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维生素 D 类似物 ED-71 是一种有效的肠道磷酸盐吸收和 NaPi-IIb 调节剂。

The vitamin D analog ED-71 is a potent regulator of intestinal phosphate absorption and NaPi-IIb.

机构信息

Renal Division, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

出版信息

Endocrinology. 2012 Nov;153(11):5150-6. doi: 10.1210/en.2012-1587. Epub 2012 Sep 4.

Abstract

The vitamin D analog ED-71 [1α,25-dihydroxy-2β-(3-hydroxypropyloxy)vitamin D(3)] has been approved for treatment of osteoporosis in Japan, but its effects on mineral metabolism have not been fully explored. We investigated the actions of ED-71 on phosphate (Pi) absorption and induction of the intestinal sodium/phosphate cotransporters. Oral treatment of vitamin D-deficient rats with ED-71 (20 pmol every other day for 8 d) produced a maximal 8-fold increase in duodenal Pi absorption, measured by the in situ loop method, whereas 1,25-dihyroxyvitamin D(3) [1,25(OH)(2)D(3]), at doses up to 150 pmol, had no effect. This action of ED-71 was attributable to a dramatic 24-fold induction of sodium-dependent Pi transporter type IIb (NaPi-IIb) mRNA in the duodenum; Pit-1 and Pit-2 mRNA levels were not increased. In vitamin D-replete rats, ED-71 treatment (50 pmol) at 72 and 24 h before death increased NaPi-IIb mRNA in the duodenum and jejunum, but not the ileum, whereas 1,25(OH)(2)D(3) at 1000 pmol was ineffective in all segments. Single oral doses of ED-71 increased mouse intestinal NaPi-IIb mRNA and protein between 6 and 24 h. Surprisingly, rat lung NaPi-IIb was not increased by ED-71, despite its coexpression with the vitamin D receptor in alveolar type II cells. However, ED-71 did not induce intestinal NaPi-IIb in vitamin D receptor-ablated mice. The greater potency of ED-71 than 1,25(OH)(2)D(3) on NaPi-IIb appears to be due to much higher and more prolonged levels of ED-71 in the circulation. In summary, ED-71, due to its disparate pharmacokinetics, is a much more potent inducer of intestinal Pi absorption and NaPi-IIb than 1,25(OH)(2)D(3), suggesting a role for this analog in the treatment of Pi-wasting disorders.

摘要

维生素 D 类似物 ED-71 [1α,25-二羟基-2β-(3-羟丙氧基)维生素 D(3)]已在日本被批准用于治疗骨质疏松症,但它对矿物质代谢的影响尚未得到充分探索。我们研究了 ED-71 对磷酸盐 (Pi) 吸收和诱导肠道钠/磷酸盐协同转运体的作用。用 ED-71(每隔一天口服 20 pmol,共 8 天)治疗维生素 D 缺乏的大鼠,通过原位环法测量,十二指肠 Pi 吸收增加了 8 倍,而 1,25-二羟维生素 D(3)[1,25(OH)(2)D(3)],在高达 150 pmol 的剂量下,没有效果。ED-71 的这种作用归因于十二指肠中钠依赖性 Pi 转运体 IIb 型 (NaPi-IIb)mRNA 的急剧 24 倍诱导;Pit-1 和 Pit-2 mRNA 水平没有增加。在维生素 D 充足的大鼠中,ED-71 治疗(50 pmol)在死亡前 72 和 24 小时增加了空肠和回肠中的 NaPi-IIb mRNA,但在回肠中没有增加,而 1,25(OH)(2)D(3)在 1000 pmol 时在所有节段均无效。单次口服 ED-71 在 6 至 24 小时内增加了小鼠肠道 NaPi-IIb mRNA 和蛋白。令人惊讶的是,尽管 ED-71 与肺泡 II 型细胞中的维生素 D 受体共表达,但大鼠肺 NaPi-IIb 没有增加。然而,ED-71 并没有诱导维生素 D 受体缺失的小鼠肠道 NaPi-IIb。ED-71 比 1,25(OH)(2)D(3)具有更高的效力,这似乎是由于 ED-71 在循环中的水平更高且更持久。总之,由于其不同的药代动力学,ED-71 是一种比 1,25(OH)(2)D(3)更有效的肠道 Pi 吸收和 NaPi-IIb 诱导剂,这表明该类似物在治疗 Pi 浪费疾病中具有作用。

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