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Parathyroid gland

life science Maturity 9-11 Next article →

The parathyroid glands are small endocrine glands located in the neck of humans and other tetrapods.

3D Medical Animation still shot Hyperparathyroidism
3D Medical Animation still shot Hyperparathyroidism

These glands are essential for maintaining homeostasis, which is the body's internal balance. Specifically, they regulate the levels of calcium and phosphate in the blood. This regulation is vital because the nervous and muscular systems require precise calcium levels to function correctly. Without this control, the body cannot maintain the stability needed for life.

These glands operate through a complex hormonal mechanism. When blood calcium levels drop, the parathyroid glands secrete parathyroid hormone, also known as parathormone. This small protein acts on several different parts of the body to raise calcium. First, it stimulates osteoblasts to indirectly trigger osteoclasts, which are cells that break down bone to release calcium into the blood. Second, it activates vitamin D to increase calcium absorption in the gastrointestinal tract. Finally, the hormone tells the kidneys to conserve calcium through reabsorption rather than letting it leave through urine.

Structurally, the parathyroid glands are quite distinct from the nearby thyroid gland. While the thyroid has a follicular structure, the parathyroid glands consist of densely packed cells. There are two primary types of cells found within these glands. Chief cells are responsible for synthesizing and releasing parathyroid hormone. These cells appear dark when they are loaded with the hormone and clear when they are in a resting state. Oxyphil cells are also present; they appear lighter and their specific function remains unknown, though they increase in number as a person ages.

Anatomy and development of these glands involve interesting movements during embryological growth. The glands originate from the endoderm of the third and fourth pharyngeal pouches. Interestingly, their final positions are the reverse of their starting points. The inferior parathyroid glands develop from the third pouch and move downward as the thymus migrates toward the chest. The superior glands develop from the fourth pouch and do not migrate as far. Because of this movement, the glands are named based on their final location rather than their origin.

Most humans possess four parathyroid glands, though there is significant natural variation. Some individuals may have three, six, eight, or even more glands. These glands are typically yellowish-brown, flat, and ovoid, resembling a lentil seed. A single gland is usually about 6 mm long and 3 to 4 mm wide. In healthy adults, the glands weigh approximately 30 mg in men and 35 mg in women. They are located on the posterior surface of the thyroid and cannot be felt during a physical exam.

Medical science has a long history of studying these small structures. Richard Owen first described them in 1852 after observing an Indian rhinoceros. In 1880, Ivar Sandström discovered them in humans and other animals like dogs and horses. By 1908, William G. MacCallum proposed their specific role in calcium metabolism. The isolation of parathyroid hormone occurred in the 1920s by Adolph M. Hanson and James B. Collip. Later, research by Roger Guillemin, Andrew Schally, and Rosalyn Sussman Yalow earned a Nobel Prize in 1977.

When the glands do not function correctly, it leads to specific medical conditions. Hyperparathyroidism occurs when there is an excess of parathyroid hormone, which can cause bone pain or dehydration. This can be primary, caused by cell growth, or secondary, caused by renal disease. Conversely, hypoparathyroidism is a state of deficient hormone activity. This can result from damage during thyroid surgery or genetic conditions like DiGeorge syndrome. There is even a rare condition called pseudohypoparathyroidism, where the body is resistant to the hormone itself.

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