Sakurama K
Department of Environmental and Occupational Health, Toho University, School of Medicine, Tokyo, Japan.
Nihon Arukoru Yakubutsu Igakkai Zasshi. 1998 Dec;33(6):703-17.
Reports on effects of ethanol intake on the kidneys and bones are few. Circulation of blood through the kidneys is large in amount; kidney takes water-soluble exogenous substances and their metabolites in from the blood and accumulates them in the cells and interstitial tissues; in addition kidney plays important roles in producing substances that activate a living body and associating with their functions. The author let male and female ICR mice take 16% ethanol (Sake) ad lib for 472 days beginning at the age of 38 days. Observations were carried out on renal tissues and other organs which have some connection with the renal function. These included bones (femur, knee joint, tibia), muscle (gastrocnemius), 1 alpha, 25(OH)2D3 and erythropoietin (EPO). The results were as follows: Renal tissue observations: Significantly more cases of appearances of basophilic renal tubular, swelling of tubular epithelial cells and urinary casts in tubular lumens, PAS positive deposits in glomerulus, and atrophy of glomerulus were seen in the ethanol groups than in a group used as the control. These occurrences were significantly clear and intensive relative to those in the control. Findings in gastrocnemius: Significantly large number of muscle atrophy, random variation of fiber size and multinucleated fibers were seen. Observations on bones based upon soft X-ray pictures: Bone atrophy, thinning of bone trabeculae, thinning of bone cortex, and porosity of bone cortex were disclosed significantly more than the control. Values of 1 alpha, 25(OH)2D3 and EPO were significantly high increased in the ethanol groups relative to the control. Through the above-mentioned results, it has been supposed that ethanol intake affects kidney tissues and consequently affects bones and muscles.
关于乙醇摄入对肾脏和骨骼影响的报道较少。流经肾脏的血液量很大;肾脏从血液中摄取水溶性外源性物质及其代谢产物,并将它们积累在细胞和间质组织中;此外,肾脏在产生激活生物体的物质及其功能关联方面发挥着重要作用。作者让38日龄的雄性和雌性ICR小鼠随意饮用16%的乙醇(清酒),持续472天。对肾组织以及与肾功能有一定关联的其他器官进行了观察。这些器官包括骨骼(股骨、膝关节、胫骨)、肌肉(腓肠肌)、1α,25(OH)2D3和促红细胞生成素(EPO)。结果如下:肾组织观察:与对照组相比,乙醇组中出现嗜碱性肾小管、肾小管上皮细胞肿胀和肾小管腔内尿 casts、肾小球PAS阳性沉积物以及肾小球萎缩的病例明显更多。相对于对照组,这些情况明显更清晰且严重。腓肠肌的发现:出现大量肌肉萎缩、纤维大小随机变化和多核纤维。基于软X线照片对骨骼的观察:与对照组相比,明显更多地发现骨萎缩、骨小梁变薄、骨皮质变薄和骨皮质孔隙率增加。乙醇组中1α,25(OH)2D3和EPO的值相对于对照组显著升高。通过上述结果,推测乙醇摄入会影响肾脏组织,进而影响骨骼和肌肉。