11 Vit D and Calcium Flashcards
Vit D synthesized by?
skin
- needs sunlight
Forms of vitamin D?
D3 main form utilized by humans
- many forms exists
Active form of Vit D
-where is it converted
Calcitriol
1,25(OH)2 - D3
- converted in the kidney
D3 –> calcidiol –> calcitriol
Synthesis of vit D
cholestrol –> 7-dehydrocholesterol –> Vit D
occurs in the SKIN
Food sources of vit D
fatty fish
fish liver oils
mushrooms
fortified dairy products
Absorption of Vit D?
incorporation into chylomicrons (because its fat soluble vitamin)
- transported in plasma bound to DBP (vitD binding protein)
Vit D
- converted?
- storage?
converted in KIDNEY
stored in LIVER and ADIPOSE TISSUE (other tissues)
Overall metabolic role of Vit D?
maintains calcium and phosphorus homeostasis
- ensures availability in blood for bones/intestine
- steroid hormone (vitamin D endocrine system)
How vitamin D acts as a steroid hormone?
Targets vit D receptors (VDR)
- 1,25(OH)2-D3 travels to specific cell
- enters cell, binds VDR
- binds DNA
- alters transcription rate or mRNA, synthesis of specific proteins
Main target organs of Vit D?
- others?
*bones and intestine
brain and nervous system pancreas muscle cartilage reproductive organs cancer cells
Vitamin D effect on other micronutrients
tight regulation of calcium
- bone growth
- maintenance of bone density
- nervous system
- blood clotting (vit K)
keeps phosphorus in normal range
What hormone vitamin D works with?
Parathyroid Hormone (PTH)
What produces parathyroid hormone?
Where is it located?
Parathyroid Gland
- behind thyroid gland in neck
Role of parathyroid hormone in kidney?
- stimulates activation of vit D
- increases calcium “reabsorption”
- decrease urinary
- increase blood - decrease phosphate reabsorption
- prevents hyperphosphatemia (prevents D’s conversion to active form)
- calcium removed from bone also removes phosphate (keep P in check)
- increase urinary phosphate
Role of parathyroid hormone in Bone
Increases osteoclast activity
- bone resorption
- release calcium and phosphorus
- incr. blood calcium and phosphorus