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CALCIUM ABSORPTION IN MAN: BASED ON LARGE VOLUME LIQUID SCINTILLATION COUNTER STUDIES.

A technique has been developed for the in vivo measurement of absorption of calcium in man after oral administration of 1 to 5 microcuries of calcium-47 and continuous counting of the radiation in the subject's arm with a large volume liquid scintillation counter. The maximum value for the arm counting technique is proportional to the absorption of tracer as measured by direct stool analysis. The rate of uptake by the arm is lower in subjects with either the malabsorption syndrome or hypoparathyroidism. The administration of vitamin D increases both the absorption rate and the maximum amount of calcium absorbed.

Absorption↗

Demonstration of a difference in urinary calcium, not calcium absorption, in black and white adolescents.

Bone mineral density (BMD) of the forearm, lumbar spine, and femoral neck is greater in black than in white children. Studies were performed to determine whether differences in intestinal absorption of calcium or urinary calcium or both account for an assumed more positive calcium balance and greater bone mass in black children. Normal black and white boys and girls were admitted to a metabolic ward and given a constant daily diet containing 1000 mg calcium, 60% as calcium carbonate, for 2 1/2 days (study I) or 3 1/2 days (study II). Fasting blood and 24 h urine collections were obtained, and in study II, unidirectional fractional absorption of calcium (alpha) was determined with stable isotopes of calcium. It was found that (1) serum 25-hydroxyvitamin D (25-OHD) and urinary calcium were lower and serum 1,25-dihydroxyvitamin D [1,25-(OH)2D] was higher in black than in white children, and (2) alpha was higher in boys than in girls with no racial difference, and (3) there were significant positive correlations between alpha and urinary calcium in the blacks and in the black and white children together. It is concluded that (1) alpha is higher in boys than in girls and (2) a lower urinary calcium, not increased intestinal absorption of calcium, is the means for a more positive calcium balance in blacks that accounts for the racial difference in BMD.

Absorption↗

Calcium flux in the mammalian ventricular myocardium.

The exchange of Ca(45) was studied in dog myocardium by means of a newly developed perfusion technique whereby an excised papillary muscle was perfused through its own artery. This makes possible the sequential and simultaneous correlation of ionic flux with ventricular myocardial function with each muscle serving as its own control. Calcium exchange has the following characteristics: (a) The major component of calcium flux is independent of the frequency of contraction. It demonstrates a rapidly equilibrating phase (half-time, 4 to 6 minutes) and a more slowly equilibrating phase with a progressively decreasing rate constant. The flux characteristics of the more rapidly equilibrating compartment are determined by a factor or factors, in addition to simple diffusion, which increase the time required for this compartment to achieve a steady-state with respect to the vascular compartment. (b) A lesser component of exchange is stimulus-rate dependent and is characterized by an alteration in the rate of calcium turnover such that the altered influx: efflux ratio requires 20 to 25 minutes to achieve equilibrium. After this time, despite the higher stimulus rate, there is no evidence of change in total tissue calcium. (c) The initial rate of the transient response is approximately proportional to the change in stimulus rate.

Animals↗