Hormone regulation calcium and phosphate Flashcards
What regulates calcium absorption?
PTH
What senses change in serum calcium?
Chief cells
What cause PTH release?
Low calcium lvls- stimulate PTH release
High calcium lvls- inhibit PTH release
Does parathyroid hormone cause slow or fast response?
Fast response
Mechanism of PTH?
Ca2+ binds to receptor
Intracellular cascade (Gq cascade)
Ca2+ released from ER
State 4 effects of PTH?
1) IncreaseCa2+ reabsorption in kidneys- decreasing urinary Ca2+ excretion
2) Increases Ca2+ reabsorption in small intestine
3) Stimulates osteoclast break bone down- release Ca2+ and phosphorous
4) Stimulate formation of active form of vitamin D (1α,25-dihydroxyvitamin D)
State 3 effects of vitamin D?
1) Amplify PTH
2) Stimulate vit D prod in kidney- cause Ca2+ and phosphate reabsorption
3) Stimulate osteoclasts break bone into Ca2+ and phosphate
Function calcitonin?
Anti PTH
What produces calcitonin?
Thyroid- C cells
When is calcitonin released?
High plasma concentration of Ca2+
What is released when high conc of Ca2+?
C cells of thyroid release calcitonin
Effects of calcitonin?
Where is vitamin D synthesised?
Skin- exposure to sunlight
Metabolised in liver and kidney to form 1α,25-dihydroxyvitamin D
Outline how vitamin d is activated (flow diagram)
How is vitamin D activated?
1) UV light hits skin
2) 7-dehydrocholesterol
3) Cholecalciferol (vit D3)
4) 25-hydroxylase catalyses reaction
5) 25-hydroxyvitamin D3 formed
6) 1-alpha-hydroxylase catalyses reaction
7) Forms 1,25-dihydroxyvitamin D3
(calcitrol)