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Endocrinology-CA&PO
mostly PTH related
29
Physiology
Graduate
12/07/2007

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Cards

Term
What Is PTH?
Definition
Parathyroid Hormone
Term
What  are the major Hormones which regulate CA and Po Ballance?
Definition
PTH (from Parathyroid) , Vitamin D (dietary), Calcitonin (thyroid)
Term
What Does PTH do in bone tissue?
Definition
When circulating calcium is too low, PTH is released which stimulates bone reabsorbtion (release of ca into blood stream)
Term

What does PTH do in the kidney?

Definition
Stimulates the hydroxylation of dietary Vitamin D into it's active form (at the 1 position). The active form is Calctriol. It  also stimulates the kidney to release stored calcium and  phosphate.
Term
What does the active form of vitamin D do, and what is it called?
Definition

Calcitriol. It increases intestinal absorbtion of Ca, releases bone, and prevents kidney from filtering Ca into urine.

 

also "Vitamin D induces synthesis of a calcium-binding protein in intestinal epithelial cells that facilitates efficient absorption

of calcium into blood. "

 

From http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/thyroid/pth.html

Term
What does Calcitonin do?
Definition

 

calcitonin counteracts the effects of PTH  inhibits CA loss from bone, and increases the concentration of Ca in urine (renal excretion)

Term

what is a Pre Propeptide?

Definition
A Pro peptide is a protien that can be made active by posttranslational modification, so after it is sythesized by mRNA it is changed into the "real" protien. a Pre propeptide is then. Protiens that have a signal peptide attached contain the prefix pre. So, therefore, a pre propeptide is one that can be made biologically active and has a signaling mechanism to be cleaved off in the ER when this is to happen.
Term
What are chief cells?
Definition
Chief cells are the cells in the Parathyroid gland which synthesize ans secrete PTH
Term
Where is calcitonin secreted?
Definition
in the c cells of the thyroid gland
Term
how many amino acids are in PTH?
Definition
84
Term
How is PTH excreted?
Definition
both pulsitile and tonic. 70% tonic 30% in 6-7 pulses/ hour. because it is under tight Ca control when ca goes low PTH has a bi phasic response the PTH which has been made and stored is rapidly release and production is also increased
Term
Describe the Parathyroid CA receptor.
Definition
it is on the parathyroid chief cells, it is G protien coupled (signal binds to outside of membrane, starts a cascade inside of cell). It is a negative regulation receptor ie. when Ca binds, parathyroid knows that CA levels are up and so decreases release of PTH.
Term
Describe the parathyroid CA receptor cascade
Definition
1st it activates the phosphoralation/activation of phospholipase A2. "A phospholipase is an enzyme that converts phospholipids into fatty acids and other lipophilic substances "(wikipedia). this activates the arachidonic acis cascade, and increases leukotrine sysnthesis. it is the Leukotrine which inhibits PTH release, both by slowing production and speeding degradation.
Term
Name 3 things that stimulate PTH release
Definition

Hypocalcemia

Hyperphosphatemia

Catecholamines

Term

Name 3 things that supress PTH release

Definition

Hypercalcemia

Vitamin D

severe hypomagnesemia

Term

What, besides calcium regulates PTH Levels?

Definition
Phosphate and Magnesium levels
Term

How do phosphate levels regulate ca?

Definition

elevated phosphate levels cause increased  PTH because they decrease phospholipase A2 Levels. This  decreases arachidonic acid production to be suppressed and inhibitory control over PTH to be released. It can also affect calcium and vit d levels in circulation

Term

what are the two primary sites of action of PTH?

Definition
Kidney and bone
Term
What are bone osteoblasts?
Definition
immature bone cells responsible for creating and mineralizing new bone tissue. They are the site of action (where the receptor PTHR1) is located along with kidney.
Term
What is PTHrP?
Definition
It is PTH related protien. Not very similar, share only 13 AA, but binds to PTHR1. involved in metastecies.
Term
Describe the signaling cascade after PTH binds to PTHR1
Definition

binds to alpha sub-unit.

which increases cAMP in turn increasing protien kinase A

and phosphorlation of target protiens @ serine residues.

The result is activation of and mrna translation of protiens

 

http://en.wikipedia.org/wiki/Cyclic_adenosine_monophosphate

Term
what does 1α-hydroxylase do?
Definition
it is the enzyme responsible for creating the active form of vitamin D
Term
what are the two ways that calcium gets reabsorbed in the kidney?
Definition

distal and proximal tubules (parts of kidney)

transcellular (active transport from waters around cell)  paracellular (passive transport between cells)

Term
what is a Kinase?
Definition

A protein kinase is a kinase enzyme that modifies other proteins by chemically adding phosphate groups to them (phosphorylation). This class of protein is further separated into subsets such as PKC alpha, PKC beta, and PKC gamma, each with specific functions. Phosphorylation usually results in a functional change of the target protein (substrate) by changing enzyme activity, cellular location, or association with other proteins. Up to 30% of all proteins may be modified by kinase activity, and kinases are known to regulate the majority of cellular pathways, especially those involved in signal transduction, the transmission of signals within the cell. The human genome contains about 500 protein kinase genes; they constitute about 2% of all eukaryotic genes.

The chemical activity of a kinase involves removing a phosphate group from ATP and covalently attaching it to one of three amino acids that have a free hydroxyl group. Most kinases act on both serine and threonine, others act on tyrosine, and a number (dual specificity kinases) act on all three.

 

(Wikipedia)

Term
How does calcium move through the kidney?
Definition
PTH opens a calcium ion channel, which lets in calcium to the apical end of the cell, inside the cell tyhe Ca binds to calcibindin which allows it to move through the cell and through the membranes
Term
What does PTH do in bone?
Definition
PTH causes bone degradation causing Ca release they are mediated in osteoblasts.
Term

What are the the three types of bone cells

 

Definition

Osteoblasts- responsible for bone formation and mineralization and PTH receptors are expressed here.

Osteoclasts-bone reabsorbing cells is a type of bone cell that removes bone tissue by removing the bone's mineralized matrix. This process is known as bone resorption. Osteoclasts and osteoblasts are instrumental in controlling the amount of bone tissue. Osteoblasts form bone; osteoclasts resorb bone. Osteoclasts are formed by the fusion of cells of the monocyte-macrophage cell line.[1] Osteoclasts are characterized by high expression of tartrate resistant acid phosphatase (TRAP) and cathepsin K -wikipedia

 Osteocytes-small flattened cells within the bone matrix

 

 

 

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