We explored the mechanism whereby maltitol causes an increase of calci
um absorption in the lower small intestine using everted ileal segment
s of rats. Under the calcium concentrations tested (1-20mM), which ena
bled us to assess the diffusional calcium transfer, maltitol in the mu
cosal-side medium (100mM) caused a 155% greater transepithelial calciu
m transfer as compared with the segments incubated without sugars. The
maltitol-induced increment of cacium transfer was significantly highe
r than those elicited by glucose, sorbitol and maltose, and this incre
ase was completely inhibited by W7, a calmodulin antagonist. Thus, our
results suggest that maltitol might modulate the permeability of calc
ium through paracellular path, which possibly involves the activation
of calmodulin.