Shamoto T
Aichi Gakuin Daigaku Shigakkai Shi. 1989 Dec;27(4):989-1005.
To evaluate the relationship between the elevation of blood pressure and altered bone metabolism, the changes of systolic blood pressure in six experimental models for bone disorders were investigated. Rats used were either parathyroidectomized, ovariectomized, fed with a calcium-deficient diet, fed with a vitamin D-deficient diet, treated with HEBP (1-Hydroxyethylidene-1, 1-bisphosphonate) or treated with streptozotocin. Hypertension developed in 5-week-old male rats fed with a calcium-deficient diet for 2 weeks, which evoked hypocalcemia and nutritional hyperparathyroidism. The blood pressure returned to normal when fed with a normal calcium diet. In parathyroidectomized rats receiving a normal calcium diet, the blood pressure did not rise, though the plasma calcium level decreased to an extent similar to the rats fed with the calcium-deficient diet. These findings seem to indicate that hyperparathyroidism, but not hypocalcemia, was involved in the elevation of blood pressure in rats fed with a calcium-deficient diet. Hypertension was not observed in rats fed with a vitamin D-deficient diet or treated with streptozotocin. These rats showed not only an increase in parathyroid hormone (PTH) but also a decrease in 1,25 (OH)2 D3. These results may suggest that the presence of 1,25 (OH)2D3 as well as the enhanced parathyroid function is necessary for the development of hypertension. The elevated blood pressure was reduced by a calcium antagonist, nifedipine, or by calcium supplementation, but not by an inhibitor of angiotensin-converting enzyme, captopril, or by calcitonin. This may indicate that hypertension due to nutritional hyperparathyroidism responds to the calcium antagonist nifedipine and to calcium supplementation, but does not depend on renin or salt. Furthermore, an acute hypotensive effect by human PTH (1-34) was not observed in the hypertension of calcium-deficient rats, suggesting the difference between acute and chronic effects of PTH. The hypertension developed in the present experiment may be a useful model for pharmacological evaluation of antihypertensive drugs, such as calcium and calcium antagonists.
为评估血压升高与骨代谢改变之间的关系,研究了六种骨疾病实验模型中收缩压的变化。所用大鼠分别进行了甲状旁腺切除、卵巢切除、喂饲缺钙饮食、喂饲缺维生素D饮食、用依替膦酸(1-羟基亚乙基-1,1-二膦酸)治疗或用链脲佐菌素治疗。给5周龄雄性大鼠喂饲缺钙饮食2周后出现高血压,这引发了低钙血症和营养性甲状旁腺功能亢进。喂饲正常钙饮食后血压恢复正常。在接受正常钙饮食的甲状旁腺切除大鼠中,尽管血浆钙水平下降到与喂饲缺钙饮食的大鼠相似的程度,但血压并未升高。这些发现似乎表明,在喂饲缺钙饮食的大鼠中,是甲状旁腺功能亢进而非低钙血症导致了血压升高。在喂饲缺维生素D饮食或用链脲佐菌素治疗的大鼠中未观察到高血压。这些大鼠不仅甲状旁腺激素(PTH)增加,而且1,25-(OH)₂D₃减少。这些结果可能表明,1,25-(OH)₂D₃的存在以及甲状旁腺功能增强对于高血压的发生是必要的。钙拮抗剂硝苯地平或补钙可降低升高的血压,但血管紧张素转换酶抑制剂卡托普利或降钙素则不能。这可能表明,营养性甲状旁腺功能亢进引起的高血压对钙拮抗剂硝苯地平和补钙有反应,但不依赖肾素或盐。此外,在缺钙大鼠的高血压中未观察到人类PTH(1-34)的急性降压作用,这表明PTH的急性和慢性作用存在差异。本实验中发生的高血压可能是用于抗高血压药物(如钙和钙拮抗剂)药理学评估的有用模型。