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Calcium homeostasis

Calcium homeostasis

Calcium ions are linked to a wide range of physiological processes. The largest store of bodily calcium is contained within the skeleton. Calcium levels are primarily controlled by parathyroid hormone, vitamin D and calcitonin.

Hormonal regulation of calcium
HormoneActions
Parathyroid hormone (PTH)
  • Increase calcium levels and decrease phosphate levels
  • Increases bone resorption
  • Immediate action on osteoblasts to increase ca2+ in extracellular fluid
  • Osteoblasts produce a protein signaling molecule that activate osteoclasts which cause bone resorption
  • Increases renal tubular reabsorption of calcium
  • Increases synthesis of 1,25(OH)2D (active form of vitamin D) in the kidney which increases bowel absorption of Ca2+
  • Decreases renal phosphate reabsorption
1,25-dihydroxycholecalciferol (the active form of vitamin D)
  • Increases plasma calcium and plasma phosphate
  • Increases renal tubular reabsorption and gut absorption of calcium
  • Increases osteoclastic activity
  • Increases renal phosphate reabsorption in the proximal tubule
Calcitonin
  • Secreted by C cells of thyroid
  • Inhibits osteoclast activity
  • Inhibits renal tubular absorption of calcium

Both growth hormone and thyroxine also play a small role in calcium metabolism.
+PassMedicine Notes

Calcium ions are linked to a wide range of physiological processes. The largest store of bodily calcium is contained within the skeleton. Calcium levels are primarily controlled by parathyroid hormone, vitamin D and calcitonin.

Hormonal regulation of calcium

Hormone_Actions| Parathyroid hormone (PTH)_
  • Increase calcium levels and decrease phosphate levels
  • Increases bone resorption
  • Immediate action on osteoblasts to increase ca2+ in extracellular fluid
  • Osteoblasts produce a protein signaling molecule that activate osteoclasts which cause bone resorption
  • Increases renal tubular reabsorption of calcium
  • Increases synthesis of 1,25(OH)2D (active form of vitamin D) in the kidney which increases bowel absorption of Ca2+
  • Decreases renal phosphate reabsorption|
1,25-dihydroxycholecalciferol (the active form of vitamin D)_
  • Increases plasma calcium and plasma phosphate
  • Increases renal tubular reabsorption and gut absorption of calcium
  • Increases osteoclastic activity
  • Increases renal phosphate reabsorption in the proximal tubule|
Calcitonin_
  • Secreted by C cells of thyroid
  • Inhibits osteoclast activity
  • Inhibits renal tubular absorption of calcium|

Both growth hormone and thyroxine also play a small role in calcium metabolism.



Media
Calcium and Phosphate Regulation
Armando Hasudungan - YouTube
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Calcium and Phosphate Regulation
YouTube
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