click below
click below
Normal Size Small Size show me how
Calcium Homeostasis
| Question | Answer |
|---|---|
| Which hormone has a more minor role in calcium regulation? | Calcitonin |
| What are the 3 main organs involved in calcium homeostasis? | Intestines, Bones, Kidneys |
| Calcium metabolism is a balance of these 3 processes: | Intake, Storage, Excretion |
| Intake of calcium through the intestines requires what? | Vitamin D |
| What is the main way intake of calcium occurs? | Through diet |
| Where is the primary place in the body for calcium storage? | Bones |
| Where does 1% of calcium in the body get stored if not in the bones? | Extracellular (in blood and interstitial fluid) and intracellular (in endoplasmic reticulum and mitochondria) |
| Describe the process of calcium storage in bone: | Osteoblasts produce bone matrix (osteoid) which is mineralized by deposition of calcium phosphorous |
| Describe the process of calcium resorption from bone: | Osteoblasts signal to osteoclasts by secrete acid, which demineralizes bone and releases calcium and phosphorous into the blood (promoted by PTH and inhibited by calcitonin) |
| What cell type initiates the act of bone resorption? | Osteoclasts |
| What hormone promotes bone resorption? | PTH |
| What hormone inhibits bone resorption? | Calcitonin |
| There is a constant exchange of calcium between _________ and __________ | Bone and blood |
| Excretion of calcium occurs primarily through this organ: | Kidneys |
| Intake of calcium occurs primarily through this organ: | Intestines |
| Storage of calcium occurs primarily through this organ: | Bone |
| What are 4 things calcium is important for? | 1. Neuromuscular function 2. Neuron excitation 3. Hemostasis 4. Enzymatic regulation |
| What are the 3 main target organs of the hormonal regulators of blood calcium? | Kidneys, intestines and bone |
| What produces PTH? | Chief cells of the parathyroid gland |
| What produces calcitonin? | Parafollicular cells (C cells) of the thyroid gland |
| What are the effects of vitamin D on the bone? | In a negative calcium balance, calcitriol production increases which causes increased bone resorption (less defined when in a positive calcium balance - depends on ostegenic differentiation) |
| What are the effects of PTH on the bone? | Causes bone resorption to release calcium into the blood |
| The kidney produces this form of vitamin D: | Calcitriol |
| What is the effect of calcitonin on the bone? | Inhibits osteoclast activity to inhibit bone resorption |
| This hormone can be used in the treatment of acute hypercalcemia: | Calcitonin |
| What organs does calcitonin act on? | Bone and kidney |
| What organs does PTH act on? | Kidney bone and intestines |
| What events take place when calcium levels rise? | Thyroid gland releases calcitonin --> stimulates calcium deposition in bone and reduces calcium uptake in kidneys --> causes decrease in calcium levels in blood |
| What events take place when calcium levels decrease? | Parathyroid gland secretes PTH, stimulates calcium release from bone, reabsorption from kidney, and absorption in intestines. Increases synthesis of calcitriol in the kidney + absorption of calcium in the intestines + increase in calcium levels in blood |