Arrange the following physiological events in the correct sequence to illustrate how parathyroid hormone (PTH) restores blood calcium homeostasis when plasma calcium concentration falls below normal.
- 1Detection of reduced extracellular calcium ions by calcium-sensing receptors on parathyroid chief cells
- 2Exocytosis of parathyroid hormone (PTH) from parathyroid glands into the bloodstream
- 3Binding of circulating PTH to specific membrane receptors on bone cells and renal tubule epithelia
- 4Activation of osteoclastic bone resorption and enhanced renal tubular reabsorption of calcium
- 5Elevation of blood calcium concentration back to normal, inhibiting further PTH release
Answer
The correct sequence begins with the detection of low calcium ions by parathyroid chief cell receptors, followed by PTH release into the bloodstream, binding of PTH to membrane receptors on bone and renal tubule cells, stimulation of bone resorption and renal calcium reabsorption, and finally the restoration of normal blood calcium levels, which inhibits further PTH secretion.
The correct order follows the canonical negative feedback pathway: sensor detection of low calcium by parathyroid chief cells -> endocrine hormone secretion (PTH release into blood) -> hormone-receptor binding at target tissues (bone and kidney) -> cellular effector actions (bone resorption and renal calcium reabsorption) -> homeostatic balance recovery and negative feedback shutdown of PTH secretion.
Step-by-Step Solution
Key Concept
Parathyroid hormone (PTH) negative feedback control mechanism in blood calcium osmoregulation/mineral homeostasis
Estimated Time:1m 30s