Calcium Transport in Specialized Dental Epithelia and Its Modulation by Fluoride.

Most cells use calcium (Ca) as a second messenger to convey signals that affect a multitude of biological processes. The ability of Ca to bind to proteins to alter their charge and conformation is essential to achieve its signaling role. Cytosolic Ca (Ca) concentration is maintained low at ~100 nM so that the impact of elevations in Ca is readily sensed and transduced by cells. However, such elevations in Ca must be transient to prevent detrimental effects. Cells have developed a variety of systems to rapidly clear the excess of Ca including Ca pumps, exchangers and sequestering Ca within intracellular organelles. This Ca signaling toolkit is evolutionarily adapted so that each cell, tissue, and organ can fulfill its biological function optimally. One of the most specialized cells in mammals are the enamel forming cells, the ameloblasts, which also handle large quantities of Ca. The end goal of ameloblasts is to synthesize, secrete and mineralize a unique proteinaceous matrix without the benefit of remodeling or repair mechanisms. Ca uptake into ameloblasts is mainly regulated by the store operated Ca entry (SOCE) before it is transported across the polarized ameloblasts to reach the insulated enamel space. Here we review the ameloblasts Ca signaling toolkit and address how the common electronegative non-metal fluoride can alter its function, potentially addressing the biology of dental fluorosis.