Podcast
Questions and Answers
What is the approximate amount of calcium stored in bone?
What is the approximate amount of calcium stored in bone?
What is the approximate concentration of calcium in plasma?
What is the approximate concentration of calcium in plasma?
What is the typical dietary intake of calcium?
What is the typical dietary intake of calcium?
Which cells produce parathyroid hormone?
Which cells produce parathyroid hormone?
Signup and view all the answers
What effect does parathyroid hormone have on vitamin D?
What effect does parathyroid hormone have on vitamin D?
Signup and view all the answers
What is the effect of persistent high levels of parathyroid hormone on bone?
What is the effect of persistent high levels of parathyroid hormone on bone?
Signup and view all the answers
Where does parathyroid hormone stimulate calcium reabsorption?
Where does parathyroid hormone stimulate calcium reabsorption?
Signup and view all the answers
How does vitamin D help regulate calcium levels?
How does vitamin D help regulate calcium levels?
Signup and view all the answers
Which hormone works synergistically with vitamin D to enhance calcium reabsorption in the kidneys?
Which hormone works synergistically with vitamin D to enhance calcium reabsorption in the kidneys?
Signup and view all the answers
What physiological mechanism is activated to counter low extracellular calcium levels, ultimately resulting in the release of PTH?
What physiological mechanism is activated to counter low extracellular calcium levels, ultimately resulting in the release of PTH?
Signup and view all the answers
How does PTH exert its action on the kidneys to regulate calcium levels?
How does PTH exert its action on the kidneys to regulate calcium levels?
Signup and view all the answers
Which of the following statements accurately reflects the role of PTH in bone remodeling?
Which of the following statements accurately reflects the role of PTH in bone remodeling?
Signup and view all the answers
Which of the following correctly describes the pathway by which PTH exerts its action?
Which of the following correctly describes the pathway by which PTH exerts its action?
Signup and view all the answers
What is the primary function of PTH in regulating blood calcium levels?
What is the primary function of PTH in regulating blood calcium levels?
Signup and view all the answers
What is the primary mechanism by which PTH indirectly affects calcium levels?
What is the primary mechanism by which PTH indirectly affects calcium levels?
Signup and view all the answers
How does the body respond to elevated extracellular calcium levels?
How does the body respond to elevated extracellular calcium levels?
Signup and view all the answers
Which of the following accurately describes the relationship between PKC and intracellular calcium regarding PTH release?
Which of the following accurately describes the relationship between PKC and intracellular calcium regarding PTH release?
Signup and view all the answers
What is the primary mechanism by which PTH stimulates bone remodeling?
What is the primary mechanism by which PTH stimulates bone remodeling?
Signup and view all the answers
What is the physiological consequence of chronically elevated PTH levels?
What is the physiological consequence of chronically elevated PTH levels?
Signup and view all the answers
What is the primary circulating form of Vitamin D in the blood?
What is the primary circulating form of Vitamin D in the blood?
Signup and view all the answers
Where specifically are hydroxylation reactions involved in the conversion of Vitamin D3 taking place?
Where specifically are hydroxylation reactions involved in the conversion of Vitamin D3 taking place?
Signup and view all the answers
What does the content primarily emphasize about the di-hydroxy form of Vitamin D compared to the mono-hydroxylated form?
What does the content primarily emphasize about the di-hydroxy form of Vitamin D compared to the mono-hydroxylated form?
Signup and view all the answers
What is the primary role of the mono-hydroxylated form of Vitamin D in the body?
What is the primary role of the mono-hydroxylated form of Vitamin D in the body?
Signup and view all the answers
Based on the information provided, what is the main source of Vitamin D3?
Based on the information provided, what is the main source of Vitamin D3?
Signup and view all the answers
What type of molecule is the Vitamin D precursor, 7-dehydrocholesterol, categorized as?
What type of molecule is the Vitamin D precursor, 7-dehydrocholesterol, categorized as?
Signup and view all the answers
Which of these processes is crucial for the synthesis of the active forms of Vitamin D?
Which of these processes is crucial for the synthesis of the active forms of Vitamin D?
Signup and view all the answers
Why is it crucial for the mono-hydroxylated form of Vitamin D to be bound to a globulin carrier protein in the blood?
Why is it crucial for the mono-hydroxylated form of Vitamin D to be bound to a globulin carrier protein in the blood?
Signup and view all the answers
In the context of calcium homeostasis, a decrease in plasma calcium levels directly triggers which of the following responses?
In the context of calcium homeostasis, a decrease in plasma calcium levels directly triggers which of the following responses?
Signup and view all the answers
Which of the following accurately describes the role of parathyroid hormone (PTH) in regulating plasma phosphate levels?
Which of the following accurately describes the role of parathyroid hormone (PTH) in regulating plasma phosphate levels?
Signup and view all the answers
What is the primary mechanism by which active vitamin D, stimulated by parathyroid hormone (PTH), increases plasma calcium levels?
What is the primary mechanism by which active vitamin D, stimulated by parathyroid hormone (PTH), increases plasma calcium levels?
Signup and view all the answers
Elevated plasma phosphate levels directly contribute to which of the following in calcium homeostasis?
Elevated plasma phosphate levels directly contribute to which of the following in calcium homeostasis?
Signup and view all the answers
Which of the following correctly describes the relationship between parathyroid hormone (PTH) and calcium absorption in the gut?
Which of the following correctly describes the relationship between parathyroid hormone (PTH) and calcium absorption in the gut?
Signup and view all the answers
How does parathyroid hormone (PTH) directly contribute to the maintenance of bone mineral density?
How does parathyroid hormone (PTH) directly contribute to the maintenance of bone mineral density?
Signup and view all the answers
Which of the following is a direct effect of parathyroid hormone (PTH) on the kidneys?
Which of the following is a direct effect of parathyroid hormone (PTH) on the kidneys?
Signup and view all the answers
Which of these statements accurately describes the interplay between parathyroid hormone (PTH) and calcium levels in the body?
Which of these statements accurately describes the interplay between parathyroid hormone (PTH) and calcium levels in the body?
Signup and view all the answers
What stimulates the production of the active form of Vitamin D?
What stimulates the production of the active form of Vitamin D?
Signup and view all the answers
Which enzyme is responsible for producing the active di-hydroxy form of Vitamin D?
Which enzyme is responsible for producing the active di-hydroxy form of Vitamin D?
Signup and view all the answers
What is inhibited by high levels of calcium concerning Vitamin D regulation?
What is inhibited by high levels of calcium concerning Vitamin D regulation?
Signup and view all the answers
What does Vitamin D stimulate in the gut to enhance calcium absorption?
What does Vitamin D stimulate in the gut to enhance calcium absorption?
Signup and view all the answers
Which of the following hormones also stimulates the active form of Vitamin D production?
Which of the following hormones also stimulates the active form of Vitamin D production?
Signup and view all the answers
What role does Vitamin D play in bone physiology?
What role does Vitamin D play in bone physiology?
Signup and view all the answers
What effect does Vitamin D binding to its nuclear receptor have?
What effect does Vitamin D binding to its nuclear receptor have?
Signup and view all the answers
What is an example of feedback inhibition concerning Vitamin D?
What is an example of feedback inhibition concerning Vitamin D?
Signup and view all the answers
What is the principal circulating form of Vitamin D in the blood?
What is the principal circulating form of Vitamin D in the blood?
Signup and view all the answers
What stimulates the production of the active di-hydroxy form of Vitamin D?
What stimulates the production of the active di-hydroxy form of Vitamin D?
Signup and view all the answers
Which factor inhibits the production of the active di-hydroxy form of Vitamin D?
Which factor inhibits the production of the active di-hydroxy form of Vitamin D?
Signup and view all the answers
The form of Vitamin D that is about 10 times more active than the monohydroxylated form is known as?
The form of Vitamin D that is about 10 times more active than the monohydroxylated form is known as?
Signup and view all the answers
What process converts provitamin D to vitamin D3?
What process converts provitamin D to vitamin D3?
Signup and view all the answers
What role does feedback inhibition have in Vitamin D production?
What role does feedback inhibition have in Vitamin D production?
Signup and view all the answers
Which of the following best describes the role of the 1α hydroxylase enzyme?
Which of the following best describes the role of the 1α hydroxylase enzyme?
Signup and view all the answers
In which organ does the conversion of Vitamin D3 to its active forms primarily occur?
In which organ does the conversion of Vitamin D3 to its active forms primarily occur?
Signup and view all the answers
Flashcards
PTH
PTH
Parathyroid hormone that regulates calcium levels in the blood.
Calcium Homeostasis
Calcium Homeostasis
The balance of calcium levels in the blood and body.
Phosphaturia
Phosphaturia
The excretion of phosphate in the urine stimulated by PTH.
Calcium Mobilization
Calcium Mobilization
Signup and view all the flashcards
Active Vitamin D
Active Vitamin D
Signup and view all the flashcards
Calcium-Phosphate Deposition
Calcium-Phosphate Deposition
Signup and view all the flashcards
Osteoblasts
Osteoblasts
Signup and view all the flashcards
Stimulus for PTH Secretion
Stimulus for PTH Secretion
Signup and view all the flashcards
Intracellular Calcium Concentration
Intracellular Calcium Concentration
Signup and view all the flashcards
Extracellular Calcium Concentration
Extracellular Calcium Concentration
Signup and view all the flashcards
Major Calcium Storage
Major Calcium Storage
Signup and view all the flashcards
Dietary Calcium Intake
Dietary Calcium Intake
Signup and view all the flashcards
Parathyroid Hormone (PTH)
Parathyroid Hormone (PTH)
Signup and view all the flashcards
Vitamin D and Calcium
Vitamin D and Calcium
Signup and view all the flashcards
Role of Osteoclasts
Role of Osteoclasts
Signup and view all the flashcards
Bone Deposition
Bone Deposition
Signup and view all the flashcards
Calcium Reabsorption in Kidney
Calcium Reabsorption in Kidney
Signup and view all the flashcards
Vitamin D3 Production
Vitamin D3 Production
Signup and view all the flashcards
7-dehydrocholesterol
7-dehydrocholesterol
Signup and view all the flashcards
Mono-hydroxylated form
Mono-hydroxylated form
Signup and view all the flashcards
Di-hydroxy form
Di-hydroxy form
Signup and view all the flashcards
Hydroxylation reactions
Hydroxylation reactions
Signup and view all the flashcards
Globulin carrier protein
Globulin carrier protein
Signup and view all the flashcards
Active hormone forms of vitamin D
Active hormone forms of vitamin D
Signup and view all the flashcards
Exposure to UV rays
Exposure to UV rays
Signup and view all the flashcards
PKC Activation
PKC Activation
Signup and view all the flashcards
Extracellular Calcium
Extracellular Calcium
Signup and view all the flashcards
PTH Release Inhibition
PTH Release Inhibition
Signup and view all the flashcards
PTH and Low Calcium
PTH and Low Calcium
Signup and view all the flashcards
PTH Actions
PTH Actions
Signup and view all the flashcards
PTH and Bone
PTH and Bone
Signup and view all the flashcards
PTH and Kidneys
PTH and Kidneys
Signup and view all the flashcards
Vitamin D Activation
Vitamin D Activation
Signup and view all the flashcards
Osteoclast Activity
Osteoclast Activity
Signup and view all the flashcards
Pulsatile Delivery of PTH
Pulsatile Delivery of PTH
Signup and view all the flashcards
Provitamin D
Provitamin D
Signup and view all the flashcards
Mono-hydroxylated Vitamin D
Mono-hydroxylated Vitamin D
Signup and view all the flashcards
Di-hydroxy Vitamin D
Di-hydroxy Vitamin D
Signup and view all the flashcards
1α Hydroxylase Enzyme
1α Hydroxylase Enzyme
Signup and view all the flashcards
Regulation of Vitamin D
Regulation of Vitamin D
Signup and view all the flashcards
Feedback Inhibition
Feedback Inhibition
Signup and view all the flashcards
Role of Phosphate in Vitamin D Regulation
Role of Phosphate in Vitamin D Regulation
Signup and view all the flashcards
Vitamin D Stimulators
Vitamin D Stimulators
Signup and view all the flashcards
Calcium Transporters
Calcium Transporters
Signup and view all the flashcards
Vitamin D Action in Gut
Vitamin D Action in Gut
Signup and view all the flashcards
Nuclear Receptor (VDR)
Nuclear Receptor (VDR)
Signup and view all the flashcards
Bone Flux of Calcium
Bone Flux of Calcium
Signup and view all the flashcards
Phosphate Absorption
Phosphate Absorption
Signup and view all the flashcards
Study Notes
Calcium Homeostasis
- Calcium concentrations are generally low intracellularly (10 nM) and high extracellularly (1 mM), for example in plasma.
- The majority of calcium in the body is stored in bone (~1000 g).
- Dietary calcium intake is approximately 1 g.
Parathyroid Hormone
- Produced by Chief cells in the parathyroid glands.
- Stimulates calcium reabsorption in the kidneys.
- Converts vitamin D to its active form (1,25 (OH)2 Vit D).
- In bone, persistent high PTH levels activate osteoclasts, promoting bone resorption, whereas intermittent high levels cause bone deposition.
Vitamin D
- Derived from diet or UV exposure.
- Regulates calcium levels.
- Stimulates calcium absorption in the gut.
- Acts synergistically with PTH to enhance calcium reabsorption in the kidneys.
- Direct effects on bone cause calcium release (but indirect effects promote mineralization).
Regulation of Calcium and Phosphate
- Calcium and phosphate levels are linked, maintaining a specific ratio in blood.
- Fluctuations in these levels induce effects in bone, kidneys and gut, mediated by PTH and Vitamin D.
- Elevated plasma phosphate induces calcium-phosphate deposition in bone and other tissues, resulting in decreased plasma calcium.
- Decreased calcium levels stimulate PTH secretion.
Calcitonin
- Primarily produced by the thyroid but also by the thymus, pituitary, adrenal glands, and brain.
- Not involved in minute-to-minute serum calcium regulation.
- Plays a role in maintaining bone density during pregnancy and lactation (and in suckling infants).
- Stimulated by elevated plasma calcium levels.
- Suppressed by hypocalcemia.
- Stimulated by GI hormones (gastrin, cholecystokinin, or glucagon).
- Acts to decrease plasma calcium and phosphate levels, inhibiting osteoclast activity.
Calcium Pathologies
- Vitamin D deficiency causes rickets (reduced bone mineralization in children) and osteomalacia (demineralized bone and reduced bone strength in adults).
- Major risk factor for osteoporosis is declining estrogen in aging women.
- Other endocrine disorders (hyperthyroidism, hyperparathyroidism, Cushing disease, etc.) can also be responsible.
- Inadequate calcium intake, alcoholism, smoking, and sedentary lifestyle also increase risk.
- Familial hypocalciuric hypercalcemia (FHH): A genetic mutation in the calcium-sensing receptor on PTH-producing Chief cells alters calcium setpoint.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz focuses on the role of calcium in the body, including storage, dietary intake, and the mechanisms by which parathyroid hormone regulates calcium levels. Test your knowledge on how these processes interact and the effects of hormone regulation on bone health.