Dabbagh S, Epley M, Diven W, Ellis D
Department of Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh Medical School, Pa.
Miner Electrolyte Metab. 1990;16(4):216-23.
Vitamin-D deficiency is associated with secondary hyperparathyroidism, hypophosphatemia, generalized aminoaciduria, phosphaturia and, late in its course, hypocalcemia. The tubulopathy has been attributed to the elevated levels of circulating parathyroid hormone. To further delineate the mechanisms responsible for aminoaciduria, vitamin-D deficiency and/or phosphate depletion were induced by placing weanling Sprague-Dawley rats on one of the following diets for 5 weeks: (1) control = 0.7% P, 5.5 micrograms % vitamin D; (2) D-P- = 0.1% P, 0 microgram % vitamin D; (3) D+P- = 0.1% P, 5.5 micrograms % vitamin D; (4) D-P+ = 0.3% P, 0 microgram % vitamin D, and (5) D-P++ = 0.7% P, 0 microgram % vitamin D. Short-term P depletion was produced in a group of animals fed D-P++ for 4 weeks, then fed D-P- for another week. To study the effects of acute supplementation with a pharmacological dose of calcitriol on the transport of amino acids by renal brush border membrane vesicles, the latter experimental group received 500 pmol of calcitriol (and is known as the SUPP group), or an equal amount of the vehicle (and is referred to as the ETH group). The uptake of taurine and proline by renal brush border membrane vesicles was blunted by 50 +/- 3 and 40 +/- 5%, respectively, at the peak of the overshoot, in all diets except D-P++. No changes were observed in vesicle size or Vmax.(ABSTRACT TRUNCATED AT 250 WORDS)
维生素D缺乏与继发性甲状旁腺功能亢进、低磷血症、全身性氨基酸尿、磷尿症有关,病程后期还会出现低钙血症。肾小管病变被认为与循环中甲状旁腺激素水平升高有关。为了进一步阐明导致氨基酸尿的机制,将断乳的斯普拉格-道利大鼠分为以下几组,分别给予不同饮食5周以诱导维生素D缺乏和/或磷酸盐缺乏:(1)对照组=0.7%磷,5.5微克%维生素D;(2)D-P-组=0.1%磷,0微克%维生素D;(3)D+P-组=0.1%磷,5.5微克%维生素D;(4)D-P+组=0.3%磷,0微克%维生素D;(5)D-P++组=0.7%磷,0微克%维生素D。一组喂食D-P++ 4周的动物,然后再喂食D-P- 1周,造成短期磷缺乏。为了研究药理剂量的骨化三醇急性补充对肾刷状缘膜囊泡氨基酸转运的影响,后一组实验组接受500皮摩尔骨化三醇(称为补充组),或等量的溶媒(称为乙醇组)。除D-P++组外,在所有饮食中,肾刷状缘膜囊泡对牛磺酸和脯氨酸的摄取在超射峰值时分别降低了50±3%和40±5%。未观察到囊泡大小或最大反应速度的变化。(摘要截断于250字)