Teerapornpuntakit J, Dorkkam N, Wongdee K, Krishnamra N, Charoenphandhu N. Endurance swimming stimulates transepithelial calcium transport and alters the expression of genes related to calcium absorption in the intestine of rats. Am J Physiol Endocrinol Metab 296: E775-E786, 2009. First published January 27, 2009 doi:10.1152/ajpendo.90904.2008.-Endurance impact exercise, e.g., running, is known to enhance the intestinal calcium absorption. However, nonimpact exercise, e.g., swimming, is more appropriate for osteoporotic patients with cardiovascular diseases or disorders of bone and joint, but the effect of swimming on the intestinal calcium transport was unknown. This study, therefore, aimed to investigate the transepithelial calcium transport and the expression of related genes in the intestine of rats trained to swim nonstop 1 h/day, 5 days/wk for 2 wk. We found that endurance swimming stimulated calcium transport in the duodenum, proximal jejunum, and cecum, while decreasing that in the proximal colon. Swimming affected neither the transepithelial potential difference nor resistance. As demonstrated by real-time PCR, the small intestine, especially the duodenum, responded to swimming by upregulating a number of genes related to the transcellular calcium transport, i.e., TRPV5, TRPV6, calbindin-D 9k, PMCA1b, and NCX1, and the paracellular calcium transport, i.e., ZO-1, ZO-2, ZO-3, cingulin, occludin, and claudins, as well as nuclear receptor of 1,25(OH)2D3. In contrast, swimming downregulated those genes in the colon. Microarray analysis showed that swimming also altered the expression of duodenal genes related to the transport of several ions and nutrients, e.g., Na ϩ , K ϩ , Cl Ϫ , glucose, and amino acids. In conclusion, endurance swimming enhanced intestinal calcium absorption, in part, by upregulating the calcium transporter genes. The present microarray study also provided relevant information for further investigations into the intestinal nutrient and electrolyte transport during nonimpact exercise. gene ontology; microarray; nonimpact exercise; real-time polymerase chain reaction; Ussing chamber ENDURANCE WEIGHT-BEARING or impact exercise with moderate intensity such as running is known to benefit calcium metabolism by increasing bone formation rate, bone mineral density (BMD), and bone strength and by decreasing urinary calcium excretion, thereby inducing positive calcium balance in trained animals (22,26). These beneficial effects of endurance running are contributed, in part, by the enhanced intestinal calcium absorption (58). However, little is known regarding the mechanism by which exercise affects the intestinal calcium transport.In contrast to running, swimming is an unloaded nonimpact exercise that is suitable for several groups of patients, such as cardiovascular, postmenopausal, osteoporotic patients, and patients, who need to prevent high blood pressure or impact that can cause bone and joint injuries (17,38,43,49). Although the effect of swimming on bone metabolism may not be as obvious as...