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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1112499</article-id>
<article-id pub-id-type="doi">10.3389/fphys.2023.1112499</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Physiological regulation of calcium and phosphorus utilization in laying hens</article-title>
<alt-title alt-title-type="left-running-head">Sinclair-Black et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphys.2023.1112499">10.3389/fphys.2023.1112499</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Sinclair-Black</surname>
<given-names>Micaela</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/2144293/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Garcia</surname>
<given-names>R. Alejandra</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/2145672/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Ellestad</surname>
<given-names>Laura E.</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/31603/overview"/>
</contrib>
</contrib-group>
<aff>
<institution>Department of Poultry Science</institution>, <institution>University of Georgia</institution>, <addr-line>Athens</addr-line>, <addr-line>GA</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1541213/overview">Anthony Pokoo-Aikins</ext-link>, Agricultural Research Service (USDA), United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1351520/overview">Wu Shugeng</ext-link>, Feed Research Institute, Chinese Academy of Agricultural Sciences, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2127881/overview">Michel Duclos</ext-link>, UMR BOA INRAE University of Tours, France</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/750318/overview">Catarina Stefanello</ext-link>, Federal University of Santa Maria, Brazil</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/853737/overview">Matthew F. Warren</ext-link>, University of Wisconsin-Madison, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2129056/overview">Yves Nys</ext-link>, INRAE centre de Tours, France</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Laura E. Ellestad, <email>lellestad@uga.edu</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Avian Physiology, a section of the journal Frontiers in Physiology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>07</day>
<month>02</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1112499</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>11</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>01</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Sinclair-Black, Garcia and Ellestad.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Sinclair-Black, Garcia and Ellestad</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Commercial laying hens can produce one egg approximately every 24&#xa0;h. During this process, regulatory systems that control vitamin D<sub>3</sub> metabolism, calcium and phosphorus homeostasis, and intestinal uptake of these minerals work in concert to deliver components required for eggshell calcification and bone mineralization. Commercial production cycles have been extended in recent years to last through 100&#xa0;weeks of age, and older hens often exhibit an increased prevalence of skeletal fractures and poor eggshell quality. Issues such as these arise, in part, through imbalances that occur in calcium and phosphorus utilization as hens age. As a result, an in-depth understanding of the mechanisms that drive calcium and phosphorus uptake and utilization is required to develop solutions to these welfare and economic challenges. This paper reviews factors that influence calcium and phosphorus homeostasis in laying hens, including eggshell formation and development and roles of cortical and medullary bone. Metabolism and actions of vitamin D<sub>3</sub> and physiological regulation of calcium and phosphorus homeostasis in key tissues are also discussed. Areas that require further research in avian species, such as the role of fibroblast growth factor 23 in these processes and the metabolism and action of bioactive vitamin D<sub>3</sub>, are highlighted and the importance of using emerging technologies and establishing <italic>in vitro</italic> systems to perform functional and mechanistic studies is emphasized.</p>
</abstract>
<kwd-group>
<kwd>laying hen</kwd>
<kwd>calcium</kwd>
<kwd>phosphorus</kwd>
<kwd>vitamin D<sub>3</sub>
</kwd>
<kwd>skeletal health</kwd>
<kwd>egg formation</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>As the global population grows, there is increased demand for affordable, high-quality, and sustainable protein sources like table eggs. Commercial laying hens have been selected to increase eggs produced per hen lifetime, with production cycles now lasting past 100&#xa0;weeks of age. Economic and sustainability benefits of extended lay persistency include decreased cost and environmental impact on a per-egg basis (<xref ref-type="bibr" rid="B4">Bain et al., 2016</xref>), but there are challenges associated with egg quality and bird welfare as hens age.</p>
<p>Older hens often produce larger, weak-shelled eggs (<xref ref-type="bibr" rid="B2">Al-Batshan et al., 1994</xref>) and exhibit compromised skeletal structure. Efficiency of intestinal calcium absorption decreases with age (<xref ref-type="bibr" rid="B23">Diana et al., 2021</xref>), leading to increased reliance on bone-derived calcium contributing to fractures (<xref ref-type="bibr" rid="B35">Gregory and Wilkins, 1989</xref>). Elucidating physiological mechanisms responsible for the uptake and utilization of calcium and phosphorus throughout the hen&#x2019;s productive lifecycle will provide insights that can be used to develop strategies limiting economic losses to producers and improving animal welfare.</p>
</sec>
<sec id="s2">
<title>2 Egg formation</title>
<p>Commercial laying hens produce an egg approximately every 24&#xa0;h (<xref ref-type="bibr" rid="B65">Nys and Guyot, 2011</xref>) and must efficiently regulate calcium and phosphorus utilization for eggshell calcification and cuticle formation, respectively (<xref ref-type="bibr" rid="B20">Cusack et al., 2003</xref>). Ovulation occurs 15&#x2013;75&#xa0;min after oviposition, or egg-laying (<xref ref-type="bibr" rid="B88">Sturkie and Mueller, 1976</xref>), and the follicle resides in the infundibulum for under 30&#xa0;min (<xref ref-type="bibr" rid="B78">Sah and Mishra, 2018</xref>). It continues into the magnum where albumen is added over the next 3.25&#x2013;3.5&#xa0;h (<xref ref-type="bibr" rid="B65">Nys and Guyot, 2011</xref>) and enters the isthmus where inner and outer shell membranes are deposited around the albumen (<xref ref-type="bibr" rid="B96">Warren and Scott, 1935</xref>). Organic eggshell matrix proteins (e.g. ovalbumins, osteopontins, ovocleidins, ovocalyxins) and calcium carbonate are deposited onto the outer shell membrane (<xref ref-type="bibr" rid="B40">Hincke et al., 2010</xref>) in the shell gland, and the eggshell forms over the final 19&#x2013;20&#xa0;h (<xref ref-type="bibr" rid="B65">Nys and Guyot, 2011</xref>; <xref ref-type="bibr" rid="B30">Gautron et al., 2021</xref>).</p>
<p>As previously described (<xref ref-type="bibr" rid="B65">Nys and Guyot, 2011</xref>; <xref ref-type="bibr" rid="B30">Gautron et al., 2021</xref>), the eggshell develops as distinct mamillary, palisade, and cuticle layers deposited from interior to exterior. During mineralization of the mammillary and palisade layers, deposition of amorphous calcium carbonate is followed by its transformation into calcite crystals (<xref ref-type="bibr" rid="B76">Rodriguez-Navarro et al., 2015</xref>). Initially, the mamillary layer forms at nucleation sites laid on the outer shell membrane between 5&#x2013;6&#xa0;h post-oviposition (HPOP) and the mamillary core develops between 7&#x2013;10 HPOP. Large calcite crystal units form the columnar palisade layer between 10&#x2013;22 HPOP, and the cuticle forms an organic film preventing bacterial penetration of the egg about 2&#xa0;h before oviposition. A calcium and phosphorus-rich hydroxyapatite [Ca<sub>10</sub>(PO<sub>4</sub>)<sub>6</sub>(OH)<sub>2</sub>] crystal layer lies just internal to the cuticle (<xref ref-type="bibr" rid="B98">Wedral et al., 1974</xref>; <xref ref-type="bibr" rid="B20">Cusack et al., 2003</xref>). Since phosphorus is a potent inhibitor of calcite formation (<xref ref-type="bibr" rid="B3">Bachra et al., 1963</xref>; <xref ref-type="bibr" rid="B84">Simkiss, 1964</xref>), some authors speculate that these crystals (<xref ref-type="bibr" rid="B22">Dennis et al., 1996</xref>) or the secretion of phosphate-containing organic eggshell constituents towards the end of shell formation (<xref ref-type="bibr" rid="B67">Nys et al., 1991</xref>) may be involved in terminating calcification.</p>
</sec>
<sec id="s3">
<title>3 Bone development and remodeling</title>
<p>Since most eggshell calcification takes place in the dark when dietary calcium is largely unavailable, hens mobilize approximately 20%&#x2013;40% of calcium required for eggshell formation from bone (<xref ref-type="bibr" rid="B16">Comar and Driggers, 1949</xref>). Structural cortical and trabecular bone with highly organized hydroxyapatite crystals is formed during embryonic and juvenile development. After structural bone deposition subsides (<xref ref-type="bibr" rid="B44">Hudson et al., 1993</xref>), increased circulating estrogen at the onset of sexual maturity around 18&#xa0;weeks of age leads to development of medullary bone in pneumatic and long bones (<xref ref-type="bibr" rid="B99">Whitehead, 2004</xref>). Medullary bone is highly vascularized with randomly orientated hydroxyapatite crystals (<xref ref-type="bibr" rid="B21">Dacke et al., 1993</xref>), allowing for rapid anabolism and catabolism of hydroxyapatite during egg formation. Since hydroxyapatite is composed of calcium and phosphorus, bone resorption releases both minerals into circulation as ionized calcium (iCa<sup>2&#x2b;</sup>) and inorganic phosphate [PO<sub>4</sub>
<sup>3&#x2212;</sup> (P<sub>i</sub>)] that must be utilized for shell formation or excreted.</p>
<p>Medullary bone undergoes remineralization when eggshell calcification is not occurring (<xref ref-type="bibr" rid="B101">Wilson and Duff, 1990</xref>; <xref ref-type="bibr" rid="B52">Kerschnitzki et al., 2014</xref>) and is resorbed during eggshell calcification (<xref ref-type="bibr" rid="B93">Van de Velde et al., 1984b</xref>) through increased osteoclast activity driven by parathyroid hormone (PTH) and the bioactive form of vitamin D<sub>3</sub>, 1,25-dihydroxycholecalciferol [1,25(OH)<sub>2</sub>D<sub>3</sub>] (<xref ref-type="bibr" rid="B89">Taylor and Belanger, 1969</xref>). When PTH binds PTH receptor 1 (PTH1R) on osteocytes (<xref ref-type="bibr" rid="B83">Silve et al., 1982</xref>; <xref ref-type="bibr" rid="B105">Zhao et al., 2002</xref>), receptor activator of nuclear factor-kappa B ligand (RANKL) is secreted and interacts with receptor activator of nuclear factor-kappa B (RANK) on osteoclasts, stimulating bone resorption. Additionally, PTH increases osteoclast vacuolar-type adenosine triphosphatase (V-ATPase) activity, causing intracellular acidification required for bone breakdown (<xref ref-type="bibr" rid="B58">Liu et al., 2016</xref>). Osteoclast activity increases nine-fold during shell calcification (<xref ref-type="bibr" rid="B93">Van de Velde et al., 1984b</xref>), and osteoporosis can develop when osteoclasts resorb structural bone once medullary bone is depleted. Dysregulation of medullary bone remodeling may contribute to development of osteoporosis in aged hens, which exhibit increased medullary bone expression of the resorption marker carbonic anhydrase 2 (<italic>CA2</italic>) and vitamin D<sub>3</sub> receptor (<italic>VDR</italic>), as well as reduced expression of accretion proteins like collagen type 1 alpha 1 (<italic>COL1A1</italic>), relative to younger hens (<xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>).</p>
</sec>
<sec id="s4">
<title>4 Vitamin D<sub>3</sub> metabolism and mechanism of action</title>
<p>Skeletal integrity and eggshell quality depend on 1,25(OH)<sub>2</sub>D<sub>3</sub> because of its role in regulating calcium and phosphorus homeostasis. Dietary vitamin D<sub>3</sub> is constitutively hydroxylated in the liver by a 25-hydroxylase enzyme encoded by the <italic>CYP2R1</italic> gene (<xref ref-type="bibr" rid="B97">Watanabe et al., 2013</xref>), with &#x3e;90% converted into 25(OH)D<sub>3</sub> (<xref ref-type="bibr" rid="B39">Heaney et al., 2008</xref>; <xref ref-type="bibr" rid="B79">San Martin Diaz, 2018</xref>). A second, more tightly regulated hydroxylation occurs in the kidney at the 1&#x3b1;-carbon to form 1,25(OH)<sub>2</sub>D<sub>3</sub> (<xref ref-type="bibr" rid="B51">Jones et al., 1998</xref>). In mammals and fish, this is carried out by an enzyme encoded by <italic>CYP27B1</italic> (<xref ref-type="bibr" rid="B61">Monkawa et al., 1997</xref>; <xref ref-type="bibr" rid="B82">Shinki et al., 1997</xref>; <xref ref-type="bibr" rid="B14">Chun et al., 2014</xref>); however, this gene has not been identified in chickens and the enzyme responsible is currently unknown despite recent publications that have reported measuring expression of <italic>CYP27B1</italic> mRNA or an equivalent (<xref ref-type="bibr" rid="B81">Shanmugasundaram and Selvaraj, 2012</xref>; <xref ref-type="bibr" rid="B33">Gloux et al., 2020a</xref>; <xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>; <xref ref-type="bibr" rid="B103">Yan et al., 2022</xref>). Investigation into transcripts amplified reveals these are an enzyme involved in retinoic acid metabolism (<italic>CYP27C1</italic>) or one identified as vitamin D<sub>3</sub> hydroxylase-associated protein (<xref ref-type="bibr" rid="B27">Ettinger et al., 1994</xref>; <xref ref-type="bibr" rid="B26">Ettinger and DeLuca, 1995</xref>), neither of which have demonstrable 1&#x3b1;-hydroxylase activity. PTH stimulates 1&#x3b1;-hydroxylation of vitamin D<sub>3</sub> when circulating iCa<sup>2&#x2b;</sup> and 1,25(OH)<sub>2</sub>D<sub>3</sub> are low; however, the efficiency of this may decrease with age (<xref ref-type="bibr" rid="B1">Abe et al., 1982</xref>; <xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>). During periods of elevated circulating 1,25(OH)<sub>2</sub>D<sub>3</sub>, 1&#x3b1;-hydroxylase is inhibited and 24-hydroxylase, encoded for by <italic>CYP24A1</italic>, is upregulated. The 24-hydroxylase enzyme inactivates 25(OH)D<sub>3</sub> by producing biologically inert 24,25(OH)<sub>2</sub>D<sub>3</sub> or 1,24,25(OH)<sub>3</sub>D<sub>3</sub> (<xref ref-type="bibr" rid="B42">Holick et al., 1973</xref>; <xref ref-type="bibr" rid="B68">Omdahl et al., 2002</xref>), thereby preventing excessive bone resorption and intestinal calcium absorption. Hydroxylation of 25(OH)D<sub>3</sub> into either active or inactive metabolites provides an additional level of control by fine-tuning the availability of this hormone.</p>
<p>Vitamin D<sub>3</sub> affects calcium and phosphorus homeostasis through its influence on expression and activity of transport and chaperone molecules for these minerals. When bound by 1,25(OH)<sub>2</sub>D<sub>3</sub>, VDR acts as a ligand-activated transcription factor that enters the nucleus to form a heterodimeric complex with retinoid-X-receptor alpha (RXRA) or gamma (RXRG) and binds vitamin D<sub>3</sub> response elements (VDRE) in regulatory regions of vitamin D<sub>3</sub>-responsive genes (<xref ref-type="bibr" rid="B9">Bikle, 2014</xref>). Not all tissues respond to 1,25(OH)<sub>2</sub>D<sub>3</sub> in the same way. For example, shell gland calbindin D-28k (<italic>CALB1</italic>) expression does not appear to be influenced by 1,25(OH)<sub>2</sub>D<sub>3</sub> (<xref ref-type="bibr" rid="B7">Bar et al., 1977</xref>), unlike that in the kidney and small intestine (<xref ref-type="bibr" rid="B90">Taylor and Wasserman, 1972</xref>). It may be under the control of estrogen (<xref ref-type="bibr" rid="B63">Nys et al., 1992</xref>; <xref ref-type="bibr" rid="B19">Corradino et al., 1993</xref>), driven by half-palindromic estrogen response elements in the <italic>CALB1</italic> promoter as has been shown in mice (<xref ref-type="bibr" rid="B31">Gill and Christakos, 1995</xref>), and intracellular calcium levels (<xref ref-type="bibr" rid="B18">Corradino, 1993</xref>). Since CALB1 in shell gland, intestine, and kidney share the same electrophoretic mobility, amino acid composition, and immunoreactivity, it is likely the same protein (<xref ref-type="bibr" rid="B29">Fullmer et al., 1976</xref>); however, estrogen receptor rather than VDR could be a key regulatory protein driving its expression in the shell gland.</p>
</sec>
<sec id="s5">
<title>5 Calcium homeostasis and transport</title>
<p>Regulation of calcium homeostasis is required to maintain the daily flux of this mineral in laying hens. The highest demand occurs when the eggshell is actively calcifying during the nocturnal fast, and hens must rely on reduced intestinal pH to solubilize coarse limestone retained in the gizzard (<xref ref-type="bibr" rid="B80">Scanes et al., 1987</xref>). This occurs through stimulation of H<sup>&#x2b;</sup>/K<sup>&#x2b;</sup>-ATPase activity in the proventriculus (<xref ref-type="bibr" rid="B36">Guinotte et al., 1995</xref>) and subsequent secretion of hydrochloric acid (<xref ref-type="bibr" rid="B37">Guinotte et al., 1993</xref>).</p>
<p>During eggshell calcification, decreased circulating iCa<sup>2&#x2b;</sup> due to high demand by the shell gland (<xref ref-type="bibr" rid="B69">Parsons and Combs, 1980</xref>) is detected by calcium-sensing receptor (CASR) (<xref ref-type="bibr" rid="B41">Hofer and Brown, 2003</xref>) and leads to PTH secretion from the parathyroid gland (<xref ref-type="bibr" rid="B92">Van de Velde et al., 1984a</xref>; <xref ref-type="bibr" rid="B85">Singh et al., 1986</xref>). PTH rectifies circulating iCa<sup>2&#x2b;</sup> back to its homeostatic range by stimulating bone resorption (<xref ref-type="bibr" rid="B89">Taylor and Belanger, 1969</xref>) and increasing 1,25(OH)D<sub>3</sub> production in the kidney (<xref ref-type="bibr" rid="B11">Brenza and DeLuca, 2000</xref>); 1,25(OH)D<sub>3</sub> works to increase calcium absorption from the small intestine (<xref ref-type="bibr" rid="B86">Spencer et al., 1978</xref>; <xref ref-type="bibr" rid="B13">Chandra et al., 1990</xref>) and reabsorption in the kidney (<xref ref-type="bibr" rid="B50">Jande et al., 1981</xref>).</p>
<p>Calcitonin (CALC), produced within ultimobranchial bodies near the thyroid gland (<xref ref-type="bibr" rid="B17">Copp et al., 1967</xref>; <xref ref-type="bibr" rid="B53">Kraintz and Intscher, 1969</xref>), may reduce iCa<sup>2&#x2b;</sup> in chickens (<xref ref-type="bibr" rid="B59">Luck et al., 1979</xref>), and expression of CALC receptor (<italic>CALCR</italic>) in shell gland, kidney, and bone of laying hens (<xref ref-type="bibr" rid="B104">Yasuoka et al., 1998</xref>; <xref ref-type="bibr" rid="B49">Ieda et al., 2001</xref>) suggests it could play a role in regulating calcium homeostasis. However, unlike in mammals, CALC does not influence avian osteoclast activity under normal physiological conditions (<xref ref-type="bibr" rid="B62">Nicholson et al., 1987</xref>; <xref ref-type="bibr" rid="B25">Eliam et al., 1988</xref>), nor does it appear to affect renal cyclic adenosine monophosphate formation in chickens or pigeons (<xref ref-type="bibr" rid="B24">Dousa, 1974</xref>). This implies that avian CALCR could use alternative intracellular signaling pathways or that CALC does not have the same effect on bone as it does in mammals. At present, there is limited evidence that CALC strongly influences calcium homeostasis in birds, suggesting it may not be an important regulator of calcium availability for egg production.</p>
<p>Calcium absorption from the small intestine appears to fluctuate throughout the daily egg formation cycle (<xref ref-type="bibr" rid="B48">Hurwitz and Bar, 1969</xref>; <xref ref-type="bibr" rid="B47">Hurwitz et al., 1973</xref>) and is thought to occur primarily in the duodenum and jejunum, with smaller amounts absorbed in the ileum (<xref ref-type="bibr" rid="B45">Hurwitz and Bar, 1965</xref>; <xref ref-type="bibr" rid="B46">Hurwitz and Bar, 1968</xref>). Intestinal calcium uptake occurs through active transcellular and passive paracellular pathways. Active transcellular absorption accounts for most calcium uptake and involves ATPase plasma membrane calcium transporting 1 (ATP2B1), 2 (ATP2B2), and 4 (ATP2B4), sodium-calcium exchanger 1 (NCX1), transient receptor potential cation channel subfamilies C member 1 (TRPC1), M member 7 (TRPM7), and V member 2 (TRPV2), and CALB1 (<xref ref-type="bibr" rid="B6">Bar, 2009</xref>; <xref ref-type="bibr" rid="B32">Gloux et al., 2019</xref>). Passive paracellular calcium absorption likely takes place <italic>via</italic> tight junction proteins 1 (TJP1), 2 (TJP2), and 3 (TJP3), claudin 2 (CLDN2) and 12 (CLDN12), and occludin (OCLN) (<xref ref-type="bibr" rid="B32">Gloux et al., 2019</xref>; <xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>). Findings suggest that intestinal capacity for calcium absorption could change with age, as expression of some transcellular (<italic>ATP2B4</italic>, <italic>TRPV2</italic>) and paracellular (<italic>TJP3</italic>, <italic>CLDN2</italic>, <italic>OCLN</italic>) transporters decreased in older hens (<xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>). Calcium transport in the shell gland (<xref ref-type="bibr" rid="B12">Brionne et al., 2014</xref>) and kidney occurs through many of these same proteins, with the addition of transient receptor potential cation channel subfamily V member 6 (TRPV6) in the kidney (<xref ref-type="bibr" rid="B72">Proszkowiec-Weglarz and Angel, 2013</xref>; <xref ref-type="bibr" rid="B30">Gautron et al., 2021</xref>; <xref ref-type="bibr" rid="B95">Wang et al., 2022</xref>). This has been shown to decrease with age in hens (<xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>), indicating that the calcium-handling capacity of the kidney is perturbed in older layers. In addition to the above-listed transporters, recent findings suggest vesicular transport systems may export calcium into the shell gland lumen (<xref ref-type="bibr" rid="B87">Stapane et al., 2020</xref>).</p>
</sec>
<sec id="s6">
<title>6 Phosphorus homeostasis and transport</title>
<p>Approximately 80% of phosphorus is stored in the skeleton as hydroxyapatite. It is released when bone is resorbed during eggshell calcification, and this excess P<sub>i</sub> (<xref ref-type="bibr" rid="B66">Nys et al., 1986</xref>; <xref ref-type="bibr" rid="B28">Frost and Roland, 1990</xref>) must be excreted to negate toxic effects. Maintenance of circulating P<sub>i</sub> occurs in the kidney, small intestine, and bone (<xref ref-type="bibr" rid="B60">Michigami et al., 2018</xref>) and is primarily regulated by fibroblast growth factor 23 (FGF23); however, PTH and 1,25(OH)<sub>2</sub>D<sub>3</sub> also influence it through their actions on calcium homeostasis (<xref ref-type="bibr" rid="B75">Ren et al., 2020</xref>).</p>
<p>In mice (<xref ref-type="bibr" rid="B70">Perwad et al., 2005</xref>) and laying hens (<xref ref-type="bibr" rid="B74">Ren et al., 2017</xref>; <xref ref-type="bibr" rid="B94">Wang et al., 2018</xref>; <xref ref-type="bibr" rid="B33">Gloux et al., 2020a</xref>; <xref ref-type="bibr" rid="B75">Ren et al., 2020</xref>), hyperphosphatemia increases FGF23 production in bone. It has been shown to bind to one of four FGF receptors (FGFR1-4) along with the co-receptor klotho (KL) in mammals (<xref ref-type="bibr" rid="B73">Razzaque, 2009</xref>), and this complex induces expression of P<sub>i</sub> transport proteins that mediate FGF23&#x2019;s phosphaturic effects. Laying hens express <italic>FGF23</italic> mRNA in both medullary and structural bone (<xref ref-type="bibr" rid="B38">Hadley et al., 2016</xref>; <xref ref-type="bibr" rid="B94">Wang et al., 2018</xref>), and increases in its expression occur as they age (<xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>). Furthermore, hens exhibit <italic>FGFR1-4</italic> and <italic>KL</italic> mRNA expression in the kidney, intestine, and bones (<xref ref-type="bibr" rid="B75">Ren et al., 2020</xref>). Immunoneutralization of FGF23 in laying hens led to increased plasma P<sub>i</sub> and bone ash under phosphorus-deficient conditions (<xref ref-type="bibr" rid="B10">Bobeck et al., 2012</xref>; <xref ref-type="bibr" rid="B74">Ren et al., 2017</xref>), and limiting dietary P<sub>i</sub> in laying hens reduced circulating P<sub>i</sub>, suppressed bone <italic>FGF23</italic> mRNA, circulating FGF23, and renal sodium-dependent P<sub>i</sub> transporter IIa (<italic>NaP</italic>
<sub>
<italic>i</italic>
</sub>
<italic>IIa</italic>) expression, and induced duodenal sodium-dependent P<sub>i</sub> transporter IIb (<italic>NaP</italic>
<sub>
<italic>i</italic>
</sub>
<italic>IIb</italic>) expression (<xref ref-type="bibr" rid="B75">Ren et al., 2020</xref>). These changes corresponded with reduced phosphorus excretion and increased calcium excretion. Studies conducted in mammals have found that FGF23 directly inhibited PTH secretion (<xref ref-type="bibr" rid="B8">Ben-Dov et al., 2007</xref>), decreased renal P<sub>i</sub> transporter 2 (<italic>P</italic>
<sub>
<italic>i</italic>
</sub>
<italic>T-</italic>2) expression (<xref ref-type="bibr" rid="B91">Tomoe et al., 2009</xref>), and limited 1,25(OH)<sub>2</sub>D<sub>3</sub> production in the kidney, in part through upregulation of 24-hydroxylase (<xref ref-type="bibr" rid="B71">Perwad et al., 2007</xref>). In hens, similarities exist whereby elevated medullary <italic>FGF23</italic> mRNA during eggshell calcification was followed by increased renal mRNA for <italic>CYP24A1</italic> after oviposition, which may have led to observed reductions in 1,25(OH)<sub>2</sub>D<sub>3</sub> (<xref ref-type="bibr" rid="B33">Gloux et al., 2020a</xref>).</p>
<p>In birds, 1,25(OH)<sub>2</sub>D<sub>3</sub> appears to directly stimulate renal P<sub>i</sub> reabsorption in the short-term and inhibit it in the long-term (<xref ref-type="bibr" rid="B56">Liang et al., 1982</xref>; <xref ref-type="bibr" rid="B55">Liang et al., 1984</xref>). Renal P<sub>i</sub> reabsorption was decreased, and therefore P<sub>i</sub> excretion increased, by PTH (<xref ref-type="bibr" rid="B100">Wideman and Braun, 1981</xref>). The capacity of the kidney to regulate P<sub>i</sub> balance could change with age, as expression of <italic>NaP</italic>
<sub>
<italic>i</italic>
</sub>
<italic>IIa</italic> and P<sub>i</sub> transporter 1 (<italic>P</italic>
<sub>
<italic>i</italic>
</sub>
<italic>T-1</italic>) in kidney decreased in older hens (<xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>). Since PTH stimulates production of 1,25(OH)<sub>2</sub>D<sub>3</sub>, it indirectly increases P<sub>i</sub> absorption from the intestine (<xref ref-type="bibr" rid="B57">Liao et al., 2017</xref>). Intestinal P<sub>i</sub> uptake in chickens is thought to be mediated by P<sub>i</sub>T-1, P<sub>i</sub>T-2, NaP<sub>i</sub>IIa, and NaP<sub>i</sub>IIb (<xref ref-type="bibr" rid="B102">Yan et al., 2007</xref>; <xref ref-type="bibr" rid="B43">Huber et al., 2015</xref>; <xref ref-type="bibr" rid="B54">Li et al., 2018</xref>), with NaP<sub>i</sub>IIb as the primary transporter in the duodenum and jejunum and P<sub>i</sub>T-1 as the primary transporter in the ileum (<xref ref-type="bibr" rid="B32">Gloux et al., 2019</xref>).</p>
</sec>
<sec sec-type="discussion" id="s7">
<title>7 Discussion</title>
<p>This review investigates physiological mechanisms influencing calcium and phosphorus utilization in laying hens during egg production (<xref ref-type="fig" rid="F1">Figure 1</xref>). Age-dependent changes in levels of FGF23, 1,25(OH)<sub>2</sub>D<sub>3</sub>, and several calcium and phosphorus transporters in the intestine and kidney suggest that the ability of hens to maintain adequate mineral balance for optimal shell strength and bone health is compromised during extended lay. This leads to deterioration of structural bone when the rate of medullary bone resorption required for eggshell calcification exceeds that of remineralization during periods outside eggshell development, predisposing hens to fractures that negatively impact their welfare and reduce egg production in an age-dependent fashion (<xref ref-type="bibr" rid="B77">Rufener et al., 2019</xref>). To maintain healthy, high-producing hens throughout extended production, skeletal development should be prioritized during rearing to ensure adequate deposition of structural bone prior to initiation of medullary bone accretion.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Regulation of calcium and phosphorus homeostasis during eggshell mineralization in laying hens. During eggshell calcification, high demand for calcium decreases circulating ionized calcium (iCa<sup>2&#x2b;</sup>). Low iCa<sup>2&#x2b;</sup> is detected by calcium-sensing receptor (CASR), which stimulates parathyroid hormone (PTH) secretion from the parathyroid gland. Secreted PTH binds to PTH receptor 1 (PTH1R) on osteocytes to promote interaction between receptor activator of nuclear factor-kappa B (RANK) and RANK ligand (RANKL) on the osteoclast surface. This induces vacuolar-type adenosine triphosphatase (V-ATPase) production to facilitate bone resorption alongside carbonic anhydrase 2 (CA2). In contrast, bone accretion is facilitated by deposition of matrix proteins such as collagen type 1 alpha 1 (COL1A1). In the kidney, PTH stimulates inorganic phosphate (P<sub>i</sub>) excretion and upregulates production of 1,25(OH)<sub>2</sub>D<sub>3</sub>. Bioactive 1,25(OH)<sub>2</sub>D<sub>3</sub>, which binds to vitamin D<sub>3</sub> receptor (VDR), stimulates osteoclast activity, calcium transport in the kidney, and calcium and phosphorus uptake in the intestine. Impacts of 1,25(OH)<sub>2</sub>D<sub>3</sub> in the shell gland and on paracellular intestinal calcium uptake still need to be elucidated. Transcellular transport of calcium in these tissues is thought to occur through ATPase plasma membrane calcium transporting 1, 2, and 4 (ATP2B1, ATB2B2, ATP2B4; intestine only), sodium-calcium exchanger 1 (NCX1), calbindin-28K (CALB1), transient receptor potential cation channels subfamily C member 1 (TRPC1; intestine only), transient receptor potential cation channels subfamily M member 7 (TRPM7; intestine only), and transient receptor potential cation channel subfamily V member two and six (TRPV2, intestine only; TRPV6, kidney only). Paracellular transport in the intestine is achieved by tight junction proteins 1, 2, and 3 (TJP1, TJP2, TJP3), claudin 2 and 12 (CLDN2, CLDN12) and occludin (OCLN). Transport of phosphorus in these tissues is thought to occur by sodium-dependent phosphorus transporters IIa and IIb (NaP<sub>i</sub>IIa and NaP<sub>i</sub>IIb) and sodium-dependent inorganic phosphorus transporters 1 and 2 (P<sub>i</sub>t1 and P<sub>i</sub>t2). Shell gland calcium transport by CALB1 may be under the control of estradiol (E<sub>2</sub>) through estrogen receptor (ER) interaction with estrogen-response elements (EREs) in its promoter region. Bone breakdown releases P<sub>i</sub> into circulation, which induces production of fibroblast growth factor 23 (FGF23). In chickens and mammals, this peptide stimulates renal phosphorus excretion, which has been shown to be mediated through its binding to FGF23 receptors (FGFR1, FGFR2, FGFR3, FGFR4) and co-receptor klotho (KL) in mammals. In mice, FGF23 has also been shown to exhibit negative feedback on PTH and 1&#x3b1;-hydroxylase activity, as well as stimulate 24-hydroxylase activity. During periods of elevated iCa<sup>2&#x2b;</sup>, calcitonin (CALC) is secreted from cells in ultimobranchial bodies to inhibit osteoclast activity in mammals, but its effects in birds are unclear. Further investigation into several of these processes and how transporters function in a tissue-specific manner is required to determine their role in calcium and phosphorus homeostasis in chickens. Parts of the figure were drawn by using pictures from servier medical art, licensed under a creative commons attribution 3.0 unported license (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/3.0/">https://creativecommons.org/licenses/by/3.0/</ext-link>).</p>
</caption>
<graphic xlink:href="fphys-14-1112499-g001.tif"/>
</fig>
<p>Improvements in laying hen skeletal health require an in-depth understanding of regulatory systems driving calcium and phosphorus utilization and how they change with age. Further research on how FGF23 influences PTH secretion, vitamin D<sub>3</sub> metabolism, and other aspects of calcium and phosphorus homeostasis in birds is necessary. Though a role for FGF23 in regulating P<sub>i</sub> homeostasis in layers has been supported by the findings described above, functional and mechanistic studies demonstrating its direct involvement are limited. As there are differences in medullary bone expression of <italic>FGF23</italic> mRNA with age (<xref ref-type="bibr" rid="B34">Gloux et al., 2020b</xref>), and FGF23 appears to influence phosphorus and calcium balance (<xref ref-type="bibr" rid="B10">Bobeck et al., 2012</xref>; <xref ref-type="bibr" rid="B74">Ren et al., 2017</xref>; <xref ref-type="bibr" rid="B75">Ren et al., 2020</xref>), understanding effects of FGF23 on mineral homeostasis and how to manage changes across the production cycle is crucial for maintaining skeletal health and egg production throughout extended lay.</p>
<p>A second area needing further elucidation is the metabolism and action of vitamin D<sub>3</sub>. The gene encoding 1-&#x3b1; hydroxylase has not been identified in avian species, hindering mechanistic studies of its activity. Characterization of <italic>CYP27B1</italic> or a functional equivalent would provide valuable insights into ways that vitamin D<sub>3</sub> metabolism could be harnessed to improve eggshell integrity and skeletal welfare in layers, including using selection strategies for hens that exhibit stronger bones and eggshells. Furthermore, the influence of 1,25(OH)<sub>2</sub>D<sub>3</sub> on shell gland calcium transport has been questioned due to unresponsiveness of typical 1,25(OH)<sub>2</sub>D<sub>3</sub>-dependent proteins (<xref ref-type="bibr" rid="B7">Bar et al., 1977</xref>; <xref ref-type="bibr" rid="B5">Bar, 2008</xref>); additional studies are needed to confirm if this applies to other aspects of shell gland calcium transport. This is especially important, as regulation of ionic calcium transfer into the shell gland lumen is poorly understood (<xref ref-type="bibr" rid="B64">Nys et al., 2022</xref>) despite it being a limiting factor in calcium supply to the eggshell (<xref ref-type="bibr" rid="B15">Cohen et al., 1978</xref>), so alterations in this process with age likely contribute to decreased shell quality in older hens.</p>
<p>Though a better picture of laying hen calcium, phosphorus, and vitamin D<sub>3</sub> metabolism has emerged in recent years, critical knowledge gaps exist and much of our understanding of these homeostatic mechanisms is derived from mammalian research. However, hens undergo additional biological processes such as development and maintenance of medullary bone and eggshell calcification, so direct inferences from mammals to birds may be flawed. Availability of the chicken genome in conjunction with &#x201c;omics&#x201d; approaches should help identify relevant gene networks across tissues that are involved in these processes, allowing development of testable hypotheses that can be used to discern functionality where it is lacking. Establishment of reliable <italic>in vitro</italic> models for bone, kidney, and shell gland and validated assays for functional proteins would greatly facilitate fundamental, mechanistic studies on these systems. This is essential for generating successful nutritional and genetic management strategies that prioritize skeletal welfare throughout the productive lifecycle of the hen.</p>
</sec>
</body>
<back>
<sec id="s8">
<title>Author contributions</title>
<p>MS-B drafted the manuscript; RG assisted with drafting the manuscript and prepared <xref ref-type="fig" rid="F1">Figure 1</xref>; LE conceptualized the review, edited the manuscript and <xref ref-type="fig" rid="F1">Figure 1</xref>, and obtained funding. All authors have read and approved the submitted version of the manuscript.</p>
</sec>
<sec id="s9">
<title>Funding</title>
<p>Graduate student support for MS-B and RG was provided to LE by H&#x0026;N International (Cuxhaven, Germany) and Iluma Alliance (Durham, NC, United States).</p>
</sec>
<ack>
<p>The authors thank Brett Marshall, Lauren Vaccaro, Charles Meeks, Colin Barcelo, and Shailes Bhattrai for initial editing of this review.</p>
</ack>
<sec sec-type="COI-statement" id="s10">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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