{"id":4096,"date":"2019-05-31T20:26:30","date_gmt":"2019-05-31T20:26:30","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/suny-dutchess-anatomy-physiology\/chapter\/the-parathyroid-glands\/"},"modified":"2019-08-11T14:08:59","modified_gmt":"2019-08-11T14:08:59","slug":"the-parathyroid-glands","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-dutchess-anatomy-physiology\/chapter\/the-parathyroid-glands\/","title":{"raw":"The Parathyroid Glands","rendered":"The Parathyroid Glands"},"content":{"raw":"
\r\n\r\n \r\n\r\n<\/div>\r\nThe parathyroid glands<\/strong> are tiny, round structures usually found embedded in the posterior surface of the thyroid gland (Figure 1). A thick connective tissue capsule separates the glands from the thyroid tissue. Most people have four parathyroid glands, but occasionally there are more in tissues of the neck or chest. The function of one type of parathyroid cells, the oxyphil cells, is not clear. The primary functional cells of the parathyroid glands are the chief cells. These epithelial cells produce and secrete the parathyroid hormone (PTH)<\/strong>, the major hormone involved in the regulation of blood calcium levels.\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"550\"]\"Part Figure 1. The small parathyroid glands are embedded in the posterior surface of the thyroid gland. LM \u00d7 760. (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)[\/caption]\r\n\r\n
View the University of Michigan WebScope<\/a>\u00a0to explore the tissue sample in greater detail.<\/div>\r\nThe parathyroid glands produce and secrete PTH, a peptide hormone, in response to low blood calcium levels (Figure 2). PTH secretion causes the release of calcium from the bones by stimulating osteoclasts, which secrete enzymes that degrade bone and release calcium into the interstitial fluid. PTH also inhibits osteoblasts, the cells involved in bone deposition, thereby sparing blood calcium. PTH causes increased reabsorption of calcium (and magnesium) in the kidney tubules from the urine filtrate. In addition, PTH initiates the production of the steroid hormone calcitriol (also known as 1,25-dihydroxyvitamin D), which is the active form of vitamin D3<\/sub>, in the kidneys. Calcitriol then stimulates increased absorption of dietary calcium by the intestines. A negative feedback loop regulates the levels of PTH, with rising blood calcium levels inhibiting further release of PTH.\r\n\r\nAbnormally high activity of the parathyroid gland can cause hyperparathyroidism<\/strong>, a disorder caused by an overproduction of PTH that results in excessive calcium reabsorption from bone. Hyperparathyroidism can significantly decrease bone density, leading to spontaneous fractures or deformities. As blood calcium levels rise, cell membrane permeability to sodium is decreased, and the responsiveness of the nervous system is reduced. At the same time, calcium deposits may collect in the body\u2019s tissues and organs, impairing their functioning.\r\n\r\nIn contrast, abnormally low blood calcium levels may be caused by parathyroid hormone deficiency, called hypoparathyroidism<\/strong>, which may develop following injury or surgery involving the thyroid gland. Low blood calcium increases membrane permeability to sodium, resulting in muscle twitching, cramping, spasms, or convulsions. Severe deficits can paralyze muscles, including those involved in breathing, and can be fatal.\r\n\r\nWhen blood calcium levels are high, calcitonin is produced and secreted by the parafollicular cells of the thyroid gland. As discussed earlier, calcitonin inhibits the activity of osteoclasts, reduces the absorption of dietary calcium in the intestine, and signals the kidneys to reabsorb less calcium, resulting in larger amounts of calcium excreted in the urine.\r\n

Chapter Review<\/h2>\r\nCalcium is required for a variety of important physiologic processes, including neuromuscular functioning; thus, blood calcium levels are closely regulated. The parathyroid glands are small structures located on the posterior thyroid gland that produce parathyroid hormone (PTH), which regulates blood calcium levels. Low blood calcium levels cause the production and secretion of PTH. In contrast, elevated blood calcium levels inhibit secretion of PTH and trigger secretion of the thyroid hormone calcitonin. Underproduction of PTH can result in hypoparathyroidism. In contrast, overproduction of PTH can result in hyperparathyroidism.\r\n

Self Check<\/h2>\r\nAnswer the question(s) below to see how well you understand the topics covered in the previous section.\r\n\r\nhttps:\/\/oea.herokuapp.com\/assessments\/234\r\n
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Critical Thinking Questions<\/h3>\r\n
    \r\n \t
  1. Describe the role of negative feedback in the function of the parathyroid gland.<\/li>\r\n \t
  2. Explain why someone with a parathyroid gland tumor might develop kidney stones.<\/li>\r\n<\/ol>\r\n[reveal-answer q=\"712596\"]Show Answers[\/reveal-answer]\r\n[hidden-answer a=\"712596\"]\r\n
      \r\n \t
    1. The production and secretion of PTH is regulated by a negative feedback loop. Low blood calcium levels initiate the production and secretion of PTH. PTH increases bone resorption, calcium absorption from the intestines, and calcium reabsorption by the kidneys. As a result, blood calcium levels begin to rise. This, in turn, inhibits the further production and secretion of PTH.<\/li>\r\n \t
    2. A parathyroid gland tumor can prompt hypersecretion of PTH. This can raise blood calcium levels so excessively that calcium deposits begin to accumulate throughout the body, including in the kidney tubules, where they are referred to as kidney stones.<\/li>\r\n<\/ol>\r\n[\/hidden-answer]\r\n\r\n<\/div>\r\n

      Glossary<\/h2>\r\nhyperparathyroidism:\u00a0<\/strong>disorder caused by overproduction of PTH that results in abnormally elevated blood calcium\r\n\r\nhypoparathyroidism:\u00a0<\/strong>disorder caused by underproduction of PTH that results in abnormally low blood calcium\r\n\r\nparathyroid glands:\u00a0<\/strong>small, round glands embedded in the posterior thyroid gland that produce parathyroid hormone (PTH)\r\n\r\nparathyroid hormone (PTH):\u00a0<\/strong>peptide hormone produced and secreted by the parathyroid glands in response to low blood calcium levels","rendered":"
      \n

       <\/p>\n<\/div>\n

      The parathyroid glands<\/strong> are tiny, round structures usually found embedded in the posterior surface of the thyroid gland (Figure 1). A thick connective tissue capsule separates the glands from the thyroid tissue. Most people have four parathyroid glands, but occasionally there are more in tissues of the neck or chest. The function of one type of parathyroid cells, the oxyphil cells, is not clear. The primary functional cells of the parathyroid glands are the chief cells. These epithelial cells produce and secrete the parathyroid hormone (PTH)<\/strong>, the major hormone involved in the regulation of blood calcium levels.<\/p>\n

      \"Part<\/p>\n

      Figure 1. The small parathyroid glands are embedded in the posterior surface of the thyroid gland. LM \u00d7 760. (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)<\/p>\n<\/div>\n

      View the University of Michigan WebScope<\/a>\u00a0to explore the tissue sample in greater detail.<\/div>\n

      The parathyroid glands produce and secrete PTH, a peptide hormone, in response to low blood calcium levels (Figure 2). PTH secretion causes the release of calcium from the bones by stimulating osteoclasts, which secrete enzymes that degrade bone and release calcium into the interstitial fluid. PTH also inhibits osteoblasts, the cells involved in bone deposition, thereby sparing blood calcium. PTH causes increased reabsorption of calcium (and magnesium) in the kidney tubules from the urine filtrate. In addition, PTH initiates the production of the steroid hormone calcitriol (also known as 1,25-dihydroxyvitamin D), which is the active form of vitamin D3<\/sub>, in the kidneys. Calcitriol then stimulates increased absorption of dietary calcium by the intestines. A negative feedback loop regulates the levels of PTH, with rising blood calcium levels inhibiting further release of PTH.<\/p>\n

      Abnormally high activity of the parathyroid gland can cause hyperparathyroidism<\/strong>, a disorder caused by an overproduction of PTH that results in excessive calcium reabsorption from bone. Hyperparathyroidism can significantly decrease bone density, leading to spontaneous fractures or deformities. As blood calcium levels rise, cell membrane permeability to sodium is decreased, and the responsiveness of the nervous system is reduced. At the same time, calcium deposits may collect in the body\u2019s tissues and organs, impairing their functioning.<\/p>\n

      In contrast, abnormally low blood calcium levels may be caused by parathyroid hormone deficiency, called hypoparathyroidism<\/strong>, which may develop following injury or surgery involving the thyroid gland. Low blood calcium increases membrane permeability to sodium, resulting in muscle twitching, cramping, spasms, or convulsions. Severe deficits can paralyze muscles, including those involved in breathing, and can be fatal.<\/p>\n

      When blood calcium levels are high, calcitonin is produced and secreted by the parafollicular cells of the thyroid gland. As discussed earlier, calcitonin inhibits the activity of osteoclasts, reduces the absorption of dietary calcium in the intestine, and signals the kidneys to reabsorb less calcium, resulting in larger amounts of calcium excreted in the urine.<\/p>\n

      Chapter Review<\/h2>\n

      Calcium is required for a variety of important physiologic processes, including neuromuscular functioning; thus, blood calcium levels are closely regulated. The parathyroid glands are small structures located on the posterior thyroid gland that produce parathyroid hormone (PTH), which regulates blood calcium levels. Low blood calcium levels cause the production and secretion of PTH. In contrast, elevated blood calcium levels inhibit secretion of PTH and trigger secretion of the thyroid hormone calcitonin. Underproduction of PTH can result in hypoparathyroidism. In contrast, overproduction of PTH can result in hyperparathyroidism.<\/p>\n

      Self Check<\/h2>\n

      Answer the question(s) below to see how well you understand the topics covered in the previous section.<\/p>\n