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Summary Calcium homeostasis

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Neurophysiology, synaptic pharmacology and endocrinology - 2nd semester Includes bullet points, key diagrams and images

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  • June 8, 2023
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  • 2019/2020
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Calcium Homeostasis

 Low calcium increases sodium permeability and vice versa
 Hypocalcaemia- increases muscle/nerve excitability causing spasms
 Hypercalcaemia- decreases muscle/nerve excitability so can cause arrhythmias
 Bones and teeth act as calcium reservoirs
 Bone has crystalline hydroxyapatite which precipitates around collagen extra-
cellular matrix
 High levels of calcium in bone fluid
 Osteoblasts- deposit bone and secrete collagen matrix
 Osteoclasts- bone resorption where enzymes and HCl dissolve bone

Parathyroid

 Parathyroid hormone secretion increases when plasma levels of calcium are low
and acts to increase them
 Parathyroid cells have calcium sensing receptors (GPCRs)
 PTH acts on bone, kidneys and GIT
 Causes calcium release from bone breakdown which increases levels in the
plasma

Fast Exchange

 PTH causes rapid efflux of calcium from bone fluid
 PTH receptors on osteoclasts and osteoblasts (GPCRs) which increase cAMP
 Increased cAMP causes calcium to move from the bones fluid and into cells
 Osteoblasts and osteocytes have gap junctions allowing calcium to move through
the osteocytes to the osteoblasts and into the plasma

Slow Exchange

 Activated by prolonged hypocalcaemia
 PTH causes osteoclasts to increase bone resorption to increase calcium plasma
conc
 Osteoblasts activity is inhibited
 Phosphate levels are also increased
 Calcium levels are restored when dietary levels increase
 PTH causes cavities in bone causing weakness

PTH Effect on Kidneys

 PTH promotes calcium retention so reabsorption
 Promotes phosphate excretion decrease calcium reabsorption
 Activates vitamin D which increase calcium absorption in the GIT

Calcitonin

 Antagonist to PTH
 Secreted by C cells in the thyroid
 Secretion increases when calcium plasma levels are high
 Acts to decrease plasma levels
 Inhibits reabsorption of calcium and phosphate in the kidney
 Decreases bone resorption so inhibits osteoclasts activity

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