The intricate and dynamic physiological process by which a network of endocrine factors, including parathyroid hormone, calcitonin, Vitamin D metabolites, sex steroids, and glucocorticoids, collectively maintain calcium and phosphate homeostasis and govern the continuous process of bone remodeling. This system ensures the structural integrity of the skeleton while simultaneously providing a critical mineral reservoir for systemic metabolic needs. Optimal hormonal balance is essential for lifelong skeletal health and resilience.
Origin
This is a core concept in endocrinology, integrating the understanding of mineral metabolism with the physiology of the skeletal system. The recognition of multiple, interconnected hormonal influences on bone cells, rather than a single regulator, defines this complex regulatory system. It reflects the skeleton’s dual role as a mechanical support structure and an endocrine organ.
Mechanism
The primary mechanism involves the coordinated action of hormones on three key cell types: osteoclasts, osteoblasts, and osteocytes. Parathyroid hormone and Vitamin D metabolites tightly control serum calcium by influencing gut absorption and renal excretion, while also directly modulating osteoclast activity. Sex steroids and Growth Hormone, conversely, exert anabolic effects, tipping the balance toward formation and maintaining bone density.
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