Phosphorus is the second most abundant mineral in the body, with 1kg total. 80% is found in bones and teeth, forming calcium phosphate. It plays important roles in producing ATP and other high-energy compounds, synthesizing DNA, RNA, proteins, and phospholipids, and regulating pH balance. Dietary sources include milk, cereals, vegetables, meat, and eggs. Phosphate is absorbed with help from vitamin D and acidic conditions, and excreted through reciprocal regulation with calcium levels by parathyroid hormone.
Phosphorus is a crucial mineral with 1kg in body; 80% in bones. Functions include ATP production, DNA synthesis, and phosphate regulation. Dietary sources include dairy, meat, and vegetables.
Chloride regulates acid-base balance and osmotic pressure. Requirements are 5-10g/day from table salt and vegetables. Hypochloremia and hyperchloremia are clinical conditions linked to body imbalances.
Phosphorus Total bodycontent of phosphorus is 1kg. second most abundant mineral in the body. It is an intracellular ion.
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80% of itoccurs in combination with Ca in the bones and teeth. 10% is found in muscles and blood in association with proteins,carbohydrates and lipids. Remaining 10% is widely distributed in various chemical compounds.
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BIOCHEMICAL FUNCTIONS :Formation of bone & teeth. Production of high energy phosphate compounds e.g ATP,GTP,Creatine phosphate. Synthesis of coenzymes NAD+, NADP+,pyridoxal phosphate. DNA & RNA Synthesis,phospholipids and phosphoprotein synthesis.
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Involved in Phosphorylationreactions for activation of proteins and enzymes. Regulates Acid Base balance(Phosphate buffer). Involved in the metabolism of carbohydrates,Glucose-6- phosphate, Fructose-6-phosphate.
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DIETARY REQUIREMENT ANDSOURCES. RDA of phosphate is based on the calcium intake. Ca:P in 1:1 is recommended.This is found in milk.Other sources include,cereals,green leafy vegetables,meat and eggs.
PLASMA PHOSPHATE. 40mg/dlof whole blood. Serum contains 3-4mg/dl. Phosphate may exist as free ions (inorganic) or in complex form, with cations such as Ca,Mg,Na,K ,OR bound to proteins ( organic phosphate). Inorganic phosphate is present in two forms, HPO ₄⁻⁻ ,H ₂ PO ₄⁻
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RBC’s contain morephosphate chiefly organic phosphate. Plasma inorganic levels are higher in children. Fasting serum phosphate levels are higher than post-prandial levels.
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EXCRETION. A reciprocalrelation with Phosphorus and Calcium The reabsorption of phosphate by renal tubules is inhibited by PTH .
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Level decreases inHyperparathyroidism and increases in Hypoparathyroidism. In Renal failure – Phosphorus excretion diminished - Ca excretion Increase leading to low Ca levels and high phosphorus level causing acidosis. Vitamin D deficient rickets is characterized by decreased serum phosphate(1-2mg/dl)
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BIOCHEMICAL FUNCTIONS: Regulationof acid base balance,fluid balance and osmotic pressure. Formation of HCl in gastric juice. The enzyme salivary amylase is activated by chloride. Chloride shift involves the active participation of Cl⁻.
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DIETARY REQUIREMENT ANDSOURCES 5-10g per day.Adequate intake of sodium satisfy the chloride requirement of the body. Common salt,leafy vegetables,whole grains,eggs and milk are good sources.
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PLASMA CHLORIDE. 95-105meq/lCerebrospinal fluid contains higher level of Chloride(125meq/l),due to low protein in CSF.So chloride is higher in order to maintain donnan membrane equilibrium . EXCRETION. Exists parallel relationship between excretion of chloride and sodium.
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HYPOCHLOREMIA: Reduction inserum chloride due to vomiting diarrhea,respiratory alkalosis,addison’s disease and excessive sweating. HYPERCHLOREMIA: Increase in serum chloride due to dehydration,respiratory acidosis and cushing’s syndrome.