The Small Intestine: Primary Site for Phosphorus Absorption
The small intestine is the key organ responsible for absorbing most of the body's dietary phosphorus. This complex process is driven by two main transport pathways: the paracellular and the transcellular routes. While phosphorus is absorbed along the entire length of the small intestine, specific segments demonstrate distinct activity levels for these pathways.
Two Pathways: Paracellular vs. Transcellular Transport
Paracellular Pathway (Passive Absorption): This pathway is a non-saturable, passive process where phosphate ions move through the tight junctions between intestinal cells, following a concentration gradient. It is the dominant mechanism under conditions of normal to high dietary phosphorus intake, accounting for the majority of intestinal phosphate absorption. This process occurs along the entire small intestine but plays a significant role in the jejunum and is largely unregulated.
Transcellular Pathway (Active Absorption): This pathway is a saturable, active transport process that utilizes specific sodium-dependent phosphate cotransporters, primarily NaPi-2b. It predominates when intestinal phosphate concentrations are low. NaPi-2b is found in the brush border membrane of enterocytes in the duodenum and jejunum in both rats and humans. This pathway is actively regulated by hormonal and dietary factors, including 1,25-dihydroxyvitamin D.
The Importance of the Jejunum
Studies in rats and humans suggest that the jejunum, the middle section of the small intestine, is a particularly significant site for phosphorus absorption. It demonstrates a robust capacity for both active and passive transport, adapting to changes in dietary phosphorus levels. Animal studies also indicate regional differences in transporter expression and regulation along the intestine.
Dietary Factors and Regulation
The source of dietary phosphorus significantly impacts absorption efficiency. Inorganic phosphate additives in processed foods are absorbed at over 90%, while organic phosphate from natural sources has lower absorption rates. The body can also regulate absorption based on its phosphorus status, increasing efficiency during low intake.
A Comparison of Phosphorus Absorption Pathways
| Feature | Paracellular (Passive) | Transcellular (Active) | 
|---|---|---|
| Mechanism | Simple diffusion between cells | Transporter-mediated (e.g., NaPi-2b) | 
| Energy Required | No | Yes (secondary active transport) | 
| Saturation | Non-saturable | Saturable at low concentrations | 
| Dominant Under | High luminal phosphorus load | Low luminal phosphorus load | 
| Regulation | Largely unregulated | Regulated by hormones (vitamin D, FGF-23) | 
| Primary Location | Jejunum and Ileum | Duodenum and Jejunum | 
Conclusion
In summary, most phosphorus absorption occurs in the small intestine, primarily via the paracellular pathway when intake is high and the active transcellular route when intake is low. The jejunum is a significant site for both processes. The bioavailability of phosphorus varies by source; processed food additives are highly absorbable, unlike plant sources containing phytates. The body's regulation of these pathways, especially active transport, is vital for maintaining phosphorus balance. For more information, consult the Linus Pauling Institute.