Calcium Homeostasis Flashcards

1
Q

What are the diverse roles of Calcium?

A

1) Signalling
2) Blood clotting
3) Apoptosis
4) Skeletal strength
5) Membrane excitability

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2
Q

What is the importance of regulating Calcium concentration?

A

Regulating calcium concentration is critical in order to ensure normal cellular activity:

  • A decrease in calcium blood concentration will result in increased Na permeability, leading to hyperexcitation of neurons.
  • An increase in calcium blood concentration will result in decreased Na+ permeability and lead to decreased levels of neuronal activity and depress neuromuscular activity.
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3
Q

What is the overall effect of PTH on plasma Ca2+ and phosphate concentrations?

A

1) PTH acts to increase Ca2+ concentrations in the plasma by stimulating osteoclasts to release Ca2+ and phosphate in bone.
2) PTH also acts to inhibit osteoblasts from depositing Ca2+ in bone.
3) PTH also ensures that Ca2+ is not excreted by the kidneys.

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4
Q

What effects does PTH have on renal formation of 1a, 25-dihydroxycholecalciferol?

A

PTH stimulates the kidneys to form 1a, 25-dihydroxycholecalciferol, which itself is formed from dietary vitamin D.

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5
Q

What is the effect of 1a, 25-dihydroxycholecalciferol on Ca2+ absorption from the gut?

A

1a, 25-dihydroxycholecalciferol promotes calcium absorption from the gut.

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6
Q

What is the effect of 1a, 25-dihydroxycholecalciferol on Parathyroid gland function?

A

Increased levels of 1a, 25-dihydroxycholecalciferol would result in reduced parathyroid gland function

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7
Q

What is the nature and function of calcitonin?

A

1) Calcitonin is a peptide hormone produced by the thyroid gland, and its secretion is controlled by increased Ca2+ plasma concentrations.
2) Its function is to reduce Ca2+ plasma concentrations, and It does this by binding to osteoclasts in order to prevent resorption of Ca2+ from bone and it also increases renal excretion of Ca2+ so preventing a further spike in Ca2+ levels.

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