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parathyroid hormone; parathormone; parathyrin (PTH)

Function: - PTH is secreted by chief cells of the parathyroid gland in response to a decrease in plasma Ca+2 or an increase in plasma phosphate - PTH increases plasma Ca+2 & lowers plasma phosphate by: a) increasing Ca+2 resorption in the distal renal tubules, thus reducing urinary Ca+2 excretion b) enhancing urinary phosphate excretion c) stimulating bone resorption d) promoting renal production of 1,25 dihydroxy vitamin D3, thus increasing gastrointestinal absorption of Ca+2 - circadian rhythm is present with highest plasma levels at 1400-1600 hours & lowest levels at 0800 hours - normal 1/2 life of intact PTH (1-84) is 5 minutes - inactive C-terminal & mid-molecule fragments (i.e. fragments 53-84, 44-68 & 35-64) make up 90% of circulating PTH metabolites - these fragments are cleared by the kidneys with a 1/2 life of 1-2 hours - a circulating amino-terminal fragment (i.e. fragment 1-34) has a 1/2 life of 1-2 minutes - interacts with PTH1R (via N-terminal extracellular domain) - only the intact & N-terminal fragments have biological activity - intact & N-terminal fragments are removed from plasma by renal excretion & other mechanisms - stimulates 2-deoxy-D-glucose (2DG) transport & glycogen synthesis in osteoblastic cells Structure: belongs to the parathyroid hormone family Compartment: secreted Expression: - expressed in chief cells of the parathyroid gland Pathology: - defects in PTH are a cause of autosomal dominant hypoparathyroidism

Related

calcitriol; 1,25-dihydroxycholcalciferol; 1,25-dihydroxyvitamin D3 hypercalcemia hypocalcemia parathyroid parathyroid hormone (PTH) 1-34 parathyroid hormone (PTH) intact in serum/plasma parathyroid hormone [PTH] gene parathyroid hormone [PTH]-related protein parathyroid hormone/parathyroid hormone-related peptide receptor; PTH/PTHrP type I receptor; PTH/PTHr receptor (PTHR1, PTHR, PTH1R)

Specific

recombinant parathyroid hormone (1-84) (Natpara) teriparatide (Forteo)

General

hormone secreted peptide

Properties

SIZE: entity length = 115 aa MW = 13 kD COMPARTMENT: extracellular compartment SECRETED-BY: chief cell WITHIN: parathyroid MOTIF: signal sequence {1-25} Important for receptor binding {51-69} MISC-INFO: lifetime 5

Database Correlations

OMIM correlations MORBIDMAP 168450 UniProt P01270 Pfam PF01279 Entrez Gene 5741 Kegg hsa:5741

References

  1. Clinical Diagnosis & Management by Laboratory Methods, J.B. Henry (ed), W.B. Saunders Co., Philadelphia, PA. 1991, pg 154
  2. Cotran et al Robbins Pathologic Basis of Disease, W.B. Saunders Co, Philadelphia, PA 1989 pg 1242
  3. Cotran et al Robbins Pathologic Basis of Disease, 5th ed. W.B. Saunders Co, Philadelphia, PA 1994 pg 1143
  4. UniProt :accession P01270
  5. Wikipedia; Note: parathyroid hormone entry http://en.wikipedia.org/wiki/parathyroid_hormone