Mayer G P, Blum J W, Deftos L J
Endocrinology. 1975 Jun;96(6):1478-85. doi: 10.1210/endo-96-6-1478.
Immunoreactive calcitonin and calcium concentrations were determined on 581 plasma samples collected during 23 studies on 20 cows. Sample collections in each study was begun approximately 1 month prior to parturition and continued for about 1 month after parturition. The cows were grouped according to the degree of hypocalcemia encountered at parturition. The parturient paresis group consisted of 10 cows which developed severe hypocalcemia (3.91 plus or minus 0.22 mg/100 ml, mean plus or minus se) accompanied by paresis; the nonparetic hypocalcemic group consisted of 5 cows which developed severe hypocalcemia (5.70 plus or minus 0.03 mg/100 ml) but not paresis; and the control group consisted of 8 cows which experienced only a mild hypocalcemia (8.50 plus or minus 0.27 mg/100 ml) at parturition. In the prepartal period prior to the onset of hypocalcemia, the respective mean plasma calcium concentrations (plus or minus se) of the 3 groups were 10.1 plus or minus 0.11, 9.95 plus or minus 0.20, and 10.2 plus or minus 0.17 mg/100 ml. The development of severe hypocalcemia in the parturient paresis and nonparetic hypocalcemic groups was not accompanied by an increase in plasma calcitonin concentration. Furthermore, plasma calcitonin concentraion of these 2 groups was less than that of control cows during the parturient period as well as during the month before and the month after parturition. The plasma calcium nadir at parturition was positively related to the mean prepartal (encompassing the period from 30 days until 60 h before parturition) plasma calcitonin concentration (r = 0.57, t= 3.14, p less than 0.005); i.e., the lower the prepartal plasma calcitonin concentration the more severe the hypocalcemia at parturtion. These observations suggest that the development of hypocalcemia at parturition is not due to an increased secretion of calcitonin, but instead they suggest that parturient hypocalcemia may be associated with a diminished prepartal secretion of calcitonin.
在对20头奶牛进行的23项研究中,采集了581份血浆样本,测定了免疫反应性降钙素和钙的浓度。每项研究中的样本采集在分娩前约1个月开始,并在分娩后持续约1个月。奶牛根据分娩时发生低钙血症的程度进行分组。分娩瘫痪组由10头奶牛组成,这些奶牛出现严重低钙血症(3.91±0.22毫克/100毫升,平均值±标准误)并伴有瘫痪;非瘫痪性低钙血症组由5头奶牛组成,这些奶牛出现严重低钙血症(5.70±0.03毫克/100毫升)但无瘫痪;对照组由8头奶牛组成,这些奶牛在分娩时仅经历轻度低钙血症(8.50±0.27毫克/100毫升)。在低钙血症发作前的产前阶段,三组各自的平均血浆钙浓度(±标准误)分别为10.1±0.11、9.95±0.20和10.2±0.17毫克/100毫升。分娩瘫痪组和非瘫痪性低钙血症组中严重低钙血症的发生并未伴有血浆降钙素浓度的升高。此外,这两组在分娩期以及分娩前1个月和分娩后1个月期间的血浆降钙素浓度均低于对照奶牛。分娩时血浆钙最低点与产前(涵盖分娩前30天直至60小时的时间段)平均血浆降钙素浓度呈正相关(r = 0.57,t = 3.14,p < 0.005);即产前血浆降钙素浓度越低,分娩时低钙血症越严重。这些观察结果表明,分娩时低钙血症的发生并非由于降钙素分泌增加,相反,它们表明分娩期低钙血症可能与产前降钙素分泌减少有关。