Does too much calcium make your bones brittle?

Does too much calcium make your bones brittle?

The answer is, yes it does, surprisingly. Calcium links up with phosphates to make the chemical "apatite" (calcium phosphate), one of the hardest chemicals we know, which is what makes bones hard and stony, and tough.

But if you have too much calcium, that can be as bad as having too little, as in condition osteoporosis where the bones actually begin to lose their calcification and the matrix of the bone, which makes them weak and more likely to break. There’s also another disease called "osteomalacia" where you have too little just of the calcium and that also makes bones weak.

But some people actually lay down too much calcium in bone, a condition called "osteopetrosis" from "petros" as in stony. This is where people can have say, five times the amount of calcium in their bones that they should have. It’s a genetic condition. It’s very rare and I think it also goes by the name "Albers-Schonberg disease" or something like that, but it’s very rare.

In these individuals, the cells that break down bone, called "osteoclasts", don't work properly. This is because the way bone is normally formed involves an equilibrium between laying down new bone and breaking down old bone, and that’s how bones are continuously remodelled.

So if you shift that equilibrium on one direction or the other, you either lose or gain bone. And what scientists have found is that in people who have osteopetrosis, the osteoclasts that normally breakdown bone cannot work properly. They have a deficiency of an enzyme called "carbonic anhydrase" and you need that to break down the calcium phosphate, the apatite, in order to remodel the bone.

As a result, they just keep on making their bones get harder and harder, and harder. Eventually they go beyond the point of this being beneficial and the bones become less flexible and more likely to break, so they get very brittle.