Calcium homeostasis Flashcards

1
Q

Where is calcium found?

A

Mostly in the skeleton and teeth. Also in the cells and a very small amount in the extracellular fluid

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2
Q

what form is calcium in the Skelton in

A

IN the form of hydroxyapatite which is crystallised calcium phosphate salt known as bone mineral

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3
Q

What is calcium in cells used for

A

a cofactor in enzyme reactions

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4
Q

calcium in extracellular fluid

A

only 50% in free biologically active form . 41% protein bound calcium can’t diffuse across capillary membranes

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5
Q

What is the role of calcium in bones

A

to provide structural strength and make bones hard

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6
Q

What is the role of calcium in the nervous system

A

release of neurotransmitters from presynaptic Nerone at neuromuscular junctions triggered by calcium ions

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7
Q

what is the role of calcium in the endocrine system

A

movement of calcium to endocrine cells triggers release of hydrophilic hormones such as adrenaline

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8
Q

what is the role of calcium in the blood

A

calcium is a cofactor in blood clotting

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9
Q

What is the role of calcium in intracellular processes

A

calcium functions as a second messenger in cell signalling pathways and as a cofactor for enzyme function in chemical reactions

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10
Q

How do bones regulate calcium levels

A

bone acts as a sink for buffering ECF calcium concentration as well as calcium in bones providing internal structural rigidity needed for locomotion

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11
Q

What happens if there is a decrease in calcium reserve in bones

A

leads to a decrease in bone strength

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12
Q

Where is the parathyroid hormone produced

A

by the parathyroid gland

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13
Q

How does the parathyroid hormone regulate calcium levels.

A

main response to too low calcium levels is to promote the transfer of calcium ions from bone fluid into plasma

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14
Q

What does the parathyroid hormone do in chronic hypocalcaemia

A

stimulates dissolution of bone

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15
Q

what does the parathyroid hormone do

A

causes rapid release of calcium from bone fluid into plasma

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16
Q

What is the 6 steps for the mechanism of parathyroid hormone

A
  1. PTH binds to PTH receptor on osteoblasts
  2. Osteoblasts secrete RANKL
  3. RANKL binds to RANKL receptor on osteoclast
  4. Osteoclast stimulated to gobble bone and release calcium and phosphate ions
  5. PTH stimulates cells of DCT of kidney to reabsorb calcium ions during urine formation
  6. This distorts the ratio of calcium and phosphate ions in the blood and prevents recrystallisation of hydroxyapatite crystals
17
Q

What enzyme does PTH Target

A

1 alpha hydroxylase which coverts calcidiol to calcitriol

18
Q

What does calcitriol do

A

stimulate Gi tract to absorb calcium and phosphates and PCT to reabsorb calcium ions from urine

19
Q

what is vitamin d

A

a hormone initially synthised from cholesterol in skin keratinocytes exposed to UVB radiation

20
Q

what is vitamin d converted to in the liver

A

calcidiol

21
Q

what is calcidiol converter to in the kidney

A

calcitriol

22
Q

what does active calcitriol do

A

increases the absorption of calcium into plasma in the intestine

23
Q

what does calcitonin do

A

1) it protects against hypercalceimia by opposing actions of PTH when calcium ion concentration levels become too high
2) inhibits the activity of osteoclasts in bone

24
Q

what hormones increase calcium ion concentration in blood plasma

A

PTH and vitamin D

25
Q

what hormone decreases calcium ion concentration in blood plasma

A

calcitonin

26
Q

what are the causes of hypocalcaemia

A

hypoparathyroidism, chronic kidney disease, hyperventilation

27
Q

what are the effects of hypocalcaemia

A

muscle spasms, paraesthesia, cardiac arrhythmias or depression

28
Q

what are the cause of hypercalcaemia

A

hyperparathyroidism, malignancy

29
Q

what are the effects of hypercalcaemia

A

stones, bones and abdominal groans. confusion, drowsiness, coma