Isaeva V A, Bazanov E A, Migunova N A, Spirichev V B
Vopr Med Khim. 1977 Nov-Dec(6):830-4.
Chronic kidney insufficiency, caused by subtotal nephrectomy, did not lead to distinct alterations in hydroxyproline concentration in blood and to its excretion in rats within 1-1.5 months after the operation. Content of salt-soluble collagen was decreased in diaphyses of rat tubular bones in chronic kidney insufficiency; in the epiphyses (with metaphyses) content of the collagen fraction was increased, but the concentration of non-soluble collagen was unaltered. Decrease in content of salt-soluble collagen in diaphyses in chronic kidney insufficiency was similar to that in experimental vitamin D deficiency. The decrease might be due to impairment in formation of the active form of vitamin D-1,25-dihydroxycholecalciferol. Other pathogenetic factors (effect of uremic toxins and stress) were apparently of primary importance for development of impairments of collagen metabolism in epiphyses. Dihydrotachysterol, the structural analogue of 1,25-dihydroxycholecalciferol, normalized the alterations in content of salt-soluble collagen in diaphyses and did not affect the impairments of collagen metabolism in epiphyses of rat bones in chronic kidney insufficiency.
肾次全切除所致的慢性肾功能不全,在术后1至1.5个月内,未导致大鼠血液中羟脯氨酸浓度及其排泄出现明显变化。慢性肾功能不全时,大鼠管状骨骨干中盐溶性胶原蛋白含量降低;在骨骺(包括干骺端)中,胶原蛋白组分含量增加,但不溶性胶原蛋白浓度未改变。慢性肾功能不全时骨干中盐溶性胶原蛋白含量的降低与实验性维生素D缺乏时相似。这种降低可能是由于维生素D的活性形式1,25 - 二羟胆钙化醇的形成受损所致。其他致病因素(尿毒症毒素和应激的影响)显然对骨骺中胶原蛋白代谢障碍的发展起主要作用。1,25 - 二羟胆钙化醇的结构类似物双氢速甾醇使慢性肾功能不全大鼠骨干中盐溶性胶原蛋白含量的变化恢复正常,且不影响骨骺中胶原蛋白代谢障碍。