Endocrinology: Calcium and Phosphate Regulation
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Questions and Answers

Which of the following hormones has a lesser role in calcium regulation compared to parathyroid hormone?

  • Parathyroid hormone
  • Calcitriol
  • Vitamin D
  • Calcitonin (correct)
  • What is the primary function of osteoblasts in bone structure and function?

  • Producing calcitriol
  • Regulating calcium levels
  • Breaking down bone
  • Building bone (correct)
  • Which of the following is NOT a target of parathyroid hormone?

  • Bone
  • Kidneys
  • Liver (correct)
  • GI Tract
  • What is the effect of calcitriol on the parathyroid gland?

    <p>Inhibits parathyroid hormone production</p> Signup and view all the answers

    What is the role of RANK ligand in bone structure and function?

    <p>Inducing osteoclast proliferation and differentiation</p> Signup and view all the answers

    What is the primary function of phosphate in the body?

    <p>Biochemical processes and energy production</p> Signup and view all the answers

    Which of the following is a function of calcitonin?

    <p>Decreasing plasma calcium levels</p> Signup and view all the answers

    What is the effect of parathyroid hormone on osteoblasts?

    <p>Induces proliferation and RANK ligand expression</p> Signup and view all the answers

    Which of the following is NOT a target of calcitriol?

    <p>Liver</p> Signup and view all the answers

    What is the role of Macrophage Colony Stimulating Factor (M-CSF) in bone structure and function?

    <p>Stimulating osteoclast proliferation and differentiation</p> Signup and view all the answers

    Study Notes

    Endocrinology: Calcium and Phosphate Regulation

    Importance of Calcium and Phosphate

    • Calcium is essential for muscle contraction and nerve conduction
    • Phosphate is crucial for biochemical processes and energy production
    • Regulation of calcium and phosphate levels is necessary for proper bodily functions

    Hormones Involved

    • Vitamin D (active form: calcitriol)
    • Parathyroid hormone
    • Calcitonin

    Parathyroid Hormone

    • Released when plasma calcium levels decrease
    • Targets:
      • Bone: stimulates breakdown, releasing calcium and phosphate into plasma
      • Kidneys: activates enzyme 1-alpha hydroxylase, converting vitamin D to calcitriol
    • Increases calcium and phosphate levels in plasma

    Calcitriol (Active Form of Vitamin D)

    • Converts vitamin D to active form
    • Targets:
      • Bone: stimulates breakdown, releasing calcium and phosphate into plasma
      • Kidneys: stimulates reabsorption of calcium in proximal convoluted tubules
      • GI Tract: increases calcium and phosphate absorption
    • Negatively feedbacks on parathyroid gland, reducing parathyroid hormone production

    Calcitonin

    • Released when plasma calcium levels increase
    • Decreases plasma calcium levels
    • Has a lesser role in calcium regulation compared to parathyroid hormone

    Bone Structure and Function

    • Composed of osteoblasts (build bone) and osteoclasts (break down bone)
    • Osteoblasts have parathyroid hormone receptors, which induce:
      • Proliferation
      • RANK ligand expression
      • Inhibition of osteoprotegerin production
    • RANK ligand binding to RANK receptors on pre-osteoclasts induces:
      • Proliferation
      • Differentiation into active osteoclasts
    • Macrophage Colony Stimulating Factor (M-CSF) also stimulates osteoclast proliferation and differentiation

    Calcium and Phosphate Regulation

    Importance of Calcium and Phosphate

    • Calcium is essential for muscle contraction and nerve conduction
    • Phosphate is crucial for biochemical processes and energy production
    • Regulation of calcium and phosphate levels is necessary for proper bodily functions

    Hormones Involved in Calcium and Phosphate Regulation

    • Vitamin D (active form: calcitriol)
    • Parathyroid hormone
    • Calcitonin

    Parathyroid Hormone

    • Released when plasma calcium levels decrease
    • Stimulates bone breakdown, releasing calcium and phosphate into plasma
    • Activates enzyme 1-alpha hydroxylase, converting vitamin D to calcitriol in kidneys
    • Increases calcium and phosphate levels in plasma

    Calcitriol (Active Form of Vitamin D)

    • Converts vitamin D to active form
    • Stimulates bone breakdown, releasing calcium and phosphate into plasma
    • Stimulates calcium reabsorption in kidney proximal convoluted tubules
    • Increases calcium and phosphate absorption in GI tract
    • Negatively feedbacks on parathyroid gland, reducing parathyroid hormone production

    Calcitonin

    • Released when plasma calcium levels increase
    • Decreases plasma calcium levels

    Bone Structure and Function

    • Composed of osteoblasts (build bone) and osteoclasts (break down bone)
    • Osteoblasts have parathyroid hormone receptors, inducing:
      • Proliferation
      • RANK ligand expression
      • Inhibition of osteoprotegerin production
    • RANK ligand binding to RANK receptors on pre-osteoclasts induces:
      • Proliferation
      • Differentiation into active osteoclasts
    • Macrophage Colony Stimulating Factor (M-CSF) stimulates osteoclast proliferation and differentiation

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    Description

    Learn about the importance of calcium and phosphate in the body, and how they are regulated by hormones like vitamin D, parathyroid hormone, and calcitonin.

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