The importance of kidney calcium handling in the homeostasis of extracellular fluid calcium

Extracellular fluid calcium concentration must be maintained within a narrow range in order to sustain many biological functions, encompassing muscle contraction, blood coagulation, and bone and tooth mineralization. Blood calcium value is critically dependent on the ability of the renal tubule to r...

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Bibliographic Details
Published in:Pflügers Archiv 2022-08, Vol.474 (8), p.885-900
Main Authors: Prot-Bertoye, Caroline, Lievre, Loïc, Houillier, Pascal
Format: Article
Language:English
Subjects:
Autocrine signalling
Biomedical and Life Sciences
Biomedicine
Blood coagulation
Calcium (blood)
Calcium (extracellular)
Calcium homeostasis
Cell Biology
Homeostasis
Human Physiology
Invited Review
Kidneys
Life Sciences
Loop of Henle
Mineralization
Molecular Medicine
Muscle contraction
Neurosciences
Paracrine signalling
Reabsorption
Receptors
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Summary:Extracellular fluid calcium concentration must be maintained within a narrow range in order to sustain many biological functions, encompassing muscle contraction, blood coagulation, and bone and tooth mineralization. Blood calcium value is critically dependent on the ability of the renal tubule to reabsorb the adequate amount of filtered calcium. Tubular calcium reabsorption is carried out by various and complex mechanisms in 3 distinct segments: the proximal tubule, the cortical thick ascending limb of the loop of Henle, and the late distal convoluted/connecting tubule. In addition, calcium reabsorption is tightly controlled by many endocrine, paracrine, and autocrine factors, as well as by non-hormonal factors, in order to adapt the tubular handling of calcium to the metabolic requirements. The present review summarizes the current knowledge of the mechanisms and factors involved in calcium handling by the kidney and, ultimately, in extracellular calcium homeostasis. The review also highlights some of our gaps in understanding that need to be addressed in the future.
ISSN:0031-6768
1432-2013
DOI:10.1007/s00424-022-02725-4