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z- minerals and bone metabolism (ch-38)
MLS 4625 Dr. Saleh A. Naser Fall 2010
21
Chemistry
Undergraduate 4
11/02/2010

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Cards

Term
Calcium Functions
Definition
Calmodulin (made up of 4 Ca2+ ions) – it activates adenylate cyclase and phosphodiesterase
Calcium binds to a protein to form Troponin – found in cardiac muscle
Cell communication
Controls endocrine gland secretion
Needed for blood coagulation
Term
Calmodulin
Definition
(made up of 4 Ca2+ ions) – it activates adenylate cyclase and phosphodiesterase
Term
Phosphate Function
Definition
Part of the cell membrane structure
Energy
Gene Replication
Term
Regulation of Calcium & Phosphate
Definition
Parathyroid Hormone
Calcitronin
Vitamin D
Term
Calcitronin
Definition
Opposite of PTH
Produced by C-cell of PT gland
Net effect:
↓ Ca2+
↑ Phosphate
Hypercalcemia: stimulates release
Hypocalcemia: inhibits release
Term
Vitamin D
Definition
Stimulates membrane transport of Ca2+ b/t cells
Term
Primary Hyperparathyroidism
Definition
leads to hypercalcemia/hypophosphatemia → hypercalciuria → urolithiasis/nephrocalcinosis (kidney stones)
Term
Hyperphosphatemia
Definition
rare, genetic
Leads to renal osteodystrophy (ROD)
No renal excretion of phosphate
Term
Hypophosphatemia
Definition
rare, genetic, X-linked
Defect in renal absorption of phosphate
↑ excretion of phosphate in urine
Term
Hypoparathyroidism
Definition
deficency in PTH caused by infection or parathyroidectomy
Term
Pseudohypoparathyroid
Definition
PTH level is normal or high means that there is a receptor problem
Term
Effect of Hypercalcemia on Calcitronin
Definition
stimulates release
Term
Effect of Hypocalcemia on Calcitronin
Definition
inhibits release
Term
EDTA and Calcium
Definition
cannot use because of chelation
Term
Heparin and Calcium
Definition
no interference
Term
Citrate/Lactate and Calcium
Definition
can bind to free calcium to make ligands
falsely decreased result for an ionized calcium test
they are ok for total calcium tests
Term
Acidosis
Definition
favors disassociation of Ca2+ from ligands and proteins
Term
Alkalosis
Definition
favor association of Ca2+ from free Ca2+ to proteins and ligands
Term
Calcium and Protein
Definition
form Troponin – found in cardiac muscle
Term
Regulation of Calcium & Phosphate
Definition
[image]
Term
Total Calcium
Definition
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