This chapter discusses calcitonin in metabolic disorders. The balance between mineral deposition and mineral solubilization at the vast interphase between bone and extracellular fluid is quantitatively the predominant factor in the regulation of calcium levels in extracellular fluid and blood. The first submammalian species of calcitonin to be isolated and structurally defined was salmon calcitonin, which was extracted from ultimobranchial tissues and was resolved into three different hormones after purification. The pure human and the porcine hormones are adequate antigens and induce high titers of neutralizing antibodies, especially when given with impurities or conjugated to other proteins. Chemical modification of porcine calcitonin does not impair its immunogenicity despite total or nearly total loss of biological activity. Immunological evaluation of fragments of porcine and human calcitonin molecules suggests that major antigenic determinants are associated with the portion of the peptide extending from residues. The C-terminal amide group, although not essential for full biological activity, is important in immunogenicity.
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