Barr D R, Sadowski D L, Hu J, Bourdeau J E
Department of Medicine, Michael Reese Hospital and Medical Center, University of Chicago Pritzker School of Medicine, Ill.
Miner Electrolyte Metab. 1991;17(1):32-40.
To characterize the time courses and efficiencies of the renal and intestinal adaptations to dietary Ca deprivation, growing female albino rabbits were fed a low-Ca diet for up to 44 days while they were housed in metabolism cages. Urinary Ca excretion decreased markedly within 8 h of Ca restriction and became essentially undetectable after 14 days. This persisted as long as dietary Ca was low. The intestinal Ca absorption observed during the predeprivation control period was initially changed to net secretion with dietary Ca restriction. However, after 21 days of the low-Ca diet, intestinal Ca absorption was observed. Fecal Ca contents decreased appropriately with Ca deprivation, but never became undetectable. Hyperphosphaturia, which occurred within 8 h of Ca deprivation and persisted as long as dietary Ca was restricted, diminished positive P balance, despite increased intestinal P absorption. Intestinal hyperabsorption and renal conservation of Ca were observed after dietary Ca repletion, suggesting the presence of driving forces for the restitution of Ca deficits incurred by Ca deprivation during growth. We conclude that there are appropriate intestinal and renal homeostatic adaptations to dietary Ca deprivation in the growing female rabbit and that the latter are more rapidly induced and ultimately more efficient than the former.
为了描述肾脏和肠道对饮食中钙缺乏的适应过程及效率,将生长中的雌性白化兔饲养在代谢笼中,喂食低钙饮食长达44天。钙限制8小时内,尿钙排泄显著减少,14天后基本检测不到。只要饮食中的钙含量低,这种情况就会持续。在剥夺前的对照期观察到的肠道钙吸收,在饮食钙限制时最初转变为净分泌。然而,低钙饮食21天后,观察到肠道钙吸收。随着钙缺乏,粪便钙含量适当降低,但从未检测不到。高磷尿症在钙缺乏8小时内出现,并在饮食钙受限期间持续存在,尽管肠道磷吸收增加,但仍减少了正磷平衡。饮食钙补充后,观察到肠道对钙的过度吸收和肾脏对钙的保留,这表明存在驱动力以恢复生长期间钙缺乏所导致的钙亏空。我们得出结论,生长中的雌性兔子对饮食钙缺乏存在适当的肠道和肾脏稳态适应,并且后者比前者诱导更快,最终效率更高。