Graphical Abstract
Summary:
Proposed mechanisms linking (1) systemic inflammation during endotoxemia (i.e., presence of lipopolysaccharide in the bloodstream) to hypocalcemia, and (2) systemic inflammation during a sterile inflammatory response to hypocalcemia. Of note, hypocalcemia in the context of this review is defined as a state of significantly reduced blood Ca concentration when Ca concentrations are compared with healthy cows within the same age and stage of lactation (i.e., subclinical hypocalcemia). The reduction of the Ca set-point is defined as the extracellular Ca concentration at which secretion of parathyroid hormone is half-maximal. CaSR = Ca sensing receptor; 25(OH)D3 = 25-hydroxyvitamin D
3
; 1,25(OH)2D = 1,25-dihydroxyvitamin D
3
; ROS = reactive oxygen species. Figure created with BioRender.com.