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Bone Mineral Homeostasis

AB
ricketsexpansion of the zone of hypertrophied chondrocytes
FibronectinRelatively abundant, may help regulate osteoblast differentiation
Osteonectin"Bone connector" may regulate mineralization
ThrombospondinMay inhibit bone cell precursors
OsteocalcinBinds calcium
Matrix-gla-proteinInhibits mineralization
Bone sialoproteinBinds to integrins, may assist cancer cells
OsteopontinIncreases angiogenesis (makes new blood vessels) which enhances bone resorption in some situations
Matrix extracellular proteinMay induce a bone disease called osteomalacia
Fibronectin knock-outLethal
Osteonectin knock-outOsteoporosis
Thrombospondin knock-outDense bones
Osteocalcin knock-outBones seem normal
Matrix-gla-protein knock-outNormal bones but calcified blood vessels
Osteopontin knock-outResistance to PTH and removal of ovaries
PTH stimulatesosteoclastic bone resorption indirectly to release calcium from bone.
PTH stimulatesstimulates bone formation that is coupled to bone resorption.
PTH increasesincreases renal tubular reabsorption of calcium.
PTHstimulates the renal production of 1,25 dihydroxyvitamin D to increase calcium absorption from the intestine.
PTH enhancesrenal phosphate and bicarbonate excretion.
A decrease in serum calcium concentration and an increase in serum phosphorous concentration willstimulate PTH secretion
Calcitonin is a peptide hormoneproduced by cells within the thyroid gland
Calcitonin secretion is stimulated byhigh blood calcium concentrations
Calcitoninacts as a physiologic antagonist to PTH
Osteoclasts have receptors for …calcitonin, but the effects of bidning are are transient.
Calcitonin inhibitsosteoclast resorption
Calcitonin delaysdelays calcium absorption from the intestine
Calcitonin increasescalcium urinary excretion
gastrointestinal absorption of calcium and phosphorus.Vitamin D promotes
is necessary for bone mineralization.Vitamin D
stimulates bone resorption when given in high doses.Vitamin D
Increase bone resorptionParathyroid hormone
Increase bone resorptionGlucocorticoids
Increase bone resorptionThyroid Hormone
Increase bone resorptionVitamin D metabolites in high doses
Decrease Bone ResorptionCalcitonin
Decrease Bone ResorptionGonadal Steriods
Increase bone formationGrowth hormone
Increase bone formationVitamin D metabolites
Increase bone formationGonadal steroids
Decrease Bone FormationGlucocorticoids



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