Moe S M, Sprague S M
Nephrology Program, Pritzker School of Medicine, University of Chicago, Illinois 60637.
Am J Physiol. 1992 Sep;263(3 Pt 2):F540-5. doi: 10.1152/ajprenal.1992.263.3.F540.
beta 2-Microglobulin (beta 2M) polymerizes to form amyloid fibrils that deposit and cause destructive bone lesions in patients on chronic dialytic therapy. beta 2 M is mitogenic to osteoblasts; however, its effect on bone mineralization is unknown. To determine whether beta 2M causes bone demineralization, neonatal mouse calvariae were incubated with and without beta 2M, and net calcium flux was calculated. Following a 48-h but not 3- or 24-h incubation, beta 2M (10(-8)-10(-6) M) induced a net calcium efflux. The efflux was similar to that observed with 10(-10) M parathyroid hormone (PTH) but less than that observed with 10(-8 M PTH. Devitalizing the calvariae resulted in a net calcium influx that was unaffected by the addition of beta 2M, indicating a cell-mediated phenomenon. The release of beta-glucuronidase, an osteoclast enzyme, increased after a 48-h but not a 24-h incubation with beta 2M. Calcitonin, an osteoclast inhibitor, blocked the beta 2M-induced calcium efflux and beta-glucuronidase release, suggesting osteoclast involvement. Thus beta 2M induces a dose- and time-dependent, cell-mediated calcium efflux from neonatal mouse calvariae that involves osteoclast stimulation.
β2-微球蛋白(β2M)聚合形成淀粉样原纤维,在接受慢性透析治疗的患者中沉积并导致破坏性骨病变。β2M对成骨细胞有促有丝分裂作用;然而,其对骨矿化的影响尚不清楚。为了确定β2M是否会导致骨脱矿,将新生小鼠颅骨在有和没有β2M的情况下进行孵育,并计算净钙通量。在孵育48小时而非3小时或24小时后,β2M(10^(-8)-10^(-6)M)诱导了净钙外流。该外流与用10^(-10)M甲状旁腺激素(PTH)观察到的相似,但小于用10^(-8)M PTH观察到的。使颅骨失活导致净钙内流,且不受添加β2M的影响,表明这是一种细胞介导的现象。与β2M孵育48小时后,破骨细胞酶β-葡萄糖醛酸酶的释放增加,但24小时孵育后未增加。降钙素,一种破骨细胞抑制剂,阻断了β2M诱导的钙外流和β-葡萄糖醛酸酶释放,提示破骨细胞参与其中。因此,β2M诱导新生小鼠颅骨出现剂量和时间依赖性的、细胞介导的钙外流,这涉及破骨细胞的刺激。