Nakamura T, Suzuki K, Hirai T, Kurokawa T, Orimo H
Department of Orthopedics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Bone. 1992;13(3):229-36. doi: 10.1016/8756-3282(92)90202-8.
To study the effect of a large dose of 24R,25(OH)2D3 on bone metabolism, we treated vitamin D-replete rabbits with the agent for eight weeks. Fifteen rabbits 20 weeks of age were divided into three groups of five animals each. Group I received only the vehicle; groups II and III were given the agent at doses of 10 micrograms/kg/d, and 100 micrograms/kg/d, respectively. Through the dosing period, serum calcium, phosphorus, alkaline phosphatase, and creatinine levels were not altered. By the end of the experiment, serum 1,25(OH)2D or serum 25(OH)D levels did not change, nor did the PTH level. Serum 24,25(OH)2D levels for groups I, II, and III were 5.25 +/- 3.40, 76.16 +/- 19.90 (p less than .01), and 199.0 +/- 30.90 (p less than .01) ng/ml, respectively. The bone mineral content (BMC) significantly increased in group III. The percentages of BMC increase in group III over group I were 14.5% on the femur, 34.1% (p less than .01) on the sixth lumbar vertebra, and 23.3% (p less than .05) on the seventh lumbar vertebra. A marked increase of bone mineral densities in the cancellous bone-rich regions was seen in group III. Bone histomorphometry on the seventh lumbar vertebra demonstrated that both the eroded surface and the osteoclast number were reduced and the surfaces indicating bone formation such as the osteoid surface and the tetracycline double labeled surface were also reduced. However, both the osteoid thickness and the mineral apposition rate increased and the mineral formation rate at the tissue level remained approximately equal to that in the control.(ABSTRACT TRUNCATED AT 250 WORDS)
为研究大剂量24R,25(OH)₂D₃对骨代谢的影响,我们用该制剂对维生素D充足的兔子进行了为期八周的治疗。将15只20周龄的兔子分为三组,每组五只。第一组仅接受赋形剂;第二组和第三组分别给予剂量为10微克/千克/天和100微克/千克/天的该制剂。在给药期间,血清钙、磷、碱性磷酸酶和肌酐水平未发生改变。实验结束时,血清1,25(OH)₂D或血清25(OH)D水平未变化,甲状旁腺激素水平也未变化。第一组、第二组和第三组的血清24,25(OH)₂D水平分别为5.25±3.40、76.16±19.90(p<0.01)和199.0±30.90(p<0.01)纳克/毫升。第三组的骨矿物质含量(BMC)显著增加。第三组相对于第一组,股骨的BMC增加了14.5%,第六腰椎增加了34.1%(p<0.01),第七腰椎增加了23.3%(p<0.05)。第三组富含松质骨区域的骨矿物质密度显著增加。对第七腰椎进行骨组织形态计量学分析表明,侵蚀表面和破骨细胞数量均减少,而类骨质表面和四环素双标记表面等表明骨形成的表面也减少。然而,类骨质厚度和矿物质沉积率增加,组织水平的矿物质形成率与对照组大致相等。(摘要截短至250字)