The bone remodeling process is regulated by local and systemic factors, including calcium, calcitonin, and endocrine influences. The rate of remodelling is determined by loading and endocrine influences, with oestrogen being the most important endocrine regulator of bone turnover. Osteoblasts and osteoclasts’ actions in bone remodeling and calcium homeostasis are controlled by enzymes, hormones, and other substances that either promote or inhibit cell activity.
The effects of estrogens on bone involve either Estrogen Receptor (ER)α or ERβ depending on the type of bone and the compartment. The regulation of bone and bone mineral metabolism results from the interactions among three important hormones: parathyroid hormone (PTH), calcitonin, and vitamin D, at three target organs. Skeletal remodeling can be triggered by changes in mechanical forces or microdamage, as well as hormonal responses to changes in calcium and phosphorus.
Estrogen is critical for skeletal homeostasis and regulates bone remodeling, in part by modulating the expression of receptor activator of NF-κB ligand (RANKL). Other endocrine regulators include other sex hormones, IGF-1, cortisol, PTH, leptin, and gut hormones. Three calcium-regulating hormones play an important role in producing healthy bone: parathyroid hormone (PTH), which maintains calcium levels, and sex hormones like IGF-1, cortisol, and PTH.
Oestrogen deficiency increases the rate of bone remodeling and leads to an imbalance between bone resorption and formation, resulting in net bone loss. Oxytocin, which causes milk release during lactation, may also be involved in the process of bone remodeling. Other factors linked with nutrient intake and energy metabolism are suggested to regulate bone remodeling, including gastrointestinal hormones.
📹 Bone remodeling and repair
What is bone remodeling and repair? Bone remodeling is when old, brittle bone tissue is removed or resorbed and gets replaced …
How does estrogen regulate bone remodeling?
Estrogen is a hormone that inhibits bone remodeling and resorption, primarily through direct effects on osteoclasts. It also plays a role in osteoblast/osteocyte and T-cell regulation of osteoclasts. Estrogen deficiency is associated with a gap between bone resorption and formation, likely due to the loss of estrogen’s effects on decreasing osteoblast apoptosis, oxidative stress, and osteoblastic NF-κB activity.
This study was supported by research grants NIH AG004875, AR027065, and the Kogod Center on Aging, Mayo Foundation. The manuscript is an unedited PDF file accepted for publication, which will undergo copyediting, typesetting, and review before being published in its final citable form.
How does growth hormone affect bone remodeling?
Growth hormone (GH) is a peptide hormone secreted from the pituitary gland, regulated by the hypothalamus. It plays a significant role in bone metabolism and growth, affecting bone mass. Bone mass increases steadily through childhood, peaking in the mid-20s, and then slows down in late life. During childhood, bone mass accumulation is a combination of bone growth and bone remodeling. GH stimulates osteoblast proliferation and activity, promoting bone formation and resorption.
The absence of GH results in a reduced rate of bone remodeling and a gradual loss of bone mineral density. Bone growth occurs at the epiphyseal growth plates, primarily regulated by chondrocytes. GH has direct effects on chondrocytes, primarily through IGF-I, which stimulates cell proliferation and matrix production. GH deficiency severely limits bone growth and accumulation of bone mass. GH deficiency is not uncommon in oncology and has long-term effects on bone health. The effects of growth hormone on cortical and cancellous bone are also discussed.
What factors are involved in bone remodeling?
Growth factors like IGFs, TGF-β, FGFs, EGF, WNTs, and BMPs play a crucial role in physiological bone remodeling. Studies have shown that TGF-beta-induced repression of CBFA1 by Smad3 decreases cbfa1 and osteocalcin expression and inhibits osteoblast differentiation. Estrogen receptor-alpha signaling in osteoblast progenitors stimulates cortical bone accrual. These factors contribute to the regulation of bone remodeling and its progression. The localization of the functional glucocorticoid receptor alpha in human bone is also a significant aspect of this regulation.
Which hormone is responsible for bone remodeling?
Osteoclasts play a crucial role in bone remodeling and resorption, while osteoblasts lay down new bone. Two hormones that affect osteoclasts are parathyroid hormone (PTH) and calcitonin. PTH stimulates osteoclast proliferation, releasing calcium into the bloodstream and promoting calcium reabsorption by kidney tubules, which can affect calcium homeostasis. PTH indirectly affects the small intestine by stimulating vitamin D synthesis, which promotes calcium absorption.
Calcitonin, secreted by the thyroid gland, inhibits osteoclast activity and stimulates calcium uptake by bones, reducing calcium ion concentration in the blood. PTH and calcitonin are generally not secreted simultaneously, as they have opposing functions in maintaining calcium homeostasis.
What hormone is involved in bone remodeling?
PTH is a hormone secreted by the parathyroid glands that raises calcium levels in the bloodstream. It directly affects bone and kidneys, and indirectly affects the intestines through vitamin D. The hormone has a physiological negative feedback loop influenced by calcium levels. When plasma calcium concentration decreases, less binding to calcium-sensing receptors (CaSR) occurs, leading to increased PTH release. PTH indirectly affects osteoclasts by increasing the receptor activator activity of nuclear factor-kappa ligand (RANKL), which regulates bone resorption and calcium release.
High levels of plasma calcium bind to CaSR on the parathyroid gland and inhibit PTH release. Stimulating CaSRs causes a conformational change of the receptor and stimulates the phospholipase C pathway, leading to higher intracellular calcium and inhibiting PTH exocytosis. PTH also regulates calcium and phosphate levels in the kidneys and intestines. Estrogen deficiency leads to increased bone remodeling, with bone resorption outpacing formation and decreasing bone mass. Estrogen may also influence local factors regulating osteoblast precursors and osteoclast survival.
What controls bone remodeling?
Bone remodeling involves the resorption and deposition phases, with osteoclasts and osteoblasts being the primary cells responsible. Osteocytes also play a role in this process. The activity of these cells, particularly osteoclasts, is influenced by hormonal signals. This interaction between bone remodeling cells and hormones leads to various pathophysiological consequences. The bone remodeling cycle begins in early fetal life and relies on the interaction between two cell lineages: osteoblasts, stem cells from mesenchymal origin, and osteoclasts, stem cells from a hematopoietic lineage. The process begins when osteoblast and osteoclast precursor cells fuse to form a multinucleated osteoclastic cell.
Which hormone is responsible for the growth of bones?
The growth hormone, produced by the pituitary gland, plays a pivotal role in regulating various aspects of human growth and development, including height, bone length, and muscle growth. Some individuals engage in the misuse of synthetic growth hormone, operating under the erroneous assumption that it will result in increased muscle size and strength. Nevertheless, this can result in the development of an irreversible condition known as acromegaly, which is characterized by the excessive growth of bones in the face, hands, and feet.
What hormones are involved in bone remodeling?
Calcium-regulating hormones are crucial for producing healthy bones. Parathyroid hormone (PTH) maintains calcium levels and stimulates bone resorption and formation. Calcium-derived hormone calcitriol stimulates the intestines to absorb calcium and phosphorus, directly affecting bone. PTH also inhibits bone breakdown and may protect against excessively high calcium levels in the blood. PTH is produced by four small glands adjacent to the thyroid gland, which control calcium levels in the blood.
When calcium concentration decreases, PTH secretion increases. PTH conserves calcium and stimulates calcitriol production, increasing intestinal absorption of calcium. It also increases calcium movement from bone to blood. Hyperparathyroidism, caused by a small tumor of the parathyroid glands, can lead to bone loss. PTH stimulates bone formation and resorption, and when injected intermittently, bones become stronger. A new treatment for osteoporosis is based on PTH.
A second hormone related to PTH, parathyroid hormone-related protein (PTHrP), regulates cartilage and bone development in fetuses but can be over-produced by individuals with certain types of cancer. PTHrP causes excessive bone breakdown and abnormally high blood calcium levels, known as hypercalcemia of malignancy.
What are the 2 main hormones in bone remodeling?
Calcium-regulating hormones are crucial for producing healthy bones. Parathyroid hormone (PTH) maintains calcium levels and stimulates bone resorption and formation. Calcium-derived hormone calcitriol stimulates the intestines to absorb calcium and phosphorus, directly affecting bone. PTH also inhibits bone breakdown and may protect against excessively high calcium levels in the blood. PTH is produced by four small glands adjacent to the thyroid gland, which control calcium levels in the blood.
When calcium concentration decreases, PTH secretion increases. PTH conserves calcium and stimulates calcitriol production, increasing intestinal absorption of calcium. It also increases calcium movement from bone to blood. Hyperparathyroidism, caused by a small tumor of the parathyroid glands, can lead to bone loss. PTH stimulates bone formation and resorption, and when injected intermittently, bones become stronger. A new treatment for osteoporosis is based on PTH.
A second hormone related to PTH, parathyroid hormone-related protein (PTHrP), regulates cartilage and bone development in fetuses but can be over-produced by individuals with certain types of cancer. PTHrP causes excessive bone breakdown and abnormally high blood calcium levels, known as hypercalcemia of malignancy.
What is the mechanism of bone Remodelling?
The remodeling cycle in cortical and trabecular bone encompasses five sequential stages: activation, resorption, reversal, formation, and termination. This cyclical process occurs over a period of 120 to 200 days.
What hormones regulate bone Remodelling?
Oestrogen is the primary endocrine regulator of bone remodeling in both men and women. Other significant endocrine regulators include insulin-like growth factor 1 (IGF-1), cortisol, parathyroid hormone (PTH), leptin, and gut hormones. The recent literature has described the roles of leptin and gut hormones. Furthermore, the study underscores the significance of cookies in the utilization of this website and the deployment of AI training and analogous technologies.
📹 Bone Remodeling Mechanism
Bone remodeling (or bone metabolism) is a lifelong process where mature bone tissue is removed from the skeleton (a process …
Add comment