HN3.H1.2 +D1 +D2 The Parathyroid Glands

The Parathyroid Glands:

  • There are, usually, four parathyroid glands located within the fascial sheath that encloses the thyroid gland
  • They are usually located along the posterior border of the thyroid lobes
  • Each parathyroid gland is surrounded by a thin connective tissue capsule
  • The secretory cells, known as chief cells and producing parathyroid hormone, are arranged in cords with fenestrated capillaries
  • Unlike in many endocrine glands the parenchymal cells in the parathyroid gland are quite small and their cytoplasm contains few secretory granules
  • This is due to the short time that normally exists between production of the hormone and its delivery out of the cell
  • In other endocrine glands producing a protein/polypeptide hormone there is a greater store of hormone /precursor hormone held in storage eg in the thyroid gland, there is about 3 months worth of thyroglobulin held in storage in the center of a thyroid follicle in a healthy individual
  • Parathyroid hormone is a calcium increasing hormone and is antagonistic to calcitonin produced by the parafollicular cells of the thyroid gland
  • The parathyroid gland shows age related changes
  • With increasing age, from puberty, many of the parathyroid hormone producing cells are replaced by adipose cells and by a group of cells whose cytoplasm contains numerous mitochondria
  • The function of these cells is uncertain but they are known as oxyphil cells

Section of Parathyroid Gland

    The Parathyroid Glands
  • Note the cords of small parenchymal cells (arrows) in this section of parathyroid gland
  • These are chief cells that produce the parathyroid hormone
  • Blood vessels (arrow heads)

Parathyroid Gland - Age Changes

    Parathyroid Gland - Age Changes
  • In this section of parathyroid gland from an elderly person note the cords of chief cells (arrowed A)
  • Adipose (fat) cells are also present (B)