What Does Phosphoric Acid Do to the Body?

Phosphoric acid (H₃PO₄) is a colorless, odorless, and moderately strong inorganic acid widely utilized in the food industry. It is added to various processed foods and beverages, most notably colas, where it is often listed as the food additive E338. This compound serves a dual function, acting as both an economical preservative and a flavoring agent to impart a sharp, tart taste profile. The prevalence of this acid in the modern diet raises questions about its effects once it enters the body.

The Essential Role of Phosphate in the Body

The body absorbs phosphoric acid as phosphate, which is a naturally occurring and indispensable macromineral. Phosphate is a fundamental component of the body’s architecture and metabolic machinery. It provides the structural backbone for deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). The mineral is also central to energy production and transfer within every cell, primarily through adenosine triphosphate (ATP). Furthermore, phosphate groups are incorporated into phospholipids, which form the bilayer of all cellular membranes. About 85% of the body’s total phosphate content is stored within bones and teeth.

Impact on Mineral Homeostasis and Bone Density

A high dietary load of phosphate, particularly the highly bioavailable inorganic phosphates found in food additives, can significantly challenge the body’s mineral balance. The body is highly regulated to maintain calcium and phosphate levels within a narrow range in the bloodstream. Elevated levels of phosphate trigger the release of parathyroid hormone (PTH). PTH stimulates bone resorption, a process where specialized cells called osteoclasts break down bone tissue to release stored calcium and phosphate into the circulation.

This mobilization is intended to re-establish the correct mineral ratio in the blood. When sustained over time, this process of increased bone turnover can lead to a net loss of calcium from the skeletal structure. Chronic high phosphate intake, especially if coupled with insufficient dietary calcium, is associated with a reduction in overall bone mineral density. The high rate of absorption for inorganic phosphate additives makes them a greater concern for mineral homeostasis than the naturally occurring organic phosphates found in whole foods.

Renal Processing and Acid Load Management

The body’s primary mechanism for dealing with excess phosphate and the acid load from phosphoric acid is through the kidneys. Once ingested, the phosphoric acid contributes to the potential renal acid load, meaning the kidneys must work to excrete the surplus acid to maintain the body’s precise pH balance. The renal tubules accomplish this by filtering the excess phosphate and excreting it in the urine, often buffering the acid with ammonia. This increased workload can place chronic strain on the kidneys. High phosphate intake has been associated with an increased risk of chronic kidney disease progression in susceptible populations.

The excretion of high phosphate concentrations also plays a role in the formation of certain kidney stones. While the high acid load itself can contribute to the formation of calcium oxalate stones, the combination of high urinary phosphate and alkaline urine conditions can favor the precipitation of calcium phosphate stones. The interplay of dietary factors, urine pH, and mineral concentrations determines the overall propensity for stone formation.

Direct Effects on Dental Enamel

Beyond its systemic metabolic effects, phosphoric acid has a direct, localized impact on dental enamel. The acid is added to soft drinks to achieve a sour taste, resulting in a very low pH (often 2.5 to 3.5). Exposure to these highly acidic conditions causes dental erosion. Erosion involves the direct chemical dissolution of the tooth surface, stripping mineral content from the enamel and the underlying dentin. This damage is independent of the bacterial action involved in typical tooth decay.