Wakley G K, Garand J, Brown D, Szukalski B W, Bell N H, Turner R T
Department of Orthopaedics, Loma Linda University, California.
J Bone Miner Res. 1992 Jan;7(1):11-9. doi: 10.1002/jbmr.5650070104.
Gallium nitrate lowers the serum calcium in patients with hypercalcemia caused by malignancy and is available for clinical use. The mechanism for the hypocalcemic action is unknown, however. The present studies were undertaken to determine the effects of gallium on bone metabolism. Normal male rats were implanted subcutaneously with mineralized allogeneic bone matrix. Histomorphometry of the implants and of tibiae was determined after three doses of tetracycline administered at intervals of 1 week. Gallium as nitrate was administered daily by intraperitoneal injection at doses of 0.9, 1.8, and 3.6 mg elemental gallium per kg body weight for 21 days in one study and at 3.5 mg/kg for 33 days in a second study. All the gallium-treated rats gained weight. Rats given gallium at doses of 3.5 mg/kg or more grew at a lower rate than untreated controls (-7 and -10% at doses of 3.5 and 3.6 mg/kg, respectively; p less than 0.05). At a dose of 0.9 mg/kg, gallium did not inhibit bone resorption or lower serum calcium but inhibited bone formation by 32% and bone apposition by 36% at the endosteal surface of the tibia. At a dose of 1.8 mg/kg, gallium produced modest hypocalcemia, prevented a rise in circulating 1,25-dihydroxyvitamin D [1,25-(OH)2D], inhibited bone resorption in implants, and inhibited bone formation by 19% and bone apposition by 18%. At a dose of 3.5 mg/kg, gallium lowered the serum calcium and serum 1,25-(OH)2D, inhibited growth, and accentuated the antiresorptive and antiformative effects seen at the two lower doses.(ABSTRACT TRUNCATED AT 250 WORDS)
硝酸镓可降低由恶性肿瘤引起的高钙血症患者的血清钙水平,且可供临床使用。然而,其降钙作用的机制尚不清楚。目前的研究旨在确定镓对骨代谢的影响。将矿化的同种异体骨基质皮下植入正常雄性大鼠体内。在每隔1周给予3次四环素后,对植入物和胫骨进行组织形态计量学分析。在一项研究中,以每天腹腔注射硝酸镓的方式给药,剂量分别为每千克体重0.9、1.8和3.6毫克元素镓,持续21天;在另一项研究中,剂量为3.5毫克/千克,持续33天。所有接受镓治疗的大鼠体重均增加。给予3.5毫克/千克及以上剂量镓的大鼠生长速度低于未治疗的对照组(3.5和3.6毫克/千克剂量组分别低7%和10%;P<0.05)。在0.9毫克/千克的剂量下,镓不抑制骨吸收或降低血清钙,但在胫骨内表面抑制骨形成32%,骨贴附36%。在1.8毫克/千克的剂量下,镓产生适度的低钙血症,阻止循环中的1,25-二羟维生素D[1,25-(OH)2D]升高,抑制植入物中的骨吸收,并抑制骨形成19%,骨贴附18%。在3.5毫克/千克的剂量下,镓降低血清钙和血清1,25-(OH)2D,抑制生长,并增强在两个较低剂量下观察到的抗吸收和抗形成作用。(摘要截断于250字)