Lecture 80 Flashcards

1
Q

About __ of calcium ions (Ca2+) are absorbed from intestine

A

1mg/day

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2
Q

About 1mg/day of calcium ions (Ca2+) are absorbed from intestine. Compared to how much is in the diet, this is a __ amount

A

small –> we can say that calcium absorption is poor

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3
Q

most of the daily intake of calcium is (2):

A

(1) Excreted in feces (90%)
(2) Excreted in urine (10%)

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4
Q

When talking about intestine, absorb is when

A

calcium goes from food inside the intestine and travels to the extracellular fluid and blood circulation

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5
Q

When talking about intestine (and calcium): reabsorb is when:

A

it goes from extracellular fluid back into intestine

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6
Q

The normal Ca2+ concentration in blood plasma is about:

A

2.4 mmol/litre

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7
Q

The normal Ca2+ concentration in blood plasma is about 2.4 mmol/litre. It is present in three forms:

A

(1) Free Ca^2+ (50%): Ionized, unbound, and easily diffuses through membranes; most important Ca form for body functions.

(2) Bound to plasma proteins (40%): Cannot diffuse through capillary membranes, remains in circulation.

(3) Bound to citrate or phosphate (10%): Diffuses through capillary membranes, readily available for cellular use.

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8
Q

50% of calcium is:

A

Ionized, unbound, and easily diffuses through membranes; most important Ca form for body functions.

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9
Q

the most important Ca form for body functions:

A

free Ca2+ (accounts for 50% of calcium in blood plasma)

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10
Q

40% of Ca2+ is (2):

A

(1) bound with plasma proteins
(2) cannot diffuse through capillary membranes, remains in circulation

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11
Q

Up to 40% of Ca2+ is bound with plasma proteins. In this form calcium it is

A

not able to diffuse through capillary membrane, so it stays in circulation.

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12
Q

Up to 10% of Ca2+ is

A

bound with citrate or phosphate.

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13
Q

Up to 10% of Ca2+ is bound with citrate or phosphate. In these forms:

A

It can diffuse through capillary membranes, so easier for cells to use it.

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14
Q

About __ of phosphate ions from diet are absorbed from intestine and transport into blood.

A

1mg/day

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15
Q

What is more efficient in terms of absorption? calcium or phosphate ions

A

phosphate absorption is much more efficient than Ca2+.

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16
Q

After absorption, phosphate is present in blood plasma in two forms:

A
  1. In the form of HPO4-2, 1.05 mmol/litre.
  2. In the form of H2PO4-1, 0.26 mmol/litre.
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17
Q

The ratio of $HPO_4^{-2}$ to $H_2PO_4^{-1}$ is

A

is pH-dependent

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18
Q

The ratio of $HPO_4^{-2}$ to $H_2PO_4^{-1}$ is pH-dependent; acidic conditions favor

A

H2po4-1

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19
Q

What happens when pH of the extracellular fluid is more acidic in terms of phosphate ions?

A

concentration of HPO42- decreases with relative increase of H2PO4-1

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20
Q

In excess (greater than critical value of 1 mmol/litre), phosphates are

A

excreted in urine

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21
Q

If phosphate concentration is below critical value (1mmol/litre), all phosphates are :

A

reabsorbed (they go from the urine, through kidney and back into extracellular fluid), there is no loss into urine.

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22
Q

If phosphate is above critical value, excretion in urine is proportional to:

A

the increase of phosphate concentration.

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23
Q

What is a reservoir for phosphate in the ionic forms?

A

bones

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24
Q

Ca2+ and phosphate ions can go back and forth to

A

bone depending on the need.

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25
tensile:
resisting bending
26
What is responsible in bones for its tensile strength:
organic matrix -> collagen
27
what is responsible in bones for its compressive strength:
hydroxyapetite (calcium phosphate)
28
compressile strength
resist crushing or squeezing
29
Bone is composed of
of organic and inorganic chemicals.
30
30% of bone tissue is:
organic 'matrix'
31
Up to 30% of bone tissue has organic 'matrix' composed of (2):
o Collagen fibers (majority) that give tensile strength. o Ground substance (minority) including extracellular fluid, chondroitin and hyaluronic acid (HA).
32
The organic matrix of bones (30% of composition of bone) is majorly composed of __ and minorly composed of ___
The organic matrix of bones (which represents 30% of bone composition) is majorly composed of collagen fibres and minorly composed of ground substance
33
what gives tensile strength to bones:
collagen fibers
34
Up to 30% of bone tissue has organic 'matrix',The rest of bones chemical structure is
inorganic salt crystals (70%)
35
Up to 30% of bone tissue has organic 'matrix',The rest of bones chemical structure is inorganic salt crystals (70%) composed of (2) :
(1) Hydroxyapatite (2) Many other types of salts of magnesium, sodium, potassium and carbonate ions.
36
What gives compressional strength to the bone
Hydroxyapatite (in inorganic salt)
37
inorganic salts make up 70% of bone composition, what is the component that makes up the majority of inorganic salts?
Hydroxyapatite
38
The bone tissue is also surrounded 'bathed' in an extracellular fluid that contains
exchangeable Ca2+ and PO4-.
39
What are two types of cells that live inside the bone?
Osteoblasts and osteoclasts are two of them.
40
what secretes collagen monomers and ground substance (proteoglycan) in bone
A special type of cell called 'osteoblast'
41
Osteoblasts are specialized cells that: Secrete collagen monomers and ground substance (proteoglycans). Collagen monomers polymerize to form collagen fibers. -> the resultant tissue becomes
osteioid
42
Osteocytes
Osteoblasts trapped in the osteoid; become bone cells.
43
Calcium salts (mainly phosphate and calcium) are deposited on collagen fibers as:
hydroxyapatite crystals.
44
osteoblasts become entrapped in
the osteoid (called osteocytes or bone cell)
45
When the bone salts are deposited to the bone that is called
absorption
46
Deposited in bone =
absorbed by bone.
47
Bone is continuously being deposited by osteoblasts and being reabsorbed from bone back into extracellular fluids by another special type of cells called
the osteoclasts
48
how do osteoclasts function:
like a claw: scrapes and scoops up bone
49
The rates of bone deposition and reabsorption are
normally equal
50
The rates of bone deposition and reabsorption are normally equal, so that
the total bone mass remains constant. --> principle of bone remodeling
51
52
large phagocytic cell in bone marrow
Osteoclast
53
When osteoclasts developed it sends out
villus-like projections toward the bone to form a ruffled border adjacent to the bone.
54
The villus secretes two types of substances
1. Proteolytic enzymes (released from lysosomes of osteoclast) to digest and dissolve organic matrix. 2. Citric acid and lactic acid (released from mitochondria) to dissolve bone salts.
55
proteolytic enzymes that digest and dissolve the organic matrix are released from where?
lysosomes of osteoclast
56
What dissolves organic matrix of bones?
proteolytic enzymes released from lysosomes of osteoclast
57
What dissolves bone salts?
citric acid and lactic acid released from mitochondria
58
The citric acid and lactic acid that dissolves bone salts is released from:
mitochondria
59
How do osteoclasts work?
* In this way the osteoclasts eat away at the bone to form a tunnel (0.2-1 mm in diameter and few millimetre long) for 3 weeks, then osteoclasts disappear.
60
osteoclasts eat away at the bone to form a tunnel (0.2-1 mm in diameter and few millimetre long) for 3 weeks, then osteoclasts disappear. ___ replace the osteoclasts and __
* Osteoblasts replace the osteoclasts -> new bone mass begins to develop and to be deposited on the inner surface of the cavity to form layers of concentric circles for several months until the tunnel is filled.
61
Osteoclast Action:
osteoclasts are large phagocytic cells in bone marrow: 1. when osteoclasts develop, it sends out villus-like projections toward the bone to form a ruffled border adjacent to bone--> the villus secretes two types of substances: 1a: proteolytic enzymes (released from the mitochondria) to dissolve organic matrix 1b: citric acid and lactic acid (released from mitochondria) to dissolve bone slats 2. osteoclasts eat away at the bone to form a tunnel (0.2-1mm in dimaetere and a few millimeters long) for 3 weeks, then they dissapear (are replaced by osteoblasts)
62
Osteoblast action:
(1) Replace osteoclasts. (2) Deposit new bone mass in concentric layers until the tunnel is filled over several months. (3) Each new area of bone deposited is called an osteon. (4) Bone deposition stops when the bone mass encroaches on blood vessels.
63
Significance of Bone Remodeling:
Replaces old, brittle bone with new bone, maintaining toughness.
64
bone deposition rate is proportional to the compressional stress on bones thus:
it can adjust bone strength according to the degree of bone stress (heavy load cause bone thickening)
65
ground substance (minority of organix matrix) composed of (3):
(1) extracellular fluid (2) chondritin (3) hyaluronic acid
66
describe piezoelectric effect:
1. The compressional stress can produce a negative electrical potential in the compressed area and a positive potential elsewhere in the pone -> causes a small amount of electric current flowing in bone -> promotes osteoblastic activity at the negative end of the current flow -> increase deposition at compression sites
67
the piezoelectric reshapes the bone according to:
stress pattern to obtain better support of mechanical load
68
what maximally activates osteoblasts?
fracture of a bone
69
descirbe how fracture of a bone maximally activates osteoblasts:
fracture -> immediate great increase of new osteoblasts from osteoprogenitor cells -> large bulge of osteoblastic tissue and new organic bone matrix develop between the two broken ends of the bone (callus) -> deposition of calcium salt
70
alkaline phosphatase in the blood can be:
an indicator of the rate of bone deposition because when the osteoblasts are depositing bone matrix they secrete large amount of alkaline phosphatase that diffuses into blood
71