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[高剂量维生素D3给药对大鼠牙结石形成的影响]

[The effect of the administration of a high dose of vitamin D3 on calculus formation in rats].

作者信息

Sakly R, Hdhili A, Zarrouk K, Mbazaa A

机构信息

Institut National de Nutrition, Tunis, Tunisie.

出版信息

Ann Urol (Paris). 1990;24(7):539-43.

PMID:1963285
Abstract

Administration of high doses of vitamin D3 (2,600 IU/100 ml of drinking water) to adult rats, for one month, significantly altered renal function (P less than 0.01) and enhanced renal accumulation of oxalate (71.44 x 18.82 micrograms/g of tissue in treated rats vs 38.87 +/- 11.96 micrograms/g in untreated rats; P less than 0.001), phosphate (1.388 +/- 188 micrograms/g in treated rats vs 870 +/- 171 micrograms/g in untreated rats; P less than 0.01) and calcium (477 +/- 107 micrograms/g in treated rats vs 326 +/- 104 micrograms/g in untreated rats; P less than 0.01). Urinary analyses of principal promotors and inhibitors of lithogenesis revealed high calcium excretion (1,576 +/- 0.419 mg/24 hr in treated rats vs 0.969 +/- 0.214 mg/24 hr in untreated rats; p less than 0.01) and decreased magnesium excretion (0.330 +/- 0.135 mg/24 hr in treated rats vs 0.910 +/- 0.168 mg/24 hr in untreated rats; p less than 0.001). Microscopic calcium deposits were found in the medulla, especially in renal papilla. These results suggested that vitamin D3, when administered at high doses for a long time, may induce nephrocalcinosis and alter renal function.

摘要

给成年大鼠连续一个月投喂高剂量维生素D3(每100毫升饮用水中含2600国际单位),可显著改变其肾功能(P<0.01),并增加肾脏中草酸盐的蓄积(经处理的大鼠组织中草酸盐含量为71.44×18.82微克/克,未处理的大鼠为38.87±11.96微克/克;P<0.001)、磷酸盐(经处理的大鼠为1.388±188微克/克,未处理的大鼠为870±171微克/克;P<0.01)和钙(经处理的大鼠为477±107微克/克,未处理的大鼠为326±104微克/克;P<0.01)。对结石形成的主要促进因子和抑制因子进行尿液分析发现,经处理的大鼠钙排泄量高(经处理的大鼠为1576±0.419毫克/24小时,未处理的大鼠为0.969±0.214毫克/24小时;p<0.01),镁排泄量降低(经处理的大鼠为0.330±0.135毫克/24小时,未处理的大鼠为0.910±0.168毫克/24小时;p<0.001)。在髓质中发现了微小的钙沉积物,尤其是在肾乳头处。这些结果表明,长期高剂量服用维生素D3可能会诱发肾钙质沉着症并改变肾功能。

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