Feedback Flashcards
Osteoclasts
Large, multinucleated cells that breakdown/resorb calcium from previously formed bone by secreting hydrogen ions (dissolve the crystals) and hydrolytic enzymes (digest the osteoid).
Osteoid
A collagen matrix in bone upon which minerals such as calcium and hydroxyapatite are deposited.
Parathyroid Hormone (PTH)
Produced in the parathyroid glands.
The amount of PTH produced is directly related to calcium concentration. More is released when there is less calcium.
Actuating signal in calcium control
PTH Actions
Increases resorption of bone by osteoclasts.
Stimulates formation of 1,25 dihydroxyvitamin D in the kidney.
Increases calcium reabsorption in the kidneys
Decreases the reabsorption of phosphate ions in the kidney.
1,25-dihydroxyvitamin D (1,25-(OH)2D)
Active hormonal form of vitamin D.
Stimulates calcium absorption in the intestines.
Lipid soluble
Calcitonin
Peptide hormone secreted by parafollicular cells in the thyroid.
Lowers calcium concentrations by inhibiting osteoclasts.
Stimulated by increased calcium concentrations.
Rickets/osteomalacia
Conditions in which mineralization of the bone matrix is deficient. This causes the bones to be soft and break easily.
Often caused by a vitamin D deficiency.
Osteoporosis
Disease where both the matrix and minerals in bone are lost due to an imbalance between resorption and formation.
Primary hyperparathyroidism
Causes hypercalcemia.
Caused by a tumor on the parathyroid which secretes excess PTH.
Humoral hypercalcemia of malignancy
Some malignant rumors release a PTH related peptide which is structurally similar to PTH and therefore has the same effects.
Calcium sensing receptor (CaSR)
G couples receptor
Located in the plasma membrane of the parathyroid. Binds to calcium and lowers the release of PTH.
Vitamin D receptor (VDR)
Nuclear receptor.
Calcium steady state
Greater than zero. This allows control of calcium in both directions. If it was zero there could be no change when levels drop.
Anagonist
Molecule that activates a receptor by binding to it.
Antagonist
Molecule that does not activate the receptor when it binds.