Phosphorus
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Overview
Phosphorus is the third most abundent intracellular ion:
1. Potassium 2. Magnesium 3. Phosphorus (as Phosphate)
Within the body it is found as Phosphate ions, or Phosphate within bone. The majority (~95%) is combined with Calcium in bone, forming Hydroxyapatite. Less than 1% is found in the extracelullar fluid.
Homeostasis
Serum concentrations of phosphorus are maintained by dietary sources. It is absorbed across the intestine via Passive diffusion and Vitamin D mediated active transport.
Phosphorus is excreted in the urine or saliva (particularly in ruminants).
Hormonal Regulation
- Mobilises phosphorus from bone, acting to increase plasma concentration of P
- Increases phosphorus loss in the urine and saliva, acting to decrease plasma concentration
So ultimately, PTH acts to remove phosphorus from the body entirely.
- Increases phosphorus absorbtion from the intestines
Pathology
Diseases relating to phosphorus homeostasis include:
- Primary and Secondary Hyperparathyroidism
- Hyperphosphataemia
- Hypophosphatemia