Simecková A, Stolba P, Hátle K, Zamrazil V, Neradilová M
Výzkumný ústav endokrinologický, Praha.
Vnitr Lek. 1990 Jun;36(6):526-30.
In a group of rats with streptozotocin induced diabetes the excretion of calcium, magnesium, phosphorus and creatinine in urine was investigated and the calcium, magnesium and phosphorus content of bone in relation to the duration of the disease. The authors observed that in diabetic rats the urinary losses of calcium, magnesium and phosphorus increase significantly. The creatinine excretion is also significant but lower in relation to calciuria and therefore the value of Nordin's index in diabetic rats rises markedly. Bone of diabetic rats in the early stage of diabetes (32 days) loses magnesium, while the calcium and phosphorus content does not change significantly. During longer persistence of severe diabetes (70 days) a significant drop of all three minerals in bone was observed. The bones of diabetic animals on the 70th experimental day were macroscopically smaller and were very fragile. The authors' findings suggest a marked influence of streptozotocin diabetes on calcium phosphate metabolism and bone metabolism, in particular on account of STZ diabetes, on an early drop of magnesium in bone. The possible impact of this finding for clinical practice will have to be tested further.
在一组由链脲佐菌素诱导糖尿病的大鼠中,研究了尿中钙、镁、磷和肌酐的排泄情况,以及骨中钙、镁和磷含量与疾病持续时间的关系。作者观察到,糖尿病大鼠尿中钙、镁和磷的流失显著增加。肌酐排泄量也显著增加,但与尿钙相比更低,因此糖尿病大鼠中诺丁指数的值显著上升。糖尿病大鼠在糖尿病早期(32天)骨中镁流失,而钙和磷含量没有显著变化。在严重糖尿病持续较长时间(70天)时,观察到骨中所有三种矿物质都显著下降。在实验第70天,糖尿病动物的骨骼在宏观上更小且非常脆弱。作者的研究结果表明,链脲佐菌素诱导的糖尿病对磷酸钙代谢和骨代谢有显著影响,特别是由于链脲佐菌素糖尿病导致骨中镁的早期下降。这一发现对临床实践的可能影响还需进一步测试。