Calcium ions blood

Blaustein, M.P. (1977). Sodium ions, calcium ions, blood pressure regulation, and hypertension a reassessment and a hypothesis. Am. ]. Physiol, 232, C165-C173... 

The calcium ion, necessary for blood-clot formation, stimulates release of bloodclotting factors from platelets (see Blood, coagulants and anticoagulants) (25). Neuromuscular excitabihty also depends on the relative concentrations of Na", Ca ", Mg ", and (26). Upon a decrease in... 

Blood Calcium Ion Level. In normal adults, the blood Ca " level is estabhshed by an equiUbrium between blood Ca " and the more soluble intercrystalline calcium salts of the bone. Additionally, a subtle and intricate feedback mechanism responsive to the Ca " concentration of the blood that involves the less soluble crystalline hydroxyapatite comes into play. The thyroid and parathyroid glands, the fiver, kidney, and intestine also participate in Ca " control. The salient features of this mechanism are summarized in Figure 2 (29—31). 

The Ca(Il) coaceatratioa ia blood is closely coatroUed aormal values He betweea 2.1 and 2.6 mmol/L (8.5—10.4 mg/dL) of semm (21). The free calcium ion concentration is near 1.2 mmol/L the rest is chelated with blood proteias or, to a lesser extent, with citrate. It is the free Ca(Il) ia the semm that determines the calcium balance with the tissues. The mineral phase of bone is essentially ia chemical equiUbrium with calcium and phosphate ions present ia blood semm, and bone cells can easily promote either the deposition or dissolution of the mineral phase by localized changes ia pH or chelating... 

Verapamil (Table 1), the first slow channel calcium blocker synthesized to selectively inhibit the transmembrane influx of calcium ions into cells, lowers blood pressure in hypertensive patients having good organ perfusion particularly with increased renal blood flow. Sustained-release verapamil for once a day dosing is available for the treatment of hypertension. Constipation is a prominent side effect. Headache, dizziness, and edema are frequent and verapamil can sometimes cause AV conduction disturbances and AV block. Verapamil should not be used in combination with -adrenoceptor blockers because of the synergistic negative effects on heart rate and contractile force. 

CP has been used as an ion-exchange material to remove radioisotopes, such as Sr, Cs (43) and U (VI) (44) from solution. CP ion-exchange resins have been used to remove calcium ions from blood (45) and calcium, magnesium, and potassium ions from wine (46). A commercial product made using CP, Calci-Bind, has been used for the treatment of kidney stones (47). 

Calcium ions in blood trigger clotting. To prevent that in donated blood, sodium oxalate, Na2C204, is added to remove calcium ions according to the following equation. 

Four of the main-group cations are essential in human nutrition (Table A). Of these, the most important is Ca2+. About 90% of the calcium in the body is found in bones and teeth, largely in the form of hydroxyapatite, CatOH)2 - SCa PO. Calcium ions in bones and teeth exchange readily with those in the blood about 0.6 g of Ca2+ enters and leaves your bones every day. In a normal adult this exchange is in balance, but in elderly people, particularly women, there is sometimes a net loss of bone calcium, leading to the disease known as osteoporosis. 

Gla proteins Proteins containing residues of gamma carboxy glutamate, including clotting proteins of the blood. They are able to bind calcium ions. 

Prothrombin and several other proteins of the blood clotting system (Factors VII, IX and X, and proteins C and S) each contain between four and six y-carboxygluta-mate residues which chelate calcium ions and so permit the binding of the blood clotting proteins to membranes. In vitamin K deficiency or in the presence of warfarin, an abnormal precursor of prothrombin (preprothrombin) containing little or no y-carboxyglutamate, and incapable of chelating calcium, is released into the circulation. 

P. Anker, E. Wieland, D. Ammann, R.E. Dohner, R. Asper, and W. Simon, Neutral carrier based ion-selective electrode for the determination of total calcium in blood-serum. Anal. Chem. 53, 1970-1974... 

Egg shells are made of calcium carbonate, CaCCE. The chicken ingeniously makes shells for its eggs by a process involving carbon dioxide dissolved in its blood, yielding carbonate ions which combine chemically with calcium ions. An equilibrium is soon established between these ions and solid chalk, according to... 

Until recently, it was accepted that the fundamental limit of detection of these sensors was at micromolar levels of the target ion in an aqueous sample, and the main application has been the determination of ions like sodium, potassium and calcium in blood samples, where the... 

Blood samples were centrifuged at 1000 x g for 20 min at 0-4°. Ionized calcium levels were immediately determined in serum and urine samples using a calcium ion-selective electrode (Ionetics, Inc., Costa Mesa, CA) urine volumes were recorded. The remaining serum and urine were aliquoted for various analyses and stored at -40°. Serum insulin was analysed by radioimmunoassay (Amersham Corp., Arlington Heights, IL). Serum levels of total calcium, phosphorus and creatinine as well as urine creatinine were determined by colorimetric procedures using an automated analyzer (Centrifichem, Baker Instruments Corp., Pleasantville, NY). Glomerular filtration rates (GFR) were calculated from serum and urine creatinine data GFR = urine creatinine/serum creatinine. 

P cells of the pancreatic islets in combination with atoms of zinc, but when required to regulate blood glucose concentration, the prohormone is cleaved and functional insulin is released into the circulation along with the C-peptide. This example of post-translational processing is mediated by peptidases which are contained in the vesicles along with the proinsulin. The fusion of the secretory vesicles with the cell membrane and activation of the peptidase prior to exocytosis of the insulin are prompted by an influx of calcium ions into the P-cell in response to the appropriate stimulus. Similarly, catecholamines are synthesized and held within the cell by attachment to proteins called chromogranins. 

In biomedical applications, the ranges of ion concentration are higher by several orders of magnitude. For instance, the abovementioned calcium probes for living cells cannot be used because the dissociation constant is so low that they would be saturated. Special attention is thus to be paid to the ionophore moiety to achieve proper selectivity and efficiency of binding. For instance, at present there is a need for a selective fluorescent probe for the determination of calcium in blood which could work in the millimolar range in aqueous solutions so that optodes with immobilized probes on the tip could be made for continuous monitoring calcium in blood vessels. 

I he kidneys are sometimes called the master chemists of the body. They work to maintain the constant composition of the hlood hy helping to balance water and the various ions that are present in the blood. A very important equilibrium in the blood, which the kidneys help to control, involves calcium ions and phosphate ions. 

If the kidneys remove too many calcium ions from the blood, the equilibrium position in the kidneys shifts to the right. Solid calcium phosphate can form in the kidneys, producing kidney stones. Kidney stones, which are painful, can also form as the result of calcium oxalate precipitating in the kidneys. Precipitates of other compounds can affect different areas of the body gallstones in the gall bladder and gout in the joints are two examples. 

From this series, compound MCI-154 (CAS 98326-33-1) (30) has been investigated in detail [95,96]. In vivo studies (anaesthetized dogs) revealed that doses of 0.3-100 tg/kg (i.v. administration) of MCI-154 produce dose-dependent increases in dF/dtmax and cardiac output, and decreases in arterial blood pressure and total peripheral resistance. The positive inotropic effect of (30) has been found to be superior to that exhibited by amrinone and milrinone [97,98]. It has been stated that MCI-154 exerts its activity probably by increasing the calcium-ion sensitivity of the contractile protein system of the cardiac skinned fibres [99,100]. A recent investigation suggests that inhibition of phosphodiesterase III is an important component of its cardiotonic activity [101]. 

Calcium ions Movement of Ca ions from the extracellular environment into the cytosol is achieved via calcium ion channels. An increase in the number of Ca " ion channels that are open in cells of smooth or cardiac muscles stimulates contraction. Excessive rates of entry can, however, cause problems. For example, increased entry of Ca ions into vascular smooth muscle increases contraction which rednces the diameter of blood vessels which can lead to hypertension (Chapter 22). 

These effects explain how blockers of the p-adrenergic receptors, or blockers of the calcium ion channels in the heart, decrease the force of contraction of the heart and therefore lower blood pressure. 

In addition to being used as antianginal and antiarrhythmic agents, calcium channel blockers are used to treat weak and moderate hypertension. These drugs prevent calcium ions from entering into the smooth muscle cells of peripheral vessels, and they cause relaxation of peripheral vessels, which leads to lowering of arterial blood pressure. In clinically used doses, calcium channel blockers relax smooth musculature of arteries and have little effect on veins. In doses that relax smooth musculature, calcium channel blockers have relatively little effect on cardiac contractility. 

Diltiazem reduces transmembrane influx of calcium ions into cardiac muscle cells and vascular smooth musculature. It causes widening of coronary and peripheral vessels. It increases coronary blood flow, thus, preventing the development of coronary artery spasms. It lowers elevated blood pressure and reduces tachycardia. 

Rodriguez et al. [52] determined the association free energy of DPPS in a DPPC bilayer, both in the presence and in the absence of calcium ions. They used a dual topology technique with a PC-PS hybrid, and used both thermodynamic integration and free energy perturbation to determine the free energy of DPPS association in a DPPC bilayer. They found that PS-PS association is only favorable in the presence of calcium, which has direct implications for blood coagulation. 

Mechanism of Action An antihypertensive that inhibits calcium ion movement across cell membrane, depressing contraction of cardiac and vascular smooth muscle. Therapeutic Effect Increases heart rate and cardiac output. Decreases systemic vascular resistance and blood pressure (BP),... 

The cytosolic concentration of free Ca2+ is generally at or below 100 mi, far lower than that in the surrounding medium, whether pond water or blood plasma. The ubiquitous occurrence of inorganic phosphates (Pj and I l ,) at millimolar concentrations in the cytosol necessitates a low cytosolic Ca2+ concentration, because inorganic phosphate combines with calcium to form relatively insoluble calcium phosphates. Calcium ions are pumped out of the cytosol by a P-type ATPase, the plasma membrane Ca2+ pump. Another P-type Ca2+ pump in the endoplasmic reticulum moves Ca2+ into the ER lumen, a compartment separate from the cytosol. In myocytes, Ca2+ is normally sequestered in a specialized form of endoplasmic reticulum called the sarcoplasmic reticulum. The sarcoplasmic and endoplasmic reticulum calcium (SERCA) pumps are closely related in structure and mechanism, and both are inhibited by the tumor-promoting agent thapsigargin, which does not affect the plasma membrane Ca2+ pump. 

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