Calcium Homeostasis Flashcards

1
Q

What are the 5 roles of calcium in the body?

A
Signalling - exocytosis of synaptic vesicles in the body 
Blood clotting 
Apoptosis
Skeletal strength 
Membrane excitability
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2
Q

What is the consequence of hypocalcaemia?

A

Increase the neuronal sodium permeability increasing excitation and can cause tetany

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3
Q

What is the outcome of hypercalcaemia?

A

Decrease neuronal sodium permeability and decrease neuromuslcar activity leading to cardiac arrhythmias

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4
Q

What 3 compartments of the body is calcium stored within?

A

The extracellular matrix of the bones -99%
Intracellular fluid -0.9%
The extracellular fluid 0.1%

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5
Q

How is calcium stored within the bones?

A

As hydroxyapatite crystals

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6
Q

What element other than calcium does hydroxyapatite contain and why is this important?

A

Phosphorus, important role in calcium homeostasis because without it calcium cannot be laid down in the bones

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7
Q

What is the calcium contained within in the ICF?

A

Mitochondria and sarcoplasmic reticulum

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8
Q

What percentage overall is free calcium?

A

0.05% and this is all that is physiologically active

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9
Q

In what state is calcium in the extracellular fluid?

A

40% bound to carrier proteins
50% free, ionised and physiologically active
10% are bound to plasma anions forming complexes

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10
Q

What two protein carriers hold calcium?

A

Albumin - 80%

Globulin - 20%

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11
Q

What increases the binding capacity of calcium to carrier proteins

A

An increased pH, alkaline environments

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12
Q

When would we be able to create an alkaline environment in the body?

A

Hyperventilation

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13
Q

What acts as a reservoir for plasma calcium?

A

Bones

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14
Q

What cells form bone?

A

Osteoblasts

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15
Q

What cells degrade bone?

A

Osteoclasts

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16
Q

What two hormones increase calcium concentration in the blood?

A

Parathyroid hormone and calcitriol

17
Q

What causes a release of PTH?

A

Decreased calcium concentration in the blood

18
Q

What mechanisms does PTH to restore plasma calcium?

A

Inhibits osteoblasts to reduce bone formation
Stimulating osteoclasts to increase resorption
Increasing reabsorption of Ca2+ from the kidney tubule
Increasing renal excretion of phosphate. This elevates free [Ca2+ ] by preventing it from being deposited back into bone
timulates the kidney to synthesise calcitriol

19
Q

What are the 2 alternative names fro calcitriol?

A

Vitamin D or 1,25 dihydroxycholecalciferol

20
Q

What type of hormone is calcitriol?

A

Steroid hormone

21
Q

What is calcitriol’s main function?

A

Increase calcium absorption in the gut

22
Q

What is the classification of a vitamin D deficiency?

A

Levels less than 20ng/ml

23
Q

What can vitamin D deficiency lead to?

A

Rickets in children and

Osteomalacia in adults

24
Q

What is the effect of cortisol on osteoblasts?

A

Decreases plasma calcium levels

25
Q

What is insulins effect on bone formation?

A

Increase it by antagonising the effects of crotisoleasing

26
Q

What is oestrogen’s effect on bone formation?

A

romotes bone formation via oestrogen receptors on osteoblasts

27
Q

What does GH do to calcium levels?

A

Increases bone formation so decreases plasma concentration initially but increases clcclim levels overall

28
Q

How does prolactin affect calcium absorption?

A

promotes calcium absorption from the gut by stimulating synthesis of calcitriol