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Parathyroid hormone (PTH) regulates calcium homeostasis in humans. The following statements are made regarding PTH:A. It is a 108 amino acid (aa) resi
Question

Parathyroid hormone (PTH) regulates calcium homeostasis in humans. The following statements are made regarding PTH:

A. It is a 108 amino acid (aa) residue long hormone whose 1-42 aa exhibits full biological activity.
B. It is an 84 aa hormone whose 1-34 aa exhibits full biological activity.
C. An acute decrease of Ca++Ca^{++}​ results in a marked increase of PTH mRNA, followed by increased rate of PTH synthesis.
D. Rate of degradation of pro-PTH increases when Ca++Ca^{++}​ concentrations are low.
E. Cathepsin B cleaves PTH into two fragments.

Which one of the following options represents the combination of all correct statements?

A.

A, C and D

B.

B, C and E

C.

A, D and E

D.

B, D and E

Correct option is B

Correct Answer: (2) B, C and E

Parathyroid Hormone (PTH) is critical in regulating calcium homeostasis in humans. Let's evaluate each statement based on known physiology:

A."It is a 108 amino acid (aa) residue long hormone whose 1-42 aa exhibits full biological activity."

Incorrect

  • Human PTH is 84 amino acids long.

  • The 1–34 amino acid segment (not 1–42) is biologically active and retains full physiological effects.

  • Hence, statement A is incorrect.

B."It is an 84 aa hormone whose 1-34 aa exhibits full biological activity."

Correct

  • Human PTH is 84 amino acids in length.

  • The N-terminal 1–34 fragment is sufficient for full biological activity — this is the basis for the synthetic analog teriparatide (PTH 1–34) used in osteoporosis treatment.

C."An acute decrease of Ca²⁺ results in a marked increase of PTH mRNA, followed by increased rate of PTH synthesis."

Correct

  • Low blood calcium levels are sensed by the calcium-sensing receptor (CaSR) on parathyroid cells.

  • This leads to upregulation of PTH gene transcription, increasing PTH mRNA and PTH synthesis.

D."Rate of degradation of pro-PTH increases when Ca²⁺ concentrations are low."

Incorrect

  • When Ca²⁺ is low, PTH secretion and synthesis are increased.

  • In fact, pro-PTH degradation is reduced, allowing more PTH to be processed and secreted.

  • So this statement is incorrect.

E."Cathepsin B cleaves PTH into two fragments."

Correct

  • Cathepsin B, a lysosomal enzyme, is involved in intracellular proteolysis of PTH.

  • It cleaves intact PTH into inactive fragments, helping regulate circulating PTH levels.

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