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What releases calcitonin
thyroid
What happens when Ca2+ levels are too high
increased calcitonin > kidneys decrease Ca2+ reabsorption, decreased vitamin D synthesis > small intestine decreased Ca2+ absorption, bones increase osteoblast activity
What happens when Ca2+ levels are too low?
increased PTH > kidneys increase Ca2+ reabsorption, increased vitamin D > small intestine increased Ca2+ absorption, bones increase osteoclast activity
What releases PTH
parathyroid gland
What does PTH do?
opens Ca2+ channels in the distal tubule (reabsorbing transcellularly)
Why is osteoclast activity increased when Ca2+ levels are low?
want to increase Ca2+ so break down bone to release Ca2+
RBC formation (erythropoiesis) at altitutude
body adapts by increasing EPO and making more RBC since there is less O2
RBC formation after giving blood
increased EPO to make more RBC to replace the ones lost
What enzymes does the kidney release?
renin and erithropoitin
Cascade of events when imbalance of blood oxygen levels (stimulus: hypoxia, decreased O2 availability, increased tissue demands for O2)
kidneys releases erythropoietin > stimulates red bone marrow > enhanced erythropoiesis increases RBC count > increases O2 carrying ability of blood
EPO
hormone released by kidneys that stimulates hematopoitic stem cells to become RBC
RBC shelf life
120 days, no nucleus, always dying so need to replace them
Macrophage
immune cells, destroy RBC
RBC death (eryptosis) liver/spleen
Hb > Heme + Globin + Iron
What does Heme become
bilirubin > bile and urochrome
Globin
broken down into amino acids
urochrome
released into circulation, filtered by kidneys and excreted, yellow color
What does iron become?
transferrin and ferritin
transferrin
transporting iron back to bone in the form of transferrin
ferritin
iron storage in the form of ferritin