5.6 Calcium Homeostasis Flashcards

(29 cards)

1
Q

Importance of calcium

A

Nerve and muscle excitability
Neurotransmitter release from axon terminals
2nd messenger in intracellular signaling
Major constituent of bone

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2
Q

Most of total body calcium is in ___

A

Bone

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3
Q

Importance of phosphorus

A

Enzyme activation/inactivation
Major constituent of DNA, RNA and other phosphoproteins
Major component of bone

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4
Q

Majority of phosphorus is in __

A

Bone

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5
Q

Contains the second most abundant storage of phosphorus

A

ICF

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6
Q

The most biologically important form of calcium

A

Free ionized form

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7
Q

Calcium RDA for adults

A

around 1000 mg

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8
Q

Major dietary source of calcium

A

Dairy products

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9
Q

Organ which is the major site of phosphorus homeostasis

A

Kidneys

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10
Q

The Bone forming cell responsible for secreting and depositing organic matrix that will form the new bone (osteoid)

A

Osteoblast

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11
Q

Cells that promote bone resorption

A

Osteoclast

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12
Q

Signals for activation and maturation of osteoclasts

A

RANK ligands
Various interleukins
Cytokines

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13
Q

A group of osteoclasts and osteoblasts that carries out the process of bone remodeling

A

BMU or Basic Multicellular Unit

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14
Q

Relative length of bone remodeling

A

3 months

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15
Q

Most important hormone in regulating ca

A

Parathyroid hormone

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16
Q

Primary regulator for secretion of PTH

A

Ionized calcium

17
Q

Primary stimulus for secretion of PTH

A

Decreased plasma ionized calcium

18
Q

in the presences of calcium, GPCR activates this effector which leads to the inhibitions of PTH secretion and synthesis

A

Protein Lipase C/phospholipase C

19
Q

Hormone which inhibits gene expression of PTH

20
Q

___ terminal of PTH contains the biologically active sequence

A

Amino terminal

21
Q

Net effect of PTH

A

Increase serum calcium

Decrease serum phosphorus

22
Q

Effect of PTH on Bone

A

Stimulate both osteoblasts (directly) and osteoclasts (indirectly)

23
Q

How PTH increases serum Ca via the kidneys

A

PTH increases Ca reabsorption at the thick ascending limb and early distal convoluted tubule

24
Q

Effect of calcitriol on bone

A

Represses synthesis of type 1 collagen

induces synthesis of osteocalcin

25
Enzyme which acts upon 25 hydroxycholecalciferol to produce 1,25 dihydroxycholecalciferol (calcitriol; activated form of calcium)
1alpha-hydroxylase
26
Source of calcitonin
Thyroid gland, C cells or clear cells or parafollicular cells
27
Effect of calcitonin
Promote bone deposition and inhibits osteoclastic resorption
28
PTH and Ca levels in hypoparathyroidism
Low PTH, Low Ca
29
Signs and symptoms of hypocalcemia
Neuromuscular irritability: cramping, tetany, tingling, paresthesia, chvostek's sign