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The Calcium-hormones JoAnn Guest Jun 28, 2005 16:53 PDT

 

 

 

 

 

 

 

The calcium-hormones function like a fire brigade; when structurally

little calcium is consumed, they aren't activated that much, which is

good ; no fire.

 

When too much calcium is consumed, the calcium-hormones are very active,

stimulating absorption of calcium into the bones, and subsequently

deportation and excretion. And the more this processed is enhanced, the

more the bones erode.

 

 

 

 

 

After calcium is absorbed, calcitonine (or thyrocalcitonine) inhibits

deportation of calcium from the bones, whilst the calcium automatically

keeps pouring in. Calcitonine also stimulates excretion of calcium

through urinating.

 

So, calcitonine primarily lowers blood-calcium level, and absorption of

calcium into the bones is one way to reach that goal. Absorbing calcium

into the bones certainly is not the purpose of calcitonine, for it

stimulates excretion of calcium too.

 

Due to the action of calcitonine, the increased blood-calcium level

decreases, inhibiting calcitonine release and stimulating secretion of

two other calcium-hormones; PTH and calcitriol.

 

 

 

 

 

Parathyroid hormone (PTH) stimulates uptake of calcium into the bones

(1) (and therefore osteoblast apoptosis (2)) and deportation of calcium

from the bones, and inhibits excretion of calcium, generally increasing

a low blood-calcium level. Logically, elevated PTH level accelerates

ageing of the bones; see hyperparathyroidism

 

Low levels of PTH prevent bone loss. (3)

 

PTH also stimulates secretion of calcitriol;

 

 

 

 

 

Calcitriol (1,25 dihydroxycholecalciferol = composed of vit. D); The

direct influence of calcitriol is increasing the uptake of dietary

calcium into the blood, but also the uptake of calcium into the bones

(4) (Calcitriol therefore also increases osteoblasts apoptosis (5)) and

deportation of calcium from the bones.

 

 

 

Calcitriol however also inhibits secretion of PTH. And since the

stimulating effect of PTH on the uptake of calcium into the bones and

the subsequent deportation, supplementary calcitriol can, per saldo, in

fact strongly decrease uptake of calcium into the bones and subsequent

deportation. (6) Since calcitriol also increases intestinal calcium

absorption, this however also strongly increases blood-calcium level

(7).

 

 

 

Too much calcium in the blood can precipitate in the arteries, joints

and ligaments and kills muscle cells (since muscle cells can only

contract by deporting calcium outside the muscle-cells, which is harder

if the blood contains more calcium). Too much calcitriol / vitamin D can

cause arteriosclerosis, bone-deformation (8), muscle cramps and

fibromyalgia.

 

 

 

 

 

 

 

Estrogen

 

Estrogens are multi-functional hormones, and one of their functions

involves the bones.

 

The calcium-hormones mentioned above, induce circulation of calcium;

from the blood into the bones and vice versa, ‘pumping’ the calcium

around. Estrogens are the brakes on this system, to minimize erosion.

 

 

 

Calcium is absorbed into the bones due to osteoblasts, which increase

free phosphate level in the bones, which causes the ‘passive’ influx of

calcium, to restore the calcium-phosphate ratio.

 

Deportation of calcium from the bones by osteoclasts is an active

process.

 

 

 

Structurally, estrogen does not stimulate osteoblasts (9) , but even

inhibits osteoblast activity (10) and therefore inhibits calcium influx

in the bones (11) and also inhibits deportation of calcium from the

bones. Thus estrogen protects the bones against excessive bone turnover,

and osteoblasts against apoptosis.

 

Estrogen prevents death of osteoblasts in particular because osteoblasts

are more sensitive to ageing phenomena than osteoclasts. (12)

 

 

 

 

 

In general, this protective effect of estrogen is accredited to the

decrease in deportation of calcium from the bones, and is the inhibitory

effect of estrogen on calcium influx ignored.

 

But a characteristic action of estrogens on the skeleton is inhibition

of longitudinal bone growth. (13)

 

Some claim that estrogen increases calcium influx in the bones, but this

is only the case in the first 6 days of administration. (9)

 

 

 

 

 

The reason why osteoporosis risk in women is higher than in men,

regardless of menopause and milk consumption, is due to monthly estrogen

and PTH fluctuations;

 

Estrogen levels in women strongly fluctuate monthly.

 

As estrogen level is at its lowest (around menstruation), PTH level is

at its highest, increasing deportation of calcium from the bones. (14)

(and uptake of calcium into the bones)

 

Thus lifetime bone turnover averagely is higher in women.

 

 

 

 

 

 

 

Vitamin K

 

Vitamin K seems to be protective for inhibiting death of osteoblasts.

(15) But how exactly this happens, remains unclear; vitamin K may

inhibit fractional calcium absorption and therefore prevent osteoblast

apoptosis. Or vitamin K may reduce ‘unnecessary’ apoptosis of

osteoblasts even without excessive calcium turnover. Vitamin K can

however also increase osteoblast apoptosis. (16)

 

Vitamin K does not affect intestinal calcium absorption (17), but the

intake of dietary vitamin K2 has a preventive effect on bone resorption

caused by ovariectomie or a lack of vitamin K, and in postmenopausal

women. (18)

 

 

 

 

 

 

 

Growth Factors

 

The hormones mentioned above influence bone-metabolism through different

mediators, like growth factors.

 

One such a growth factor is Insulin-Like Growth Factor-1 (IGF-1). That

an increased uptake of calcium increases osteoblast apoptosis, is also

shown by IGF-1 influence; IGF-1 is a potent growth factor for

osteoblasts (and also increases bone resorption) and induces osteoblast

apoptosis. (19)

 

 

 

Other such growth factors are Fibroblast Growth Factors (FGF). FGF play

a critical role in bone growth, and overexpression of FGF2 increases

osteoblast apoptosis. (20)

 

 

 

 

Sources

 

Abstracts of most sources can be found at The National Library of

Medicine

 

 

 

(1) Kroll MH, Parathyroid hormone temporal effects on bone formation and

resorption. Bull. Math. Biol. 2000 / 62 (1) / 163-188. , Chevalley T, et

al, [bone and hormones. Effects of parathyroid hormone on the bone].

[Article in French] Presse Med.1999 / 28 (10) / 547-553.

 

(2)Stanislaus D, In vivo regulation of apoptosis in metaphyseal

trabecular bone of young rats by synthetic human parathyroid hormone

(1-34) fragment. Bone 2000 / 27 (2) / 209-218.

 

(3) Fujiyama K, et al, Attenuation of postmenopausal high turnover bone

loss in patients with hypoparathyroidism. J. Clin. Endocrinol. Metab.

1995 / 80 (7) / 2135-2138.

 

(4) Erben RG, et al, Therapeutic efficacy of 1alpha,25-dihydroxyvitamin

D3 and calcium in osteopenic ovariectomized rats: evidence for a direct

anabolic effect of 1alpha,25-dihydroxyvitamin D3 on bone.

Endocrinology1998 / 139 (10) / 4319-4328.

 

(5) Pascher E, et al, Effect of 1alpha,25(OH)2-vitamin D3 on TNF

alpha-mediated apoptosis of human primary osteoblast-like cells in

vitro. Horm. Metab. Res.1999 / 31 (12) / 653-656.

 

(6) Sairanen S, et al, Bone mass and markers of bone and calcium

metabolism in postmenopausal women treated with 1,25-dihydroxyvitamin D

(Calcitriol) for four years. Calcif. Tissue Int. 2000 / 67 (2) /

122-127.

 

(7) Sairanen S, et al, Bone mass and markers of bone and calcium

metabolism in postmenopausal women treated with 1,25-dihydroxyvitamin D

(Calcitriol) for four years. Calcif. Tissue Int. 2000 / 67 (2) /

122-127. , Gurlek A, et al, Comparison of calcitriol treatment with

etidronate-calcitriol and calcitonin-calcitriol combinations in Turkish

women with postmenopausal osteoporosis: a prospective study. Calcif.

Tissue Int. 1997 / 61 (1) / 39-43.

 

(8) Giunta, D.L. ,Dental changes in hypervitaminosis D. Oral. Surg.

Pathol. Oral. Radiol. Endod. 1998 / 85 (4) / 410-413. , Uehlinger, P. et

al, Differential diagnosis of hypercalcemia - a retrospective study of

46 dogs. (duitst.) Schweiz. Arch. Tierheilkd. 1998 / 140 (5) / 188-197.

, Qin, X. et al, Altered phosphorylation of a 91-kDa protein in

particulate fractions of rat kidney after protracted

1,25-dihydroxyvitamin D3 or estrogen treatment. Arch. Biochem. Biophys.

1997 / 348 (2) / 239-246. , Niederhoffer, N. et al, Calcification of

medical elastic fibers and aortic elasticity. Hypertension 1997 / 29 (4)

/ 999-1006. , Selby, P.L. et al, Vitamin D intoxication causes

hypercalcemia by increased bone resorption with responds to

 

pamidronate. Clin. Endocrinol. (Oxf.) 1995 / 43 (5) / 531-536. , Ito, M.

et al, Dietary magnesium effect on swine coronary atherosclerosis

induced by hypervitaminosis D. Acta Pathol. Jpn. 1987 / 37 (6) /

955-964.

 

(9) Qu Q, et al, Estrogen enhances differentiation of osteoblasts in

mouse bone marrow culture. Bone 1998 Mar;22(3):201-9.

 

(10) Jilka RL, et al, Loss of estrogen upregulates osteoblastogenesis in

the murine bone marrow. Evidence for autonomy from factors released

during bone resorption. J. Clin. Invest. 1998 / 101 (9) / 1942-1950.

 

(11)Bryant HU, et al, An estrogen receptor basis for raloxifene action

in bone. J Steroid Biochem Mol Biol 1999 / 69 (1-6) / 37-44. , Jilka RL,

et al, Loss of estrogen upregulates osteoblastogenesis in the murine

bone marrow. Evidence for autonomy from factors released during bone

resorption. J. Clin. Invest. 1998 / 101 (9) / 1942-1950. , Sims NA, et

al, Estradiol treatment transiently increases trabecular bone volume in

ovariectomized rats. Bone1996 / 19 (5) / 455-461.Smith, G.R. et al,

Inhibitory action of oestrogen on calcium-induced mitosis in rat bone

marrow and thymus. J. Endocrinol. 1975 / 65 (1) / 45-53.

 

(12) Eriksen EF, et al, The pathogenesis of osteoporosis. Horm. Res.1997

/ 48 Suppl 5 / 78-82.

 

(13) Bryant HU, et al, An estrogen receptor basis for raloxifene action

in bone. J Steroid Biochem Mol Biol 1999 / 69 (1-6) / 37-44. , Hannon R,

et al, Response of biochemical markers of bone turnover to hormone

replacement therapy: impact of biological variability. J. Bone Miner.

Res. 1998 / 13 (7) / 1124-1133.

 

(14) Zittermann A, et al, Physiologic fluctuations of serum estradiol

levels influence biochemical markers of bone resorption in young women.

J Clin Endocrinol Metab 2000 / 85 (1) / 95-101.

 

(15) Urayama S, et al, Effect of vitamin K2 on osteoblast apoptosis:

vitamin K2 inhibits apoptotic cell death of human osteoblasts induced by

Fas, proteasome inhibitor, etoposide, and staurosporine. J. Lab. Clin.

Med. 2000 / 136 (3) / 181-193.

 

(16) Sakagami H, et al, Apoptosis-inducing activity of vitamin C and

vitamin K. Cell. Mol. Biol. (Noisy-le-grand) 2000 / 46 (1) / 129-143.

 

(17) Zhao X, et al, [Effect of various levels of vitamin K intake on

bone metabolism of rat]. [Article in Chinese] Chung Hua Yu Fang I Hsueh

Tsa Chih 1998 / 32 (6) / 359-362.

 

(18) Yamaguchi M, et al, J. Bone Miner. Metab. 1999 / 17 (1) / 23-29. ,

Zhao X, et al, [Effect of various levels of vitamin K intake on bone

metabolism of rat]. [Article in Chinese] Chung Hua Yu Fang I Hsueh Tsa

Chih 1998 / 32 (6) / 359-362. , Jie KS, et al, Effects of vitamin K and

oral anticoagulants on urinary calcium excretion. Br. J. Haematol.1993 /

83 (1) / 100-104.

 

(19) Kawakami A, et al, Insulin-like growth factor I stimulates

proliferation and Fas-mediated apoptosis of human osteoblasts. Biochem.

Biophys. Res. Commun. 1998 / 247 (1) / 46-51.

 

(20) Mansukhani A, et al, Signaling by fibroblast growth factors (FGF)

and fibroblast growth factor receptor 2 (FGFR2)-activating mutations

blocks mineralization and induces apoptosis in osteoblasts. J. Cell.

Biol.2000 / 149 (6) / 1297-1308.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the source of these documents visit: http://www.4.waisays.com/ by by

Wai Genriiu

 

 

 

 

AIM Barleygreen

" Wisdom of the Past, Food of the Future "

 

http://www.geocities.com/mrsjoguest/Diets.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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