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Hormones in Calcium Homeostasis

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Calcium homeostasis is maintained by the function of hormones that control calcium transport in the stomach, kidneys, and bone. Read the article to know more.

Written by

Dr. Durga. A. V

Medically reviewed by

Dr. Shaikh Sadaf

Published At October 30, 2023
Reviewed AtMarch 22, 2024

Introduction

The systems of the human body must work properly to maintain calcium homeostasis within a specific range. Particularly parathyroid hormone (PTH), calcitonin, and vitamin D play important roles in controlling calcium levels in the body. PTH is released by the parathyroid gland, which makes it when the blood's calcium levels are low. PTH enhances the release of calcium from bones, boosts calcium absorption from the small intestine, and lessens calcium excretion by the kidneys. These activities aid in raising blood calcium levels.

What Is Calcium Homeostasis?

The process through which the body maintains a certain, healthy range of blood calcium levels is known as calcium homeostasis. Numerous physiological functions, such as muscular contraction, nerve transmission, and blood clotting, depend on calcium, an essential mineral. The stomach and kidneys absorb and excrete calcium, respectively. The body employs several processes to maintain calcium homeostasis, including activating and inhibiting hormones that impact calcium metabolism (mostly controlled by the endocrine system's parathyroid hormone-vitamin D axis). Osteoporosis (it weakens and brittles bones) and hypertension (high blood pressure) are only two health issues resulting from the imbalance of calcium homeostasis.

What Is the Role of Hormones in Calcium Homeostasis?

  • Hormones significantly influence the body's calcium homeostasis.

  • Muscle contraction, nerve transmission, and blood clotting are just a few of the physiological functions that calcium is crucial for calcium homeostasis.

  • The body precisely controls the amounts of calcium in circulation through the action of various hormones.

  • The parathyroid hormone (a hormone that the parathyroid glands secrete to regulate the amount of calcium in the blood) regulates calcium homeostasis.

  • The parathyroid glands in the neck produce parathyroid hormone (PTH).

  • PTH promotes the release of calcium from bones into circulation and reduces the amount of calcium lost in the urine, which together assists in maintaining the right amounts of calcium in the bloodstream.

  • The thyroid gland produces the hormone calcitonin, which also plays a role in calcium homeostasis.

  • By encouraging calcium deposit into the bones and raising the amount of calcium eliminated in the urine, the calcium-regulating hormone calcitonin works counter to PTH to reduce blood calcium levels.

  • In maintaining calcium homeostasis, vitamin D is also crucial. The appropriate amounts of calcium in the body are maintained by vitamin D, which increases calcium absorption from the intestines into circulation.

  • Therefore, hormones play a critical part in preserving calcium homeostasis by controlling the equilibrium between calcium absorption, storage, and excretion in the body.

What Are the Hormones That Are Involved In Calcium Homeostasis?

Maintaining a steady and consistent concentration of calcium ions in the body is known as calcium homeostasis. This is significant as calcium is necessary for various biological processes, such as blood clotting, neuron function, and muscle contraction. The following hormones are important in maintaining calcium homeostasis:

  1. Parathyroid Hormone (PTH): The parathyroid glands generate PTH, which controls blood calcium levels. PTH, which stimulates calcium release from bone and boosts calcium absorption from the gut, is produced when the blood's calcium content decreases.

  2. Calcitonin: The thyroid gland produces calcitonin, which works the other way from PTH. When calcium levels are high in the blood, calcitonin is secreted, which promotes calcium absorption into the bone and inhibits calcium absorption from the gut.

  3. Calmodulin: A protein called calmodulin is present in all of the body's cells. Turning on enzymes involved in the production and decomposition of calcium-binding proteins helps control calcium levels.

  4. Calbindin: A calcium-binding protein called calbindin is important in controlling the body's calcium levels. It is created in the kidney and intestine. It helps to promote calcium absorption from the gut and reabsorb calcium from the urine.

  5. Vitamin D: Calcium homeostasis is regulated by the hormone vitamin D. In addition to being present in some foods, it is created in the skin when it is exposed to sunshine. Calcium absorption from the gut is encouraged by vitamin D, which supports appropriate blood calcium levels.

  6. Estrogen: A female sex hormone called estrogen increases calcium absorption from the gut and decreases calcium excretion in the urine, supporting the maintenance of strong bones.

  7. Testosterone: By stimulating the synthesis of bone-forming cells, the male sex hormone testosterone contributes to maintaining strong bones.

  8. Growth Hormone: Growth hormone encourages bone tissue to absorb calcium, which aids in maintaining strong bones.

What Factors Affects Calcium Homeostasis?

Calcium homeostasis can be influenced by several factors, such as:

  1. Diet: The body's calcium levels can be impacted by the quantity of calcium consumed. Dairy products, green leafy vegetables, and seafood contain calcium.

  2. Hormones: The body's calcium levels are mostly controlled by the hormones parathyroid hormone (PTH) and calcitriol, the active form of vitamin D. PTH raises calcium levels by encouraging calcium release from bone, whereas calcitriol aids in the body's absorption of calcium from food.

  3. Kidneys: By controlling the quantity of calcium excreted in the urine, the kidneys play a part in calcium homeostasis.

  4. Bones: Calcium is kept in the bones, where it is stored and released into the bloodstream to keep levels balanced.

  5. Vitamin D: For adequate calcium absorption and bone growth and development, vitamin D is crucial. Low calcium levels and osteoporosis can result from a vitamin D deficiency.

  6. Aging: Calcium levels may drop as people age because their bodies may not absorb calcium.

  7. Absorption: Maintaining calcium homeostasis also depends on the body's capacity to absorb calcium from food. Things such as specific drugs, specific medical conditions, and stomach acidity can impact calcium absorption.

  8. Excretion: The kidneys and the digestive system help the body expel calcium. Elements including renal health, the presence of certain drugs, and urine acidity can impact the excretion of calcium.

Conclusion:

Calcium flow to and from the bones is regulated by calcium homeostasis. Osteoporosis can occur when calcium levels are inadequate. Parathyroid hormone, produced in the liver and converted to calcitriol, the physiologically active form of vitamin D, in the kidneys, controls calcium release from bone. Calcium intake from food, the presence of specific illnesses or disorders such as renal disease (the illness known as chronic kidney disease, sometimes referred to as chronic renal disease or CKD, is defined by a progressive decline in kidney function over time) or hypoparathyroidism (happens when there is insufficient parathyroid hormone production by the parathyroid glands), and the usage of specific drugs all have an impact on calcium homeostasis in addition to hormones such as diuretics or antacids.

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Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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