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2018 ; 6
(1
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Population correlations do not support the existence of set points for blood
levels of calcium or glucose - a new model for homeostasis
#MMPMID29333728
Fitzgerald SP
; Bean NG
Physiol Rep
2018[Jan]; 6
(1
): ä PMID29333728
show ga
The prevailing teaching regarding homeostasis, and in particular endocrine
homeostasis, includes the fundamental concept of a "set point," which represents
a target or optimum level defended by physiological control mechanisms. Analogies
for the description and teaching of this concept have included thermostats and
cruise controls. We previously demonstrated that such a set-point model of
regulation implies that in population data of parameter set point/controlling
hormone levels, correlations between the parameter and its controlling hormone
must be in the direction of the response of the parameter to its controlling
hormone, and that in thyroid homeostasis this relationship is not observed. In
this work we similarly examined population correlations, extracted from the
literature, for the parameters glucose and calcium, and their controlling
hormones. We found 10 correlations. Most were highly significant (P < 0.01). All
were in the direction of the response of the controlling hormone to the
parameter. Therefore, none were consistent with the pattern implied by a
set-point model of regulation. Instead all were consistent with an "equilibrium
point" model of regulation, whereby ambient levels have no particular connotation
to the individual, and result passively from the interplay of physiological
processes. We conclude that glucose and calcium regulation, like thyroid
regulation, are not centered on set points. This may reflect a general property
of homeostasis. We provide an alternative mechanistic analogy, without a set
point, for the heuristic description and teaching, of homeostasis.