Target intelligence / Profile preview

Plasma calcium level

Molecular classification
Other
01

Overview

Plasma calcium level measures the concentration of calcium ions in the blood plasma. Calcium in blood is present in three major forms: ionized (free) calcium, protein-bound (mainly to albumin), and complexed with anions. The body tightly regulates plasma ionized calcium via hormones such as parathyroid hormone, vitamin D (as calcitriol), and calcitonin, with the skeleton, kidneys, and intestines serving as key organs for calcium exchange, absorption, and reabsorption. Abnormal plasma calcium levels—either too high (hypercalcemia) or too low (hypocalcemia)—can result in serious medical issues, often reflecting underlying endocrine, renal, or metabolic pathologies. Although plasma calcium level is a critical physiological parameter and biomarker, it is not a molecular entity or direct pharmacological target[1][2][3][4][5][8].

Other names
Blood calciumserum calciumcirculating calciumtotal calciumionized calcium
02

Mechanism of action

(Indirect, by modulating regulatory pathways)\n- Stimulating or inhibiting bone resorption (osteoclasts)\n- Modulating intestinal absorption of calcium\n- Modifying renal calcium reabsorption or excretion\n- Regulating parathyroid hormone secretion or action

03

Biological functions

Skeletal mineralizationMuscle contractionNerve conductionBlood coagulationEnzymatic activity
04

Disease associations

Hypocalcemia (abnormally low plasma calcium): can cause neuromuscular irritability, tetany, seizuresHypercalcemia (abnormally high plasma calcium): can cause lethargy, cardiac arrhythmias, neuropsychiatric symptomsDisturbances are seen in parathyroid disorders, chronic kidney disease, vitamin D imbalances, malignancies, and other metabolic conditions
05

Safety considerations

Risks of hypo- or hypercalcemia, with associated arrhythmias, neuromuscular symptoms, bone loss, kidney stonesMonitoring required when using drugs that alter calcium homeostasis.
06

Interacting drugs

Parathyroid hormone analogs (e.g., teriparatide)

7 more in the full profile.

07

Biomarkers

Plasma/serum total calciumplasma ionized calciumparathyroid hormonevitamin Dphosphate

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