Regulating Blood Calcium Levels
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Questions and Answers

What is the primary function of calcitonin in regulating blood calcium levels?

To inhibit osteoclast activity, stimulate the kidneys to increase calcium loss in the urine, and reduce blood calcium levels.

Under what conditions does calcitonin have the greatest effect on blood calcium levels?

During periods of high bone turnover, such as in growing children.

What is the effect of high doses of calcitonin on blood calcium levels?

Temporary decrease in blood calcium levels.

What is the relationship between calcitonin and the kidneys in regulating blood calcium levels?

<p>Calcitonin stimulates the kidneys to increase calcium loss in the urine.</p> Signup and view all the answers

How do parathyroid hormone, calcitriol, and calcitonin work together to regulate blood calcium levels?

<p>PTH and calcitriol increase blood calcium levels, while calcitonin reduces blood calcium levels.</p> Signup and view all the answers

What is the source of calcitonin in the body?

<p>The thyroid gland, specifically the parafollicular cells.</p> Signup and view all the answers

What is the normal range of calcium concentration in the blood, and what are some of the essential physiologic processes that calcium is required for?

<p>The normal range of calcium concentration in the blood is between 8.9 and 10.1 milligrams per deciliter (mg/dL). Calcium is required for numerous physiologic processes such as muscle contraction, exocytosis of molecules from cells, stimulation of the heart by pacemaker cells, and blood clotting.</p> Signup and view all the answers

What triggers the release of calcitonin from the thyroid gland?

<p>High blood calcium levels and stress from exercise.</p> Signup and view all the answers

What are the two primary hormones that regulate blood calcium levels?

<p>The two primary hormones that regulate blood calcium levels are calcitriol (an active form of vitamin D) and parathyroid hormone.</p> Signup and view all the answers

How does calcitonin's action on bone cells contribute to the regulation of blood calcium levels?

<p>Calcitonin inhibits osteoclast activity, reducing bone resorption and calcium release into the blood.</p> Signup and view all the answers

What is the precursor molecule in keratinocytes of the skin that is converted to vitamin D3 by ultraviolet light?

<p>The precursor molecule is 7-dehydrocholesterol, a modified cholesterol molecule.</p> Signup and view all the answers

What is the role of parathyroid hormone in the production of calcitriol?

<p>Parathyroid hormone increases the final enzymatic step of converting calcidiol to calcitriol in the kidney.</p> Signup and view all the answers

How do PTH and calcitriol interact in the bone?

<p>PTH and calcitriol act synergistically to increase the release of calcium from the bone into the blood by increasing osteoclast activity.</p> Signup and view all the answers

What happens to vitamin D3 as it circulates in the blood and passes through the liver?

<p>Vitamin D3 is converted by liver enzymes to calcidiol by the addition of a hydroxyl group (—OH).</p> Signup and view all the answers

What is the active form of vitamin D3, and how is it formed?

<p>The active form of vitamin D3 is calcitriol, which is formed by the addition of another —OH group to calcidiol in the kidneys.</p> Signup and view all the answers

What is the effect of PTH and calcitriol on calcium excretion in the kidneys?

<p>PTH and calcitriol act synergistically to stimulate the kidneys to excrete less calcium in the urine and retain more calcium in the blood.</p> Signup and view all the answers

What is the unique function of calcitriol in the small intestine?

<p>Calcitriol increases the absorption of calcium ions from the small intestine into the blood.</p> Signup and view all the answers

How does the presence of parathyroid hormone affect the final enzymatic step in the kidney?

<p>The presence of parathyroid hormone increases the rate of the final enzymatic step in the kidney, where calcidiol is converted to calcitriol.</p> Signup and view all the answers

Why is it essential to regulate blood calcium levels?

<p>Regulating blood calcium levels is essential because calcium is required for numerous physiologic processes such as muscle contraction, exocytosis of molecules from cells, stimulation of the heart by pacemaker cells, and blood clotting.</p> Signup and view all the answers

What is the initial stimulus for the parathyroid glands to release parathyroid hormone?

<p>A low blood calcium level is the initial stimulus for the parathyroid glands to release parathyroid hormone.</p> Signup and view all the answers

What is the significance of the skeleton in relation to calcium regulation?

<p>The skeleton plays a role in the storage of calcium, which is why blood calcium regulation is discussed in the context of the skeletal system.</p> Signup and view all the answers

What is the characteristic of rickets caused by vitamin D deficiency?

<p>Rickets is characterized by overproduction and deficient calcification of osteoid tissue, leading to a bowlegged appearance.</p> Signup and view all the answers

What is the net effect of calcitriol on bone?

<p>The net effect of calcitriol on bone is dependent on blood calcium levels.</p> Signup and view all the answers

How do PTH and calcitriol interact with the kidneys to regulate blood calcium levels?

<p>PTH and calcitriol act synergistically to stimulate the kidneys to excrete less calcium in the urine and retain more calcium in the blood.</p> Signup and view all the answers

What is the result of the removal of calcium from bone, decrease in loss of calcium from the kidney, and increase in calcium absorption from the small intestine?

<p>The result is an elevation of blood calcium levels and return to within the normal homeostatic range.</p> Signup and view all the answers

What inhibits the release of additional PTH?

<p>The release of additional PTH is inhibited by negative feedback.</p> Signup and view all the answers

Study Notes

Regulating Blood Calcium Levels

  • Blood calcium levels must be regulated between 8.9 and 10.1 mg/dL for physiologic processes like muscle contraction, exocytosis, heart stimulation, and blood clotting.
  • The two primary hormones regulating blood calcium are calcitriol (active form of vitamin D) and parathyroid hormone.

Activation of Vitamin D to Calcitriol

  • Vitamin D is converted to calcitriol through a three-step process:
  • Ultraviolet light converts 7-dehydrocholesterol in skin to vitamin D3, which is released into the blood.
  • Vitamin D3 is converted to calcidiol by liver enzymes through the addition of a hydroxyl group.
  • Calcidiol is converted to calcitriol by kidney enzymes through the addition of another hydroxyl group, which is increased in the presence of parathyroid hormone.

Parathyroid Hormone and Calcitriol

  • Parathyroid hormone (PTH) is secreted by parathyroid glands in response to low blood calcium levels.
  • PTH and calcitriol interact with organs to regulate blood calcium levels:
  • Bone: Synergistically increase calcium release from bone into blood by increasing osteoclast activity.
  • Kidneys: Synergistically stimulate calcium reabsorption in tubules, reducing calcium excretion in urine.
  • Small intestine: Calcitriol increases calcium absorption from small intestine into blood.

Calcitonin

  • Calcitonin is released by the thyroid gland's parafollicular cells in response to high blood calcium levels and stress from exercise.
  • Calcitonin:
  • Inhibits osteoclast activity, reducing bone resorption.
  • Stimulates kidneys to increase calcium excretion in urine, reducing blood calcium levels.
  • Limitations of calcitonin:
  • Has greatest effect in conditions of high bone turnover, such as in growing children.
  • High doses of calcitonin only temporarily decrease blood calcium levels, making it ineffective for long-term calcium regulation.

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Description

This quiz covers the regulation of calcium concentration in blood and its importance in various physiological processes.

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