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Mindmap

Calcium homeostasis

Bramblehill Englisch

Mind map on calcium homeostasis: roles of calcium, parathyroid hormone, calcitonin and vitamin D

Mind map: Calcium homeostasis

Inhalt der Mindmap

Calcium homeostasis

  1. Hypocalcemia

    • in low Ca, NS becomes progressively more excitable
      • due to increased permeability of neuronal membranes to Na ions
    • hyperactivity causes tetanic muscle contractions and cramps
    • causes pore mineralisation of bones
      • osteoporosis- weak bones
    • impaired growth and rickets in children
    • Moans, Stones, Groans and Bones
      • Moans - gastrointestinal problems
      • stones- kidney conditions
      • groans- physiological conditions
      • Bones- pain and related conditions
  2. Roles of Calcium

    • bone and teeth rigidity
    • muscle contraction
    • membrane stability
    • neurotransmitter release
    • secretory processes
    • DNA/RNA synthesis
    • blood clotting
      • if calcium is to low you would bleed to death
    • calmodulin - enzyme regulation
  3. Regulation of calcium balance

    • parathyroid hormone (PTH)
      • increases fractional reabsorption into the kidney
    • 1,25-dihydroxy vitamin D
      • calcitrol stimulates reabsorption to the plasma
    • Calcitonin
      • inhibits reuptake from he bone
    • regulation of Ca absorption, reabsorption, and excretion
      • from bone, kidney and intestine
  4. Parathyroid hormone

    • synthesised in chief cells of parathyroid gland
    • stored as pre-pro or pro-hormone
      • biological active 84AA peptide
    • targets bone and kidney
    • hypercalcemic action on the body
      • elevates blood calcium
    • thyroidectomy - removal of parathyroid gland
      • fatal if not for small clusters of PTH secreting cells outside PT gland
    • secretion is controlled via CaSR
      • Ca sensing receptor - on surface of PTH cells
        • High [Ca]ecf- inhibition of PTH release
        • Low [Ca]ecf - no inhibition of PH release
      • CaSR activates PLC
        • inhibits Adenylate Cyclase
          • increase intracellulae Ca via generation of IP3
            • decrease in cAMP
            • prevents exocytosis of PTH - INHIBITION
    • HYPERPARATHYROIDISM
      • loss of Ca homeostasis due to excessive PTH secretion
      • combined effects of PTH-induced bone reabsorption, intestinal Ca absorption and renal tublule absorption
    • HYPOTHYROIDISM
      • inadequate Vit D response to hypocalcemia
      • often multifactoral
      • associated with hypoparathyroidism
      • bihormonal - decrease in Vit D
  5. Calcitonin (CT)

    • 32 AA polypeptide
    • released from parafollicular cells of parathyroid gland
    • hypocalcaemic in action
      • reduces blood calcium levels
    • ANTAGONISES PTH
      • released in response to circulating Ca
    • the bone - decreased activity of osteoclasts and osteoblasts
      • crucial in controlling amount of bone tissue
        • osteoblasts- form bone tissue
        • oseteoclasts - reabsorb bone tissue
    • increases production of inactive Vit D
    • has little function in adults - deficiencies has little effect
    • simple feedback mechanism
      • If Ca increases so does CT
      • as Ca falls the thyroid produces less CT
    • target cell = Osteoclasts
    • CT acts on GPCR to increase cAMP
      • inhibits osteoclast motility - alters shape and inactivates
    • administration causes rapid fall in Ca caused by inhibition of bone reabsorption
      • more depositation of Ca into bone - less circulating
  6. balancing act between PTH and CT

    • Calcitonin
      • if Ca too high
      • increases Ca deposition in bones
      • decreases Ca uptake by the intestines
      • decreases Ca uptake from the urine
      • DECREASES BLOOD Ca
    • Parathyroid hormone
      • if Ca is too low
      • increases Ca release from the bone (reabsorption)
      • increases Ca uptake from the urine
      • creases Ca uptake by the intestines
      • INCREASES BLOOD Ca
  7. Vitamin D / calcitrol

    • aquired from 2 sources
      • skin - via UV radiation
      • ingested in the diet
    • vitamin D itself is inactive
      • requires modification to active metabolite - Vit D 3
      • not classic hormone
    • active Vit D is considered a hormone as it acts upon distant target cells to evoke responses
    • active Vitamin D3 is produced via removal of methylated residue. Calcitrol is then produced by two further hydroxylations in the liver and kidney.
    • increases GI calcium and phosphate absorption and renal calcium absorption
    • calcitrol
      • increases the activity of both osteoclasts and osteoblasts to increase the rate of bone remodelling
    • active Vit D is a major regulator of Ca
    • increases Ca absorption from the intestine and reabsorption from bone
      • increases blood calcium
    • active Vit D is lipid soluble
    • binds to typical nuclear receptor(VDR) - analogus to steroid hormones
    • travels in the blood bound to hydroxylated a- globulin
    • action on bones
      • promotes resorption
      • osteoblasts (not osteoclasts) have Vit D receptors
      • Vit D3 acts on osteoblasts
        • paracrine signalling
          • activates osteoclasts
            • Ca resorption from bone matrix
      • inadequate supply of Vit D= rickets
  8. intracellular Ca homeostasis

    • precisely regulated
    • calcium can be stored in mitochondria, ER and be free/ bound in the cytoplasm
    • influx mechanisms
      • entry via ligand gated ion channels
      • Ca leak via passive bilayer diffusion
      • entry via gap junctions
    • patch clamp analysis - aids understanding of Ca channels
    • Calcium channels
      • L-type - strong depol, current activates ca currents of long duration
        • inhibited by Nifedipine
      • T-type - Weak depol, current activates rapidly. Inactivated voltage dependent manner
        • insensitive to l-type inhibitors
      • N-type - Require strong Depol, current for activation, Inactivation moderately rapid.
        • Insensitive to DHP inhibitors but not conotoxin
      • P-type- Medium depol, current activates
        • sensitive to funnel web spider toxin
      • ORAI- STIM channels
        • calcium release-activated calcium channel
        • activated upon the depletion of internal calcium stores
        • upon activation by PLC they form IP3 to activate channels releasing calcium from internal ER stores
        • depletion of internal Ca stores is detected by STIM proteins - STIM translocates to nearer the PM and interacts with ORAI proteins - to open Ca channels = influx into the cell - more Ca uptake by the ER to replenish stores
    • receptor activated Ca-influx
      • not voltage dependent (on membrane)
      • activated in response to intracellular messengers
      • activated in response to interaction with GPCR
      • binding of an agonist conducts Ca like the Ach R - Ach binding = Na flow
    • Ca efflux
      • ATP driven Ca-ATPase
        • ~140 kDa PM bound protein
        • 2H for 2Ca
        • extrudes Ca against a gradient - requires energy input
        • calmodulin enhances affinity and rate of Ca efflux
        • maintains basal intracellular Ca
      • Na/Ca exchange
        • facilitates rapid efflux of Ca
        • charge imbalance - electrogenic
        • can be influenced by MP
        • energy provided by Na gradient
  9. Ca binding and modulated proteins

    • Ca Binding proteins
      • Ca buffering
      • calmodulin
      • Calretinin
      • Paralbumin
      • calmodulin has 4 HLH regions - can bind 4 Ca
    • Ca Modulated proteins
      • directly effected by changes in cytosolic Ca
    • HLH and non HLH structures
      • HLH = Calmodulin / troponin C / Calpain
      • non-HLH = PKC/ annexins /Ca actiavted ion channels
      • HLH structure - 12 AA residues (pocket) flanked by helical arrangement
      • HLH site allows high affinity binding of Ca
    • affected biological processes
      • Ca activation of AC
      • calmodulin activated phosphodiesterase
      • Troponin C and skeletal muscle contraction
      • PK is a Ca dependent kinase
  10. phospholipase C (PLC)

    • initiates PI hydrolysis
    • 6 isoforms
    • classified according to structure and regulatory domains
    • large amounts of phosphatidylcholine inhibits PLC
    • phosphatidylserine and DAG oppose this effect
    • Gi coupled GPCR inhibit PLC activity
    • Ga GPCR stimulate activity of PLC
  11. IP3 stores of Ca

    • in non contracting cells mitochondria is a major store of Ca
    • ER is a low capacity but high affinity store of Ca
      • vesicular compartment that takes up Ca in an ATP dependent manner
    • IP3 R is a ligand gated ion channel
    • requires that binding of 4 IP3 to activate the channel opening
    • 260kDa protein
    • similar topology to that of SR- RyR R
    • IP3 can be broken down to yeild inositol or phosphorylated to IP4
    • IP4 - can be degraded to inositol or have 2nd messenger functions
  12. DAG - Diacylglycerol

    • activates PKC in presence of Ca
  13. effector regulation

    • CALCIUM
      • Calpain
      • PKC
      • PLC
      • PLA-2
      • ion channels
      • Adenylate cyclase
        • cAMP pathway
      • CALMODULIN
        • calcineurin
        • CAM Kinase II
        • cyclic nucleotide PDE
        • NO synthase
        • Adenylate Cyclase

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Mindmap am Calcium homeostasis, erstellt von Bramblehill am 14/04/2015.
Erstellt von
Bramblehill
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