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Bone and plasma calcium homeostasis.

Authors: A M, Parfitt;

Bone and plasma calcium homeostasis.

Abstract

Regulation of plasma free calcium concentration displays the following features: (1) The level in an individual varies within fairly narrow limits and is characterized by a mean (an estimate of the individual set point) and a standard deviation (an estimate of oscillation about the set point). (2) There is an intrinsic circadian oscillation that is independent of external disturbing signals. (3) Individual values (set points) are partly under genetic control with significant between-family differences. (4) Correction of errors is rather slow-it usually takes at least 12 hours to restore the basal level after experimental induction of hyper- or hypocalcemia. (5) Correction of errors can occur with normal efficiency in the absence of parathyroid hormone or calcitonin, provided the system is adequately primed with some form of vitamin D. These and other facts are best explained by a concept that locates the calcium homeostatic system at the quiescent bone surface. Across this cellular and tissue barrier exchange of calcium between blood and bone in the absence of net flux can be demonstrated by autoradiography. The distinction between the homeostatic system and the remodeling system that regulates bone mass is not absolute, since the latter can participate in short term correction of errors, and if the obligatory calcium loss (determined by the difference between the plasma calcium set point and the threshold for renal tubular reabsorption of calcium) is too high to be satisfied by net intestinal absorption, the remodeling system must make up the difference by sacrificing bone.(ABSTRACT TRUNCATED AT 250 WORDS)

Related Organizations
Keywords

Bone Regeneration, Diphosphonates, Parathyroid Hormone, Homeostasis, Humans, Calcium, Clodronic Acid, Models, Biological, Bone and Bones

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
101
Top 10%
Top 10%
Top 10%
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