Calcium Flashcards
what are the functions of calcium?
bone and tooth structure, mineral store, action potentials, membrane excitability, 2nd messenger, co-factor in metabolic pathways, blood clotting
what are the 2nd messenger functions of calcium?
muscle: excitation-contraction coupling, gland secretion, non-steroid hormone action
what is diffusible calcium?
ionised calcium and calcium bound to citrate
what is non-diffusible calcium?
calcium bound to protein
how does calcium enter the body?
diet
once in the body where are all the places that calcium goes?
GI tract, plasma and interstitial fluid, exchangeable bone, stable bone, kidney
how does calcium leave the body?
faeces and urine
what controls calcium homeostasis?
parathyroid hormone, calcitonin, vitamin D
where is the parathyroid hormone secreted from?
parathyroid glands in response to low plasma calcium concentration
how does the parathyroid hormone increase plasma calcium?
increase resorption of bone (osteoclasts), increase calcium resorption in kidney (with phosphate resorption), increase uptake of calcium from the intestines (assisted by vitamin D)
where is calcitonin secreted from?
thyroid glands in response to high plasma calcium concentrations
how does calcitonin decrease plasma calcium?
increase formation of bone (osteoblasts), decrease calcium resorption in kidney
how does vitamin D get into the body?
dietary vitamin D and 7-dehydrocholesterol synthesised in the skin
how does vitamin D affect calcium in the intestine?
promotes calcium absorption
how does vitamin D affect calcium in the kidney?
promotes calcium retention and phosphate retention
how does vitamin D affect calcium in the bone?
promotes calcium release and phosphate release
how does vitamin D affect calcium in plasma?
promotes increased levels of calcium and phosphate due to the actions on the intestine, kidney and bone
what hormones increase bone formation and bone mass?
calcitonin, growth hormone, IGF-1, insulin, oestrogen, testosterone