcium measurements
    limitations
    CKD cohort; albumin correction did not improve prediction.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Total and ionized calcium are different measurements.
    primary_references
    [gauci2008] Pitfalls of measuring total blood calcium in patients with CKD (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2488254/ DOI: 10.1681/ASN.2007040449
    research_relationship_category
    biomarker
    tissue_or_cell_type
    Blood
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 313–323

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 691 patients with stage 3-5 chronic kidney disease; paired calcium measurements · source_derived_draft · unverified_draft

    ### total-calcium-imperfect-ionized-proxy-ckd In 691 patients with stage 3-5 CKD, total calcium showed only fair agreement with ionized-calcium classification. Condition category: biomarker_context nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Total and ionized calcium are different measurements. organism: Homo sapiens tissue_or_cell_type: Blood experimental_model: 691 patients with stage 3-5 chronic kidney disease; paired calcium measurements limitations: CKD cohort; albumin correction did not improve prediction. research_relationship_category: biomarker [gauci2008] Pitfalls of measuring total blood calcium in patients with CKD (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2488254/ DOI: 10.1681/ASN.2007040449
    Complete structured claim and evidence
  29. Common albumin-adjusted calcium formulas generally classified ionized calcium no better than unadjusted total calcium in a 22,658-adult comparison.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    experimental_model
    Cross-sectional comparison of paired laboratory tests in 22,658 adults in Alberta
    limitations
    Cross-sectional tested population; formulas and patient context differ.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Calculated correction is not a direct ionized-calcium test.
    primary_references
    [desgagnes2025] Use of Albumin-Adjusted Calcium Measurements in Clinical Practice (2025). https://pmc.ncbi.nlm.nih.gov/articles/PMC11751745/ DOI: 10.1001/jamanetworkopen.2024.55251
    research_relationship_category
    biomarker
    tissue_or_cell_type
    Blood
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 325–335

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cross-sectional comparison of paired laboratory tests in 22,658 adults in Alberta · source_derived_draft · unverified_draft

    ### albumin-adjustment-calcium-misclassification Common albumin-adjusted calcium formulas generally classified ionized calcium no better than unadjusted total calcium in a 22,658-adult comparison. Condition category: biomarker_context nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calculated correction is not a direct ionized-calcium test. organism: Homo sapiens tissue_or_cell_type: Blood experimental_model: Cross-sectional comparison of paired laboratory tests in 22,658 adults in Alberta limitations: Cross-sectional tested population; formulas and patient context differ. research_relationship_category: biomarker [desgagnes2025] Use of Albumin-Adjusted Calcium Measurements in Clinical Practice (2025). https://pmc.ncbi.nlm.nih.gov/articles/PMC11751745/ DOI: 10.1001/jamanetworkopen.2024.55251
    Complete structured claim and evidence
  30. Mice with intestinal Vdr deletion maintained serum calcium despite calcium malabsorption and impaired skeletal mineral storage.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    experimental_model
    Intestinal and osteoblast Vdr deletion, low-calcium diets, and skeletal assays in growing mice
    limitations
    Growing-mouse genetic model; not a validated human dietary diagnostic.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Normal blood calcium can coexist with inadequate skeletal supply.
    primary_references
    [lieben2012] Normocalcemia is maintained in mice under conditions of calcium malabsorption by vitamin D-induced inhibition of bone mineralization (2012). https://pmc.ncbi.nlm.nih.gov/articles/PMC3336970/ DOI: 10.1172/JCI45890
    research_relationship_category
    biomarker
    tissue_or_cell_type
    Blood, intestine and skeleton
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 337–347

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Intestinal and osteoblast Vdr deletion, low-calcium diets, and skeletal assays in growing mice · source_derived_draft · unverified_draft

    ### normal-serum-calcium-does-not-establish-sufficiency Mice with intestinal Vdr deletion maintained serum calcium despite calcium malabsorption and impaired skeletal mineral storage. Condition category: biomarker_context nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Normal blood calcium can coexist with inadequate skeletal supply. organism: Mus musculus tissue_or_cell_type: Blood, intestine and skeleton experimental_model: Intestinal and osteoblast Vdr deletion, low-calcium diets, and skeletal assays in growing mice limitations: Growing-mouse genetic model; not a validated human dietary diagnostic. research_relationship_category: biomarker [lieben2012] Normocalcemia is maintained in mice under conditions of calcium malabsorption by vitamin D-induced inhibition of bone mineralization (2012). https://pmc.ncbi.nlm.nih.gov/articles/PMC3336970/ DOI: 10.1172/JCI45890
    Complete structured claim and evidence
  31. Recombinant human CYP27B1 converts calcifediol to calcitriol by 1-alpha-hydroxylation in reconstituted enzyme systems.

    Vitamin D 1-alpha-hydroxylase / CYP27B1 → Calcitriol source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Recombinant human CYP27B1 expressed in bacteria and reconstituted with phospholipids and electron-transfer partners
    limitations
    Activity requires electron-transfer support; this assay does not measure endocrine flux in an intact kidney.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens enzyme
    plain_language
    CYP27B1 activates the vitamin D precursor.
    primary_references
    [tang2012cyp27b1] Expression of human CYP27B1 in Escherichia coli and characterization in phospholipid vesicles (2012). https://febs.onlinelibrary.wiley.com/doi/10.1111/j.1742-4658.2012.08736.x DOI: 10.1111/j.1742-4658.2012.08736.x
    research_relationship_category
    biochemical_reaction
    tissue_or_cell_type
    Reconstituted membrane system
    transport_or_reaction_direction
    forward

    Calcium: mechanism-first literature curation (2026-09-17) · lines 349–360

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human CYP27B1 expressed in bacteria and reconstituted with phospholipids and electron-transfer partners · source_derived_draft · unverified_draft

    ### cyp27b1-produces-calcitriol Recombinant human CYP27B1 converts calcifediol to calcitriol by 1-alpha-hydroxylation in reconstituted enzyme systems. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: CYP27B1 activates the vitamin D precursor. organism: Homo sapiens enzyme tissue_or_cell_type: Reconstituted membrane system experimental_model: Recombinant human CYP27B1 expressed in bacteria and reconstituted with phospholipids and electron-transfer partners limitations: Activity requires electron-transfer support; this assay does not measure endocrine flux in an intact kidney. research_relationship_category: biochemical_reaction transport_or_reaction_direction: forward [tang2012cyp27b1] Expression of human CYP27B1 in Escherichia coli and characterization in phospholipid vesicles (2012). https://febs.onlinelibrary.wiley.com/doi/10.1111/j.1742-4658.2012.08736.x DOI: 10.1111/j.1742-4658.2012.08736.x
    Complete structured claim and evidence
  32. Human CYP24A1 hydroxylates calcitriol to 1-alpha,24,25-trihydroxyvitamin D3 in the first C24-oxidation step.

    Experimental context and source evidence
    experimental_model
    Human CYP24A1 expressed in E. coli, partially purified and reconstituted in phospholipid vesicles
    limitations
    This is a C24-pathway intermediate, not a final inactive product. Further oxidation and the distinct C23 route are not represented by this single edge.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens enzyme
    plain_language
    CYP24A1 begins a defined calcitriol breakdown route.
    primary_references
    [tieu2014] Kinetic analysis of human CYP24A1 metabolism of vitamin D via the C24-oxidation pathway (2014). https://pubmed.ncbi.nlm.nih.gov/24893882/ DOI: 10.1111/febs.12862
    research_relationship_category
    biochemical_reaction
    tissue_or_cell_type
    Reconstituted enzyme/membrane system
    transport_or_reaction_direction
    forward

    Calcium: mechanism-first literature curation (2026-09-17) · lines 362–373

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human CYP24A1 expressed in E. coli, partially purified and reconstituted in phospholipid vesicles · source_derived_draft · unverified_draft

    ### cyp24a1-calcitriol-c24-hydroxylation Human CYP24A1 hydroxylates calcitriol to 1-alpha,24,25-trihydroxyvitamin D3 in the first C24-oxidation step. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: CYP24A1 begins a defined calcitriol breakdown route. organism: Homo sapiens enzyme tissue_or_cell_type: Reconstituted enzyme/membrane system experimental_model: Human CYP24A1 expressed in E. coli, partially purified and reconstituted in phospholipid vesicles limitations: This is a C24-pathway intermediate, not a final inactive product. Further oxidation and the distinct C23 route are not represented by this single edge. research_relationship_category: biochemical_reaction transport_or_reaction_direction: forward [tieu2014] Kinetic analysis of human CYP24A1 metabolism of vitamin D via the C24-oxidation pathway (2014). https://pubmed.ncbi.nlm.nih.gov/24893882/ DOI: 10.1111/febs.12862
    Complete structured claim and evidence
  33. Cloned rabbit ECaC, now termed TRPV5, confers calcium influx when expressed in Xenopus oocytes.

    TRPV5 → Calcium ion source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Rabbit ECaC/TRPV5 cloning, epithelial localization and expression in Xenopus oocytes
    limitations
    Expression assay; epithelial localization supports an apical role but does not quantify all renal calcium transport.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Oryctolagus cuniculus channel in Xenopus laevis
    plain_language
    TRPV5 provides a calcium entry channel.
    primary_references
    [hoenderop1999] Molecular identification of the apical Ca2+ channel in 1,25-dihydroxyvitamin D3-responsive epithelia (1999). https://pubmed.ncbi.nlm.nih.gov/10085067/ DOI: 10.1074/jbc.274.13.8375
    tissue_or_cell_type
    Plasma membrane; renal epithelial channel origin
    transport_effect
    raises Confers calcium influx when expressed.
    transport_or_reaction_direction
    inward
    transport_pool
    cytosolic calcium Confers calcium influx when expressed.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 375–385

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rabbit ECaC/TRPV5 cloning, epithelial localization and expression in Xenopus oocytes · source_derived_draft · unverified_draft

    ### trpv5-direct-calcium-permeation Cloned rabbit ECaC, now termed TRPV5, confers calcium influx when expressed in Xenopus oocytes. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: TRPV5 provides a calcium entry channel. organism: Oryctolagus cuniculus channel in Xenopus laevis tissue_or_cell_type: Plasma membrane; renal epithelial channel origin experimental_model: Rabbit ECaC/TRPV5 cloning, epithelial localization and expression in Xenopus oocytes limitations: Expression assay; epithelial localization supports an apical role but does not quantify all renal calcium transport. transport_or_reaction_direction: inward [hoenderop1999] Molecular identification of the apical Ca2+ channel in 1,25-dihydroxyvitamin D3-responsive epithelia (1999). https://pubmed.ncbi.nlm.nih.gov/10085067/ DOI: 10.1074/jbc.274.13.8375
    Complete structured claim and evidence
  34. Rat CaT1, now termed TRPV6, mediates electrogenic calcium uptake when expressed in Xenopus oocytes.

    TRPV6 → Calcium ion source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Rat duodenal CaT1/TRPV6 expression in Xenopus oocytes; uptake and electrophysiology
    limitations
    Heterologous uptake is not proof that every intestinal calcium ion uses this channel.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Rattus norvegicus channel in Xenopus laevis
    plain_language
    TRPV6 permits calcium entry across a membrane.
    primary_references
    [peng1999] Molecular cloning and characterization of a channel-like transporter mediating intestinal calcium absorption (1999). https://pubmed.ncbi.nlm.nih.gov/10428857/ DOI: 10.1074/jbc.274.32.22739
    tissue_or_cell_type
    Plasma membrane; duodenal channel origin
    transport_effect
    raises Mediates electrogenic calcium uptake when expressed.
    transport_or_reaction_direction
    inward
    transport_pool
    cytosolic calcium Mediates electrogenic calcium uptake when expressed.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 387–397

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rat duodenal CaT1/TRPV6 expression in Xenopus oocytes; uptake and electrophysiology · source_derived_draft · unverified_draft

    ### trpv6-direct-calcium-permeation Rat CaT1, now termed TRPV6, mediates electrogenic calcium uptake when expressed in Xenopus oocytes. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: TRPV6 permits calcium entry across a membrane. organism: Rattus norvegicus channel in Xenopus laevis tissue_or_cell_type: Plasma membrane; duodenal channel origin experimental_model: Rat duodenal CaT1/TRPV6 expression in Xenopus oocytes; uptake and electrophysiology limitations: Heterologous uptake is not proof that every intestinal calcium ion uses this channel. transport_or_reaction_direction: inward [peng1999] Molecular cloning and characterization of a channel-like transporter mediating intestinal calcium absorption (1999). https://pubmed.ncbi.nlm.nih.gov/10428857/ DOI: 10.1074/jbc.274.32.22739
    Complete structured claim and evidence
  35. Calcium-loaded calmodulin forms the Ca2+/CaM regulatory complex resolved with a myosin-light-chain-kinase target peptide.

    Calcium ion → Calmodulin source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Cytosolic protein complex
    experimental_model
    Purified calcium-bound calmodulin and a chicken smooth-muscle myosin light-chain kinase peptide; crystallography
    limitations
    Structure of a peptide complex; not a measurement of dietary calcium effects or every calmodulin target.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Purified vertebrate proteins
    plain_language
    Calmodulin carries bound calcium while engaging a target protein.
    primary_references
    [ca-meador1992] Target enzyme recognition by calmodulin: 2.4 A structure of a calmodulin-peptide complex (1992). https://pubmed.ncbi.nlm.nih.gov/1519061/ DOI: 10.1126/science.1519061
    research_relationship_category
    binding
    tissue_or_cell_type
    Smooth-muscle target-peptide system

    Calcium: mechanism-first literature curation (2026-09-17) · lines 399–410

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified calcium-bound calmodulin and a chicken smooth-muscle myosin light-chain kinase peptide; crystallography · source_derived_draft · unverified_draft

    ### ca-calmodulin-calcium-complex Calcium-loaded calmodulin forms the Ca2+/CaM regulatory complex resolved with a myosin-light-chain-kinase target peptide. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calmodulin carries bound calcium while engaging a target protein. organism: Purified vertebrate proteins tissue_or_cell_type: Smooth-muscle target-peptide system experimental_model: Purified calcium-bound calmodulin and a chicken smooth-muscle myosin light-chain kinase peptide; crystallography limitations: Structure of a peptide complex; not a measurement of dietary calcium effects or every calmodulin target. research_relationship_category: binding compartment_description: Cytosolic protein complex [ca-meador1992] Target enzyme recognition by calmodulin: 2.4 A structure of a calmodulin-peptide complex (1992). https://pubmed.ncbi.nlm.nih.gov/1519061/ DOI: 10.1126/science.1519061
    Complete structured claim and evidence
  36. Calcium/calmodulin binding folds the human calcineurin regulatory region and supports displacement of autoinhibition.

    Calcium/calmodulin → Calcineurin source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Cytosol
    experimental_model
    Recombinant human alpha-calcineurin, regulatory fragments and calmodulin; spectroscopy and exchange mass spectrometry
    limitations
    Fragment and biochemical data support a regulatory mechanism; not tissue-level output.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Calcium-bound calmodulin helps switch on calcineurin.
    primary_references
    [ca-rumimasante2012] Structural basis for activation of calcineurin by calmodulin (2012). https://pubmed.ncbi.nlm.nih.gov/22100452/ DOI: 10.1016/j.jmb.2011.11.008
    research_relationship_category
    regulation
    tissue_or_cell_type
    Recombinant signaling proteins

    Calcium: mechanism-first literature curation (2026-09-17) · lines 412–423

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human alpha-calcineurin, regulatory fragments and calmodulin; spectroscopy and exchange mass spectrometry · source_derived_draft · unverified_draft

    ### ca-calmodulin-calcineurin-activation Calcium/calmodulin binding folds the human calcineurin regulatory region and supports displacement of autoinhibition. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium-bound calmodulin helps switch on calcineurin. organism: Homo sapiens tissue_or_cell_type: Recombinant signaling proteins experimental_model: Recombinant human alpha-calcineurin, regulatory fragments and calmodulin; spectroscopy and exchange mass spectrometry limitations: Fragment and biochemical data support a regulatory mechanism; not tissue-level output. research_relationship_category: regulation compartment_description: Cytosol [ca-rumimasante2012] Structural basis for activation of calcineurin by calmodulin (2012). https://pubmed.ncbi.nlm.nih.gov/22100452/ DOI: 10.1016/j.jmb.2011.11.008
    Complete structured claim and evidence
  37. Calcineurin binds NFAT1 and supports its reversible dephosphorylated, nuclear-active state during calcium stimulation.

    Calcineurin → NFAT1 / NFATC2 source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Cytosol and nucleus
    experimental_model
    Murine T-cell experiments, inhibitor/chelation interventions and protein-binding assays
    limitations
    NFAT1-specific evidence; do not assign this calcium response to all NFAT proteins or NFAT5.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Calcineurin connects calcium signaling to NFAT1 activation.
    primary_references
    [ca-loh1996] Calcineurin binds the transcription factor NFAT1 and reversibly regulates its activity (1996). https://pubmed.ncbi.nlm.nih.gov/8631904/ DOI: 10.1074/jbc.271.18.10884
    research_relationship_category
    regulation
    tissue_or_cell_type
    T lymphocytes

    Calcium: mechanism-first literature curation (2026-09-17) · lines 425–436

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Murine T-cell experiments, inhibitor/chelation interventions and protein-binding assays · source_derived_draft · unverified_draft

    ### ca-calcineurin-nfat1-regulation Calcineurin binds NFAT1 and supports its reversible dephosphorylated, nuclear-active state during calcium stimulation. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcineurin connects calcium signaling to NFAT1 activation. organism: Mus musculus tissue_or_cell_type: T lymphocytes experimental_model: Murine T-cell experiments, inhibitor/chelation interventions and protein-binding assays limitations: NFAT1-specific evidence; do not assign this calcium response to all NFAT proteins or NFAT5. research_relationship_category: regulation compartment_description: Cytosol and nucleus [ca-loh1996] Calcineurin binds the transcription factor NFAT1 and reversibly regulates its activity (1996). https://pubmed.ncbi.nlm.nih.gov/8631904/ DOI: 10.1074/jbc.271.18.10884
    Complete structured claim and evidence
  38. Calcium/calmodulin stimulates autophosphorylation of purified brain CaMKII.

    Experimental context and source evidence
    compartment_description
    Cytosolic kinase complex
    experimental_model
    Purified mammalian brain CaMKII; phosphorylation and substrate-kinase assays
    limitations
    Brain holoenzyme assay; does not identify every isoform or phosphorylation site.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mammalia
    plain_language
    Calcium-bound calmodulin starts CaMKII self-phosphorylation.
    primary_references
    [ca-miller1986] Regulation of brain type II Ca2+/calmodulin-dependent protein kinase by autophosphorylation: a Ca2+-triggered molecular switch (1986). https://pubmed.ncbi.nlm.nih.gov/3006921/ DOI: 10.1016/0092-8674(86)90008-5
    research_relationship_category
    regulation
    tissue_or_cell_type
    Brain enzyme preparation

    Calcium: mechanism-first literature curation (2026-09-17) · lines 438–449

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified mammalian brain CaMKII; phosphorylation and substrate-kinase assays · source_derived_draft · unverified_draft

    ### ca-camkii-calmodulin-activation Calcium/calmodulin stimulates autophosphorylation of purified brain CaMKII. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium-bound calmodulin starts CaMKII self-phosphorylation. organism: Mammalia tissue_or_cell_type: Brain enzyme preparation experimental_model: Purified mammalian brain CaMKII; phosphorylation and substrate-kinase assays limitations: Brain holoenzyme assay; does not identify every isoform or phosphorylation site. research_relationship_category: regulation compartment_description: Cytosolic kinase complex [ca-miller1986] Regulation of brain type II Ca2+/calmodulin-dependent protein kinase by autophosphorylation: a Ca2+-triggered molecular switch (1986). https://pubmed.ncbi.nlm.nih.gov/3006921/ DOI: 10.1016/0092-8674(86)90008-5
    Complete structured claim and evidence
  39. Partial autophosphorylation generates CaMKII activity that persists in the absence of calcium in the purified assay.

    Experimental context and source evidence
    compartment_description
    Cytosolic kinase complex
    experimental_model
    Purified mammalian brain CaMKII; phosphorylation and substrate-kinase assays
    limitations
    Autonomy depends on phosphorylation conditions; not all self-phosphorylation activates and persistence in living cells is not quantified.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mammalia
    plain_language
    After activation, CaMKII can retain activity beyond the calcium pulse.
    primary_references
    [ca-miller1986] Regulation of brain type II Ca2+/calmodulin-dependent protein kinase by autophosphorylation: a Ca2+-triggered molecular switch (1986). https://pubmed.ncbi.nlm.nih.gov/3006921/ DOI: 10.1016/0092-8674(86)90008-5
    research_relationship_category
    protein_modification
    tissue_or_cell_type
    Brain enzyme preparation

    Calcium: mechanism-first literature curation (2026-09-17) · lines 451–462

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified mammalian brain CaMKII; phosphorylation and substrate-kinase assays · source_derived_draft · unverified_draft

    ### ca-camkii-autonomous-activity Partial autophosphorylation generates CaMKII activity that persists in the absence of calcium in the purified assay. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: After activation, CaMKII can retain activity beyond the calcium pulse. organism: Mammalia tissue_or_cell_type: Brain enzyme preparation experimental_model: Purified mammalian brain CaMKII; phosphorylation and substrate-kinase assays limitations: Autonomy depends on phosphorylation conditions; not all self-phosphorylation activates and persistence in living cells is not quantified. research_relationship_category: protein_modification compartment_description: Cytosolic kinase complex [ca-miller1986] Regulation of brain type II Ca2+/calmodulin-dependent protein kinase by autophosphorylation: a Ca2+-triggered molecular switch (1986). https://pubmed.ncbi.nlm.nih.gov/3006921/ DOI: 10.1016/0092-8674(86)90008-5
    Complete structured claim and evidence
  40. Applied IP3 releases calcium from a nonmitochondrial intracellular store in permeabilized pancreatic acinar cells.

    IP3 → ER calcium release source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Nonmitochondrial intracellular store to cytosol
    experimental_model
    Permeabilized rat pancreatic acinar cells
    limitations
    Permeabilized-cell application; receptor isoform and dietary status were not established.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Rattus norvegicus
    plain_language
    IP3 releases stored calcium inside acinar cells.
    primary_references
    [ca-streb1983] Release of Ca2+ from a nonmitochondrial intracellular store in pancreatic acinar cells by inositol-1,4,5-trisphosphate (1983). https://pubmed.ncbi.nlm.nih.gov/6605482/ DOI: 10.1038/306067a0
    research_relationship_category
    mechanism
    tissue_or_cell_type
    Pancreatic acinar cells
    transport_or_reaction_direction
    Intracellular store to cytosol

    Calcium: mechanism-first literature curation (2026-09-17) · lines 464–476

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Permeabilized rat pancreatic acinar cells · source_derived_draft · unverified_draft

    ### ca-ip3-mobilizes-store Applied IP3 releases calcium from a nonmitochondrial intracellular store in permeabilized pancreatic acinar cells. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: IP3 releases stored calcium inside acinar cells. organism: Rattus norvegicus tissue_or_cell_type: Pancreatic acinar cells experimental_model: Permeabilized rat pancreatic acinar cells limitations: Permeabilized-cell application; receptor isoform and dietary status were not established. research_relationship_category: mechanism transport_or_reaction_direction: Intracellular store to cytosol compartment_description: Nonmitochondrial intracellular store to cytosol [ca-streb1983] Release of Ca2+ from a nonmitochondrial intracellular store in pancreatic acinar cells by inositol-1,4,5-trisphosphate (1983). https://pubmed.ncbi.nlm.nih.gov/6605482/ DOI: 10.1038/306067a0
    Complete structured claim and evidence
  41. Human ITPR3 forms a calcium-release channel with an open pore in the IP3/ATP/Ca2+-bound structural state.

    Experimental context and source evidence
    compartment_description
    ER membrane
    experimental_model
    Recombinant human ITPR3; cryo-EM in ligand-bound gating states
    limitations
    Structure specifies ITPR3; it must not be relabeled as ITPR1 or a measurement of every receptor subtype.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    ITPR3 provides a route for calcium to leave the ER.
    primary_references
    [ca-schmitz2022] Structural basis for activation and gating of IP3 receptors (2022). https://pubmed.ncbi.nlm.nih.gov/35301323/ DOI: 10.1038/s41467-022-29073-2
    research_relationship_category
    transport
    tissue_or_cell_type
    Recombinant ITPR3
    transport_effect
    raises A calcium-release channel: the recorded direction is ER lumen to cytosol.
    transport_or_reaction_direction
    ER lumen to cytosol
    transport_pool
    cytosolic calcium A calcium-release channel: the recorded direction is ER lumen to cytosol.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 478–490

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human ITPR3; cryo-EM in ligand-bound gating states · source_derived_draft · unverified_draft

    ### ca-itpr3-er-calcium-channel Human ITPR3 forms a calcium-release channel with an open pore in the IP3/ATP/Ca2+-bound structural state. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: ITPR3 provides a route for calcium to leave the ER. organism: Homo sapiens tissue_or_cell_type: Recombinant ITPR3 experimental_model: Recombinant human ITPR3; cryo-EM in ligand-bound gating states limitations: Structure specifies ITPR3; it must not be relabeled as ITPR1 or a measurement of every receptor subtype. research_relationship_category: transport transport_or_reaction_direction: ER lumen to cytosol compartment_description: ER membrane [ca-schmitz2022] Structural basis for activation and gating of IP3 receptors (2022). https://pubmed.ncbi.nlm.nih.gov/35301323/ DOI: 10.1038/s41467-022-29073-2
    Complete structured claim and evidence
  42. Calcium binding participates in ITPR3 gating after IP3/ATP priming, with both active and inactive calcium-bound conformations resolved.

    Experimental context and source evidence
    compartment_description
    Cytosolic regulatory regions of ER channel
    experimental_model
    Recombinant human ITPR3; cryo-EM in ligand-bound gating states
    limitations
    Structural populations do not define a universal calcium threshold or prove all calcium-bound channels are active.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Calcium helps control ITPR3 opening; binding does not guarantee that the channel stays open.
    primary_references
    [ca-schmitz2022] Structural basis for activation and gating of IP3 receptors (2022). https://pubmed.ncbi.nlm.nih.gov/35301323/ DOI: 10.1038/s41467-022-29073-2
    research_relationship_category
    regulation
    tissue_or_cell_type
    Recombinant ITPR3

    Calcium: mechanism-first literature curation (2026-09-17) · lines 492–503

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human ITPR3; cryo-EM in ligand-bound gating states · source_derived_draft · unverified_draft

    ### ca-itpr3-calcium-coactivation Calcium binding participates in ITPR3 gating after IP3/ATP priming, with both active and inactive calcium-bound conformations resolved. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium helps control ITPR3 opening; binding does not guarantee that the channel stays open. organism: Homo sapiens tissue_or_cell_type: Recombinant ITPR3 experimental_model: Recombinant human ITPR3; cryo-EM in ligand-bound gating states limitations: Structural populations do not define a universal calcium threshold or prove all calcium-bound channels are active. research_relationship_category: regulation compartment_description: Cytosolic regulatory regions of ER channel [ca-schmitz2022] Structural basis for activation and gating of IP3 receptors (2022). https://pubmed.ncbi.nlm.nih.gov/35301323/ DOI: 10.1038/s41467-022-29073-2
    Complete structured claim and evidence
  43. ER-store depletion causes STIM1 to redistribute into peripheral puncta through a mechanism requiring its luminal calcium-sensing region.

    STIM1 → Calcium ion source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    ER lumen and ER-plasma-membrane junctions
    experimental_model
    Human HeLa cells; RNA interference screen, calcium imaging and STIM1 EF-hand mutagenesis
    limitations
    Local store depletion is a cellular signal, not evidence of dietary calcium deficiency.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    STIM1 detects falling calcium inside the ER.
    primary_references
    [ca-liou2005] STIM is a Ca2+ sensor essential for Ca2+-store-depletion-triggered Ca2+ influx (2005). https://pubmed.ncbi.nlm.nih.gov/16005298/ DOI: 10.1016/j.cub.2005.05.055
    research_relationship_category
    regulation
    tissue_or_cell_type
    HeLa cells

    Calcium: mechanism-first literature curation (2026-09-17) · lines 505–516

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human HeLa cells; RNA interference screen, calcium imaging and STIM1 EF-hand mutagenesis · source_derived_draft · unverified_draft

    ### ca-stim1-store-sensing ER-store depletion causes STIM1 to redistribute into peripheral puncta through a mechanism requiring its luminal calcium-sensing region. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: STIM1 detects falling calcium inside the ER. organism: Homo sapiens tissue_or_cell_type: HeLa cells experimental_model: Human HeLa cells; RNA interference screen, calcium imaging and STIM1 EF-hand mutagenesis limitations: Local store depletion is a cellular signal, not evidence of dietary calcium deficiency. research_relationship_category: regulation compartment_description: ER lumen and ER-plasma-membrane junctions [ca-liou2005] STIM is a Ca2+ sensor essential for Ca2+-store-depletion-triggered Ca2+ influx (2005). https://pubmed.ncbi.nlm.nih.gov/16005298/ DOI: 10.1016/j.cub.2005.05.055
    Complete structured claim and evidence
  44. STIM1 knockdown suppresses store-depletion-triggered calcium influx in HeLa cells.

    STIM1 → Store-operated calcium entry source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    compartment_description
    ER-plasma-membrane signaling junction
    experimental_model
    Human HeLa cells; RNA interference screen, calcium imaging and STIM1 EF-hand mutagenesis
    limitations
    RNA interference perturbs signaling machinery; it does not model low calcium intake.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Reducing STIM1 weakens calcium entry after stores empty.
    primary_references
    [ca-liou2005] STIM is a Ca2+ sensor essential for Ca2+-store-depletion-triggered Ca2+ influx (2005). https://pubmed.ncbi.nlm.nih.gov/16005298/ DOI: 10.1016/j.cub.2005.05.055
    research_relationship_category
    loss_of_function
    tissue_or_cell_type
    HeLa cells
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 518–529

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human HeLa cells; RNA interference screen, calcium imaging and STIM1 EF-hand mutagenesis · source_derived_draft · unverified_draft

    ### ca-stim1-knockdown-influx STIM1 knockdown suppresses store-depletion-triggered calcium influx in HeLa cells. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Reducing STIM1 weakens calcium entry after stores empty. organism: Homo sapiens tissue_or_cell_type: HeLa cells experimental_model: Human HeLa cells; RNA interference screen, calcium imaging and STIM1 EF-hand mutagenesis limitations: RNA interference perturbs signaling machinery; it does not model low calcium intake. research_relationship_category: loss_of_function compartment_description: ER-plasma-membrane signaling junction [ca-liou2005] STIM is a Ca2+ sensor essential for Ca2+-store-depletion-triggered Ca2+ influx (2005). https://pubmed.ncbi.nlm.nih.gov/16005298/ DOI: 10.1016/j.cub.2005.05.055
    Complete structured claim and evidence
  45. The cytosolic CRAC-activation domain of STIM1 binds ORAI1 directly and activates its calcium current.

    STIM1 → ORAI1 source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    ER-plasma-membrane junctions
    experimental_model
    Human HEK293/HEK293T expression, electrophysiology and purified protein-binding assays
    limitations
    Domain-expression experiments isolate coupling; physiological amplitude depends on cellular context.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    STIM1 directly opens the ORAI1 calcium-entry pathway.
    primary_references
    [ca-park2009] STIM1 clusters and activates CRAC channels via direct binding of a cytosolic domain to Orai1 (2009). https://pubmed.ncbi.nlm.nih.gov/19249086/ DOI: 10.1016/j.cell.2009.02.014
    research_relationship_category
    regulation
    tissue_or_cell_type
    HEK293 expression system and purified proteins

    Calcium: mechanism-first literature curation (2026-09-17) · lines 531–542

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human HEK293/HEK293T expression, electrophysiology and purified protein-binding assays · source_derived_draft · unverified_draft

    ### ca-stim1-direct-orai1-gating The cytosolic CRAC-activation domain of STIM1 binds ORAI1 directly and activates its calcium current. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: STIM1 directly opens the ORAI1 calcium-entry pathway. organism: Homo sapiens tissue_or_cell_type: HEK293 expression system and purified proteins experimental_model: Human HEK293/HEK293T expression, electrophysiology and purified protein-binding assays limitations: Domain-expression experiments isolate coupling; physiological amplitude depends on cellular context. research_relationship_category: regulation compartment_description: ER-plasma-membrane junctions [ca-park2009] STIM1 clusters and activates CRAC channels via direct binding of a cytosolic domain to Orai1 (2009). https://pubmed.ncbi.nlm.nih.gov/19249086/ DOI: 10.1016/j.cell.2009.02.014
    Complete structured claim and evidence
  46. ORAI1 supplies the calcium-selective CRAC pore; transmembrane substitutions alter calcium and monovalent-ion permeability.

    ORAI1 → Calcium ion source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Plasma membrane
    experimental_model
    Human ORAI1 mutagenesis and membrane-current/selectivity measurements
    limitations
    Pore evidence does not specify channel stoichiometry or all tissue contributions.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    ORAI1 forms the pore through which store-operated calcium enters.
    primary_references
    [ca-prakriya2006] Orai1 is an essential pore subunit of the CRAC channel (2006). https://www.nature.com/articles/nature05122 DOI: 10.1038/nature05122
    research_relationship_category
    transport
    tissue_or_cell_type
    Recombinant channel assays
    transport_effect
    raises The CRAC pore carries calcium from extracellular fluid to cytosol.
    transport_or_reaction_direction
    Extracellular fluid to cytosol
    transport_pool
    cytosolic calcium The CRAC pore carries calcium from extracellular fluid to cytosol.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 544–556

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human ORAI1 mutagenesis and membrane-current/selectivity measurements · source_derived_draft · unverified_draft

    ### ca-orai1-calcium-permeation ORAI1 supplies the calcium-selective CRAC pore; transmembrane substitutions alter calcium and monovalent-ion permeability. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: ORAI1 forms the pore through which store-operated calcium enters. organism: Homo sapiens tissue_or_cell_type: Recombinant channel assays experimental_model: Human ORAI1 mutagenesis and membrane-current/selectivity measurements limitations: Pore evidence does not specify channel stoichiometry or all tissue contributions. research_relationship_category: transport transport_or_reaction_direction: Extracellular fluid to cytosol compartment_description: Plasma membrane [ca-prakriya2006] Orai1 is an essential pore subunit of the CRAC channel (2006). https://www.nature.com/articles/nature05122 DOI: 10.1038/nature05122
    Complete structured claim and evidence
  47. Homozygous ORAI1 R91W loss of function abolishes CRAC activity in patient T cells; wild-type ORAI1 restores influx.

    ORAI1 → Store-operated calcium entry source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    compartment_description
    Plasma membrane
    experimental_model
    Human inherited immune deficiency, patient T-cell rescue and functional channel assays
    limitations
    A rare channelopathy, not nutritional calcium deficiency; the evidence concerns the studied variant.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    This inherited channel defect interrupts calcium entry into T cells.
    primary_references
    [ca-feske2006] A mutation in Orai1 causes immune deficiency by abrogating CRAC channel function (2006). https://pubmed.ncbi.nlm.nih.gov/16582901/ DOI: 10.1038/nature04702
    research_relationship_category
    loss_of_function
    tissue_or_cell_type
    Patient T lymphocytes
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 558–569

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human inherited immune deficiency, patient T-cell rescue and functional channel assays · source_derived_draft · unverified_draft

    ### ca-orai1-inherited-loss-influx Homozygous ORAI1 R91W loss of function abolishes CRAC activity in patient T cells; wild-type ORAI1 restores influx. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: This inherited channel defect interrupts calcium entry into T cells. organism: Homo sapiens tissue_or_cell_type: Patient T lymphocytes experimental_model: Human inherited immune deficiency, patient T-cell rescue and functional channel assays limitations: A rare channelopathy, not nutritional calcium deficiency; the evidence concerns the studied variant. research_relationship_category: loss_of_function compartment_description: Plasma membrane [ca-feske2006] A mutation in Orai1 causes immune deficiency by abrogating CRAC channel function (2006). https://pubmed.ncbi.nlm.nih.gov/16582901/ DOI: 10.1038/nature04702
    Complete structured claim and evidence
  48. Human SERCA2b couples its ATPase cycle to sequestration of cytosolic calcium into the ER.

    SERCA2 → Calcium ion source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    ER membrane
    experimental_model
    Purified recombinant human SERCA2b; cryo-EM and ATPase characterization
    limitations
    Evidence specifies ATP2A2 splice isoform SERCA2b; kinetic properties should not be assigned to every SERCA isoform.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    SERCA2b uses ATP to refill ER calcium stores.
    primary_references
    [ca-zhang2020] Cryo-EM structures of SERCA2b reveal the mechanism of regulation by the luminal extension tail (2020). https://pubmed.ncbi.nlm.nih.gov/32851169/ DOI: 10.1126/sciadv.abb0147
    research_relationship_category
    transport
    tissue_or_cell_type
    Recombinant SERCA2b
    transport_effect
    lowers Recorded as sequestration of cytosolic calcium into the ER.
    transport_or_reaction_direction
    Cytosol to ER lumen
    transport_pool
    cytosolic calcium Recorded as sequestration of cytosolic calcium into the ER.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 571–583

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified recombinant human SERCA2b; cryo-EM and ATPase characterization · source_derived_draft · unverified_draft

    ### ca-serca2b-er-uptake Human SERCA2b couples its ATPase cycle to sequestration of cytosolic calcium into the ER. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: SERCA2b uses ATP to refill ER calcium stores. organism: Homo sapiens tissue_or_cell_type: Recombinant SERCA2b experimental_model: Purified recombinant human SERCA2b; cryo-EM and ATPase characterization limitations: Evidence specifies ATP2A2 splice isoform SERCA2b; kinetic properties should not be assigned to every SERCA isoform. research_relationship_category: transport transport_or_reaction_direction: Cytosol to ER lumen compartment_description: ER membrane [ca-zhang2020] Cryo-EM structures of SERCA2b reveal the mechanism of regulation by the luminal extension tail (2020). https://pubmed.ncbi.nlm.nih.gov/32851169/ DOI: 10.1126/sciadv.abb0147
    Complete structured claim and evidence
  49. Human PMCA1 is an ATP-driven plasma-membrane calcium extrusion pump characterized structurally with neuroplastin.

    Experimental context and source evidence
    compartment_description
    Plasma membrane
    experimental_model
    Purified human PMCA1-neuroplastin complex; cryo-EM and ATPase assays
    limitations
    This study combines structure and ATPase assays; it does not quantify whole-tissue extrusion flux.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    PMCA1 uses ATP to clear calcium from the cytosol.
    primary_references
    [ca-gong2018] Structure of the human plasma membrane Ca2+-ATPase 1 in complex with its obligatory subunit neuroplastin (2018). https://pubmed.ncbi.nlm.nih.gov/30190470/ DOI: 10.1038/s41467-018-06075-7
    research_relationship_category
    transport
    tissue_or_cell_type
    Purified recombinant pump
    transport_effect
    lowers Recorded as an ATP-driven plasma-membrane calcium extrusion pump.
    transport_or_reaction_direction
    Cytosol to extracellular fluid
    transport_pool
    cytosolic calcium Recorded as an ATP-driven plasma-membrane calcium extrusion pump.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 585–597

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified human PMCA1-neuroplastin complex; cryo-EM and ATPase assays · source_derived_draft · unverified_draft

    ### ca-pmca1-extrusion Human PMCA1 is an ATP-driven plasma-membrane calcium extrusion pump characterized structurally with neuroplastin. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: PMCA1 uses ATP to clear calcium from the cytosol. organism: Homo sapiens tissue_or_cell_type: Purified recombinant pump experimental_model: Purified human PMCA1-neuroplastin complex; cryo-EM and ATPase assays limitations: This study combines structure and ATPase assays; it does not quantify whole-tissue extrusion flux. research_relationship_category: transport transport_or_reaction_direction: Cytosol to extracellular fluid compartment_description: Plasma membrane [ca-gong2018] Structure of the human plasma membrane Ca2+-ATPase 1 in complex with its obligatory subunit neuroplastin (2018). https://pubmed.ncbi.nlm.nih.gov/30190470/ DOI: 10.1038/s41467-018-06075-7
    Complete structured claim and evidence
  50. Neuroplastin binds the transmembrane region of human PMCA1 and supports pump ATPase activity.

    Experimental context and source evidence
    compartment_description
    Plasma membrane protein complex
    experimental_model
    Purified human PMCA1-neuroplastin complex; cryo-EM and ATPase assays
    limitations
    Purified PMCA1 complex; subunit availability and other PMCA isoforms require separate evidence.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Neuroplastin helps PMCA1 function.
    primary_references
    [ca-gong2018] Structure of the human plasma membrane Ca2+-ATPase 1 in complex with its obligatory subunit neuroplastin (2018). https://pubmed.ncbi.nlm.nih.gov/30190470/ DOI: 10.1038/s41467-018-06075-7
    research_relationship_category
    regulation
    tissue_or_cell_type
    Purified recombinant proteins

    Calcium: mechanism-first literature curation (2026-09-17) · lines 599–610

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified human PMCA1-neuroplastin complex; cryo-EM and ATPase assays · source_derived_draft · unverified_draft

    ### ca-neuroplastin-pmca1-support Neuroplastin binds the transmembrane region of human PMCA1 and supports pump ATPase activity. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Neuroplastin helps PMCA1 function. organism: Homo sapiens tissue_or_cell_type: Purified recombinant proteins experimental_model: Purified human PMCA1-neuroplastin complex; cryo-EM and ATPase assays limitations: Purified PMCA1 complex; subunit availability and other PMCA isoforms require separate evidence. research_relationship_category: regulation compartment_description: Plasma membrane protein complex [ca-gong2018] Structure of the human plasma membrane Ca2+-ATPase 1 in complex with its obligatory subunit neuroplastin (2018). https://pubmed.ncbi.nlm.nih.gov/30190470/ DOI: 10.1038/s41467-018-06075-7
    Complete structured claim and evidence
  51. Calmodulin increases apparent calcium affinity and ATPase activity of the erythrocyte calcium pump.

    Experimental context and source evidence
    compartment_description
    Plasma membrane
    experimental_model
    Human erythrocyte membrane ghosts with purified human or bovine calmodulin
    limitations
    Membrane ghosts with controlled additions; pump isoforms were not resolved and this is not an intact-cell dose response.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Calmodulin makes the red-cell calcium pump respond more strongly to calcium.
    primary_references
    [ca-roufogalis1980] Regulation by calmodulin of the calcium affinity of the calcium-transport ATPase in human erythrocytes (1980). https://pubmed.ncbi.nlm.nih.gov/6109558/ DOI: 10.1139/o80-126
    research_relationship_category
    regulation
    tissue_or_cell_type
    Erythrocyte membranes

    Calcium: mechanism-first literature curation (2026-09-17) · lines 612–623

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human erythrocyte membrane ghosts with purified human or bovine calmodulin · source_derived_draft · unverified_draft

    ### ca-calmodulin-pmca-affinity Calmodulin increases apparent calcium affinity and ATPase activity of the erythrocyte calcium pump. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calmodulin makes the red-cell calcium pump respond more strongly to calcium. organism: Homo sapiens tissue_or_cell_type: Erythrocyte membranes experimental_model: Human erythrocyte membrane ghosts with purified human or bovine calmodulin limitations: Membrane ghosts with controlled additions; pump isoforms were not resolved and this is not an intact-cell dose response. research_relationship_category: regulation compartment_description: Plasma membrane [ca-roufogalis1980] Regulation by calmodulin of the calcium affinity of the calcium-transport ATPase in human erythrocytes (1980). https://pubmed.ncbi.nlm.nih.gov/6109558/ DOI: 10.1139/o80-126
    Complete structured claim and evidence
  52. Human cardiac NCX1 exchanges calcium and sodium in opposing directions across the membrane.

    Na+/Ca2+ exchanger 1 / SLC8A1 → Calcium ion source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Plasma membrane
    experimental_model
    Human cardiac NCX1; cryo-EM and functional exchange assays
    limitations
    Net direction depends on electrochemical gradients and voltage; NCX1 is not an ATP-hydrolyzing pump.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    NCX1 couples calcium movement to sodium moving the other way.
    primary_references
    [ca-xue2023] Structural mechanisms of the human cardiac sodium-calcium exchanger NCX1 (2023). https://pubmed.ncbi.nlm.nih.gov/37794011/ DOI: 10.1038/s41467-023-41885-4
    research_relationship_category
    transport
    tissue_or_cell_type
    Cardiac NCX1 expression system
    transport_effect
    depends Reversible exchange: forward mode extrudes calcium and reverse mode admits it, which the record states.
    transport_or_reaction_direction
    Reversible Na+/Ca2+ exchange; forward calcium extrusion or reverse calcium entry
    transport_pool
    cytosolic calcium Reversible exchange: forward mode extrudes calcium and reverse mode admits it, which the record states.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 625–637

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human cardiac NCX1; cryo-EM and functional exchange assays · source_derived_draft · unverified_draft

    ### ca-ncx1-calcium-sodium-exchange Human cardiac NCX1 exchanges calcium and sodium in opposing directions across the membrane. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: NCX1 couples calcium movement to sodium moving the other way. organism: Homo sapiens tissue_or_cell_type: Cardiac NCX1 expression system experimental_model: Human cardiac NCX1; cryo-EM and functional exchange assays limitations: Net direction depends on electrochemical gradients and voltage; NCX1 is not an ATP-hydrolyzing pump. research_relationship_category: transport transport_or_reaction_direction: Reversible Na+/Ca2+ exchange; forward calcium extrusion or reverse calcium entry compartment_description: Plasma membrane [ca-xue2023] Structural mechanisms of the human cardiac sodium-calcium exchanger NCX1 (2023). https://pubmed.ncbi.nlm.nih.gov/37794011/ DOI: 10.1038/s41467-023-41885-4
    Complete structured claim and evidence
  53. Calcium binding to the cytosolic CBD2 regulatory domain disrupts an inactive NCX1 assembly and permits exchange.

    Calcium ion → Na+/Ca2+ exchanger 1 / SLC8A1 source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Cytosolic regulatory domain of plasma-membrane exchanger
    experimental_model
    Human cardiac NCX1; cryo-EM and functional exchange assays
    limitations
    Regulatory calcium binding is distinct from calcium being transported; the measured splice form and assay conditions matter.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Calcium also regulates NCX1 at a site separate from the transported-ion pathway.
    primary_references
    [ca-xue2023] Structural mechanisms of the human cardiac sodium-calcium exchanger NCX1 (2023). https://pubmed.ncbi.nlm.nih.gov/37794011/ DOI: 10.1038/s41467-023-41885-4
    research_relationship_category
    regulation
    tissue_or_cell_type
    Cardiac NCX1 expression system

    Calcium: mechanism-first literature curation (2026-09-17) · lines 639–650

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human cardiac NCX1; cryo-EM and functional exchange assays · source_derived_draft · unverified_draft

    ### ca-ncx1-regulatory-calcium Calcium binding to the cytosolic CBD2 regulatory domain disrupts an inactive NCX1 assembly and permits exchange. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium also regulates NCX1 at a site separate from the transported-ion pathway. organism: Homo sapiens tissue_or_cell_type: Cardiac NCX1 expression system experimental_model: Human cardiac NCX1; cryo-EM and functional exchange assays limitations: Regulatory calcium binding is distinct from calcium being transported; the measured splice form and assay conditions matter. research_relationship_category: regulation compartment_description: Cytosolic regulatory domain of plasma-membrane exchanger [ca-xue2023] Structural mechanisms of the human cardiac sodium-calcium exchanger NCX1 (2023). https://pubmed.ncbi.nlm.nih.gov/37794011/ DOI: 10.1038/s41467-023-41885-4
    Complete structured claim and evidence
  54. Purified skeletal-muscle RyR1 forms an intracellular calcium-release channel with ligand-dependent open and closed states.

    Ryanodine receptor 1 / RYR1 → Calcium ion source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Sarcoplasmic reticulum membrane
    experimental_model
    Purified rabbit skeletal-muscle RyR1 with calstabin2; cryo-EM and planar-bilayer recordings
    limitations
    Reconstituted channel; the study does not reconstruct voltage-sensor coupling in an intact muscle.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Oryctolagus cuniculus
    plain_language
    RyR1 supplies the skeletal-muscle calcium-release pathway.
    primary_references
    [ca-desgeorges2016] Structural Basis for Gating and Activation of RyR1 (2016). https://pubmed.ncbi.nlm.nih.gov/27662087/ DOI: 10.1016/j.cell.2016.08.075
    research_relationship_category
    transport
    tissue_or_cell_type
    Skeletal muscle
    transport_effect
    raises An intracellular calcium-release channel: the recorded direction is SR lumen to cytosol.
    transport_or_reaction_direction
    SR lumen to cytosol
    transport_pool
    cytosolic calcium An intracellular calcium-release channel: the recorded direction is SR lumen to cytosol.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 652–664

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified rabbit skeletal-muscle RyR1 with calstabin2; cryo-EM and planar-bilayer recordings · source_derived_draft · unverified_draft

    ### ca-ryr1-calcium-release Purified skeletal-muscle RyR1 forms an intracellular calcium-release channel with ligand-dependent open and closed states. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: RyR1 supplies the skeletal-muscle calcium-release pathway. organism: Oryctolagus cuniculus tissue_or_cell_type: Skeletal muscle experimental_model: Purified rabbit skeletal-muscle RyR1 with calstabin2; cryo-EM and planar-bilayer recordings limitations: Reconstituted channel; the study does not reconstruct voltage-sensor coupling in an intact muscle. research_relationship_category: transport transport_or_reaction_direction: SR lumen to cytosol compartment_description: Sarcoplasmic reticulum membrane [ca-desgeorges2016] Structural Basis for Gating and Activation of RyR1 (2016). https://pubmed.ncbi.nlm.nih.gov/27662087/ DOI: 10.1016/j.cell.2016.08.075
    Complete structured claim and evidence
  55. Calcium binds an activating RyR1 site and primes gating; ATP and caffeine increase open-state representation in the experimental preparation.

    Calcium ion → Ryanodine receptor 1 / RYR1 source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Cytosolic channel-regulatory region
    experimental_model
    Purified rabbit skeletal-muscle RyR1 with calstabin2; cryo-EM and planar-bilayer recordings
    limitations
    Calcium is both a transported ion and a ligand; caffeine-assisted structures do not imply caffeine is required physiologically.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Oryctolagus cuniculus
    plain_language
    Calcium helps regulate the RyR1 gate.
    primary_references
    [ca-desgeorges2016] Structural Basis for Gating and Activation of RyR1 (2016). https://pubmed.ncbi.nlm.nih.gov/27662087/ DOI: 10.1016/j.cell.2016.08.075
    research_relationship_category
    regulation
    tissue_or_cell_type
    Skeletal-muscle channel preparation

    Calcium: mechanism-first literature curation (2026-09-17) · lines 666–677

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified rabbit skeletal-muscle RyR1 with calstabin2; cryo-EM and planar-bilayer recordings · source_derived_draft · unverified_draft

    ### ca-ryr1-calcium-gating Calcium binds an activating RyR1 site and primes gating; ATP and caffeine increase open-state representation in the experimental preparation. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium helps regulate the RyR1 gate. organism: Oryctolagus cuniculus tissue_or_cell_type: Skeletal-muscle channel preparation experimental_model: Purified rabbit skeletal-muscle RyR1 with calstabin2; cryo-EM and planar-bilayer recordings limitations: Calcium is both a transported ion and a ligand; caffeine-assisted structures do not imply caffeine is required physiologically. research_relationship_category: regulation compartment_description: Cytosolic channel-regulatory region [ca-desgeorges2016] Structural Basis for Gating and Activation of RyR1 (2016). https://pubmed.ncbi.nlm.nih.gov/27662087/ DOI: 10.1016/j.cell.2016.08.075
    Complete structured claim and evidence
  56. MCU supplies the inner-mitochondrial-membrane calcium-conducting pore and promotes agonist-evoked matrix calcium uptake.

    Experimental context and source evidence
    compartment_description
    Inner mitochondrial membrane
    experimental_model
    Human HeLa MCU silencing/overexpression and purified MCU in planar bilayers
    limitations
    Pore and overexpression evidence; native uptake also depends on accessory subunits and membrane potential.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    MCU lets calcium enter the mitochondrial matrix.
    primary_references
    [ca-destefani2011] A forty-kilodalton protein of the inner membrane is the mitochondrial calcium uniporter (2011). https://pubmed.ncbi.nlm.nih.gov/21685888/ DOI: 10.1038/nature10230
    research_relationship_category
    transport
    tissue_or_cell_type
    HeLa cells and purified channel
    transport_effect
    raises Recorded as promoting agonist-evoked matrix calcium uptake.
    transport_or_reaction_direction
    Intermembrane space to mitochondrial matrix
    transport_pool
    mitochondrial matrix calcium Recorded as promoting agonist-evoked matrix calcium uptake.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 679–691

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human HeLa MCU silencing/overexpression and purified MCU in planar bilayers · source_derived_draft · unverified_draft

    ### ca-mcu-matrix-uptake MCU supplies the inner-mitochondrial-membrane calcium-conducting pore and promotes agonist-evoked matrix calcium uptake. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: MCU lets calcium enter the mitochondrial matrix. organism: Homo sapiens tissue_or_cell_type: HeLa cells and purified channel experimental_model: Human HeLa MCU silencing/overexpression and purified MCU in planar bilayers limitations: Pore and overexpression evidence; native uptake also depends on accessory subunits and membrane potential. research_relationship_category: transport transport_or_reaction_direction: Intermembrane space to mitochondrial matrix compartment_description: Inner mitochondrial membrane [ca-destefani2011] A forty-kilodalton protein of the inner membrane is the mitochondrial calcium uniporter (2011). https://pubmed.ncbi.nlm.nih.gov/21685888/ DOI: 10.1038/nature10230
    Complete structured claim and evidence
  57. MCU silencing sharply reduces mitochondrial calcium uptake while membrane potential and respiration remain intact in the tested preparations.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    compartment_description
    Inner mitochondrial membrane
    experimental_model
    Cultured mammalian cells and in vivo mouse-liver MCU silencing
    limitations
    No inference of universal respiratory failure or dietary calcium deficiency.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens and Mus musculus
    plain_language
    Removing MCU prevents rapid calcium uptake without necessarily collapsing the mitochondrion.
    primary_references
    [ca-baughman2011] Integrative genomics identifies MCU as an essential component of the mitochondrial calcium uniporter (2011). https://pubmed.ncbi.nlm.nih.gov/21685886/ DOI: 10.1038/nature10234
    research_relationship_category
    loss_of_function
    tissue_or_cell_type
    Cultured cells and mouse liver
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 693–704

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cultured mammalian cells and in vivo mouse-liver MCU silencing · source_derived_draft · unverified_draft

    ### ca-mcu-loss-matrix-uptake MCU silencing sharply reduces mitochondrial calcium uptake while membrane potential and respiration remain intact in the tested preparations. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing MCU prevents rapid calcium uptake without necessarily collapsing the mitochondrion. organism: Homo sapiens and Mus musculus tissue_or_cell_type: Cultured cells and mouse liver experimental_model: Cultured mammalian cells and in vivo mouse-liver MCU silencing limitations: No inference of universal respiratory failure or dietary calcium deficiency. research_relationship_category: loss_of_function compartment_description: Inner mitochondrial membrane [ca-baughman2011] Integrative genomics identifies MCU as an essential component of the mitochondrial calcium uniporter (2011). https://pubmed.ncbi.nlm.nih.gov/21685886/ DOI: 10.1038/nature10234
    Complete structured claim and evidence
  58. MICU1 limits MCU-dependent calcium uptake at low external calcium in the examined cell preparations.

    Experimental context and source evidence
    compartment_description
    Mitochondrial uniporter regulatory machinery
    experimental_model
    HeLa, HEK293 and human endothelial-cell knockdown; calcium-flux and stress assays
    limitations
    Threshold and molecular explanation are assay-dependent; see the separate MICU1 gating conflict.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    MICU1 helps prevent unnecessary calcium accumulation in resting mitochondria.
    primary_references
    [ca-mallilankaraman2012] MICU1 is an essential gatekeeper for MCU-mediated mitochondrial Ca2+ uptake that regulates cell survival (2012). https://pubmed.ncbi.nlm.nih.gov/23101630/ DOI: 10.1016/j.cell.2012.10.011
    research_relationship_category
    regulation
    tissue_or_cell_type
    HeLa, HEK293 and endothelial cells

    Calcium: mechanism-first literature curation (2026-09-17) · lines 706–717

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · HeLa, HEK293 and human endothelial-cell knockdown; calcium-flux and stress assays · source_derived_draft · unverified_draft

    ### ca-micu1-basal-uptake-restraint MICU1 limits MCU-dependent calcium uptake at low external calcium in the examined cell preparations. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: MICU1 helps prevent unnecessary calcium accumulation in resting mitochondria. organism: Homo sapiens tissue_or_cell_type: HeLa, HEK293 and endothelial cells experimental_model: HeLa, HEK293 and human endothelial-cell knockdown; calcium-flux and stress assays limitations: Threshold and molecular explanation are assay-dependent; see the separate MICU1 gating conflict. research_relationship_category: regulation compartment_description: Mitochondrial uniporter regulatory machinery [ca-mallilankaraman2012] MICU1 is an essential gatekeeper for MCU-mediated mitochondrial Ca2+ uptake that regulates cell survival (2012). https://pubmed.ncbi.nlm.nih.gov/23101630/ DOI: 10.1016/j.cell.2012.10.011
    Complete structured claim and evidence
  59. MICU1 knockdown elevates basal matrix calcium through MCU-dependent uptake in the tested cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    compartment_description
    Mitochondrial matrix
    experimental_model
    HeLa, HEK293 and human endothelial-cell knockdown; calcium-flux and stress assays
    limitations
    Cell-specific knockdown response; does not imply high dietary calcium or all MICU1 variants behave identically.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Loss of MICU1 can let mitochondria accumulate too much calcium at rest.
    primary_references
    [ca-mallilankaraman2012] MICU1 is an essential gatekeeper for MCU-mediated mitochondrial Ca2+ uptake that regulates cell survival (2012). https://pubmed.ncbi.nlm.nih.gov/23101630/ DOI: 10.1016/j.cell.2012.10.011
    research_relationship_category
    loss_of_function
    tissue_or_cell_type
    HeLa and endothelial cells
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 719–730

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · HeLa, HEK293 and human endothelial-cell knockdown; calcium-flux and stress assays · source_derived_draft · unverified_draft

    ### ca-micu1-loss-overload MICU1 knockdown elevates basal matrix calcium through MCU-dependent uptake in the tested cells. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Loss of MICU1 can let mitochondria accumulate too much calcium at rest. organism: Homo sapiens tissue_or_cell_type: HeLa and endothelial cells experimental_model: HeLa, HEK293 and human endothelial-cell knockdown; calcium-flux and stress assays limitations: Cell-specific knockdown response; does not imply high dietary calcium or all MICU1 variants behave identically. research_relationship_category: loss_of_function compartment_description: Mitochondrial matrix [ca-mallilankaraman2012] MICU1 is an essential gatekeeper for MCU-mediated mitochondrial Ca2+ uptake that regulates cell survival (2012). https://pubmed.ncbi.nlm.nih.gov/23101630/ DOI: 10.1016/j.cell.2012.10.011
    Complete structured claim and evidence
  60. Calcium-responsive EF hands in MICU1 and MICU2 allow the uniporter to pass from restrained low-calcium uptake to uptake above a threshold.

    Calcium ion → Mitochondrial calcium uniporter complex source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Mitochondrial intermembrane-space regulatory subunits
    experimental_model
    Human HEK293T MICU1/MICU2 knockout and EF-hand mutant rescue; permeabilized-cell calcium clearance
    limitations
    Knockout/rescue and permeabilized-cell evidence; numeric thresholds are not universal.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    MICU1 and MICU2 help the uniporter distinguish small calcium levels from a signal.
    primary_references
    [ca-kamer2014] MICU1 and MICU2 play nonredundant roles in the regulation of the mitochondrial calcium uniporter (2014). https://pubmed.ncbi.nlm.nih.gov/24503055/ DOI: 10.1002/embr.201337946
    research_relationship_category
    regulation
    tissue_or_cell_type
    HEK293T cells

    Calcium: mechanism-first literature curation (2026-09-17) · lines 732–743

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human HEK293T MICU1/MICU2 knockout and EF-hand mutant rescue; permeabilized-cell calcium clearance · source_derived_draft · unverified_draft

    ### ca-micu12-calcium-sensing Calcium-responsive EF hands in MICU1 and MICU2 allow the uniporter to pass from restrained low-calcium uptake to uptake above a threshold. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: MICU1 and MICU2 help the uniporter distinguish small calcium levels from a signal. organism: Homo sapiens tissue_or_cell_type: HEK293T cells experimental_model: Human HEK293T MICU1/MICU2 knockout and EF-hand mutant rescue; permeabilized-cell calcium clearance limitations: Knockout/rescue and permeabilized-cell evidence; numeric thresholds are not universal. research_relationship_category: regulation compartment_description: Mitochondrial intermembrane-space regulatory subunits [ca-kamer2014] MICU1 and MICU2 play nonredundant roles in the regulation of the mitochondrial calcium uniporter (2014). https://pubmed.ncbi.nlm.nih.gov/24503055/ DOI: 10.1002/embr.201337946
    Complete structured claim and evidence
  61. Garg and colleagues interpret mitochondrial currents as MICU-dependent enhancement of uniporter opening at elevated external calcium, without pore occlusion.

    Experimental context and source evidence
    compartment_description
    Inner mitochondrial membrane
    experimental_model
    Isolated mammalian mitochondria and mitoplast macroscopic/single-channel patch clamp
    limitations
    Contested interpretation; mitoplast preparation and subunit abundance are challenged by Tsai 2023. Not a settled universal edge.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mammalia
    plain_language
    One electrophysiological study proposes that MICU proteins increase channel opening during calcium signals.
    primary_references
    [ca-garg2021] The mechanism of MICU-dependent gating of the mitochondrial Ca2+ uniporter (2021). https://pubmed.ncbi.nlm.nih.gov/34463251/ DOI: 10.7554/eLife.69312
    tissue_or_cell_type
    Isolated mitochondria and mitoplasts

    Calcium: mechanism-first literature curation (2026-09-17) · lines 745–755

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Isolated mammalian mitochondria and mitoplast macroscopic/single-channel patch clamp · source_derived_draft · unverified_draft

    ### ca-micu-potentiation-model Garg and colleagues interpret mitochondrial currents as MICU-dependent enhancement of uniporter opening at elevated external calcium, without pore occlusion. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: One electrophysiological study proposes that MICU proteins increase channel opening during calcium signals. organism: Mammalia tissue_or_cell_type: Isolated mitochondria and mitoplasts experimental_model: Isolated mammalian mitochondria and mitoplast macroscopic/single-channel patch clamp limitations: Contested interpretation; mitoplast preparation and subunit abundance are challenged by Tsai 2023. Not a settled universal edge. compartment_description: Inner mitochondrial membrane [ca-garg2021] The mechanism of MICU-dependent gating of the mitochondrial Ca2+ uniporter (2021). https://pubmed.ncbi.nlm.nih.gov/34463251/ DOI: 10.7554/eLife.69312
    Complete structured claim and evidence
  62. Purified MICU1 suppresses MCU-complex currents in patch-clamp experiments, and disruption of its MCU-interacting K126 residue abolishes this suppression.

    Experimental context and source evidence
    compartment_description
    Intermembrane-space face of inner mitochondrial membrane
    experimental_model
    Purified MICU1 addition, mitoplast patch clamp and intact mitochondrial ion-flux assays
    limitations
    Supports pore occlusion in these assays; competing potentiation evidence remains linked rather than discarded.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mammalia
    plain_language
    A later study directly observes MICU1 inhibiting the uniporter.
    primary_references
    [ca-tsai2023] Evidence supporting the MICU1 occlusion mechanism and against the potentiation model in the mitochondrial calcium uniporter complex (2023). https://pubmed.ncbi.nlm.nih.gov/37036971/ DOI: 10.1073/pnas.2217665120
    research_relationship_category
    mechanistic_evidence
    tissue_or_cell_type
    Reconstituted protein and mitochondrial preparations

    Calcium: mechanism-first literature curation (2026-09-17) · lines 757–768

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified MICU1 addition, mitoplast patch clamp and intact mitochondrial ion-flux assays · source_derived_draft · unverified_draft

    ### ca-micu1-occlusion-evidence Purified MICU1 suppresses MCU-complex currents in patch-clamp experiments, and disruption of its MCU-interacting K126 residue abolishes this suppression. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A later study directly observes MICU1 inhibiting the uniporter. organism: Mammalia tissue_or_cell_type: Reconstituted protein and mitochondrial preparations experimental_model: Purified MICU1 addition, mitoplast patch clamp and intact mitochondrial ion-flux assays limitations: Supports pore occlusion in these assays; competing potentiation evidence remains linked rather than discarded. research_relationship_category: mechanistic_evidence compartment_description: Intermembrane-space face of inner mitochondrial membrane [ca-tsai2023] Evidence supporting the MICU1 occlusion mechanism and against the potentiation model in the mitochondrial calcium uniporter complex (2023). https://pubmed.ncbi.nlm.nih.gov/37036971/ DOI: 10.1073/pnas.2217665120
    Complete structured claim and evidence
  63. Calcium binds the regulatory site of cardiac troponin C; the calcium-loaded ternary structure supports altered inhibitory troponin-I interactions with actin.

    Experimental context and source evidence
    compartment_description
    Sarcomeric thin-filament regulatory complex
    experimental_model
    Purified human cardiac troponin ternary core; crystallography
    limitations
    Actin-disengagement is a structural model; this is not a direct whole-heart force measurement or a smooth-muscle mechanism.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Troponin C senses calcium to regulate cardiac contraction.
    primary_references
    [ca-takeda2003] Structure of the core domain of human cardiac troponin in the Ca2+-saturated form (2003). https://pubmed.ncbi.nlm.nih.gov/12840750/ DOI: 10.1038/nature01780
    research_relationship_category
    binding
    tissue_or_cell_type
    Cardiac troponin core

    Calcium: mechanism-first literature curation (2026-09-17) · lines 770–781

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified human cardiac troponin ternary core; crystallography · source_derived_draft · unverified_draft

    ### ca-cardiac-troponin-calcium-switch Calcium binds the regulatory site of cardiac troponin C; the calcium-loaded ternary structure supports altered inhibitory troponin-I interactions with actin. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Troponin C senses calcium to regulate cardiac contraction. organism: Homo sapiens tissue_or_cell_type: Cardiac troponin core experimental_model: Purified human cardiac troponin ternary core; crystallography limitations: Actin-disengagement is a structural model; this is not a direct whole-heart force measurement or a smooth-muscle mechanism. research_relationship_category: binding compartment_description: Sarcomeric thin-filament regulatory complex [ca-takeda2003] Structure of the core domain of human cardiac troponin in the Ca2+-saturated form (2003). https://pubmed.ncbi.nlm.nih.gov/12840750/ DOI: 10.1038/nature01780
    Complete structured claim and evidence
  64. Calcium binding to synaptotagmin 1 participates in triggering evoked neurotransmitter release at mouse synapses.

    Calcium ion → Evoked synaptic vesicle release source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Presynaptic vesicle-plasma-membrane interface
    experimental_model
    Mouse synaptotagmin-1 knock-in and cultured neuronal release measurements
    limitations
    SYT1-dependent evoked release; does not establish the sensor for every secretory cell or all release modes.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Synaptotagmin 1 helps convert a calcium signal into vesicle release.
    primary_references
    [ca-fernandezchacon2001] Synaptotagmin I functions as a calcium regulator of release probability (2001). https://pubmed.ncbi.nlm.nih.gov/11242035/ DOI: 10.1038/35065004
    research_relationship_category
    regulation
    tissue_or_cell_type
    Cultured neurons

    Calcium: mechanism-first literature curation (2026-09-17) · lines 783–794

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mouse synaptotagmin-1 knock-in and cultured neuronal release measurements · source_derived_draft · unverified_draft

    ### ca-synaptotagmin-calcium-release Calcium binding to synaptotagmin 1 participates in triggering evoked neurotransmitter release at mouse synapses. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Synaptotagmin 1 helps convert a calcium signal into vesicle release. organism: Mus musculus tissue_or_cell_type: Cultured neurons experimental_model: Mouse synaptotagmin-1 knock-in and cultured neuronal release measurements limitations: SYT1-dependent evoked release; does not establish the sensor for every secretory cell or all release modes. research_relationship_category: regulation compartment_description: Presynaptic vesicle-plasma-membrane interface [ca-fernandezchacon2001] Synaptotagmin I functions as a calcium regulator of release probability (2001). https://pubmed.ncbi.nlm.nih.gov/11242035/ DOI: 10.1038/35065004
    Complete structured claim and evidence
  65. A synaptotagmin-1 knock-in mutation reducing calcium affinity also reduces the calcium sensitivity of evoked neurotransmitter release.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    compartment_description
    Presynaptic terminal
    experimental_model
    Mouse synaptotagmin-1 knock-in and cultured neuronal release measurements
    limitations
    Readily releasable pool size and spontaneous release were unchanged; this is a sensor mutation, not calcium deprivation.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Changing the calcium sensor changes the calcium needed to trigger release.
    primary_references
    [ca-fernandezchacon2001] Synaptotagmin I functions as a calcium regulator of release probability (2001). https://pubmed.ncbi.nlm.nih.gov/11242035/ DOI: 10.1038/35065004
    research_relationship_category
    loss_of_function
    tissue_or_cell_type
    Cultured neurons
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 796–807

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mouse synaptotagmin-1 knock-in and cultured neuronal release measurements · source_derived_draft · unverified_draft

    ### ca-synaptotagmin-mutant-sensitivity A synaptotagmin-1 knock-in mutation reducing calcium affinity also reduces the calcium sensitivity of evoked neurotransmitter release. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Changing the calcium sensor changes the calcium needed to trigger release. organism: Mus musculus tissue_or_cell_type: Cultured neurons experimental_model: Mouse synaptotagmin-1 knock-in and cultured neuronal release measurements limitations: Readily releasable pool size and spontaneous release were unchanged; this is a sensor mutation, not calcium deprivation. research_relationship_category: loss_of_function compartment_description: Presynaptic terminal [ca-fernandezchacon2001] Synaptotagmin I functions as a calcium regulator of release probability (2001). https://pubmed.ncbi.nlm.nih.gov/11242035/ DOI: 10.1038/35065004
    Complete structured claim and evidence
  66. Localized sarcoplasmic-reticulum calcium release generates brief calcium sparks in rat cardiac myocytes.

    Experimental context and source evidence
    compartment_description
    SR to local cytosol
    experimental_model
    Quiescent rat cardiac myocytes; confocal calcium imaging with ryanodine and SR-loading manipulations
    limitations
    Imaging and ryanodine sensitivity establish localized release; the historical single-channel estimate is not encoded as settled channel stoichiometry.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Rattus norvegicus
    plain_language
    Heart cells release small local bursts of stored calcium.
    primary_references
    [ca-cheng1993] Calcium sparks: elementary events underlying excitation-contraction coupling in heart muscle (1993). https://pubmed.ncbi.nlm.nih.gov/8235594/ DOI: 10.1126/science.8235594
    research_relationship_category
    mechanism
    tissue_or_cell_type
    Cardiac myocytes
    transport_or_reaction_direction
    SR lumen to cytosol

    Calcium: mechanism-first literature curation (2026-09-17) · lines 809–821

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Quiescent rat cardiac myocytes; confocal calcium imaging with ryanodine and SR-loading manipulations · source_derived_draft · unverified_draft

    ### ca-cardiac-sr-sparks Localized sarcoplasmic-reticulum calcium release generates brief calcium sparks in rat cardiac myocytes. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Heart cells release small local bursts of stored calcium. organism: Rattus norvegicus tissue_or_cell_type: Cardiac myocytes experimental_model: Quiescent rat cardiac myocytes; confocal calcium imaging with ryanodine and SR-loading manipulations limitations: Imaging and ryanodine sensitivity establish localized release; the historical single-channel estimate is not encoded as settled channel stoichiometry. research_relationship_category: mechanism transport_or_reaction_direction: SR lumen to cytosol compartment_description: SR to local cytosol [ca-cheng1993] Calcium sparks: elementary events underlying excitation-contraction coupling in heart muscle (1993). https://pubmed.ncbi.nlm.nih.gov/8235594/ DOI: 10.1126/science.8235594
    Complete structured claim and evidence
  67. Increasing sarcoplasmic-reticulum calcium content raises spontaneous release activity and permits some sparks to initiate propagating calcium waves.

    Calcium ion → Propagating cardiac calcium waves source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    SR and cytosol
    experimental_model
    Quiescent rat cardiac myocytes; confocal calcium imaging with ryanodine and SR-loading manipulations
    limitations
    Experimental intracellular store loading, not dietary intake; normal schema category denotes a mechanistic experiment, not a healthy exposure.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Rattus norvegicus
    plain_language
    Heavily loaded stores can turn local calcium bursts into spreading waves.
    primary_references
    [ca-cheng1993] Calcium sparks: elementary events underlying excitation-contraction coupling in heart muscle (1993). https://pubmed.ncbi.nlm.nih.gov/8235594/ DOI: 10.1126/science.8235594
    research_relationship_category
    exposure_response
    tissue_or_cell_type
    Quiescent cardiac myocytes under experimental SR loading

    Calcium: mechanism-first literature curation (2026-09-17) · lines 823–834

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Quiescent rat cardiac myocytes; confocal calcium imaging with ryanodine and SR-loading manipulations · source_derived_draft · unverified_draft

    ### ca-sr-overload-propagating-waves Increasing sarcoplasmic-reticulum calcium content raises spontaneous release activity and permits some sparks to initiate propagating calcium waves. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Heavily loaded stores can turn local calcium bursts into spreading waves. organism: Rattus norvegicus tissue_or_cell_type: Quiescent cardiac myocytes under experimental SR loading experimental_model: Quiescent rat cardiac myocytes; confocal calcium imaging with ryanodine and SR-loading manipulations limitations: Experimental intracellular store loading, not dietary intake; normal schema category denotes a mechanistic experiment, not a healthy exposure. research_relationship_category: exposure_response compartment_description: SR and cytosol [ca-cheng1993] Calcium sparks: elementary events underlying excitation-contraction coupling in heart muscle (1993). https://pubmed.ncbi.nlm.nih.gov/8235594/ DOI: 10.1126/science.8235594
    Complete structured claim and evidence
  68. Calcium-overload conditions induce cyclophilin-D-sensitive mitochondrial permeability transition and swelling in the tested mouse preparations.

    Calcium ion → Mitochondrial permeability transition source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Inner mitochondrial membrane and matrix
    experimental_model
    Ppif-null and cyclophilin-D-overexpressing mice; isolated mitochondria, hepatocytes and fibroblasts
    limitations
    Experimental overload; not all apoptosis uses this pathway and the study does not settle the molecular identity of the pore.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Excess mitochondrial calcium can trigger membrane permeability failure.
    primary_references
    [ca-baines2005] Loss of cyclophilin D reveals a critical role for mitochondrial permeability transition in cell death (2005). https://pubmed.ncbi.nlm.nih.gov/15800627/ DOI: 10.1038/nature03434
    research_relationship_category
    exposure_response
    tissue_or_cell_type
    Isolated liver, heart and brain mitochondria

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    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Ppif-null and cyclophilin-D-overexpressing mice; isolated mitochondria, hepatocytes and fibroblasts · source_derived_draft · unverified_draft

    ### ca-overload-permeability-transition Calcium-overload conditions induce cyclophilin-D-sensitive mitochondrial permeability transition and swelling in the tested mouse preparations. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Excess mitochondrial calcium can trigger membrane permeability failure. organism: Mus musculus tissue_or_cell_type: Isolated liver, heart and brain mitochondria experimental_model: Ppif-null and cyclophilin-D-overexpressing mice; isolated mitochondria, hepatocytes and fibroblasts limitations: Experimental overload; not all apoptosis uses this pathway and the study does not settle the molecular identity of the pore. research_relationship_category: exposure_response compartment_description: Inner mitochondrial membrane and matrix [ca-baines2005] Loss of cyclophilin D reveals a critical role for mitochondrial permeability transition in cell death (2005). https://pubmed.ncbi.nlm.nih.gov/15800627/ DOI: 10.1038/nature03434
    Complete structured claim and evidence
  69. Ppif-null hepatocytes and fibroblasts resist calcium-overload-induced death relative to wild type.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    compartment_description
    Mitochondrial permeability-transition pathway
    experimental_model
    Ppif-null and cyclophilin-D-overexpressing mice; isolated mitochondria, hepatocytes and fibroblasts
    limitations
    Protection does not extend to all classical apoptotic stimuli; calcium nutrition was not manipulated.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Removing cyclophilin D protects these cells against calcium-overload injury.
    primary_references
    [ca-baines2005] Loss of cyclophilin D reveals a critical role for mitochondrial permeability transition in cell death (2005). https://pubmed.ncbi.nlm.nih.gov/15800627/ DOI: 10.1038/nature03434
    research_relationship_category
    loss_of_function
    tissue_or_cell_type
    Primary hepatocytes and fibroblasts
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 849–860

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Ppif-null and cyclophilin-D-overexpressing mice; isolated mitochondria, hepatocytes and fibroblasts · source_derived_draft · unverified_draft

    ### ca-ppif-loss-calcium-death-resistance Ppif-null hepatocytes and fibroblasts resist calcium-overload-induced death relative to wild type. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing cyclophilin D protects these cells against calcium-overload injury. organism: Mus musculus tissue_or_cell_type: Primary hepatocytes and fibroblasts experimental_model: Ppif-null and cyclophilin-D-overexpressing mice; isolated mitochondria, hepatocytes and fibroblasts limitations: Protection does not extend to all classical apoptotic stimuli; calcium nutrition was not manipulated. research_relationship_category: loss_of_function compartment_description: Mitochondrial permeability-transition pathway [ca-baines2005] Loss of cyclophilin D reveals a critical role for mitochondrial permeability transition in cell death (2005). https://pubmed.ncbi.nlm.nih.gov/15800627/ DOI: 10.1038/nature03434
    Complete structured claim and evidence
  70. Mature zebrafish fin-ray bone contains crystalline carbonated apatite platelets embedded in an organized collagen matrix.

    Experimental context and source evidence
    compartment_description
    Bone extracellular matrix
    experimental_model
    Microscopy, diffraction and elemental analysis
    limitations
    Biological apatite is substituted and nonstoichiometric; the ideal hydroxyapatite formula is not an exact tissue composition.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Danio rerio
    plain_language
    Bone contains calcium in a solid mineral phase, distinct from dissolved calcium ions.
    primary_references
    [mahamid2008] Amorphous calcium phosphate is a major component of the forming fin bones of zebrafish: Indications for an amorphous precursor phase (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2529085/ DOI: 10.1073/pnas.0803354105
    tissue_or_cell_type
    Fin-ray bone

    Calcium: mechanism-first literature curation (2026-09-17) · lines 862–872

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Microscopy, diffraction and elemental analysis · source_derived_draft · unverified_draft

    ### bone-calcium-in-solid-apatite Mature zebrafish fin-ray bone contains crystalline carbonated apatite platelets embedded in an organized collagen matrix. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Bone contains calcium in a solid mineral phase, distinct from dissolved calcium ions. organism: Danio rerio tissue_or_cell_type: Fin-ray bone experimental_model: Microscopy, diffraction and elemental analysis limitations: Biological apatite is substituted and nonstoichiometric; the ideal hydroxyapatite formula is not an exact tissue composition. compartment_description: Bone extracellular matrix [mahamid2008] Amorphous calcium phosphate is a major component of the forming fin bones of zebrafish: Indications for an amorphous precursor phase (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2529085/ DOI: 10.1073/pnas.0803354105
    Complete structured claim and evidence
  71. Amorphous calcium phosphate in newly forming zebrafish fin bone and increasing crystallinity with maturation support an amorphous-precursor model.

    Experimental context and source evidence
    compartment_description
    Bone extracellular matrix
    experimental_model
    Spatial maturation series and extracted-particle crystallization
    limitations
    The proposed sequence is not direct tracking of every mineral particle in living human bone.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Danio rerio
    plain_language
    A disordered calcium phosphate phase may precede organized bone crystals.
    primary_references
    [mahamid2008] Amorphous calcium phosphate is a major component of the forming fin bones of zebrafish: Indications for an amorphous precursor phase (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2529085/ DOI: 10.1073/pnas.0803354105
    tissue_or_cell_type
    Growing fin-ray bone

    Calcium: mechanism-first literature curation (2026-09-17) · lines 874–884

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Spatial maturation series and extracted-particle crystallization · source_derived_draft · unverified_draft

    ### bone-amorphous-mineral-precursor-hypothesis Amorphous calcium phosphate in newly forming zebrafish fin bone and increasing crystallinity with maturation support an amorphous-precursor model. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A disordered calcium phosphate phase may precede organized bone crystals. organism: Danio rerio tissue_or_cell_type: Growing fin-ray bone experimental_model: Spatial maturation series and extracted-particle crystallization limitations: The proposed sequence is not direct tracking of every mineral particle in living human bone. compartment_description: Bone extracellular matrix [mahamid2008] Amorphous calcium phosphate is a major component of the forming fin bones of zebrafish: Indications for an amorphous precursor phase (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2529085/ DOI: 10.1073/pnas.0803354105
    Complete structured claim and evidence
  72. Human enamel crystallites have an apatite lattice containing calcium and phosphate, with heterogeneous magnesium, sodium, fluoride and carbonate substitutions.

    Experimental context and source evidence
    experimental_model
    Atomic-scale imaging and correlative spectroscopy
    limitations
    A structural tissue study; it does not test dietary calcium intake or enamel regeneration.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Tooth enamel is built from chemically varied calcium phosphate crystals.
    primary_references
    [derocher2020] Chemical gradients in human enamel crystallites (2020). https://pmc.ncbi.nlm.nih.gov/articles/PMC8290891/ DOI: 10.1038/s41586-020-2433-3
    tissue_or_cell_type
    Dental enamel

    Calcium: mechanism-first literature curation (2026-09-17) · lines 886–895

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Atomic-scale imaging and correlative spectroscopy · source_derived_draft · unverified_draft

    ### enamel-calcium-in-substituted-apatite Human enamel crystallites have an apatite lattice containing calcium and phosphate, with heterogeneous magnesium, sodium, fluoride and carbonate substitutions. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Tooth enamel is built from chemically varied calcium phosphate crystals. organism: Homo sapiens tissue_or_cell_type: Dental enamel experimental_model: Atomic-scale imaging and correlative spectroscopy limitations: A structural tissue study; it does not test dietary calcium intake or enamel regeneration. [derocher2020] Chemical gradients in human enamel crystallites (2020). https://pmc.ncbi.nlm.nih.gov/articles/PMC8290891/ DOI: 10.1038/s41586-020-2433-3
    Complete structured claim and evidence
  73. Human PHOSPHO1 hydrolyzes phosphoethanolamine, releasing inorganic phosphate and ethanolamine; the enzyme requires Mg2+ in the assay.

    Experimental context and source evidence
    experimental_model
    Purified-enzyme substrate assay
    limitations
    Catalytic capacity does not quantify phosphate supply in vivo; Pi denotes pH-dependent protonation states.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    PHOSPHO1 can release phosphate from a membrane-headgroup metabolite.
    primary_references
    [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    tissue_or_cell_type
    Recombinant enzyme; mineralizing-cell context

    Calcium: mechanism-first literature curation (2026-09-17) · lines 897–906

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified-enzyme substrate assay · source_derived_draft · unverified_draft

    ### phospho1-phosphoethanolamine-hydrolysis Human PHOSPHO1 hydrolyzes phosphoethanolamine, releasing inorganic phosphate and ethanolamine; the enzyme requires Mg2+ in the assay. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: PHOSPHO1 can release phosphate from a membrane-headgroup metabolite. organism: Homo sapiens tissue_or_cell_type: Recombinant enzyme; mineralizing-cell context experimental_model: Purified-enzyme substrate assay limitations: Catalytic capacity does not quantify phosphate supply in vivo; Pi denotes pH-dependent protonation states. [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    Complete structured claim and evidence
  74. Human PHOSPHO1 also hydrolyzes phosphocholine, producing inorganic phosphate and choline.

    Experimental context and source evidence
    experimental_model
    Purified-enzyme substrate assay
    limitations
    This reaction uses magnesium-dependent machinery; calcium is the eventual mineral constituent, not the demonstrated phosphatase cofactor.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A second phospholipid-headgroup metabolite can supply phosphate.
    primary_references
    [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    tissue_or_cell_type
    Recombinant enzyme

    Calcium: mechanism-first literature curation (2026-09-17) · lines 908–917

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified-enzyme substrate assay · source_derived_draft · unverified_draft

    ### phospho1-phosphocholine-hydrolysis Human PHOSPHO1 also hydrolyzes phosphocholine, producing inorganic phosphate and choline. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A second phospholipid-headgroup metabolite can supply phosphate. organism: Homo sapiens tissue_or_cell_type: Recombinant enzyme experimental_model: Purified-enzyme substrate assay limitations: This reaction uses magnesium-dependent machinery; calcium is the eventual mineral constituent, not the demonstrated phosphatase cofactor. [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    Complete structured claim and evidence
  75. Active PHOSPHO1 was detected inside osteoblast-derived matrix vesicles; phosphoethanolamine hydrolase activity became accessible after vesicle sonication.

    Experimental context and source evidence
    compartment_description
    Matrix-vesicle lumen
    experimental_model
    Localization and activity assays, including Alpl-deficient vesicles
    limitations
    Localization does not establish the sole route for vesicle phosphate or calcium entry.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Mineralizing vesicles contain phosphate-generating machinery within their membrane.
    primary_references
    [roberts2007] Functional involvement of PHOSPHO1 in matrix vesicle-mediated skeletal mineralization (2007). https://pubmed.ncbi.nlm.nih.gov/17227223/ DOI: 10.1359/jbmr.070108
    tissue_or_cell_type
    Osteoblast-derived matrix vesicles

    Calcium: mechanism-first literature curation (2026-09-17) · lines 919–929

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Localization and activity assays, including Alpl-deficient vesicles · source_derived_draft · unverified_draft

    ### phospho1-in-matrix-vesicles Active PHOSPHO1 was detected inside osteoblast-derived matrix vesicles; phosphoethanolamine hydrolase activity became accessible after vesicle sonication. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Mineralizing vesicles contain phosphate-generating machinery within their membrane. organism: Mus musculus tissue_or_cell_type: Osteoblast-derived matrix vesicles experimental_model: Localization and activity assays, including Alpl-deficient vesicles limitations: Localization does not establish the sole route for vesicle phosphate or calcium entry. compartment_description: Matrix-vesicle lumen [roberts2007] Functional involvement of PHOSPHO1 in matrix vesicle-mediated skeletal mineralization (2007). https://pubmed.ncbi.nlm.nih.gov/17227223/ DOI: 10.1359/jbmr.070108
    Complete structured claim and evidence
  76. ALPL/TNAP hydrolyzes extracellular pyrophosphate to inorganic phosphate, reducing an inhibitor of matrix mineralization.

    Experimental context and source evidence
    compartment_description
    Extracellular matrix and vesicle surface
    experimental_model
    Genetic and ex vivo pyrophosphate/mineralization experiments
    limitations
    Pi and PPi labels pool protonation states; this is not evidence that calcium activates TNAP.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    TNAP removes a local brake on calcium phosphate crystal growth.
    primary_references
    [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    tissue_or_cell_type
    Osteoblast matrix and matrix vesicles

    Calcium: mechanism-first literature curation (2026-09-17) · lines 931–941

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Genetic and ex vivo pyrophosphate/mineralization experiments · source_derived_draft · unverified_draft

    ### alpl-pyrophosphate-hydrolysis ALPL/TNAP hydrolyzes extracellular pyrophosphate to inorganic phosphate, reducing an inhibitor of matrix mineralization. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: TNAP removes a local brake on calcium phosphate crystal growth. organism: Mus musculus tissue_or_cell_type: Osteoblast matrix and matrix vesicles experimental_model: Genetic and ex vivo pyrophosphate/mineralization experiments limitations: Pi and PPi labels pool protonation states; this is not evidence that calcium activates TNAP. compartment_description: Extracellular matrix and vesicle surface [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    Complete structured claim and evidence
  77. In Alpl-deficient mice and osteoblast preparations, excess pyrophosphate accompanied poor mineralization; removing Enpp1 normalized pyrophosphate and improved mineral deposition.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Single versus combined Alpl/Enpp1 knockout
    limitations
    The genetic rescue supports local PPi control; it is not a calcium-supplement experiment.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Mineral formation depends on controlling an inhibitor as well as supplying calcium.
    primary_references
    [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    tissue_or_cell_type
    Bone and cultured osteoblast matrix
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 943–952

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Single versus combined Alpl/Enpp1 knockout · source_derived_draft · unverified_draft

    ### pyrophosphate-restrains-mineral-deposition In Alpl-deficient mice and osteoblast preparations, excess pyrophosphate accompanied poor mineralization; removing Enpp1 normalized pyrophosphate and improved mineral deposition. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Mineral formation depends on controlling an inhibitor as well as supplying calcium. organism: Mus musculus tissue_or_cell_type: Bone and cultured osteoblast matrix experimental_model: Single versus combined Alpl/Enpp1 knockout limitations: The genetic rescue supports local PPi control; it is not a calcium-supplement experiment. [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    Complete structured claim and evidence
  78. Combined loss of PHOSPHO1 and ALPL prevented skeletal mineralization in the reported double-null mouse embryos.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Phospho1/Alpl double-null embryos
    limitations
    Severe genetic disruption is not equivalent to low dietary calcium; isolated exceptions and developmental timing matter.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    These phosphate-handling enzymes provide complementary support for mineral formation.
    primary_references
    [yadav2011] Loss of skeletal mineralization by the simultaneous ablation of PHOSPHO1 and alkaline phosphatase function: a unified model of the mechanisms of initiation of skeletal calcification (2011). https://pubmed.ncbi.nlm.nih.gov/20684022/ DOI: 10.1002/jbmr.195
    tissue_or_cell_type
    Developing skeleton
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 954–963

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Phospho1/Alpl double-null embryos · source_derived_draft · unverified_draft

    ### phospho1-alpl-double-loss-mineralization Combined loss of PHOSPHO1 and ALPL prevented skeletal mineralization in the reported double-null mouse embryos. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: These phosphate-handling enzymes provide complementary support for mineral formation. organism: Mus musculus tissue_or_cell_type: Developing skeleton experimental_model: Phospho1/Alpl double-null embryos limitations: Severe genetic disruption is not equivalent to low dietary calcium; isolated exceptions and developmental timing matter. [yadav2011] Loss of skeletal mineralization by the simultaneous ablation of PHOSPHO1 and alkaline phosphatase function: a unified model of the mechanisms of initiation of skeletal calcification (2011). https://pubmed.ncbi.nlm.nih.gov/20684022/ DOI: 10.1002/jbmr.195
    Complete structured claim and evidence
  79. Phospho1-null mouse incisors were hypomineralized, with a further defect after loss of one Alpl allele.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Phospho1-null and Phospho1-null/Alpl-heterozygous mice
    limitations
    A developmental machinery defect; it does not establish dietary calcium deficiency as its cause.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Tooth dentin depends on mineral-processing enzymes as well as mineral supply.
    primary_references
    [mckee2013] Compounded PHOSPHO1/ALPL deficiencies reduce dentin mineralization (2013). https://pmc.ncbi.nlm.nih.gov/articles/PMC3711567/ DOI: 10.1177/0022034513490958
    tissue_or_cell_type
    Incisor dentin and odontoblast-associated vesicles
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 965–974

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Phospho1-null and Phospho1-null/Alpl-heterozygous mice · source_derived_draft · unverified_draft

    ### phospho1-loss-reduces-dentin-mineralization Phospho1-null mouse incisors were hypomineralized, with a further defect after loss of one Alpl allele. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Tooth dentin depends on mineral-processing enzymes as well as mineral supply. organism: Mus musculus tissue_or_cell_type: Incisor dentin and odontoblast-associated vesicles experimental_model: Phospho1-null and Phospho1-null/Alpl-heterozygous mice limitations: A developmental machinery defect; it does not establish dietary calcium deficiency as its cause. [mckee2013] Compounded PHOSPHO1/ALPL deficiencies reduce dentin mineralization (2013). https://pmc.ncbi.nlm.nih.gov/articles/PMC3711567/ DOI: 10.1177/0022034513490958
    Complete structured claim and evidence
  80. Early ANK-dependent changes in cellular and extracellular PPi motivated a proposal that ANK directly exports PPi.

    Experimental context and source evidence
    compartment_description
    Plasma membrane
    experimental_model
    Ank genetics and cell PPi measurements
    limitations
    Historical hypothesis, not a current unconditional transport assignment; later ATP/ENPP1 experiments require qualification.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus protein; cultured mammalian cells
    plain_language
    An older transport explanation was inferred from changes in PPi distribution.
    primary_references
    [ho2000] Role of the mouse ank gene in control of tissue calcification and arthritis (2000). https://pubmed.ncbi.nlm.nih.gov/10894769/ DOI: 10.1126/science.289.5477.265
    tissue_or_cell_type
    Joint-calcification context

    Calcium: mechanism-first literature curation (2026-09-17) · lines 976–986

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Ank genetics and cell PPi measurements · source_derived_draft · unverified_draft

    ### ankh-historical-direct-ppi-export-hypothesis Early ANK-dependent changes in cellular and extracellular PPi motivated a proposal that ANK directly exports PPi. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: An older transport explanation was inferred from changes in PPi distribution. organism: Mus musculus protein; cultured mammalian cells tissue_or_cell_type: Joint-calcification context experimental_model: Ank genetics and cell PPi measurements limitations: Historical hypothesis, not a current unconditional transport assignment; later ATP/ENPP1 experiments require qualification. compartment_description: Plasma membrane [ho2000] Role of the mouse ank gene in control of tissue calcification and arthritis (2000). https://pubmed.ncbi.nlm.nih.gov/10894769/ DOI: 10.1126/science.289.5477.265
    Complete structured claim and evidence
  81. Mouse ANK expression increased saturable radiolabeled PPi uptake into Xenopus oocytes.

    Experimental context and source evidence
    compartment_description
    Extracellular medium to oocyte
    experimental_model
    Heterologous expression and radiotracer uptake
    limitations
    Influx in this model does not establish physiological PPi efflux; retain alongside later ATP-release results.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus protein in Xenopus laevis oocytes
    plain_language
    An earlier assay measured movement into an egg cell, not export from human bone cells.
    primary_references
    [gurley2006] Biochemical and genetic analysis of ANK in arthritis and bone disease (2006). https://pubmed.ncbi.nlm.nih.gov/17186460/ DOI: 10.1086/509881
    tissue_or_cell_type
    Oocyte plasma membrane

    Calcium: mechanism-first literature curation (2026-09-17) · lines 988–998

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Heterologous expression and radiotracer uptake · source_derived_draft · unverified_draft

    ### ank-dependent-ppi-uptake-oocytes Mouse ANK expression increased saturable radiolabeled PPi uptake into Xenopus oocytes. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: An earlier assay measured movement into an egg cell, not export from human bone cells. organism: Mus musculus protein in Xenopus laevis oocytes tissue_or_cell_type: Oocyte plasma membrane experimental_model: Heterologous expression and radiotracer uptake limitations: Influx in this model does not establish physiological PPi efflux; retain alongside later ATP-release results. compartment_description: Extracellular medium to oocyte [gurley2006] Biochemical and genetic analysis of ANK in arthritis and bone disease (2006). https://pubmed.ncbi.nlm.nih.gov/17186460/ DOI: 10.1086/509881
    Complete structured claim and evidence
  82. ANKH expression drove ATP release from HEK293 cells even when ENPP1 was absent.

    Progressive ankylosis protein homolog ANKH → ATP source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Cytosol to extracellular medium
    experimental_model
    ANKH expression with ENPP1 deletion controls
    limitations
    Cellular export assay; it does not determine purified ANKH transport stoichiometry in every tissue.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    ANKH can provide extracellular ATP for subsequent PPi production.
    primary_references
    [szeri2022] The mineralization regulator ANKH mediates cellular efflux of ATP, not pyrophosphate (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC9098669/ DOI: 10.1002/jbmr.4528
    tissue_or_cell_type
    HEK293 cells

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1000–1010

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ANKH expression with ENPP1 deletion controls · source_derived_draft · unverified_draft

    ### ankh-atp-export ANKH expression drove ATP release from HEK293 cells even when ENPP1 was absent. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: ANKH can provide extracellular ATP for subsequent PPi production. organism: Homo sapiens tissue_or_cell_type: HEK293 cells experimental_model: ANKH expression with ENPP1 deletion controls limitations: Cellular export assay; it does not determine purified ANKH transport stoichiometry in every tissue. compartment_description: Cytosol to extracellular medium [szeri2022] The mineralization regulator ANKH mediates cellular efflux of ATP, not pyrophosphate (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC9098669/ DOI: 10.1002/jbmr.4528
    Complete structured claim and evidence
  83. ENPP1 converts extracellular ATP into AMP and PPi; ANKH-expressing cells lacking ENPP1 released ATP without the accompanying PPi accumulation.

    ATP → Inorganic pyrophosphate source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Extracellular space
    experimental_model
    ENPP1-proficient versus deficient cells
    limitations
    Other ectonucleotidases compete for ATP; PPi is not synonymous with orthophosphate.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    An extracellular enzyme converts exported ATP into a mineralization inhibitor.
    primary_references
    [szeri2022] The mineralization regulator ANKH mediates cellular efflux of ATP, not pyrophosphate (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC9098669/ DOI: 10.1002/jbmr.4528
    tissue_or_cell_type
    HEK293 extracellular medium

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1012–1022

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ENPP1-proficient versus deficient cells · source_derived_draft · unverified_draft

    ### enpp1-atp-to-pyrophosphate ENPP1 converts extracellular ATP into AMP and PPi; ANKH-expressing cells lacking ENPP1 released ATP without the accompanying PPi accumulation. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: An extracellular enzyme converts exported ATP into a mineralization inhibitor. organism: Homo sapiens tissue_or_cell_type: HEK293 extracellular medium experimental_model: ENPP1-proficient versus deficient cells limitations: Other ectonucleotidases compete for ATP; PPi is not synonymous with orthophosphate. compartment_description: Extracellular space [szeri2022] The mineralization regulator ANKH mediates cellular efflux of ATP, not pyrophosphate (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC9098669/ DOI: 10.1002/jbmr.4528
    Complete structured claim and evidence
  84. ANKH-expressing HEK293 cells released citrate; Ank-mutant mice also had depleted bone-matrix citrate.

    Progressive ankylosis protein homolog ANKH → Citrate source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Cytosol to extracellular space
    experimental_model
    Metabolomics and Ank-mutant tissue measurements
    limitations
    Citrate is a separate substrate; these findings do not prove that citrate alone explains altered bone strength.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens cells; Mus musculus
    plain_language
    ANKH affects a mineral-associated organic component as well as PPi supply.
    primary_references
    [szeri2020] The membrane protein ANKH is crucial for bone mechanical performance by mediating cellular export of citrate and ATP (2020). https://journals.plos.org/plosgenetics/article?id=10.1371/journal.pgen.1008884 DOI: 10.1371/journal.pgen.1008884
    tissue_or_cell_type
    Cell medium and bone matrix

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1024–1034

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Metabolomics and Ank-mutant tissue measurements · source_derived_draft · unverified_draft

    ### ankh-citrate-export ANKH-expressing HEK293 cells released citrate; Ank-mutant mice also had depleted bone-matrix citrate. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: ANKH affects a mineral-associated organic component as well as PPi supply. organism: Homo sapiens cells; Mus musculus tissue_or_cell_type: Cell medium and bone matrix experimental_model: Metabolomics and Ank-mutant tissue measurements limitations: Citrate is a separate substrate; these findings do not prove that citrate alone explains altered bone strength. compartment_description: Cytosol to extracellular space [szeri2020] The membrane protein ANKH is crucial for bone mechanical performance by mediating cellular export of citrate and ATP (2020). https://journals.plos.org/plosgenetics/article?id=10.1371/journal.pgen.1008884 DOI: 10.1371/journal.pgen.1008884
    Complete structured claim and evidence
  85. Soluble RANKL/ODF supported osteoclast-like-cell formation from mouse spleen precursors in the presence of M-CSF without osteoblast/stromal coculture.

    RANK ligand / TNFSF11 → Osteoclast differentiation source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Recombinant ligand culture assay
    limitations
    M-CSF and culture context are required; this is not a calcium-supplement response.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    A bone-cell signal can instruct precursors to become bone-resorbing cells.
    primary_references
    [yasuda1998] Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/RANKL (1998). https://pmc.ncbi.nlm.nih.gov/articles/PMC19881/ DOI: 10.1073/pnas.95.7.3597
    tissue_or_cell_type
    Spleen-derived osteoclast precursors

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1036–1045

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant ligand culture assay · source_derived_draft · unverified_draft

    ### rankl-promotes-osteoclast-differentiation Soluble RANKL/ODF supported osteoclast-like-cell formation from mouse spleen precursors in the presence of M-CSF without osteoblast/stromal coculture. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A bone-cell signal can instruct precursors to become bone-resorbing cells. organism: Mus musculus tissue_or_cell_type: Spleen-derived osteoclast precursors experimental_model: Recombinant ligand culture assay limitations: M-CSF and culture context are required; this is not a calcium-supplement response. [yasuda1998] Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/RANKL (1998). https://pmc.ncbi.nlm.nih.gov/articles/PMC19881/ DOI: 10.1073/pnas.95.7.3597
    Complete structured claim and evidence
  86. Osteoprotegerin bound RANKL/ODF and blocked its osteoclastogenic activity in the mouse culture system.

    Experimental context and source evidence
    compartment_description
    Extracellular space
    experimental_model
    Ligand identification and inhibition assays
    limitations
    The experiment establishes ligand sequestration in this system, not clinical fracture protection.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus cell system
    plain_language
    OPG can intercept the signal that promotes bone-resorbing cells.
    primary_references
    [yasuda1998] Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/RANKL (1998). https://pmc.ncbi.nlm.nih.gov/articles/PMC19881/ DOI: 10.1073/pnas.95.7.3597
    tissue_or_cell_type
    Stromal and osteoclast-precursor cultures

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1047–1057

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Ligand identification and inhibition assays · source_derived_draft · unverified_draft

    ### opg-binds-rankl Osteoprotegerin bound RANKL/ODF and blocked its osteoclastogenic activity in the mouse culture system. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: OPG can intercept the signal that promotes bone-resorbing cells. organism: Mus musculus cell system tissue_or_cell_type: Stromal and osteoclast-precursor cultures experimental_model: Ligand identification and inhibition assays limitations: The experiment establishes ligand sequestration in this system, not clinical fracture protection. compartment_description: Extracellular space [yasuda1998] Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/RANKL (1998). https://pmc.ncbi.nlm.nih.gov/articles/PMC19881/ DOI: 10.1073/pnas.95.7.3597
    Complete structured claim and evidence
  87. Rank-null mice lacked osteoclasts and developed osteopetrosis; marrow transplantation or receptor re-expression restored osteoclast development.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Rank-null mice and genetic rescue
    limitations
    Complete receptor loss is a machinery defect, not evidence of nutritional calcium deficiency.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    RANK is necessary for normal formation of bone-resorbing cells in this mouse model.
    primary_references
    [li2000] RANK is the intrinsic hematopoietic cell surface receptor that controls osteoclastogenesis and regulation of bone mass and calcium metabolism (2000). https://pubmed.ncbi.nlm.nih.gov/10677500/ DOI: 10.1073/pnas.97.4.1566
    tissue_or_cell_type
    Bone and hematopoietic precursors
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1059–1068

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rank-null mice and genetic rescue · source_derived_draft · unverified_draft

    ### rank-loss-blocks-osteoclast-formation Rank-null mice lacked osteoclasts and developed osteopetrosis; marrow transplantation or receptor re-expression restored osteoclast development. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: RANK is necessary for normal formation of bone-resorbing cells in this mouse model. organism: Mus musculus tissue_or_cell_type: Bone and hematopoietic precursors experimental_model: Rank-null mice and genetic rescue limitations: Complete receptor loss is a machinery defect, not evidence of nutritional calcium deficiency. [li2000] RANK is the intrinsic hematopoietic cell surface receptor that controls osteoclastogenesis and regulation of bone mass and calcium metabolism (2000). https://pubmed.ncbi.nlm.nih.gov/10677500/ DOI: 10.1073/pnas.97.4.1566
    Complete structured claim and evidence
  88. A calcium-deficient diet increased osteoclasts and bone loss in adult mice; osteocyte-directed Rankl deletion blunted the response.

    Calcium → Osteoclastic bone resorption source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    experimental_model
    30 days of 0.01% versus 0.516% dietary calcium
    limitations
    Mouse diet and Cre-targeting scope limit human generalization; bone loss was blunted, not necessarily abolished.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    When dietary calcium was severely restricted, osteocyte RANKL helped drive withdrawal from bone.
    primary_references
    [xiong2014] Osteocyte-derived RANKL is a critical mediator of the increased bone resorption caused by dietary calcium deficiency (2014). https://pmc.ncbi.nlm.nih.gov/articles/PMC4125539/ DOI: 10.1016/j.bone.2014.06.006
    tissue_or_cell_type
    Adult cortical and cancellous bone
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1070–1079

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 30 days of 0.01% versus 0.516% dietary calcium · source_derived_draft · unverified_draft

    ### low-calcium-diet-osteocyte-rankl-resorption A calcium-deficient diet increased osteoclasts and bone loss in adult mice; osteocyte-directed Rankl deletion blunted the response. Condition category: nutrient_deficiency nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: When dietary calcium was severely restricted, osteocyte RANKL helped drive withdrawal from bone. organism: Mus musculus tissue_or_cell_type: Adult cortical and cancellous bone experimental_model: 30 days of 0.01% versus 0.516% dietary calcium limitations: Mouse diet and Cre-targeting scope limit human generalization; bone loss was blunted, not necessarily abolished. [xiong2014] Osteocyte-derived RANKL is a critical mediator of the increased bone resorption caused by dietary calcium deficiency (2014). https://pmc.ncbi.nlm.nih.gov/articles/PMC4125539/ DOI: 10.1016/j.bone.2014.06.006
    Complete structured claim and evidence
  89. Resorbing osteoclasts acidified the extracellular compartment beneath their ruffled border and reacidified it after ammonium chloride washout.

    Experimental context and source evidence
    compartment_description
    Sealed extracellular resorption lacuna
    experimental_model
    Acridine-orange localization and reversible pH perturbation
    limitations
    This study localizes acidification; it does not identify a particular modern proton-pump subunit or measure whole-body calcium flux.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Gallus gallus
    plain_language
    Bone-resorbing cells create a locally acidic space against bone.
    primary_references
    [baron1985] Cell-mediated extracellular acidification and bone resorption: evidence for a low pH in resorbing lacunae and localization of a 100-kD lysosomal membrane protein at the osteoclast ruffled border (1985). https://rupress.org/jcb/article/101/6/2210/21648/Cell-mediated-extracellular-acidification-and-bone DOI: 10.1083/jcb.101.6.2210
    tissue_or_cell_type
    Osteoclast-bone interface

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1081–1091

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Acridine-orange localization and reversible pH perturbation · source_derived_draft · unverified_draft

    ### osteoclast-lacuna-acidification Resorbing osteoclasts acidified the extracellular compartment beneath their ruffled border and reacidified it after ammonium chloride washout. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Bone-resorbing cells create a locally acidic space against bone. organism: Gallus gallus tissue_or_cell_type: Osteoclast-bone interface experimental_model: Acridine-orange localization and reversible pH perturbation limitations: This study localizes acidification; it does not identify a particular modern proton-pump subunit or measure whole-body calcium flux. compartment_description: Sealed extracellular resorption lacuna [baron1985] Cell-mediated extracellular acidification and bone resorption: evidence for a low pH in resorbing lacunae and localization of a 100-kD lysosomal membrane protein at the osteoclast ruffled border (1985). https://rupress.org/jcb/article/101/6/2210/21648/Cell-mediated-extracellular-acidification-and-bone DOI: 10.1083/jcb.101.6.2210
    Complete structured claim and evidence
  90. Daily PTH(1-34) injections reduced osteoblast apoptosis and increased bone formation in the studied adult mouse strains.

    Parathyroid hormone / PTH → Osteoblast apoptosis source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Daily PTH(1-34) administration and cell assays
    limitations
    An experimental dosing context; it must not be generalized to sustained endogenous PTH elevation or calcium supplementation.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus; rodent and human cell corroboration
    plain_language
    Intermittent PTH exposure can prolong the survival of bone-forming cells.
    primary_references
    [jilka1999] Increased bone formation by prevention of osteoblast apoptosis with parathyroid hormone (1999). https://www.jci.org/articles/view/6610 DOI: 10.1172/JCI6610
    tissue_or_cell_type
    Cancellous bone osteoblasts

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1093–1102

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Daily PTH(1-34) administration and cell assays · source_derived_draft · unverified_draft

    ### intermittent-pth-reduces-osteoblast-apoptosis Daily PTH(1-34) injections reduced osteoblast apoptosis and increased bone formation in the studied adult mouse strains. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Intermittent PTH exposure can prolong the survival of bone-forming cells. organism: Mus musculus; rodent and human cell corroboration tissue_or_cell_type: Cancellous bone osteoblasts experimental_model: Daily PTH(1-34) administration and cell assays limitations: An experimental dosing context; it must not be generalized to sustained endogenous PTH elevation or calcium supplementation. [jilka1999] Increased bone formation by prevention of osteoblast apoptosis with parathyroid hormone (1999). https://www.jci.org/articles/view/6610 DOI: 10.1172/JCI6610
    Complete structured claim and evidence
  91. In the bovine prothrombin Gla-domain structure, the lysophosphatidylserine headgroup contacted domain-bound Ca2+ and gamma-carboxyglutamate residues.

    Experimental context and source evidence
    compartment_description
    Extracellular protein-membrane interface
    experimental_model
    X-ray crystallography and NMR with lysophosphatidylserine
    limitations
    The carboxylated Gla domain is a vitamin-K-dependent protein state; calcium binding does not perform gamma-carboxylation.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Bos taurus
    plain_language
    Protein-bound calcium helps a clotting protein recognize a membrane lipid headgroup.
    primary_references
    [huang2003] Structural basis of membrane binding by Gla domains of vitamin K-dependent proteins (2003). https://www.nature.com/articles/nsb971 DOI: 10.1038/nsb971
    tissue_or_cell_type
    Purified prothrombin fragment; blood-protein context

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1104–1114

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · X-ray crystallography and NMR with lysophosphatidylserine · source_derived_draft · unverified_draft

    ### calcium-gla-phosphatidylserine-binding In the bovine prothrombin Gla-domain structure, the lysophosphatidylserine headgroup contacted domain-bound Ca2+ and gamma-carboxyglutamate residues. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Protein-bound calcium helps a clotting protein recognize a membrane lipid headgroup. organism: Bos taurus tissue_or_cell_type: Purified prothrombin fragment; blood-protein context experimental_model: X-ray crystallography and NMR with lysophosphatidylserine limitations: The carboxylated Gla domain is a vitamin-K-dependent protein state; calcium binding does not perform gamma-carboxylation. compartment_description: Extracellular protein-membrane interface [huang2003] Structural basis of membrane binding by Gla domains of vitamin K-dependent proteins (2003). https://www.nature.com/articles/nsb971 DOI: 10.1038/nsb971
    Complete structured claim and evidence
  92. Factor Xa activated bovine prothrombin efficiently when factor Va, Ca2+ and phosphatidylserine-containing phospholipids assembled the complete prothrombinase system.

    Experimental context and source evidence
    compartment_description
    Phospholipid surface
    experimental_model
    Kinetic reconstitution with defined phospholipids
    limitations
    Low residual Xa activity exists without the complete complex; this establishes biochemical assistance, not that extra dietary calcium accelerates clotting.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Bos taurus
    plain_language
    Calcium helps the membrane-associated clotting machinery generate thrombin.
    primary_references
    [rosing1980] The role of phospholipids and factor Va in the prothrombinase complex (1980). https://pubmed.ncbi.nlm.nih.gov/7350159/ DOI: 10.1016/S0021-9258(19)86294-4
    tissue_or_cell_type
    Purified blood proteins

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1116–1126

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Kinetic reconstitution with defined phospholipids · source_derived_draft · unverified_draft

    ### calcium-phospholipid-prothrombinase Factor Xa activated bovine prothrombin efficiently when factor Va, Ca2+ and phosphatidylserine-containing phospholipids assembled the complete prothrombinase system. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium helps the membrane-associated clotting machinery generate thrombin. organism: Bos taurus tissue_or_cell_type: Purified blood proteins experimental_model: Kinetic reconstitution with defined phospholipids limitations: Low residual Xa activity exists without the complete complex; this establishes biochemical assistance, not that extra dietary calcium accelerates clotting. compartment_description: Phospholipid surface [rosing1980] The role of phospholipids and factor Va in the prothrombinase complex (1980). https://pubmed.ncbi.nlm.nih.gov/7350159/ DOI: 10.1016/S0021-9258(19)86294-4
    Complete structured claim and evidence
  93. Three Ca2+ ions coordinated at the interface of mouse E-cadherin extracellular domains 1 and 2 support their extended, rigid arrangement.

    Calcium ion → E-cadherin ectodomain rigidity source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Extracellular domain
    experimental_model
    Two-domain crystal structure
    limitations
    The crystallized fragment is not a complete living adherens junction; crystal dimer geometry alone does not define every adhesion contact.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus protein
    plain_language
    Calcium braces the outside portion of a cell-adhesion protein.
    primary_references
    [nagar1996] Structural basis of calcium-induced E-cadherin rigidification and dimerization (1996). https://pubmed.ncbi.nlm.nih.gov/8598933/ DOI: 10.1038/380360a0
    tissue_or_cell_type
    Purified E-cadherin ectodomain

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1128–1138

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Two-domain crystal structure · source_derived_draft · unverified_draft

    ### calcium-rigidifies-e-cadherin Three Ca2+ ions coordinated at the interface of mouse E-cadherin extracellular domains 1 and 2 support their extended, rigid arrangement. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium braces the outside portion of a cell-adhesion protein. organism: Mus musculus protein tissue_or_cell_type: Purified E-cadherin ectodomain experimental_model: Two-domain crystal structure limitations: The crystallized fragment is not a complete living adherens junction; crystal dimer geometry alone does not define every adhesion contact. compartment_description: Extracellular domain [nagar1996] Structural basis of calcium-induced E-cadherin rigidification and dimerization (1996). https://pubmed.ncbi.nlm.nih.gov/8598933/ DOI: 10.1038/380360a0
    Complete structured claim and evidence
  94. Calcium binding protected the recombinant mouse E-cadherin ectodomain from tryptic cleavage; calcium depletion caused a reversible conformational change.

    Calcium ion → E-cadherin ectodomain proteolysis source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Extracellular domain
    experimental_model
    Calcium titration, electron microscopy and trypsin assay
    limitations
    In-vitro calcium removal is not dietary calcium deficiency; the soluble fragment did not self-associate under these assay conditions.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus protein expressed in insect cells
    plain_language
    Bound calcium helps keep the adhesion protein folded and resistant to protease attack.
    primary_references
    [pokutta1994] Conformational changes of the recombinant extracellular domain of E-cadherin upon calcium binding (1994). https://febs.onlinelibrary.wiley.com/doi/10.1111/j.1432-1033.1994.tb19080.x DOI: 10.1111/j.1432-1033.1994.tb19080.x
    tissue_or_cell_type
    Purified extracellular domain

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1140–1150

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Calcium titration, electron microscopy and trypsin assay · source_derived_draft · unverified_draft

    ### calcium-protects-e-cadherin-from-proteolysis Calcium binding protected the recombinant mouse E-cadherin ectodomain from tryptic cleavage; calcium depletion caused a reversible conformational change. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Bound calcium helps keep the adhesion protein folded and resistant to protease attack. organism: Mus musculus protein expressed in insect cells tissue_or_cell_type: Purified extracellular domain experimental_model: Calcium titration, electron microscopy and trypsin assay limitations: In-vitro calcium removal is not dietary calcium deficiency; the soluble fragment did not self-associate under these assay conditions. compartment_description: Extracellular domain [pokutta1994] Conformational changes of the recombinant extracellular domain of E-cadherin upon calcium binding (1994). https://febs.onlinelibrary.wiley.com/doi/10.1111/j.1432-1033.1994.tb19080.x DOI: 10.1111/j.1432-1033.1994.tb19080.x
    Complete structured claim and evidence
  95. Calcium absorption from the tested spinach meal was lower than from milk at equal calcium load.

    Calcium → Intestinal calcium absorption source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    13-adult crossover; 200 mg calcium per test meal, double-isotope measurement.
    exposure
    Mean fractional absorption: spinach 5.1%, milk 27.6%; oxalate slightly exceeded calcium stoichiometrically in tested spinach.
    limitations
    Food-matrix comparison; oxalate binding was inferred from composition, not isolated experimentally. Not a comparison of every plant food.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Equal calcium on a food label need not mean equal absorption.
    primary_references
    [cal-clin-heaney1988] Calcium absorbability from spinach (1988). https://pubmed.ncbi.nlm.nih.gov/3354496/ DOI: 10.1093/ajcn/47.4.707
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1152–1162

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 13-adult crossover; 200 mg calcium per test meal, double-isotope measurement. · source_derived_draft · unverified_draft

    ### cal-food-spinach-absorption Calcium absorption from the tested spinach meal was lower than from milk at equal calcium load. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Equal calcium on a food label need not mean equal absorption. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 13-adult crossover; 200 mg calcium per test meal, double-isotope measurement. limitations: Food-matrix comparison; oxalate binding was inferred from composition, not isolated experimentally. Not a comparison of every plant food. exposure: Mean fractional absorption: spinach 5.1%, milk 27.6%; oxalate slightly exceeded calcium stoichiometrically in tested spinach. [cal-clin-heaney1988] Calcium absorbability from spinach (1988). https://pubmed.ncbi.nlm.nih.gov/3354496/ DOI: 10.1093/ajcn/47.4.707
    Complete structured claim and evidence
  96. Fasting achlorhydric participants absorbed substantially less calcium from carbonate than from citrate.

    Calcium carbonate → Intestinal calcium absorption source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    11 achlorhydric patients and nine controls; 250 mg calcium isotope tests.
    exposure
    Fasting achlorhydric mean fractions: carbonate 0.042, citrate 0.452; normal subjects showed no significant formulation difference.
    limitations
    Not evidence that carbonate always fails or citrate always outperforms it.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Low stomach acid can change how a calcium preparation is absorbed.
    primary_references
    [cal-clin-recker1985] Calcium absorption and achlorhydria (1985). https://pubmed.ncbi.nlm.nih.gov/4000241/ DOI: 10.1056/NEJM198507113130202
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1164–1174

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 11 achlorhydric patients and nine controls; 250 mg calcium isotope tests. · source_derived_draft · unverified_draft

    ### cal-carbonate-fasting-achlorhydria Fasting achlorhydric participants absorbed substantially less calcium from carbonate than from citrate. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Low stomach acid can change how a calcium preparation is absorbed. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 11 achlorhydric patients and nine controls; 250 mg calcium isotope tests. limitations: Not evidence that carbonate always fails or citrate always outperforms it. exposure: Fasting achlorhydric mean fractions: carbonate 0.042, citrate 0.452; normal subjects showed no significant formulation difference. [cal-clin-recker1985] Calcium absorption and achlorhydria (1985). https://pubmed.ncbi.nlm.nih.gov/4000241/ DOI: 10.1056/NEJM198507113130202
    Complete structured claim and evidence
  97. Calcium carbonate given with a normal breakfast showed normal absorption in the achlorhydric participants.

    Calcium carbonate → Intestinal calcium absorption source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Meal comparison in the achlorhydria absorption study.
    limitations
    Small study; the meal experiment did not isolate a molecular rescue mechanism.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The meal changed the result seen during fasting.
    primary_references
    [cal-clin-recker1985] Calcium absorption and achlorhydria (1985). https://pubmed.ncbi.nlm.nih.gov/4000241/ DOI: 10.1056/NEJM198507113130202
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1176–1185

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Meal comparison in the achlorhydria absorption study. · source_derived_draft · unverified_draft

    ### cal-carbonate-meal-achlorhydria Calcium carbonate given with a normal breakfast showed normal absorption in the achlorhydric participants. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The meal changed the result seen during fasting. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Meal comparison in the achlorhydria absorption study. limitations: Small study; the meal experiment did not isolate a molecular rescue mechanism. [cal-clin-recker1985] Calcium absorption and achlorhydria (1985). https://pubmed.ncbi.nlm.nih.gov/4000241/ DOI: 10.1056/NEJM198507113130202
    Complete structured claim and evidence
  98. Calcium-containing treatment produced more biochemical and radiographic healing than vitamin D alone in the Nigerian rickets trial.

    Calcium → Nutritional rickets healing source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    experimental_model
    123 children, 24-week randomized trial; low calcium intake also present in matched controls.
    exposure
    1000 mg elemental calcium/day, vitamin D injections, or both. Combined healing endpoint: calcium 61%, combined 58%, vitamin D 19%. Historical regimens only.
    limitations
    Does not make every case of rickets calcium-deficiency disease. The combined endpoint included alkaline phosphatase and radiographs. The injected vitamin D molecular form is not assigned here.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    In these children, replacing calcium helped heal rickets.
    primary_references
    [cal-clin-thacher1999] A Comparison of Calcium, Vitamin D, or Both for Nutritional Rickets in Nigerian Children (1999). https://www.nejm.org/doi/full/10.1056/NEJM199908193410803 DOI: 10.1056/NEJM199908193410803
    tissue_or_cell_type
    Human clinical or absorption endpoint
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1187–1197

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 123 children, 24-week randomized trial; low calcium intake also present in matched controls. · source_derived_draft · unverified_draft

    ### cal-rickets-repletion Calcium-containing treatment produced more biochemical and radiographic healing than vitamin D alone in the Nigerian rickets trial. Condition category: nutrient_deficiency nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: In these children, replacing calcium helped heal rickets. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 123 children, 24-week randomized trial; low calcium intake also present in matched controls. limitations: Does not make every case of rickets calcium-deficiency disease. The combined endpoint included alkaline phosphatase and radiographs. The injected vitamin D molecular form is not assigned here. exposure: 1000 mg elemental calcium/day, vitamin D injections, or both. Combined healing endpoint: calcium 61%, combined 58%, vitamin D 19%. Historical regimens only. [cal-clin-thacher1999] A Comparison of Calcium, Vitamin D, or Both for Nutritional Rickets in Nigerian Children (1999). https://www.nejm.org/doi/full/10.1056/NEJM199908193410803 DOI: 10.1056/NEJM199908193410803
    Complete structured claim and evidence
  99. Combined calcium and vitamin D lowered hip-fracture occurrence in the elderly-women trial.

    Calcium → Hip fracture incidence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    3270 elderly women; mean age 84; 18-month randomized trial.
    exposure
    1.2 g elemental calcium as tricalcium phosphate plus 800 IU vitamin D3/day; 43% lower hip-fracture count among completers, with similar direction in intention-to-treat analysis.
    limitations
    Calcium-specific attribution is impossible because vitamin D was coadministered. Completer and intention-to-treat analyses must be distinguished.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A combined intervention reduced fractures in this older population.
    primary_references
    [cal-clin-chapuy1992] Vitamin D3 and calcium to prevent hip fractures in elderly women (1992). https://pubmed.ncbi.nlm.nih.gov/1331788/ DOI: 10.1056/NEJM199212033272305
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1199–1209

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 3270 elderly women; mean age 84; 18-month randomized trial. · source_derived_draft · unverified_draft

    ### cal-chapuy-hip-fractures Combined calcium and vitamin D lowered hip-fracture occurrence in the elderly-women trial. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A combined intervention reduced fractures in this older population. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 3270 elderly women; mean age 84; 18-month randomized trial. limitations: Calcium-specific attribution is impossible because vitamin D was coadministered. Completer and intention-to-treat analyses must be distinguished. exposure: 1.2 g elemental calcium as tricalcium phosphate plus 800 IU vitamin D3/day; 43% lower hip-fracture count among completers, with similar direction in intention-to-treat analysis. [cal-clin-chapuy1992] Vitamin D3 and calcium to prevent hip fractures in elderly women (1992). https://pubmed.ncbi.nlm.nih.gov/1331788/ DOI: 10.1056/NEJM199212033272305
    Complete structured claim and evidence
  100. WHI calcium plus vitamin D did not significantly reduce hip fractures in the intention-to-treat analysis.

    Calcium → Hip fracture incidence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    36,282 postmenopausal women; seven-year mean follow-up.
    exposure
    1000 mg elemental calcium as carbonate plus 400 IU vitamin D3/day; hip-fracture HR 0.88, 95% CI 0.72-1.08.
    limitations
    Adherence and background supplement use complicate comparison; a nonsignificant result is not proof of zero effect.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A larger trial did not establish a hip-fracture benefit for its overall assigned-treatment groups.
    primary_references
    [cal-clin-jackson2006] Calcium plus vitamin D supplementation and the risk of fractures (2006). https://pubmed.ncbi.nlm.nih.gov/16481635/ DOI: 10.1056/NEJMoa055218
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1211–1221

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 36,282 postmenopausal women; seven-year mean follow-up. · source_derived_draft · unverified_draft

    ### cal-whi-hip-fractures WHI calcium plus vitamin D did not significantly reduce hip fractures in the intention-to-treat analysis. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A larger trial did not establish a hip-fracture benefit for its overall assigned-treatment groups. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 36,282 postmenopausal women; seven-year mean follow-up. limitations: Adherence and background supplement use complicate comparison; a nonsignificant result is not proof of zero effect. exposure: 1000 mg elemental calcium as carbonate plus 400 IU vitamin D3/day; hip-fracture HR 0.88, 95% CI 0.72-1.08. [cal-clin-jackson2006] Calcium plus vitamin D supplementation and the risk of fractures (2006). https://pubmed.ncbi.nlm.nih.gov/16481635/ DOI: 10.1056/NEJMoa055218
    Complete structured claim and evidence
  101. WHI assigned calcium plus vitamin D increased reported renal-calculus events relative to placebo.

    Calcium → Urinary stone incidence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Randomized WHI safety outcome.
    exposure
    Renal-calculus HR 1.17, 95% CI 1.02-1.34; same assigned regimen as the fracture analysis.
    limitations
    Combined intervention; cannot attribute the whole effect to calcium or identify every stone composition.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The same trial recorded more kidney-stone events with the combined supplements.
    primary_references
    [cal-clin-jackson2006] Calcium plus vitamin D supplementation and the risk of fractures (2006). https://pubmed.ncbi.nlm.nih.gov/16481635/ DOI: 10.1056/NEJMoa055218
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1223–1233

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized WHI safety outcome. · source_derived_draft · unverified_draft

    ### cal-whi-urinary-stones WHI assigned calcium plus vitamin D increased reported renal-calculus events relative to placebo. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The same trial recorded more kidney-stone events with the combined supplements. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Randomized WHI safety outcome. limitations: Combined intervention; cannot attribute the whole effect to calcium or identify every stone composition. exposure: Renal-calculus HR 1.17, 95% CI 1.02-1.34; same assigned regimen as the fracture analysis. [cal-clin-jackson2006] Calcium plus vitamin D supplementation and the risk of fractures (2006). https://pubmed.ncbi.nlm.nih.gov/16481635/ DOI: 10.1056/NEJMoa055218
    Complete structured claim and evidence
  102. A normal-calcium diet with less animal protein and salt reduced stone recurrence compared with a low-calcium diet.

    Calcium → Calcium oxalate stone recurrence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    120 hypercalciuric male recurrent stone formers; five-year randomized comparison.
    exposure
    Recurrences 12/60 versus 23/60; RR 0.49, 95% CI 0.24-0.98. Calcium 30 versus 10 mmol/day; intervention also reduced animal protein and salt.
    limitations
    Multiple dietary components changed together, preventing isolated calcium attribution.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Restricting calcium was not the better strategy in this particular dietary trial.
    primary_references
    [cal-clin-borghi2002] Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria (2002). https://pubmed.ncbi.nlm.nih.gov/11784873/ DOI: 10.1056/NEJMoa010369
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1235–1245

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 120 hypercalciuric male recurrent stone formers; five-year randomized comparison. · source_derived_draft · unverified_draft

    ### cal-borghi-stone-recurrence A normal-calcium diet with less animal protein and salt reduced stone recurrence compared with a low-calcium diet. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Restricting calcium was not the better strategy in this particular dietary trial. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 120 hypercalciuric male recurrent stone formers; five-year randomized comparison. limitations: Multiple dietary components changed together, preventing isolated calcium attribution. exposure: Recurrences 12/60 versus 23/60; RR 0.49, 95% CI 0.24-0.98. Calcium 30 versus 10 mmol/day; intervention also reduced animal protein and salt. [cal-clin-borghi2002] Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria (2002). https://pubmed.ncbi.nlm.nih.gov/11784873/ DOI: 10.1056/NEJMoa010369
    Complete structured claim and evidence
  103. Urinary oxalate rose with the low-calcium diet but fell with the normal-calcium, lower-protein, lower-salt diet.

    Calcium → Urinary oxalate excretion source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Same randomized dietary trial.
    limitations
    Urine result supports a plausible intestinal explanation but does not isolate binding or prove mediation of recurrence.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Diet composition changed urinary oxalate as well as calcium.
    primary_references
    [cal-clin-borghi2002] Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria (2002). https://pubmed.ncbi.nlm.nih.gov/11784873/ DOI: 10.1056/NEJMoa010369
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1247–1256

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Same randomized dietary trial. · source_derived_draft · unverified_draft

    ### cal-borghi-urinary-oxalate Urinary oxalate rose with the low-calcium diet but fell with the normal-calcium, lower-protein, lower-salt diet. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Diet composition changed urinary oxalate as well as calcium. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Same randomized dietary trial. limitations: Urine result supports a plausible intestinal explanation but does not isolate binding or prove mediation of recurrence. [cal-clin-borghi2002] Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria (2002). https://pubmed.ncbi.nlm.nih.gov/11784873/ DOI: 10.1056/NEJMoa010369
    Complete structured claim and evidence
  104. Calcium carbonate with meals lowered urinary oxalate from baseline; bedtime dosing did not.

    Calcium carbonate → Urinary oxalate excretion source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    32 healthy men, one-week crossover regimens.
    exposure
    1 g calcium carbonate with each of three meals versus 3 g carbonate at bedtime: compound mass, not 3 g elemental calcium.
    limitations
    This experiment measured urine, not long-term stone incidence.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Taking the tested preparation with food changed oxalate handling.
    primary_references
    [cal-clin-domrong2004] Schedule of taking calcium supplement and the risk of nephrolithiasis (2004). https://pubmed.ncbi.nlm.nih.gov/15086924/ DOI: 10.1111/j.1523-1755.2004.00587.x
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1258–1268

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 32 healthy men, one-week crossover regimens. · source_derived_draft · unverified_draft

    ### cal-meal-urinary-oxalate Calcium carbonate with meals lowered urinary oxalate from baseline; bedtime dosing did not. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Taking the tested preparation with food changed oxalate handling. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 32 healthy men, one-week crossover regimens. limitations: This experiment measured urine, not long-term stone incidence. exposure: 1 g calcium carbonate with each of three meals versus 3 g carbonate at bedtime: compound mass, not 3 g elemental calcium. [cal-clin-domrong2004] Schedule of taking calcium supplement and the risk of nephrolithiasis (2004). https://pubmed.ncbi.nlm.nih.gov/15086924/ DOI: 10.1111/j.1523-1755.2004.00587.x
    Complete structured claim and evidence
  105. Urinary calcium-oxalate activity product increased after bedtime calcium carbonate but not after meal dosing.

    Experimental context and source evidence
    experimental_model
    Same short crossover experiment.
    limitations
    A saturation-related proxy is not an observed kidney-stone event or a universal prediction.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The urinary crystallization proxy depended on timing.
    primary_references
    [cal-clin-domrong2004] Schedule of taking calcium supplement and the risk of nephrolithiasis (2004). https://pubmed.ncbi.nlm.nih.gov/15086924/ DOI: 10.1111/j.1523-1755.2004.00587.x
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1270–1279

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Same short crossover experiment. · source_derived_draft · unverified_draft

    ### cal-bedtime-activity-product Urinary calcium-oxalate activity product increased after bedtime calcium carbonate but not after meal dosing. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The urinary crystallization proxy depended on timing. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Same short crossover experiment. limitations: A saturation-related proxy is not an observed kidney-stone event or a universal prediction. [cal-clin-domrong2004] Schedule of taking calcium supplement and the risk of nephrolithiasis (2004). https://pubmed.ncbi.nlm.nih.gov/15086924/ DOI: 10.1111/j.1523-1755.2004.00587.x
    Complete structured claim and evidence
  106. An older-women calcium trial showed an upward myocardial-infarction signal that weakened when registry events were added.

    Calcium → Myocardial infarction incidence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    1471 postmenopausal women, five-year randomized trial; secondary cardiovascular analysis.
    exposure
    Calcium citrate tablets versus placebo in the parent randomized trial; calcium-only intervention, not the WHI calcium-plus-vitamin-D regimen.
    limitations
    Adjudicated reported MI RR 2.12 (1.01-4.47); including unreported registry events RR 1.49 (0.86-2.57). Does not establish vascular calcification as the mediator.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The heart-event result depended partly on how events were collected.
    primary_references
    [cal-clin-bolland2008] Vascular events in healthy older women receiving calcium supplementation: randomised controlled trial (2008). https://pubmed.ncbi.nlm.nih.gov/18198394/ DOI: 10.1136/bmj.39440.525752.BE
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1281–1291

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 1471 postmenopausal women, five-year randomized trial; secondary cardiovascular analysis. · source_derived_draft · unverified_draft

    ### cal-bolland-myocardial-events An older-women calcium trial showed an upward myocardial-infarction signal that weakened when registry events were added. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The heart-event result depended partly on how events were collected. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 1471 postmenopausal women, five-year randomized trial; secondary cardiovascular analysis. limitations: Adjudicated reported MI RR 2.12 (1.01-4.47); including unreported registry events RR 1.49 (0.86-2.57). Does not establish vascular calcification as the mediator. exposure: Calcium citrate tablets versus placebo in the parent randomized trial; calcium-only intervention, not the WHI calcium-plus-vitamin-D regimen. [cal-clin-bolland2008] Vascular events in healthy older women receiving calcium supplementation: randomised controlled trial (2008). https://pubmed.ncbi.nlm.nih.gov/18198394/ DOI: 10.1136/bmj.39440.525752.BE
    Complete structured claim and evidence
  107. WHI found no significant effect of calcium plus vitamin D on myocardial infarction or coronary death.

    Calcium → Myocardial infarction or coronary death source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Prespecified secondary WHI outcome; seven years.
    exposure
    MI/coronary-death HR 1.04, 95% CI 0.92-1.18.
    limitations
    Different cointervention, participants and ascertainment from the calcium-only trial; absence of significance does not prove universal safety.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    This trial did not reproduce a clear increase in coronary events.
    primary_references
    [cal-clin-hsia2007] Calcium/vitamin D supplementation and cardiovascular events (2007). https://pubmed.ncbi.nlm.nih.gov/17309935/ DOI: 10.1161/CIRCULATIONAHA.106.673491
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1293–1303

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Prespecified secondary WHI outcome; seven years. · source_derived_draft · unverified_draft

    ### cal-whi-coronary-events WHI found no significant effect of calcium plus vitamin D on myocardial infarction or coronary death. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: This trial did not reproduce a clear increase in coronary events. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Prespecified secondary WHI outcome; seven years. limitations: Different cointervention, participants and ascertainment from the calcium-only trial; absence of significance does not prove universal safety. exposure: MI/coronary-death HR 1.04, 95% CI 0.92-1.18. [cal-clin-hsia2007] Calcium/vitamin D supplementation and cardiovascular events (2007). https://pubmed.ncbi.nlm.nih.gov/17309935/ DOI: 10.1161/CIRCULATIONAHA.106.673491
    Complete structured claim and evidence
  108. Calcium carbonate reduced recurrent adenomas in the 1999 prevention trial.

    Calcium carbonate → Colorectal adenoma recurrence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Randomized post-polypectomy surveillance; 832 participants completed both examinations.
    exposure
    Adjusted RR 0.81 (95% CI 0.67-0.99) between first and second surveillance examinations.
    limitations
    Adenoma recurrence is distinct from colorectal-cancer incidence or mortality.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    One trial found fewer recurring colorectal polyps.
    primary_references
    [cal-clin-baron1999] Calcium supplements for the prevention of colorectal adenomas. Calcium Polyp Prevention Study Group (1999). https://pubmed.ncbi.nlm.nih.gov/9887161/ DOI: 10.1056/NEJM199901143400204
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1305–1315

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized post-polypectomy surveillance; 832 participants completed both examinations. · source_derived_draft · unverified_draft

    ### cal-baron1999-adenomas Calcium carbonate reduced recurrent adenomas in the 1999 prevention trial. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: One trial found fewer recurring colorectal polyps. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Randomized post-polypectomy surveillance; 832 participants completed both examinations. limitations: Adenoma recurrence is distinct from colorectal-cancer incidence or mortality. exposure: Adjusted RR 0.81 (95% CI 0.67-0.99) between first and second surveillance examinations. [cal-clin-baron1999] Calcium supplements for the prevention of colorectal adenomas. Calcium Polyp Prevention Study Group (1999). https://pubmed.ncbi.nlm.nih.gov/9887161/ DOI: 10.1056/NEJM199901143400204
    Complete structured claim and evidence
  109. The 2015 trial found no significant reduction in recurrent adenomas with assigned calcium.

    Calcium carbonate → Colorectal adenoma recurrence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    2259 participants randomized in partial factorial design, 3-5-year follow-up.
    exposure
    1200 mg calcium/day; calcium versus no-calcium adjusted RR 0.95 (95% CI 0.85-1.06).
    limitations
    Trial contexts differ; mechanism of between-trial disagreement remains unproven.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A later trial did not confirm the earlier polyp benefit.
    primary_references
    [cal-clin-baron2015] A Trial of Calcium and Vitamin D for the Prevention of Colorectal Adenomas (2015). https://pubmed.ncbi.nlm.nih.gov/26465985/ DOI: 10.1056/NEJMoa1500409
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1317–1327

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 2259 participants randomized in partial factorial design, 3-5-year follow-up. · source_derived_draft · unverified_draft

    ### cal-baron2015-adenomas The 2015 trial found no significant reduction in recurrent adenomas with assigned calcium. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A later trial did not confirm the earlier polyp benefit. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 2259 participants randomized in partial factorial design, 3-5-year follow-up. limitations: Trial contexts differ; mechanism of between-trial disagreement remains unproven. exposure: 1200 mg calcium/day; calcium versus no-calcium adjusted RR 0.95 (95% CI 0.85-1.06). [cal-clin-baron2015] A Trial of Calcium and Vitamin D for the Prevention of Colorectal Adenomas (2015). https://pubmed.ncbi.nlm.nih.gov/26465985/ DOI: 10.1056/NEJMoa1500409
    Complete structured claim and evidence
  110. In the WHO low-intake pregnancy trial, calcium did not significantly reduce overall preeclampsia incidence.

    Calcium → Preeclampsia incidence source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    experimental_model
    8325 nulliparous women; blinded placebo comparison.
    exposure
    1.5 g calcium/day starting before 20 weeks; preeclampsia 4.1% versus 4.5%.
    limitations
    Preeclampsia was primary; reported benefits on severe outcomes were secondary.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Low baseline intake did not guarantee a benefit on the primary pregnancy outcome.
    primary_references
    [cal-clin-villar2006] World Health Organization randomized trial of calcium supplementation among low calcium intake pregnant women (2006). https://pubmed.ncbi.nlm.nih.gov/16522392/ DOI: 10.1016/j.ajog.2006.01.068
    tissue_or_cell_type
    Human clinical or absorption endpoint
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1329–1339

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 8325 nulliparous women; blinded placebo comparison. · source_derived_draft · unverified_draft

    ### cal-who-preeclampsia In the WHO low-intake pregnancy trial, calcium did not significantly reduce overall preeclampsia incidence. Condition category: nutrient_deficiency nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Low baseline intake did not guarantee a benefit on the primary pregnancy outcome. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 8325 nulliparous women; blinded placebo comparison. limitations: Preeclampsia was primary; reported benefits on severe outcomes were secondary. exposure: 1.5 g calcium/day starting before 20 weeks; preeclampsia 4.1% versus 4.5%. [cal-clin-villar2006] World Health Organization randomized trial of calcium supplementation among low calcium intake pregnant women (2006). https://pubmed.ncbi.nlm.nih.gov/16522392/ DOI: 10.1016/j.ajog.2006.01.068
    Complete structured claim and evidence
  111. Eclampsia was less frequent with calcium in a secondary analysis of the same WHO trial.

    Calcium → Eclampsia incidence source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    experimental_model
    Same randomized pregnancy trial.
    exposure
    Eclampsia RR 0.68, 95% CI 0.48-0.97.
    limitations
    Secondary endpoint; distinct from preeclampsia incidence and not proof of an identified molecular mediator.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A severe secondary outcome improved despite the null primary result.
    primary_references
    [cal-clin-villar2006] World Health Organization randomized trial of calcium supplementation among low calcium intake pregnant women (2006). https://pubmed.ncbi.nlm.nih.gov/16522392/ DOI: 10.1016/j.ajog.2006.01.068
    tissue_or_cell_type
    Human clinical or absorption endpoint
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1341–1351

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Same randomized pregnancy trial. · source_derived_draft · unverified_draft

    ### cal-who-eclampsia Eclampsia was less frequent with calcium in a secondary analysis of the same WHO trial. Condition category: nutrient_deficiency nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A severe secondary outcome improved despite the null primary result. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Same randomized pregnancy trial. limitations: Secondary endpoint; distinct from preeclampsia incidence and not proof of an identified molecular mediator. exposure: Eclampsia RR 0.68, 95% CI 0.48-0.97. [cal-clin-villar2006] World Health Organization randomized trial of calcium supplementation among low calcium intake pregnant women (2006). https://pubmed.ncbi.nlm.nih.gov/16522392/ DOI: 10.1016/j.ajog.2006.01.068
    Complete structured claim and evidence
  112. The 500-mg calcium regimen met the prespecified noninferiority criterion versus 1500 mg for preeclampsia in both 2024 trials.

    Calcium → Preeclampsia incidence source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Independent India and Tanzania trials; 11,000 nulliparous women each.
    exposure
    500 versus 1500 mg elemental calcium/day; preeclampsia RR noninferiority margin 1.54.
    limitations
    No placebo arm: this cannot establish benefit versus no supplement. Noninferiority is not exact equality or a dosing recommendation.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The lower tested dose performed within the trial margin relative to the higher dose.
    primary_references
    [cal-clin-dwarkanath2024] Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy (2024). https://www.nejm.org/doi/full/10.1056/NEJMoa2307212 DOI: 10.1056/NEJMoa2307212
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1353–1363

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Independent India and Tanzania trials; 11,000 nulliparous women each. · source_derived_draft · unverified_draft

    ### cal-pregnancy-dose-noninferiority The 500-mg calcium regimen met the prespecified noninferiority criterion versus 1500 mg for preeclampsia in both 2024 trials. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The lower tested dose performed within the trial margin relative to the higher dose. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Independent India and Tanzania trials; 11,000 nulliparous women each. limitations: No placebo arm: this cannot establish benefit versus no supplement. Noninferiority is not exact equality or a dosing recommendation. exposure: 500 versus 1500 mg elemental calcium/day; preeclampsia RR noninferiority margin 1.54. [cal-clin-dwarkanath2024] Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy (2024). https://www.nejm.org/doi/full/10.1056/NEJMoa2307212 DOI: 10.1056/NEJMoa2307212
    Complete structured claim and evidence
  113. The lower calcium regimen met the preterm-live-birth noninferiority criterion in India.

    Calcium → Preterm live birth source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    India component of the two trials.
    exposure
    RR 0.89, 95% CI 0.80-0.98; margin 1.16.
    limitations
    No untreated control; noninferiority need not generalize to another setting.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The India result met the planned comparison threshold.
    primary_references
    [cal-clin-dwarkanath2024] Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy (2024). https://www.nejm.org/doi/full/10.1056/NEJMoa2307212 DOI: 10.1056/NEJMoa2307212
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1365–1375

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · India component of the two trials. · source_derived_draft · unverified_draft

    ### cal-pregnancy-india-preterm The lower calcium regimen met the preterm-live-birth noninferiority criterion in India. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The India result met the planned comparison threshold. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: India component of the two trials. limitations: No untreated control; noninferiority need not generalize to another setting. exposure: RR 0.89, 95% CI 0.80-0.98; margin 1.16. [cal-clin-dwarkanath2024] Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy (2024). https://www.nejm.org/doi/full/10.1056/NEJMoa2307212 DOI: 10.1056/NEJMoa2307212
    Complete structured claim and evidence
  114. The lower regimen did not meet preterm-live-birth noninferiority in Tanzania.

    Calcium → Preterm live birth source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Tanzania component of the two trials.
    exposure
    RR 1.07, 95% CI 0.95-1.21; margin 1.16.
    limitations
    Failure to establish noninferiority does not prove inferiority or harm.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The Tanzania estimate was too uncertain to meet the same threshold.
    primary_references
    [cal-clin-dwarkanath2024] Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy (2024). https://www.nejm.org/doi/full/10.1056/NEJMoa2307212 DOI: 10.1056/NEJMoa2307212
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1377–1387

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Tanzania component of the two trials. · source_derived_draft · unverified_draft

    ### cal-pregnancy-tanzania-preterm The lower regimen did not meet preterm-live-birth noninferiority in Tanzania. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The Tanzania estimate was too uncertain to meet the same threshold. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Tanzania component of the two trials. limitations: Failure to establish noninferiority does not prove inferiority or harm. exposure: RR 1.07, 95% CI 0.95-1.21; margin 1.16. [cal-clin-dwarkanath2024] Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy (2024). https://www.nejm.org/doi/full/10.1056/NEJMoa2307212 DOI: 10.1056/NEJMoa2307212
    Complete structured claim and evidence
  115. Thyroxine adsorbed to calcium carbonate under acidic in-vitro conditions.

    Calcium carbonate → T4 source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    In-vitro adsorption arm accompanying a 20-patient study.
    limitations
    Supports an absorption-interference mechanism; does not show a systemic blockade of deiodinases.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A calcium preparation can bind a thyroid medicine before absorption.
    primary_references
    [cal-clin-singh2000] Effect of calcium carbonate on the absorption of levothyroxine (2000). https://pubmed.ncbi.nlm.nih.gov/10838651/ DOI: 10.1001/jama.283.21.2822
    tissue_or_cell_type
    Cell-free acidic solution

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1389–1398

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · In-vitro adsorption arm accompanying a 20-patient study. · source_derived_draft · unverified_draft

    ### cal-carbonate-thyroxine-adsorption Thyroxine adsorbed to calcium carbonate under acidic in-vitro conditions. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A calcium preparation can bind a thyroid medicine before absorption. organism: Homo sapiens tissue_or_cell_type: Cell-free acidic solution experimental_model: In-vitro adsorption arm accompanying a 20-patient study. limitations: Supports an absorption-interference mechanism; does not show a systemic blockade of deiodinases. [cal-clin-singh2000] Effect of calcium carbonate on the absorption of levothyroxine (2000). https://pubmed.ncbi.nlm.nih.gov/10838651/ DOI: 10.1001/jama.283.21.2822
    Complete structured claim and evidence
  116. Simultaneous calcium carbonate reduced measured levothyroxine absorption in a seven-volunteer experiment.

    Calcium carbonate → Levothyroxine absorption source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Two visits separated by four weeks; serum-based pharmacokinetic estimation.
    exposure
    1000 micrograms levothyroxine with or without 2 g elemental calcium as carbonate; six-hour total absorption differed (P=0.02).
    limitations
    Small acute high-dose experiment, not individualized medicine instructions.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The tested calcium preparation reduced the medicine reaching circulation.
    primary_references
    [cal-clin-singh2001] The acute effect of calcium carbonate on the intestinal absorption of levothyroxine (2001). https://pubmed.ncbi.nlm.nih.gov/11716045/ DOI: 10.1089/105072501753211046
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1400–1410

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Two visits separated by four weeks; serum-based pharmacokinetic estimation. · source_derived_draft · unverified_draft

    ### cal-carbonate-levothyroxine-absorption Simultaneous calcium carbonate reduced measured levothyroxine absorption in a seven-volunteer experiment. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The tested calcium preparation reduced the medicine reaching circulation. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Two visits separated by four weeks; serum-based pharmacokinetic estimation. limitations: Small acute high-dose experiment, not individualized medicine instructions. exposure: 1000 micrograms levothyroxine with or without 2 g elemental calcium as carbonate; six-hour total absorption differed (P=0.02). [cal-clin-singh2001] The acute effect of calcium carbonate on the intestinal absorption of levothyroxine (2001). https://pubmed.ncbi.nlm.nih.gov/11716045/ DOI: 10.1089/105072501753211046
    Complete structured claim and evidence
  117. Added calcium reduced nonheme-iron absorption in the studied meals.

    Calcium → Nonheme iron absorption source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Human isotope meal experiments.
    limitations
    Meal processing/phytate and direct effects both occurred; no specific molecular transporter was identified and long-term iron deficiency was not demonstrated.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Calcium can reduce iron absorbed from a particular meal.
    primary_references
    [cal-clin-hallberg1991] Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans (1991). https://pubmed.ncbi.nlm.nih.gov/1984335/ DOI: 10.1093/ajcn/53.1.112
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1412–1421

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human isotope meal experiments. · source_derived_draft · unverified_draft

    ### cal-meal-nonheme-iron Added calcium reduced nonheme-iron absorption in the studied meals. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium can reduce iron absorbed from a particular meal. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Human isotope meal experiments. limitations: Meal processing/phytate and direct effects both occurred; no specific molecular transporter was identified and long-term iron deficiency was not demonstrated. [cal-clin-hallberg1991] Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans (1991). https://pubmed.ncbi.nlm.nih.gov/1984335/ DOI: 10.1093/ajcn/53.1.112
    Complete structured claim and evidence
  118. Calcium also reduced heme-iron absorption in the meal experiments.

    Calcium → Heme iron absorption source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    Human isotope meal experiments with heme substrate.
    limitations
    A shared mucosal mechanism was proposed, not directly localized to a named protein.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    The acute interaction was not limited to nonheme iron.
    primary_references
    [cal-clin-hallberg1991] Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans (1991). https://pubmed.ncbi.nlm.nih.gov/1984335/ DOI: 10.1093/ajcn/53.1.112
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1423–1432

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human isotope meal experiments with heme substrate. · source_derived_draft · unverified_draft

    ### cal-meal-heme-iron Calcium also reduced heme-iron absorption in the meal experiments. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The acute interaction was not limited to nonheme iron. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: Human isotope meal experiments with heme substrate. limitations: A shared mucosal mechanism was proposed, not directly localized to a named protein. [cal-clin-hallberg1991] Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans (1991). https://pubmed.ncbi.nlm.nih.gov/1984335/ DOI: 10.1093/ajcn/53.1.112
    Complete structured claim and evidence
  119. One year of calcium supplementation did not significantly alter measured iron-status markers in adolescent girls.

    Calcium → Blood iron-status markers source_derived_draftungraded
    Experimental context and source evidence
    experimental_model
    113 girls, randomized double-blind placebo-controlled trial.
    exposure
    500 mg calcium/day with evening meal for one year; reported marker comparisons were nonsignificant.
    limitations
    Does not establish absence of effect in iron-deficient people; hemoglobin, ferritin and soluble transferrin receptor are distinct endpoints.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    No significant worsening of iron markers was found after a year of supplementation in these girls.
    primary_references
    [cal-clin-molgaard2005] Long-term calcium supplementation does not affect the iron status of 12-14-y-old girls (2005). https://pubmed.ncbi.nlm.nih.gov/16002806/ DOI: 10.1093/ajcn.82.1.98
    tissue_or_cell_type
    Human clinical or absorption endpoint

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1434–1444

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 113 girls, randomized double-blind placebo-controlled trial. · source_derived_draft · unverified_draft

    ### cal-iron-status-longterm One year of calcium supplementation did not significantly alter measured iron-status markers in adolescent girls. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: No significant worsening of iron markers was found after a year of supplementation in these girls. organism: Homo sapiens tissue_or_cell_type: Human clinical or absorption endpoint experimental_model: 113 girls, randomized double-blind placebo-controlled trial. limitations: Does not establish absence of effect in iron-deficient people; hemoglobin, ferritin and soluble transferrin receptor are distinct endpoints. exposure: 500 mg calcium/day with evening meal for one year; reported marker comparisons were nonsignificant. [cal-clin-molgaard2005] Long-term calcium supplementation does not affect the iron status of 12-14-y-old girls (2005). https://pubmed.ncbi.nlm.nih.gov/16002806/ DOI: 10.1093/ajcn.82.1.98
    Complete structured claim and evidence

Availability and dependencies

Each situation shows the normal role first, then what the sources report under a specific condition. A shortfall in the diet, a fault in the machinery, and a low blood reading are kept separate because they are not the same thing.

A faulty sensor can raise blood calcium.

Condition: machinery_impairment · Inactivating CASR variants

Normal role: Sense extracellular calcium

Recorded consequence: Elevated calcium set point

Scope: Human inherited disease

An oversensitive sensor can lower blood calcium.

Condition: machinery_impairment · CaSR E128A gain of function

Normal role: Set extracellular calcium response

Recorded consequence: Hypocalcemia

Scope: Studied family

Hormonal support helps activate vitamin D during calcium restriction.

Condition: machinery_impairment · Thyroparathyroidectomy during low calcium intake

Normal role: Support calcitriol production

Recorded consequence: Reduced calcitriol production

Scope: Rat surgery/replacement experiment

Vitamin D receptor failure disrupts calcium regulation.

Condition: machinery_impairment · VDR DNA-binding-domain disruption

Normal role: Transmit vitamin D signals

Recorded consequence: Hypocalcemia and compensatory PTH rise

Scope: Developing mice

Dietary mineral delivery can bypass part of receptor failure.

Condition: machinery_impairment · VDR deletion plus rescue diet

Normal role: Supply absorbable calcium

Recorded consequence: Normalized ionized calcium

Scope: Mouse feeding experiment

TRPV6 materially supports calcium uptake in this model.

Condition: machinery_impairment · Trpv6 deletion

Normal role: Support calcium entry

Recorded consequence: Reduced intestinal absorption

Scope: Specified knockout model

Other routes can support active calcium absorption.

Condition: machinery_impairment · Combined Trpv6 and calbindin-D9k deletion

Normal role: Contribute to transcellular transport

Recorded consequence: Residual inducible transport

Scope: Mouse duodenal assays

The measured defect was segment specific.

Condition: machinery_impairment · Cldn2/Cldn12 double deletion

Normal role: Enable paracellular calcium passage

Recorded consequence: Reduced colonic permeability

Scope: Mouse epithelia

The two claudins provide complementary renal retention.

Condition: machinery_impairment · Combined claudin loss

Normal role: Retain filtered calcium

Recorded consequence: Greater urinary loss

Scope: Mouse comparison

Hormonal compensation cannot replace the missing channel.

Condition: machinery_impairment · Trpv5 deletion

Normal role: Reabsorb filtered calcium

Recorded consequence: Renal calcium wasting

Scope: Mouse distal nephron

Gut uptake compensates for kidney losses.

Condition: machinery_impairment · Trpv5 deletion

Normal role: Conserve calcium renally

Recorded consequence: Increased intestinal uptake

Scope: Mouse tracer assay

Inherited junction defects can waste calcium.

Condition: machinery_impairment · Biallelic CLDN19 variants

Normal role: Support renal mineral retention

Recorded consequence: Renal calcium/magnesium wasting

Scope: Affected families

A calcium pump is needed for this hormone response.

Condition: machinery_impairment · Intestinal Atp2b1 deletion

Normal role: Support epithelial calcium export

Recorded consequence: Lost calcitriol-stimulated transport increment

Scope: Mouse villin-Cre model

Low intake recruits a hormonal response.

Condition: nutrient_deficiency · 2000-to-300 mg/day diet change

Normal role: Provide dietary calcium

Recorded consequence: PTH increased

Scope: Nine healthy women

The retained fraction adapts to low intake.

Condition: nutrient_deficiency · 300 mg/day intake

Normal role: Supply calcium

Recorded consequence: Fractional retention increased

Scope: Eight-week restriction

Total and ionized calcium are different measurements.

Condition: biomarker_context · Using total calcium to classify ionized calcium

Normal role: Regulate available extracellular calcium

Recorded consequence: Misclassification risk

Scope: Stage 3-5 CKD

Calculated correction is not a direct ionized-calcium test.

Condition: biomarker_context · Applying albumin-adjustment formulas

Normal role: Reflect circulating calcium

Recorded consequence: Hypocalcemia can be missed and hypercalcemia overcalled

Scope: Alberta laboratory cohort

Normal blood calcium can coexist with inadequate skeletal supply.

Condition: biomarker_context · Intestinal Vdr deletion

Normal role: Maintain extracellular calcium while supplying bone

Recorded consequence: Serum calcium preserved at skeletal expense

Scope: Growing mice

Reducing STIM1 weakens calcium entry after stores empty.

Condition: machinery_impairment · Experimental STIM1 knockdown

Normal role: STIM1 couples ER calcium-store depletion to influx.

Recorded consequence: Reduced store-operated calcium influx

Scope: Homo sapiens; HeLa cells

This inherited channel defect interrupts calcium entry into T cells.

Condition: machinery_impairment · Homozygous ORAI1 R91W mutation

Normal role: ORAI1 conducts calcium after store depletion.

Recorded consequence: Loss of CRAC current and store-operated influx

Scope: Homo sapiens; Patient T lymphocytes

Removing MCU prevents rapid calcium uptake without necessarily collapsing the mitochondrion.

Condition: machinery_impairment · Experimental MCU silencing

Normal role: MCU conducts calcium into the matrix.

Recorded consequence: Markedly impaired mitochondrial calcium uptake

Scope: Homo sapiens and Mus musculus; Cultured cells and mouse liver

Loss of MICU1 can let mitochondria accumulate too much calcium at rest.

Condition: machinery_impairment · Experimental MICU1 depletion

Normal role: MICU1 restrains basal uniporter uptake.

Recorded consequence: Elevated basal mitochondrial matrix calcium

Scope: Homo sapiens; HeLa and endothelial cells

Changing the calcium sensor changes the calcium needed to trigger release.

Condition: machinery_impairment · Engineered reduction of SYT1 calcium affinity

Normal role: SYT1 couples calcium binding to evoked vesicle release.

Recorded consequence: Reduced calcium sensitivity of evoked release

Scope: Mus musculus; Cultured neurons

Removing cyclophilin D protects these cells against calcium-overload injury.

Condition: machinery_impairment · Ppif gene deletion during experimental calcium overload

Normal role: Cyclophilin D sensitizes the permeability-transition response.

Recorded consequence: Reduced susceptibility to calcium-overload-induced death

Scope: Mus musculus; Primary hepatocytes and fibroblasts

Mineral formation depends on controlling an inhibitor as well as supplying calcium.

Condition: machinery_impairment · Alpl deletion with or without Enpp1 deletion.

Normal role: Calcium enters regulated mineral deposition.

Recorded consequence: Excess PPi and hypomineralization were corrected together.

Scope: Mouse genetic interaction.

These phosphate-handling enzymes provide complementary support for mineral formation.

Condition: machinery_impairment · Both phosphatases absent.

Normal role: Calcium is incorporated into skeletal mineral.

Recorded consequence: Skeletal mineralization failed in assessed embryos.

Scope: Mouse developmental knockout.

Tooth dentin depends on mineral-processing enzymes as well as mineral supply.

Condition: machinery_impairment · Phospho1 deletion, with additional Alpl haploinsufficiency.

Normal role: Calcium phosphate mineral reinforces dentin.

Recorded consequence: Dentin mineralization was reduced.

Scope: Mouse incisors.

RANK is necessary for normal formation of bone-resorbing cells in this mouse model.

Condition: machinery_impairment · Rank deletion.

Normal role: Bone mineral supplies a regulated calcium reservoir.

Recorded consequence: Osteoclast formation and remodeling were impaired.

Scope: Mouse knockout/rescue.

When dietary calcium was severely restricted, osteocyte RANKL helped drive withdrawal from bone.

Condition: nutrient_deficiency · Severely calcium-deficient diet for 30 days.

Normal role: Dietary calcium supplies mineral without requiring excessive skeletal withdrawal.

Recorded consequence: RANKL-dependent bone resorption increased.

Scope: Adult mouse dietary experiment.

In these children, replacing calcium helped heal rickets.

Condition: nutrient_deficiency · Rickets in children with low dietary calcium intake.

Normal role: Calcium contributes mineral substrate to the growing skeleton.

Recorded consequence: Calcium-containing arms more often reached the healing endpoint.

Scope: Nigerian pediatric trial; not all rickets etiologies.

Low baseline intake did not guarantee a benefit on the primary pregnancy outcome.

Condition: nutrient_deficiency · Pregnancy in populations with estimated dietary calcium below 600 mg/day.

Normal role: Calcium supports maternal and fetal mineral physiology.

Recorded consequence: The primary preeclampsia endpoint was not significantly reduced; selected severe secondary outcomes differed.

Scope: 2006 multicountry WHO trial; population intake does not diagnose each participant.

A severe secondary outcome improved despite the null primary result.

Condition: nutrient_deficiency · Pregnancy in populations with estimated dietary calcium below 600 mg/day.

Normal role: Calcium supports maternal and fetal mineral physiology.

Recorded consequence: The primary preeclampsia endpoint was not significantly reduced; selected severe secondary outcomes differed.

Scope: 2006 multicountry WHO trial; population intake does not diagnose each participant.

The sources

Every document behind this chapter is preserved word for word. Open one to read it in full with its recorded conflicts marked in place.

  • Calcium: mechanism-first literature curation (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source

Recorded disagreements

Where two sources say different things, both are kept and the difference is explained. You can discuss a disagreement or propose a mechanism that might account for it.

  • ANKH-associated PPi: earlier transport interpretation versus extracellular ATP conversionEarly cellular PPi redistribution and oocyte PPi uptake supported direct-transport interpretations; later ENPP1 deletion separated ATP release from PPi appearance. Research comparison category: mechanism_and_model_difference.Read the recorded disagreement
  • Acute iron absorption and long-term iron status are different outcomesMeal-level absorption inhibition cannot be extrapolated into inevitable iron deficiency. Adaptation is a candidate explanation; these experiments do not establish its molecular basis.Read the recorded disagreement
  • Adenoma recurrence findings were not consistent across trialsEarlier and later trials differed in participants and treatment design. Overlapping confidence intervals and differing statistical significance alone do not prove contradictory biological effects. The discrepancy remains unexplained.Read the recorded disagreement
  • CaSR variant direction changes the calcium phenotypeReduced receptor activity and increased receptor activity cause opposite blood-calcium disturbances.Read the recorded disagreement
  • Calcium-overload permeability transition is not a universal apoptosis pathwayBaines 2005 reports resistance to calcium-overload/oxidative injury after Ppif loss but retained susceptibility to several other death stimuli.Read the recorded disagreement
  • Calcium-stabilized E-cadherin structure does not guarantee soluble self-associationA two-domain crystal displayed dimer contacts, whereas the isolated full ectodomain did not self-associate in the solution study. Research comparison category: construct_and_assay_difference.Read the recorded disagreement
  • Cardiovascular findings vary by trial and event ascertainmentThe calcium-only signal weakened with registry ascertainment, while WHI tested calcium plus vitamin D and a different endpoint. Neither supplies a universal risk estimate or proves coronary calcification as mechanism.Read the recorded disagreement
  • Dietary calcium context and combined supplements have different stone findingsThe dietary trial changed protein and salt as well as calcium and enrolled male recurrent stone formers; WHI tested calcium plus vitamin D in postmenopausal women. Luminal oxalate binding is plausible but cannot by itself reconcile all clinical differences.Read the recorded disagreement
  • Fracture outcomes differ across calcium-plus-vitamin-D trialsAge, baseline nutrition, setting, adherence and background supplementation differ. These are potential explanations, not demonstrated mediation or proof of a single responder threshold.Read the recorded disagreement
  • MICU1 pore occlusion versus allosteric potentiationGarg 2021 interprets currents as MICU-dependent potentiation without occlusion; Tsai 2023 directly observes MICU1 inhibition and identifies preparation/subunit-composition effects.Read the recorded disagreement
  • PTH-associated resorption versus intermittent PTH support of osteoblast survivalCalcium restriction with secondary hyperparathyroidism and daily PTH injections examine different exposure patterns and cellular outcomes.Read the recorded disagreement
  • Preeclampsia incidence and eclampsia are separate endpointsA null primary endpoint and a favorable severe secondary endpoint can coexist. Reporting only the secondary result would overstate the trial conclusion.Read the recorded disagreement
  • Preterm-birth noninferiority differed between India and TanzaniaThe same noninferiority margin was met in India but not Tanzania. This is an uncertainty/design distinction, not proof of harm in Tanzania; population explanations remain hypotheses.Read the recorded disagreement

Open questions in this collection

Questions the curators could not answer from the sources in front of them, kept here with the reason each one is still open. These are gaps in this collection, not findings or proof that no one has studied them.

  • How much human bone mineral passes through each amorphous precursor pathway in vivo?The selected precursor study resolves zebrafish fin-bone maturation, not quantitative flux through all human mineralization routes.
  • What determines the relative ANKH-dependent ATP, citrate and possible PPi transport contributions across human tissues?Heterologous uptake and efflux assays differ in direction, cell system and ectonucleotidase expression.
  • What human intake threshold activates the osteocyte-RANKL skeletal response?The direct dietary mechanism study used severely calcium-restricted adult mice; it supplies no human dose-response threshold.
  • Does greater calcium intake enhance clotting or adhesion when extracellular calcium is already regulated?Purified-protein calcium dependence does not establish a benefit from additional oral calcium.
  • Which mechanisms explain different fracture, cardiovascular and adenoma trial results?Selected trials test outcomes, not all proposed mediators; no mechanistic reconciliation has been demonstrated here.
  • Calcium requirements, upper limits, treatment doses and medicine timing are not prescribed by this dataset.Historical study regimens are preserved as exposure data; clinical decisions and contemporary guidelines require separate evaluation.
  • Calcium insufficiency, reduced absorption, normal serum calcium, low ionized calcium and impaired signaling are distinct conditions.No single result diagnoses all of these states or proves a whole-organism chain reaction.
  • More dietary calcium does not imply a proportional increase in intracellular calcium signaling.Transport and homeostasis intervene; no linear intake-to-signaling effect was measured by the selected clinical trials.
  • The exact cellular target underlying acute calcium inhibition of human iron absorption remains unassigned here.The cited studies measured flux and proposed a mucosal site; they did not identify a causal named transporter.
  • This collection is not a systematic review of every calcium study or the latest treatment guideline.It stores selected primary experiments with explicit scope; pediatric, renal, pregnancy and other clinical applications need dedicated evidence assessment.
  • The fractional human contribution of TRPV6, calbindin and alternative intestinal transport routes across ages and intakes is not established by these records.Most causal deletion experiments are in mice; uptake assays and diets differ.
  • The full machinery sustaining residual active transport after Trpv6/calbindin double deletion is unresolved here.Residual transport demonstrates redundancy without identifying every compensating route.
  • Claudin-16/19 data do not justify a universal calcium-specific pore model.Heterologous cation-selectivity effects depend on background junction proteins and do not isolate calcium permeability.
  • No single serum-calcium measurement in this module diagnoses chronic dietary calcium insufficiency.Homeostatic compensation and calcium partitioning confound intake inference.
  • The magnitude of FGF23-mediated renal calcium conservation in ordinary human nutrition remains unquantified here.The causal TRPV5 trafficking evidence is predominantly from mouse and ex vivo systems.
  • These studies do not establish how dietary calcium insufficiency changes the amplitude or frequency of each intracellular calcium signal in humans.Most experiments change protein function, agonists, isolated-store loading or assay calcium rather than dietary intake.
  • The quantitative contributions of PMCA, NCX, SERCA and mitochondrial transport remain cell-type and state dependent.Purified proteins and expression systems cannot provide a universal partition of in vivo calcium flux.
  • MICU-dependent uptake thresholds and gating behavior across intact human tissues remain incompletely transferable from these assays.Preparation, subunit stoichiometry, calcium range and compensatory protein expression affect interpretation.
  • A calcium-saturated structure does not by itself quantify contraction, secretion, or kinase output in an intact organism.Binding and regulatory structures need functional and tissue context.

Chapters are assembled from supplied drafts and curated literature summaries. Statements remain unverified against the primary studies, and the ledger is not medical advice.

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